693 Oxford RdCITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
IN5PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TliE kOtYtUMd CO INC
3Rn (6i7) 671-03#4
• i.oT :
69:1 uxFOitll RD
HILLS 4r STOmFnR7fJ8e
Control No. 0 0 3 5
e+u I 10 1 vei
Ai081j
•3/13J92
PERMIT SUBTYPE; TYPE OF WORK:
':f f)ilE, N?W
.•
F uoriNa
FRAMfNG INStiLAtIOM
WA! 113elAkt.i F'I.MAt.
I
PsrmR No. Permft HoWar Date Tilsphone M
S,NU
PLUMBING
HVAC
ELECTRI
ELECTRI
Mspaction Dsbe Insp. Commsnta
Footings I
Foundation '?? ?? !!J
Framing
(? l
RoOfing
Rough Plbg. ?7C
Rough Htg. 41?
IsW. ? I
Fireptece
Y/
Finai Htg.
O?sat Test
Fnel Ptbg.
(i
iv Plbg. Inspector - Notily Plumber
Cons1. Meter
EngrlPlen
Bldg. RnW
DeCk Ftg.
Dedc Finel
Well
Pc Disp.
3'r ;'S % ?
INSPEC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ` 14. ? I
l Is f
; i?3 F? ? y p? ?!
PERMIT SUBTYPE:
iiI iu?NO
'"+y44
1 / ;+') 1 A ?
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
, I . , 1 i ,.
t?AN I 1 1
At. lf KA l ttiN
(f?NF Ht ilF? r?ttM )
INSPECTION D• • .•
` I:F.pAFtp'.: A 5t`f'IARAlf F'k.FtMTi lt; Rf:QIJIItP;I) FOR ANY FLEflklC-A1. UiGt E'!_lIMttf.Nii t.iDftl
? T
? , ? ' ? s ?? ? ? A?.° `-. ? ? ? ? ? ? ??° ??t ? ? ? ?? ?, ?? ? - a ? ' ?, Y 4 €^?.. ? ?-? ?' ? '3'q??` .
fs ?
??.?i
Pem?ft No. PermR Holder Date Tsfephone t
ELECTRIC ,y/GIL2
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ,
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDQ FINAL
BSMT R.I.
BSMT FINAL ??/
,Y',o
DECK FTG
DECK FlNAI.
-4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS: 1 (IT :
, , } eii;,1 i?n
H 1 I I`. i1f ? 1 UF1f' itf2 1{31iF
F
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
? Date Issued:
?? B 1 nC K: ? APPLICANT:
?•i ? ! , ??? lii, ; ?1
Ull iI racNr,
OA:P4'! 4
N>IiA/9F3
PERMIT SI1BTY,PE: TYPE OF WORK: ?? r- r>A rR
::F-9r0r.R00F anR tani i.
Permit Holtler Date Telephone #
PLUMBING
H VAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
? ?-
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucrwirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 111 I! t Nii
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ?' ? ? ? '' ?' '' `?
(612) 681-4675
0 ? •? , « .4 .
;'
SITE ADDRESS: ' ,„ I APPLICANT:
I? ; ,k: :+ Itll , i : t?•??i 1 I !
li 1 f I. I?i . j tifJ' 1?{ f 111ll {Ilfl i.. J 1'.l. •?,"•!'•
PERMIT SUBTYPE: TYPE OF WORK:
NI
F ?
` ?1
L
PertnR No. Psrtnlt Holde? Dab Telephons #
ELECTRIC
PLUMBING
HVAC
InspecUon Dste Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BaARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG G Zv s p
DECK FINAL G Z D
. ? r
.?
e :,?'-?!' ?i
? (Itr#i#rratt nf (Orrupanry
titp of (if agatt
1r?rtsumtV.11114, of luilbwg imwntm
T b!s CertiJkate issrWprrrsuaxt to dre rrquirersents of Scdion 306 of t1u Uniform BurldiRg
Code certijying rhal at tlee dme oJissuaxce thfs struclwe Kns in conlplianoe witk 11ee martous
or+dinawes o1 the Ckty reSulatinB building cbnnncmon or use. Fvr tlreffiQowing:
uK a..ficuao. SF DWG/GAR ea& itnM r+o. 1 1
UocWaxY'lNpe ?R3MJ ZoWnDieaia PD 'Iyve ca•m VN
Ownet d &I&ft IM ROTrUM OD BE ?S201 E RIM RD, . .+
a.w 6/15/42
POST IN A CONSPICUOUS PLACE
.
J 35889
REQUI?SZi"JI4 ELECTRICAL INSPECTION
? See inslmctloixs lor wmpleting Ihls fortn on baok oi yellow copy.
"X" 8elow Work Covered by This Requesf
?I 'e..'Ni?& g?z
?.?..
-ew fUtl Fep. Typeof8uilding AppliancesWired EquipmentWiretl
Home Range 7,00 Temporary Service
Duplez Water Heater Elec[ric Healing
Apt. Building Dryer Ofher (Specity)
Comm./Indushial Furnace
Farm Air Conditioner
Diher(syecily) Conhactor9 RemaMS:
Compufe lnspectian Fee Below:
# Other Fee # Service Entrance Size Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 200 Amps „Z 0 to 100 Amps
Trensformers Above 200 _ Amps A4 Amps
SignS hispector's Use OnN: ? TOTAL
' Irrigation Booms ?? ' sa -73
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORO ISCONNECTEO IF NOT
Other Fee COMPLETED WRHIN 18 THS.
I, the Electrical Inspector, hereby
certify thal the above inspection has
been made. Rouqn-m oare
F;nai r oare
OFFICE USE ONLY
This request witl 18 momhs tmm
InS3o6
Request Dete
3- aS- - z. Fire No. augh-in Inspec[ian
equiretlP
'4es G No /
? Reatly N. y Will Notity Inspeclor
When Reaay?
IXicensed contractor ? owner hereby request inspection of above electrical work at:
Jon AOOress (SVeeL Box or Route No.) Ciry
Sernon No. Towns?ip Na or No. Range No. Co?
?
Occupa? PRMT) Phone No.
PowerSuppher ^ ^
l(?? 4 Pdtlress
Eieclrzal Onhatlor (COmpany Nd?m7e)
^ Conlraciw5 Lkense No.}C
?? J
MaiLng Atl ress IConhatlor or OwnerMaking Inslallabon)
AuthonEetl Signalure IGOnhactotl er Makin In allalion)
? Phone NumOer
3- 3&/v
MINNESOTA STATE BOAflO OF ELECT ICITY THIS INSPECTIDN FEOUEST WILL NOT
Grigge-MiEway Bltlg. - Hoom 5773 BE ACCEPTED BV THE STATE BOARD
1821 Unlvnsiry Ave., SI. Vaul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)6C3-0800 ENCLOSED.
?/3/C?? ? REQUEST FOR ELECTRICAL INSPECTION ?y??#?, Ee-ooooiae /
See ins[ructions for comoletino ihis brm on back ol vellow mOV. :I //1 ?. 2 QC?.
" X" Below Work Covered by This Request '"?:?•
e Add 'ne. Typeol8uilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Oryer O[her (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer (syecity) Contraclor§ Remarks:
Compute lnspectian Fee 8elow:
# . Olher Fee # Serv ice EntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Abave 0_ Amps
Signs Inspector§ U. Only: TOTAL ?
Irrigation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE CONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspecror, here6y
certity that ihe above inspection has
6een made. Rouqn-io oate
Final ?are
f y -.1,5-
OFFICE USE 3NLV I
This request wa 18 months Imm
386
Request Dale
?/?1 (?
J?.1- V? \? Fire No. ugh-in Inspection
e iretl?
Vee C N.
? Reatly Now?Sl?ill Nobty Inspector
When Peatly?
I.2"licensed coniractor ? owner hereby request inspection of above eleCVical work at:
Job Address (Sireel. Box or Foute NoJ
???.3 RD koAA City
Saction No. Township Name or No. Range No. Co
Ottup t (PqMTl Phane No.
PowerSupO e Atltlress
Elecvical ntraclor (COmp'? ?Namej
iX?c? CqnVector5 License No.
Cl?-OC? 7 ? !
Mailing q ress ICanlracmr or Own
Mkl?rg Installation)
k
Authori0 ignelure ICOniract ing Inst Ilation) Phone NumDar
MINNESOTA STATE BOAPO OF ELECTflICITV ' P? THIS INSPECTION REQUEST WILL NOT
Griggs-MlEway Bltlg. - Poom S173 ? BE AWEPTED BY THE STATE BOARO
1821 Universily Av¢.• 51. Faul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6C1-0800 ENCIOSED.
?? OFFICE USE ONLY This request wid 18 monihs hwn validoHon dok priMed in ?is 6.
/_ Q t? ?
?
?
III?IIIII II IIIIIIIIIIIIIIII I IIII?.J?j /3 11 ?
IIIIIIIIII
PRINT
%
Reqaest ?ale
/ gayM? inspecfion requiredb as ? No Inspection Olher ihan Rougbin: ? Reody No ' I Coll
??
?
J ? c ?You muat mll Il?e inspecmr when rmdy?
I
Dare Randy:
I, ? licensed coniractorlifewner hereby request inspecfian of the above elecfrical work at:
Job Addreu ISreet, Box, yRpute ? ??
?
% Ciy Zip Code
.
r
G?3 ?
?
Section IJo. Township Name or No. Ranpe No. Firo No. Caunly
IN? m
I I4(afK
I
; Phw?e No.
a?
e
qh
?
PowerSupplia ndd,e„
Elechiml Con a (Canpony Nama) Conhacror Licenx No. AMster Lic. No. (Phnt Elec1. Only)
OMeo wn?
Moiling A ress tConh r Ownar Perfoiming Insbllmbn)
Auffioriz Sigea I ? mmc or Owner Parformi?g Instollanon)
/ Pho N (`?(??
? % `?7/
?/aV9 9
4 16 .A 6 5-7
REQUEST FOR ELECTRICAL INSPECTION &
F91 Minnesota State Board of ElecVicity
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55164
Phone (612) 642-0800
me Duplex A t. Bldg. Ot ?
, ?
i New Addn
Commercial Indusfrial farm i mo
Rad Re ir
Air Cond. Htg. Equip. Wafer Hfr. Load Mgmt Olher:
Dryer Range Elec. Heaf Temp. Service
"X" a6ave the work covered by this request. Enler remarks in 16is spoce and on the back of Ihe whife copy only.
Colculafe Inspecfion Fee - This fnspection Request wiU noi be accepfed withoul ihe rorrect Iee:
Oiher Fee # Service Entrance Size Fee R Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps
Sheet Ltg./Tmffic Sig. Above 200 Am s Above 100_Amps
Tmnsformer/Generalor MSPECTOF'S USE ONLY
TOT ?
$ign/Oulline Lfg. Xfmr. ?
Alarm/Remote Control
Swimming Pool
I hereb ceni tno! I 1 ibed hereln on the dares sl
Irrigation Boom eo.gMn oare .
Special Inspection ?
Invesfigafive Fea
7HIS INSTALLATION M Fira1 oab ?
AY BE ORDE UI ONNE TED IF RGM-OMPLETED WITHIN 18 MONT(ft
.
Addtess i y93 Mpgp gpAp I.ot 5 Blk j Sec/Su4=5 OF ST'OP]EBRID(E 3RD
These items were/were not complete at the time of the final inspection.
Date: 6/15/92 Yes No
Final grade (6" from siding)
Permanent steps - gazage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the ramoval of rooE test caps from the plumbing
system and the shut-of£ of watar supply to the outside lawn faucet befoxe
freeze potential exists. ?
.??.o?.
White - City copy Yellow - Resident copy Pink - Contractor copy
4?q?g
2006 RESIDENTIAL BUILDING rExMIT arrLicaTioN
City df Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfrudion Requirements
3 registered site surveys showing sq. tt. of lot, sq. tt. of house; and all roo(ed areas
(20 % macimum lot mverage allowed)
2 copies of plan showing 6eam &window sizes; poured iound design, etc.
1 set of Energy Calculations
Minnegasco mechanical ventilation form RemodellReoair ReouiremenGs
3 copies of Tree Preservation Plan if lot pWtted after 711193
Rim Joist Defail Options selection sheet (buildings with 3 or less units)
2 copies of plan shovdng footings, beams, joists
1 setof Energy CalculaGons for heated additions
1 site survey for additions & dedks
Adddion - indicefe don-sNe sepfic system
ORce!Use?Onlv
CertofSurvey,Recd _Y 'N
iree Pres Plan Real _ Y N.
Tree Pres Required _Y _ N
On-sdeSeptic-;System _Y _N
Date -) l OV Construction Cost 16 3()DL>J
Site Address 0 vp t?> 'l (?\ ilJ UniUSte #
Descriptiou of Work lt-)5 I? ?? ?,QiAi'l.l?'?
Multi-Famity Bldg _ Y '?_ N
Fireplace(s) _ 0 ?)-- 1 _ 2
PropertyOwner z Telephone#( '?l ) L?'??
Fireside Hearth & Home
Comractor _ 14399 Huntington Avenue
Adares5 _ Savage, MN 55378
State 952.736.7761
License #20512060
_ Teleptione # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 ermit, and work is not to start without a
permit; that the work will be in accordance with the a ved p ' th se of work which requires a review and
approval of lans.
{ ? 4
ApplicanYs Printed Nam Ap ?icant's Si aLirV
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gaze6o)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) -Give PCA handout to applicant
D@SC?Ipt1011: Water Damage `Yes
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings(new bldg)
_ Footings (deck)
_ Footings (addition)
Foundauon
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
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
? 07 05-plex
? OS 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
100% or 25%
REQUIRED INSPECTIONS
_ Sheeuock
FinaUC.O.
FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
--? PERMIT Control No. 0035
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE
Permit Num6er.
Date Issued:
693 OXFORD RD
LO7: 5 BLOCK: 1
HILL5 OF STONEBRIDGE 3RD
BUYLDZNG
000011
03/13/92
DESCRIPTION:
B"uilding Permit 7ype SF DWG
Building Work Type NEW
UBC Occupancy. R-3 M-1
Co-nstruction Type VN
Zoning PD
Building Length 70
euilding 'W'idth 52
S,quare Feet 1,764
•.
REMARKS
FEE SUMMARY:
-nV3
VRIUATION
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Un3ts
Subtotal
$741.00
$481.65
$54.50
$700.60
100
$1,987.15
$129,000
MISC. FEES $1,610.50
Tntal Fee $3,597.55
CONTRACTOR: - Applicant - sT. OWIVER:
7HE ROTTLUND CO INC 15710304 0001 35 ROTTLUND CO
5201 E RIVER RD 5201 E RIVER ROAD
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
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 Mn.
Statutes and City ot Eagan Ordinances.
? -
APPLICAN'fYERMITEE SIGNATURE ISS D BY: SIGNATURE
INSPECTION RECORD ?
CITY OF EAGAfV PERMIT TYPE:
3830 Pilot Knob Road Permit Num6er:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 5 BLOCK: 1 APPLICANT:
693 OXFORD RD THE ROTTLUNO CO INC
HILLS OF STONEBRIDGE 3R0 (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
sF owc
Control No. 0035
BUILDING
000011
03/13/92
NEW
iNSPECTION D,
SITE .
Fp07ING .,
FRAMING IN3ULATION
WALlBOARD FINAL
F
L
.? , .
,
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
' 681-4675
$'5s57. bs"
UAR 1 0 RECo
?: .
SINGLE & MUL7I-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy 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 3 Yaluation of work ==jQm=
Site Location:
STREET STE M
Tenant Name: -7he a-_,?k_.?L
LOT S BLOCK ?_ SUBD. 94
Descri tion of work: 5i le .?rc,,,,•I .
The applicant is: Owner Contractor ? Other (Describe)
Name --T'he d e:?,q. )hc- Phone G71-?'-??f
Property LAST FIRSi
Owner
qddress s7x?,/ E_ /2lve., /e1n,?P
STREET STE #
City ;EL; d.l " State Mn Zip r:r1_yz1
Company I'h? &f/l?.a-.d gf:?n, /.7e . Phone
Contractor ,
Address &,7?/ License # E,z?;013?45 C?
City E41State J449• Z i p ss421 •
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
L,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
`02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
P,_`g0 New
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
/ % v,t
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy Basement sq. ft. 17?,y MWCC System i?
Zoning lst Fl. sq. ft. 1?1-N City Water /
Const. (Actual)
: * 2nd F1. sq. ft. PRV Required
(Allowable) V Sq. Ft. total Booster Pump
# of Stories
-
- Footprint Sq. ft. Fire Sprinkler
Length 70 On-site well Census Cade / a7-
Depth TZ.33 On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
,,U Site AP Footing
J4 Wallboard Ef Final
El 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
El 15 Public Fac.
O 96 Move
? 97 Demolish
? 99 Undefined
23 Framing
? Draintile
,E Insulation
? Fireplace
Permit Fee 29/
Surcharge &u So
Plan Review yQ- 5
License
MWGC SAC ?? pp
City SAC
Water Conn.
Water Meter 9s
Road Unit
Trea
tm
en
t Pl. 30o
?
?
. 3()
w
/ 3D
T,???1?n?.?
p
-Lf_G_IJ.a-ilCli H'?
n
SVr. ?
E?/
Copies
Other
Total: 3 S?f ??5
SAC %
SAC Un1ts
vetuac;«n: $ ? Z4 o00
(3s?rd- ?sr
(3X z = ?6
? e?- 3 = SY
.r3 ?.?
(? aY
pk 2z
I Zx 3
//SJ/Bt?
36
?z?? 3Z
, . F-x??e.rIoe t•:r?ver,ni'r: nvJ,:rnr,r: °u° currru•rn•ri,n? TN''= W??j??t
ouLN ER -
. . ? ?
cTTE ADD.r,ESS . ..
CONTRACT03 rvl (i-U?`?D (i(?? DATF. PfiONE
Dete-min vorkinr; square footai;e of ench.
1. Total exposed wall area .. ?DQ y sR. ft. x °•2'- = 22p,q
• 2. Total roof/ceiling area sq. rt. x e,026
• Total esposed wall area nbove floor = ZDO
a. Total wall vindov area .
b. .
Tote1 door sree .. .............. .........
c. .......
Total sliding glass door ................
area ........... .......... Z.
..........
d. Total fireplace wall area .......... ... .......... -?
e. Total wall framing area (average 10p) .............
,
f. Total net wall 2ree ¢bove floor ...................
. 6• Total rim joist a:es .... ..................
......... ./(?L?•
• Total exposed fai:ndat .
ion arca
h. Total foundation vindow a:ea .......................
i. Total net faunda;,ion a-ea isbove grade .............
?
? . Dete:-;nine "U" value o; eech wall ,eqment.
. a. c._U„
a. ?FZ.7 r x,.U„
. • . c, 3 Z X
d, X
A.
,.
er
s 7 yi
U
x
d
.,
..
r.
U
X
B• X „U„
.
„U,l
n. ! D
X
3. . .......................... .... .???.?? = 218.83
.,
If item 'N3 is the syne as, or les:: :.tian iteia //1, you nave met the intent
or sac 6oo6(c)2.
c
?,
Totnl exposed rooC/ceiling area = I 9'?
Total gross roof/ceilinp aren
J. Total skylieht area ..........................
k. Total roof/ceiling trzming arey ..............
1. Total net insulated roof/ceiling area ........ 4. .
Determine "U" value for clch roaf/cci I int? segmcnt.
X Itu11 ? , J'
k: x'lUll- O-o Z 7 = 5• v• ?
1. 174!5r/ X„U„ 0,0 2Z- = 38..3 k . ............ ...........:....:. Totai = 3 .
If total of N4 is the same e.s, or less than N2, you have met the intent of
sac 60o6(c)i. . ,
, To utilize the total envelooe system method, the values establi:hed by the
sum of iteas d3 and 14 shall not be sreater.thxn the sum of iten;s N1 and N2.
1. + 2.
. - 3•, + 4 . _ .
.
1:'1
. ?,
a _
_ . ... ?O . ? -
-=I:?= Vk I.U? GAI.GU?-ATID ? (GoNT).
-?FAML WP?U. G? IN?-ILATIoN
, LoMpoN?N?
tu
?
?.
. Q?
?
o1.(r?-ADE AIP FfI,M
"h" ;;D1Nc.. . - -
= ?%1 INSU?ATfct?i?
- lti? C??P C?
- . R-VALUE
-----
-
- 0,b2 -
-_-----p;cob -
23,oI. _
u? ?- = a..o43 .
-FFRM5 WRU. & -SP'(i.!D
_ pW?N• vlrw.
C
L
C
ci-
C5
C
LoMPaN?NTS
o_U'rIbloE R1(z F11..A.
vNVA'(NtN6p.
? XLi h1UD (r-7mFll??
???? Mg- ALM .
- P-VALU5
21060
_
.-----
-- --_ 0?4?7 ---_ -
o.--
_?_??.---- .
-
??r'?; --
U? ? a D.oB`i.
? ?.
=40JNP?. ??U =(O,IZ X o.ob9) t(o,Sb X 0•043) = o• 04-7 ?_
0
0
0
?
?
0
(D
?
?
C
n2MP°lfEP-j7Is -
i Nee .
? j: -???- ?I?M •
2,oc. .?-
,f
???FIDPc'?c?N ? -?
{?- - ??•. s ;??
--? --
.
??- ?,I? (tZ,?,l
?
i
-# 1.i3 • I
- '- = o,
-?7
(D
C
C
C
C
t
S?G?rI (?=FCGM
-?? `1--
-_29
--- 5 . o ----
-._
U r _--
? = D, 02"j
nsS.83
? -.
?
0
.
_
- O. 45-- - ?
I -0 Jcz L -- I
_--
?, _! = 0.022
QS?fi 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
( l CITY OF EAGAN
?U U ?o V 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 apies of plan showing beam & window sizes; poured found desi9n, etc.)
• 1 set of Energy Calculations
• 3 coples of Tree Preservation Plan if lot pla@ed after 711193
• Rim Joat Detail Options selection sheet (61dgs with 3 or less units)
DATE -<?_' (, - iD Z
SITE ADDRESS 6/ 3 DXT ?/?? /t P
TYPE OF WORK --fIb r`P S/ r.?
APPLICANT /'/ W1ZGkl //vLi- e n
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS C-q'-_ CITY ?L?G? STATE?/ /ZIP Tr3?7
TELEPHONE # SY CELL PHONE #16/2 -$/b' Fe'dF FAX #
PROPERTYOWNER aG,7 lle!?? TELEPHONE#
--------------°----------------------------------------°°-----------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE:S(Y1'A RiJLES 7670 CATI:GORY 1 11
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
PlumUing system includcs:
Mechanical Contractor:
Mechanical systcm includcs:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
N 'Nr2M
Worksheet Si
0 9 2002
Fee: $90.00
Fee: $70.00
-----------°--------------------°-----°----°------------------------------------°-------°--°°---------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ces.
Slgnature of Appllcant
OFFICE USE ONLY
? Waler Softencr
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. 13aths
1)a15
R d VR ' R i ts
?
emo e eaair eau remen
• 2 wpies of plan p
• 1 set of Errergy Calculatbns Por heated addiUons ?-(-??
• 1 site survey for exterior additans & decks
• Indicate rf home served 6y sepUc system for add"Aions
VALUATION Q
MULTI-FAMILY BLDG Y N
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
OFFICE USE ONLY
? 01 Foundation
? 07
05-plex
? 13 16-plex
? I
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.) j? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous i
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ?, 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ?' 46 WindowslDoors
? 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
_ Foorings (new bldg) Final/C.O.
_ Footings (deck) FinaUNo C.O. ?
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone I
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
? q <? 651-681-4675
New Construetion Raauiremants
. 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copias af plan showing beam 8 window sizas; poured kund design, etc.)
. 1 set of Energy Calculations
• 3 copies of Trce Preservation Plan if lot platted after 711/93
• Rim Joist Detail Opfions selection shcet (bidgs with 3 or less units)
DATE
n ?
SITE ADDRESS ?9
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS /32-OS- CITY STATE_ZIP
TELEPHONE # cl_=?i CELL PHONE # ?/'L -S16' yVe) f FAX #
?l I Z - r'/? /-C Z22
PROPERTYOWNER TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Catagory _ MINNESOTA RULES 7670 CATEUORY 1 MINMSOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Water So$encr
Water Hcater
No. of Baths
Air Condilioning
Heat Recovery Systein
Vr, 1-1 I, ---I lz_:?
Fee: $90.00
MAY 0 2 2002
#
--------°-----------°------------------------------------------------°------------------------ -------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ore?
Signature of Applicant /
OFFICE USE ONLY
/?C ?YZxI?
MULTI-FAMILYBLDG _Y _N
VALUATION B'?d '?)
RemodeVReaairReauirements -? ?
• 2 copies of plan
• 15etofEoergyCalculatiom for heated additions
+ 1sitesurveyforcclenoraddiM1Ons&decks
• Indicale ii home served by septic system for additions
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 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.) i? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) I!, ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ?
? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level I
? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?1 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ?" 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)` ? 43 Reroof 0? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Waterll',
SAC Units Stories Booster Pump
I '
Nbr. of Units Sq. Ft. PRV
I?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
?
REQUIRED INSPECTIONS
_ Footings(new hldg) Final/C.O.
_ Footings (deck) FinaUNo C.O. I
_ Footings (addition) plumbing
_ Foundarion
- HVpC
Drain Tile Other I
Roof Ice & W ater Final Pool Ftgs Air/Gas ests _ Final
_ FIaminB _ Siding Stucco Stone I
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement) .
_ Insulation _
_ Retaining Wall
Approved By
6 ,
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
**?***********?*****************??**?**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 09/28/00 TIME: 08:09:20
ID:
NAME: FIRESIDI CORNER
3210 9001 693 OXFORD RD 60.00
2155 9001 693 OXFORD RD 0.50
Total Receipt Amount: 60.50 I
CR137941
USER ID: JAN
?. .
?300?
2000 FIREPLACE PERMIT APPLICATION ? ba, 5b
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: ? Construct new Fireplace Z"'8as _Masonry _ Alterations to existing
Install ras insert onlv Instalt rasliae onlv
Other
Job address:
Lot: ? Block: ? Subdivision/P.I.D. #: U"i I 1S 6f , pebvdile 3,1
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
I'
Name:???/G P6one #:
PROPERTY Last First
OWNER p ?y
SueetAddress: (? C ? Or PC) rf?. R
City State: PI/v • Zip; J?•5,?3
?-O
a: a?Z7-jy
(area code)
FIREPLACE
INSTALLER Street
city 614 v'vLS 0 I'1 state: a?i/ . z;P: ?533
GAS LINE '
INSTALLER Street
?
City
Phone #:
(azea code)
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is coaect and agree to
comply with all applicable State of Minnesota Statutes d City ?of agan rdin es. ,
?
Signature
>G?411 L
.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alurations
13 32 Addition ? 34 Repa'v
GENERAL INFORMATION
Census Code 434
SAC Code O]
i7plu/:\:7
Chimney/flue must be inspected before concealing.
? 39 Gas Line ? 41 Wood Stove
0 40 Gas Insert
,
r
I _?*
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32992-050-01
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
693 OXFORD RD
LOT: 5 BLOCK: 1
HILLS OF STONEBRIDGE 3R0
BUILDING
032434
07/10/98
DESCRIPTION:
r_., RESIDE,ROOF GAR WALL
Bu:ildih=g Permit Type STORM DAMAGE
6wiJ.ding'Wnrk Type REPAIR
n'Census Code "' 434 ALT. RESIDENTIAL
-m.
i
i -?
?
REMARKS
FEE SUMMARY:
CONTRACT9R: - Applxcant - ST. Lzc pWNER:
METRO BLD CO 15360277 0005944 KLATKE DON
4738 42ND AVE N 693 OXFORD RD
MINNEAPOLIS MN 55422 EAGAN MN 55123
(612) 536-0277 (612)456-9245
I here'by acknowledge that I have read this application and state that the
information i-s correct and agree to comply with all applicable State of Mn.
Statutes and Gity a*F Eagan Qrdinances.
L
APPLICANTlPERMITEE SIGNATUFiE IS UED BY: SIG URE 7
tod3wLDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN I?I `r
3830 PII.OT KNOB RD - 66122 i?
681-4675
New Construdion Reauirements
? 3 registered ske surveys
• 2 copiea of plans (include beam & window s¢es; poured fid. design; atc.)
? 1 energy caloulatians
? 3 copies af tree preservation plan 'rf lot plattetl aRer 7/1/93
required: Yes o
DATE: 4107F9 D(/
DESCRIPTION OF WORK:
STREET ADDRESS: lJd "I ? I) Y I I)V,?
LOT: ? BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
COST;
Name: K L AT KE- -PQ PV Phone
Last First
StreetAddress: 6
City State/" Zip: J?/ L-?
Phone #: Z ;7 ?
CONTRACTOR
Street
city
.
ARCHITECT/
ENGINEER Comp;
Name:
Street
CiTy _
RemodeUReoair Recuirements
? 2 mpies oi plan
? 2 site survaya (eMerior adtlitions 8 dedcs)
? t energy calculations tor heated a0ditions
/Vd License # eJ
State: /1? ?v Zip: 7 S/ Z?
Phone #:
Registration #: ?
State: Zip:
Sewer & water licensed piumber (new construcNion only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that 1
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
dress? 7? & -F-Z a.-
?fLS
- Not Required
?011?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 5F Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
D 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
O 13 Garage/Accessory ?
? 14 Fireplace , ?
? 15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
rt, ?
16 Basement Finish
17,; Swim Pool
20; Public Facility
21? Miscellaneous
MC/WS Syste'm
City Water
Fire Sprinklerei d
PRV
Booster Pump
Census Code;
SAC Code I
Census Bldg I
Census Unit
Varian?' ce
Permit Fee
Surcharge
? Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
C
? CITY O,?EAGAN
3830 Pilot Kno Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuiLorNe
Permit Number: 0 2 5 7 8 9
Date Issued: 0 6/ 19 / 9 5
SITE ADDRESS:
P.I.N.: 10-32992-050-01
PERMIT
693 OXFORD RD
10T: 5 BLOCK: 1
HILLS Oh STONEBRIDGE 3RD
DESCRIPTION:
B;uilding_Permit Type
BuildSng W'ork Type
Pt
?. _.
DECK
NEW
f \ )
a mZ?.t.?
???' ? . ?-? . . . . . .. r.. . . a f?_
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: -
CLA7KE
693 OX
EAGAN
(612)456-9245
Applicant -
ORNIEL
FORD RO
MN 55123
I hereby acknowledge that I have read this
inTormation is correct and agree ta comply
St ud ity of Eagan Ordinances.
L APPL ! ERMITEE SIGNATURE
application and state that the
with all applicable State of Mn,
?
--A I\'PaIl„lj%'? ISSUED 8 SIGIikTU?iE'
-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
S?TEA??RE$$: P'I'N.: 10-32992-050-01
LOT: 5 BLOCK:
693 OXFORp RD
HTLL5 OF STONEBRTpGE 3RD
PERMIT SUBTYPE:
DECK
F
L
1 APPLICANT:
CLATKE OANIEL
(612) 956-9245
TYPE OF WORK:
NEW
BUILDING
025789
06/19J95
?
?
` r
?
CITY OF EAGAN
4 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
)S9
681 -4675
License #:
? 3 regiatered site wrveys ? 2 copiea of plan
? 2 copies of plans (Include 6eam & window sizes; poured fitl. tlasign; etc.) ? 2 site surveys (exterjor edditions & decks)
? 7 energy calwlstions ? 7 energy calwlations for heatad eddkions
? 3 apias of tree pisservatfon plen ii lot plaCed aRer 7!1/93 required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: '
LOT -? BLOCK
PROPERTY
OWNER
CONTRACTOR
CONSTRUCTION COST:
SUBD./P.I.D. #:
Name: J1 ?7v-,C- & n? P-C- Phone #: 4A5?0-5Z?S
Street Address? ? I --.:, 'rk-IMu sIv
City: 2ar=PN State: (nQ
zip: SS 123
Company: Phone #:
Street Address:
City:
ARCHITECT! Company:
ENGINEER
IVame:
Street Address:
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the iniormation is corced and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY RECEVE"
Certificates of Survey Received , Yes _ No J U Pa 0 5 1995
Tree Preservation Plan Received _ Yes No ..............
State:
Zip'
Phone #-
Registration #•
OFFICE USE ONLY
BUILDtNG PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch o 09 12-plex
o 05 SF Misc. ? 10 = pfex
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
0 13 Garage/Accessory o
0 14 Fireplace o
A!r-15 Deck
WORK TYPE
,4r?31 New ? 33 Afterations
o 32 Addition o 34 Repair
GENERAL INFORMATION
? 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
Rianning Building
/
??IIit ..;v
.. ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS Systen
City Water
Fire Sprinklerec
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV PermR
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
4
Valuation: $
Y3y
D/
f
O
% SAC
SAC Units
" ?.
. ?
?
. .
?
° n 4 .
q
9 tx'.
GTTY', OF EAG(;N' ,. .
CASu,?Er, S ? TEf:MShAL N;]r tue `..
'.L'A'CE' 01.<?`#37 '.'IMI=- , 15:58.R4 ?
?
c;
?At1C e DOtdSEk. XLqT,v,E
v
' f?
0 3001 69a OxFnF;z; r;r, : 50:004
055 $901 493 OXFORD eiTl O'.'i15 ,i>
J:.? 1001 693 r'XFE4D RP 201.00''.
*155 900t 653 0YFi1ftD '"{I't maQ ,
"
3211 9001 693pXFOCP e:P ? '" ¢Ll,«c0.
,.
'w,?o°.`i 9"JL'.irEs 05EF`ofi.' FiD ET:SY,"
ya'n 9001 633 OXFCRX' FD
t.,?? , e a a
. ?,
;'
WR IDa MAi.W
? .
I o??*wY?{'I{7Y'-'(?'?°?:`'.°•'?74,:??'x??'iYd>X*."'i.i'<X'•:k?'?1,".u"t?':?i `GE(C??7?SXYF'?
I
?i . . ? . '
„ ? . -..
CITY OF EAGAN
, j\ 3830 Pilot Knob Road
j Eagan, Minnesota 55122•1897
(612) 681-4675
PERMIT
PERMITTYPE: euiLoxruG
Permit Number: 0 2 9 4 4 4
Date Issued: 01/ 2 9/ 9 7
SITE ADDRESS:
P.I.N.a 10-32992-050-01
693 QRFORD RD LOT: 5 BLOCK: 1
HILLS OF STONE6RIDGE 3Rq
DESCRIPTION:
(ONE BEDRQqM)
rmit Type BASEMENT FINSBH
?k<, Type flL7ERATSON
434 AIT. RESIDENTIflL
c ?
0
? rw???9', «
K. ;??,?{
?Y??, Sfa'.n4 A
?
A
REMARKS:
A SEPARATE PERMiT ZS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
' KLATKE DANIEL
693 OXFORQ RD
e EAGAN MN 55123
(612)456-9245
I T her.eby 66,kCe
IL . J y. V M:4
1997 BUILDING PERMtT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
, 3830 PILOT KNOB RD - 55122
687.4675
° Kemooeurceoair neauiremen[s
? 3 registeretl ske surveys ? 2 copiea af plan
• 2 copies of plans (inGutle beam 8 wintlow sizes; pouietl fid. design; etc.) • 2 site aurveys (exterior alditions 8 dedcs)
• 1 energy calalations • 1 energy calalations for heated addlGons
• 3 copies of tree preservetlon plan H IM plaHed alter 7/7/93
required: _Yes _ No ?
DATE: I - 2-7-- ? 7 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
?
LOT BLOCK
d
PROPERTY Name: Phone #:
OWNER ,,..
Street Address: /,jg 3 DK-FDUT tA
City: ? ? State: (W Zip:-1-6,Z3 ^
coNrtt,4cTOR Company: Sal.r Phone#: "52-45
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty):
and iot change are requested once permft is issued.
Penalry applies when address change
I hereby acknowledge that I have read this appliqtion and state that the iMo o is eor ct a d agree to wmpiy with all applicable
State of Minnesota Sfatutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JAN 2 2
1997
Tree Preservation Plan Received _ Yes _ No _ Not Required L , I,,,?
?_ SUBD.m.I.D.
OFFICE USE ONLY
BUILDING PERMIT TYPE '
?.
?, » •. ? •, ??
Fi.? ?• ? '.T.Y
0 01 Foundation n 06 Duplex o 11 Apt./Lodging zr'- 16 Basement Finish
? 02 SF Dwetling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex n 14 Fireplace a 21 Miscellaneous
0 05 SF Misc. ? 10 _ plex o 15 Deck
WORK TYPE
0 31 New m'`33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. City Water .-
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV .
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 1134
Depth Footprint sq. ft. SAC Code 0/
Census Bidg . ?
Census Unit D
I,1JJ;T•]9_l??
Pianning Buiiding /I/0 Engineering
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Oed.
Other
Copies
Total:
Variance
% SAC
SAC Units
_4#-iaHq
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
3S£G?l]ANICA?. :?'?kM?'?
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 9 9?-
"S?DEN1`IAL: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
_. .. ....... _.. _, . . _..
_..._... ........_..... _.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: ac 14) ( r-d l hY-lf)+
SITE ADDRESS: InCI? GL-r_?-nrr1 y ?
?
LOT: J~ BLOCK L SUBD.
INSTALLER: VLARt . r •
ADDxess: __9303 Plymouth Ave. No.
Golden Vafoey, MN. 555427-
CITY: ZIP:
PHONE #: tma - I I `o(Z:)
FEES
ADD-ON MIN'IMIIM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
1'OTAL:
DWELLINGS 6
$15.00
24.00
6.00
3.00
$ ? '"7
.50
$?5C J
?
SIGNATUR OF PERMI TEE
Co3iMERCTAL/TNRVSTRTPLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRSCE:
OWNER NAME:
SISE ADDRESS:_
LOT: BLACK _ 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
L J' BL ? CITY OF EAGAN
SUBD??O.? P (6??12) N6$1E4675
RE8ID8NTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAHILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REYAIR _
OWNER NAME:
CITY USE ONLY
RECEIPT #
DATE .3 3/ 9
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
SITE ADDRESS: Lo 11? ?srE
INSTAI,LER: U 11 t?? P?? t C' " T c
ADDRESS :1 Q C Q< e ? L
CITY: an.;la , ZIP:
PHONE #: `I c1.} - ')- 1 D ?
SIGNATURE
STATE SURCHARGE .50
, Ov
TOTAL: $ Ll I ?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MITLTI-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:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE n $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMIIM FEE.
CONTRACT PRICE x 1X
STATE SURCHARGE
TOTAL:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
t . SHOWER 3.00 -3-_
a WATER CLOSET 3.00 1___
? BATH TUB 3.00 k.y -
? LAVATORY 3.00 0_
I KTTCHEN SINK 3.00 3 '
? 7AUNDRY TRAY 3.00 3 "
HOT TUB/SPA 3.00
T WATER HEATER 3.00 =1-
? FLOOR DRAIN 3.00 3-
GAS PIPING OIIT.
` (MINIMITM - 1) 3.00 3 '
? ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKT.ER 3.00
_ W. TURNAROUND 15.00
(SIGNATURE)
$
$
CITY USE ONLY
L 6 BL ? RECEIPT#:, ?L95D 9/
d
suso. /???? ReceiPr DATe:? 0?9 9 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT'KNOB Rq
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single family dwellings
? townhomes and condos when permits;are required for each unit
• backflow preventer forunderground sprinkler system
FIXTURES EACH tIQ ;TOTAL
Shower 3.00 x =
WaterCloset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3:00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dxrelling 20.00 x:
U.G. Sprinkler ' for dweiliny under wnst. 3.00 =
U.G. Spdnkler ' for existing dwelling 20.00
Alterations ' to existing residence 20.00' - 1-90
Water Turn Around 20.00 =
Private Disposal System "DakCtyiic. 75.00 =
(new and refurbished systams) .
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE .SO
0
TOTAL
I hereb}r.acknowledgethat I have read Misapplicetion, statethattYle;infortnation.is cortect, and;agree:to.comply with all•?applicable City
of Eagan ordinances. R is theepplipnPs responsibiilty lo nolffythe Droperty owner fhat tha.Cily of Eagan assumes no Iietiility•for anydamages pused by theCity duAng its. nortnal operetianal end mafntenance activihes?to the fautities eonsWCted under lhis pertnit?withiin
CiIY ProPertY/rigiit-of-way-'-------• . .
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: S:*-=C4-- TELEPHONE #:
STREET ADDRESS:
CITY: F
STATE: ZI P'.
?
SIGNAT OF PERMITTEE
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION C'4(??,{ Sl!- .?'?
, City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
NewConstructlonReouirements RemodeVRenairReauirementa Qfice?UseOnN
3 regislered site surveys showirg sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joists Ceftof Survejr R9cd N
(20% maximum btcove2ge allowed) 1 set of Eneyy Calculations for heated addNOns TreePres;Ehan ReW •°=_Y- _N,
2 copies of plan showing beam 8 window sizes; poured tound design, etc. 1 sile survey for addNOns & decks Tree Ptes Requlfed
lsetofEneyyCalculatbns Addrtwn-indicateilonsifeseptasystem On-siia?,SepticSystem" --_Y'_N
3 copies of Tree Preservation PWn if lot platted atter 7/1/93 .
Rim Joisf Defail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date?! 2? /0?
Site Address tCLq3 -
ConstructionCost lQ,Q'?p ?
UnidSte #
Descriptiou of Work 2('j -A ''1C?J'
Multi-Family Bldg _ Y-V N Fireplace(s) _ 0 _ 1 _ 2
Property Owner?n ;? !.? *\ p? T L?fKC Telephone q((Qq ) y5o -J/2'YJ
Contractor
Address
State
-?L{;1J
Zip S-5-1 ZS City_LzppckbV 2y
?
Telephone # ((pP) ) 77? ???0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residantial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submiked Submitted
• Energy Envelope Calailations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ
_ Y _ N If yes, daTe and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telepho?#L )
s y?oM?
Telepho # ( rn)
relephone #ApR )2 8 2006
I hereby apply for a Residential Building Permit and acknowledge that the inforxnation 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 applicarion for a pemvt, and work is not to start without a
permit; that the work will be in accordance with the approve plan in the case of work which requires a review and
approval of plans. Q ?/-?
1?-`? (1SAL?Cr
Applicant's Printed Name
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation
?
07
OS-plex
?
13
16-plex
?
20
Pool
?
30
Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tyqes
"V 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to appliwnt
DeSCfiptioll: WaterDamage_Yes - - Valuation
Plan Review 100% or _ 25%
Census Code y 3 y
SAC Units
# of Units
# of Bldgs
Type of Const V 13_
Occupancy
Zoning
Stories
Sq. Ft.
Length Z ?
Width
MCES System
CityWater `
Booster Pump
PRV
Fire Sprinklered
REQUIREDINSPECTIONS
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
RooF _ Ice & Water _ Final
Framing
_ F'veplace _ R.I. _ Air Test _ Final
Insulation
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC(ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_ Sheetrock
FinallC.O.
FinaUNo C.O.
HVAC
Other
? poo] ?o Ftgs _?p Air/Gas Tests _,XFina]
_ Siding _ Stucco Latfi _ Stone Lath _Brick
W indows
Retaining Wall
?
POOL PERMIT - APPLICATION SUBMITTAL. REQUIREMENTS
Address: 03 Q,yQd U-
Appiicant Name:
m
?
U
d ?
o z
? ?
? ? ?
?d ? ?
A 0 0
:0 ? ?
id ? ?
Pi ? ?
GENERAL INFORMATION
Applicant - name, address, phone & faac numbers, signature
Property owner name
I,egal description and address of property
North arrow, scale (1" = 30' or 40') and date
Location and name of all streets adjacent to property
Site Plan drawn to scale showing location of house,
Directional drainage arrows (existing and proposed)
Ew.stina
pool and other existing or proposed struchues
.0 ? ? House comers
.? ? ? Property comers
? W ? On property lines at point of ineasured dimension to pool (see belovv)
Jd ? ? If applicable, ground elevation at each end of retaining walls and at wall's greaYest height
Proposed
? ? Finished pool deck corners
10 ? ? Top of retaining walls (if any) and at each different elevation (if it changes)
jI ? ? Pool bottom (or max. depth)
DIMENSIONS
Existina
.a ? ? All property/lot lines
Prooosed
.d ? ? Pool
a ? ? Pool plus integrated deck/patio
?d ?? Shortest distance from outside edge of pool deck to lot lines and house
.+
Reviewed: 4?"?_"J a6
Name -? D2te
GFORMS/Pool Pecmit ChacklisU06-02A4
WD15'
2006 RESIDENTIAL BUILDING rExNUT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uction Reaui2ments
3 registered stte surveys shaving sq. ft. of IoL sq. ft. of house; and all roofed areas
(20 % maximum bt coverege allowed)
2 copies of plan showing beam 8 windax sizes; poured found design, etc.
1 set of Energy CalculaHOns
3 copies of Tiee Preserva6on Plan if lot pW@ed atter 711/93
Rim Joist Defail Options selection sheet (buildings wifh 3 or less uni4s)
Minnegasoo rtechanipl ventilation fortn
43? 7, ?- i??
RemodeVReoairReauirements Office QseOnN
2 wpies of plan showing footings, beams, joists ? Cert of Survey Reoi N
1 sel of Eneryy Calculatbns for heated addNOns -Tree Pres Plap Recd _Y _ N.
1 site survey for additions & decks ?/ Tree Pres Required _Y _ N
Addnion - indiceteilonsttesepticsystem Oo-srteSepfic.Syslem _Y _N
(e
Date (4-)/? Construction Cost 'oo,o
Site Address (' .9 UniUSte #
Description of Work
Multi-Family Bidg _ YXN Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( (cS`) :?p -9 ZLLS:
Contractor
Address City
State Zip Telephone # ( )
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calalations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mast r ?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber le?hgrj S12U06
JU
Mechanical Contractor
Sewer/Water Contractor
Tele ?or # ?
v
Telephon #(
I hereby apply for a Residential Building Permit and. acknowledge that the informadon is complete and accurate;
that the work will be in conformance with the ordinauces and codes of the City of Eagan and the State of MN
Statutes, I understand this is not a pernut, 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.
?An,?? YIAT I5-2- VLI)
ApplicanYs Printed Name ApplicanYs ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace x 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 OS-plex bil( 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 'Fire Repair
? 33 Alteratlon ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
DesCriptlOtl: Water Damage _ Yes
Valuation
Plan Review , _Z1100% or _ 25%
Census Code h'_ Sr9
SAC Units -
# of Units -'
# of Bldgs
Type of Const ?
Occupancy R -3 MCES System
Zoning ?
Stories /
Sq. Ft.
Length
Width /G
_ Footings (new bldg)
Footings (deck)
? Footings (addi[ion)
Foundation
Drain Tile
? Roof A Ice & Water -k Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By: _
V Y
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
' FutallC.O.
? FinallNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
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-? Denotes Proposed Elavotlon LAwest Fiaor £levation; gi t.pZ
_-_Denotes Qrninage & Ufifify Easement Tnp of Block Elavation: 919, ?,'3
-- Denotes Brainage Fiuw Direct?oft
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- [3enptes Drainoge Fluw Direatian
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PROPdSED HQUSE ELEVATION
Lawest Flvar Elevation: g; 1 7
Top of Bloek Elevation: q. 1q, t'3,
Garage 5tab Elevation: 919. R
-e- Denotes Vf!set Hub Bearinga shown ore assumed
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 693 Oxford Rd
Lot: 5 Block: 1 Addition: Hills of Stonebridge 3rd
PID:10- 32992 - 050 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replace
Description: Air Conditioner
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Comments: Questions regarding electrical perm
952- 445 -2840.
Permit expired without required inspections. Letter sent 2/03/09 CE
- Applicant -
$50.50
Owner:
Darnel J Klatke
693 Oxford Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA079851
09/18/2007
ePermit
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141783
Date Issued:03/30/2017
Permit Category:ePermit
Site Address: 693 Oxford Rd
Lot:5 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-050
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 -
Daniel J Klatke
693 Oxford Rd
Eagan MN 55123
(651) 788-3920
Hennen Home Solutions
7950 165th St E
Hastings MN 55033
(651) 457-9010
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
4111° •
y , €ot Oftice 47/7
Of Permit#:
/ /� .
3830 Pilot Knob Road Permit Fee;/Z9' "'"`
Eagan MN 55122 Date Received:
Phone: (651)675-5675
bulldinginspections(cr�cityofeagan.com Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
t 1 i. / p
Name: pos,,t-�� i� l CGS.+k Phone: (Dc/ 7 a O - 3?
Z6
Resident/
-n /�
Owner Address/City/Zip: 9 3 0 to'\ Rot
Applicant is: /` Owner Contractor
Type of Work Description of work: ee - t---0 t
i Construction Cost: i r Oli O J Multi-Family Building:(Yes -"<"" /No )
/'
Company: i*_ i/1 � .A ,4044 ,1 ' Contact: t7)
ill
Contractor Address: ` �C} /v) j/ ; , City: / J/i 'I. 3
State: ,i ZIP: 31-0 3 .Phone:74 ,T3O- E m ail: Ak qt,"--A-7 daoccij Cowl
License#: t '(- (P 7 d d 7 Lead Certificate#: A/,4i f/® 77 2i yS l
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
!R t tot 12 thQ Ets,tte..*ttiP City of FAign tssttofk 4 permit for 4 Stftlike pia041roeft Mt 4... ?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
.Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the Cify`s website rit www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
GALL BEFORR YOU DiG, Galt Gopher State Otte Calf at(65'04544002 for protection against underground utility damage, Cal{48 Flours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 approval2JLJ
plans
x SQA i
r �hl � x 11
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151714
Date Issued:09/10/2018
Permit Category:ePermit
Site Address: 693 Oxford Rd
Lot:5 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-050
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 -
Daniel J Klatke
693 Oxford Rd
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169699
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 693 Oxford Rd
Lot:5 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Daniel J & Nancy P Klatke
693 Oxford Rd
Saint Paul MN 55123--394
Hennen Home Solutions
1603 69th St W
Inver Grove Heights MN 55077
(651) 503-4161
Applicant/Permitee: Signature Issued By: Signature