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696 Oxford Rd; ? A CIV tOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: Fsil ! ! i? ? Ii?? t!4/f'?£,03 : ADDRESS: i „Y t 6 H ILOC} 1, , I Rc? I I I(': r?V I Eli°JI Isk LtiGF 'iR(l PERMIT SUBTYPE: f : " APPLICANT: TYPE OF WORK: INSPECTION • DA I NI.1i 1 n i I iia? , I r1 f 1 F+ t" M A F+ !':: F3 F f t] f"I # F L ;f;;i t 4iN i I111 Ivw 1 'i I f IIMF 1NC ?? ??:t ??? ?? ? ?? Pe.mn No. aarmk Fiokfer Date Tol.pnw,e s SNV PLUMBING HVAC 5 7 9 ELECTRIC ELECTRIC 15 Inspectlon Dete Insp. OommsrKs F°°tmgs I Foundatbn F?errgng S / 3 Rooflng Rou9h FIb9- Rvu9h Ht9• l5ul. Fireplace ?/sYA F?l M8. 14 y g3 ?j Orsat Test Fnal Plbg. Plbg. Inspector - Notity Plumbar Const. Meter EngrJPlan Bldg. Fina, 4 ? 3 Deck Ftg. Deck Final Well Pr. Disp. ? IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 03 4 "P Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 - ? . , , . ., SITE ADDRESS: APPLICANT: ;. Z ? ?#???? ? - PERMIT SUBTYPE: TYPE OF WORK: ??: ; ?,,,.< r? a?nt?t?.?.,ri?f .?.?tai??,??s Permit Holder Date Telephone M PLUMBING HVAC Inspectfon Date Inep. Commenta FOOTINGS FOUND FRAMING 7 7u ROQFING ROUGH PLUMBING PLBG AIR TEST , ROUGH HEATING GAS SVC TEST INSUL v GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL G DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVIN TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL , W'ttfICQ.te n? Kim af ( mtoafttut ot leau This Certifrcate issued pursuan[ to the ceth;J'ying that at the time of issrrance rhis ordinances of the City regulatiRg 6uflding S?E' iJIdG Oaupeocy ,[ype zoning I Owner oF Bnilding n'? ??m bD IN. Building Addrcss FAD PaST IN A o,f the sinca or rese. E PLACE ?Code WR j? (' f I ??.? a ? ????? 1 ? ? ;?ii ' ; ,': ..??......,,?---??• REQUEST FOR ELECTRICAL INSPECTION yy4 ee- o ? See inslc?c'ans for compleling tltis torm on back oi yellow copy. 4 "? d 10 2 4 6 X" Be/ow Work Covered by This Reques( y? 1ya y e ALy Rep. - Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer Other-(Specify) Commllntlustrial Fumace Farm Air Conditioner `? Other (speclly) ConVaMOr§ Remarks' . Compute lnspecfion Fee Below: # Other Fee # ServiceEmranceSize Fee p CircuitsfFeeders . Fee Swimming Pool 0 to 200 Amps to 100 Amps Translormers Above 200 _ Amps bnYe 100 _ Amps Signs inwecior's Use Onry: "" TOTAL Irrigation 8ooms % ?? , r? j a '7 ? Speciallnspection 7 b ? Alarm/Communication THIS INSTALLATION MAY BE OflDERED DISCONN T D? NOT Other Fee COMPLETED WITHIN NTliS ? 1, ihe Electrical Inspector, hereby if Ro°qn-in ,;r J? ? cert y that the above inspection has been made. F;nai j ; o OFPICE USE ONLY This request voitl 18 months trom 1 5 ? Requesl Date ire No. R h-in Insveciion ? b e uiree? ves C No (Will NotJy InsOector O Re9tly Now /'wnen Raeey? I?licensed contractor p owner hereby request inspection of above electrical work at: Jo0 Atltlress (SVeet Box or Route Na.? Ciy . o r p i E-°?- o.T,) Settion No. Township Neme or No. Renge No. county ?'?-- Occupant ?PRINT) 1 t? cY j" \ p??v??S Phone No. Pawer SupPlier Atltlress ? Electncal Convactor (COmpany Name) Cantracbr$ Licanse No. " ; c..??r' ? C'(oo341 Maiting AtlOres5(COnVeclor or avner Mekinq Install9tion) ? Avthorize Slgnet r fCOmrectovOwner M 'nq Installelion? Phone Number ?--- MINNESOTA STATE BOARD OF ELECTNICITY V THIS WSPECTION PEOUEST WILL NOT Orlggs.MlEway Bltlg. - Room 5473 BE AGCEPTEO BY iHE STAtE BOARD 1821 UniversHy Ava.. SL Peul, MN 55104 UNLESS PROPEF INSPECTION fEE IS Vhone(61t) e92-0800 ENCLOSED. . J~? ICAL INSPECTION ???? y?- REOUEST FT g• See insVUCions lor mmpletinp this 'orm on oacx 01 yeuow capy 1024 -'X" Be/ow Work Covered by This Request N;'i? ew Atld Rep. TypeofBuilding AppliancesWiretl EquipmeniWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Oiher (specity) ConVacWr's Remarks: Compute Inspection Fee Be/ow: # Other Fee # ServiceEniranceSize Fee # Circuil5/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Atwve 200 - Amps 00 _ Amps Signs inspecmrs Use onry. 70TAL 5 0 Irriqation Booms p 1rj r Special Inspecti0n Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IP NOT Olher Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqmm _ oa?e certifythaitheaboveinspectionhas 6een made. F;nai oa?a OFFlCE USE 9NLY This reryuest voitl 18 months lrom L 10 4 6 Reduest Dare Fire No, Rough-in Inspectiov Re uirea7 ?^' ? ? Reatly Now ?Will Notity Insp?? _ ? ? . Ves ; N ben' e 4 ?•-_' Ipl?l?{J ' -?IL..T?NI...?. ? I/ licensed contractor ? owner hereby request inspection of above el trical work u Jo0 AOOress (Sireet Bav or Route No.l City SecOOn No. Townshlp Na r No. Ranpe No. Coun _ Occu nt(PqINT) PMne No. Power lier AcEress Elaclnc GM acWr (COmpany ame) Contraator's Licens9 No . . c oa gl Mailin AdOress ICOnvaMOr or ner Making Installetion) Aulnor¢eo Slgnalure iComra o0 n Making Ins lalioni Phona Numher 63-3 5`/o - - MINNESOTA STATE BOAPO OF ELECTRICITV ? THIS INSPECTION REOUEST WIIL NOT GrIggs-Mitlwey 010g. - Room S-173 8E ACCEPTED 8Y THE STATE BOARD 1821 Unlverslly Ave., SI. Paul. MN 551pY UNlE55 PROPEP INSPECTION FEE IS Vhane(812)6GP-0800 ENCLOSED, Addtess 696 oxt?tiDRD ?mAD Zip 5512 3 Lot' •- 5, Blk 5 Sub HIIS.S OF STONEBRIDGE 3RD THPSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/24/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway i/ Permanent gas ? Sod/Seeded grass ? TraiUcurb damage Porch Basement finish Deck l? Please verify wilh the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W the outside lawn faucet before freeze potential exists. Contac[ engineering division at 6814645 before working in rightof-way or installing underground spriokler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 *?*?***********************************i CITY OF EAGAN CASHIER: JS TERMINAL N0: 765 DATE: 08/14 /00 TIME: 14:41:52 ID: " NAME: KLAMM MECHANCIAL CONTRACTORS 3212 9001 4150 ETHAN DR 30.00 2155 9001 4150 ETHAN DR 0.5,0 3212 9001 696 OXFORD RD 30.00 2155 9001 696 OXFORD RD 0.50 3212 9001 1585 WEXFORD CI 30.0.0 2155 9001 1585 WEXFORD CI 0.50 Total Receipt Amount: 91.50 CR135738 USER ID: JAN CITY USE ONLY L _ BL ? RECEIPT #: SUBD. Ifi11.C RECEIPTDATE: PERMIT# 20'00 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT ICNOH RD EAGAN, D4d 55122 651-681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system PIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas p'tping outlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System new/refurbished • requires mPC nc. 75.00 x = $ SeptiC S stem abandonment 30.00 x = $ , RPZ new installatioNrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Undergfound Spflnklef ifdwelling is underconstruction 3.00 x = $ Under roundsprinkler rfexistingdwelling 30.00 x = $ -?o 30 Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Water-turnaround 30.00 x --- _ $ State Surchar e .50 -> -> -> $ .50 70t2! -> _> -> --> $ a30. Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------...------------------------------------------------------------------------ _ _.-------------------------------------- I hereby adcnowledge that I have read this appliption, state that the infortnation is correcl, and agrea to comply wkh all applicable Ci[y of Eagan ordinances. It is the applicant;s responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the Cky during its normal opeiational and maintenance activities to tha facilities constructed under this permit within City property/right-of-way/easement. SITEADDRESS: (?Q% OXru'GI IZAeCl ? OWNER NAME: : TELEPHONE #: (AREA CODE) INSTALLER NAME: Y1Amm C6111,14'! CLY*aL&25, --P%. TELEPHONE#: 6-Z 890 - 4-IACufJ STREET ADDRESS: i? u n 4 C.O a ll (ARE+cooe) ?.nfv Zd ciTV: 4 . ,. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: euzLorNe Permit Number: 0 3 2 4 6 8 Date Issued: e7/07/9$ SITE ADDRESS: P.I.N.: 10-32992-650-05 696 OXFORD RD LOT: 5 BLOCKa 5 HILLS OF STONEBRIDGE 3RD DESCRIPTION: REROOF,SIDE, B,uildiYirgE. Permit Type Auia,d.ittg 'lJ'a,rk Type 'Census Code434 r, / - t E , n ? . ? , Z?. WINOOWS STORM DAMAGE REPAIR RLT. RESTOF.N7IAL ''ISC ? . i s I + ' i( ? .. '.... °?t. z V KaGd `?? REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC. OWNER: ELVESTAD CONST, J C 14634748 0007559 TIFFf1NY 6ENE 20534 BISCAYNE 696 OXFORD RD FARMINGTON MN 55024 EAtiHN MN 55123 (612) 463-4748 I ? ? I here'by acknqwledge ttrat I have` read,thrs, a p!pl,i,caCI ion an information is coreeot and agree to o;omp].y wi?th la11 app13' i Statutes and City ofi Eagan Ordinances:? r APPLICANT/PERMITEE SIGNATURE PERMIT ? staCs thajit the 11 ,Lile'State, of Mn" i,. C J ? NAT - S?4(61998 vv1 h 1Zd New Construction Reauirements BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT RNOS RD - 55122 681-4675 RemodeVReoair Reauirements ? 3 registered sde surveys ? 2 wpies of plans (inGude beam d window sizes; poured fid. design; etc.) ? t energy catwlations ? 3 topies af free preservation plan iF lot platted aRer 711/93 required: _ Yes _ No DATE: --, U ?--? r7 • 2 copies of plan ? 2 site surveys (exterior addRions & decks) ? 7 errorgy alculetlons for heatad atltlkions CONSTRUCTION COST; q5-- , D/boo. DESCRIPTION OF WORK: 5TORM in)6}SN£67IZOC STREET ADDRESS: 0 LOT: ci- BLOCK: 175 SUBD./P.I.D. #: Hffl6v PROPERTY OWNER Name:T1 F F A IJ 9? ? EA1 C Phone #: ? First Street Address: ?9 ? O?F 0,e D 9014 I-_)? City E f? O144 State: P 4 Zip: Company:T.C. ELVE5T141]i Phone#: T7qS CONTRACTOR ^ Ygl/49 kJ/dr•?--f ?(', Street Address: ?,10 "rJ 9y ??SCAYA7E AVE? ? • License # 15v7 Qk- Ciry F41em) lj QTD 1.? State: Zip: rJ S0ZV ARCHITECTI ENGINEER Company: OQ4??- Phone #: Nazne: Registration #: Street Address: City State: Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to compty with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ?CEIVED Certificates of Survey Received _ Yes _ No r?y.' 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 S-plex ? 04 SF Porch ? 09 12-plex ? 05 5F Misc. 0 10 _-plex WORK TYPE ? 31 New O 33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVAL5 Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC CRy SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ R r ? - w: 3 L ?W 'v 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Cade. SAC Code Census Bldg Census Unit Variance % SAC SAC Units `,. ' 1 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMIT'S ARE REQUIRED FOR EACH UNTT. NO. FIXTURES ? SHOWER WATER CLOSET ? BATH TUB LAVATORY KITCHEN SINK ? LAUNDRY TRAY HOT TUB/SPA WATER HEATER ? FLOOR DRAIN ? GAS PIPING Oi7TI.ET • minimum • S ROUGH OPENINGS WATERSOFTENER PRIVATE DISP. • neLay. uc. U.G. SPRINKLER • home under const. ALTERATIONS • w ooaiin8 WATER TURN AROUND E-AVH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 `3 - a - t? ? i ? 3- STATESURCHARGE TOTAL: SITE ADDRESS:_() Cl u? s l X F"' C( Q?C l_ OWNER 3- .50 ?1 - INSTALLER k) 14 1 4 "f l- I h ADDRESS: (o lo C 62- c;- V ? - CTTY: ?Yo: cl A _0 STATE: LM ,. ZIP CODE: S_S"3 y a PHONE #: ( ) q °k) - ? I a , SIGIVATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDEIVIYAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 'p 'i PLEASE COMPLETE FOR ALL COIvINiERCIAIJINDUSTRIAL BUII.DINGS. AISO FOR MULTI- FAMILY BUP _DINGS VVHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U:t:T. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: COA'TRACI' PRICE: FEE: 1% OF COA"CRACf FEE. STATE SURCHARGE $.SO FOR Fr1CH S1,000 OF ??ltif?' FEE MIPIIMUM FEE $ 25.00 , ... ." _. CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SI1'E ADDRESS: $ $ TENANT NA11'IE: ST'E. # OWNER NAME: INSTALLER: ADDRESS: CTI'Y: PHONE #: FOR: CITY OF EAGAN STATE: ZIP CODE: APPLICANT 1993 PLUMBING PERMIT (CObMERCIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD , EAGAN MN 55122 (612) 681-4675 ?JH\I^/ PLE?SE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 4100 M BTLJ $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) el_ ADD-ONlREMODEL (ExIsnNG coNSTRUCTtox) $ 15.00 STAT'E SURCHARGE .50 TOTAL 21.50 SITE ADDRESS: Ln:,q tn Qsr -E-?rd ROac1 OWNER NAMEE)C ;w L? TELEPHONE #: TELEPHONE #: W)qp - I I (?_L2 1993 MECHANICAL PERNIIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: STATE: ZIP CODE: 1993 MECHAIVICAI. PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55112 (612) 6814675 PLEASE COMPLETE FOR ALL COMTERCIAI-IINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTfER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. DATE: CONTRACf PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRA;LT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMi'C FEE. TOTAL $ STTE ADDRESS: OWNER NAME: 'FFsL,E . r ,v vc TENANT NAME: (nKpROVENtarrrs oxi.Y) s ? ?t:; ?°u•r?..rl?` ?i?; ? INSTALLER: ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CTTY INSPECTOR x, PERMIT cd? y? ?x/ CITY bF EAGAN ; .,Y-,-,/ ,`'?' 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: DESCRIPTION: .;". t± rn ;, ,1ii? i ; ? •.,? I.h?: ? I ; , . _' _.?. ?? ... REMARKS FEE SUMMARY: CONTRACTOR: ?OWNER: `i,l AN„d i m APPLICA TiPERMITEE SIGNATURE ISSUED Y' IGNA R CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: 1 1. ? ? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: REACTIVATE PERMIT # , 1993 BUILD NG PERMIT APPLICATION? 7 n/' 681-4675 SIN6LE & MULTI-FAMILY 2 sets of p7ans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & 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 3 3 Valuation of work Site Address: G`t(Q C24? M. SJREE7 SUtTE k enant Name: (commercial only) '1'?e Fc)'r?Vrtd IAT S BLOCIC S SUBD. P:I.D. * i I Descri tion of work: 3?'YA 1e w6k,' The applicant is: wner ?G,ontractor ? Other (Describe) Name ? Qo'f'Ffuac9 (ZX>-THC. Phone 5??-c'3ASL Property LAST FIRS* Owner qddress sZo( E• Ie?ver 2J, SiREET STE f ? City F/''? /N State A Yi Zip Company 50OKe Phone i Contractor Address License # Exp 7-1 City State Zip ; i Company Phone Architect/ Engineer Name Registration # ? Address i i City State Zip i Sewer & water licensed plumber V.W??'PI Pl Processing time for? sewer & water permits is two days on e are has been ap oved. i I hereby acknowledge that I have read this aPplication and state that the information is ? correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: T'4r4 il OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE P& 31 New ? 33 Alterations ? 35 Tenant Finish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION , ?. ? 16 Basement Finish O 17 Swim Pool O 18 Comn./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demolish Const. (Actual) Y- N Basement sq. ft. MWCC System -- . (Allowable) Y_ M ist F1. sq. ft. City Water c? UBC Occupancy 9-3 M-°, 2nd F1. sq. ft. PRV Required Zoning Pp R -? Sq. Ft. total Booster Pump N of Stories Foatprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code o/ Depth ? On-site sewage SA3C?C`od?e?? ? APPROVALS ow yU$ Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ? Si te ? Wallboard 0 Footing O Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee wimc;a,: $ 130, OOt?r S Plan urcharge Review Licen MWCC SAC City SAC ?_ ?„m,,..?° g y Water Conn. Water Meter - p o ?S X °?' Acct. Deposit ? ?41 2-6o ?ag S/W Permit S/W Surcharge Treatment Pl. 1x8= `?' Road Un i t 1??,? ? 1p Park Ded. Trails Oed. . 90 Other 5 k /s Z,o - Tota1 ?XSy = 5y S? 3 sac % I n° ZNo F?o? ; 5AC Units 28-Azg ? r7 g4 304 xsy, 43 y j1b - L. 6- l2`l,1 LOT iCAPZY C'.ELCxL2lT !OR RLBIDLNT7.1?L ? SOILD211 nItKIT ?PLIC7IT ?ROPLRTy La? ._ • ` ? naLe 01 iut7eyt ? IMCMNT aT1?i4na II H I?0 G 0 • • Reqistered 2en4 Burveyoz aiqnature ana eo?pnny 8 ? D D • uilding permit Applieaat L D D • *qal deseziptien ' Address 8' D 8r D 0 0 • • Nozt,h arrow and Dar sctia • . Houst type (rambier, ralkout, split v/o, split srrtry, ?' D D • lookout, atc.) ' Directional drainaqe arrovs viLh slope/qzadient •. ? D 0 0 • • Propooed/axistinq sevar and vater services Street name 0 0 • Drivovay LLLY7ITI ONB 0'13 0 • ?Y3?ttnv Sever serviee 8' D $ ?0 D 0 • • Lot corners ? Top of eurb at the drivevay II D D • Elevations of ar,y exicting adjacent IIames ?SODO!!C D',Ll D • Gnznge floor 0 • , Firat iloor B? 0 8? 0 ? • • Lowest exposed •l:vation (wnikout/window) . I-IU Property corness 0 • Fzont snd rear of bome at the ioundation POa'DSNG ARLAB (if anfllieablis) D ? ' D • Easement line D 8 0 • xwL O 0' ? • KaL ?D ? Pond 0 desiqr?ation D Emerqeacy overtlov Zl*vation '??D 0 • i,ct lines Right-of-vay and street vidth (to back of eurb) Proposed Aome dimen4ions SacluQiaq any proposea decks, overhnnqs qreetez thnn 2', pozches, etc. (i.e. all sirnctures requiring permnnent footinqc) A?D p • Shov all easements of seoozd and ar,y CiLy ntilities within those snsements Setbaoks of psoposed stzucture and aetbaek of sdjacent existing F G Di6 • Retair, ? rements, ii any • Revieved- ? Na / Dat : F:cTe.ttion i?NVF.I,rnPt: nvla;nr,r: "u" c.ut•PuTn•rtOu - • o'.rtVFx SITE ADD4FS5 Lo-3'5? BLOGV, 9, -3izD CONTRACTOR _ KoT-a_(9Np c.p p.qTF PH?)NE ` Determin vorkinr; squnre footar,e of cach. 1. Total exposed vall area sR. ft. x 0.11 = 2UZ, jZ 2. Total roof/ceiling area .. ?L7 9D sq. ft. x e,026 • • Total exposed vail ar" nbovc f'loor = G 2j a4' p a. Total vall vindow area .......... ?j3 2°p ? ................ .. ? c b. Total door area ................................... ? c. Total sliding glass door area ......... 5q. ' -) ............ d. Total fireplece vall area .................- ......... e. Total vall framing area (average lOP) ..... / S, r7 ......•- P. Total net vall erea nbove floor ..,...... ? B• Total rim jaist area ............... ........... .?'b ? Total exposed fni:ndntion area P . h. Total founde;ion vin3ov a:ea .....•. ................ ' i. To:al net foundation a-ea above €rade ............. ? • Deterrr,ine "U" valce o: each vall ,ec;ment. . . a. X ,.U„ 0,?F2 = 7(,0.7] b. 3k7.-71 x „U„ 0,136 . .• C. 59, f 7 x??U?? ?,¢Z = 25r.It? d. - X IIU„ _ - _ • e•. xA,u,. d.pbq = 1G.7? r. X „U,. . s• Z f(?. ? x,.t?,? h. ?. 7 X ;_ X„u„ /lp. Z8 3. ..............:..............:. .«?.^, = zz ? ? .. f ? . . If item M3 is the same as, or le??_. ,.t?. .,n .iLe.m Ml, you nave met the intent of ssc 6oo6(c)2. ?, Total exposed roof/ceilinG nrea ? . ' Total,gross roof/ceiling aren J. Total skylieht area .......................... k. Total roof/ceiling fraJning area .............. 1(2*Y l. Total net insulated roof/ceilinF area ........ 9',qf , Determine "U" value for cach rouf/cci I in(; sctmcnt. J T? X nUn • k: loq x „u„ 0.0z-7 - Z;9-1- . -? 1. 9g / X,,,,,, 4 . ...............................:. Tota1 Lsf", ?,-- p(!r .-? • If total of N4 is the same as, or less than N2, you have met the intent of ssc 6006(c)i. , To utilize the total envelope system method, the values establiahed by the sum of items N3 8nd 94 shall not be greater.thrcn the sum of iten:s B1 and N2. 1. + 2. ' 3•. + 6 . _ . . .. 0 ? . • _ . ... O s . . . -?FAMr-- WAL-t- ? IN?t-lLATI?N LaMPQ N ?r+? --fFAMr k1RU. (i ?T'.!t7 _. PI.?N. vie-W. (I1 u ? ? ?• ? C L C U ? C oa.r?c5 AIF- Fit.?M =?%z lNSU?.A?lcrl? I??i?7? Pd? ?ILN1. 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Nl7RT}f atJ4.1"I'F•i l::{lfa°( Wle'::i7 NE:!NU f:iE15W I,7108 "I... f'C!'I"Al_ _.......___..__.._.__._..__...--......._...._._.._...._...._..------•--------........___ AF{9; F'r i :?fE i ;±c) i :;:? I !4 ' 14 I rr ? 25: : t;l]C11..aIriG. S -462 S b'i' "? E 4I•:?, 7. 1 1 :1:3 i 41 ' 6'7? ? f^I?i(-Jl"J MGi i ?i?6?'i f 1 p:': ? ?. ??{ °,_'i ? C?Go4 7 `,°i??r^ ? e:i?7;"i ? ? i LC1 ?:.7A•? ? E?':'i:t. C1W WMi..LS Nl:ll'tl'N ciUU7h1 E:FIS'I' WS"f' h1IVtJ GE;E/.iW CiPP1flF 1'[:1'fF1i_ .. _...... ,_._ _ _,,,__........... .............._.............,..._ _. .......... _.... ?........... , ..... ..... ......... _............... _. _.......... .,., _.........._. _.....,.. _. _. _ FiFif:rti i 569 i 5:i4 i 6271 609 { tp l 1G i 0 i 2 „Z59 i I:CIC)I_ Y NLi i r 16 ; ZI E:i.':i : :.' 69I 9 ? 9? r) ? 2, 141 ? 14E F?'rilVf.i 1 2?,?561 $??1.17i :.:, 4E3h1 v, 4'i5 1 4:i; AOl 5,296t l1F?b49i .__.._..--". .--.........'f`,'7"._..___.... W lx;:?•?. ...... ...._IViS:II•71...... ..tiSE i / :.___ ........................ I7C)F:lf?5 N(JI'?'I'H ,?Oi3Tl••1 E _...___...._., ? ? ? J LtW TG"wL __._._._..,__. _ _.__...,...?.__._._. _._?.?......__..__.._.......__. ............................. ,..._..._...... _.........._..........._?.__......._.._._...._... A R 1Z fl) i S.CS i 401 "il.) i Q: l.) i i 701 c:OOi_lNc 1 rrav, 486; :43, r.,; cf; ar ; 94s : 1•iEA1"TNC, i 9561 :,1241 1 ,062 ; 0: ol C) i 1 4 ,1421 .......... f"Lf]Cili I-1K{cA t:C:IGI_iPdG fif_A7SSVtii 2872 9,4211E ------ ___.___....._._._ ....__._..._...__.._ ..................____...__.._.._......_..___..._------.._.........._._.....----•--...____.___ r,ErL r.NG FaREra c::tac?i_iraG iat::fi'i°.tNL, 2869 ? r1 ;'3 ? 959 Praop].E :icn,il77e Larai_I 1 ,350 i_at.ei:k. 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T PJG DF:L"CP1 T 18. 0 ;• lq?l? 2007RESIDENTIAL BUILDING PER!virT nrPLicnTIorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcuon Reauiremenis 3 reg"stered sile surveys shaving sq. ft of lot, sq. tt. oi house; and an roo(etl areas (20°h maximum lot coverage allowed) 1 Sals Repod it pmposetl building is to be placetl on disNrbed soil 2 copies of plan showing beam 8 window sizas; pared found design, etc 7 set o( Energy CaICUW6ons 3 copies ot Trae Preservalion Plan if IM platted aker 711/93 Rim Joisl Delail Op6ons selection sheet (buildings with 3 or less units) Minna3asco medianital venblafion fpm RemodeUReoair Reauirements 2 copies of Olan showing footings, beams, joisCs 1 set ot Energy Calculations for heated addifions 1 site survey for additions & decks Adtlilion - indicale il on-sife seplic system , G? Ofice Use Onlv CeAOfSunreyRecd _y _N Soils Report _ Y _ N Tree Pres Plan Recd _ Y _ N. Tree Pres Repuired Y _ N On-site Septic System _ Y _ N Plans are considered public information unless vou statP thev are trarie cer_rot anrl tho Yaacnn Da[e 023 Site Address / C-) N7p'crQ Canstruction Cost -711 C(7 14-f,1 (i'fC. Q UniUSte # Description of Work Mui[i-Family Bldg _ Y& N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner F Telephonek((fJ( Contractor Address S[ate City o< -14 Zip ?L11;:, LP Telephone # (Lj{a) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I • Residential Ventilation Category 1 Worksheet (J su6mission type) Submitretl . Energy Envelope Calculations Submittetl A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plon based on a master plan? _ Y _ N if yes, date and oddress of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Coniractor 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; [ 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. n ??_ ?Icrms Lo ????? D Applicant's Printed Name Applicant's Signature Pioneer Eneineerine ? .. ?. ' f y T * * P10NEEFt * iengineeri * * ?. * • aW ENaHMs 2422 Entcrprise Drive Mendoto ticghts, M? SS120 (512) 889-1914•Fax 681-9488 • w+oscAPE u=anTEcn 625 Highway 10 Nar+hea9t Bloine, MN 55434 i 1(612) 783-1884•F6x 783-1883 Cef'}IflCOte of 5urvey tor: The Rotflur?d Compan,, Inc. Nouse Address: 696 oxford Road. Eagan, MN Model Narrte: Fairwa Gusrar??R: TIFF•aNY ? 6 pXF-ORD RDAD 5?16,zf ??14$ 0" N 89'50'53" W yr3.9S" 73 L=55.63 9/z'22. 7 ,"i-r+rv sioa o ? I y/ ?' I } ? C DRIYEWAY aI S f ? 9??.,y ql y203 ! 21.05 Tarc. sroov o 26b7 tio.oo ? ste. • i ^ I 27.33 ^ fAIRM'AY c,utACE 4 c 0 $ ( ? HOUSE ? - _ 6.00 ? ? M1. u PROPOSED ?? p, I 12 COVRSE 6ASEMENT ? t IL I :o qj x L ze,ea _ ao.o - yo.? ^ ? ? giy,g S 99'S0'S3' E ??53 ? ?n I I / x 1 9??l.b 2 / 5 ?y. ? ..... + _ L---------------- .l 'n 108.64 S 89'50'53" E NOTE: CONTRACTOR MIJ57 VERIF`( ALL OIMENSIONS r eoao Denotes Existing Etevatlpn PROP05ED HI ¦<? Denotes Rroposed Elevation . Lowest Floor Denotes Drqinage & Utilfty Eosement Top of Block Denotes Drainage Flow Direction -o- Denotes Monument Garags Slab ?s-- Denotes Offset Hub Bearings shown are assumed LOT 5 , BLOCK 5 ? i °n ? 2 i ? I i ? /1- J, - - ` DAKOTA CQl1NT(, MINNESOTp ,,J mU H U U I I I V I V ' I hereby Certify that thfs sucVlV, plan or rtport was prgppred 6y ma o undar y direct supervision and thet 1 em duly ReglslMetl Land SurvEyCr under tl+! Wrrs of ths Stata of Minnezotp. Deted this_Z6Xdey oF A.D. off" 19 I ? C....I... 1 innh Z(lfwaf ellest-I z 7831883 P.02 i? p1b-78 ?13 A q` 0 O x 0 bI dci- o .- a (1) E City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 696 Oxford Rd Lot: 5 Block: 5 Addition: Hills of Stonebridge 3rd PID:10- 32992 - 050 -05 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Eugene W Tiffany 696 Oxford Rd Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA079573 08/31/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 696 Oxford Rd Lot: 5 Block: 5 Addition: Hills of Stonebridge 3rd PID:10- 32992 - 050 -05 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Eugene W Tiffany 696 Oxford Rd Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA081599 01/04/2008 ePermit PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112778 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 696 Oxford Rd Lot:5 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Ronald J Lundquist 696 Oxford Rd Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r________________� I For Office Use � � � Permit#: /"'� '��� � City of ����� I Permit Fee: �� � n � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � � � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff:_ � I I �' 014 RESIDENTIAL BUILDING PER IT APPLICATION Date: / �� � Site Address:_CG'�� [//��r� � Unit#: Name: T-1�' Ci ! ���[--�'1GG � l�t �_�' Phone:�`�� 2�( ?'�7 Residentl Owner Ada�ess i c�ty i z�p: � k�r� Applicant is: Owner Contractor � Type of Work Description ofwork: ��5 fG[E' Construction Cost: � � �� � Multi-Family Building: (Yes /No� r /� Company: �`�`��� `�7:���"� p S� Contact: �G�� ��� � Contractor : Address: �-2 ��'� (��-,�. ,�a����c�.,�2 City: �v�'����c �� State�-� Zip: �=��Z� Phone:�l����.!i�EmaiL �Cd�` • �'V�� M���v�T���'. CiaM License#: � �� �?S �— 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 8�Water Contractor: Phone: NOTE:P/ans 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 conc%ude thaf they are tratle 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.qopherstateonecall.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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin Code must be completed within 180 days of permit issuance. X �c-o �-�- l�-�.y`�"� ApplicanYs Printed Name Applicant's Sig tu Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160539 Date Issued:03/17/2020 Permit Category:ePermit Site Address: 696 Oxford Rd Lot:5 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Ronald J Lundquist 696 Oxford Rd Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature