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-
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LOT iCAPZY C'.ELCxL2lT !OR RLBIDLNT7.1?L
? SOILD211 nItKIT ?PLIC7IT
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• `
?
naLe 01 iut7eyt ?
IMCMNT aT1?i4na
II H
I?0 G
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• 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
. . .
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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
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A
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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