680 Oxford RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS: , „ ,
t ?rl?t+ K1?
?.ItdF fIR 1 fl('C
ll?f NY?t;11V1?I K?:?;VKl)
PERMIT TYPE:
Permit Number:
? Date Issued:
I f, LOcK : APPLICANT:
1 1 ? Y
If-AkOF F R{)t91 I?11
( oRN iIAPiAiii
?
:I ; I i 1! .
ti? -s.`i.ci.
pII?'ll?;e
1 N 1'
, (a
1 1
V
?
PERMIT SUBTYPE: TYPE OF WORK: i?naw
?, : i
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGN
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTiwrv
TEST
HYDROSTATIC
TEST
BSMT F.I.
BSMT FINAL
DECK FTG
DECK FINAL
WI..?AIE ?MM,PO-RM &BSMT
1 I/5kc)2 TdD17.'CIM JO IlC 571-0304
CIT'1( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECURD I control tvo. 04.74
PERMIT TYPE: f"'t I I' 114'1
Permit Number: IIY06061
Date Issued: 06/2 0f 92
• i Or :
r..?>d UhFllkl) kp
Hil LR; Of :-:InNEHitTfltiE
PERM?T SY:BTYPE:
1 f) I 4r: k . APPLICANT:
7ML NOiTLUMU GO INC
3lRil (61.?. j 57?-A3A4 ;-7 C?
?
TYPE OF WORK:
HFMARIk':: 'F, !. W GQN7RAC:1'(1N - VAI. LEY PE.f;O
Permlt No. Permlt Haldw Data TNephone i
S/W
PLUMBING
HVAC
WAV
ELECTRI W"g ; ? ?-
ELECTRI ??1
irtspectbn Daba Insp. Commertta
Footings I 6(7/ ?
Foundation
Framing ?' l- T Z- !J ? ? l4,go.?' l? 3 y 2 S
Roofing
Rough Plbg' ?
Rough Hte- 711ol
lsw.
Flreplace
Firtel Hlg. -?M
Orsat Tes#
Rnal Plbg. 9r-
?C7 Plbg. inspe?.?tor - Notily Plumber
Conet. Meter
ErwJPtsn t.V-- ?Vh
Bldg. Final
Deck Ftg. ?
DeCk Final
weli
Pr. Dfsp.
Y,r+?'
y c___
REAGTIVA32 FO4t MIC,FMM & BBff.
11 /5A2 I?gw o0 n1C 571-0304
. ,?-,-??,?•?.? ??,'?
(gtrtif -tra#e uf (Orrupaury
Citp of olagatt
ilqwftm o# Nuitd'ntg 3hwpr#untt
Tkis CertiJ`ecale r'ssued pursuant !o tlie requiremenu of Section 306 of tJFe Uniform Building
Code cer[ljying 11eat a11he time of issuance tleis sbuclure ww rn eompfiance with Me v+arious
ordinanaes of tJie City regreNing bmilding cohsmxtion or use. For 1he fallowing.
l7W ckAaweaa SF nwr. sd& ,kw,;, N,, 5ffi
p-UP-y 7}pw R3 /M I Z..MoM,;,a P'D/R I rMr.o,ut, VN
o..,,ocMdWgIlE ?DTIIIM 00 IN-r A4d.. 5201 8 RIVER M. FRIDI,EY
Bwlft Add.. 680 aum??1AD L-W;h, LLI, B5, HILLS OF SICHEBRID(E 3RD
POST IN A CONSPICUOUS PUCE
REQUEST FOR ELECTRICAL INSPECTION eaooom-oa
?4 3
??
?e
i 'X" Below Work Covered by This Request '°? ?? ? `
? c? ?
ew A?'d? Repr TypeolBuilding ? AppliancesWired EquipmentWired
Home Range X Temporary Service
Duplex Water Heater Electric Heating
Ap1. Building Dryer Other (Specity)
V
Comm./Industrial Fumace
Farm Air Conditioner
Other(syeciry) ConVactor's RemaMS'
Compuie Mspection Fee Below:
# ' Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Translormers Above 200 _ Amps A 100 _ Amps
SlgfiS Inspecror§ Use Onty'. 7p7qL
Irrigation sooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif Rouqn-io oate
cer
y that the a6ove inspection has
been made. F;nei oa?at? ?
((I
OFFICE USE ONLY
?
This request voitl 18 monihs fmm
,i 4306 4 r6?.?
Fequest Oale
p. Gira No." y Rough-in Inspection
Required7
? Ves ? No
Reatly Now ? WIII Nolily Inspector
When Pefltly?
Ilicensed contractor ? owner hereby request inspection of above electrical work et:
.bb AOtlress (Sireet. 9ox or Route No.)
SO 04"
, Cily
$ect? ame No. Raige No. Cou
Occupan??PRINTI Phona W.
Power $u er Atltlress
ElecVical nlract r(Qompany Name) ConVeclor's License No.
C 803 ?l
Meiliny Atltlress (ConVatlor or OwnerMaking Installation)
Au[bonzetl SignaWre ICOmracl on ner kin Installaupn? ?? Phone NumOer
3-3?10
MINNESOTA STpTE BOARD OF ELE6THICITV • ? THIS INSPELTION REOUEST WILL NOT
Griggs-MlUway BIEg. - Hoom 5-173 BE ACCEPTEO eV THE $TATE BOARD
1821 Universlty Ave.. St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED.
REQUEST-FOR ELECTRICAL INSPECTION ee?0001-0e
!/1 / ?
_j _ _ : , ..
"X" Below Work Covered by This Request
Add Rep. TypeotBUiltling AppliancesWiretl EquipmeniWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer - Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher IsVectlY) Comractor5 Remarks:
Compute InSpecNOn Fee Below:
# . ONer Fee # ServiceEniranceSize Fee # Circurts/Feaders Fee
Swimming Pool 0 l0 200 Amps $ ? 0 to 100 Amps ?f0
Transformers Above 200 _ Amps ove _ Amps
Signs Inspwor5 Use Only: q ? Uv OTA
L
Irrigalion Booms /
Special Inspection ?
7,
Alarm/Communication THIS INSTALLATION MAY BE OR? D DISCONNE TED IF NOT
Other Fee COMPLETED WITHIN 18 MOAITHS.
I, the Electrical Inspector, hereby
certify ihat the above inspection has
been made. Rou9n-m oete /6 -411?-
-</
OFFICE USE ONLY ?
Thls requesl voitl 18 monihs tmm ?/??
?-Zt 9 ?i 9?
_ ?? S
J 430 , rd
ReQuest Date Flre No Rouph-in Inspection
Required?
Reatly Now flWill NotifylnsppF(9r
b-S -9 ? , ?,r-
- ,?s ?NO
I/ licensed contractor O owner hereby request inspeciion of above electrical rk a" ?
Job Atltlress (Sireel. Bor or Roule No.) City
to 8o 0
Section No. Townsnip Iftme or No. Range No. Cou
My
^
u
Occupan& Phone No.
Power Supphe Atltlress
i ?
Eleclrital C Irac?or ?COmpany Name) Contrador§ License No.
MC-1 C 1J038
Mailing Fdtlress (Connactor or Owner Making Installalion)
Aulhonietl SignaNra (COnlraclor wn Making Inslall I n)
Phone Number
MINNESOTA STATE BOAPD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-MiEwey BIEg. - Room S173 BE ACCEPTEO BV THE STATE BOARD
1821 UnlversHy Ave., Sl. Paul, MN 55100 UNLESS PROPEP INSPECTION FEE IS
Phone(61P) 642-0800 ENCLOSED.
Address: bgp pXFORp gpM Lot I Blk 5 Sec/Sub HILLg OF SIl7NEBRZDGE 3RIl
'These items were/were not complate at the time of the final inspection.
Date: 8/25/92 Yes No
Tnqnprtnr-
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass v
Trai1/curb damage
Porch
Basement finish
Deck ?
Pleasa verify vith tha builder the removal of roof tast caps from the plumbing
system and the shut-off of water supply to the outside law faucet befora
freeza potential exists. Q;??
uaaeo...?.
White - City copy Yellow - Resident copy Pink - Contractor copy
? CIT'Y-OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
660 0%FORD RD
LOT: 1 BLOCKs 5
HZLLS OF STONEBRIDOE 3RD
BUILDIIVG
000568
05/20/92
SITE ADDRESS:
DESCRIPTION:
°Building Permit Type
' BUiiding,Work Type
UB:C Oecuparrc.y
G4nstruatian'?7ype
Zan.ing
Building iength %
Sutlding Width °
£
,
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
REMARKS: (:, 0 ($ I D (f
S& W CONTRACTOR - VALLEY PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC UniCs
Subtotel
VALUATION
$853.00
$554.45
$80.50
$700.00
100
$2,187.95
5F DWG
NEW
R-3 M-1
V-N
PD R-1
60
_... ,... 36 ..
;161.006,
MSSCELLANEOUS.
Total Fee
..,.,.. :. S1.610.50 _, .. ..
$3,798.45
CONTRACTOR: - APPlicant - ST. LI pWNER:
THE ROTTLUND CO INC 15710304 000133 THE ROTTIUND GO INC
5201 E RIVER RD 5201 E RIVER RD
FRZDLEY MN 56421 FRZDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknewledge Chat I have rsa-d' this appli6ation and stete that the
informat3on is correct and agree to caatply with a31 applicable Stata of Pin.
Statutes and City of Eagan ordtnances.
?
Control No. 0474
-F-nr>ti0 fio??,?( ]r1f
APPLICANT/ MITEE SIGNATl1RE I SUED B: SI ATUFE
INSPECTI4N RECORD ??°? ° "° 0 Z1 7 4
CITYOFEAGAN PERMITTYPE: euiLoiNG
3830 Pilot Knob Road Permit Number: 000588
Eagan, Minnesota 55123 Date Issued: 05/20/92
(612) 681-4675
SITEADDRESS: LoT: i BIOCK: 5 APPLICANT:
680 OXFORD RD THE ROTTLUND CO INC
HILLS OF STONEBRI OGE 3RD (612) 571-8384
PERMIT SUBTYPE:
SF pWG
TYPE OF WORK:
MEW
INSPECTION
FOOTIHG .. .
FRAPIING ,.
INSULATION FZNAL
FIREpLACE
REIqARKS: S S W CONTRACTOR - VALLEV PLBG
F-
?
L1 , i f y ' I i liI I 1 11
V;nr I?i,wl f?.u.ii ii
,rr!I ruri 1,11 .. T
I GiI , ioi:? -11 1.J.11•? f? ?n
114'( iit 11 h ?l -t bl? i
.t I..ir,I p jhb: ViIM
qiid iwi1h 0
Ilfl l . UI.:It)!ft?:-,l:t(?U: :il{?)
L! 1 pr.p'? .
0 X1 [) :'i! I<I1
40
vN
I
i
? '
PERMIT
. IV1ad,sen shewr&xse Awde?
anr oF Eac,AN s%-Oc, 3e?
1992 BUILDING PERMIT APPLICATION
f 81-4675 .1AY ? 8 REp
SINGLE & MULTI-FAMILY 2 sets of plans, 3 reglstered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of eriergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date S / 1l / S2_ Yaluation of wor (?lq? Oo 0
Site Address:0 ep8D oxArd 'R d -
STREET STE Y
Tenant Name?.2 Roi#1vMj GOZ_re_.
LOT .? BLOCK SI1BD. P.I.D. /
H1/!s r,•
Descri tion of work: 5tN 1 't
The applicant is: *Owner Contractor O Other coe6orsbe>
2?-hNunoL CO•?G, Phone 51f-o3o4
Name"7-Ue
Property _
LAST FIRST
Owner pddress 6201 E. Q?vaj-
STREET STE /
city Frrdlo4 state Mw Zip 55?12f
Company 5?0^4_ Phone
COt1t1'8Ct0r Address License ?0oo?33S_ Exp
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber unll2?1 ?lu?bri?l . Processing time for
sewer & water permits is two days once rea has bee approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg
Or 02 SF Dwg. ? 06 Garage/Accessory
? 03 Two family O 07 fireplace
? 04 Multi-fam. T.H. ? 08 Deck
WORK TYPE
Jff 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
O 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comn./Ind.
0 37 Demalish
? 99 Undefined
Const. (Actual
? LI
? Basement sq. ft.
(A1Towable -N'
- lst F1. sq. ft.
UBC Occupancy T-7z
m 2nd F1. sq. ft.
Zoning ? .i Sq. Ft. total
M of Stories Footprint Sq. ft.
Length p On-site well
Depth .3 ? On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
13 Site
? Nallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % e?
SAC Units
O Footing
? Final
953.00
A o..9o
Ssy.45
700r p0
ioD,oo ?
00
oa
30,00
30, t+m
,so
300,00
3 OO. 00
? Framing
? Draintile
wi„seia,: s
GARAtzfe? ZZXZ2= yIBu
t35n?T,'
----- ?
? Insulation
0 Fireplace
X /$? r77(?C7
i
?_9 K I"4
I"c x ?( = 1'2
12x ?Y =?
MW 1t /S%
Is-r FLoup,
..?--?---
$?Y?t'7 s 1'L y ?
rxb' ?'
r ,
Er13Aublic`fac. •
Ef 14 7lgr cVtural
? 15 Miscellaneous
MWCC System ya?s
City Water YES
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code /6 /
Assessments
?/$',66:0
5}? 6?09p
90bCrF. ( .= (2,1 M
l'/Ln 14 =? 2-I
-1266 V
Z,nj o ?'n..wne
I
/L4S K $3' 6-7 0 4
160, ob 3.
FY1'F.MOfl F:t{VF.[,nrb: nvi•:I;nr,l•: "tt" C:UMPI1'Ph'PIiM
OtlN ER
c-rmg pDDqESS L871 ?L OG.41 (.GS a,?STd?/?E'?AG-c
CONT?L1CT0R ??-v?]rLGJI?D G? • DATF. PHc)NE
c
Determin vorkini; squnre footai;e of ench.
1. Total exposed vall area sR. ft. x 0' 11 = EL 4
2. Total roof/ceiling zrea .. 17-6o7, sq. ft. x B,0?6
• .
iotal exposed vall arca nbovc flocir = 2 Uq,5?, Z
a.
b. Total vall vindov a-ea ..............•••.
Totr1 door ar .......... 3,V 7• 5? ,
c. ea .........................
Totzl sliding glass door area .......... .?s?. ¢ 2
d. ...........
Total fireplece vall area ............... .......... ?
..........
-?'
e. Total vall framing area (average lOP)...
... ..........
........
22
Total net wall erea nbove floor ......... _
.......... Z p 34tit,
8• Total rim Joist arec ................ . ......... 2??j.'jr
Total exoosed :rnmdation area
h. Total foundetion window a:ee .............. ..........
i. Total net foundation area cbove grade ... ..........
z fl.
. Deter,r,ine "U" valce o: esch vall ;eF;ment.
„u„ o.¢Z
a. 307. 5$ _ lz q
l8
. Y .
b. lGv? X nUu 0?t3a _ 8,33 ?
C. - X
d. a,
e.
2 240 1 xo.C) ?s g = 2o . ?4
,
, ,,,. o, 0 43
f. Z0 3lC> - 8 7• G(
X
2G3,Z
. 8.
X
h. X ',U,l
X ?lUll
3 . .................................. 'i?t.s]
If item'N3 is the sazne as, or les^. :.ti:Ln iten H1, yoii have met the intent
or ssc 6oo6(c)2:
:
. - .
_
. ....
_.,.:. ,.:
?> 14.
Totnl exposed roof/ceilinG Area
: Total gross roof/ceiling are:+
. ' ?---
,]. Total skylight erza ......••• .............•...
k. Total roof/ceiling frzming area ............... / 2.-
' 1. Total net insulated roof/ceilinF area ........ ?Ci •
Determine "U" value far cnch root/cci 1 i nj; sepment.
-?-
. X ° U n
1
/Z? 7 o.aZ7 = 3:42. .
- `f X „u„
k:
1. l14?? bL X,,;,,, o.p2Z = 2?
4 . ............ ................:. Total
If total of N4 is the same as, or less than N2, you have met the intent of
SBC 6oo6(c)1. . .
To utilize the total envelope system method, the values establi:hed by the
s1mm of items d3 and 14 shall not be sreater.thxn the sum of iten:s 91 and N2.
. 1 + 2.
? - g•, + 6. _ _ •
K
.
0
<
_ . ... O °
, ?.
.? -= Vk l.U? G/+I,GU?.ATID I? ?GaNT?.
-rFAMr- Wttu, G IN?I?A?I?N
i11
;U
?-
?
LoMPo H ?r+R
oa.q`?DE AIF- Hi.M
_ ?%2 lNSU?A?l?t1•
[?51?7? Pdly ?II-M.
R-vAU.r5-
2?ocr -_
Iq o '
o, 45 . -
-_----p:Cob -
23.0i :
U? ?t?? o_oa3
-fFkM9 WRI.I.
- pLJ?N. ylE.W.
C
l ;.
C
C
C
C
LaM PON?NTS
QUT,!;IoF- A+? F'L.A.
hN?A7N 1 N!, .
h1Un (FF-Am
t;,, L-??p. Do. .
1t-?iC75 Aig- AL-M. .
- -F--VALUe:
2.oCr -
- -?,-?g-,----
__.._.
?`f??:?--? ?• ? C?-_
u? ?- a O.oB`i.
K-nt%?
?
=G??1 P?. ??Ur= (0,12 X o.obq) t(o,Sb X 0.043) = o' 047 -
?
?
?
0
?
0
0
0
30
C
??:? tiISL! L.
I Wor .
Ii----
7E4DI14
. I•Ss
_ Z,GC. ...
_ _o Cj2
! ?e ?:f
T?INa?'??N ? .
?MR??,l?N'? --- =-e.UF! I ?:
'I?1???•- ??
(N,??lk1? _?11.M
-o-a-c --
?,?, ob:
0 -
?
?
0.
I ?`--
? ? ?' ?
' - ??izq ????-- --
?? i .,cr---
?i?_??N
'z?}??t??o?r?.-
I??.-?Jt'I(?
-?
-_Za.?
-- ? ? ? ---
--=-o.-?' _-_-
----o,z?--?
? u =-3-5-8-3----
? = 0, 0 27
=?5.?3
0
-
-a%?- :-:-_- -
-- O _45-- ---
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: euzLozNc
Permit Number: 0 3 2 6 0 7
Date Issued: 0 7/ 21 / 9 8
SITE ADDRESS:
P.S.N.: 10-32992-010-05
680 OXFORD RD
LOT: 1 BLOCK: 5
HILLS OF STONEBRIDGE 3RD
DESCRIPTION:
STORM OAMAGE
REPAIR
434 AL7. RESIDENTIAL
i.. i
_ ._?.? ._ . _ '..? .. a t... *I
REROOF
RiiildiMg , Permit Type
6uilding"Work 7ype
Census Gade
;
tsr
REMARKS:
TEAROFF ROOF DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lzc OWNER:
BJORKSTRAND COMPANIES INC 14525598 0008676 S7ANT TOM
4116 DIAMOND DR 680 OXFORO RD
EAGAN MN 55122 EAGAN MN 55123
(612) 452-5598 (651)910-3394
I hereby acknowledge that, I have read this application and state that the
information is correcti and agrse'to comply with all' applicablo StaCe of Mn.
Statu'tes and CiCy of Eagan Ordinanc-es.,
APPLICANT/PERMITEE SIGNATURE
I
( SUED BY: SIGNATURE
1998 BUILDING PERMI?APP ?LGC? ATION (RESIDENTIAL) j
3830 PII.OT KNOH RD - 65122 (
681-4675
New Construction Reauirements RemodeVReoair RequiremeMs
? 3 registered sde surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.)
? t energy calwlations
? 3 copies of tree preservation plan 'rf lot platted after 711/93
required: _ Yes _ No
DATE:
. D?zSCRIPTION OF WORK: / "6
STREETADDRESS: ?S(J ?YTl9/-(I
? 2 capies M pfan
• 2 sRe surveys (exterior additions 8 decks)
? 7 energy calculations for heated additions
`.?- ??j 0 0
CONSTRUCTION COST; ?J. (D /CS-
IOT: BLOCK: ? SUBD./P.I.D. #: WMS d1 Sk?Y1 ,hYAG ,
Name:?/?L?? / ? /%'/ Phone #: 9/L? -??f 7 ?
PROPERTY Last Firs[
OWNER r I /1 I
Street Address:
V
CON7RACTOR
License k A ?(lj .?
State: Zip: V ?j Ml
ARCHITECTI
ENGINEER
CiLY ? State: ? Zip:
Company:
Street
City
Sfate:
Sewer 8 water licensed piumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to compiy with ali appiicabl
State of Minnesota Statutes and City of Eagan Ordinancss.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
Phone #:
Registration #: _
Zip:
[ - ..
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
WORK TYPE
O 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS 5AC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscetlaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAG'-_
SAC Units
1999 BUILDING PERMIT APPLICATION (REBIIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122
(651) 681-4675
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (include beam S window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of Vee preservation plan if lot platted aRer 711/93
required: _Yes _ No
DATE:
RemodeUReoair Reauirements
? 2 copies of plan .
? 1 site surveys (exterior addftions & decks)
? t energy calculatlans for heated addRions
CONSTRUCTION COST:
DESCRIPTION OF WORK:
1/-?PYCCS.L /'lti.? 1c1 ???cc?Yr.? lll?rv?c.n 2_
STREET ADDRESS:
LOT: ? BLOCK: S SUBD./P.I.D. #:
Name: Phone #: Q 1O-3`'C{ q
PROPERTY Last First
OWNER
Street Address:
City
State:
Zip:
Company: ? rne,Yi (G s\?."'A- T'c- Phone #:
CONTItACTOR
StreetAddress: License# Pp1?970.-? Exp. 3 3 r'-t?
ciry state: m n zip: SC33`-)-
ARCHITECT/
ENGINEER Company: P6one #: _
I3ame: Registation
Street Address:
City State:
Sewer & water licensed plumber (new construcNon only): _
change and Iot change is requested once permit is issued.
Zip:
Penalry applies when address
I hereby acknowledge that I have read this application, state that the information is correct, d agree to comply with all applicabie
State of Minnesota Statutes and City ot Eagan Ordinances.
Signature of Applicant: C_.c
,lJV
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No D
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
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowahle)
UBC Occupancy
Zoning
# af Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SaC
Water Conn.
Water Meter
Acct. Deposit
3/W Permit
5/W Surcharge
7reatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
? 11 Ap1.lLodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation:
6 ?
1
$
16, Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
SAC Units
LotBlock 5
Snbd. JA i?
UNDERGROUND S_•RINIQ.ER SYSTEM
PLUMBIIV = PERMIT
Date Y -2 `? J 2
Receipt # L CZ L S SD
_ Cpmmercial: $25.50 + water tap if r.:;quired. (City installs all taps up to 1"). If
adding new service, a water permit witl be required, as well.
_x Ebsting residential: $15.50 (Plumbing ?ermit not requi ed if bacldlow preventor was
previously installed).
_ Residential developments: Fee to be dotermined by building inspections department.
May require payment of water permit, plumbing permit, V`%AC, and water treatment
plant fees.
6 a'D dk'1F.. ?? IC)
(Address to b ; sprinklered)
T-lomeownier/Plumber: f2l6 Phone #: S y.S '? i .sC
Street Address: City, State, ziP: P/y zzlM 5-S11
Owner Name: /? `n W+-° ?
Street Address: Su rn e
Phone #: 5 " "" r
Irrigation Contractor:
Phone #: 7s7
I hereby aclrnowledge that I have read this .xpplication and state that the information is
correct an?a ' ee to comply wit all applicable City of Eagan Ordinances
cc: Engineering Department ?-.
U?
tel CITY OF EAGAN
PLUMBING PERMIT
SUBD/, ? (612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----------------------------
WORK DESCRIPTION
NEW CONST ?.
ADD ON
REPAIR _
OWNER NAME: sc) 0 ,?o C(
SITE ADDRESS: In? p nx ??, c.( L?.l
INSTALLER
ADDRESS:
CITY:?
PHONE
'_J
c
NO
?
?
?
L
?
I
f
?
CITY USE ONLY
RECEIPT # Olo
DATE !G? 9?-
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOwER 3.00
WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
TOTAL
?
?
?
?-
?
3
3
?U
S,TATE SURCHARGE .50 U
Z?7 a
TOTAL: $ COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE 1/ :
FOR: --
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN >
L? L B _ MECHANICAL PERMIT RECEIPT # C- ? I??%?n 2S
SUBD. (612) 681-4675 DATE 9?-
-lu
7Va?f RESIDENTUL
PLEASE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLEI'E FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PIItMITS ARE REQUIRED FOR EACH DWELLING UNTf.
oWML. ivr? m?s FEEs
STfE ADDRFSS:
U D.e
GR? ADD ON/REMODEL (E7IIS1'ING
CONSTRUCI'ION ONLi) - $ 15.00
INS1'ALLER: ?y HVAC: 9-100 M BT[J 24.00 "
PHONE #: S ADDTTIONAL 50 M BTU 6.00
ADDRFSS: O3 0(/r/f ?/V •??D GAS OU17.E1'S • AIINIM[JM 1 Q $3 3. GG
crrst: GO w ,irw Z?:,s,?/? J !j
Suitc?tGE: .so ?
SIGNATURE:
TOTAL: $
a 2„
s'0
v
eU
?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL CONIII7ERCW4INDUSTRIAI. BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILD?IyGS PR'aFN SF°&n4= P+co.P":I'.'S elP.E 2dL*T REQU;REB FOR
EACH DWELLING UNTT.
WORK DESCRIP'I'ION: N CONTRACT PRICE: I FEES
1% OF CONTRACf FEE.
STATE SURCAARGE IS $.SO FOR EACH
S1,000 OF PERMTf FEE f
PROCFSSED PIPING - 525.00 Fs
MINIMUM FEE - 525.00
_.:, . .
.
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Pioneer Ensineerinv 6819488
P.02
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? P'0NEE17 LtHD Swrcmr+s •
* Eng117e8P1n9 UHD PLMIMENS • iar
* ? ? *
2422 Entelprise Drive
Mendota Heiyhls, MN 55120
612) 681-1914-Fax 687 -948$
APO9nCn 625 Hi9hwcy 10 Northcont
Blaine, MPJ 55434
(g72} 783-1880•Fax 783-1883
CertiFeate of Survey for. The Rottlund Compan,l lnc.
House Address: Oxford Road. Eogon MN I
Model Name_ Madison ?
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• w?.o Denotes Existing Elevation PROPOSE6 HOUSE ELEVATfON
Denotes Proposed Elevation Lawest Floor Efevation:911.55
Oenotes Qrainage & lft7iEy Eosement Top of Block Elevation:919.66
- Denotes Droinoge Flow DKection
--o- Denotes Monument Garage Slab Elevation:919.33
a- Denotes Dffset Hub Bearings snawn are assumed
LOT 1, BLOCK 5 HILLS OF STaNEBRIDGE
UAKOTA CIX1N7Y, MINNESoTA 3 R D A D D 1 Tl 0 N
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m 9p301,36
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 680 Oxford Rd
Lot: 1 Block: 5 Addition: Hills of Stonebridge 3rd
PID:10- 32992 - 010 -05
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
PERMIT
City of Eaan
Permit expired without required inspections. 1/26/09 CE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Todd Nichols
680 Oxford Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA083515
06/12/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116273
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 680 Oxford Rd
Lot:1 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Nichols
680 Oxford Rd
Eagan MN 55123
(651) 452-5875
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118914
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 680 Oxford Rd
Lot:1 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-010
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Nichols
680 Oxford Rd
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123247
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 680 Oxford Rd
Lot:1 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-010
Use:
Description:
Sub Type:Garage
Work Type:Overhead Garage Door
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Nichols
680 Oxford Rd
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129641
Date Issued:03/03/2015
Permit Category:ePermit
Site Address: 680 Oxford Rd
Lot:1 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Nichols
680 Oxford Rd
Eagan MN 55123
(651) 452-5875
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154305
Date Issued:03/12/2019
Permit Category:ePermit
Site Address: 680 Oxford Rd
Lot:1 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Nichols
680 Oxford Rd
Eagan MN 55123
(612) 616-8565
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature