688 Oxford RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t
SITE ADDRESS: ,;, f,4 k
Ht}(S Ui• `;1f??lEE1Rlt1(?f ?iRU
? APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .•
.. .. ... e?._..:,,. ,... , „ ? ... :,.,,
? J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARU
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
y
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIaN RECORD ? Control No. 10$7
CITY OF EAGAN PERMIT TYPE: eu r t"IHO
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number:
Date Issued:
(612) 681-4675
SITE ADDRESS: Iu fI s APPLICANT:
fiss oxFORb ftD [EqtEX NOMEs
HJIlS U!' %tUNEIR01 00F 3FtD (617) 936-7833
PERMlT R?y
BTYPE:
TYPE OF WORK: wEW
?
1
_
Rt Mnrr? '. •: U W cOpTtiAC 1'dl? • PLYMIqU1H Pl.RQ
PermM No. PermR Holdar Deta Telephone N
S/YV
PLUMBING g J ay , ?
HVAC
ELEcrRic 7O ' o r 9? ?(? °"
ELECTRIC
Inepectlon Date Insp. Commarns
Focit;ngs I 92 ?7 • t.aQ c fi I'e
Fourdalion
Ftaming
Rooik?g
Ra,gh Plbg. O
Rou9h Fifg• O ^ ,
LSW. d,z gz ?
Flreplace
FnW Hte. _ ?I ? I
or" rW
Flnal Plbg. .?_ Plbg. Inspectw- NotRy Phxnber
ConBI. Mete? I
EngrJPlan
Bidy. Final
?."
Deck Ftg.
DeCk Finel
Weil
Pr. Disp.
XV
?r?
wvemficate nf Cccupancv
CM4 of Cfason
'21c`ruhocat of 13ui[bing 3840cct"
TJris Certificate issued pursuanl tn the requirements of the Urtiforni Buildirtg Code
certefying that at the time of issuance this structure was irs compliaRCe with the varrnus
oidireaieces af the Ciry regulating building construction or use. For the following:
uu classification: EF ac sidg_ Pcfmii No. 1386
Oo-paay 1'ype R-3 ' Zooing Uistrict Type Caast.
Owner of 8ui{ding ? HM Addmss ?? ? ?, MM
7- ? SIaVEFJMM
go•-yfag Addiess ? ? ? l.ocality ?, as, ?•S ?'
i'
12/I8/92
Date:
Buildidg Official
POST IN A CONSPICUOUS PLACE
A-w 7078
Z
Request Date Fire Na. ug??in Inspetuan
uite0?
Reedy Now NWiil Nofify Inspec[or
?
9-30-92 ?ves ? No Wine^ ReadY'
I 7S1 licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOhess streeL Box or Route No.) Ciry
688 Oxford Road Ea an
SeIXion No. Towns?ip Name or No. Range No. County
Occupam (PRINT) Phone No.
Centex Homes
Fower SupOlier AOOress
Dakota Electric
Elactncal Comractor IGOmpany Name, Coolracmr5 License No.
Lazer Electric, Inc. CA 01110
Mailing Atltlress (Conlraclor or prmer Making Instailelion)
$383 Sunset Road N.E., Minneapolis, NID1 55432
mmhorizea SignaNre iGOnvactoriOwp er Making InstaiWiion, Phare r?umoer
A ? (?rt l?CW1?Qs? _ 784-3729
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOVESt WILL NOT
GrlqgsMldway Bldp. - 8oom 5-173 BE ACCEPTED BV iHE STATE BOARD
1821 Univnelry Ava.. 8l. Vaul. MN 5510/ UNLESS PROPER INSPEGTION FEE IS
Plq. (814) 862-O600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION °"""? ee-ooom-oe
K47078 See inyructians fo competing mis torm w back of yellax mpy '6/Q
"X" 8e/ow Work Covered by This Request
ew Atld Rep. Type oi Building AppliancesWired EquipmentWired
}( Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Oryer Other(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syxity) Convactor5 Remarks:
Compute Inspection Fee Belaw:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
SignS Inspedors Use Only: / TOTAL
Irngation eooms ?(p• $86.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORDER DISCONNECTED IF NOT
Other Fea COMPLETED WITHIN NT ?
I, the Electrical Inspector, hereby Rough-in Date
J J
certify that the above inspection has
been made. F;,,ei Dat
^ 1 ' l
OFFICE lISE ONLY
This request witl 18 months Irom
?
N 3 5
$ 55 3
Repuest Dete
I I
?
Fire No-
gn.ius? n Inpsection Repuiree
(YOU m call inspector an ready)
Ins emmn Other TM1an Rough-In
ReaOy Now ? Will Natity Inspetl0r
? Vea No Dete Reatl
X licensed contredor 0 owner hereby request inspection of a6ove electrical work at:
Job Atltlr ss IStrBet. Box or Rout o ?
x ?
?88 ?k? Cify
?
' a .04
= ame or No. Range No. Co0111y? ?
??/
Occupam IPRINTI r Phone N
49 I//
PowerSupp!ier AGtlress
Eleclrical Commclor (COmpany Name)
?l,ec 24-i^ CoNractor5 Licanse No.
&t%91706
Mailing Aetlr s (Comracror or wn Making Installation)
z
'l
s
. 51
c;,
Fmnonzeo 5?akmg Installa0o ) Pnon7 e Number
S?
MINNESOTA STATE BOAPD OF ELECTPICIA THIS INSPECTION REQUEST WILL NOT
Grlggs-Miaway BIEg. - Room 5473 BE ACCEPTED BV THE STATE BOARO
1821 Univenity Ave., 5[. paul. MN 5510C UNLESS PROPEP INSPECTION FEE IS
Phone (612) 64241800 ENCLOSED.
? RE?UEST FOR ELECTRICAL INSPECTION esaoooi oa
?? ? See Inshuclions lor wmplefing Ihis lorm on back M yellow copy. '7
35855 8elow Work Covered by This Request 40o-?
gy, Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Ran9e Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Menagement
Comm./Indusirial Furnace Other (SpeCiTy)
Farm Air Conditioner
Other (sl Contrac.or5 Remerks:
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers - Above 200 _ Amps Ahoye 700 _ Amps
?
Signs . inspector's Use Oniy:
? 7p7pL
' Irrigation Boams f
G'
Special Inspection ?Q
Alarm/Communication THIS INSTAILATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Eiectrical Inspector, hereby
tif
h
h RO°9"-'" oate
cer
y t
at t
e above inspection has
been made. F;nai o?? ^ f , L
OFflCE USE ONLY ?
This reQUBSt void 18 montns irom
SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNC JpgNO.5&Y7-7
8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDFESS 6 'J V ;FVI
OCCUPANT a4'^a
SOLD BY ?o'w
MAKE Li4,".Sc
SEFiIALNO. ? 5 90(o r-o9-1? /
THERMOSTAT F'40 4 o
LIMIT
??v
FANSET7ING I?H? C4?4 y Ut? 1? ZOOU
PILOTTYPE S ?
IGNITION MODEL ? C??yr???? ?
PILDTTIMING
PRESSUREZ ',<- PERCENTCOz
INPUT CFH v G PEFCENT Oz ?
STACK TEMP. y2?? PERCENT CO d ?>
FORM 235 (REV. 11I88)
cirv ??LGrxL,
OWNER
INSTALLED BY
MODEL ( J L 6 U?' .36 66 el d
INPUT Q L°)i pcD u
y „
VENT SIZE
TYPE OF LINER
P INEH SI ZE ILTERSSIZE NUMBER ?
IRING ?
TEST TAG
LIGHTING INST.
DA7E TESTED • ?
COMPANYTESTING /'?l?IOG
NAME OF TESTER
VELLOW CAPY - CITY
'TTD. CS17q
)lddress: 688 OHI,ORD ROM Lot # 3 Blk 5 Sac/Sub HIILS F SlUtEBR= 31D
These items wera/were not complete at the time of the final inspection.
Date: ]2/]$/92 Yes No
Final grade (6" from siding) !f
Permanent steps - garage
Permanent steps - main entxy y
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curh damage
Porch ?
Basement finish
Deck
Pleasa verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outaide lavn faucet before
freeze potential exists. ?j
aa
imneowiu
White - City copy Yellow - Resident copy Pink.- Contractor copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
7 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4875 ? Lf?.
New Construetlon Reouirements
• 3 registered site surveys shovring Sq. ft. of lot, sq. fL o( hwise; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies o( plan showing heam & vnndow sizes; poured faund desg4 etc.)
• 1 set ol Energy CalculaGom
• 3 copies af Tree Preservation Plan if lot platted afler 711193
• Rim Joist Oetail Options selecUon sheet (blAgs wiM 3 or less unds)
DATE
RemodellReoair Reauiremenb
. 2 copies ol plan
. 1 sel of Emryy CalculaGore for heated additions
. 7 site survey fw ezlenar addNons 8 decks
. Indirale d home served by septic system for additions
6-7
VAlUATION ? q66
51TE ADDRESS 6$9 OX t?Tj 9-9 MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK Ae- RHp FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY? "?- STATE_ZIP
TELEPHONE # CELL PHONE # ID???'s'?Dy FAX #
PROPERTYOWNER TELEPHONE#
-----------°---------------------------°-----------°-------°----------°-------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ iMINNFSOTA RULES 7670 CATEGORY 1 MINNESO'CARULLS 767`?
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submftted
• Energy Envelope Calculetions Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical sys[em includes:
Sewer/W ater Contractor.
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
Fce: $90.00
P'ee: $70.00
----------------------------------------------------------------------------------------- o ,??.----
I hereby acknowledge that I have read this application, state that The information is rreartd4
with all applicable State of Minnesota Statutes and City of Eagan Or ' nce .
Signature of Applfcant
By? -
? - ? OPPICE USl: O Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
I,awn Sprinkler
No. of R.I. Baths
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 67 OS-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous '
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City WateI r
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of BVdgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O. •
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce& Water ` Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _
_ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspectat
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mecfianical Permit
License Search
Copies
Other
Total
PERMIT
.-VICITY•OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Control No. 1087
PERMITTYPE: BuxLDING
Permit Number: 001386
Date Issued: 0 9/ 2 2/ g2
SITE ADDRESS:
688 OXFORD RD
LOT: 3 BLOCK: 5
HILIS OF STONEBRIDGE 3RD
DESCRIPTION:
-Building Permit 7ype SF DWG
; Building"Work Type NEW
UBG Occupen'cy R-3 M-1
%CansCrucGion 'T,ype V-N
Zoning PD R-1
Building Length ? 46
BuildLng Width 50
REMARKS: 0 oQpq-55
S& W CONTRACTOR - PLYMOUTH PL6G
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtatal
VALUATION
$720.00
$468.00
$61.50
$700,00
100
1
$1,949.50
$123,000
MISCELLANEOUS $1s610.50
Total Fee $3,560.00
CONTRACTOR: - Applicant - sT. LI pWNER:
CENTEX HOMES 19367833 000133 CENTEX HOMES
5929 BAKER RD 5929 BAKER RD
MINNETONKA MN 55345 MINNETONKA . MN 55345
(612) 936-7833 (612)936-7833
I hereby acknowledge that I have read this application and state that the
informatian is correcC d agree to comply wzth all applicahle State of Mn.
Statutes and City ga Ordinances.
L
APPLI VPERMITE SIGNATURE
C
ISSUED B ': SIGNAT FE
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD Control No. 1ID87
PERMITTYPE: ???ILDING
Permit Number: 001386
Date Issued: 0 9/ 2 2/ g 2
SITEADDRESS: LoT: 3
68$ OXFORO k0
HILLS OF STQNEBRIDGE 3RD
PERMIT SUBTYPE:
SF OWG
TYPE OF WORK:
NEW
INSPECTION
F007ING D. .
FRAMING ..
INSULATION PINflL
FIREPLACE
REMflRKS: S& W CONTRACTOR - PLYMOUTH PLBG
?
BLOCK: 5 APPLICANT:
CENTEX HOMES
(612) 936-7833
f i .
PERMdT i
RGAC 9 IYATE'
13?1_
CITY OF EAGAN -? 3 r i
1892 BUILDING PERMIT APPLICATION ,, r•. ,
681-4675 • " j. `,
kjE 0 WTo.r? ?Trm k-W.?s Atl6 $ ? RECn
SINGLE & MULTI-FAMILY 2 sets of plan , 3 registered site surveys, 1 copy of energy-,-,
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy 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 C) B / 3\_ ? gZ Valuation of work l1n,o?O
Site Address: ?,88 OxFoLD (z.oa-'7 ?rp?a? r•r? 551z3
SiREET SUI7E w
Tenant Name: (commercial only)
LOT 3_ BIACK S SUBD. \J:1\5 Z? P.I.D. *;
Descri tion of work:
The applicant is: CSl/Owner 2Contractor ? Other coeserfee>
Name sb++€ as coN?>??R- Phone
Property LAST FIRST
Owner
Address
STREET . S1E N
City State Zip
Company CttOw uv?s- mtt IDNJM-%oN Phone 936-1g33
Contractor Address Egzq ?e 2o svGt qzo License # 0000?3333 Exp.
City miror,g-1cww4 State MO Zip Ss-'?As
Company _ C4W4v. Noxc;s Phone 44--t833
Architect/
Engineer Name 'DWO c.oE w\Wa7kk\-1 Registration # o\zA59-9
s
Addre
s S929 -P? 'ez> g\?.{Zo
City _ fn?r+tv£TCr?Kp State MnS Z i p SS?A.5
Sewer 3 water licensed plumber ,µb?.? . Processing time for
sewer 3 water permits is two days once area has 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: &s;P ..rq63
,Z,rR -Yhow e' bnn--1%'i'7
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging
12?02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 5F Addition ? OS 8-Plex 0 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'1. O 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
V046 @sg, .aent Finish
'0""'1
0 17 Swimool
018 Comm./Ind.
D 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
0 37 Demolish
Const. (Actual) V-N Basement sq. ft. MWCC System Y?_5
SAllowable) V- N lst F1. sq. ft. City Water Es
UBC ccupancy P,-3 rn-1. 2nd F1. sq. ft. PRY Required
Zoning Pp 2-I • Sq. Ft. total Booster Pump
M of Stories Footprint Sq..ft. Fire Sprinkler
Length y(?T On-site well CensUS Code
Depth ,5p On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIOW S
? Site ? Footing 0 Framing ? Insulation
? Wallboard ? Final O Draintile ? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CaPies
Other
Total:
veiLmtcm: g i 23, 000
{M?DEL ? r-145 = 123,oa D
sae x
SAC Units =
C 1
745
Planning Design Inc.
1L?: Nighv:a? 110 N.E.
!fir.neGpolis, hiN 55432
u 12 -78O -19 20
cor?r?. rio. °p9 025 1
M1iinneseta State Energy Code Calculations
Baser( ,n C;-ra;,i:er 5 of the Model Erergy Code
1983 EJi Eien -- F;r{aptecl 1 i 1; 94
Ow;,?,r: 11:45, cor;m. ivO:
Si±?= :,ddress; L,a"i' ?? ?Lo?+K. S H)c.1,5 of 57bMm?li?fse 3JaD ?Ab??J.
Cc,rl_r-actc?r: CEplTE„ HO??=S Ff?cynr:
?•ldg. Cl*+=5: A1 ?=,1 for 5inglt Family!.Oug12::
R2, residerrtia2 ••. 3 stories
Dver ti stories
Other
GE;?irRAf_ iR1FOF;t•1FtTIQP1
i•?ntec The __cE;on ;?esigr?atior?s ("ciection R", "Section Ei" etc.) are ior
comvenieance in r:alcuiaL-ion_ only, and are not relat=d frum one set os
calculatiens ae;c,j £e the ne;:t.
S_ ?•ldg. 'sda;i} Perineter 4Ja11 heights, - Ar=a
9roe.:nd to eave
:?eCi::4(7f?H . °r? A(i .,_?
e
?
c-J.. T..1
J
_ ?.?-cion ? . 11U 19.??
8 =
2????}y
? ?
' 4
0 0
; ?C?w:.]tt II .
f}•
=
0
[.
Gr??ss rJal i Area
_ 2577.3
_. 9uildinc dirnensians Fioor oc
Ceiling
Length r. 4Jidth = Area
Sectiuti A : 26.5 ^t],6 = _34.9
Sectian Et : 28 27 = 756
Sectivn C: O 0 = O
Sectian D ; 0 Q = 0
Total tloor or cei ling area = i1?95.9
?. P.i m Jai st. Per i meter = 160
Floar joi st 2 6y CB", lt}", 12" or SS") SO
Rim Joist Area = 133. .'3?+3
4. Boors
Area:
Farimeter lfeer>:
7'ype or construction:
5. Total docr's periR:ater:
6. Nti ndose_. '
37.8 ThicF?ness (inches):
O
0
- O
? ?.S?
O l
S
745
Ftanufacturer: WEATHERSHIELP. U factor: .44
YES
T;t.e Heigh'c „ Length - ., hl«m6er = To±aJ.
!inches? !Ir.ches l of glass SqFt.
uni ts
E±SDIT. lfi4.i 1' 14 27 3 7.00
7GUBLE HUNGS 16 16 4 . 11
r
16 i 1
4.44
2:? 16 2 e. 22
.G4 'r'
4
6 /?
s:.Y
.."i19 24 6
16 20 ? 17 6....;,
24 <^0 14 6:?.. _.
2e 28 io 54.411
:+'? 28 4 24.:39
16 36 < ?
TF.;aP•.SOI'l i< Z b 1
SK:'(LITE:3 40 24 2 16
7. Df:i ridow nl as= area {SqFt }= 255.53
rYPe 'r,eighF „ Lenc7th r; NumGer = Tetal
;fec'r_; (feeE) units SqFt
Fatin Door: c} 0 0 0
?. Acrium: 6.8 ti 1 <^c].4
70. r=irepaace arua
Wid'r.h: _ es Nc-ight: ,
Tota' S,a Ft. _ ?n
r
11. FcXpcsE:d F'cundation
Heig!-at area H: 0.e7 Fe rimeter area A: 145
Sq ft area A = - 97.15
Er.posed Foun
dation
- -
-
Fleiyht area Es; O Fe rirneter arqa B: 0
Sq Ft area Et = q
1?. SqF± U factvr U x A
Gr-oss wall area 2577.3
minus
G!i ndow erea 255.53 .49 125.21
Patio door area <y p try
r'trium -area-_ 2tT.4. .. _.; _ - . 0.47 - = 9:59 . -. --.: - -
Rim joist area 133.333=33 .042 5.60
Poor arez-i 37.0 0.14 5.29
"irep!ace area 30 0.17 5.1
F::vcsed Fuund. 97.15 .133 12.92
+ Praming area 257.73 .103 26.55
equa3s
Tatais far net wall: 1745..?566667 Q95 75
;?y
Add Egress Window (Csmt) 6.00 :
4 :
4
.
745
Tctais for yross wall area: 271.74
* Franing area is 10% o+ yro>s wa11 area
13. Gre=_s w.zll area .; =actor uel;.w = U:: H per cnde
Factor is .11 for A-i =irigle family °< dupie>;
•=T for A-2 3nri vth2r r-esiderstial
._-= tr-r other Buildiny>
.23 ror ovsr 3 star i e5
FactG° :i.=_._ 0.21
B ruH = 2S3.503 :"II cri;r RE > pr-: = 271. 7'
tC2l.rltla'LeCj c.t70V@j
'[::k. (::i^+J=.= r--j T. ,i ny ?.Cc3
. ? 0
.i093.';7
1t. voil:.ny .-a:ning ar ea (101 ?s ceili.n!7 area) - 109.59
:u. Jcist r^irea (1O;: ef ceiling arei} _ 109.59
17. Net ceiling area ( Gross ceil, arezj - Joist area) = 986.!1
18. U ceiling: +.?,G21 .. Plet ceil. area =20.71251
19. U 4raminQ: 0,024 y. Joist area = 2_63016
20• Tetal of item 19 >: item 79 _ 23.34257
21. Gross cei.7.ing area
' r, facte; below = U>: R per cade
Fac:
tor- is ,026 for A-1 single family 8< duple::
-033 for R-2 arzd uther residential
.c:tb for nthzr t,uild:ngs
F'acicr is: 0.026
BTUH = 28.4934 MUST RE :• ON'. _ <y . ? 4?57
lcalcuiated abov
,
CEILING WITEi YfNi'ID A1TIC SPACE ABOVE
R VALUE R YALOE
FRAHlING CEILING
0.61 Air Film 0.61
36.00 Insulation 44.00
4.38 Joi.st
.56 Ceiling .56
0.51 Ai.r Film 0.61
41.55 1bta1 R 45.78
.024 U = R .021
c-nmpExtnr. CEILING
R YALOE A t/ALOE
FttAMING CEaLIIdG
0.61 Inside air film 0.61
.56 Ceiling .56
14.375 Joist(SpaceF) -
- Insulation 33.85
a
- Air Spaoe _Sp
.67 Rioof decking -67
.06 Felt .06
.94 Shirgle .44
0.17 Outside air film 0.I7 .
16.88 1bta1 R 36.86_
_ .059 1 = O .027 :
R . -
i+tindw infiltraticn :5 cfm/lioeat-foot of`crack
Residential cbor infiltration 0_5 cfm/square foot or door and minimm c+ode •eq,;ren•,t -
Non-residential aoor infiltratim 11.0 cfm/li.eal faot of crack
Ob 12' concc+ete block no insulatim =.781 R 1_28
double glass = .52 - -
triPle 41a-a.s = -31
All ezterior Wal.ls and oeilings onjst have a vapor barrier (0.10) P?tm maa.).
Vapoc barcier must be on the inside (heated side) of vall_
Vapor bariers of the polyethelene thin film have no R value.
I I a
2 X6 / BIGH'R' ?ATEMK;
WALL
JOCPION
STUD
SI•X.TION
V YAT.I1F. CALC[7LAi'IQ'LS
r^Qide air film
Interioc 'Yall
T^GulaCiort
Sheathing
Sid'uig
outsiae air Fi1,o
R TOTF4L
Trtaide air film
IfltPS10C wa77
Stud - G'
SFteathing
Sidi.ng . . .
outsic7e ai.r film `
R TOTAL
. ?
JOISP
P'E7DT. - ---
R VIILOE U VA(.tK
_Gfl
.
.? (wall) V ° I -
19.00 K
1.2 .045
_67 •
_x7
22.17
.
?? .
.sIJ
6.50.. (I'raming) U ? 1 ?
1.2 K
.67 .103
.17 •
9.67
Interior air fi]m .6E3
? Insulation 19-00
1 2 inch soPt woa 1.88 (Ri.m aoi.st) u.r 1
( $hparhipy
1.2
Ezterior tra].1 covec'irg -67 a .042
` Extecioc air film .17 '
; _ .
ft 1OTAL 23.6 .
B TOTAL 7.53 - .133
PERMIT
CITY OF EAGAN
t 83n- f%bt Knob Road
agan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuzLozNG
Permit Number: 032321
Date Issued: 0 6/ 2 2/ 9 8
SITE ADDRESS:
688 OXFORD RD
LOT: 3 BLOCK: 5
HIILS OF 5TONEBRIDGE 3RD
P.I.N.: 10-32992-030-05
DESCRIPTION:
. ??..
B-ui1d'1ng Permit Type STORM DAMAGE
?BuiYdingWqrk Type REPAIR
-?"Cen}sus Code 434 AL7. RESIDENTIAL
st , ;
c
F ? ?z
a. _ ..-
REMARKS
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lzc OWNER:
WEAVER CONSTRUCTION 17357280 2001899 HEARING TODD
10117 BRIDGEWATER PKWY 688 OXFORD RD
WOODBURY MN 55129 EAGAN MN
(612) 735-7280 (612) I here6y acknowledga that I have read this application and state that the
information is correct and agree to comply with all applicable State fi n.
stratute€; and.city of Eag,an ordinanoes,
L
APPLICANT/PERMITEE SIGNATURE
lyOn'?
3?? I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
f 3830 PILOT KNOB RD - 65122
681-4675
New Conshuetion Reauirements
? 3 registered sde surveys
? 2 mpies of plans (indude beam & window s¢es; poured fid. design; etc.)
? 1 energy ealalations
? 3 copies of trea preservation plan if lot platted after 711l93
required: _ Yes _ No
DATE: Z-r????7-ylS?
RemodeVReoair Reauirements
? 2 copies o} plan
? 2 ske surveys (erterior addRions 8 dedcs)
? 1 energy calculations for heated addkions
CONSTRUCTION COST; @`" OX2 /
DESCRIPTION OF WORK:
STREET ADDRESS: p/&
BLOCK: ? SUBD./P.I.D. #: r
Name: Phone
PROPERTY Lest First
OWNER
StreetAddress:
City State: W/V Zip:
Company:???/? Phone #: 7 35 ' 7ZF D
CONTRACTOR
Street Address: 10117 ?l'kLC,4T?--rl? Aa& License # 'm-r2r'f 2
City ? C State: 01 A) Zip:
.
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registtation #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction onN):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling O 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
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ,. ?
0, 15 Deck
O 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VII Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
°k SAC
SAC Units
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCI'ION
?? ADD-ON A/C
ADD-ON FURNACE
FII2EPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MnNIMUM i@ S3.00 EncH)
ADD-ON/REMODEL (ExISTiNG CoNSTRUCCION) $ 20.00
STATE SURCHARGE .50
TOTAL o,.
STTE
OWNER NAME: lr/a.d .4 a TELEPHONE #:
CTTY: STATE: ZIP CODE:
TELEPHONE #:
?
! 9 ??? ,/
? I" `?
SIGNATURE OF PERMITTEE
/*
1994 MECHAMCAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
l b?
,.?----
/
PLEASE COMPLETE FOR ALL COMIIERCIAUINDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WI-IEN SEPARATE
PERMiTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUII.DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF l;?¢>Q:? ?'s,?'?'jLA? FEE $_
PROCESSED PIPING: $25.00
DIIATIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF -: -:.;M FEE.
?...R..-
TOTAL $
STI'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPxovEMEi•rrs ON[.Y) . b?.. ,
INST.
... .' iJ
ADDRESS:
CITZ': STATE: ZIP CODE:
:.,.. . . . ? , : , , ....
- . .. ?
TELEPHONE #: ,
SIGNATURE OF PERMITTEE CITY INSPECI'OR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
l? et CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
AESIDBNTIAL
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 :
SITE ADDRESS: w oX _?DY'il/?
INSTALLER:
ADDRESS:
CITY:?LgLl?n•G?1??[? //14*: •?J .???: ?
PHONE 17Z'?.2 - ?/ eF
NO
?
?
?
?
/
?
CITY USE ONLY
RECEIPT # ..3
DATB
AL50, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH T[TS 3.00
IAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLAOR DRAIN 3.00
6AS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPFNINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
TOTAL
3°0
?Ly C?
.
?a
v
?Cl
$TATE SURCHARGE .50
TOTAL: ?$
' COMMBRCIAL
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 NAMEc
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
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
CITY OF F,AGAN
3830 PILOT KNDS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #--?
DATE: a
1?72Zi4I;': PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
------------------- ?----------°---------------------------'
WORK DESCRIP ON
NEW CONST ? Ae-4?'
ADD ON _ Q.IY ?
REPAIR
7S-m
OWNER NAME: _(?i?i/ VYIJ7YJ?,
SITE ADDRESS: (D C f
J ?
IAT: 3 BLOCK
INSTALLER: SEf f1 ?i`7Vl4J
H?i,7!NG E A2 C00ITIONING C0.
ADDRESS : ggip ivFVT.'JORTH AVE. S0. .
MINNEAPOLIS, MN 5542
CITY: 881-9000 Zip:
PHONE #
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24.00 -
6.00
3.00 ?
$ oZ7L9
.50
TOTAL : $ ot 7• SD?
SIGNATURE OF PERMITT
PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
Uy-48 0
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauirements RemodellRepair ReauiremenGs
3 registered site surveys shaxing sq. ft. of lot, sq. ft af house; and ell roofed areas 2 copies o( plan
(20% maximum lot ooverge alWwed) t set of Energy CalculaUons for heated additions
2 copies of plan shovring beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculatlons Addi6on - indicafe if onsife sep6c system
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim JaSt DeTail Options seledion gheet (bldgs with 3 or less unils
a s,
7d
i
Date
Site Address r p? oXGe'eD 4V.
Construction Cost
UniUSte #
Description of Work VQw OLL•'e
Multi-Family Bldg _ Y /N Fireplace(s) _ 0 1 _ 2
Property Owner 7(), Jp Tetep6one # (431 K3 J?
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(?1 su6mission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consfructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone ?{?
II
Telephone 411
N If so, 25% plan review
I hereby apply for a Residential Building Perxnit and acknowledge that the info -?accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 3tate of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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.
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
411?
Sub Types A
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex X" 18 Deck ? 23 Porch (screen/gazebo) ? 36 MWti Misc.
? 05 03-ptex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 33 AReretion ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
?. 34 Replacement *Demotitlon (Entire 81dg) - Give PCA handout to applicaM
Valuation lf&190 Occupancy MCES System
Census Code -_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
1( Footings(deck)
T` Footings (addirion)
Faundation
Drain Tile
Roof Ice & Watex Final
X Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIREDINSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: 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
Totat
_-?-
olrirlu4l
r V
zool RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN ?C
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do nof combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date I
Site Street Address ?v 6 8 0ti?`?? Unit #
Property Owner Telephone # ( )
?
Contrector ?aS G4r- ??vr5 ?l [b C7?Gr 77? Telephone #(65( )?13? ?? Sy
Address ??a S?hi {?i ve . S. City S? State A?- Zip 45-6-1?7
The Applicant is: _ Owner & Occupant L-Cicensed Plumbing Contrector
Septlc System _ New _ Refurbished Submi! 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 6uildin .
Alteratigns to existing dwelling
`? Add plumbing fixtures to main level ?lower level. This fee includes $ 50.00
installation of a water softener and/or water heater at the same time. If you are
i»stalling onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_ Water Tumaround (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
Total $
I hereby apply far a Residential Plumbing Permit and acknowledge that the information is complete and accurete; 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, 6ut
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 re
j quired to be ieviewed and approve/d.
ApplicanYs Printed Name canYs Signature
,-;q / 13
2007 RESIDENTIAL BiTILDING rEUMiT nrpLICnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctian Reauirements -
3 registered site surveys shox+ng sq. ft. of lot, sq. fl of house; and all roofed areas
(20°k maorimum lol coverage albwed)
1 Soils Report if proposed building is to 6e placed on distuNed soil
2 copies of plan showing heam 8 window sizes; pared found desgn, etc.
i set of Energy Calculations
3 copies of Tree Preservation Plan if lot pla@ed aRer 711193
Rim Joisl Delail Optians selecfion sheet (6uildings vriN 3 or less units)
Minnegasco mechaniql venfilatian form
RemodeVReoair Reauirements
2 wpies of plan shovnng tooUngs, beams, jdsts
1 set of Energy Calwlations fa heatad additiore
1 site survey for addi6ons & decks
Addi6on - ifdcate tl onsde septlc system
? 04
/ 3>a-CO
Qifibe tlse?AnN
CeRofSurveyRecd _Y ._N
SoilsReport _Y:-_N
TreePresPlanReW _YN,
7reePresRequ'ved Y _?_N
On•srteSep@c_System _Y::_N
state the are trade se?e`f ana`the 7??n•
Plans are consiaerea uouc In1om11ation un ess
Date 3`k/ l d ( / Constructioo Cost / 7
Site Address Uoit/Ste #
Descrip[ion of Work ? S
Multi-Family Bidg _ Y ? N Fireplace(s) _X0 Z
0Pr76j ' T
v
Praperty Owner Telephone # ( 6J l ) ?
Contractor l ? C -?
Address 7?.? 0
?(?
State /L? r?
i'1 ?P i+ ?'?Z' ,
Zip ? ? O 7 7
?City ????
Telephone #(CS(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv l _ Minnesota Rules 7672
Enefgy Code Categofy . Residential Ventilation Cate9ory 1 Worksheel • New Energy Code Worfcsheet
(Jsubmissiontype) Submitted Suhmitted
• Energy Envelope Calculatlons Submitted -
In the last 12 monihs, has The Ciiy of Eagan issued a permiT for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ??C La LI vIE Telephone #(
Mechanical Contractor II II `? 1 21107 Telephone #(
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 stad 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.
Applic t'sPrinte?ame lAppl Signature
DO NOT WI2ITE BELOW THIS LINE
Su6 Tvqes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
x 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
?. 23 Porch (screenlgaze6olpergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Misceilaneous
? 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 (Entire Bldg) - Give PCA handout to applieant
D85CrIptlon: Water Oamage _ Yes
Valuation Occupancy MCES System
Plan Review -4100% or _ 25%
Census Code L Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheeffock
_ Footings(deck) FinaVC.O.
_ Footings (addition) ? FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests Final
x Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. AirTes[ Final Windows
? Insulation Retaining Wall
Approved By: I ?-- , 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
? 07 OS-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
z, Y, - / 5 ? ?k-- -
? .
. ... . . . I1a?x.;,. ?:
. . ... . .. . ' . . . ' ? . . .. iirv:.
zazx EntitPFise oriY•
^. *PIONEER ?u+oeveviran:avacnariiEns MendofaHeiqh)s,MN66120se
' *-en neer h . L?0?4ANN[IMr'IANpD?q?LJIRCIIIdECri.
g 9' f6121?881•1914
??
Certificate of Survey for: .GEhITEx , lNC(7KPO?AT?D ` , , ??•'?
k t°? House Address: =?SS Oxfo' rcl, Foad, Eo.QSah? M'.Nn. •: n?? E
Model Name: 74S W
•FeJ?, '' ' . , N ..
? '. ?.
a ttc 'ii
c
OXF?RD
KQAP
3., •_ ' 3?4 `
u
z; , o
?? R•/? ,
Vt ? ??. ? N 9 ?..
o I
p f
rA?
I
.. I 20,0
T t233 I9.71 ? ,
? r
u? ? j ?.(lat.
Q
f0d?
n
. .. Q O M.,irotDStd {?0?? ? -+Wi Q Q,. . ?.?.
o
. ? ?y.. .6ASEMEIJT ? I'f:1'T o
? .? Q '
?20,0 3o.S3 m ? x {
? 19.7,?. ?
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PROP05ED HOUSE ELEVATION
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Certificate of 5urvey for: GENTEXl NCOKPOF-.ATES>
House Address: _6E-8 4xford Koad, Ea--:s.xN?t&Nn.
. Model Narrie:.?.745
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LOT" 3, BLOCK S__, FIILLS 0F 5TONE,69,IOGE. 391) ADI
OAkpip COl1NN. MINNESOTA ?
1 henbVi certllV thai thls survtv. o4n or repon wat DreParetl blj??
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House Address: ?88 Oxford.. fLoad? Ea ?a„ ? M'?M?.
Model Name: _ 7415
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LOT 3 WLLS QF 5TONE6RIOGE 3RD
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NQ ER . 1 C .. HEO. NO. I4691
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Site Address: 688 Oxford Rd
Lot: 003 Block: 005 Addition: Hills of Stonebridge 3rd
PID:10- 32992 - 030 -05
Use:
- Applicant -
$0.50
$30.00
$30.50
Owner:
Todd C Harings
688 Oxford Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA076059
12/01/2006
ePermit
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @Se
viceExperts.com
9001.2195
0801.4088
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
,
e i For Office Use
%%1 I : ,,, E AGA N
`� ‘. ,ii, �� Permit#: / )it
,,,.".� Permit Fee: b0/ (-1-- .�
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: _.
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinginspectionst citvofeagan.com Staff:
Commercial Plan Submittal: eplans@city.ofeagan.com L
2018 RESIDENTIAL MECHANICALL PERMIT APPLICATION
Date: (,)B Site Address: S1�� X-�vfG� i� �`
Tenant: CI,Ii t 1 �rx,kr---et V S b 4) Suite#:
Name: Dave V (�D� (,�,yA lJ hfiV Phone:
Re0 a P* .
;it:' t. Address/City/Zip: (D. � �x•r���
$'t' Name: C Oa- r Air License#:
'. Address: '0� � (�tkl "'� pr. City: -Pikv : . }7r,.
4 3 it #jQr
f' ; f State:01/1. Zip: ��Sb� Phone:
:u Contact: Email:
v i .4 RESIDENTIAL
Furnace
Km���.A , :` X Air Conditioner
I ,, 4 ilt Type
. : Air Exchanger
..: " Heat Pump
Other
T
New X Replacement Additional Alteration Demolition
Typetof'Work ,
Description of work:
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be ini conformance with the ordinances and codes of
the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to startwithout a permit;that
the work will be in accordance with the approved plan in the case of work which requires a review Viand approval of plans.
x AA-�Ul� C� � x i�� ' �`i
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE v'
Req utred lnspectii r:s 1 ,: Reviewed' =' . .: bate:
r
,Ur and * augh In _. Gas ServiceTest 1,, final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173530
Date Issued:11/15/2021
Permit Category:ePermit
Site Address: 688 Oxford Rd
Lot:3 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight - Replacing 2 existing skylights
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
David M & Laureen P Osberg
688 Oxford Rd
Eagan MN 55123
McGrath Exteriors Inc
19454 Bauer Circle
Hastings MN 55033
(651) 283-7917
Applicant/Permitee: Signature Issued By: Signature