4264 Braddock TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4264 Braddock Tr
Lot: 9 Block: 4 Addition: Northview Meadows
PID:10- 52100- 090 -04
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Jeff Sammon
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Kipp B Crawford
4264 Braddock Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Mechanical
EA078143
06/06/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Rarcel Files Cover Sheet
Unique ID: 2044
4264 Braddock Tr
105210009004
? CITY OF EAGAW
3830 Pllot Knob Road, P.O. Box 21999, Eagan, MN 55921 ?00
PHONE: 4548100
L?.
BUILOING PERMIT - • a?ipr # ?
T4 bs "ed fa' SF tWG/GAR,,:. Est.. Vaiue $52,000 Dat APRIL 5 19 ?4
'
?Sise Addmm 4264 F3RADDOCii TF. Erect 0.`S Occivancy R3
_ Lot 9 Black 4 ,Sic/Sub. NU VIETP1 14EAD . Alter Rl
14-52100-?090-09 [] Zoning ? ?
Percel Na Repoir Q Fire Zorie
? Enlorge [] Type of C.anst. v
oc Neme I:E'Y LAr•3Ia HQMES Move ? # Smrles
a?r? 3471 t-qo 173F:1] STm Derm' ltsh p Length
Cky ,.i ORDA'1T Phone 43 2- 6 646 Grade Q Depth r46 . Sq. Ft.
I
?. CL7 MS3'. CO. Il'dC e APP*lols IFees
9 Name
u4 Addreas • . E.
447-6128
Glty one .
Name - -
Address W.
Citv Phone bil-1875
, 1 hereby ocknowledge'thbt I hove read this cppllcction and state that
the information is coirrect ond agree to compfy with a!I cpplicabie
' Stute of Minnewtc Stntutes and City of Eogpn Ordinor?ces.
: Sigr?oture of Permmee
6 STe
CLA- ;A Building Permit is issued to:
ali `work shcli be dnrre tn ctcordcruue ith I ppli te Stote of r
BuNdiiv Offidal
Assessrmnt
Water 8 Sew.
Police
Flre
Eng.
Pionner
Counci
Bldg. O?ff.
APC
Permit -
_ ZU9.00
-
? ?
Surcharge 1
Plon check 144.50
sAc 525.00
Water Conn. 470.00
Woter Meter 63.00
Raad Unit 2 00
._._.'$1 ,7.7?5`: 5 0
Totol
_ 1 on the expres9 tondiNon thot
Statutes and City of Eoqari.Ordinandes,, ''
f?ermit Na. Permk Hotder Misc. Permh No. Halder
Ptumbk9 . ?
tfi.VAC. T J55
YYett
Wster
?
Sewdr Disp. ? L
Eiectric ? 't??'3'? QRR?N.? . '? Z????F ?7• `SI? }
?
Inepeatian Dete
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Footings i
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Fcundatfon -
Framin8 ?!1 ?
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Approaed
CfTY OF EAGAN 464-8100
? .
7`a VP
PL1111ABIN(3 PERMIT Permit Ne.
, -- - - - .f , ?- CiTY OF EAGAN
y- i-ee
-----?-??
Ffll fn numbered *wbar
- TY??srLfr?ttt?eglbl?r :
L-Date a. Insta1ratton CosT
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--???ddress- -
? 7. City State Zip
r?€ 8uitftg-'t;rpaa: ##esiderMat Ccmmerciai fl Iratitut€anal EI ._ = A
14ew 14 Adct 0 Aiter E3 --Repa?r ?_ ?`----
? -
91. No. Fixtures No. Fixtures
Water Closet CtupnQllDrainfisld
? - ? Sath tubs 8eirticTank
atoly Softner ?
? r 'f?ovuer w? -
Kftctt?n Sirtk
1
CASH RECEIPT
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CfTY OF EAGAN
P. 0. BOX 27-19$ ?
'EAGAN, MINNE$OTA 56121
AATE 19? ?
lmcmveo ?
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AMOtINT $
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CITY OF EAGAN
Remarks
?
?
?
?4dditlon ? ?1T ' k ?? ? WS
L;o 9
t I 4r?[ ' 10-521Q0-Q90-04 !
Pa?cel ?
I
Owner I?
Street ? ? ?
' _
State ? EACAN ?91?T 55123 ?
ImpMbvement• Date Ambunt ?'
F _ Annual s P?yment I, Rece ipt' Date
STREET SURF. 1984? ?? 7.?? i'',? i ?? 7.6$
1415
?STREET F#ESTOR'?.
GRADI
i I?
?
,
?
T ?
SEWER LA
8Z
9
1
9
.
.79
i
, ;
,
SAN SEW 7RUNK
?.QS1
1?$, $
6.92
I
.f
.
? ?
+
SEWER LATERAL i ?K ` 1984 27?i.'
?? 18.35
?
7 1981 ? ??. ? ??? ?. 36 A? 0141A5 ? 715/84
wa-rERnnaint 1984 ?U.67 4.71 I 65,96
014156
"
waTeR LareRaL ?i 1981 18.65 .93 !13.69 A 014155 7I5/84
WATER AftEA 1981 13$. H!. 6.92
5 711 ?.982 2?:,?2 ?? 1.48 23.64 ' 0I41?5 7 5 84
sToR?n sEw rRK
nn ! 1984 392.32 ? I 39.23 0141 6 "
S1'4RM SEW LAT
-DRAINAGE i ' ! 1984 33. 7 k 3.40 I 0 8 01405 7151 84
CIJRB & GUTTER? T ? I
SIDEWALk
I
S'tREE'T UGHT
ROAD IINIT Z50 .00!' #423831 4-5-84
wA-rER coNN.
r
,
470
.00
;
SUILDING PER. 42
SAC 5?.00
PARK
. _ ... _
? ? ;. ,? .?.? . , r..
.
cirY oNEacaN WATER SERVICE PERMIT
3830 Pilot Knob-5 oad
"
?' 5386
P. 0.
$ox 29199 PERMIT NO.:
Eagan, MN 55121 DATE: 4-10-84
Zoning: R2 No. of Units: I
Owner, CLA COT20t
Address:
Site Address: 47$4 Bxaddovk Tt'sil L9 B4 fdarthview Meadw/s ?
Plumber. DC M@Chsltiaal
Meter No.: Connection Charge: 4 • Qf? Pd
Size: Account Deposit: .` 00 P
Reader No.: Permit Fee: 10. 00 p
i agree to comply with the City of Eogan Surchargec '
0?dinonces. Misc. Chorges: • pd!ltet
Total: ,
BY Date Poid:
Date of Insp.t Insp
:
t
.
cirY oF F&aGAN SEWER SERVICE PERMlT
3830 Pilot Knob Road ????
P. 4 8ox 2'H99 " PERMlT NO.:
Eagan, MN 55127 DATE: ? 4-St-56 '
? Zoning: RC? ?i)II?t No. of Units•
Ow?r
i Address:
Site Addi
Plumber:
1 agroe to eomplp wUh the Cihr of Eogon Connection Charge: 425.00
Ordinan?. AtcouM Deposit: 15"
Permit Feer 10. p
Surchorge: .50 p
Bv . Misc. Ctwrges:
Date of Insp.: TotoL•
1nsP.: Date Paid:
cirY oF EaGaN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199
PIERMIT NO.: 53$6
Eagan, 4?FN 55121
DATE: ??}?Y84
Zoning: R1 No. of Units: 1
Owner. CLA CoW? 33t t?
Address: , .
ite Address: 46 4 .Bx' ??d(losz ?1?4 Ai??rthview ?iesdows
?lumber:
?Meter No.•
? .?? @C?rteion Chdrge: ?+7 0•00 pd
Size• " ? p?Account Deposit• 1 S. OO pd
, Reade Permit Fee: 1). 00 pd
1 agree to aomply with ehe City of Eagsn Surchorge: •50 pd
Ordinanees. Misc. Chorges: 63.00 PdmetE
` o TotoL•
gyC
e-z"',t= Date Paid:
Date of Insp.: ? Insp
;
.
_
CITY OF EAGAN
- f 3830 Pilot Knob P.O. Box 21-199, Eagan, MN 55121 N? 8942
Road
,
PHONE: 454-8100 ?
?
BUILDING PERMIT Receipt # ??
, J'?-
To ba used fo. SF DWG/GAR En,yal? $52,000 Date APRIL 5 , 19 84
Site Adtlress 4264 BRADDOCK TR. Erect EIX- Occuponcy R3
Lot 9 Block 4 Sec/Sub. NO VIEW MEAD Alter p Zoning Rl
Parcel No. 10 - 5210 0- 0 9 0- 0 4 Repair `? Fire Zone N/A
E
l
r T
of C
t
V
n
ge ?
a ype
ons
.
oe Name KEY LAND HQMES Move p # Stories
z Address 3471 W. 17 3RD S T Demolish p Length 3 9
City JORDAN Pnone 4 9 2 - 6 6 4 Fi - Grode ? Depth 4 6 Sq
`Ft
.
.
? CLA CONST. CO. INC. Approvuls - Ftes
Zo Name 5 E. 19 OTH ST
?? AddressPRIOR LAK 447-6128
?- City ?hone
Name DENNIS HALLQUIST
Address OOZ W. 80TH ST
City BLMT phone 8 31-1 87 5
Assessment
Water & Sew.
Police
Fire
Eng.
Plenner '
Council
Bldg. Off.
APC
Perrnit $ 289.100
Surcharge ` 2 6. 00
Plan check 144.50)
SAC ----?' S 2 5. 0 0
Water Conn. _470..0 0
Water Meter 6 3 - Q 0
Rood Unit 2 h n 00
rorol 1, 777 . 50
1 hereby ocknowledge that I hove read this appiicotion and stote that
the informotion is correct and ogree to tomply with oll applicable
State of Minnesota Stotutes and City of Eogon Ordirwnces.
Signature of Permittee
/1 Building Permit is issued to: CLA CONST.
all work sholl be done in occordonce with I uppli ble S te of inr
Building Officiol
on the express condition thnt
Statutes and City of Eagan Ordinances.
.,?.. y. ?
This request void
18 mpnths from .
A 4 5 6 38 L t,??.
Reques Da e
y/y
1? fire No. Rough- inInspection
Requir ? '
nReady Now 2}YC1TMotifY. Inspec-
tor Wh
R
d
a es ? No en
ea
y
wensed E ctrical Contractor I hereby request inspection of above
? Owner eFectrical work installed at:
Street Address, eox or Route No.
.
/
/z C ity
S?
0)4 v e,7,d 4
e 6 0 /v
ection o. Township Name or No. Range No. CountY
Occupa PRINT) Phone No.
Power SupI ? Address
Electrical htractor (ComDany N Contractor's License No.
mz
rt,,. _?,/
,
Mailin ddress (C tractor or Owner M.? g Instailation
Qs
Author' ed i natu (Contractor/Owner Makin Inst lation) Phone Number
MINNESOT/C STAT£ SOARD OF ELECTRfC?T ? THIS INSPECTION REQUEST WILL NOT
Criggs-Midway Bldg. - Room N-191 BE ACCEPTED 8Y THE STqTE BOARD
1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION "7 Ee-00001-04
45634 See instructions for completing this form on back of yellow copy.
A "X" Below Work Covered by This Request t 3q' y d
"^>
Rdd Rep. Type of Buiiding Appliances Wired r Equipment WireZfk
Home Range Temporary Service
Dupfex Water Heater Light+n,y Fixtures
Apt. Building Dryer Eleciric Heatin
Commercial Bidg. Fumace Silo Unloader
fndustrial Bidg. Air Conditioner Bulk Milk Tank
Farm otner pecify Ott;er (specifyl
t er SUecify Other Other
mmniitP lncnvcfinn Fap Ralnw
p F ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circ.uits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 260 qmpsl 31 to 100 Amps 31 to 100 A s
Swimming Pool __ Above 100_Amps Above 100_Amps
TransformerS frrigation Booms Partiaf/Oth ee
i ,igns ppeciai inspec:cion
Rerrerks p C/ ro-ra .? 4?.
.
°°a••-'^ ????? '? the E tr'
• ???? ? ?M/ ?." /' nspector, hereby
? certify that theabove Final ?inspection has been
made.
This request void 18 months
? i
?
2/84
?
F ? CITY OF EAGAN
;
/ APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROPE2TY ADDRESS : ?
r_FrAr• DESCRIPTICN: L. Cf 7- e ?. -- q
(Lot/Block/Subdivision or Tax Parcel I.D. Ntmber)
IF EXIS'n-•,:G STP,L=,jRE, DATE 0F ORIGi'itAL BliILLE1G PE7-, ",IIT ISS'JANCE:
P.rLF'.S= Z1^"7rCr,/PROPOSEDj L'SE• ? R 1 SINGI.F FAMILY
D R-2 DUPLEX (TGv'O UNITS)
[3 R- 3 'I'OWNHOUSE ('I'HREE + [.TNITS ) ( UNITS )
? R-4 APAR'Il`=/CONDOMNIUM ( tJiNITS)
Q CO[,4MEfZCIAL/F2EI'AII,/0FFICE
p IlMUSTRIAL
Q INSTITUTIONAL/GCti'E2Z=
2) AppLICA.W (PLEASE PRINT)
NAME: ?? ?,• ?/e1--/'t/? /??-7?-?a/
ADDRESS :
CITY , STATE, Z IP : ?'"E'???d` D?s?% ?'l , ` ,? '.> ?` 3 S" '2.._
PHOiVE: Y5;?7_ -- ??v ?C.
3) PLUMBER PLEASE PRINT)
FOR CITY USE ONLY
N?.
• ? ??? ?"4_ R , q96 L
ADDREss: PLUMBERS LICENSE:
active
CITY, STATE, ZIP:
? Expired
Pxor?: yy
7- ?6?
s
5 ?.d J PLUMBER LICENSE #
?-?- ...'
. ? Not of Record
J a nitia
4) OCCLTPANI'/C7n7NIIt lrLtnat rrcini)
NAME: /}` S
ADDRESS:
CITY, STATE, ZIP:
PHONE:
S) INDICATE WHICH PERMIT IS BEING REQUESTIM:
? CONNECTION TO CITY SE'VlER
CONNECrION ZO CITY WATER
? 0`I'HII2 (PIEASE DESCRIBE)
6) INDICATE ONE:
? PIEA.SE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
[?(J PIEA.SE MAIL APPROVED PERNIIT TO 1, 2, Q 4 ABWE
? w /n.. (Circle one)
.
7) S IaNA'ILTRE : DATE :
? ??;abw?? ? ? ?.r;?a.?. ? ? ?..?.???? ? ???????? ? ??,•k:???? ? ? ???? s
F 0 R C I T Y U S E O N L Y
PERMIT # ISSUED
I
FEES: $
$
$ ? • d-?'
$
$
$
$
$
$
$
$
$
$ ,
$
$
SEWER PERi1T'P (INCI.,UDE.. SUP.CF-iARGE)
WATER PERA'[IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TP.P
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK TgATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT #
DOES UTILITY.CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: e5.?-
TITLE:
DATE : -7L ?-,i'el" " ----
•ES.?w??????trwtss:w?????????+rt?rt? s?s+????t?-??r??s?ts?n...
?
CITY OF EAGAN Include 2 sets of plans,
?
L 1 Certificate of:Survey &
BPE:RN(IT APPLICATION 1 set of enerc?T cal.culations .
To Be Used For ?i??tr.e.y Valuation ? Date
Site Address: )q`N40o,+?xK 7-K-0,L. OFFICE USE ONLY
Lot Block -el Sec./Sub. /tqi?Awk.-etje,#ftC-Erect ? Occupancy
Farcel #: / ?;? -! Sa.1 U? - p cf D-? DfI A1ter zoninq R I
--T Repair Fire Zone
Owner: C)Enlarge Type of Const.
Move # Stories
Address: 3y11 /7 -3 i2?.?! Demplish Front 3 q ft.
CitY/ZiP Code: -? Grade Depth ft.
.? r1 ?t..r<1 ?? ???` ?i;?,3-"`? z..
Phone #: APPROTAI.S FEE.S
Contractor:
Assessments Pexmit "9
Address c Water/Sawer Surcharge '-?26
Police Plan Check
G-tY/Zip Code: reli'iU,2 1,,1Kc /?i,c' -L'3 •?2 Fire SAC ?S"
Phone #: ?g- Water Conn. ? 70
2-? Planner Water Nieter jo34 "A^
Arch./?g.: Council -- Road Unit P&Q
Bldge Off. .
Address : I 0, cqd APC
CitY/Zip Code. ::4:h' _ly-3Y/b'2 Phone # : 'IqTAI. ?, ? 7 ! °' J ?
?.
2 g c . -?
26«+
1 4l,• 5a-
525°+
470?1
63?r
e?
2 6 0
1777•?k
SORVEYOR'S' dEATIFICATE
PROPOSED GRADES WERE TAKEN
FROM THE OEVELOPMENT PLAN
FQR NORTHVIEW MEADOtJS BY
SUBURBAN EPJGINEERING, LAST
DATED 9-29-83.
KEYLAND FIOP",ES MODEL 3200
4264 Braddock Trail
o?
.? -
l rl ? ?il ( ?
I ? li I t l? ?-,.
30 ?
S89052'11"E 120.00
30.00 46.00 "
ti
h
._
O /O 1 1O.B3<?j
? ?"--------- 24.0 10.83 ?
'CI' JJ `,V
? ?, Q ?r?' 1? 4. (Q "' ?
LOT ?W
N o ? (4, ?o?? ?? `W ,
9»
22
0 .0 ? Q O PR4 BOS£C ,? •-
O
r ?
Q O DR! 't`?t?e N\(Q,?\ ? 2 O O ? i
? Z - ?22.\N --------- ? OW 5 C! -J
lO ?lO.0_0_: ? (471.y) i,-,10.00 ?i
Iq 11 h _
:. ? 30.00 -' ' 46.00
S 89°52'1 l"E 120.00
30
J
'
--f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUP9EN7 FOUND PROPOSED GARAGE F100R =9't,7.'7 FEET
X000.0 DEMOTES EXISTING ELEVATION PROPOSED LOWEST FL00R =
?
(000.0) DEFJOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =
q 5 - 0 FEET
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block 4, NORT4VIE41 MEADOt•1S, according to 'Lhe recorded plat thereof,
Dakota Counicy, Minresota.
AND OF TNE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHh1ENTS,
IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 7TN DAY OF FEBP.UARY, 1984.
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.
CORPORATiON
B Y :
ROBERTS ARCNITECTS BY:
DATED THIS DAY OF HAROLD C. PETERSON, LAND SURVEY4R
19 MINPlESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. NILL, INC.
84530 Pianners / Engineers / Surveyors
FILE NO. 8200 Humboidt Avenu• South
FO LDE R Bbotnineton, Mn. 55431 a 12-B84-3029
S3 ? 5? RESIDENTIAL
BUfLDING PERMIT APPLlCATION
cirY oF EacaN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction ReQUiremetrts
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ii lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ? - 77L RemodeUReaair Reauirements
• 2 copies of plan
• 1 set of Energy Caiculations for heated additions
. 1 site survey for exterior additions 8 decks
• Indicate +f home served by septic system for additions
VALUAtION 4 (AZ Qo. -6 J
SITEADDRESS q-ZA
oLA MULTI-FAMILYBLDG _Y _VN
TYPE OF WORK'?'i°,CY`??`? FIREPLACE(S) V-0 _ 1_ 2
ApPLICANT Catastrophe Restoration Services Inc.
STREET ADDRESS 2489 Rice St Suite 70
TELEPHONE #
651-734-9433 CELL PHONE #
?ITY Roseville STATE MNZlp 55113
FAX # 651-483-0219
PROPERTYOWNER ? E',.?---+??_'v TEIEPHONE# LgFph4c;qr4??
---------..................... ------------------------------------------ ------- ----------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
(4 submission type)
Plumbing Contractor:
Plumbing system includes:
MI'VNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672
• Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envefope Calculations Submitted
Mechanicaf Contracfor:
Mechanical system includes:
Sewer/Water Gontractor:
Water Softener
` Water Heater
No. of Baths
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowiedge that i have read this application, state that the information is/cgr?est?and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orpl?T?Cesj
Slgnature of
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
0 06 04-plex
O 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
0 10 08-plex ? 18 Deck
O 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg`Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 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 MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile pther
Roof _ Ice & Water _ Final _ Pool ^ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding Stucco Stone
? Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approued 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
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City of Etall
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 #: 1
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 III 0/I7 Site Address:
Residerntl
Owner
Name:
Li z4-0 o�Grr7aa-c
AN' 4 t..Aar-14' CfAiwizo
Address / City / Zip: 'la&y 73,4Decit7`-"
Applicant is: Owner Contractor
Description of work: Z 51 o
Construction Cost: tl
Unit #:
Phone: bi'.Z-?l- `r7Z8
Multi -Family Building: (Yes / No../ )
Company: e✓i C4sn.JG 4a7t Contact: `i" D
Address: 3DS /4r.v®ve5 7 Vis: S -
City: lie/70-'Lt LI -La"(
State: PIA) Zip: 650,8s- Phone: - 778 ` 2-64,
License #: 33334, 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Pians and supporting documents that you submit are considered to
the information may be classified as non-public if you provide specific,reasons,
conclude that the ;are trade secrets
ublic information.,
t would permit t
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x J 6S
Applicant's Printed Name
Pat o SOP/
x
Appli
nt's Sig .ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152261
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 4264 Braddock Tr
Lot:9 Block: 4 Addition: Northview Meadows
PID:10-52100-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kipp B Crawford
4264 Braddock Tr
Eagan MN 55123
(612) 251-9728
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164255
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 4264 Braddock Tr
Lot:9 Block: 4 Addition: Northview Meadows
PID:10-52100-04-090
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 -
Kipp B Crawford
4264 Braddock Tr
Eagan MN 55123
(612) 251-9728
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature