4370 Braddock TrParcel Files Cover Sheet
Unique ID: 2084
4370 Braddock Tr
104509104001
INSPECTIDN RECOR
. ?
CI7Y OF EAGAN PERNIIT TYPE. 13 +it, 1,??
3830 Pilot Knob Raad Permit Number: 0
Eagan, Minnesota 55122-1897 Date Issued: 10 .? ?? 6J 14 F"
(651)681-4675 - ?
SITE ADQRESS•'' APPLIGANT•
• c. cr ? ?? ? t. € r? c ? . ? ' i
=1 ? '+•? ???s??3?Pi4"!?„ ? ??r sills ? fr r? ti€'i?F? #3?!I? s'Ci
1_t Y it4 0 1 1.t 4`7 P 0 1N f I tYE F" 'I IE
PERMIT SUBTYPE: TYPE UF WORK:
0, p 0 rkfw • ., • .,
4'i
Permit Holder Date Telephone S
SEWERI
WATER
PLUMBiNG
HVAC
Inspection Date Insp. Comments
FOOTINGS .
FOUND
FRAM4NG
ROOFING ;72?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
tNSUL
GYP BOARD
FIREPLACE
FIREPtACE
AIR TEST
FIIdAL PLBQ
FINAL HTG
ORSAT
TES7
SLDG FINAL
DOMESTIC
METER •
lRRIGATION
METER
FLUSH
MAINS
coNOUCriVirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
.?
?ttp Of (tagan
evat"Ir? of Taddbg jrtsprttnn .
?` . . ? . ??- ?... .?
,. . . . .. .. . . _ . _ ??. .??..?..w _.._.L_ _??_ _y_...,N?..?y_._.. . ?
Aaaress : 4370 BtiADbOQC TRAII, Lot 4 Sik 1 sec/sub LEKRUTt)N ppINM 77H
Thase items were/were not complete at the time of the final inspection.
A ll 92
. Yes No Tnqppr
Final
grade (6" from siding) ?
Permanent steps - garage
Permanent steps - raain enery
Permanent driveway
Permanent gas
Sod/seedad grass L
Trail/curb damage
Porch
Basement finish
.
Deck ?
Please verity with the buiider tha removal of roof test caps frrna the plwnbiag
system and the shut-off of water supply to the outside lsvn faucst befors ?
freeze pvtential extsts.
.s?awiw.
White - City copy Yellow • Reaident copq Pink.- Contractor copy
nuuyirni myNecuon
Required7
es ? No
? Ready Now 21fil Notify Inspector
When Raady?
1.2 icensed canUactoir 0 owner hereby request inspection of above electrical work at:
Job Addre (SVSet, 6ox or Route No.)
6 ?? City
?
Sectan No. Township Name,or Na. Range No. County
?.
Occu ,91(PRINT) ` .
? ? PhOne No. . .
Power.Sup 'r Addre ss '
Electrical Contractor (Company Name) - r CoMract icense No. -
Maiiing Address (C ntractor or Owner M king Installation)
? W f ?
Awtho^riz? Signature fCOntracto ne?r yMakmg InS 8 On) e \ Phon jNu ber f / / ?
t!/t n, ir . ?.l- 1 n wni 1 ll ? ?'t!7 ?//? "'f'
MINNESOTA STATE BOARp OF ELECTRIaN ! TH1S INSPECTION REQUEST WILL NOT
Griggs•Midway Bldg. - Room S173 BE ACCEPTED BY THE S7ATE BOARD
1821 Univetsiry Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-U800 ENCLQSED. .
REOUEST FOR ELECTRICAL INSPECTION ., ea-0oaoi-oe
? See instruclians for com letin this form on hack of Ilow co '? ? '
? ?' ?D?4/
J
_ 653 91 1C
" Belod Work Covered by Thrs Request
e Add Rep. Typapf8uitding AppliancesWired EquipmentWired
Nome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spec'rfy)
Comm./lndustrial Fumace
Farm Air Conditioner
Other (specity) CoMractarl; Remarks:
Compute Inspection Fee Befow:
# Other Fee # Service Entrance Size Fee # CircuitstFeeders Fee
Swimming Pool 4 to 200 Amps '-- 0 to 100 Amps
Transfarmers Above 200 Amps Above 100 ,4mps
SignS lnspector9 Use Only: TOTAL
' Irrigation Booms 20 .0 Q
Special Inspection
,
AlarmlCommunication NOT
THIS INSTALLATION MAY BE ORDER JP)ISCONNECTED IF
Other Fee COMPLETED WiTHIN 1 S t
I, the E(ectricai Inspector, hereby
certify that the above inspection has
been made. Rough-in
!
p?? f paeD
P'
OFFICE USE ONLY
This request void 18 months from
, ..
INSPECTION RECORI
CITY OF EAGAN PERMIT TYF
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t 0 I„ APPLICQNT:
j? <fci V)KaDD,3c.r- rr: A <<?'M Mr.I€) A uEW.-A CORf.,
1 I`#fi E 0 hl t'i? !lV t t" 1 I 11 4 !',:,'....6 6 4 4 ?
PERMIT ?,Y,PTYPE: TYPE OF WORK: Nt_W
INSPECTION .. . ..
f N ?3If t A I i VrwA t.
?'1 i? C?' f•' V o? i. ?:
le 1.04 lil,,F lJ { (1hFUFeAf" Tf1F, _ J F.I (q rtt.tA D# F'I.V, ii
` . ?
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIG
Inspection Date Insp. Comments
Footings I ;717
Foundation -1
Framing
Raofing
Rough Plbg.
Rough Htg.
I5ul.
?
Fireplace ?
Final Htg.
[
Orsat Test
¦..?V
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
o -
6
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
New ConaW etlon Reauirements
. 3 registered site aurveys shawing sq. ft. of b4 sq. fl, of Muse; and all roofed areas
(20% maximum lot croverage allowed)
• 2 copies of plan showing 6eam & wiMow sizes; poured found design, etc.)
• 1 sel M Eirergy Calculatlons
• 3 copies M Tree Preservation Poan if lot platled ailer 117193
• Rim Joist Detall Oplians selection sheet (bidgs wilh 3 or less uniLs)
DATE 11111101
E-00rz
I '?? -iS
RemodeUReoair ReouiremeMs
• 2 copies of dan
• 7 set of Erergy Calculations for heated additions
• isitesurveyforexterioraddifions&decks
. Indicate'rf home served by septk system for add'Nons
VALUATION 6097,04 1 1 2'7S
SITE ADDRESS Lf376 D?A(300d? Tg-Ril. MULTI-FAMILY BLDG _ Y YLN
TYPE OF WORK }eat 6Ff & Cecoo'F FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT TRYwtt 15R0CK cdNP.
STREETADDRESS 3S61 t,ynroRLE RVE• S. CITYMiNUe{tPoW S STATE MN zIp SSq6$
TELEPHONE # ?SZ•??• Z'°oo CELL PHONE #
FAX# 612• 92-Z.7000
PROPERTYOWNER JftcoesaN, m+d"- y TELEPHONE# (og3. 05'72
Energy Code Category
(J submission type)
• Resldentlal VentllaUon Category 1 Worksheet Submitted
• Energy Envelope Calculations Submltted
NOU 2 1 2002
Plumbing Contractor:
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
._ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672
Plumbing system includes:
Mechanicai Contractor:
Mechanical system includes:
Sewer/Water Contrador:
Air Condiaoning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin n?
Signature of Appiicant
OFFICE USE ONLY
Water Softener _
Water Heater _
_ No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
I
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 08 04-plex
O 07 05-plex ? 13 16-plex
? 08 OB-plex O 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 OS-plex O 18 Deck
? 11 10-plex O 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 13 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion p 37 Demolish (Bldg)" O 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entlre 81dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code . Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FIaming _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemeM)
_ Insulation _ Retaining Wall
Raqe Fep
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
Approved By , Building Inspector
Total
? CITIf{OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE•r'
Permit Number:
Datelssued:
Control No.
BUILDING
000959
87(66/92
SITE ADDRESS:
4370 BRADDOCK TR
• ..LOT:.4 . BLOCK: 1
IEXINBTON POINTE 7TH
DESCRIPTION: '
1A',ifx's1 g Permit Type SF OWG
? Builditt Work Type NEW
ItBC"'4c0"Up y R-3 M-1
' Construct ion?--7ype V-N
Zoning' . PO R-1
9,uilding Leng?th_ 42
. Suilding Width ^a, 46
n-nfa•i `- - , ,_.. ??
m
REMARKS: C O I() -1 `4 5
S& W CONTRACTOR - TOM HES3IAN PLBG
FEE SUMMARY: VALUAT.IpN $164,000
Base Fee ._.....;653.50... ..MISCELLANEOUS $1.610.50
Plan Review $424.78 Total Fee $3,440.78
Surcharge ;52.00
SAC =700.06
SAC $ 100
SAC Units 1
Subtotal ;1,630.28
COPATfA5T??; - APP cant - sT. LICpWNER:
6& DEVEL CORP 14526644 0001854 PARISH MKTG & DEV CORP
3799 BRIARWOOD LN 3799 BRIARWOOD LN
EAGAN MN 65123 EAGAN MN 55123
(612) 452-6644 (612)452-6649
I herebq 8bknowTedg°e that'T` have reai tki's `applicAt'io'n'-an? state"thatf the f
information 3,s oorrect and agree,,tq com{?,l,y +,rith gil],,;spp„licable, State izf Nn.•.
5tat6tes and City of Eagan Ordinances.
?- - - - -- --.., ;; - - __._. __-- - -----____ -- - - - ?- - - %?- - -
?.?
PLIGANT/PERMITEE SIGNATUFiE ISSUED B SIGNATURE
INSPECTION RECORD I Control No.
CITYOFEAGAN PERMITTYPE: euxLozNG. _
3830 Pilot Knob Road Permit Number: 000959
Eagan, Minnesota 55123 Date Issued: 0 7/ 66 / 9 2
(612) 681-4675
SITEADDRESS: Lor: a
4376 BRADDOCK TR
IEXINOTON POINTE 7TN
PER%Ij 1eTYPE:
sLocK: i APPLICANT:
PARISH MKTG & DEVEL CORP
(612) 452-6644
TYPE OF WORK:
0A"1
INSPECTION
FOOTINO ., •
FRAMINO .A
INSULATION FINAL
FIREPIACE
PERMIT.# Q.6
CITY OF EAGAN '
1992 BUILDING PERMIT APPLICATION
681-4675
. ?Sft S Q ?F??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy catcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made lot chan e is re uested once ermit is issued.
Date 6 ? 30 ? 92 Valuation of work
Site Address• 4370 Braddock Trail
STREET STE f
Tenant Name:
Lm 4 gLaK 1 SUBD, Lexington Pointe 7th PI p *
Descri tion of work: Si le Famil Home
The applicant is: ? Owner B Contractor 0 Other (oes«tee)
Name PARISH MARKETING & DEVELAPMENT CORP. Phone 452-6644
Property usT FlRST
Owner
Address 3799 BT;arwood Lane
STREET ' STE t
City Eagan State Mlm' , Zip 55123
Company same as above Phone
C011t1'8Ct01' Address License # 0001054 Exp.
City State Zip
Company Phone
Archftect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber Tom Hessian PILmbirig - 432-6898 Processing time for
sewer & water permits is two days once area as been approve .
I hereby acknowledge that I have read this ap cation and state that the information is
correct and agree to comply with all applicab e Sta f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
urrm.e uat UnLT
BUILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Bldg ? 09 Basement F9nish
El 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
O 04 Multi-fam. T.H. ? 08 Deck O 12 Comm./Ind.
woRK rrPe
eO 31 New
? 32 Addition
O 33 Alterations
? 34 Repair
O 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
O 37 Demolish
? 99 Undefined
i ?, .
.. ,
13'13Public fac.
13114 Agricultural
? 15 Miscellaneous
Const. (Actual) VIII Basement sq. ft. S S MWCC System k
(Aliowable) V lst fl. sq. ft. City Water ?
UBC Occupancy -3 Nr-/ 2nd F1. sq. ft. 1 z PR4 Required
Zoning 7? R-I Sq. Ft. total 8ooster Pump
i of Stories Footprint Sq. ft . , Fire Sprinkler
Length ? On-site well Census Code /m
Depth G. On-site sewage SAC Code -37-
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S
13 Site E1 footing E3 Framing a Insulation
O Wallboard E3 final E3 Draintile Q fireplace
Permit Fee wiu.srm: s IO
surcharge
P]an Review Ga
License
v?-z0? Y ?
-
MWCC SAC ?
3?
k S- _ -6
Zz,.rzo.rlG='?oya
Water SConn. S s
Water Meter
Acct. Deposit
S/W Permit z. y= laog
S/W Surcharge
Treatment P1. -z zX .2 = yy
Road Unit 2,+- S -- 36,
Park Ded. ik 9, S= 9
.r
Trails Ded.
Copi es .
?-----
Other
Total: u EN
.
sac % 2?XZ??.s3 = 30 31` /o 3/ p rs
SAC Units ---j-
-
T
RI-L;
A
, SUF
SITE P
LEGAL DESCR
Scale 1" = 30' .;
D C0.
:YING
JICES
(N FO R :PARISH MAR,KETING
ION: LOT4, BLOCK-1-, LEXINGTON POINTE 71h
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
ADDRESS: f 70 BRR?b2CK TQ
..tly.
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I hereby certify th0t '
rsport was prepand
diroct supxvision and
; Repistered Land Sui
Lnws of the State of
,,
?? 4
?. ?' ..
)k1,JkEN T
JB SET
IG SPOT
TION
16 SPOT
IT I ON
iE DIRECTION
survey,plon or
ns or undsr my
I I om a duly
or under tAis
iesoto.
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aee Y,so ? `` ??
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9 1,
NoK WAlkow+ 4 - Le&eL
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATI.ON f12SdL
PROPOSED FIRST FLOOR ELEVATION =97SS.16
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE VERIFY ALL FLOOR MEIGHTS WITM
FINAL HOUSE PLANS
rt %
Bradle . Swenson, Mn. Rsq. No. 15235
Date !,4(291°2
f
- - ?M
h' ^f ? `
?
_sT cRolx i?
Lh1'lttIUtt I?NVLIqI'Ii AVIiRAG[i "U" (;O;dpU7'ATI011
SPCL' AhDItL•'35
cor,rRncrox?i?itts.v
DA9'8 - - - - - -- - - N1IONG .. .?... ,;So"= a,--
Deturm:ne Norkinq squara foo[age oC eacfi.
1. :otal cxposod -aal•_ erQa .,..... ,O icy. ft, x .ll . ,j.fr
2. Tvtal roof,cciliny arca ....... 1097 d yy. ft, x •025 .?
:oral rx;osed val.l area abovo floor
a, ^.'ota! ?4,111 vi:.dou arua
b. :qca: door arca.......
....
c. ?otal c<liCing qla<_s dcor'arca ........ ..................... 46M,8 ---
??. TOLSL f1Y8'y7ldCL' 4q?i 3:t`d ............ .................. _4, . 92 ?Wfi- ..__ '
e. Total wal.l fram:ng are,i (rva_aqq 10t) ....................
?j? _-
f, Toral net ?.+all area abevc fLoor...... .....................
C
g. ^,or.a: rir, joisc 3,aa ............ ...................
Tatal exposau zot:ndation nr c:a ? .of- 3
h. Tota: foundatior.?.+ir.do.: atca ......... ..................... O
i. Total nr[ foundaCion area aL:?,ve grade ,....................
Deterninc "U" value of car.h vall seqment.
a...?? 7 x ,.,,,,
b. x •?,• _.096 _-..? •
._.. -. . _ , -_ ...,.....?...?.?....:`.?- -- -
c. x ,.U,. .S.g" . ,(SB
d. a X "U"
e. a,y, Z x --u.,
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IC itcin N7 iz Chc sume as, or lec:; thon itum ql, you hnvc m.et chn Jntanl
of suc Goor.(02.C96fv #.?? 40//iC 4)
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Tota2 expusod rouf/ociliny nroa
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` j. Tpka1 skytlght aCea....................................... --?---
_?::....= '
k. Total cuc:/cci:iny Cr:Ln:ng orva (avurayu 1D'e) .............
Total nQC :nsu:aCed rooE/cuiltin; arca ....................
'
Det,:zmine "U" valur_ for each rooE/ccilinq scymen[.
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•• 1. ?SL,LZ..___._ x?• u - ?• D11 / o aZ0 ? 7
4 ............................ . ......T4Cd1
If tctal oE 04 Ls tha same aa, or lass n M2, you hava met thc intOItiC aif;w,?'
...
SBC 6005 (c) 1. ?f W y ai-GQ,F,,,l ??• p, G_ ?-?/rv 1'b 2. Z7 y
i.2? "'e-A -IuP? s13 c4, oo G Cc,J
Alternate eu:;dinq E elopo Dasign
?o utiiize thn_ total envelopv cystea methal, t;ie va;ues ustablich•id by tha
eu„r af item? s k3 and ka sha:l nat ba greatcr than the sum of items pl and 03,
?. 7 3s•?, + z. 2-P. ZG3.o _
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? •? s (I c, ? r,..e ??+.?l•y?.?, ??--? •
, ; PERMIT
? CITYOFEAGAN BUILOING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 033797
(651) 681-4675 Date Issued: 1 m( 2 6/ 9 8
SITE ADDRESS:
P.I.N.: 10-45091-040-01
4370 BRHDOOGK TR
LOT: 4 BLOCKs 1
LEXINGTON POINTE SEVENTH
DESCRIPTION:
T.O. & REROQF Bu'_?It Permit Type STORM OAMAGE
B?:? ?'? rt..? k T,y p e R E P A I R
f$$$I,.„:1?t?'S?i?r t- ' 434 ALT. RESIDENTIAL
R
REMARKS:
FEE SUMMARY
AC??NTRACTOR: - Applicant - 57. LTC. OWNER:
TTER ROOFING Cp 14603326 20144134 JACDBSON hIAREY
22428 CHIPPENDALE UNI7 A 4370 BRAODOCK 7R
FARMINGTON MN 55024 EAGAN' MN 55122
(612) 460-3326 (651)683-0572
? ... ?„ 3?,3mwu?.?,aiNxs?? a. ?a,a•,.sa..
.t4Yx}?Y+?a.eK tl+it4p 4 +;? 1!'
x' hy ginq.for,m.ao:?RrA? 0 ?04 t
^y'. a
i ., ab???"?`@???d'*?' •??$"Ada?"?iat?4" ?"??t???FC?
?r-
APPLICANT/PERMITEE SIGNATURE
a4 . ? . ?'j,;
? 1s?4 , , . )
te???+xq-i
y7,,,esAasa?? ac? a-t#
gri_,k,?y-,v?'-?.4#,ara«$a?$zx?mxa
'*=sk ats.& a?n?#' e E?? ?-?. X4-a
?.?•''?#?_..?'*-4;??._ - ?S§-??,?a«_x? ???????,? -
- ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
OT I{ffi
? 3830 PII. OB RD - SS1Z2
? 681-4675 l () - ? ?
New Construction Reauirements
? 3 registerad site surveys
? 2 copies of plans (inGude beam & window sizes; poured frM. Cesign; etc.)
? t enerqy calculatians
• 3 copies af tree preservation plan if lot platted after 711/93
required: _Yas No
DATE: / G? I/ /
DESCRIPTION OF WORK: ( 1a/2 -
STREET ADDRESS:
LOT: L' BLOCK: I SUBD./P.I.D. #:
PStOPERTY
OWNER
CONTRACTOR
RemodeUReoair Reauirements
• 2 copies of plan ? 2 sBe surveys (exteriar addRions 8 decks)
? 7 emrgy plwlationa for heated additlons
CONSTRUCTION COST; -9D, Od
Name: "Y?? /10?y ? / / " Phone -DJ 7c2J
Lavt -'First 61
Sheet
City
State: . Zip:
Company: Phone#: (ao-1
L/
City t".0
ARCHITECT/
ENG[NEER Company;
Name:
Street Add
CiTy _
Sewer 8 water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliCatlon and state that
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes
No
? License # zAQ /q-#L3 ?I-
State: 9 ,! )? Zip:
Phone #:
Registration #: _
State: Zip:
Penalty applies when address chan
is wRect and agree to compy with all applicat
Tree Preservation Plan Received - Yes - Na - Not
I
BUILDING PERMIT TYPE
? 01 Foundation 13 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK NPE
0 31 New ? 33 Alterations
u 32 Addition ? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace O
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
'Y
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Oeposit
SIW Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
L B
SUBD.
CITY OF EAGAN
MECHAMCAL PERMIT
_ (612) 681-4675
RESIDEIVI7AL
?43 954
RECIIPT #
DATE
P1 FASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMII Y DWEIddNG5. AL30, COMPLETE FOR
TOWNHOMFS/COND03 WHEN 5EPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTP.
OWNER: ? S Al)"')w-kle r 0 F'EFS
sTTE ADDRFSS:
4,3 D ADD ON/REMODEL (IIIISTING
CON51'RUCTION ONLM $ 15.00
INSTALLER. HVAC: 0-100 M BTU Z4.00
PHONE , p. ADDTfIONAL 50 M BTU 6.00
nuDxEss: Savage, MN 55378-1122 Gpg oUT1,E'rs -1KMn?zuHt i@ $3 E?. (? D a
GITZ'. ZIP: SURCHARGE: $
3IGNATURE: TOTqL; g 3 (,. ?
CONIMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLAIJINDUSTRIAI. BIIILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MpL1'i.FAhIII Y HpII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
FACH DFVELLIIdG UNTf.
WORK DFSCRIPTION: CONTRACT PRICE
1'Po OF CONTRACf FEE. FEFS
STATE SURCHARGE IS $.50 FUR EACH
S1,000 OF PIItMIT FEE.
$
PROCFSSED PIPING - $25.00
vffN??,'r.; FEE - $23M
$
OWNEP. TOTAL• $
SI1'E ADDRESS:
TENAIVI': , ..
SUTI'E #t:
INSTALLER: . ._ ,_ .• ,... _
ADDRESS:
Q1"Y: ZIP: '
PHONE #: CTiT SIGNATURE
SIGNATURE
CITY OF EAGAN
- '' 3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
?oomm
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WEIEN PERMITS ARE REQUIRED FOR EACH tINIT. .
--------- -------------------°__-_------------------__--°------__
WORK DESCRIP ION COMPLETE THE FOLLOWING.
/ N0. FIXTURES EA. TOTAL
NEW CONST v ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 3^
REYAIR WATER CIASET 3.00 ?
gpTH T7g 3.00
LAVATORY 3.00
?? ?
OWNER NAME: ? KITCHEN SINK 3.00 3-
LAUNDRY TRAY 3.00 -;^
7?
7O
SITE ADDRESS: y3
- HOT TUB/SPA 3.00
? 7 WATER HEATER 3.00 .3?
IAT: BLOCK _ SUBD. _?. FIAOR DRAIN 3.00 3-
GAS PIPING OUT.
INSTALLER: ? (MINIMUM - 1) 3.00 3-
iNG: ? ROUGH OPENINGS 1.50
,
121 REDWOOD DRIVE oTHER
ADDRESS: _
, WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
TOTAL:
s -9/.s?
.50
g5',???gL; PLEASE COMPLETE THIS PORTION FOR ALL COMRQERCIAL/INDOSTRIAL BUILDINCS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
WNTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
14 OF CONTRACT FEE.
STATE SURCHARGE e $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM"FEE.
CONTRACT PRICE x 1$
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
LOT -- BLOCK ? SUBD:-?• `;? - A
__
RECEIPT # JpJ? DATE 7 S 40
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCWL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial
_< Residential (boulevards)
_ Existing residential
Area/address to be irrigated: ?-? ;?U cz-jz°??
Installer: ??? ? Owner ? ?Plumber ,?
Street address: 24(4-s
City, state & zip code:
Owner N
Street address:
GPM
GPM
Phone #: ?S ? ? ?a C/
City, state & zip code: a? Phone #:
Irrigation contractor, it clifferent than instalier:
Telephone#: 10?> A-1, - ?oll, 7
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with al) applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
propertylright-of-way/easement.
Applicant's gnature
Approved by:
Title
Date:
PRV ? Yes '6] No New service
Meter Size & Cost
Fees due: Calculated by:
z_?6?yG Fed?o ?GS-G
IS4
? Yes X No
PROCEDURE FOR IRRIGATION SYSTEMS -1996
An irrigation permit jg required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 ircigation permit to cover instaliation af backflow preventer.
$50.50 water permit fee only if new service is ins all d
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new servi i in tall d.
$760.00 Rer connection - WAC.
$396.00 Rer connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. if gallons per minute are m9t? than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
_ I
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not re uir d, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) wfth pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon. 1
Use BLUE or BLACK Ink
For Office Use I
City of Eaedn j Permit
~ Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff: f~ 1 I
Fax: (651) 675.5694 I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
r°
Name: ~+9'`t✓ 6 Phone:
Residentl
Owner Address / City / Zip: 37b 6MVVoc_,JL t t... 5~5~1 Z 3=
Applicant is: Owner Contractor
Type of Work Description of work: I
Construction Cost: 6 Multi-Family Building: (Yes / No
Company: / "l • 67 3 8U~ ~~5( Contact: the /C
Contractor Address: I7 :57 plc 23 1 City:
State: A.-J Zip: Phone: 61 Z _ Z 0Z-- 3 Z & '7
License Lead Certificate* xj~_
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 pennit 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.gopherstateonecall.org
1 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 1 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 Bu (ding Code Oat be completed within 180
days /o~f~permit/issuance.
x 7~G/"~"
' "ll lL
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164881
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 4370 Braddock Tr
Lot:4 Block: 1 Addition: Lexington Pointe 7th
PID:10-45091-01-040
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: 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 -
Mary C Jacobson
4370 Braddock Trl
Saint Paul MN 55123--198
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature