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692 Oxford RdCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: INSPECTI4N RECORD PERMIT TYPE: Permit Number: ? Date Issued: -•tV'._NlV APPLICANT: ]f<<r h?f ti.4..'1 l:i6-!<'tcH TYPE OF WQRK: {ats 1 t. il I b l-j eci ?, INSPECTION . . D z ? Permit Holder Date Tefephone # PLUMBIIVG HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING !? ?CJ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL g l?'O O GYPBOARD FIREPLACE FIREPLACE AlR TEST FINAL PLBG FINAL HTG ORSAT 7EST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HVOROSTATIC TEST B5MT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECURD Con ? ?°?"?. ` CITY OF EAGAN REACTIVAIED FOR DECK 45J14/93 PERMIT TYPE: "1"6 3830 Pilot Knob Road TIM WACNER 733--5058 Permit Number. 006063 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: lnt: q H 11 n( I?? rAPPLIGANT: t 4 r- OxFORa RD rNF RorTR(1*0 Cu iac IIIi.I.a f!F a'TtiNIFHRl will•" 3RU (612) 571--11:3-04 PERMIT ?"PTYPE: TYPE OF WORK: m LC w INSPECTION i "+) r I +vh .. . rRA1liNQ .A , I H'1111 t a I cIOM FrapL F rntPi.ACF RF aaHk s; '. Es w r.ONTRAC T'OR - VAt 1 FY pt taO arfs/ y a 7'Y /!U tt r p_?-,? C;F 0 Parmtt No. Permk Holder Date Talephone # $/V1? _ PLUMBING HVAC ?? ELEGTRIC ? ELECTRIC ? Mspwtlan Dwe Inap. Camments Foatings I l,)4 Foundaiion Framing /Z } Z ?..5! Roofing Rough Plbg. I Rough Ht9• Isul. ?? S2 LS F?? ? avz 'tS Final Htg. -Z3- Z ?v orsal res+ Flnal Plbg. Pibg• inspector-NoTiiy Plumber con8r. nnBter ? EngrJPlan ? Bkig. Final ? Z Deck Ftg. /h Deck Finel Well Pr. Dlsp. ? % ? x ???'? r,? • ' „ ! f ? Wertificate of Ccc"anc4 W44 of Cfagan ?osrhnent of 13mir??? 3X60ectin This Certificate issued pursuant to the neguirements of the Uniform Building Code certifying that at the time of fssuance this structure was ere compliarece with the various orrlinances of the City regulating building corrstruction or use_ For the follawiRg: g'DWG q53 use Oassiecauon: Bw& etrnlit ro. OccupancY TyPa Zoni g District Com RD, FR= Owner of Bnilding Address f a Bui g Address Localiry ?? ? nate: Q/23/q2 Building Official POST IN A CONSPICUOUS PLACE t : 7,+ a- ?.?F'4 K 110883`Sl92 Request Oete } 3 ire No. Bough-in In an Rapuired? ? Ves = No ee0y Nav C Will Nofity Inspector When ReaDY? 1-?licensed contrector p owner heraby request inspection of above electrical work at Job AtlOres5lSVeet Bax Or Raute No.I Ciry q a, Section No. 1 Township N or No, Range N0. Cour?(y ? C\ ?? .i.C Occupa IPRIMI Phone No. ? Power Su liar Mtlress Eledric3 onV or.ICOmpany Namel ConVactor§ License No. m:: V U ? Mailing Atldress ICOnlraclor or Ownar Making Inslallation, AWhorizetl Signalure ICOMraL1or wn M king Inslallalio Phone Number 10 MINNESOTA STATE BOAflD OF ELECTFIQTV THIS INSPECTION REQUEST WILL NOT Griggs-MiEway Bltlg. - Raom S-173 BE ACCEPTED BV iME STATE BONRD 1821 UnivenNy Ave_ SL Paul. MN SSIOd UNLESS PflOPER INSPECTION FEE IS Phone (Btt) 602-0800 ENCLOSED. VC,Sj?Z REDUEST FOR ELECTRICAL INSPECTION ee-oaaoi-oe ^? See inshuctions tor complebng inis form on oack ai yeliow copy. Oit 7/?2 ?? ?°X" Below Work Covered by This Request ew Add Rep. TypeoFBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Ap t Building Dryer Other_(Specify) Comm./Induslrial Furnace Farm Air Conditioner Ofher(specity) ConVactor's Femarks: Compure fnspectian Fee 8e/ow: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs InspecroYS Use Onry? - TOTAI Irrigation Booms ?J ; 5"?to Special Inspeclion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqn-in 0 oate cerlify that the above inspection has been made. Final - f pate OFFICE USE ONLY ? This requesl voitl 18 montM1S Irom ?Z REQUEST FOR ELECTRICAL INSPECTION ;4?=i??q esaoooioe ? ? See instmdions for compfe?i?g his?lorm on back oi yellow mpy. ? l°?s?; 6 ?5 a 11085 - x" BPlow Work Covered by This Request 6 21 Z2- ew AdG Rep. Typeof8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Intlus[rial Fumace Farm Air Condilioner Olher (sVecily) Conlractar's RemaBS: Compute Inspecfion Fee Below: ? Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 t0 200 Amps D l0 100 Amps Transformers Above 200 _ Amps Above 100-Amps SignS Inspector5 Use Only: TOT/AL ? ' Irrigation Booms ? lOS2 s Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MONTHS. I, the Electrical Inspedor, hereby aouyni oa??P `4 2 certify that the above inspection has been made. Final oa?en .,q OFFICE USE ONLV Tnis repeest void 18 montns Irom K Zg? 5 - ? ? 7Z? z ? ? Request Date ire No. R gh-in Inspeclion quiretl? 0 Reatly Now ?Will Notify Inspector 7- 3 Z+ Yes G No When Ready7 I/1 licensed coniractor ? owner hereby request inspection of above elec[rical work at: JoDAdtlre55(S.8ox vleN.I q . City l?? 0 Sectian No. Township N or Na. Range No. Cou z? Ocmpa IPRINT? PM1One No. Power Sup ? ///?? ?? r O.G(? , '??cL. Mtlress ElecVical VdEt ?Ompany Name) Ue,,l ConVaROrS License No. C d¢ DD 3€ l Mailin Aetlress ICOnVaclor or Owne? Makinq Inslallationl AulM1Orizetl Slgnature ICOnV ?or/O r Inslallatio - Phone mber 03- 3fn MINNESOTA STATE BOAflD OF EIECTRICITV L /I THIS INSPECTION REIXIEST WILL NOT Griggs•Mitlway Bltlg. - Poom S-173 V BE ACCEPTED BY THE STATE BOARD 1821 Universily Ave., SI. Paul, MN 55100 UNLE55 PPOPER INSPECTION FEE IS Phone(61P)BC2-0000 ENCLOSED. Rddrass: 692 OXFORD ROAD Lot q Blk 5 Sec/SubHILLS OF SICRIEBRIDGE 3RD These items wera/were not complete at the time of the final inspection. Date: 9/23/92 Yes No Final grade (6" from siding) ? Parmanent steps - garage Permanent steps - main entry V Permanent driveway ? Permanent gas ? Sod/seeded grass ? Trail/curb damage i/ Porch Basement finish ? Deck Please verify with the builder tha removal of roof test caps from the plvmbing system and the shut-off of vater supply to the outside lavn faucet before freeze potential exists. ? RCIII[OMfR White - City copy Yellow - Resident copy Pink - Contractor copy ,"Ic/& a< 2007RESIDENTIAL BUILDING PExMrT nPPLrcaTioN City OFEagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConsWCtion Reouirements 3 registered site surveys showing sq. ft. oi bt, sq. R. of house; and all roofed areas (20% maximum lo[ coverage allowed) i Sols Report ifpmposed 6uiltling is to be placed ondisturbed soil 2 copies of plan showing 6eam & windarv sizes; poured found desigq etc. 1 Set of Energy Calculabons 3 copies of Tree Preservation Plan'rf IW platted a(ter711193 Rim Joist Delail Options selec6on sheet (buildings with 3 orless units) Minnegasco mechanical venfilation form 130.D6 RemodellReoair ReQUirements Office Use Onlv 2 copies of pian showing foo6ngs, beams, joists Cert of Survey Recd _ Y _ N t se[ of Energy Calculations for heated addi6ons Soils RepoR - _Y _N t site survey for additions 8 decks Tree Pres Plan Recd _ Y _ N, Addih'on-irrdlrafeifon-.vtesep7lcs)slem TreePresRequired _Y _N On-site Sep6c System _Y _ N Date30 ! 47 ConstructionCost ?/S?pUJ Site Address FjR2 O}c-?o?o? / -ou.y Unit/Sfe # C Description oT Work F"1'3? Multi-Family Bldg _ Y? N Fireplace(s) K_ 0 2 Property Owner T M ?-SF?a ?I lN?4He? Telephone#(6.S'/ 69g/ Contractor ??L (?v?ldti ?i-,c.( .'?.?-ra?c('ti C?•• Address 3-?l'/ /?W o-/c -P-ve City K4qu, State 1V7N Zip SS-( 21 Teleplione #( bST ) 3f 7-5_4-?' COMPLETE THIS AREA ONLY IF CONSTRUCTING A WEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, hos the CiTy of Eagan issued a permiT for a similar plan based on a masfer plan? _ Y _ N If yes, date and address of master plan: . Licensed Plumber ng F Telephone # ( ) _ Mechanical Contractor Sewer/Water Contractor FEB 0 1 2007 Telephone #f Telephone #( I hereby apply for a Residential Building Permit and acknowledge fhat the infonnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but onty au application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Gur? i?rlsi? Applicaut's Printed Name A_-, i? 25(pplicaDt's Signature DO NOT WRITE BELOW THIS LINE Sub TvAes ? Ot Foundation ? 02 SF Dweliing ? 03 0 1 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvues ? 31 New ? 32 Addition /K, 33 Alteration ? 34 Replacement . ? 13 16-plex ? 16 Firepiace ? 17 Garage ? 18 Deck ? 19 LowerLevel ? 20 Pool D ? 21 Porch (3-sea.) ? ? 22 Porch/Addn. (4-sea.) ? ? 23 Porcfi (screeNgazebolpergola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bidg 31 Ext. Alt- Multi 33 E#. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Oemolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Give PCA handout to appliwnt D65Cf IpYlOfl: Water Damage _ Yes Valuation 419 Occupancy MCES System Plan Review "v' 100% or _ 25% Census Code ?? . Zoning City Water ? SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQiJIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/GO. _ Footings (addition) ? Final/No C.O. _ Foundation ? HVAC Drain Tile Other ? Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ?C Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace R.I. _ Air Test _ Final _ Windows _ ?(. Insulation _ Retaining Wall Appraved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 O5-plex ? 08 06-piex ? 09 07-piex ? 10 08-plex ? 11 10-plex ? 12 12-plex ?-? p -z ( 1 - a tel .S CITY OF EAGAN ?? w?`? • / ?.? PLUMBING PF.EtMIT SUBD (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ---------------------------- WORK DESCRIPTION I NEW CONST x• ADD ON REPAIR ^ OWNER NAME: CS nA ?..• J SITE ADDRESS:_ (af ,a- 0X il2d U INSTA ADDRE CITY; PHONE SIGNATURE OF PERMITTEE NO 1 a ? ? 1 I 1 1 ? ? CITY USE ONLY RECEIPT ? 49570/) DATE 7 = 9.!P, ? ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATN TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3..00 WATER HEATER 3.00 FLOOR 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= l°- L? G- S- ]' 1- 7- ]- 4.?V STATE SURCNARGE .50 o! TOTAL: S y 1 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR M[ILTI-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 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 • , . • ,/ CTTY OF EAGAN L h' B ' MECHANICAL PIItMIT RECEIPT #/v -21 9 SUBD. /?I ?I1-?%? a,? /1l•_?_._??--o?{.? .3 r- (612) 681-4675 DATE a- 74?2 3 3 d- RE5IDENTIAL PLF.r?SE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWIIddNGS. ALSO, COMPI.ETE FOR TOWNHOMFS/CONDOS R'HEN SEPARATE PF.ithrrrc AgE gEQIIIgID FOR EACH DWELLING UN1T. owxm: rrt-kv FEES S1TE ADDRFSS: 02 ADD ON/REMODEL (EX[STING CONSTRUCPION ONLI) $ 15.00 INSTALLER: ?? C HVAC: 0.100 M BTU 24.00 PHONE #: ADDTI'IONAL 50 M BTU 6.00 AaDxESS: p auT ,iC sns oUry.E: s- ntrivMuM i@ $3 En. 3-o 0 crrY: zEP: suxcHnxcE: s SIGNA ? ?- TOTAL: $ 02 7.S-6 e u COMMIERl.l(1L PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUII.DINGS. ALSO COMPLEfE FOR APARThfENT BUILDINGS OR OTHER MUI,TI-FAMILY BUII,DINGS R'HEN SEPARATE PERMTI'S ARE NOT REQUIItED FOR EACH DWELLING UNIT. I WORK DFSCRIPTION: CONTRACf PRICE FEFS 196 OF CONTRACf FEE. fLARE HTC? 8 A/C, lNC. STATE SURCHARGE IS $.50 FOR EACH 9303 Plyreoudi A? Na $1,000 OF PERMIT FEE. $ Gow Valtep. MN. 55427 ' N PROCESSED PIPING - $25.00 il S 11IINLMUM FEE - $25.00 OR'NER: SITE ADDRFSS: 1'F.NANT: SUTI'E #: INSTALLER: ADDRESS: CI1'P: PAONE SIGNATURE: TOTAL: I $ ZIP: CITP SIGNATURE: `I RESIDEN'TIAL BUILDING ` Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX 9 651-675-5694 New Consfruaion Reauirements Remodel+Reoair Reauirements 3 registered site surveys showing sq. ft ot lot, sq. fL of house; and all rooled areas 2 copies of plan (20% maximum lot coverage allowed) 7 setof Energy CakulaGOns torheated additlons 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey foraddiGons & decks t set ot Energy Calculations Adtldion - indicafe Aon-sde septic system 3 wpies of Tree Preservation Plan 'rf lof platted after 711193 Rim Joist Oetail OpGons selection sheet (bldgs with 3 orless unds Date -LQZ,-_ / 7) -? Construction Cost ????VV? VV Site Address 17? Unit/Ste # Description af Work S zoS m- 17 d+1i '?w(/L. -2.k li dIZj , P _ Multi-Family Bldg _ Y_ 1.1 N Fireplace(s) 1 _ 2 PropertyOwner / ,)11, y- Sccvctlq W Telephone # ( (eS ?) ?p ?_? ^ ??? Contractor ?.4-'L 20^ 4,4 ? L/,.•i f )Yd %?/? Address A? ? City /?'?tt/i L11yF' Siate A444 Zip i 3? 7 Telephonr # ( 1SoZ ) L13 ( 5 1'-t3 Ck,-U,S -i- I ---?-43 Offce Use Onlv Cert of Survey ReW Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Sep6c Syslem COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7E70 Categorv I Minnesota Rules 7672 Energy Gode Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submiried • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor lephone # ( CT, ? - ?L -' e ephone # ( Telephone # ( -Y,&-? v(3- v ? a?C-?i, I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Da,-rl c-?, G y r&-s o v? 7z)-l- S Applicant's P inted Name Applicant's Vgnature Sub Types OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-pfex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 29 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 16 31 New ? 32 Addition ? 33 Alteration ? 34 Repiacement 7?gpo. Valuation Census Code T3 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const v Il _ FooYings (naw bldg) Footings (deck) X Footings(addition) Foundation Drain Tile Roof _ Ice & Water _ Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy T?- '3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinkfered W idth REQUIRED INSPECTION3 FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smceo Stone _ Windows (new/replacement) _ Retaining Wall Approved 8y ? , 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 "i 1 ) ; ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multl Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Give PCA handout to applicant ,, /.&-)0 Lio V CL V ? G..1?. ?. L e f V6 v? ? q??.l(o N 89050'53" wt5•17s 85.7 9I `1,q SPrv;ce 914.3 ? :y o ? - - - - - - L pRIVEWAY o cj L s /? ??,dJ?x tQ_00? 22.33 N 720 ?72 ? I ? 919.1 c•i GARAGE ° I 2.0 BAY WINDOW N ? CONC. TOOP I r ? 12.0 fl) ? o _ ?i 18.83 N 10.8 ?O -- cM i to EAGIETON o I I CD ? ` m PROPOSED HOUSc u ? I N O O 0? ? 12 COURSE BAS'MENT I I 0 ? 10.00 56.0 7.72 ?pJ' ? ?9r 89 5Q0,' 3 46' ? '? 9?? Y I I ? I ? r,eR a ? r I 1 31 I 51 I 9?f,6 L-- -----------? . . ? 91(0,39 w 0 ? 9 tb. ? ?XF?v?D ? 9is.s Ixq,a.tl hh1 0 z ? ??hz r r-; C. C? Q) r n? ? ? ^ c ? O Q ?-- 0 <c ? Z !?c ? c?i.a' cL; c?, u ? ? . , 9(33 Y ? Mike 26. A variance to exceed the 20% max building lot coverage allowed in an R-1 (Single Family Residential) zoning district for Tim & Saza Wagner for a 3-season porch addition at 692 Oxford Rd was approved. TC 27. The vacation of a portion of Alder Lane adjacent to Lot 9, Block 1, Langhoven Addition retaining all existing drainage & utility easement rights was continued to the August 4, 2003 City Council meeting. TC 28. The vacation of public right-of-way known as Yankee Drive between Yankee Doodle Rd (YDR) and Tmnk Highway 13 retaining all existing drainage & utility easement rights was continued to the September 2, 2003 City Council meeting. TC 29. The vacation of public easement within Lot 1, Block 1, Hawthorne Woods 3"d Addition was approved. TC 30. The rescheduling of final assessment hearing for Project 801, Silver Bell Rd for Parcel 10-22450-020-01 to August 4, 2003 was approved. OLD BUSINESS Mike 31. A conditional use permit for a pylon sign for Lot 6, Block 1, Diffley Plaza for Coen Development Group LLC was approved as revised. TC 32. An amendment to Eagan City Code Chapter Nine by adding Section 9.17 and adopting a resolution defining the permit parking zone and related designation of parking restrictions was approved as presented. KenU 33. Adoption of an ordinance amending Eagan City Code Chapter 5 to allow Maria on-sale liquor establishments to close at 2:00 a.m. was approved with direction to prepare a fee for the extended hours. NEW BUSINESS Mike34. A comprehensive guide plan amendment for Duke Construction LP to change the land use designation within Special Area 4 from O/S, Office Service, to RC, Retail Commercial, on 3.5 acres located at 1515 Central Parkway, Lot 1, Block 2, Eagan Preserve in the southeast quarter of Section 9 was withdrawn. ADMINISTRATIVE AGENDA Maria35. Action was taken to appoint the City Clerk as a hearing officer for investigation of a Commission appointee. TC 36. The preparation of a feasibility report by the City Engineer for Project 893 (Diffley Frontage Rds - Street Improvements) was approved. RESIDENTIAL BUILDLNG Permit Applicatiou City Of Eagan ? 3830 Pilot Knob Road, Eagan Mn 55122 ? I S`? ? Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcUon ReauiremenGS RemadeliReoair Reauirements Offce Use Oniv 3 registered site surveys shaxirg sq. fl. of lot, sq. ft. of house; and all roofed a2as 2 wpies of pWn Cert of Survey Recd (20 % mazimum lot coverege allowed) 7 set otEnergy Caiculations for heated additlons Tree Pres PWn Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey foradditions & decks Tree Pres Not Reqd lsetolEnergyCakuWUOns Addifiort-indkate'rfonsifesep6csysfem _On-sReSep6cSyslem 3 copies of Tree Preservauon Plan'rf lot platted a(ler 711193 Rim Joist Detail OpGons selection sheet (bldgs with 3 or less units i Date / Site Address /g/ /? Coustruction Cost ?E0 D /?--?o Unit/Ste # Description o[ Work e -1,2 U oF Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner J` -G/el? Tetephone #( ) Contractor Address State 1-; IA\ ?Jjee_o Zip City Telephone #(lj1 a?/ T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 ?Iinnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs P inted Name A anYs ature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant . Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) . _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Cons[ruction Reauirements • 3 registered sAe surveys showirig sq. N. of lot, sq. ft. of house; and all roofed areas (20% maximum lol wveraqe allowed) • 2 copies of plan showing heam 8 wirMow s¢es; poured found design, etc.) • 1 sel of Energy Calculatbns • 3 coDies of Tree Preservation Plan if lot platted aker 711193 • Rim Joat Detail Options selection sheel (bidgs with 3 or less units) DATE /b-3/-oZ v-\ SITE ADDRESS ?P (a CX FU rD ?t? MULTI-PAMILY BLDG Y N TYPE OF WORKR E S( DE FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS 07 /S 12 "- 14 Vo-- ? CITY TELEPHONE # CELL PHONE # fAX # PROPERTYOWNER I Iy`', 1a!?Nt,r TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY ZIP Energy Code Category _ MIN\'ESO'1'A RULLS 7G70 G?,TEGORY 1 MI\NLSO'1'A RUI.1:S 7672 (V submission type) . Residenfial Ventilation Category 1 Wo/ksheet Submitted . New Energy Code Worksheet Submitted • Ener9y Envelope CalculaGons Submitted Plumbing Contractor: ____ Ptumbing system includcs: Mechanical Contractor: Mechanical systein includes: Air Conditionine Phone # Pec: $90.00 Lee: $70.00 _ Heal Recovcry Syslcm ? i?: Sewer/Water Contractor: Phone # UI I hereby acknowledge that I have read this application, state that the information is correct, and agFee m -tacoply? with ail applicable State of Minnesota Statutes and City of Eagan OrdiFansqs. ,? Signature of Appl(canf OFFICE U5E ONLY Water SoYtener _ Water Heater No. of I3atlu RemodeVReoair Reauiramenk • 2 cropies of plan • 1 set of Energy Calculations for heated additians • 1sAesurveyforexterbraddiUons&decks • Indicate'rf home served by septic system for addiUons VALUATION 7dev Phonc # I.awn Sprinklcr _ No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 :OFFICE USE ONLY ? 01 Foundation O 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS 06-plex ? 16 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 O 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muw ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addi6on ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repalr ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT# RECEIPT DATE: 2008 USIBENTIAL PLUM$INfi PEit4I1T APi'LICATION CI1'Y OF EhH14N 3930 MoT xxoa xn EAHAN, MN 551EE 657-881-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow_oreventer_facirtiaation.svstem- ? I WAGNER, TIM SITE ADDRESS: ssz oxFORO Rono I - EAGAN, MN 55123 i OWNER NAME: : (651) 686-6981 INSTALLER NAME: !V O?' ? I d YYl ? I 1.1.4VtIo1 ? STREETADDRESS: 2°?dS ?G?lr'F?GIGA Ay?eyiae. TELEPHONE #: (AREA CODE) TELEPHONE (0 12- ' g 2'-7 ^ Lfd33 SO (A."Vil (AREA CODE) CITY: T V 1?'A ? S. STATE: MrJ ZiP: 55"40$ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100 00 includes $40.00 County fee . Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING _ Adding fixtures to lower Ievels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RpZ; new installation/repair/rebuild $ 30.00 _ lawn irrigation system i ? Replacementladditional: _ water softener X water heater $ 15.00 ? r n c= rl? ? L? LI u L I State Surcharge ? i'. ? $ .50 ? n?v ?. ? 2c02 1 , Ud 7otal ? 1 $ 15 ,Sb 13y_ . _-- I herebyacknowledge thaf I have read this applicaiion, state that lhe information is correct, and agree to complywith all applica6le Ciryot Eagan ordinances. It is the applicanPs responsi6ility to notify the property owner that lhe City of Eagan assumes no Ila6ilityfor any damages caused by the City during its normal operational and maintenanca activities to the facilities conshucted under this permit with' ' rty/ri t-wayfeasement. 'JJ/J/? ?I?fA4'URE?OF PERMITTEE 1/02 PERMIT ' LC°"t °"°. 0775 y CITY OF EAGAN ` 3830 Pilot Knob Road PERIVIITTYPE: eutLoiNe Eagan, Minnesota 55123 Permit Number: 000953 (612) 681-4675 Date Issued: 8 7/ 0 8/ 9 2 SITE ADDRESS: 692 OXFORD RD LOT: 4 BLOCK: 5 HILLS OF STONEBRID6E 3R0 DESCRIPTION: ?.. Buildi',ng Permit Type SF DWC, Building`•,Work Type NEW UBC Occuparicy R-3 PI-1 Construction`Type V-N Zoning ,.? PD R-1 Building Length ; 68 Building Width 52 Building stor3es - 2 \\ Y ?. , ??7 rt r II?/ I?r \ \ J0?t I11~0? 11 REMARKS: ?U\M 6g S S W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $121,000 Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal $713.00 $463.45 $60.50 $700.00 108 $1,936.95 MISCELLANEOUS $1.610.50 Total Fee $3,547.45 CONTRACTOR: - Applicant - S7. LICpWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 ? I hereby acknowledge that I have read this appl3cation and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and CiCy of Eagan Ordinances. ? - Ilfltlll I12/?N I16C1 APPLICANT/PERMITE SIGNATL7RE I ED Y: IGNATURE INSPECTION RECORD CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: 4 692 OXFORD RD HILLS OF STONEBRIDGE 3RD PERMIT SUBTYPE: sF owG Control No. 0775 BUZLDING 000953 07/08/92 BIOCK: 5 APPLICANT: THE ROTTLUND CO INC (612) 571-0304 TYPE OF WORK: NEW INSPECTION FOOTING .. . FRAMING ., INSULATION FINAL FIREPLACE REMARKS: S& W CONTRACTOR - VALLEY PLBG ? ? ?inri i.l). i?i" ..??? ? ? I;il ? . II I :'ll FERMIT CITY OF EAGAN 383?aPildt ftiiob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: suzLpzraG Permit Number: 0 3 2 2 9 7 Date Issued: 0 6/ 2 2/ 9 8 SITE ADDRESS: 692 OXFORD RD LOT: 4 BLOCK: 5 MILLS OF STONEBRIDGE 3R0 P.I.N.: 10-32992-040-05 DESCRIPTION: BU'ildin"g, Permit Type building G,+ork Type Ceflsus Code r; S70RM DAMAGE REPAIR 434 ALT. RESIDENTIAL / ` ? . f \l " ? ? REMARKS FEE SUMMARY: CONTRACTOR: - Applicant - sT. Lzc OWNER: WEAVER CONSTRUCTION 17357280 2001899 WAGNER TIM 10117 BRIDGEWATER PKWY 692 OXFORO RD WOODBURY MN 55129 EAGAN MN (612) 735-7280 (612)686-6981 I hereby acknowledge Chat I Mave read this infiormation is correct and agree to comply Statutes a,r1d Cityof Eayan QrdinanGes. APPLICANTlPERMITEE SIGNATURE applicati.on and state that t'Ne with all applicable State of Mn. ISSUED B. I NAT RE 31217 1998 BUILDING PERMIT APPLICATION (RESYDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVRecair Reauirements ? 3 registered site surveys ? 2 copies of plans (inGUde beam 8 window s¢es; poured fid. design; etc.) ? 1 energy calwlations • 3 copies of trae preservation plan if IM platted after 7/7193 required: _Yes _ No DATE: MUna-, -a '.,t - 199 ? ? 2 copies of plan ? 2 sfte surveys (exterior eddkions & dedcs) ? t energy calculetions for heated additions CONSTRUCTION. COST; 8( l. DDU DESCRIPTION OF WORK: ST"d/?/,2 n,oi?n ,4G1f' - STREET ADDRESS: LOT: BLOCK: Name: e??iz Ti /2? - Phone #: PROPERTY ? 1.ast First OWNER StreetAddress: City ?'j,¢JU State: Zip: Company: Phone #: 235-' 7 Z X d CONTRACTOR Street Address7 License #, oo/n9 Z- City ?,(?00?9j2?tiJ State:,,?? Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Regishation #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is correct and agree to oomply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. -7 Signature of Applicant: OFFICE USE ONLY Certificates 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 ? 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 SF Porch 0 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace „ ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 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 Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units ncn?ii?ns? II?I?%=P lC I1V Iz LI vI I I vu ?. PEwMtT # MAY 1 1 1993 1993 BUILDING PERMIT APPLICATION 681-4675 MWR S GLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 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 S/ Il ? 93 Valuation of work Site Address: 64a Ox?e+Rd Rd ?aqf? ,??l SSIa3 STREET - SUITE X Tenant Name: (commercial only) IAT 4 BLOC& 5- SUBD. ?'?`?Is a? SVcr,ebrd?e P.I.D. M _ 3rc4 Rdj.--ioAl Descri tion of work: _L)e_CK The applicant is: R Owner ? Contractor ? Other (Daccribe) Name WtiqufK I-m Phone -733-5-057 CW) Proper.ty «ST FIRST Owner Address 69a 0600J fZA STREET STE # City 2 L+4A-" State mN ZiP ss?a3 Company Phone Contra ctor Address License # Exp. City 5tate Zip i.ompany 'none Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 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 aqree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? Oi Foundation ? 02 SF Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. WORK TYPE IA 31 New ? 32 Addition ? Ob Duplex 0 07 4-Plex 0 08 8-Plex 0 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations E3 34 Repair GENERAL INFORMATION Const. (ACtual) (Allawable) UBC Occupancy R__S_ Zoning #? of Stories Length 2 x1 z Depth a xq APPROVALS «'cr6 Planning Engineering REQUIRED INSPECTIONS ? 11 Apt./Lodging O 12 Mu1ti. Misc. O 13 Garage/Accessory 0 14 Fireplace R 15 Deck ? 35 Tenant Finish ? 36 Move dasement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft: total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site 9 Footing ? Framing ? Wallboard F Final ? Draintile ? Insulation ? Fireplace Permit Fee 25io0 v.wsc;a,: Surcharge . S'i? Plan Review W cens2 CC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. topies Other Total: SAC % SAC Units ?m - * . ?-1A O 16 BasimemrFjTishr; 0 17 Swim Pool 0 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous ? 37 Demolish nwCC Sysiem tity Water PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code ayrosµs 0 Assessments . •, OXFORD ROAD ? :. (o q al 0 x?osz? ? - - - - - - - - - - - - - - - - - - - - - - - - - - N 89'50' S3" W $S 9 9 " ts, 91?3 u 0 ; 85.7 ql`I?a atb.6 914.3 ° SPYV;te 916.6 -- - - - o' - - - - - - DRIVEWAY--t! ' o ? --- a917.9 is x?,8.(I 22.33 ? ?z N 12.0 i I ? 919.1 GARAGE ? I 2-0' BAY WINDOW LOCONCOP I ? 12.0 I 18.83 p r.•0 L1! ? I N,O.S In Q r. O O i ? EAGLETON a ' I (D r7 ? C) I ? PROPOSED HOUSE u ?? ? .. I 12 COURSE BASEMEN7 p + I ? o O? 10?00 56.0 7-72 ?CD cn ^b?' ??c9 89 50'53 : f,- k Z ??? lo ;aj7 Z I 917'O3 aa' 7" ? k---16' . 9/G, y 1 I ?T;ca d A I 3;, I ?. SI I 9rf6 L-- -----------? ? x9c3,3 85.72 S 89'S0'S4" E PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA076723 Eagan, MN 55122 . Date Issued: 02/16/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 692 Oxford Rd Lot: 4 Block: 5 Addition: Hills of Stonebridge 3rd PID 10-32992-040-05 Use Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mark Thayer 12485 Rhode Island Ave Savage, MN 55378 952-890-8467 mthayer @midwestplubing.net Fee Summary: Surcharge-Fixed $0.50 9001.2195 PL - Permit Fee (miscellaneous) $50.00 0801.4087 Total: $50.50 Contractor: -Applicant - Owner: Midwest Plumbing & Heating Timothy L Wagner 11830 - 12th Ave S 692 Oxford Rd Burnsville MN 55337 Eagan MN 55122 (952) 707-9985 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use I Permit#: City of Ea I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 i 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: Scrc~~ GJky.ttr Phone: G(S/b2G 6 y~/ RESIDENT / OWNER Address / City / Zip: & y Z-- U SS1 Z- 3 Applicant is: Owner Contractor f TYPE OF WORK Description of work: ®T~y vA rk~s f Construction Cost: Multi-Family Building: (Yes / No Company: R,4 Pew,Jl Contact: T rV k_5 Z/ le 9' CONTRACTOR Address: ~ y ()e, city: fri 9 State: Zip: Phone: (TI-397-- 5- Z License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x sly x Applicant's Printed Name Applicant's Signature Page 1 of 3 4~OT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building ` WORK TYPES _ New _ Interior Improvement _ Siding J Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) X Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: At'~ L. , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA126801 Date Issued:09/10/2014 Permit Category:ePermit Site Address: 692 Oxford Rd Lot:4 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-040 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 - Timothy L Wagner 692 Oxford Rd Eagan MN 55122 (651) 686-6981 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171327 Date Issued:08/11/2021 Permit Category:ePermit Site Address: 692 Oxford Rd Lot:4 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Timothy L & Sarah J Wagner 692 Oxford Rd Saint Paul MN 55123--394 (612) 817-2642 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature