4321 Stirrup StCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
40111
C!ty of Eaan
Permit Type: Zoning
Permit Number: EA100436
Date Issued: 08/04/2011
Site Address: 4321 Stirrup St
Lot: 3 Block: 1 Addition: Overview Estates Replat
PID: 10-56210-01-030
Use:
Description:
Sub Type: Residential
Work Type: Accessory Structure
Description: Cement slab (9 x 11) & shed (8 x 10)
Census Code:
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Fee Summary:
Total:
Contractor:
Owner:
Robin 13jorklund
4321 Stirrup St
Eagan MN 55123
- Applicant -
I hereby acknowledge that I have read this application and state that the 'nformation is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
4*
Citvof}anan
For Office Use
Permit #:
3830 Pilot Knob Road Date Received: g—(1- ( (
Eagan MN 55122
Phone: (651) 675-5685
2011 ZONING PERMIT APPLICATION
✓ Please submit a set of scaled drawings with the application.
-J
PROPERTY
Site Address: Li3 a,\ Sf, r,c' ) 7 St per}
Name:
Address:
L�s`Bliss
)43ay SWop S;-cce 4
Applicant Signature:
J
❑ Retaining Wall <4 feet 0 Driveway
❑ Patio 0 Sport Court
❑ Sidewalk 0 Fence
Description of work: ('ni
9g1
Phone:
City/State/Zip:
(05 --O3O r / 9O Cp
aoLc 1, HL
551x3
',Other: S `cop
ab fpr Shed 'S)(ID>
PLANNING
Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc
Approved:
Required Corrections:
MOO( 81 watt (ANA doov het 1t
No Date of Approval:
sk (1
Staff:
Revised Plans
Approved:
Yes / No Date of Approval:
Staff:
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of- ay, etc.
Approved: Yes / No Date of Approval:
Required Corrections:
Staff:
Revised Plans
Approved:
Yes / No Date of Approval:
Staff:
COMMENTS
G:\Building Inspections\PERMIT APPLICATIONS \2011\2011 Permit Applications
SURVEYING
SERVICES
Eagan, Minnesota 55121
• • • • • - w • - — s
DAVID LEWTH
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108,00
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GARAGE FLOOR ELEV. Ioe.00
kdo
LEGAL DCSC & PT t O N: LOT 3, BLOCK Ir OVERVIEW ESTATES R£4LA1
I hereby certify that this survey, plan
or report was prepared by me or under
my direct supervision and that I am o
duly Registered Land Surveyor under the
Laws of the State of Minnesota.
6 rad ley f.. r wenson Mn. Reg No. 15235
Date: l/
CITY OF EAGAN WATER SERVICE PERMIT ~
3830 ;'ilot Knob Road 5 = ' ~
PERMIT NO.: 11- 3
P. O. Box 21199 DATE:
Eagaa, MN 55121 i
Zoning: cl - No. of Units:
Owner. .IOse h ::iller Const I
/lddross:
437.1 S irru Street L3 31 Cverview .atates
~~u;
S+~
Plumber. `"c~nire t'ech 5 ~ . ~1a
4,
Meter No.: Connectlor+ CF?arye:
Siu: Ncwunt Deposit: lr.
Parmit Fee:
, 5C1 n
Reader No.:
u r
~ ~ ~ " p 5urcharge: ]
1~!~ to easvh? s°
Miu. Chorpes:
Total:
Dote Paid:
BY InaD.:
Dote of I nsp.: CITY dF EAGAN SEWER 5UVICE PERMff
3830 Pilot Knob Road PERMIT NO.:
P. O. Box 21199 D^TE:
Eagan, MN 551211 No. of Units:
.1_
Zoninp: i
. ;;nnst
owror: JOserln
AMfBSs' t}'!^I Stirru 5treet L3 F41 (lvervic~: T.-sta~E'
Site /1ddmss: ,,i~,ii~e 'cc`,• , , ~c
Plumber. 11- 15-` :S ' % ~ 4 :.5.r~.::~
~ ~n~ctlon Choro~.
1 ~leN M eewH~p wiM~ !M Ciff ~ ~M ~t: ~ nr r'
Ordlw~noa. Pem?it Fee: i
Surd+ar'0p:
Misc. Chorpc
BY Totol:
Date of Imp.: pc" Poid:
Insp,;
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E 19
PRicKIvw
PROM
AMOUNT $ I
ac ooLLnRs
~eo
? CA3H ? CHECK
FOR
FUND COD6 AtAOUNT
T n ou
~
SY
White-PaYers Copy
Yellow-Posting Copy
Pink-File Copy
.
CITY OF EAGAN , ~i
" ~ `'~j~
_ • 3795 P{lot Knob Rood Eeqen, MM 55122
' PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be w"d iw SI' DWG/CA1t Est. Value $58,000 Date Novetat,er 13 19 S3
$ite Adqreu 4321 t rrup treet Erect ~ Occupancy R-3
Lor elock 1 Sec/Sub. Overview Estates ^lter R_1
10-56210-030-01 ep at Repotr p Fie1
Parcel Zone :vA
#
Juseph M. Miller Conat., Inc. Enlargs p Type of Ca,sr. V
W NO^^Q Move ? # Stories ~
Z Address 6 e ar ve. o. QemoHsh p Length 42
~ Ci Faratin: ton Phone 454-4753 Gmde ? Depth 40 Sq. Ft.
9 wner Approvalf Fees
p Nome
~U Address Assessment Permit
~ Ci Phone Water 6 5ew. Surcharye
Police Plon check 15 3..7
~W Nome Firo SAC 525.00
Addreu Enp. Woter Conn. 4 5'J~~_.~.
i W Ci Phone Planner Water Meter
Council Road Unit
I hereby acknowledge thot I have read this npplicotion ond stote that g~~ Off.
the information is conecf and agree to comply with oll opplicable ~ 14,, !
Stute of Minnesoto Stotutes ond City of Eagon Ordinances. +,PC Totol
5ipnoture of PeRniftee - jes,ep{r-H-Mii±r,;eng t., jnc.
A Buflding Pertnit is iuued to: _ on the expreu condition thnr
oli work shall be done in ocwrdorxe with oll oppHcable State of Minnesoto SFatutes und City of Eoyon 0?dinonces.
Buildinp OfFicial '
Psrmit No. Pwmit Holdn Misc. Permit No. Holder
Plumbing 3
H.v.A.c. L
w.u
Wabr
Disp.
Sowsr
EMetric IY D M /DkA dL) •8'
Inapection Date Insp. Other
Footinqs S-
Foundation
Framina
Rouyl, PlbO. _ G-g !C C -G-s~ uJ
~
Rouph HVA
Inaulation
Final Plb¢
Final HVAC ~
Final Water Dsscribe Location:
YWII • .
SOnwr
Pr. D'up.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Itir11io1 !1`,
PERIUIIT SUBTYPE: TYPE OF WORK:
I I I!o I I i1t1
INSPECTION rA • DA
• I i„ i lI.III i ~~iri
N 1 1 ft~~ I i N-sl
1%I MAftF l1 '.i 1'rW11 I'1 }iP1 I I I~ 1 tolf I {:I 1t I1I1.' ItFtY I 1 IIMIIT 1 NF, iil ! I i I I 1. I~ 1+1 ll~ll•i
F
L
~
Permft No. Parmit Holdx Date Telephons #
S/VU
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection DaLS Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
i
Flreplace
Final Htg.
Orsat Test
Flnal Plbg. Plbg. Inspector- Notity Plumber
Const. Meier
EngrJPlan
Bidg. Finel
!r
Deck Ftg.
Deck Fnal
Wel I
Pr. Disp.
Receipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN •
Fee
Fill in numbered spaces S/C
Type or Print legib/y .
