697 Oxford RdINSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE: '' ?1. n(uG
3830 Pilot Knob Road ? . Permit Number: '8144 ?
Eagan, Minnesota 55122-1897 Date Issued: 1 0'' 0 1
(612) 681-4675
SITE ADDRESS: 1 ' " -A'? I APPLICANT:
i i•. ( i? t: i? ?. i.? ??, • t t: , i? 1?. 1 ? 111 I
( U141: l3(4It1(it 1R C1
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .A
REplkfikS: a±UPARA'!'F FER141T I!3 RF4111RE:[) i'Of7 AI+IY i'i 111914T.tV(i ON i.:l_Ef_ 1'R1Ckl WOftV
? ?
PermR No. Permk Halder Date Telephone #
ELECTRIC 3 30
PLUMBING
HVAC
Inapection Date Insp. Gomments
FO4TINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL 6
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? ?. • ? . .
SITE ADDRESS: 61 APPLICANT:
F i?Irtr i:! i;: ;, ?c ? ?ir; . ) ?ri?? ? i ?iN
PERIVIIT SUBTYPE: TYPE OF WORK:
? ? r>nih
i-1 F:niiF/STOiiM UApA(il
F
L
?
?
Permft Holder Date Telephone #
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ?
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DaMESTIC
M ETER
IRRIGATION
METER
FLUSH
MAINS
carvoucriviTv
TESr
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTI4N RECORD Control No. 0630
CiTY•OF EAGAN PERMIT TYPE: 001 1,. UlMti
3830 Pilot Knob Road Permit Number: 11r4699
Eagan, Minnesota 55123 Date Issued: 06j71 /92
(612) 681-4675
SITE ADDRESS: 107,4 111 OCK, j APPLICANT:
W.11 oxFnRa an cENrEx FioNFq
HIl l S OF STUNEflRlflAF :3ltf3 (b12) 996-4833
PERMIT SUBTYPE:
1 IitJf.i
TYPE OF WORK:
m
1' tf tl l I01ti
iN`AUT A7 f i1N
F tNI'i't Al:[:
REMARK qs 1ircrINT #
F'RAMINA
rIMAE
5&W FLl3W. y PI. YMU1I?tl p1.E1ci.
vermn No. vermR HoaK wa Telephone r
S/V1?
PLUMBING ? g 9 . f
HVAC
ELIECTRICj?
ELECT C
Inspwtion 00be Inap. ComrtN.
Footfigs I
Founda6on
Framing
RooHng
Rough PF9-
Rough Ht9. ? l3 ?
isu. ? Z )v
Fl??
? e,:?-
x/ e
Flnal Hty. 0, D
prsat Test
Fnal Plbg.
a
_7'
/
!V?
.(iC-l
Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlen
Bldg. Final D
DeCk Ftg.
Deck Finel
weu
Pr. Disp.
„ , •- •
Wxvrtifteate of cccupanc4
witv of cFastm
This Cern'ficate rssaed pursuartt to the nequinnrents of the Uniform Building Code
certifying that at the tinre of issuance tlus structurr was in compliance with the various
ordinances of the City regulating building constructivn or use. For the foilowing:
use classification: SE DWG eld& Piermit No. 699
OccuPancY T?ve ZaoirS Diatrict 7ype ? Const.
i??
Owner ot Building Adaess
- > 15 f 9= tr
Buildipg Address Locality
,J ? ?sl I?ate. 10/07/92
BWdigg oWKW
POST IN A CONSPICUOUS PLACE
?3cf5 J RESIDENTIAL
`? mro-v-b BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PI651-687 4675- 551Z2
?
New ConatrueUon Reauirements RemodellReoairReauirements
• 3 ragistered site surveys showing sq. ft ot bk sq. fl. M house, ancg rooted areas . 2 aopies of plan
(20% maximum bt coverage aWwed) . 1 set of Energy Cakulatians far heated addiUons
• 2 eopies of plan showing beam & windaw s¢es; poured found desgn, eh.) . 1 slte survey for exterbr additions 8 dacks
• i set of Energy Cakulations . Indirate'rf home served by sepfic system for additions
• 3copiesofTreePresenatlonPWn9 lMplattedafter711193
• Rim Joist Deteil Options selectlon sheet (bldgs wiN 3 or less unAs)
I 'l 1 I 11 4 /,.'1 f_ r1 ca
DATE
JOB SITE ADDRESS
IF MULTI-fAMILY BUI
PROPERTY OWNER
TYPE OF WORK I
APPLICANT aeft
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#
ADDRESS C00A Qa,,;ae ApAI 66470 IIPCODE
PAGER # CELL PHONE # FAX # -I63- -FS
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential VentilaGon Category 1 1 Worksheet Submitted
- Energy Envelope Calculatlons Submitted
MINNESOTA RULES 7672
Plumbing ConSractor: _
Plumbing System Includes:
Mechanicai Contractor:
Mechanical System Includes:
$ewer/Water Contractor.
_ Air Condilioning
_ Heat Recovery System
All above iMortnation must be submitted prlor to processing of application.
Fee: $90.00
Phone # •
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, siate that t information is orrect, and agree to comply
with all applicable State of Minnesota Statutes and Ci1y of Eagan r n es.
Slgnature of Applicant 1 ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. . . `Updated 1l01
New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Sprinkler
Water Heaier _ No. of R.I. Baths
No. of Baths
VALUQION
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? 08 06-plex ? 76 Fireplace O 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.)
O 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch(screened)
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 72-piex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
O 32 Additlon
? 33 Alteration
? 34 Replacement
Valuation _
Census Co3e _
SAC Units
Nbr. of Units _
Nbr. of Bldgs _
Type of Const _
1 ?
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Paol _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
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 ,
' `OUIBf 1 ' Total
0 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 36 . Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 37 Demolish (Bldg)• O 43 Reroof O 46 WindowslDoors
'Demolitlon (Entlre Bldg only) - Give PCA handout to applicant
Occupancy MClES System
Zoning City LVater
?
Stories , Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Building Inspector
Q
FinallC.O.
_ FinsUNo C.O.
_ Plimmbing
HVAC
2 f? s/? O^ a
? J b
PLEASE PRINT OR TYPE /O t{Sn??is req?st void 18 rponlhs (rom rolidolion doh prinled in th'ss;3
/? ?
7 I?1(,1?.
Requesf Dok
- Roogh-in inspection required2 ? N.
Q'ou most mll fie inspeWr whe ready)
ImpMion her Than Roogh-In: ? Ready Now WIII Gall
Dofe Rmdy:
I, ? licensed conhacior owner here6y request inspedion of ihe a6ove eledri<al work at:
lob Mdrus ?Sheel, Box, or Roure No.?
ouk?n City Ip Code
Sedion No. Township Name or No. Raige No. Fire Na Caunry
O,c,m,? 1
/?[r?G EU 6vo 4 v Phone No. ' ? ? /
(DS? D?P
PowerSopplier Addresa
EledACOI Conkaclar (Compony Name) Conhacror lianse No. Mmbr Lic Na (Plani Elen. Only)
Mallyg/ddms(ConhaCOrorOwneAom?in??ayql?otion)
( ?/`? ?
?/
Authonxed SigwN onhacbr or -er Pe?mllaMon) PMne No. /
EB-OOWIA-10 6/95 STATEBONOCOPY•SEEINSTRl1CTON50NBACKOFYELLOWCOPY
IIII ? II II I I I II II I II I II I I I? I I ?I MEQUota StatOe Boa dEof ER?IC?A? NSPECTION WdA?
1821 Universiry Ave., Rm. S-28, t, Piul, MN 55104 * 0 2 7 3 3 0 6 1 * phone (612) fi42-O800 ??6 Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re nir
Air Cond. Equip. Water Hh. Load Mgmt. Other:
D er Ran e Elec, Heat Tem . Service
"X" above the work covered by this request. En}er remarks in this spoce and on the back of the white copy only.
Calculafe Inspecfion Fee - This Inspe<tion Request wil! nof be accepfed wifhout the corrcci fee:
Olher Fee # $ervicc Enh'anoe S'ae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreet Lig./Tmffic Sig. Above 200 Amps A6ove 700 Amps
Tronsformer/Generator INSPECTOP'SUS
E
ONLV TOTAL (
Sign/Outline Ltg. Xfmr. ?
n O`
O
?
Alarm/Remote CoMrol
Swimming Pool I h?reb aM ihm i ?m e ?' saibed hereln on the doks sMled
Irtigtifion Boom Rough-In 0
S
ecial Ins
eciion
p
p
Investigative fee . Final G_ D
?1.. Dok!
L
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
ce ? ya--
63207,c
Request Date Fire Na ouqh-in Inspection
fl 'retl?
? Ves r, No
? Reatly Now Aiil Notiy Inspector
/ when ReatlY?
I licensed contracbr ? owner hereby request inspection of a6ove electrical work at
Jab Adtlres?h? Box or F No.? ' Ciry
?ediott-NO. " Townshi am or No. . Range W. County
Occvpant(PRIN ' Phane No.
Power Supplier _ / -
?1/ AtlGress
Elecmcai GonVactor ICompany Namel
?Q Q.? Contracror§ License yNo?.
A DfIw
Mailing Atl ress IConVaclor or Owne¢ Making InstallationI -
3 - u? aaa? NE) VY1 !S . r1 66q 3?-
Aulnonzetl Slgnawie (COnlraclonOWner Making Ins lation) - Phone Number
/Ylil? I,?Qs? 8y- 3"lag ,
MINNESOTA STATE BOAflU OF ELECTRICITV THIS INSPECTION REIXIEST WILL NOT
Griggs-MiEway BIOg. - Hoom S-173 BE HGCEPTED BV THE STATE BOARD
1821 Univerepy Ave., SL Paul. MN 55100 IINLE$S PROPER INSPECTION FEE IS
Ppone (813) 61241800 ENCLOSED.
~J-63207
REQUEST FOR ELECTRICAL INSPECTION
ll? See insimctions for completing Ihis form on back of yellow copy.
"7C" 8elow Work Covered by This Request
ee oooo,.oe
?? ?' GtX?35 9
e Add' Rep. '- Typeof8uiltling AppliancesWired EquipmeNWiretl
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. 8uilding Dryer Other (Specity)
Comm.llndustrial Furnace
Parm Air Conditioner
Other (syecify) Contratlor§ Remarks: Compute Inspection Fee Below:
?k - Other Fee # ServiceEnhance5ize Fee N Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclor's llse Onty:
? TOTAL
Irrigation Booms /? ?
Speciallnspection
Aiarm/Communication ?HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rouqn-;n oWe
certify that the above inspection has
been made. Final ' Date
OFFICE USE ONLY
Tnis request voitl 18 montns irom
f6 3 2 5?
Request Date Fire No. Rough-in Inspection
Requiretl? ? Reatly Now YiI Will Notiy Ingpector
6-3-92 Ues ? No When Ready?
I-Nicensed contrecror ] owner hereby request inspection of above electrical work at:
Job Atltlress slreel. Box or Rome No.) City
697 Oxford Road Ea an
Sec?ion No. Towns?ip Name or No. Range No. Counry
Occupenl[PRINT) Phone No.
?Centex Homes
Power Supplier AtlOress
Aakota Electric
Electrical Contracmr (Company Nail Contteclor§ License No.
Lazer Electric, Inc. CA 01110
Maiting Adtlr¢ss ICOnlrador or pwner Making installation)
$383 Sunset Road N.E., Minnea lis, M 55432
Authorized Signalure IGOnvactor;Owner Making Instalialion) Phone Number
784-3729
MINNESOTA STqTE BOARD OF ELECTFIQTY THIS INSPEGTION iiEOUEST WILL NOT
Griggs-Mitlway BIEg. - Hoom 5-173 ? 8E ACCEPTEO BY THE STATE BOARO
1821 llniverslly Ave.. St. Vevl. MN 55106 IINLESS PROPER INSPEGTION FEE IS
Vlwne (612) 662-O80p ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ;°-?? eeooam oe
?,,1 6 2 4?• See inslluctions ior completing this form on back of yellow copy. :?" ?? ? 3
6
"X" Befow Work Covered by This Request ?"?>;?:
ew Atltl TypeofBUiltling AppliancesWired EquipmentWired
X Home Range Temporary Service
Dupiex Water Heater Eleciric Heating
Apt Building Dryer O[her (Specity)
Commllndustrial Furnace
Farm Air Conditioner
Olper(sVecify) ConlraLtor's Remarks'.
Compute /nspecfion Fee Belaw:
"a Omer Fea # ServiceEnvanceSize Fee Feeders Fee
Swimming Pool 0 to 200 Amps l s
Transformers Above 200 _ Amps e
igns
Inspacmr5 Us e Oniy. t
trrigatio
n Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
• Other Fee COMPLETED WITHIN 18 MO S. ?
I, the Electrical Inspector, hereby
if Aough-in f n, ' „4L
cert
y that the above inspection has
been made.
OFFICE USE ONW
TM1is request voitl 18 months imm ?
Addres's: bq] p}Tpgp ROAD Lot 4 Blk 1 Sec/SubHLLLS OF STONEBRUM 3RD
These itema wexe/were not complete at the tima of the final inspection.
Date; gZ Yes No Tnspprtor,
Final grade (6" from siding) ?
Permanent stepa - garage ?
Permanent steps - main entry l/
Permanent driveway
Permanent gas
Sod/seedad gcass ?
Trail/curb damage
Po[ch I?
Sasement finish ?
Deck f??
Please varify with the buildar the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside lavn faucet bafore
freeze potential exlsts. ?
xECrtzEOrrnx
White - City copy Yellow - Resident copy Pink - Contractor copy
Clty of Eapn
ocr i 3 2008
i?-
2008 RESIDENTIAL BUILDING PERMIT
? ?t?f :;-- -_____-_-_-- i
j Permit
? Perrnit Fee: ?
? ?
? Date Raceived:
I l
I I
I Staff: ?
---------------
APPLICATION
Date: reZI L0 9' Site Address: 41 9,7 dX7?? /Cc?acf
Tenant:
Suite #:
RESIDENTlOWNER Name: Re-,,c/ &/aeH Phone:GS/- (,b'Z(- 7075-
Address / City / Zip: (oeI -7 O x-?e -J ? •
Applicant is: _ Owner ? Contractor
TYPEOFWORK Description of work: y?iHb-+r dd[?" jan.tci2 et? /WuAl /ree-
?
Construction Cost 7Z.000,? Multi-Family Building: (Yes _/ No )-'
CONTRACTOR Name: ?/o4s" &n5t? Tlc, License u: do/ 2/0
Address: ?E ?el 7Loc?oe-- 134 +` Sr
City: State:171)A) Zip: 3? _
Phone: ContactPerson:Dpenni5 ??rd9ST°?q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ven5lation Category 1 Worksheet • New Energy Code Worksheet
Category Submined Submitted
(4 suhmlSSion type) • 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?
Yes ?LNo If yes, date and address of master plan:
_
LlcensedPlumber. Sa/? Phone•
Mechanical Contractor. 4411A !'7??ct-?hq cf ?i? Phone:
Sewer & Water Contrector: Phone:--
NOTE: Plans and Supporting'documeqfs that you sobmit are consldered•to be,,OubNc lriformation s45vrt7ons of ;
: the informationmay be classrfied as non Pubfic 'rf yvu providewspecitic reasorrs that wvv/d perinit?the Crty to3 =h
:6tincludel#hat the' are trade secreis
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with ihe ordinances and codes of the Ciry of
Eagan; that I understand this is not a pertnit, but only an application tor a permit, and xrork is not ro start without a permk; that the work wiil be in
accordance with the approved plan in the case of work which requires a review and zpproval
X D?nis F-
ApplicanYs Printed N e ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation .? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? Ot of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? OS-plex ? Deck ? Porch (screen/gazebWpergola) ? Multi Misc.
? 03-Plex ? 70-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous -
WORK TYPES
O New ? Interior Improvement ? Siding ? Demolish Building•
C] Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? ReplacemeM ? EgressWindow ? WaterDamage
' Demolition (entire building) - give PCA handout ro applicant
DESCRIPTION:
Valuation
Occupancy lp.G?
MCES System
Plan Revlew Code Edition Vtj yv LL?? SAC Units
(25%_ 100 % _)K j Zoning City Water
Census Code `/
?-l W( Stories Booster Pump
# of Units D
Square Feet
PRV
# of Buildings Length Fire Sprinklers
Type of Const. 45- Width -
Footings (new bldg) Sheetrock
? Footings(deck) FInaUC.O.
Footings (addition) FinallNo C.O.
? Foundation HVAC
Drain 7ile ' Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas 7ests Final
? Framing _ Siding:,5tucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
? Insulation _ Retaining Wall
Reviewed By: 1? . Bu ilding Inspector
RESIDENTlAL FEES: C rtV?
Base Fee
S
h 5r
urc
arge
Plan Review
MC/ES SAC (
Ct y I ?p
City SAC
Utility Connection Charge
S&W Permit & Surcharge ?
Treatment Plant ( ,? L
(9
Copies ^??
Total
?'tup/tvom
542, S'X??17? L/y,S
5`3,3a3,13
Page 2 of 3
A'IR
Perntik Nutnber
REScheckCompliance Certificate
2000 Minnesota Energy Code
REScheckSoftwaze Version 3.5 Release le
Data filename: UntiBed.rck
PROJECT TITLE: Bakken Addirion
COLTNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION T'YPE: Single Family
DATE: 10/13/08
DATE OF PLANS: 10/13/08
Checked By/Date
?l? a c
PROJECT DESCRIPTION:
Add a 16 x 6 mud room on the back of the garage. Add a 22 x 24
addition above the garage
DESIGN 6R/CONTRACTOR:
Krogstad ConstrucHon Inc.
4197 Lower 134th Street
Savage, MN 55378
Dennis Krogstad
Cell 612-369fi839
COMPLIANCE: Passes
Maximum UA = 467
Your Home UA = 443
5.1 % Better Than Code (UA)
Ceiling 1: Flat Ceiling or Scissor Truss
Wall I: Wood Frame, 16" o.c.
Window ]: Above-Grade:WoodFrame:Double Pane
Window 2: Above-Grade:Wood Frame:Double Pane with Low-E
Door 1: Solid
Door 2: Glass
Basement Wall 1: Masonry Block with Empty Cells
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Floor ]: All-Wood JoisUTmss:Over Unconditioned Space
Crawl 1: Masomy Block with Empty Cells
Wall height: 3.8'
Depth below grade: 3.5'
Gross Glazing
Area ot Cavity Cont or poor
Perimeter R-Value R-Value U-Factor UA
1545 38.0 0.0 46
3042 19.0 0.0 152
200 0380 76
186 0350 65
63 0370 23
21 0370 8
952 13.0 0.0 53
550 32.0 0.0 17
38 10.0 0.0 3
.s A
InsulaNon depth: 3.5'
Fumace L• Forced Hot Air, 80 AFUE
Air Condirioner 1: Electric Central Air, 10 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
AverageU-Factor AlLowedU-FacWr
Above-Grade Windows and Glass Doors 0366 0370
Includes Foundation Wiudows > Sb ft2
Floors Over Unconditioned Space 0.031 0.033
COMPLIANCE STATEMENT: The proposed building desigo descri6ed here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The pmposed building has been designed to meek ihe 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release ]e (formerly MECchec? and to comply wifli the mandatory
requirements listed in the RES checkInspection Checklist.
Builder/Desi?er Date /0' I 3 -0r
Date: 10/13/2008 Revision Date: 1011312008
Site Information
Address 1: 697 Oxford Road
Address 2:
City: Eagan County: Dakota
ApplicaUon lnfo,rTnation
Business Name: Krogstad Construction Inc.
Contact Person: Dennis Krogstad
Otrice Ph: 952-882-0381 Fax: 952-808-9002
Address 1: 4197 Lower 134th Street
City: Savage State: MN Zip Code; 55378
Existing ConsVuction: Pre 1994.
Project #: Bakken Addition
lot: Biock:
Subdivision:
MN Contractor License #:20171013
Cell Ph: 612-369-6839
Minimum Mechanical Code Reauirements Met
Will you be replacing ar adding a water heater, fumace, or boiler? NO
Will you be instaliing a decorative solid-fuel appliance? NO
Will you be installing an exhaust fan 300 CFM or greater? NO
You have met the minimum requirements for make-up air and combustion air as
required by the international mechanical code, as adopted by the state of Minnasota
with amendmenta.
Applicant Name (print): DeVkV\t"s Krd?s" Signature/Date:
Code Official (print): 5ignature/Date:
C) 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
11010, City of Eapil
3830 Pllol Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-5694
i ------------,
i ror omca usA i
I Pennil d: ___-?Q
I ?
? Pemiif Fee: 6/"/"?), 6-/? ? ?
? -- / ?
I
I Dale Recelved:
? Staf1----L-5?-'{ ---?
Z?Z'2r ?=Q
2008 RESIDENTIAL PLUMBING PERMIT APPLICAI
DatepA ;3? l? Site Address:
Tenant: Suite
RESIDENT / OWNER Name: A S/Y1 , ,( 11 Address / City / Zip: `.
?
SEP 15 2008
CONTRACTOR Name '?,?-UAa?q??? ? A t I °, nse fl: `-[, _l?? ?
f I r { t . "_ ..
Address: ?LY `?
?q -lJ?- --- ----- ? -,_+_---
c?-?, - ?--
City.-?-i_.??------- --?Slale. ----- n
1Q?? l ZiP:`
Phone`?? O19(6-1 Conlacl Person:vL?
TYPE OF WORK _ New \P-Replacemenf __ Repair _ Rebuild `Modily Space __ Work in R.O.W.
Descri Ilon of work: ' PERMIT TYPE RESfDENTIAL 1^
Waler Sottener - , '. - .:. ' .. .
? lawn Irrigation Add Plumbing Fixlures .
(-_ RPZ /_ PVF3) ( Main,_ _ Lower LQVeI)
Seplic System Waler Turnaround
New
_ Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Waler Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigalion (includes $.50 Slale Surcharge)
$50.50 Add Plumbing FixWres, Septic System Flbandonment, Water Turnaround' (includes $.50 State Surcharge)
'Waler Turnaround (add $136.00 il a 518" meier is required)
$100.50 Septic Sy51em NeW ($f0.00 per as built) (includes Counly fee and $.50 Slate Surcharye)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 Slate Surcharye)
TOTALFEES
i neneuy acKnowieoge mar Inis Inlormalion is complcle and accurale; thal the work will be in r,onlonnance wilh ihe ordinances anA codes vl Ihe City ol
Eagan; Ihat I understand Ihis is not a permii,-6ut only an applicalion lor a perrnil, and work is nol lo slarl without a pennii; Ihat Ihe wrnk will be in
accordance wilh ihe zpproved plan in the case of work which requires a review and approval o. ns.
AppflcanCs Prinled Name • , Aonli nYs S nnaluro
FOR OFFICE USE
Reviewed By:
Date:
Required Inspechons: _Under Ground _._Rough-In __Air Test Gas Test Final
.
RESIDENTIAL BUILDING
?J Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
V ?.
gN /v3
New ConsWCtion ReouiremenGS RemodeVFteoair Reuuirements Office Use OnN
3 regisiered sile surveys showing sq. B. of lot, sq. ft. of house; and all ioofed areas 2 copies of plan Cert of Survey Recd Y _N
(20%maximum lotcoverage allaved) 1 set ot Energy Calculations for heated addiGons Trce Pres Plan ReW _Y _ N
2 copies of plan shawing beam & window sizes; poured found desgn, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd Y N
iselofEnergyCalculations Add'rtan-indkatelfon-sResepticsystem On-siteSepticSystem _Y _N
3 copies of Tree P2servation Plan'rf lot platted after 717193
Rim Joist Detail Options selection sheet (bldgs with 3 or less unAs
Date ? I ? l e?q 3 Construction Cost 700 -
Si[e Address UniUSte #
Description of Work / Qd e,-
Mutti-Family Bldg _ Y XN Fireplace(s) ? 0 _ 1 _ 2
Property Owner 1t1 i Sa-h Telephone #(6S/ K3 7b?S
Contracror `Bast.
Address ?1 j7 ?-){? l 3qH' 77 City
State ? .? Zip Ss?i7 Telephone # (!a/?;L4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Cafegory 1 Worksheet • New Energy Code Worksheet
(J submission type) SubmiHed Submitted
. • Energy Envelope Calculations Submitted
Have you previously constructed a
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
:agan?,v?ith?a ?i",rr?ila
?
plan2 _ Y X_ N If so, 25% plan review
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 far a permit, 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 r ires a review and
approval ofplans.
.Prrrl r S 1</'dGfi,4,J `
Applicant's Printed N e ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 Ot of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
0 31 New
? 32 Addition
? 33 Alterafion
? 34 Replacement
Valuation 0 n o
Census Code L) 3 y
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const V d1
' a
? 30 AccessoryBldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroaf ? 46 Windows/Doors
'DemoliHon (EnUre Bldg) - Give PCA handout to applicant
Occupancy MC/ESSystem
' Zoning City Water
Stories Booster Pump
G
Sq. Ft. PRV
Length FireSprinklered
Width 1y
? 13 16-plex ? 20 Pool
? 16 Fireplace ?41 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch (screen/gazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Y or_ N ? 25 MiScellaneous
_ Footings (new bldg)
Footings(deck)
Foorings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. Air Test _ Final
Insularion
REQUIRED INSPECTIOPTS
FinaUC.O.
? FinaUNo C.O.
_ Plum6ing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/rep?acement)
Retaining Wa(1
Approved By_ Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
1 q y Iy )o Y0 s czeer,ea paRtM
lI XIy x 6 c7001 SPAce-
f t ?(v
506?` a RESIDENTIAL
?i BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstiuction Reauirements
• 3 registered sde surveys showing sq. ft. of lot, sq. tY. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• t sel of Energy Calculations
• 3 copies ot Tree Preservatian Plan if lot platted affer 711193
• Rim Jois[ Detail Options selection sheet (bldgs with 3 or less uniGa)
DATE ?r U'-o"
SITE ADC
TYPE OF
APPLICANT dd8r V8ll8Y EXmnO?h kic°
LTI-FAMILY BLDG _ Y _ N
°IREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ^,oan Ranids MN 8568 CITY STATE_ZIP
TELEPHONE #?b?J'7? a? CELL PHONE # FAX
PROPERTYOWNER P "_V &akQ=I'1 TELEPHONE#UN 'UOYI"-7d?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNliSO"PA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor.
Mechatucal system includes:
Sewer/Water Conhactor:
Air Conditioning
Heat Rccovery Systcm
I hereby acknowledge that I have read this appiication, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
OFFiCE USE ONLY
_ Water Soflener _
_ Water Heater
No. of Baths
?8i? a?-
RemodellReoair Reouirements
• 2 copies of plan
• 1 setof Energy Calculations for heated additions
• 1 sile survey for exlerior additions & decks
• Indicate'rfhomeservedbyupticsystemforaddNions
h b3
VALUATION ?V a? ) '
_ Phone # .
Lawni Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
i
? 1? i? ??j ?
I I', ? ? ?
Phone ?? 11 RY 2 2 2002
-----------°----- -
t-?omply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFI.CE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 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 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MGES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. - ` PRV `
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC '
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
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
Building Inspector
, PERMIT ?
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
BUILDING
000699
06f22J92
SITE ADDRESS:
697 OXFORD RD
LOT: 4 BLOCK: 1
HILLS OF STONEBRID6E 3R0
DESCRIPTION:
-Building Permit Type SF OWO
, Bu3ldYng',Work Type NEW
UBC pccupanc,y R-3 M-1
i Canstructioni_ype VN
Zoning R-1
8uilding Length ! 55
Building Width 35
,,8uilding stories! '1
_-
?'?.
r { ?(
REMARKS:
RECEIPT « Go1?15?}-
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
S&W PLBR
VALUA7ION
= PLYPIOUTH PLBG.
$121,000
$713.00 MISC FEES
=463.45 COPIES
$60.50 Total Fee
$700.00
100
$1,936.96
$1,610.50
E1.00
$3,548.46
CONTRACTOR:
CENTE% HOMES
5929 BAKER RD
MINNETONKA MN
(612) 936-7633
- Applicant - ST. L
19367833 00013
55345
WNER:
CENTEX HOMES
5929 BAKER RD
PtINNETOMKA PIN
(612)
55345
470
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot POn.
5tatutes artd City of Eagan Ordinances.
L
APPLICANT PERMITEE SIGNAT?
! l,(1{Ifl? Ci ?/ ? ,
ISSUED BV: IGN GRE
Control No. 0680
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 4 BLOCK: 1
697 OXFORD RD CENTEX HOMES
HIILS OF STONEBRIDGE 3RD (612) 936-7833.
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG
Control No. 0680
BUILDING
000699
86/22/92
NEW
INSPECTION
FOOTING „ .
FRAMING ..
INSULATION FINAL
FZREPLACE
_.. REMARKS: RECEIPT N
F
L
S&W PLBR. = PLYMOUTH PLBG.
L'u? ?yr?? ? ???•?+??
? ii i ? i, • I I•' ?'? ? ?; i
I . L I 1il:1 '?I I f!?
?.Ii.1 U ? ,.Ili,•tl?., r.
?'il? ?•??.?.I .,.1'11 , ?Pn
J
? .?
P, 4
I
0• M
'1 'Qi
.I1.1 ' I'I 1 :.0 1 1.I,11 1 11
t'f
?
CITY OF EAGAfV *3
1992 BUILDING PERMIT APPLICAT{ON )
681-4675 ?, ? •`? 1i.1?( 2_?REc;p: '
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL ,
2 sets of architectural.5 structural plans"; 1 set of
specifications, 1 copy of energy calcs.i
Penalty applies when typin? of permit is requested, but not picked up by last wurking day
of month in which re uest is made or lot chan e is re uested ance ermit is issued.
Date 5 / 2-2 Valuation of work
Site Address: LR-1 OXi'p-n Q.U
[
STREET STE 9
Tenant Name: (cgfflmerci-al only) ce-?7w V"µ?0,
LDT A BLOCK
?_ SUBD. ? LL S b F ?
?ror.?F3w?? 3 P V.I.D. M
Descri tion of work:
The applicant is: Owner Q? Contractor ? Other coesor;be>
Name Phon e
Property uST F1R5T
Owner
Address -
STREET STE / "
City State i
Company Ly,*? Phone
Contractor Address J?Zi `-4?k4.? QA 5i5l?ng 4-113 License # bQ 3 3 Exp.
City m?Nt?-coN? State f(kA ZiP SS??
Company _z1,Aat k?.aw,_A - Phone
Architect/
Registration
Name ?aN,? C°P- ",A?A<'a'
Engineer _
Address
City State ZiP
Sewer 5 water licensed plumber ?Pwozw(T rocessing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that th information is
correct and agree to comply with all appl' le State of Minnesata Statu es and City of
Eagan Ordinances.
Signature of Applicant:
. r. / ..
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
IN 02 SF Dwg. ? 06 6arage/Accessory ? 10 5wim Pool
O 03 Two family O 07 Fireplace ? 11 Res. Add.
? 04 Multi-fam. T.H. ? 08 Deck E3 12 Res. Porch
WORK TYPE
? 31 New ? 33 Alterations ? 35 -Move
0 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual)
(A1lowable)
UBC Occupancy
Zoning
i of Stories
Length
Depth
APPROVALS
?- N Basement sq. ft.
v-N lst Fl. sq. ft.
R-s rt-I 2nd F1. sq. ft.
pD TZ_3 Sq. Ft. total
Footprin t Sq. ft.
53? On-site well
35' On-site sewage
,
? 13 Comm/Ind New
? 14 Comn/Ind Add
? 15 Comm/Ind Rem
? 16 Public Fac.
? 17 Agricultural
•
MWCC 5ystem YES.
City Water Yes
PRV Required
Booster Pump
' Fire Sprinkler •
Census Code
SAC Code o/
Planning Building
Engineering Var9ancE
REQUIRED lNBPECTIONS
? Site ? Footing O Framing
0 Wallboard ? Final ? Draintile
? Insulation
E3 Fireplace
Permit Fee 713,00
Surcharge
Plan Review r7
3,k
License
MWCC SAC 1700.00
City SAC p 00
R
hdater Conn. 5 o
Co TI
Water Meter ,oo
Acct. Deposit a,p J
S/W Permit -so,no
S/N Surcharge , ?ro
Treatment P1.
Road Unit 3ga,6i?
Park Ded.
Trails Ded.
Copies - _?
Other
Total:
SAC % 100
SAC Units
raluat;a,: s'I 21? 046)
SS?rtT ' 13 x 1? 1
`. i2x??2y
etN,33? 31=95u
CsarZA"; zz ?24= S?_ 3
? 3s 5' :, (3 aa
{J X2/z,x2?Zr ?3).
9 x /?_`?9zn
a1GBxl9= IU?
lfy (,
IS'Y FlooTL ? ?? 6 x"' !W, ?3•4-?
_,__---------
f3sar?, ? ?.
ZS X 3 I " ???
If?lz x I = 1?
,
Asseysments
I EXTERIOR ENYELOPE AYERAGE "U.'_COMFUTATION
DWNER. DIITf: Z?.
? 3i?o
SiTE AUDRESS: ?1 SFD @ DF,EF,HE,H[T,HR,ST I'IIUNC:
CONTRACTOR: L?::dc_L,'}r'f2 PLAN $
Determine working square foota9e of each
1. Total exposed wall area..... ZC/ sq. ft. x.11 =
2. Total roof/ceiling area..... V' sq. ft. x.026 =
Total exposed wall area above.floor=_z344
a. Total wall window area ...........................................
D. Totai door area ............................. .....................
c. 7ota1 sliding glass door area ....................................
-
d. Total fireplace wall area ........................................
2 Total wall framing area (average 10:) ............................
f. Tatal rim joist area.............................................
net wall area a6ove flaor..................................... -
h. wall area above floor .....................................
i. wa11 area above floor ---•.................................
i. frame wall area at four,dation ................................... _
Total exposed foundation area= LF"f
k. Total foundation window area..............•......... t
.
1. Total net foundation area above grade .............. Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. 0?0l? X " U"
?
= .
. b. x °u°
C . X "U"
X wum
e. p?(p? X `U" .10 = 26.10 _
f. O(L/? X RVn_ 042 a 11.21 •
y, 7( "u"
" • .045 82.17
=
F
f• -- ,
f1. .C nVn a . .
. ?• X "Up ? ' .
• ji ,. X wUw
' a
If itero #3 is the same
<:•? " X"U"
k.
'; as, or less than item
. Ii, yov have met tfie
1,.. :;/1+D X`U" .133 = 7.98 intent of SBC 6006 (c)
3. ........... : ...................ToLal
= 251.76
?-?
_' ?.r ' yC.Mf?iil-?-+....? .-?.. •
' 747'
4. TQTAL ERPOSEQ RQOF/CE[L!t{G CALCULAT{OtfS:
Total exposed
roof/ceilinq area........ sq ft
J) Total skyliaht area....... ? sq ft x"U"
k) Tocal roof/cell(nq framing
area (Averaae Inx)...... sq ft x"U"
1) Total net insulated
roof/eeilinq araa....... sq ft x"U"
4. TOTAL j) thru 1) . O
If total of !h Ts the same as, or less than F2, you have met the inient of
2 }1CAIL 1.16008 Jt amd O.
ALTERtJATE BUIIDIMf E?(VE
_ '_OPE DESIGN
To utiiTze the total envelope system method, the
of items f3 and :?4 shall not be greater than the
, . ,,.199:?&??. + 2. 3 251.76 + 4. , O'
values established by thg su+n
sum of items 11 and A2.
z?_ a 3f3. a I
? ? 27i.ss
* 747 LLNEAL r'EK1 EXPUSEU WALL
BLOCK: 25.33F (L15•?+ l`?.• ?'•33` 4. 33 ? U- 3•u"!?''?' ?`?+ 165+- Zj- [.r •5? !; t3°
?
KNEE: ^
WALKOUT:
EULL 1: ?.33 ??L1 5.r.'j1. Is?t 4. 3rJ? L.33? 1?.. 3??+?.r 14 -1- 3'-4-ae' 3a {•e.l ?
Z r 1P.5 'f 1.t op` 14 ,
FULL 2:?.33.r IZi J?'.+r1'?X 3z? 11•5.? I-t- 1?.5 `- (?i?
FIREPLACE: -
RIM:
= SQUA&E FEET ERPOSED WALL ABEA
BLOCK: x .5 a (??
KNEE: ^-' x 5
WALKOUT:' - X g
FULL 1: X&,IV= ??Gr
fULL 2: X g
FIREPLACE: ? x = -
R IM • Z[! l L= Zee 7
LViNL
SQUARE FEET EXPOSED CEILING ??? ? ?
y-?
- - - - s _k
WINDOWS: DOOttS: 3'`
?t Z8
y lV ,,,, ( ?? PATIO DOOR ?
Zt;' I ?
f4
' BASEMENT UNITS:
SKYLIGHTS':
L?y.lt
7.0[?
?L. lbLe I? Of ePaiufl I.1a 1 1 ar e'O tT-tr
FYOrtk' GC?14tYJGE'W'+
?smc
rIAlL
ex6. lki
PttvV u., LL
R- VALLfE
CON,STRUCTION - P"RAMINf.' - -
1. jNTERIOR AIP. FIili 0.68
2. ,
3,
4. 1/2" SHFAIRUC 1.2
s. m8t , - :sz
6. R
= 9.99
U= .10
NET'
1.
2.
3.
4.
5.
6,
1. IM'FP.IOR
2. 1NS l.
3. Mlb?IF{
4. 1 / 2" M
5. DNff-
6, fE (FP
?J?JV
U= .042
BLACK
I I
? .
T ? p ^ ??
•: ° .? ? ???d
.: ?
. ?
4! _ r`
r13
??• ??
1= p ? • ? ? W _•
' t ? w Q •
•. ? .
1.
2.
3.
4.
5.
6.
FIU1 - 0.68
9.00 --
r?r _ ?z-
SlAB ON GRADE
- = .r. ..
?
.
?
/11
F7G aq LLL -
?
Eil f
---t_ ---• • - -. _ . .__
? / • h •' s.
. •
? ?. ? .
. , D • ., .
- =-
. _ _f_.. _.:___.. ?- .. ' ?
r
?
t+aTE: irmicaTe xYPe, nR^ vatue. nEPrx nrin
PLACf?NP OF,INSULATION.
Itr('ERIOP AIR FILH 0.6A
. ?
3/4" THERMAR 5.4
f RO'!'ECPjVi; (tARR]CR
EXIUUOR R
TOM R= 7.53
U= .133
V= .045
. • • . ROOF-CEILING
. ?.__.
i•
G1NS'1'1tUG"1'10N
R-VAL,UE;
? ??1 ? ' 1• INTERIOR AiR FTI.M ?y 51
• y_ ?=/ 2• 5/8" .YP. BD_ 58
? 3. INSULAT oY 4ti_.0,0-.
VFM' 4, g
45
8
.
0
t-t7 V ° .02
FRAME
i
yENTEp L] pIrAT glfU
- 1. INTERIOR AIR FILM 0.51
I I Up 2, , . P an i
U 3. UI,ATION 38.35
4. ' L•'X'TGK IZ AIR FILM 0.61
F'IG. ?RS TOTAL 40.15
, U = 0.024
CUUSTRUC'fIDN
1. INSIUE AIli FIC.tI
FIG. B6
O Q-5 -
. ••'
• ..
..?t. ?:?...
2.
3.
4.
5. UUTSLUE AIR EILM
U _
FRAME
INSIDE AIR FILM • 0.61
2.
3.
k.
5.
U =
1. INSIDE AIR FILM Q_SI
2.
3..
49.". ;?? ? 5. I[.M IMAL. 0.17
„ . .
,.,.?p .
r '.. . •• f"??.._ ?? ? U ? . .
NON-YFMED ? NOTE: USE ADDITIONAL SFIEE.TS If' HAFcE SPACE IS
NEEDID FOR DETAILS AND CALCiJLA1TON.S.
FEAT FIDW
. . UP . . , . . -
= c• _ _ _ _?.? :- rx . - _-? ?•- - -- 1_ .:a. _ . .. _
TTC+. 07
F'FAT FLAW UP {fFNTED
!;TTV OP &'hG1N!
C:ASbil:?r't. c T?li:hMi'.\iGt!... P?Cl;: s8
Pnl'i:tt 1.fJl(JE.'.i`)i=, -f7.f'i!3:P 0::2406
T.D P.
:::r-,M!:r M.r.c::iiA;_a.. ri r:.;UEF;in....r-_Y
;:>•M 9001 697 oXl-'C.;r.D Rr; 50,00
2'..5t; 900:1. 697 oxr-Oi,:z, :tD 0.50
;r.:iff] SdObi F;':?'i' OXI'{7P;D F,li i.Q(i
21i';:5 9001 697 Q:$F(7Rii Rri 0,511
;?r:',. i. 9001 E,`.J l (JXFCIR'i i ptll 40.00
t
,
,[i1:s:1 i;,,ce'ipl: 6?mnun1:.e 92o00
i',^t)652fi <?.
IJS;:.R :..!' NfaNl;Y
t,:..?...s,:n:,.:.<.,.: ....,.... ,...., 7r. $<.Ht
in ..,.. i.N... ?t
CITY OF EAGAN
3830 Pllot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMfT TYPE:
Permit Number:
Date Issued:
BUILDING
028941
10/01/96
SITE ADDRESS:
697 OXFORD RD
LOT: 4 BLOCK: 1
HILLS Of STONEBRIDGE 3RD
P.I.N.: 10-32992-046-01
DESCRIPTION:
ermit Type
?aLk Type
,,a' 't??•"
BASEMENT FINISH
ALTERATIpN
434 ALT. RESIDENTIAL
e
fi
REMARKS:
A 5EPARATE PERMIT SS REQUIREO FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$.50
$50.50
CONTRACTOR:
e
,.
' I Y12Y@by SCl'CIA,i7W,LQ47,gB 'C"'C i tl.c
informatian`. i.s correet a•rid`,a;gr
:5tatutes ah=d C?ty`of ??gan O,r'e
? . . • . p,t 4 .?
APPLICANT/PERMITEE SIG!(ATURE
OWNER: - Applicant -
BUERKLEY MICWAEI
697 OXFORD RD
EAGAN MN 55123
(612)681-2740
,
'- I
?.t
Aaua t` ? 6•:'? ?Ti . ? •? ?
liA.i ?
--?SUED ETY: SI ATU
CITY OF EAGAN 4 r v
15q41 1996 BUILDING PERMIT APPLBICA710N (RESIDENTIAL) ?(1
681-4675
New Canstrudion Reouirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 rnpies of plan
? 2 eopies of plans (inWude beam d window sizea; poured tnd. tlesign; elc.) ? 2 site surveys (exteiior addkions & deeks)
? 1 energy calculationa ? 7 energy caloulaUons for heated additions
? 3 copies of tree preservelion plan H lot platted after 711/93
required: _ Ves No
DATE: SCPE?'I?BC5 ? z3 atG CONSTRUCTION COST:
DESCRIPTION OF WORK: ??l?;?
STREET ADDRESS:
LOT ? BLOCK SUBD./P.I.D. #:
Dop= gl- z7 510
PROPERTY Name: Phone #:
OWNER ?. ??Ae+
• L7
Street Address
¢/Z-3
m? Zi
C A°'P " S
t
p:
ta
e:
City:
CONTRACTOR Company: Phone #:
Street Address: License #:
J
City: State: Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
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:
OFFICE USE ONLY
Cerlificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
G?ECI??NIC??D
S ? F ?99G
?? -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ,Er" 16 Basement Finish
0 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
n 31 New E'33 Atterations ? 36 Move
a 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System r
(Allowable) Main Ievei 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. 4414
Depth Footprint sq. ft. SAC Code C:q_
Census Bldg ?
Census Unit v
APPROVALS
Planning Building 0113 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122•1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32992-060-05
PERMIT TYPE:
Permit Number:
Date Issued:
G`I'l
-7- 8'0 OXFORD RD
LOT: $ BLOCK: -& ?
HILLS OF STONEBRID6E 3RD
BUILDING
033020
08/27J98
DESCRIPTION:
REROOF/STORhI
Bu.iltt5:ng--;Permit Type
Bruilding Work Type
n-Census Cdde 434
l.
?
y".
i:
DAMAGE
STORM DAMAGE
REPAZR
ALT. RESIDENTIAI
'
t r i L 3?
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC. OWNER:
WEAVER CONSTRUCTION 17357280 20018997 BURKLEY MIKE
10117 BRIDGEWATER PKWY 700 OXFORD RD
WOODBURY MN 55129 EAGAN MN 55123
(612) 735-7280 (651)688-6861
I hereby acknowledge that Z have read this
i:nform;ation is corpect and agree to com;ply
Statutes and Czty of Eagan Ordinances.
APPLICANT/PEflMITEE SIGNATIIFE
application and state that the
with all applicable State of Pin.
I
I ED BY: SIGNATUPE
LBL _ CITY OF EAGAN CITY IISE'ONLY
!"e -- PLUMBIIIG PERMIT
SUBI• 3 (612) 681-4675 RECEIPT
DATE ? U REBIDENTIAL
pLEASB COMPLETE IIPPER YO&TION ONLY EOR SINGLE FAtiILY DWELLINGS, ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQIIIRED FOR EACH U1QIT.
---------------------------------
WORK DESCRIPTION
NEW CON5T
ADD ON !
REPAI$ _
OWNER NAME: ,?"?7?
SITE ADDRESS: le;?2,97?Z
INSTAIS.ER:
CITY
ZIP: S ?
COMPLETE THE FOLLOWING;
N0. . FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 1)
WATEB CLOSBT . 3.00
? snxx zvs 3.00 ? J
? LAVATQRY 3.00 ??CJ
KITCHEN SINK 3.00 0_gJ
_ IAUNDRY TRAY 3.00
HOT TIJS/SPA 3.00
? WATER HEATER 3.00 ?
F3AOaR DRAIN 3.00
GAS PIPXNG OUT.
? (MINIMUM - 1) 3.00 ' 1CJ
? ROUGH OPENINGS 1.50
_ OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
$TATE SURCHARGE .50
TOTAL: S 15 G_ G d
GOMMERCTAT•
PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSQ FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWET.LING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME;
SIIITE J:
INSTAIS.ER: r
ADDRESS:
CSTY:
PHONE $:?
ZIP:
CONTRACT PRICE:
1% OF CONTRACT F'EE. .
STATE SURCFIARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
$
STATE SURCHARGE $
TOTAL:
FOR: (SIGNATURE)
CITY OF EAGAN
PHONE
CITY OF EAGAN
L'? B MECHANICAL PERMIT RECEIPT #/U
SUBD. (612) 6814675 DATE
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR 5INGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOR'NHOh1ES/CONDOS R'AEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNPf.
owxEx: L a-Z? IiAlll-196 FEES
STfE ADDRESS: /? ??? ?
r?r v MODEL
CADD ONSTRU ECPION OTT?LYIISTING $ 13.00
xvna aioo M sTu u.oo ,
L??ST. *4 i.?• 1 ADDTTIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MIIVIMUM 1@ $3 EA. ?,/
CTl'P: I II k S, ZIP: SURCIIARGE: $ .50
SIGNATURE: ? TOTAL: S
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAI. BUILDINGS. AISO COMPLEI'E FOR
APARTMENT BUII.DINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELI.ING UNl'P.
WORK DESCRIPTION: CONTRACf PRICE: I FEES
1% OF CONTRACT FEE. ?
STATE SURC?IARGE IS $SO FOR EACH
$1,000 OF PERMTT FEE $
PROCESSED PIPING - $25.00 r
MINP"M M - $25•00 1
wT 7 BLOCK ? SUBD. If:ctS 0?- a? s ?9 ?n,-m",
RECEIPT # c5//`,? fL87
CITY OF EAGAN
UNDERGROUND SPRINHI.ER SYSTEM PERMIT
1993
Date: /nAY S?`, /9`13
_ Commercial project
_ Residential project
FJCisting residence
Area/address to be sprinklered: (0'?7 CJXicfD RUA - L?fsA•'?, ?+N.
Installer: M 40-Street address• 6C?7 dX{?? ?D?
City, state & zip: L7)9 6+4i1.? i'?1 IO Ss/ -23
Telephone #:
Owner name:
5treet address: 07 G??'? h>,9,A)
City, state & zip:
Phone #: (a S?? ` (I??° ?
Irrigation contractor, if different:
Phone #:
I hereby acknowledge that I have read this application and state that the information is correct and agree
to comply with all applicable City of Eagan ordinances.
?-?7- N_c
?64
Signature of Permittee
New service required Ajo
s?
Fee due: $ Calculated by:
014 e&'-°t `
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 plumbing permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (City will oniy install taps up to 1").
b. Residential proiect: $ 15.50 plumbing permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
. $324.00 per connection - water treatment plant.
c. Existing residence: $15.50 plumbing permit -(not required if backtlow
preventor previously installed) however plan must still be
presented for approva] and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utiliry
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not eauired, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are rnmplete on a new
service--(engineering department will advise utility billing clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to utiliry billing clerk.
5. T'he installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
830 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
0 681-4675 Q
New Construdion Reauirements
? 3 registered site surveys
? 2 wpies of plans (inGUda beam 6 window saes; poured fiC. Eesign; etc.)
? 1 energy caleuladans
? 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes _ Na
DATE:
RemodeUReoair Reauiremerrts
? 2 copies ot plan
? 2 site aurveys (exterior adddions S decks)
? t energy calculatlons for heated additions
CONSTRUCTION COST;
S I KtL1?AUUKt ',: ?/ ?
LOT: -4z? BLOCK: -?- I SUBD./P.I.D.#:
Nazne: r Phone (0 ?
PROPERTY tasc ' G?-7
OWNER
Street Address: "
City State: YY1 1 N N 'Zip:
Company:?A?G?Z Phone 6S:Z- ?'G gC)
CONTRACTOR
Street Address: /,=?7 T2Z4F License #?M1917q 7
Ciry 2 Stare: ?'?/zl, Zip:
ARCHIT'ECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applipGon and state
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certdicates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
Not
Penaity appiies when address diang
and
with all applicabl
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation 0 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? OS 8-piex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Firepiace ?
0 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
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PftV
Booster Pump
Census Code.
5AC Code
Census Bldg
Census Unit
°k SAC
SAC Units
CITY OF EAGAN Pege 1 of 4
j PERMIT 40 WORK YITNIN CITY pROPERTY/RYGHT-OP-WAY/EASEMENT6 .oX?oKO kD, 0?9sni. rvtN- 5!5-i;z3
iidiuib oiIiorkLAig7)aAJ
Indfcata belov itema to be affected end include s ekatcfi or plan of 'vork to ba done.
. = Curb 6 Guttec _ Stxeeb Surfece
Ttdil/Sidevalk Trees: _ Pond/Wetlands Publie _ Trsfflc Control Devices/Signa _ prioete
Drainege UtilitSe"s
Structures/Buildinga Other
'Ocgpe
4. Method of Installatioa oz Conatruetion 41N? /? ^ r
!. Vork to Start on or after: } y end ahall be completed by: imless en
eztenaion granted to: by: .
DAYE STAFF/DATE 6. Vill detovring of traffic be nbcessery7 Q_. If necesspiy to datotit traffie,
describe puggeated route:
DETOl1RS: 'Phb Direetor of Public Rorks shall be notified in aritin¢ ee least 72
houts 1n edvance of any detov= Deing estaLliahed, changed oT diacontinuad.
NAHE0I+APPLICANT_rnik-E, . ???KCGY PHON6 6M_6061
?1 PLEASE PRINT
/1DhRiS$ck? rK /Llit). . $$-/Z.3
DAY
aaMei?tix >rnan air
The iiiid'eiAikn8A 6r6wleb $¢cepEA the texma and conditiac,s of chie permit by the City of kagen
as hereiii coiitdlned end agree to £ully comply therevttfi to the satiafsetion of the City of
Eagen.
Signed: /?? ? ? Title:Ow.wNIR63AV-7- DATE:
r
"""""""' _' _'""_"'"""' _"_' _"'"_"""""_""' _""_"""""_' __ _"""_"""""'
FOA CITY OSE ONLY AUTNORIZATION OF PE1tNIT
PIAAtiCIAL SECORITy: AMOUNT: TYPE:
?jJ',(cash,bond,iAC,6tn.)
Fee: $_?????y% \ Receipe No. _ Permit lio:
In conbid'eiation of agreement to comply in all reapecti with the iegdlations oP the City oF
6agdn eovering such operetione, and puravani to authoricetion duly given by ieid City of
Hagdn; permiesLon Se here6y grented Por ehe irork to be done da deaciibed in kh8 ltiove
epplictltion, seid voik to De dona in accordance vith 'apecial provleions ae haieby itdtbd:
ALL LEGAL REQtlZItE!@tiTS SAOAti ON REVERSE SIDE
YIT01 YAE DATE tiN6N pORIC IS COHPLE'fED MUST
v Yt.' 'P0P69tiC itORlC3
Y:
?F' .. , . DA E
AND 0 ALL SPECIAL PROOISIOAS TO SL COkPLIED
B6 REP T8D TO 'IAE EACAN CITY HNGI[CBER:. .
Yermit No. Page 2 of 4
PERTINENT REGUTATIONS
Sefety
_ 1. TreffLc shall ba allowed to pass and to be protected at all times. If it is not
. possible to allow traffic to pass, a sultable de[our mus[ be pzovided end plans
- dubmitted to the Director of Public Works 72 haura in advance: .. 2.Barricades ehall be erected in a mannei which will provide stiitable dieibility in ell
directiona. All barricedes shall be in good condition, and ell eigns shall he of auch
eize and legibility to provide adequate warning to oncomLng txafflc. At leest tvo 7"
flashing ember lighte shall be mounted on each end barricade with one on an advance
'vaTning sign.
3. Excavationa must be shored or aheeted when necessery to pxevent under-mining of
roadway, trailways, utilitles, or for ea£ety zeasons.
4: Guys or stays shall no[ be attached to trees on rlght-of-way or private property
w;thout written permisaion.
S. Flagmen shall be furnlshed by the party or orgenizatlon performing the work vhenever
the work being done cteates a hazard either to the traffic uaing said roed or the
peieannel engaged 1n the construction, or when dSrected to do so hy the City.
- OPERATIONS 1. Permit on Job--Permite or coplee ahall be kept on the slte of tha wotk whi18 it Ls in
progrese in the custody of Che indivldual in charge, and shall be eichibited upon
requeat mada by any City offlcial. 2. Proviefons end Specifications--These generel provisions, 'specificationa and Std. Pla[e
Y•1 shall be considered es forming an integral pact oF eech and every pexmit 16suad for
operations within Eagan. The wotk autharized by hhie permit shall be done at avcfi time
, and in auch mannei ea ahall be consiatent vi[h the safety of the publie and shall
confoTm to ell requi[ementa and stendards of [he C1ty. If at any time St shall 6e
found by the City thet the work ie not being or hes not been properly performed, tke
permittee, upon being no[ified by the CLty, sAall immediately [ake the neceesery 3Ceps,
et hie own expense, to place the work in conditinn to conform to said iequi=ements on
etendazda,
3. Execution--The peTmittee shall use diligence in the execution of t6e vork "autho[iied
under thie peimit in order not to endanger or unnecessarily obatruet ttavel a7ong any
road oc tieilway. Operations shall be sa conducCed at all Cimes ae to pezmit `eafe and
reasonable free tzaveT over the roads and trallmays aithin the limita of the work
hecein preseribed. All safety measures for eha free movement of traffic shall be
prodided by the permittee at 6ia own cost. ..
4. Con£ozmity to Ldws--The Lnetallation shall be made in confocmlty aith nll eppltcable
laws, regulations and codee covering said Sns[allations. All installetions shall be
mede Sn eonfotsity with xegulatLons of governmental agencies for the protection of Ch!
- public. . e. The applicent shall furnish a band or flnancial guarantee in the hmount to be
determined by the City which ie required to ensure edeqvate & timely ebmpletlon
of iepair. This bond or financial guarantee shall remain in effect fnr2 years
eubseqvent to completion of street repair to pro[ect the CSty fEom defeete iri
materiel, woxkmanshLp or nom compliance wi[h Clty S[endarda or specifichtlons,
Feimit No. Yage 3 of 4
b. The 'spplicant shall furnish evidence oP public llability liisiitance of not,lhse,
than $100,000/300,000 and pzoperty damage of not less thAn $25,000 issued by an
` Snsurancecompany 4tuthorized to do buslness in the StAte df kinnesota ori which
the Clty Ss named as en additional insured party: c. Except for the negligent ac[s of the City,its agents srid ite employees; [he
permittee shall 8ssume all liability foz, and save the City;.its, agent6 ahd its
employeea, hatmlese end defend same at Sts sole cost and expetisa f=am $ny and allclaims for damages; actions or causea of action arising out of the voik to be
done herein and the continuing uaes by [he permittee, including 6ve not limited
to Me placing, constructing, and reconstructing, maintaining, protecting and uee of said facility under this application and permit for construction. . -
5. Exidting Pacilities--The utillty facility end installationa shall noi intexfeie ieitkany exiating utillty facility on the City's right-of-way or easements. It is the
iesponaibility of the applicant to call for necessary locations of exiating ut111tLes. .
(Gopher One 454-0002) , 6. Private Property--The mork permit or permit £or cons[ruction as isaued does not in any
way Smply dn easement on prlvate praperty. . 7. Quelley of Work--Finished sutface, base and sub-base of road or trailway upon
completlon of work shall be at least equal to or better thsn specifications af ,
. oCiginally provided zaad or trailway in eccordanbe with City Standard Specificatlons.
Surfece ehall be finished within 48 hours voon comnletion of backfill.8. Cu[ting Trees--The pe4mission herein gzanted does noL confer upon the permlttee the
xight to cu[, remove ot des[roytrees or shrubbexy wlthin [he lega2 lfmtts of the
- iight-of-afiy, easements that are not specifically identified on the plsn s[tached tu
Lhis permit oi relieve permittee from ob[aining any consent otherwise requited fram the
oaner of the property edjacent [hareto, -
9. DrAinage-•Ali matenieys and lines of drainage shall xemain operative.
10. Pole Anchofc--Pole anchors, anchors, braces or o[her construction will be permitted
within tight-of-mey or easements and will be appxoved on a case by case basis: .
11. Dri"ving i.imitations. . a: Dziding or parking an City trails or sidewalks ahall only be permitted foi bhose
opeiations requiring dlrect access to the boulevard area. b. Vehicliis opeYdting br parked vithin the right-6f•way aree hhell utillie thelr
vatning flas6eis at all times.
c. ' Ve$icl¢a drivirig on trails or sldewalks shnll not opeiate in eaees's ot 5 miles
per hotir. Vehicles 'shall opera[e at slover speeds when weathP[ conditio`us, t=ai1
condl[lons; podr visibility, obs[ructed sightlines or otfier c6nditSons require
speciel precautiona to ensure the safety of: tiail users ertd thA gene'xal'public.
d. Diiving shall no£ be permitted vithin those boulevatd areAS 'mherb i1"Age Eo tvrf
.:tr6ilwaya oz othei infrastructure may occui. ; . - , . e, Vehlcle§ "shall not be parked on trails oi sldewalka in §ae{t A i0aiirteY ed fo
- iinnece6e8iily iiopede the safe and efficiiint use of c'ra"tiwaya"`ty,.ehe.gehgrai
putilic. "
Permi[ No. Page 4 of 4
.1
t2: Vetiicle's or equipment ttaversing roads or crailway suiface's ahall not utilize etudded-
or eheined tirea, caterpiller traction, or any other form of traction vkiich mill result
. . in ddma'ge to the aurfece. , i3. Clean-Up=-Stceet, trdilways and affected righbof-way shall be sciaped clean et the end
of each aork dey and awept clean after construction Sa completed end le£t in a neat and
, . pieaenteble condicion. , lA. Tr6es and Vegetation-Burning or disking aperatlons end/or the u"ae tif ehemicals td
eontrol or destroy tzees, brush end other vegeb9tion 1a prohiblted mithout prioi
epproval from the City. .
15. Replacement of Sod--Wherever top•soil and sod are disturbed, they shell be teplaced and
maintained satlsfactorily un[il the turf is established. The undecaigned hereby declares he/she hes read end will comply aith all the PERTINENS
kEGUTATIONS ae ateted ahove and relevant Clty Ordinances.
. . DATE: SIGNED:
Revised 4/93
LTSO1=Y8R14IT.£M
460 Of Y LiNt
<+ i
;
I
§XANE AS RE}AOlED
(3• MINIMUMj
sAME As pEMoVEu
Id' MINIMUM)
CLLrb d'nd Gutter shall be iemoved only 'after fiav cutting ie )oints and replacbd
: iaebtding io apeciflcations cx Stdndeid Y15te.
;' .
2: $liiimlrious p9vement 6ree rbmoved ahall be naw ctit prior to peeching. 1: iovlevardkod temoved shell be teplaced vith IDSidmum 4" of top'soil nnd "cultured 'sod:
4. '?i4i btiuminbUSeoeAr cburde shell be paved bei:veea M5y Lst und Novembmr 15th.foi
pexmanen't petcfi. Tempordry cold mix petch ehould be aied Novembai16t6 to April 20th
-(oi es p6cmiitFd by vedthei). . . '.
s, cisss fooX ei;ist;zd eggreBSea taae.
6. AAiriedd"ei'8nd ivaiiiing flAs66rs aze to be provided ed per MnDOT iifin"'td"s: ...-_Y: bittiminous £t&iltaay elosuie requiies Type II HnDOi bariicbd"e's 'vitff k1"ebhek5. .. ,
:. 8.Backfill shail be thoioughly compected by the ^Speci[led Deneify I?ethod" ot compsetian;
. All 'sulEgblE bAckfill matexial pleced below a deptfi of five (5) fbhE below the finhl
phvement eurface shall 6e placed in maxlmum lifts of ewelde` (12) to e1g{iteen (18)
lnbhe8 end compde[ed.tn a minimvm ninety-five (95X) percent oi AS1M Specikie§tion D698=
.. 641' (Stend'azd Proctor Density), method "A". All suitdble 6eckfill mpterSal,plieed
within flva (S) feet belod t6e fYnal pavement suifeoe ehell be pl8ced,fn iift"s xibt io -
bxcled tGe1vE (12) inahas and compacted to e minimum o5 one-fiundred (100Xj Oeicent ef
thd dbode ASTH Specification. , _..._.,..? . .. ?...,? ..._..... . , STqEET AND 91TUMIH , .. _ . .. -- .... ... :.?. ...,.?:,.
? t 6f +?? ?n out Tpb.ilwAY A?proJ€t!: pl?te j?d
' P(ALIC
' N10qK5 EXCAVATION /PATCH DETAIL
b? PARTNI?
...?:-. .?.,.... ,..,.?. ?. _ ... _._..._ .. .... . .. ..... ... ._: . __._. ....._z.??....?..e??.,.
TqAILVVAV I
PERMIT # 4
RECEIPT DATE: I 6 ^1? 0 {
US1DEN'1'IAL PLUM$IN6 PERM1T ?PPLICAT10N
CIN OP ERHALN
s$SO PIL07' KFOB iiD
6AHRN.INN 5S7 E8
681-681-4873
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation syslem
SITEADDRESS: l0¢7 ?kF0?17 !?n
OWNER NAME: : TELEPIIONE #:
(AREA CODE)
INSTALLER NAME: 'l 'P" i # 'b :7k'c TELEPHONE #: & C-f -22R' 7?10
STREET ADDRESS: 6 S'44'`,vv L400LI- 4'v av- (AREA CODE)
CITY: Sr Ayrl L STATE: ZIP: S 5Ja7?
Place a check mark next to the nermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installatioNrepair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
5eptic System, new/refurbished - $ 225.00
• includes County & Consutting inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5!8" meter 115.00
$ 165.00
State Surcharge •50
?
S?
5r'd
Total $
Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknowledge that I have read this application, state diat Me information is cortect, and ee to compl " appliwble City of Eagan ordinances. tt
is the applicanYs responsibility to notiTy the property owner that the City of Eagan assumes no ilify for ?fla&ea ges caus by the City tluring its normal
operational and maintenance aclivities to the facilities conshucted under this permB within ' e -ont.
SIGNATURE OF PERMITTEE Updated 9i01
-----?
? -- I
? Permit#: ,?
-761 7
I Permit Fee: 7?l •?i 1 ?
I ?
? Date Received: I
I +
I ?
I Staff: ?
L ____________
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: xi P,,?D Y"1!1
Tenant:
Suite #:
RESIDENT 1 OWNER Name: Phone:
? IPJ C??? ?N"+"? ? 1 ?a
Address / City / Zip: 02
5
_
,.,
CONTRACTOR Name: 5 6l?,r / ?t^??q Li C_ License #:
Address: Z
City: ` ,?1 J'? !r<^ State: ? Zip: .
Phone: Contact Person: Q
TYPE OF WORK _ New eplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Uescription ofwork: r? ?;J'A ct ???? ? Wu» ??v?.
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
? RPZ PVB) ? Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
"Water Turnaround (add $147.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 peras built) (includes Countyfee and $.50 State Surcharge)
$90.50 Fire Repair (replace 6urned out appliances, ducrivork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge ihat this information is complete and accurate; that the work will be in conformance witn tne ordinances ana coaes or me ury rn
Eagan; that I understand this is not a permit but only an appliration 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 approv lans.
x Q• ? A)?-a? X c ) ?/
ApplicanYs Pri ted Name ApplicanYs Sj nature
--- ------,
? For Oflice-Use?y I
? Permit #: /T
? ??`JU I
? Permil Fee: ?
j Date Received: -/f I
I ?
?_StaN---------------'
2008 MECHANICAL PERMIT APPLI
Date: '1_7 06 Site
Tenant:
Suite #:
RESIDENT/OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: K%1 la4 trHH'Y In)L ?r b"v( j7?AL License#:
Address: ? . C>, P)OX 37
City: IM?'L"I ?I P State: IMIA) Zip:
Phone: ?DI Z? I?I'?.3do [ Contact Person: ( y ?"t /?--E° h1+L--
TYPE OF WORK -New Replacement _Additional Alteration Demolition -
d0(!
Description of work:
NOTE: Both'roof mounied and gmund mounted mechanical equipmenils required to
be screened by City Code. Please contact the Mechanlcal Mspecior or one o/ the
Planners for information on ermltted screenin methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction - Interior Improvement
Fumace -
Instail Piping _ Processed
Air Condilioner _
Air Exchanger
- _ Gas _ Exlerior HVAC Unit
' HVAC units must be screened
Heat Pump Under / A6ove ground Tank L Install f_ Hemove)
&-/Other '" When installinglremoving [ank(s), call for inspection by Fire
- Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fif2 I"BPBif (replace burned out appliances, ducMrork, etcJ (includes $.50 State SUrCharge)
$ TOTALFEE
COMMERClAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 7%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- 11 Pertnit Fee is less than $7,000, surcharge is $.50.
- It Permit Fee is >$1,000, surcharge increases 6y $.501or each =$ State SufCharge
$1,000 Permit Fee (i.e. a$7,001$2,000 Permit Fee requires a$1.OD surcharge).
$ TOTALFEE
I hereby acknowtedge tha[ ihis information is complete and accurate; that the vrork will be in confortnance with the ordinances arw coaes or me ciry m tagan; mai
I untlerstand ihis is not a permit, but only an application for a permtt, and work is not to start vnthout a permit; that [he vrork will be in accordance with Ihe apprwed
plan in the case of work which requires a review and approval of plans. /J
x l?[.( " /L-ar 11? x t .Gi,`-f
Applicant's Printed Name ApplicanYs Signature -
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test _Gas Servioe Test In-floor Heat Finai
2422 Enterprise Drive
iC Mendota Heights, MN 55120
y* PIONEER LAND SURYEYORS • CIwL FNGMEERS (612) 6B1-1914•Fax 681-9488
T ? LANO PIANNERS • LANOSCAPE ARCHITECiS
eng?neer?ng-- ---- 625 Hfghway 10 Northeast
Bloine, MN 55434
?c * * [612) 783-1880•Fax 783-1883
Certificate of 5urvey for: C(;C1t2X. Incorporated
House Address: 697 Oxford Road. Eagan, MN
AA,lal Alnmc• 747 S
\ \
\ C
5.00
Ili, DJ21 ?,
0C
? ?.
x 900.0 Denotes
. eoa_o> Denotes
Denotes
- Denotes
--0- Denotes
--E3- Denotes
uA D
Existing Elsvation
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub Bearings shown
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation:907.45
Top of Block Elevation:915_56
Garage Slab Eleva+ion:915.23
are assumed
UEPr
LOT 4, BLOCK 1 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N
I hereby certify that thic survey, plan or report was prepared by me or un er my direct tupqerv.-?ision and that 1 am duly Registered Land Surveyor
under thy laws of the Stst¢ ofMinnesota, Dated thisl8rrly day of A,D,
• j.'
Scale: l(nch=30feet .? ' ?
R06ER ". SIKI S. REG. NO. 14891
105 91336.20
-4-
?'
?
" y ??----T-
?__-_--
? r
' ?
?
?.
---
-.---+--?'-=---- ?T '
? *- -- -
--
_`. + --- '.-- -- -r??tr ^ - -- ? - - ?-_ _ -
-y---
,._ - --- t- _
-- -
. .. .._ _?_ _
?
T-T
?1fi???1;,??ii , ? ;?,??,,?i?
r r
I
?
I
'._1 ,.
I?.?
l.?
_
c?C11LE : a;? a. ?? F7'
i
?
I
Y III
f.11?'?
- ,
, ,
_. .
?
4 ?. `M
sS•.
. „
`
t
X
.
a.
Y
?.`Y????. .?. .
4.,.
? . ... .
\
} ?
e.. ? ?
si
2422 Enteiprise Drlve .
Mendota He{ghte, MN 55120
??`'? ,? ,? .UNDAIRVEYORS • CML ENGINEERS (612) 681-1914•Fax 881-9488
.i,?UNO PIANNERS • LANOSCAPE ARCHITECTS 625 Highway 10 Northeast
Blaine, MN 55434
1(612) 783-1880•Fax 783-1863
f Survey for: CEI'1teX. Incorporated
House Address: 697 Oxford Road Eagan. MN
AAnrlal hlmmo• 747 1 . `s
\
?
oaz
?.?
?
, ? ' 0XFt
? ?
, ?pqp xEFx.rrr EPT
11 ?
,
x 900.0 Denotes Existing Elevation PROP05ED HOUSE ELEVATION
? :. ¦ 900.0 ;Denotes Proposed Elevation
y Lowest Floor Elevation:907.45
} - Denotes Drainage & Utility Easement Top of Block Elevation:915.56
Denotes Drainage Flaw Direction no?es§?Monument ^ Garage Slab Elevatfon:915.23 .
' `? ? ,? =? Denotes cOffset?HuBearings shown are :assumed; ` -
K ..1 = HILLS _OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA •-.ZRDAD-DI"TI ON : I hereby tertity qhst- tbk survay; plan or report was preppred bV me ar un er my direct supervision end thet i am duly R¢gistered lend Surveyor
under the lewe of the Stste ofMinnezota. Dated thle r deV o/ _ A.
...::. A,D. 19?.? . . . . . ..- ? . .. . 4? ?.. .
p
Scale: 1feet
ROjoEF . 51151 S. REO. NO, 14891 ,
.? ,. v
I - ` _' ,
=- " 2422 Enterprise Drive
Mendota Heights, MN 55120 ,
'ORS • CML EN4YNEERS (612) 681-1914•FO% 681-9488
• UNDSCAPE ARCHIlECTS 625 Hl9hWOY 10 NOftheaSf
Bloine, MN 55434
(612) 783-1880•Fax 783-1883
.\
\\ <
\
?
<. \.
.,
?
?
?,.
x 900.0 Denotes
x 900.o Denotes
-- Denotes
- ;Denates
---o- Denotes
rvey for: C81`lt@X. 1ncorporated
. jryU
Existing Elevation
Proposed Elevation
Drainage & Utility Easement
Drainage Fiow Direction
Monument `
-- F.4?.. 1
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation:907.45
Top of Block Elevation:915.56
Garage Slab Elevation:915.23
--e- Denote's Offset Hub -' Bearings shown are assumed
LOT 4. BLOCK 1 HILLS OF STONEBRIDGE
, DAKOTA COUNTY, MINNESOTA 3R D A D D I TI 0 N
I hereby Certlly that thta surveq, plan or repart was prePamd by me or un Br my diract super?vision end thet I am duly qegistered Land Surveyor
under the laws ol tha Stffie ofMlnnesota. Dnted this? day of ?A A.D. 19?qa.c?_,
J.
' /. ? f:• . - .
ro n,
S e a f e: 11aCh Zr?J? O feet q09ER . SIKI' .S. REG. NO. 19891
?
House Address: 697 Oxford Road. Eagan, MN
AAnricl Nnmo• 747 S
Use BLUE or BLACK Ink
or - O-fili-ce-U------------
I fs . I
1 V a- I
1 Permit 1
1 I
411N~ City of I Permit Fee: - co
3830 Pilot Knob Road 1 1
Eagan MN 55122 g-#Iejo~l Date Re eived:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff:
- - - -
2011 RESIDENTIAL BUILDIN rG PERMIT APPLICATION
Date: y a7-~~ Site Address: '97 e9y4w Unit
Name: F~ t.~ I b"', ~k e~J Phone: -GY? - 7GJ7$^
RESIDENT / (01??
OWNER Address / City / Zip: OA_~0 ' dkl_c
Applicant is: Owner _ Contractor
Description of work: eemove- &e lam C"i 444s 4- ~J~' COX ISh
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes / NO> ) J
Company: / V dw,574 r Contact: ZP k--0954-
CONTRACTOR Address: y(~J 7 La~~cSe~' 3y4, S1- City: Sa a,-e
State: AW Zip: Phone: Go%? 34-1 69"35
License -2-017/0 / Lead Certificate
I
Does this project require Lead Remediation? ❑ Yes ~rl No (see Page 3 for additional information)
If no, please explain: Ae"s-r- Alias 11(kci'lT /il 8,5'-8t.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr
D o of plans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: (1 6 3t
Permit Fee: G0,00
Date Received: 501113
Staff:
J
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5 ' -1 Site Address:
Tenant:
Name:
Address / City / Zip: (->(\"1
Phone:
Suite #:
Name: VEG E\J O S)),—(3 LLC License #: CfG •? r(N
Address: ) IA (L x•ctx...A-\ 1..�
State: 1(4\ Zip:
Phone:
City: t- 4EU 1 LL E N \j..J
Contact: p Email:
New ✓ Replacement Repair Rebuild Modify Space _ Work in R.O.W.
Description of work: Rte VSE PLS C-‘ xlu c ES G c
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
x
Applica
41,1i°
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: I s (QCI
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J ,9 3 _ 13 Site Address: 097 ox c,1' Rc:9\ •
Unit #:
Res dents' 'y
Ow er
Name: Gcu� � I Y --_--(..t,\ Phone: 651- 6 S'- 7075
,
Address / City / Zip: (-Q9 0 )C }CrJ PS
Applicant is: Owner Contractor
a Qf ®rk
Description of work: b1& rkJ t. 1'\ 42M01242- — tg 19 -2 -106 -'t -e- /-)/<-1"€
Construction Cost (\) 7 00, Multi -Family Building: (Yes / No )
Cont actor
Company: Krs Celt -1-(tAct6-vC Contact: 'Palo r'S Kf'o�.)--„,‘P
Address: 11 V ) (31 ST City: vct-Ore-
State: WA) Zip: 5-53-7 37 Phone: ld I a 3 Zo? 6,8--; 5
License #: QC- 11 l Bl -j Lead Certificate #: 25 -
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
,� "-1 1 c'igc-
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
ANO /E: Plains and
the information
...
supporting documents that our s, bmit Or considered o be public rnifa ma o ' `` or Mons o ;
maybe classif`ed as ' ;ori public i f you provide specific .reasons t at wo id pe 1>Ethe a
tha
5 .,r conclude tl eyar trade.. ecre
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Minnea State Building Code must be comple) within 180
days of permit issuance.
x -t-�v h l S ro S
Applicant's Printed Name
x AL
Applicant's Signatur
Page 1 of 3
DO NOT WRITE B LOW THIS LINE
11690
SUB TYPES
Foundation _ Fireplace _ Porch (3 -Season) _ Storm Damage
Single Family_ Garage — Porch (4 -Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_100%
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
_Footings (New Building)
_Footings (Deck)
_Footings (Addition)
Foundation
Drain Tile
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding Demolish Building*
Reroof Demolish Interior
Windows _ Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
n�,
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
ik Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Roof: Ice & Water Final Pool: Footings Air/Gas Tests Final
`. Framing Siding: Stucco Lath Stone Lath _Brick
Fireplace: Rough In Air Test _Final Windows
* Insulation Retaining Wall: Footings Backfill Final
Sheathing Radon Control
Sheetrock .� Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114420
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Bakken
697 Oxford Rd
Eagan MN 55123
(651) 688-7075
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119481
Date Issued:12/02/2013
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Kevin Betterly
607 Stafford Ln N
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 -
Paul D Bakken
697 Oxford Rd
Eagan MN 55123
(651) 261-2526
Better Air Inc
607 Stafford Lane N
Dundas MN 55019
(507) 663-1208
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132230
Date Issued:07/31/2015
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Paul D Bakken
697 Oxford Rd
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146480
Date Issued:10/27/2017
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Bakken
697 Oxford Rd
Eagan MN 55123
(651) 688-7075
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149877
Date Issued:06/13/2018
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Replace stone on front of house
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Bakken
697 Oxford Rd
Eagan MN 55123
(651) 688-7075
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164679
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Paul D R Bakken
697 Oxford Rd
Saint Paul MN 55123--394
Mcgrath Exteriors Inc
19454 Bauer Circle
Hastings MN 55033
(651) 283-7917
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167063
Date Issued:02/22/2021
Permit Category:ePermit
Site Address: 697 Oxford Rd
Lot:4 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D R Bakken
697 Oxford Rd
Saint Paul MN 55123--394
Mcgrath Exteriors Inc
19454 Bauer Circle
Hastings MN 55033
(651) 283-7917
Applicant/Permitee: Signature Issued By: Signature