1635 Four Oaks RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
c+ F 11I?? } . .
i I AT1'">
(3n: r
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r i"'r?
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
TYPE OF WORK:
FRAM I?t?i
I AI J I
NF id
(',1(1VAh[ 11106
P1? 11A1ft A ',1 PARA1 f 1'r ROf I i I ` HF Oil t 1•`I If 1 013 'ANY 1 1 F (''I k 1't-AI OR UA U141+tN(.i IJfIR?
;
?1
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING 7 y(r ???.
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING -/ ,
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
??
I) YJ / (?
-aQ b DW
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
r
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
1
76 ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: I r1 G,
3 1 +,1iir r+l '; kii
'1 I •IAii'•
PERMIT SUBTYPE:
• i ,J11jy
MOOT 1 N(i'i
INAI
ECORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 81 o , APPLICANT:
TYPE OF WORK:
I-l i i; ' , # i ]III
I VAN I Nli
MI 1 111 I N(i
Adl?,,. s
AS/1F>/X16
1A1 I
ADIJ [ 1 I ON
(HA14MV IN I1
rlAitk"?, it SEPARA11: ('FPM11 f', k1 l: U fOk ANY 1:111 IN11.At Ilk VI11MI;IH'i 1-11`11:k
L-
Permit No. Permit Holder Date Telephone I
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLE3G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I?erti f icate of ccc"auc?
(its of Own
zoarbaent of Saiib* 3"160ection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use a=ifwwion: SF DWG Bldg. Permit No. 23514
Y Type WX I Zoning Distrid E Type cont. VN
o.=ofBwkbng JACK SAXV Address 225 URIIVERSM AVENITE. ST PAUL
Buiming Address 1635 FM QAKS FDQ locality L3. B1. Fa R OAKS ESTATES
Date:
Building Official
POST IN A CONSPICUOUS PLACE
`CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: t c+ t : .1 1.114
:! ElAM!, ftC.
PERMIT SUBTYPE:
-'-I
IA[!
{ f , {1'.11
TYPE OF WORK:
to, I
INSPECTION TYPE DATE INSPT1q. INSPECTION TYPE .DATE INSPTR.
i
i I c l r7 1 F1 s I i}
W-
Permit No. Permit Holder Date Telephone ff
S/V1r
PLUMBING )
HVAC
ELECT //fX/'7
ELECTRIC
Inspection Date Insp. Comments
Footings I ?jy Q
Foundation
Framing /
T
Roofing
Rough Plbg.
Rough Hig.
4
Isul. 7-
122
Fireplace / I'? BSS -v
r?
Final F tg_
Orsal Test
Final Plbg. Plbg. In pecto - Noti P m
Const. Meter
1 r
/-Z S- 7a
ivcl
EngrJPian
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
k13 1
L401 1
cL
?M
x1 s/41?- =10&4,7
b49517.j o ,e '0':P°
Request Date
Q i/
'
" Flee No Rough-In Inppeceon Required
(You must
call inspector when ready) Inspection Other Than Rough-In
C1 Ready Now ? Will NDlily Inspector
!
f Yes ? No
tq Date Ready
I S licensed contractor ? owner hereby request inspection of above electrical work at
Job Address (Street Boa o Route No 1
e?
9KS
16 3S 0&
1
9 City
A
"
?
. .
4 4
?
Seovon No Township Name or No Range No Co1Nty
Occupam INT7 Phone No
Powe upplier Address
Electrical Contractor (Company Name, Contractors License No
Standard Electric Co., Inc. CA01715
Malting Address (Contractor or Owner Making Installation)
2672 a ewood Dr., Ma lewood MN 55109
Aulhonzed Si ConnactooOwner Maki ns ao n, Phone Number
484-8044
MINRESBIA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55IN UNLESS PROPER INSPECTION FEE IS
Phone(612)54Y-0888 ENCLOSED
F1151
M 49517,
REQUEST FOR ELECTRICAL INSPECTION
See-nstructions for completing this form on back of yellow copy
"X" Below Work Covered by This Request
41 ES-00001-0B
c
New Add Rep. Type of Building Appiia? nce#tfired Egutpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contratlors Remarks_
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Ctrcuds/Feeders Fe
Swimming Pool 0 to 200 Amps : Of ® s
Transformers Above 200 Amps Above 100 Amps
Signs , Inspectors Use Only TAL r
Irrigation Booms
Special Inspection (i
AlarmlCommunicanort THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
_ Other Fee COMPLETED WITHIN 18 NWWHS. -,7 r
I, the Electrical Inspector, hereby
h Rough-in e, a`p n'
! C 7f?
certify t
at the above inspection has
been made F,nal Date
bitili USE ONLY
This request vain 18 months from
332-977 ® OFFIC US ONLY This,requ..0%C 8 manths from wilidanon doh printed in this box
9r?9G & 57Z/5 9
?'
O
PLEASE PRINT OR TYPE ,
puPC. L%L
Request Ooh Rough imp
ernan requmedY Yes No
in Inspetlion Other Than Rough-in Q Ready Now will Call
I
_ . Yb ust toechr when ready)
ll the map
(You m Doh Ready `
I, licensed contractor ? owner hereby request inspection of the above electrical work at -
Job d s .1 Route No) Cry / Zip Code
/?otJ.e OfIKS Of}I? /V
Section No. Township Name or No Ronge No Fire No Co.
4Kor.¢
Orcupa"?-- Phone No
V rC ?4X
Power Supplier /
Address
/ .vi / cs6 ?r?
Elearleal Conhactor lCompanY Name) CankadorLmnse No aster Lic No (Plant Elect Only)
Standard Electric Co., Inc. CA01715
Mailing Address (Co r or Owner Performing In.mllanon)
ntra
wood Drive a ewood MN 55109
2672
AWhodxed Sig omvaor or Owner Pedo viol on)
Phone No.
1 484-8044
EB- 6/95 STA EBOAR0 COPY. SEE INSTRUCTIONS ON BACKOF YELLOW COPY
VIIIVIIIVIIIII I IIIIIIIIII VIII II IIIIIIIIII REQUEST FOR ELECTRICAL INSPECTI
II Minnesota Steie Board of Electricity
1821 University Ave., Rm S- St. Paul, MN 55104
x 0 3 3 2 9 7 7 8 x Phone (612) 642-0800 9////g
Home Duplex
t Apt. Bldg. Other. y New Addn
Commercial rial
indus Farm Remod Re air
Air Cond. Htg. Equip Water Htr. Load Mgm} Other:
Dryer Range Elec Heat Temp. Servos I
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
AwPSQvito ?IWSSo-ir
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Olher Fee # Service Entrance Sae Fee # Cirwifs/Feedera Fee
Mobile Home Park Stall 0 to 200 Amps
e 0 to Amps g 2°
Street Ltg.fFroffic Sig. Above 200 Amps TOO Amps
Transformer/Generator INSPECTOR'S USEO TOTAL
Sign/Outline Ltg. Xfmr. ----
Alarm/Remote Control /
I
Swimming Pool ¢7
!/'o
LaC-?`?
) hne n the elecmml insmllanon descnbed herein on the dares skf
Irrigation Boom Roegh.ln Dore
Special Inspection
Investigative Fee Fn D re
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
!JNL"'c r"' s° r Ltutc OF T.+?s $w?orkS Nas dR•Jr dtorN?&yr. OWL Y 9NS/ _
7c rNJts,mR PAS fly r. d 7NG -7s. ?H! r42cN, Ftt ?TNA?9r??f !/?a?l y 'Rr 4Ae•g?
ON Tap ®F TilfM f„p 7. Rcs. asPATECTIVE INSPECTIONS STAFF
9
(ij4GN)?9Jd 'T//d ?ay. ?w•ae8?H? f//1 /TNL/coTrD TN•OP ?!!L forts i9KCcdb9r
?2ANdca/a $v N9YJaeS 41$f A. Co yFoaT99t£ ?/?F/iJ bJjce4,?. bRS110V Ttt Zs 7b 8t IalrNttfS
1A-IF Bill A. s ?crls YKa, Dirk H. W,-'- v 6hc?zs ? ?fozeurrA TNC ® Pte/ME7t2.
PH Bill B. ?3<*• a
_ < YK. Doug R. .laa-rr. -
c el
`R1 Z• Dale SS V?b't Y? J?", )e V. Maµynft-6:--
Dale W. Yy Mike L. ? e
Pw eoc men'f a ?r
Address 1635 FOUR OAKS ROAD Zip 5512 1
L.ot' 3- Blk 1 Sub FOUR OAKS ES=S
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 9f Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 P D n
SITE ADDRESS:
P.I.N.: 10-27430-040-01
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Y1 5 C?
FOUR 0 KS RD
LOT: 4 BLOCK: 1
FOUR OAKS ESTATES
° (BASEMENT)
Building,Permit Type GARAGE/ACCESSORY
fBuitdirrg irk Type ADDITION
'Cpnstruction`pjype V-N
zoning E
a
C,ens,us _Code 'ow 438 ALT. GARAGE
s
0 _
BUILDING
027523
05/15/96
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $32,000
Base Fee $412.75
Plan Review $206.38
Surcharge $16.00
Total Fee $635.13
CONTRACTOR: OWNER: - Applicant -
SAXON JACK
1635 FOUR OAKS RD
EAGAN MN 55121
(612)222-0511
I hereby acknowledge th,atI have read th,is,applicatio,n and state that the
informatfon'"is'`'co'irrtot an4 agree" to comply with all applicable State of Mn.
Statutes,. and Ci,ty,,,_of Eagan Ordinances.
l?A.?'I ??Pl P 1lIrF"
APPLICANT SIGNATURE 'ISSUED BY: IGNA R T
OWO.??6,u--
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675 2 vo a ?'
New Construction Requirements Remodel/Repair Reauirements
27//Y
of
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 she surveys (exterior additions & decks)
? 7 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: -Yes _ No 3Zi d DO
DATE: CONSTRUCTION COST:
01f PcR•xvr- HADf TNL4/f Gf TirC
sm,
DESCRIPTION OF WORK: °?? ???? $A?+nt4 ti-c. 17,r E 4j
1J ?e> • $1r ?9' 7elc Fears'
/??S Lf//Z 419.446 &'eA?
STREET ADDRESS: ?
LOT BLOCK - SUBD./P.LD. #:
• MIh 11K,? ? (Lu?
PROPERTY Name: Si9X°Gl/ ?" " Phone #:
OWNER WT `ROT
Street Address- 163 S 4 Ot4d,
/nom I Zip: S S/1P I/
City; ? State:
/? -? S//
CONTRACTOR Company: cH? -S; ,Zo/u Phone #: ?
Street Address: A&S5 A?fdd Ciz /6? License #:
City: State: Zip: SS/c?I
a??
ARCHITECT/ Company: Phone#: P~3
ENGINEER
Name: Registration #
Street
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
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.
Sri- / AN
Signature of Applicant:
CE ?
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE °
01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
03 SF Addition ? 08 8-plex p? 13 Garage/Accessory ? 20 Public Facility
04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
offA031 New ? 33 Alterations ? 36 Move
-, 32 Addition ? 34 Repair ? 37 Demolition
3ENERAL INFORMATION
,onst. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
JBC Occupancy sq. ft. Fire Sprinklered
Zoning £ sq. ft. PRV
of Stories sq. ft. Booster Pump
_ength sq. ft. Census Code. 3S
depth Footprint sq. ft. SAC Code
Census Bldg d
Census Unit o
APPROVALS
planning Building Engineering Variance
Permit Fee to
Valuation: $ 3Z1 pO°
Surcharge
Plan Review
License
MC/WS SAC
City SAC
W
t
C
57 oDV _ uooo 32, o?
er
a
onn.
Water Meter
Acct. Deposit
Z 7??Z
S/W Permit
S/1N Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
612 222 2851
11HY-0971996 15:17 SAXON FORD
SAXON
FAX
FAX COVER SHEET
612 222 2851 P.01i01
225 UNIVERSITY AVENUE
ST. PAUL, MINNESOTA 55103
PHONE 612-222-0511
TWO BLOCKS WEST
OF THE STATE CAPITOL
612-222-2851
TO: Joe Voels cc: John Kosmos
FIRM: City of Eagan - Planning cc: K & K Design
FROM:
WE ARE TRANSMITTING A TOTAL OF I PAGES, INCLUDING THIS COVER
LETTER. IF YOU DO NOT RECEIVE ALL F THE PAGES, PLEASE CALL BACK RIGHT
AWAY.
Re: Storage Shed for 1625 Four Oaks Road - Eagan (Lot 4 Block 1)
The above referenced Storage Shed will, at all times, maintain a heated interior
so that the interior of the Shed will not fall below 45 degrees during freezing
temperatures. This includes both levels of the Storage Shed.
If you have any questions or need anymore information - please contact me. A
Jack S ,
CONFIDENTIALITY NOTE
?0P
•?8?1 i'
0
44 pa
o?d5 \
S 1
5 i, V-
??V S
THE INFORMATION CONTAINED IN THIS FACSIMILE TRANSMISSION IS CONFIDENTIAL
INFORMATION INTENDED SOLELY FOR THE INDIVIDUAL OR ENTITY INDICATED ABOVE
AND MAY BE PRIVILEDGED/CONFIDENTIAL COMMUNICATION. IF THE READER IS NOT
THE INTENDED RECIPIENT, OR AN EMPLOYEE OR AGENT OF THE NAMED RECIPIENT,
YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR
DUPLICATION OF THE COMMUNICATION IS STRICTLY PROHIBITED. IF YOU ARE NOT
THE INTENDED RECIPIENT OF THIS COMMUNICATION, PLEASE CALL THE SENDER
IMMEDIATELY AND MAIL THE COMMUNICATION BACK TO THE ABOVE ADDRESS.
TOTAL P.01
throughout by an approved automatic sprinkler system or a
complete approved corridor smoke detection system.
SA: MS s 168.61
HIST: 19 SR 1340
NOTE: This part is effective March 19, 1995.
1300.5300 CORRIDOR CONSTRUCTION.
Subpart 1. Group B and M occupancies. In existing Type I
and II-F.R. buildings housing Group B and M occupancies,
corridor walls may be of approved wired glass set in metal
frames. The glass height must not exceed two-thirds of the
width of the corridor. A draft curtain of at least one-hour
fire-resistive construction and not less than 24 inches in
height must be provided to protect the corridor from the Group B
or M occupancy area (tenant space). The draft curtain must be
located above the glass and extend a minimum of 24 inches below
any finished ceilings in the tenant space. If the finished
ceiling is not a fire-rated assembly, the draft curtain must
extend from the wire glass to a rated ceiling or floor
assembly. When the Group B or M occupancy area (tenant space)
is protected by an approved automatic sprinkler system for a
distance of 12 feet in depth adjoining the corridor, and the
corridor is not less than 12 feet in width, glass other than
wired glass may be approved. Open grille-type gates and similar
enclosing or security devices may be used in corridor walls of
corridors not less than 12 feet in width, when the entire story
is protected by an approved automatic sprinkler system.
In existing buildings of other than Type I or of Type
II-F.R. construction, this exception is not permitted, unless
the entire building is provided with an approved automatic
sprinkler system.
Subp, 2. Group I. Division 1.1 occupancies. In hospital
and nursing home occupancies (I-1.1) doors entering sleeping
rooms from a corridor need not be constructed or maintained as
self-closing or automatic-closing when the building is equipped
with an approved automatic sprinkler system.
SA: MS s 16B.61
HIST: 19 SR 1340
i
lam'
NOTE: This pare is effective March 19, 1995. / I? LJ
+-
L 4 1 ?'_
1300.5500 FOOTING DEPTH FOR FROST PROTECTION. Q{E
Subpart 1. Minimum footing depth. In the absence of a l?
el
determination by an engineer competent in soil mechanics, the 1 ?js
minimum allowable footing depth in feet due to freezing is five ??,..z I ( S
feet in Zone 1 and 3-1/2 feet in Zone II. t I o
Zone I includes the counties of: Aitkin, Becker, Beltrami, S? (A
Carlton, Cass, Clay, Clearwater, Cook, Crow Wing, Douglas, y?i? J<bf0J`L ({6.
Grant, Hubbard, Itasca, Kanabec, Kittson, Koochiching, Lake, ;to Lake of the Woods, Mahnomen, Marshall, Mille Lacs, Morrison, 1)
Norman, Otter Tail, Pennington, Pine, Polk, Red Lake, Roseau, ifi
90
0
I4C DESIGN 6112 EXCELSIOR 11VEoMINNEAPOLIS, MN. 55416 (612922-3226
DIVISION OF FCAD ORPORATION
April 17, 1996
Project Number: 9604 - 29
The City of Eagan
3830 Pilot Knob Road
Attention: Joe Voels, Building Department
Eagan, Minnesota 55121
Re: Private Garage and Storage Building
Jack Saxon, Owner
1635 Four Oaks Road
Eagan, Minnesota 55121
Dear Joe,
The following information is provided for the proposed building located at, 1635 Four
Oaks Road, Eagan, MN. The Code evaluation is based on the 1994 UBC, 1995 MN
State Bldg. Code with 1996 Amendments and the City of Eagan Zoning Codes.
Proposed Use: The building will be for the storage of antique cars at the main
level along with some antique furniture at the lower level.
Proposed Construction: The main level will be wood frame construction, with pre-
finished steel roof system and aluminum horizontal lap siding at the
exterior side walls by Lester Buildings, Lester Prairie, Minnesota. The
lower level will be concrete block walls, with a slab on grade lower level
and precast concrete at the main level including two inches (2") concrete
topping. See plans for additional information and location of doors and
stairs.
Occupancy Group: Group U, Div. 1, Private garages, carports, sheds and
agricultural building.
Construction Type: VN
Wood frame with no fire protection
requirements.
Construction Height and Area: Sec. 312.2.2, Special area provisions -
Area allowed per area 3,000 sf. Number of stories allowed one (1).
Sec. 504.5, Basements are not included in total allowable area, if area
does not exceed area permitted for a one-story budding.
Page 2
Re: Private Garage and Storage Building
Jack Saxon, Owner
Proposed Construction Height and Area: Dimensions' thirty (30) feet by eighty
(80) feet - 2,400 sf. at main and lower level each. Building is one (1) story
plus basement (lower level). Height measured at the gable end from
grade to peak - twenty-two (22) feet.
Location on Property: The proposed building meets the
requirements of UBC setbacks for non rated construction, Chapters 5 and
6. Construction requirements from Table 5A - Group U Div. 1, Type VN,
NR - No requirements when greater than three (3) feet from property line.
The city of Eagan requires a fifteen (15) feet rear setback if the building is
more than 150 sf., a side setback of five (5) feet, and a front setback the
same as residential buildings. The proposed structure meets all minimum
setback requirements. Building height is less than the main dwelling
structure and the lot coverage is less than twenty (20) percent, per City
Zoning Ordinance.
Area Separation:
Non - required.
Exit Requirements: One thirty-six (36) inch door is provided
at each level.
Table 10A: Garage - 1 occl 200s.f. 2400/200 = 12 occ. Less than 30 occ.
Storage - 1 occ/ 300s.f. 2400/300 = 8 occ. Less than 30 occ.
Floor Loading and Surface: Garages - Private or pleasure type motor vehicle
storage.
Uniform Load - Fifty (50) pounds per square foot, Table 16 - A.
Concentrated Load - Two thousand (2,000) pounds on a twenty (20)
square inch area without the uniform load, Sec. 1604.3.
Floor surface - Surface will be non-combustible asphaltic or concrete
paving.
Proposed floors meet or exceed the required design loads, (250 pounds
per square foot, Live Load), and the floor surfaces are concrete.
Call with any further questions about the building.
Thank
?0? "."
John Kosmas
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
?Z?5391P 9
BUILDING
027112
03/07/96
SITE ADDRESS:
1625 FOUR OAKS RD
LOT: 4 BLOCK: 1
FOUR OAKS ESTATES
P.I.N.: 10-27430-040-01
DESCRIPTION:
a t (STORAGE BLDG)
Bl.dirg hermit Type GARAGE/ACCESSORY
F gilding .Wad Type NEW
?oni,g g E
Census Cede ? 438 ALT. GARAGE
*4
f? ? y''?r'.?
l i !l
i
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY-
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$25,000
$349.75
$174.88
$12.50
$537.13
CONTRACTOR: OWNER: - Applicant -
SAXON JACK
1635 FOUR OAKS RD
EAGAN MN 55121
(612)222-0511
IL
iF
I hereby acknowledge that I have read this Iapplicat'ion and state that the _
information is correct and agree to comply with all applicable State of Mn.
Statute's`and City of-Eagan Or'din'ances.
APPLICA / E MITEE SIGNATURE ISSUED B SIGNATURE'
' i CITY OF EAGAN_
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Repair Reguiremems
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 eke surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of Use preservation plan k lot platted after 7/1193
required: _Yes _ No
DATE: 12-22-95 CONSTRUCTION COST: 40o-Q0
DESCRIPTION OF WORK: Install storage building
STREET ADDRESS:
LOT 4 BLOCK
1625 Four Oaks Road
1 SUBD./P.I.D. #: Four Oaks Estates
PROPERTY Name: Saxon Jack Phone #:(612) 683-9563
OWNER MV
Street Address- 1635 Four Oaks Road
City: Eagan State: MN Zip: 55121
CONTRACTOR Company Jack Saxo Lester Buildin s Phone #: 683-2503
???i
?YZzZ'285?
Street Address: 1635 Four Oaks Road License #` 14426
City , Eagan State: ' Zip. 55121
ARCHITECT/ Company: Les ter Bu ildings Phone #- (612) 395-2531
ENGINEER
Name: John Dierame Registration #' 14426
Street Address* 1111 2nd Avenue South
City:
Lester Prairie
Sewer & water licensed plumber:
change are requested once permit is issued.
State: MN Zip: 55354
Penalty applies when address change and lot
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. ---,/
W. f
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received
Yes No
DE-u 2 6 1995
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
n 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
X31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SMI Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
x-13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
? 36 Move
? 37 Demolition
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code.
Footprint sq. ft. SAC Code i
Census Bldg jo
Census Unit e?
Building Engineering Variance
a
Valuation: $ Z-5-00b
% SAC
SAC Units
SIT m
- n
N
O
N
?D
iD
N
r
A
N
A
IAN LAND COMPANY
T ADDITION
N
D
X
Z
-n O a)
N
A
t7 N
N
N
N
W
N
r
NDI
yL1EE2 NO.
I OM
t V}Ill
Q1
N
N
N
N
N
m
N
N
C3
O
D
r
CD
FOUR OAKS ROAD 4
LEGEND
-26
lA -
W.
]l.l.
EWSTN GOMIL11Rf
Hem ?Tiy.R1
CYIITN MOB CLCYa1KN!
NfW MOl lLlY?i1QN
eil T ?!r[C
0
NOTES N
l)?.yrk?e?7.ne twl?+T iJvy el?-a, m
CITY USE ONLY L ?//}} BLRECEIPT #: (10 -21( 2 2
SUBD. 9du?t ? DATE: 7a3
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 56122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add--on furnace qr,
_r,,-," Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
U
Date: 'T-- ;;? 3 - y' 6
IJ4*1
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL 00
1 6
SITE ADDRESS:
OWNER NAME: T/? C 75,x9 X o x? PHONE M
INSTALLER NAME: /E /R ILOL2 Y 5?? its /A! (Z-
STREET ADDRESS: Nom- /P S k /31 y
CITY: 5 7- STATE: ZIP:
PHONE #: ( )?71 4/ 7?2 n
CITY USE ONLY
L 'Y gL RECEIPT #:
SUBD. Jett LY?? DATE- -7 1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
(new and refurbished systems)
U.G. Sprinkler " home under const.
Alterations ' to existing
Water Turn Around
EACH TOTAL
3.00 x
3.00 x
3.00 x =
3.00 x
3.00 x =
3.00 x =
3.00 x =
3.00
3.00 x
3.00 x =
1.50 x =
5.00 x =
65.00 =
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
= o?D
.50
S°
a?
/ (Pa 5
SITE ADDRESS:
OWNER NAME: - u elm ca Ka j
INSTALLER NAME: %l'.? A'/2
STREET ADDRESS: ?? ?? 1G f? -/- /-)
CITY: ZaA01a 1 STATE: 14? ZIP: SS/y?
PHONE #: (?iL) 777- -2 SZS
LOTC COMBINATION AGREEMENT
WHEREAS, Jack W. Saxon (hereinafter Owner) is the owner of two adjacent parcels
of real property located in Dakota County, Minnesota. The first parcel (hereinafter Parcel
APPROVED AS TO FORM:
A) is identified as Tax Parcel I.D. No. 10-27430-030-01 and is legally described as
follows:
Lot 3, Block 1, Four Oaks Estates
The second parcel (hereinafter Parcel B) is identified as Tax Parcel I.D. No 10-
27430-040-01 described as follows:
Lot 4, Block 1, Four Oaks Estates
WHEREAS, the City Council has required that Parcels A and B shall be combined
into one tax parcel in order to prevent tax forfeiture.
NOW, THEREFORE, the Owner hereby agrees as follows:
1. The Owner agrees to allow the Dakota County Auditor's Office to assign one tax
parcel identification number to the area consisting of Parcels A and B.
,? 2 a ???s; I I
V
Subscribed and sworn to before me this c::7JO day of ???• 1996.
0`J
Ci Attomey s ffic ; Date ?/
APPROVED AS TO CONTENT:
Community Development Dep ent
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Building
7300 West 147th Street
Apple Valley, Minnesota 55134
(612) 432-3136
2•
Date
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-27430-030-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued: 5/10
1635 FOUR OAKS RD
LOT: 3 BLOCK: 1
FOUR OAKS ESTATES
Y-//
BUILDING
023514
9LI. -44**Fr?
DESCRIPTION:
B
uilding'-.Permit Type SF DWG
r
Building Wd'r.k Type NEW
"UBC Occupancy,, R-3 M-1
Construction Type V-N
Zoning E
Building Length 76
Building Width 54
Building stories 2
LIT r
REMARKS:
S & W PLBR - JEL NELSON
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Subtotal
VALUATION
$1,304.50
$841.93
$145.00
$800.00
100
$3,097.43
$290,000
MISCELLANEOUS
Total Fee
CONTRACTOR:
$1,828.50
$4,925.93
OWNER: - Applicant -
SAXON JACK
25 UNIVERSITY AVE
T PAUL MN 55103
612)222-0511
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L-
APPLICANIVIITEE SIGNATURE
application' and state that the
with all applicable State of Mn.
DA -d I rnq
'L 4 8, ISSUED 8V SIG ATUR Tc
?331?
CITY OF EA
1994 BUILDING PERMIT
681-4675
APPLICATION
GAN 11Vr )
$4,1LL15 ---
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date April / 25 / 1994 Valuation of work $275,000.00
Site Address: 1635 Four Oaks Road Eagan, MN. 55121
STREET SUITE #
Tenant Name: (commercial only)
3 1
LOT BLOCK SUBD. Four Oaks Estates P.I.D. #
Description of work:
The applicant is: 0 Owner ? Contractor ? Other (Describe)
Name Saxon Jack Phone (612) 222-0511
Property LAST FIRST
Owner
Address 225 University Avenue
STREET STE #
City St. Paul State MN. Zip 55103
Company (self) Phone
Contractor Address License # Exp.
City g±a±e Zip
Company Carlson Design Phone (612) 770-8048
Architect/
Engineer Name Jim Carlson Registration #
Address 2307 Grange Avenue North
City Oakdale State MN Zip 55128
Sewer & water licensed plumber #4176PM (Jed Nelson) Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable Sta a of Minnesota Statutes and City of
Eagan Ordinances.
s
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
® 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
V/V
f
2
s-L
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
® Footing
(H Final
w
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
231 2 MWCC System k
77 SZ City Water _?F-
13 PRV Required
Booster Pump
Fire Sprinkler
Census Code ioi
SAC Code o
Census Bldg
Census Unit i
B Framing
? Draintile
0 Insulation
13 Fireplace
Permit Fee
Surcharge
Plen Revis::
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pg.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
-2
143s oes-y /09, y_
valustiao: g 2,'0 000
Vas.-.+ /s G=r•
Y0
l
k Z - /S YO
3 -z 2.1- 3 / = 71/.
s
z
lox7- -
2
zP Z r z i - yy
!
r2yY
zTkel
= y?
2a
??%/6 =
2s>-Y r,Z
l G•y ? i b ?
?
Lak z =
09 -
' r+
7 ?'O ?b
J
l
Z 35aX y
Assessments
G
am ?
W C
z
e
W
m
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BDIL
PROPERTY LEGAL:
Date of Survey:
DOCUMENT STANDARDS
F ? Registered Land Surveyor signature and company
Q' ? 0 Building Permit Applicant
Q?0 ,0 Legal description
? j•] ? Address
'3 ? North arrow and bar scale
p? ? 0 House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0'0 0 Directional drainage arrows with slope/gradient 8.
0 0 ? Proposed/existing sewer and water services
E] Street name
v0 Driveway
ELEVATIONS
Existina
? 0 ? Sewer service
0 ? Lot corners
? Top of curb at the driveway
? B ? Elevations of any existing adjacent homes
Proposed
0 - 0 Garage floor
[
? ? First floor
-
6[1 ? Lowest exposed elevation (walkout/window)
0-?13 ? Property corners
0-?13 ? Front and rear of home at the foundation
PONDING AREAS Lif- applicable)
0 T0?0 Easement line
0 0 NWL
0 0'? ? HWL
? Pond # designation
0 D 0 Emergency Overflow Elevation
?] 0 Lot lines
(YLl 0 Right-of-way and street width (to back of curb)
D-`0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
p ? 0 Show all easements of record and any City utilities within
those easements
p10 ? Setbacks of proposed structure and setback of adjacent
existing homes
?' '13 0 Retaining w r qui ents, if any ?? 75Z
Reviewed:_ S-7- October 1992
11
11
1 ?1
1??1
11
2 \1 L
1
11 I
NEW I' copFER Ul4tER BERVICg
LINE, T 11WTI' CURS STOP 4 BOk• Cad.
OT 7 1' CORAoR,gTION
LOT 1 tll4TER SERvICE \
Lot
NM PI-us 4' SAM- SERVtCr'
?__ 1+. - - _ \? ?•p,? NEW 6' GATE
?--_. VALVE 1 ROX ?
sEE NotE n`'
u-
1
At,
SITE BENCFByARK, -
TOP NUT NYpRANT ?.
NOTE h --.
ELEV.. 811.15 I - - _.__ .-- -
CE
r-CUR OAKS P.o.
I
EITzRIOR ENVELOPE AVERAGE "II" COMPUTATION Q
OWN---,t JAGIL h? xor-j PLAN N0. q4'
SITE ADDRESS DATE PPVW (401 a4'
CONTRACTOR PHONE
Determine working square footage of each
1. Total exposed wall area...... 4-1 u" O sq.ft. X Al
2. Total roof/ceiling area...... Z";?4¢1 U sq.ft. x.624-= (pQ,?¢
3. Total floor/cant. area....... sq.ft. x
Total exposed wall area above floor 4_01L IL
°035.x'7
a
. Total wall window area .......................
b t
l
T .................
area
d t
. a
o .............
oor
t
l
T lass door area ................
slidin 4LO t2
c. a
o g g
d. Total fireplace wall area ....................
T
t
l area (average 10%)......,.
in
ll f
e. a
o g
ram
wa 15
f. Total net wall area above floor**..--* ....... .
l
t ....................
ist
rea
i O
g. a
To ......
a
m jo
r
Total exposed foundation area 11110
h. Total foundation window area .................
i. Total net foundation area above grade........_-
Determine "II" value of each wall segment
a. =s?35 ,7? x "II" 38 = 311 •ni ; ?? . c
b.- '75, L4- x "U" = 230,0
.
d. x "U" _
e . . x "II" ;o =
f. I . x "U" p
-
g, x "II" 104-1
h. x "p"
i. to x "U"
4 . ................................... Total 5+1 140
If item #4 is the same as, or less than item #1, you have met
the intent of SBC 6006(c)2.
Total exposed roof/ceiling area
Z??kF?o
3. Total skylight area .....................................
k. Total roof/ceiling framing area (aver. (.10016"o/c).,,,_
1. Total net insulated roof ceiling area .................. 5
Determine "U" value for each roof/ceiling segment
J• x "U"
1..? x "U" 421
5 . ................................................. Total = ?7
If total of #5 is the same as, or less than #29 you have met the
intent of SBC 6006(c)l.
Total exposed floor/cant. area
m. Total floor/cant. framing area (average .10`,B)..........
no Total net insulted floor/cant. area ....................
Determine "U" value for each floor/cant. segment
M. x "II" -
no x "D" -
6 . ................................................. Total =
If total of #6 is the same as, or less than #3, you have met the
intent of SBC 6006(0)3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established
by the sum of items $4, #5 and #6 shall no be greater than the sum
of items #1, #2 and #3.
1. 54.2-14- 2. (Ago t14- 3, _ (0031,(olb -
4. 54-11(0 5. 4-q d01 6, - 5q-I, ?.j
Prepared by
Date
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE L-Zh/ `
FEES
HVAC: 0-100 M BTU '(6,100e, d $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) (Y-0 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL 0 yrib
SITE
OWNER
INST.
TELEPHONE #: ;dd - 0,511
ADDRESS: 16 Y by 0
CITY: A,4« STATE: ZIP CODE: SS?7?f
TELEPHONE #: ?y7-
SIGNA URE OF PER ITTE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES
c_ SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • DaLc ty. ue.
U.G. SPRINKLER • home under coast.
ALTERATIONS • to exbting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE ADDRESS: .a 3.<? ?oc.a dam K?
OWNER NAME: ?S.AYoti7
INSTALLER: Polow jq/s
ADDRESS: Og7 ?fo 77',S V- AJ
CITY: da.f4 z ? STATE: .J ZIP CODE: A
EACH TOTAL
3.00
3.00
3.00 4
3.00
3.00
3.00 440%1.
3.00
3.00 ViAll)
3.00 .. 1
3.00 1. .
1.50
5.00 -
20.00
3.00
20.00
20.00
x?.50
PHONE #: &Z ) 777 7 SCZS
0 0
5q,® S F,9 t3 _ '13,®
r 4. ~~S.o'L®® e? d
\ ~
~ \ ~ 4 ® CITY OF EAGAN
\a S?® DAKOTA COUNTY MINNESOTA rA
~ ~4 3 , ~ ~ ~ ~3,`
\ \4 ~ c! ~ a
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\ \ .PREPARED FORS ~~tw3 ~ \
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o / ® \ \
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~ ~ A n ® ®
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y \ ~ o `~>o \ 0 DE5CRIPTION A5 SUPPLIED BY OIJNER, Rb
~ ® ~ ~ ,,v, \ LEGAL
~ vy® ~ \ Lot 3, Block 1, FOUR. OAKS ESTATES,
~ ® i ~ S \ s , 0 ~ Dakota County, Minnesota a
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~ ~®A ®:t?F~r,rrt l'_=y me~r•,L.un;-~i71°. t(:n.~ru~i ~ \ \ ~ ~
~i ? ~ ~ u
~ ~ _ it~~. f~Pa~~t J'i.i'1f.:, 17 p. l...rat I°?r:~ I~r I:~r~ ~s:~sil_J(.?c-~r~ ~ t?~~r~r .~.r'?c°} r. , ~ \ ® \ ~ ~2 Nc.~rt•.h? r:u:> cirat:'4r~F:i®:> I~iii mgr?>.rt:r_~~; .~}`j <.'f-••rr.)I~r1f) t~a~t:. 0
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\ ® \ 0 x~ $
\ \ q \
\ \ y~ \ ~ ® ~ 3 • ~ EAGAN E GINEE G DEPT.
OAK TREE SCFOEAULE
~I / \ O \ ® / ETER ELEVATION Sao \ ~ ~ r `y ~
NQ DIAMETER ELEVATION NO DIAI'~ \
t? c, k3b 1. a- a ~ \ ~ py c..: j,., .y :iii 1r{~ EI'~1.E3 \ ~ ~ ~ _ eD
s
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h aE~Ei.1 :g 1. k3E:4... Z 1.,~: .~.4 ~ i~b7.4 ' r.:, ti' 1Er ~r ~ 1 1
it; E, kif,c,. , Ci ~ v t. m t
i.~t k3 kib~>+. .7.5 41 1.4 ~?71.'~ ~ M, b HE` 1 J l 1 ~ 1 ~ ( , 1
~ , i I hereby certify that this survey, plan, or repart W~ plan, or report was prepared by
16 b 5~+?vN~~( `~?+a-R Re ar under ey direct sup@rvision and that ! am a di and that I am a duly Licensed
- G 4:~: 14 E{7:i . 4 '(~,~*F• ~'4 tat@ of Ninnesa' 17 1 b--1 b ttb..' ~ i I i .:z k Land Sarveyar antler the JAWS of the 5 L ~ b k - ~ 1zo~v/a`f ~9 ~Y1uP° State of Minnesota.
113 b-Ea ~iE.,ii. 4 i i ~ f3 k'3)t).~ 1MY~91~45
~7 i.si k3~'9.i1 4,., 14 ~ J ~ ` Olrtt a~tvca~F~~c ~ ~
.~.t - ~ G CP Rate Registration Na, 10 iistration No. 10183
t 4 r s~ 21 b H~~i.4 k)7ii.b
r
s„ !t ti , ~ a c~ 1. cS El'i 1. _...®m , ~-6" ~ ~ ~ G", ~t 1 , k36 r E K
r,~i 1,, H k~~;k3.~ 7~4 West County Ruad B l?'7 9.. i i y road B ota 55113
;;S iCi ~3b1.~~ `'1 ~ RoseWille Minnesota 551 9 1233
.~.b tb12) 489-4T79 12~*~
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