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor ' Phone 6. Address
7. City State Zip
8. Building Type: Residential 11 Commercial O Institutional ?
9. Work Description: New ? Add O Alter O Repair ?
10. Describe Fuel Type
11. No. EQu_ipment BTU - M. Ea. No, Eauiament CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : -for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
I I~ CITY OF EAGAN Fee }
fill in numbered spacea S/C
Type or Princ legrb/y Tot. '
1. Date ZO - - r• - 2. (nstallation Cost
~ • ~.U 1 C U ' ~:.tJ
3. Job Addres LotBik. Tract
4. Owner
5. Contractor Phone 6. Address
7. City • , ..•~a, State Zip B. Building Type: Residential I~ Commercial ? Institutional ~
9. Work Description: New 11 Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Orainfield
Bath tubs Septic Tank
" Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Oth6r~f
__L_ Laundry Tray
-0~-- L ~----r-
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
~
Tnt:g~os~voie ~7
"e n~rrom 40 L. 3 B/ 1~vcrv; ew £stA ICt+ o6Y8'
Reques[ f]ate Fire No. Roueh-in.Ins0eclion ~
%~Reqmredl N. Peady Now II No~i1y, InsVeo-
y ~ lor When Heady
icensetl ElecVical Conlrac[or I herebV request insoection ot above
? Owner eleetricel wark inslallad at:
Streel Addres5, Box or Route No. City
s~e pru ~a 8n
ecUOn o. Township Name or o. Ranye No. Counly
OccapunY(PRINT) Phone No
„J .
& ty) 0 I '4 qsq-41i"793
Power SupPlier Adtlress
dz i cy- n
Eleclrical Contrac[or IComDany Nam 1 Conhartor's Liconse No.
~ . / 0
Maii ng Atldross Contracfor or ner Making I aiIla[ion)
1 << '
Authorized Signa ure (COmr todOwne ' ing Inscallation) Phone Number
a- . ,wa
q5
MINNESOTA STATE BOAND OF 14CTRICITY THIS INSPECTION FEQUEST WILL NOT
GriB9s-Mitlwey Bldg. - Room N-1 1 BE ACCEPTED BV THE STATE BOARO
UNLESS PHOPEX INSPECTION FEE IS
1821 Univeraity Ava., St. Vaul, MN 55704
Phonw I6121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB•00001-04
instruetions for completina this torm on back ot yell~y .copy.
~ ~ Seo ~~X~~ Below Work Covered by This Reqi f2~F~ ~ !p _Itk-3)
Hdtl flep. TVPe of Building Appliances Wiretl EquiVment Wired
Hmne Ranye Temporary Service
Duplex Water Heater yhtiny Fixtures
Apt. Building yer Elec[ric Heatin
Commercial Bidy. rnace Silo Unloader
Industrial BIAg. Air Canditioner Bulk Milk Tenk
Fann orner oen y Oiner l5nodfyl
t er Suecify iher Othn:r
RompufiteInspection fee Below
p Fee Sarvice EntraneeSiza tt Fee Faxders/SU1btenders p Fea Cimuits
Q 0 to 200 Am s0[0 30 Am s 0 to 30 Am s
Above 200 qmps, 31 to 100 Amps ~ 31 tu 100 Am s
Swimming Pool Above 100_Amps Above 700-A[nUS
Transiormers Irrigation Booms ? Partial%Other Fee
He.rks Signs Speciallnspection $ ~
T FEE
3 .
Rou6h-in cnl
~nsoector, hereby
rtity that the abova
Final '~e sPection hes been
% . /1 /3 mada.
Thi6raQUaetvoitll8monthafrom
_ ~ ~y
0-,~ ~975 2 0
S 13.131, /
Fep est Dale Fire No. ougpln Inspection Require s eclion Other Th n Rough-0n
ou il inspeclor when rea0y) ~ Reatly Now Will Notify Inspector
~Ves ? No Date Read
t? licensed contractor ;&wner hereby request inspection of above electrical work at:
Job Atltlress (SireeG Box or Route Na) C'
y3d1 Sficrru
Seclion No. Townshlp Name or No. Range No. Co
T'J~
OccuPanl (7R 1 QV ~a V 1A l~ 1 M1"- P
V O~ 1'OG~ ~O
Power r iier Atltlress
E6 c~v i c.
Eleclricel Co or (Gompany Name) Contmclors License N0.
ntraDYL1Z
Mallinq Adtlress (COmracmr or Owner Makinq Insl 1, n)
4 l "r(ii.) a IV 551
Autn G Si nfltura ( nVaclodOwner aking Inslellation) Phane Number
Phona612) 6 2 OgpO OAFO OF ELECTRIqTY THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlwey Bltlg. - floom 5128 BE ACCEPTED BV THE STATE BOARD
1921 UnlverelTy Fve., SL Peul, MN 55104 UNLE55 PROPER INSPEGTION FEE IS
ENGLOSE .
ip~~. EQUEST FOR ELECTRICAL INSPECTION
- s
~ e sN-ooooi
J$ee i05truclions for compleling ihis torm on back of yellow copy.
7 ls "X" Below Work Covered by This Request ~
Ne Add Rep. Type of Building `AppliEfnces Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Intlusirial Fumace Other (Specity)
Farm Air Conditioner
Olher (specify) Contracror's Remarks:
Compute Inspection Fee Below:
# Other Fae # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 700 Am sTransformers Above 200_Amps Above 100 _Amps .
$I OS inspecmr's Use Only: TOTAL
Irrigation6ooms yQ 1jo,~o
Special Ins ection f
AlarmlCommunication THIS INSTALLA710N MAY BE ORD I CON TED IF NO7
Other Fee COMPLETED WITHIN 18 HS.
I, the ElecMcal Inspector, hereby R°°gn-'" oete
certify that the a6ove inspection has
Final Date
6een made. a
OFFICE USE ONLY Q
This reQuesl void 18 months (rom Ylf Qe ~~+'~'YI ~h
1Jw ~l
CITY OF EAGAN N° 8654
3795 Pilet Kno! Raud Eagan, MN 55122
PHON[s 454•8100
BUILDING PERMIT ReceiPt #
To be med !e. SF DWG/GAR Est. Vclue $58,000 oare November 15 198
3
Sire Address 4321 Stirrup Street Erecr gg occuponcy R-3
Lor 3 Bloek 1 Sec/Sub. Overview Estates Alter ? Zoniry R-1
parcel # 10-56210-030-01 Replat Repatr ? Fire Zone NA
Enlarpa ? Type of Const. V
w Name Joseph M. Miller Const., Inc. Move ? # Stories
z Address 18133 Cedar Ave. So.
Demolish ? Length 42
Ci Farmington phone 454-4753 Grade ? Depth 40 Sq. Ft.-
o Nnme O"'Iler Approva6 Fees
o'~' Address Assessment perr.iir 307.00
u~ Ci PMne Water & Sew. Surcharge 29.00
Police Plon check 153.50
~w Nome Fire SAC 525.00
Addrcu Enp. Woter Conn.45f1 ()fl
~ W Ci phonst Plonner Water Meter 60.00
Council Rood Unit 250.00
1 here6y ockrwwledge thof I hove read this opplication and state thot gldg. Off.
the informntion is correct and agree to comply with all opplicable $1~][y. SD
$tate of Minnewto Statutes and City of Eogan Ordinanus. APC Total .
Sipnoture of Permittee
osep M. i er o t., Inc.
A 8uilding Permit Is issued ta: on the express tonditlon thnt
oll work shcll be done in atcordarxe wifh nll opAlila) tate inn a utes and Ciry of Eaqan Ordinonces.
Buildin0 Officiul ~
CITY OF EAGAN Remarks
ndditioo . ' n$stake5 R_Pnlat Loc 3 eik I Parcel
Owner 7161, !~G:^S~Street 4321 Stirrlp Street State Eagan. MN 55123
iiJ~'i7~-~0 Improve nt Date Amount Annual Vears ~ Payment Receipt Date
STREETSURF. S9m Imp. 1981 3242.41 216.16 15 2377.77 A 013659 3-15-84
STREETFiESTOR. 5'71 1981 1021.16 ($.Q$ 1$ 748.88 11
GRADING n n
SAN SEW TRUNK y-rP 1981 300.00 20.00 1$ 220.00
*SEWERLATERAL '6' (j 1981 5096.85 339.79 15 3737,69 WATERMAIN
* WATER LATERAL 1981
WATERAREA J;rV 1981 300.00 20.00 1$ 220.00
STORM SEW TRK 1981 591.82 39.45 15 434,02 * STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4(SO.OO 11 Is
BUILDING PER. 8654
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RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851•681-4675
New ConatrucNon Reaulremenh RemodellReoair ReauiremaMs
• 3 registe2d site surveys slawirg sq. ft. of lot sq. N. of house; and all roofad amas • 2 copies af plan
(2096 mazimum lot coverage allowetl) • t set ot Erergy Cakulations Far heated addAOns
. 2 copies of plan showing 6eam 8 window s¢es; poured found design, etc.) • 1 sile survey for exlerbr addNOns & decks
. 1 set aF Energy CalculaUore . IMicate if home sened by septlc system for additions
• 3 copies of Tree Preservation Plan if lat plafled afler 711193 ~ Q ~ d
. Rim Joist Detad Options sekdion sheet (61dgs wilh 3 or less uni5) e
DATE ~'0 ~ VALUATION SITEADDRESS y3a1 5kMULTI-FAMILYBLDG _Y _N
TYPE OF WORK `:D \ c~ ~ `r1 PIREPLACE(S) _ 0 _ 1 _ 2
~
APPLICANT L~v 1 L dr~o
STREET ADDRESS O CITY STATE"^~ ZIP 5`_SL:~^l 4
TELEPHONE #TS~~'yy6 7 `V 9 CELL PHONE # FAX # s=> S`L P-I s r
PROPERTYOWNER 'rK~~"'"` TELEPHONE# `4 Sa ^ 91L-0
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RliLES 7670 CATEGORY 1 MINNESOTii RULES 7672
(J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Workshee~t Submitted
• EnergyEnvelopeCalculatlonsSubmitted , r nrn? I I
.J
Plumbing Conhactor. Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heaker _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
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 T ances.
SlgnatureotApplicant ___r.___._..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundatlon O 07 OS-plex ? 13 16-pfex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 70 08-plex O 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? OB 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move 81dg. ? 42 Demolish (FoundaGon) ? 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 (addiHon) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tesu Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total ~i
I
aobP RESIDENTIAL
S BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConeWction Reauiremenrts RemodaUReoair Reauiremenh
• 3 reqistered site surveys showing sq. R of lot, sq. ft. of house: and all roofed areas • 2 copies of plan
(20% maximum lot cwverage allowed) . 1 set of Energy Calwlations for heated addifions
• 2 copies ot plan stqwiig beam 8 window s¢es; pouretl found desgn, etc J . 7 site survey for extenor addNOns 8 tlecks
• 1 set of Energy Calwlations . Indicate it home served by septlc system for additions
• 3 copies of Tree Preservalion Plan if lol piatted afler 711l93
. Rim Joist Detail Op6ans selection sheet (Wdgs with 3 arless units)
DATE TJb~{ VALUATION ~'~I5/D• OO
SITE ADDRESS _~S t~ r F-~~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK Y'C>v/ f~CCW - oFIREPLACE(S) _ 0_ 1_ 2
APPLICANT C'~r5~-
STREET ADDRESS CITY S(mll STATE n'NZIP 5 502 L,
TELEPHONE # 'J`15 ' y 101CELL PHONE # FAX
PROPERTY OWNER ~P'U IM)~ vrl< 1 v Y`j 4 TELEPHONE #qsZ 9-7
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJI.LS 7670 CATLGORY I MINNESO'CA RULLS 7672
(4 submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Pluinbing system includes: _ Water Softener Lawn Sprinkler Fec: $90.00
Water Heater _ No. oF R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mcchanical syslEm includes: _ Air Conditioning rcc: $70.00
_ Hcat Recovery System
Sewer/Water Contractor: pationiscorrect,an ----------------------~j
I hereby acknowledge that I have read this application, sTate that the n ree to comply
with ali applicable State of Minnesota Statutes and City of Eagan OrSignature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) E3 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Repiacement '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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.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
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulafion _ Retaining Wall
Approved By , Building Inspector
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
i rri-LANU iNC. c:ertiricate ot Survey ror :
SURVEYING
SERVICES DAV-ID LEWTH
Eagan, Minnesota 55121 .
0.0 ya
? logoo No°_o~='i8'W ~d"
i
~ N
=o ~CAIF. 1=30 _
0 0
T $
m 3r 2
Z m ~
O N
I0_
\ N ZO
GARwO4-'~ 6ARA6E FLOOR ELEv. Io2,o0
~ 22
M
I Q
no
IoB.~ N o- 00=4 8"w Nd,
.~,C .
Fa0
qqrg tc. %CP
LEGAL DF-SCR\PT10N: LOT 3~ 6LOCK I, OVFRVIEW ESTATF.s REP1.At
I hereby certify that fhis survey, plon
or report was prepared by me or under `
my direct supervision and tAaf I am a Bradley . wenson Mn. Reg No. 15235
duly Regisiered Land Surveyor under The Date: liSlQ,
m Laws of tAe Siate of Minnesota.
. ? ~al.Yl..l r~\ ~r-~"...
~Pi4{lL`.IPS PLAN SEicli~rE .
~ ~~p w. usm wr+ .
EXTERIOR ENVELOPE HYERAGE °U" COMPUTATION _
,
OWNER r"
SITE ADDRES
CON7RACT0 OATE ~5- PHONE
petermine working square footage of each.
1. Total exposed wa11 area sq. ft. x .18 '
2, Tota1 roaf/celling area ~las _ sq. ft. x .04 -
Total exposed wall area above fioor
e. Total wall window area iLa.
b. Total door area 5 t~
c. Total sliding glass door area
d: Total fireplace wall area
e. Total wall framing area (average lOx)............ L to2
f. Total net wall area above floor 8
i
g. Total rim joist area
Z•`I .
Total exposed foundation area = 9
h. Total`foundation window area Z•4
` i. Toal net foundation area above grade
Determine "U° value of each wall segment.
d. I 1 LQ XfluM
b. Sla-x "U" .l3y = 'i.?8
X „U„
c. -
d. X 'full ~ ;
e. lZ.l. lsL X~~up p(y = 8•34
X HU0 q~
14 L X „u,.
9-
X „u„
n.
x l,uo
3 ......................~Lorl7.Z.....Tota1 ' 173.7
If item `3 is the same as, or less than item ff1, you heve met the int°nt
of SBC 6005(c)2.
y..
~ . . .
Total exposed roof/ceiling area 9lQ a
Total gross roof/celling area • q~+g .
. . _
-
_ Tota1 skylight area
2Ft;"
k. 7ota1 roof/ceiling framing araG::.:........,.. •
1. Total net insulated roof/ceiliq~ 4rea.......
. Determine "U" value for eac~. roof/ceiling segment.
• y IIV IIY
A
k, C4(P.Q X „Vm • O 3 S u
XitUn a~d 3 s~Y~~ r
4 ...................C~? a .........7ota1 ' t~.~..
If total of #4 is the same as, or less;;han.i2. you have met the intent of
SBC G006(c)1. ,
To utilized the total envelope system asthod, the vaitiues established 6y the
sum of items 63 and 14 shall not ¢e ArpOter than the sum of itens 81 and 62.
. '
t. +
3. + 4. °
AfATERIALS Therm. Hesiatance "R"
Ezte:ior Gir
~id_r.g il~;.^.:ial -45
Sneathing •
Insulat ion _wo..) ~
Sheetrock $ .
Interiox Afr
Studa
Eim
C.-:ic. ElY_r. 2
. .
/
Os~ s N,rNest Mor!gage. lnc.
3600 Wes1781h Streef
N011W!!I MORTGAGE
fIIn/ SUife 960
II ~~rf Post Oflice Box 35826
~ Blcomington. Minneso(a 55435
612i 835 3521
B~,V.• 77 /Mt D a t e: November 3, 1983
Aif/tIKf ~ , RE: Lot 3, Block 1 Overview Estates
xx Stirrup Street
Dear Ms. Sarff, and Mr. Lueth,
Ne are pleased to lnform you that your application for an
FHA/VA First Mortgage Loan secured by the above-described
prooerty has been aproved accordin3 to tF.e follocring terms 2nd
conditions:
Loan Amount $ 72,850 Loan Term 30 yedrs
Expiration: This closing nust occur not later thanAUgust 26 ~
19 $4 , after wh:ch date this comm:tment shall automatically
expire anG become null and void, unless the Closing date is
extended ln writing by us.
Modification: If any material facts appeaF which have not been
previo:asly revealed to us by you which Nould cause FHA or VA, Sn
accordance Nith their underwriting practices, to vithdrax their
comicitcaent, Ncrwest Mortbage, Inc, reserves the right to withdrau
this cormitneat, or to modi:y the terms to the extent required.
Sincerely yours, `
AdCitional Cor.d*_tic+ns,if anp:
FHA final inspection is required
Submit affidavit signed by buyer and seller that the buyer has
satisfactorily performed and completed items mentioned in the
• work equity clause.
i
y _
~ .
p'~ ~llAl+i~ L?G H~/~L~ ~1'MITIIIr~T F*Y. . nt9_3 1
. . Z-Z..
RECEIVED OF ~ r vL
:
. 4-'iie` ~~-'~d' tY. f'~ i ~w-y t~ 5 `{~'y.` 'E''n dP ~.7~~,~ r f^`.' n4" .4ktid.^~ ~r Q r• the sum of,~ j ppLl,p(LS r
~5 . a~s e' am~est mon~ d v~~i par pa~}m~ent f~r~tsko~purc~.ha~u of property at ~
<Check"Cesh or No~je = State
h
tl'~4It118tCd,111 [IlB -..t . -'"s
~ County of ~ ' ~ =a4~', 'Staie nf I+linnesota3l
I 3 ~5 A:
. ~ , . , ~r., . . r_, . . . .
. O 'inctuding all garden bulba p ta,; and traa . storm- oore,detactisbk v~eah'liula;.tereelu,.dwnfi~gs,window ehade4~b s~
i t (inctuding venetian btinds) curtainrods trweroa;mde, dtapery.tode IighHng ftxtuteaendbulba plumbing tixtu*fi;,hot watu.tanks anAtceatin plant (with any bumen, tanks; swkers and othe'reqmpmmt,used m wnneeLOn therewllh), watex.sohe~r'and liquid gas pnY and'conirob•~ r- °c-
' the property of sellersump pump extenor televldon eritenna incineretor; built in'lllihwasher and ~ar6$a't~ditpoed, mena,^ctiokRop atovea, .t "
ill attached murors guage door ope~n and uan miner, cootroband anhal a~r ~nditloniog u'ipmenyt'3t.any~u~ and louud on uW
u premises4nd mcluding.also~he fsoowmg
~'fi . . ~~s-• ` .i
~ h all of which property the unders~gned; es ant•fd'r e,owner' ~'thk d y~~old to the buyu~or the.wm « ~Aa~~ ~ ';Pg
DOLI.ARS , c
} V L . a'hich the buYer agrees to pay m"Iliealo ` °"m e[^ . * . -~•p°"""' ~ ° c ` 4
,VEarnest moMy httein Datd S'~iM•k.:fi~~i ~ npr belo ~ Ne date of Cloaing ' -
<
y~, The aceomVmYing EsTnest Monty' unpure6aae e8'eemmi mtA which it has bxn /mdaed b
. . eePted~6~Neearoatmo11eyshet,~. ..__9~r1L"~t"'~~rltia+tageementure7xtM.G%3+''Fi"'#!".:
bYr'bu ¦ ongage lo al;l. "eqit this emount amortfzed uibnWY over a perlod o( not t.
leWthmf U'.•yeus: Applkatlpe fm irio`fgegel~iao`y.~ 3mmediatelY upo'n ecceptance of-thia purchau agreemrnt by xller. Huyer(s)
Z agree(s) w use3i's/her best etforta to xeuro h cummitmrnt (or.du_eh fioa`n`cing and w uxute ell docummu `equired to consummate'uid finencing.
a 4 In the eveat the buYMa) rannot seture:e:commitmmt for.the'above,mortgage before- ~1. ? o ti: ii,rRi)-~ ~y ~~o~
, ahall become null anM void and the epmat moaey paid herein she11 be re(unded minus any expenee for appraiad aud credit rcport.
~ ` . 1-.f~4 - . i . '
' Sellcr a8tea to Oay not lo ex oxd •yer cmt O f96o~irc O~ . .
Yortgage amwnt as ptarnnrnt fee to Imding aQency makirig such mortgag r : :
Sellre e to a aIl levied
~ Bcep p y pmdfng auessmen4 at th~me of dwing:~Sella further agrees to eacrow at.elosing a sum .ufficimt to cover
ultimate paymrnt by Sellu o( alt spaial aexsynmu Nat are approved or, pmd'wg ai of closing date; it being undentood that 145'to 2 tima fie .
' eetimated amount oI anypeodmg or approved aa~ipemmt must,be eacrowed' upon payment o(aaid aeuaemenb the diffttrnce wlI be refuaded ro -
i SCIItr.
~ k is expressly agreed that notwllhs[anding any oNer proviaions of,this tontract, Ne purcluser shall not be obliga[ed to wmplete the purchaae of
i~ I• [he propeny described hernn or to incur any for(eiture of eamesi money deposiu or otMrwiu, unless Ne seller Aes ddivaed to the purchaser a"
!1 written atatemrnt issued by the Federel Houaing Commisaiontt, eetting fort6 the aDPraised value of the Oroputy, excluding tlosing cosu, of not laa than S'•. . r , which smtemrni the ieller hereby4gw to Adfver to the yurchasv P*omDUY aftu such apPraised value srotement Ie
J made to [he sdlm. The purcheaer shatl, howevc; have the pnvilege uMopeion ot proeeeding vnth the conaummation of thia contrael, witAout -
~ naard to thc emount ot the avPreiud vNua[ion made by the Federal Houfin` Communoner~; ~sFS , . . ' ' .
7Le apprrlaed vdosfbo b vri.M al to-de~e~mla ~6e maaimam moMp~e the pep~nmee~;o( Hemlus aod Urbao Development w01 Iuwre. HUD
~ Z 'does oot "mat 1he valx u 16e rnndltbo of Ihe pr'oyet~f7'6e~pnrehun r6ould albn' pfinedt/senel(,1hN the W~ end Ihe eondllbn ot IEe pro-
OertYarcaecepubk . ' . . Subject to performance by the buyerthc uller.ag"iees to exenrte dehrer a=~~ Wananty Deed
. T' (to be joined m by spouse, d any) conveying marketable l~tk .io;said pre ises su aect only to the fo0owing excepUOnb + ~.(a) Buildingandzoninglaw<~ordinences;SmteandFWoakiegulaho~~t., ion4
° (b) Restrictions retating to ua'or impiovemerit-oFpremisuswit#iout elYectrvd=fodature provu~ 1°~ •r (c) Rescrvafion of any mincrals or minerai nght4 iodheStTte ofMmnesota.q'_"s ~L(d) Utility and diainage easements which do noLinterfem with,prexntim
. . . . . . . u , ' - . ~r .
C ~ . (e) R. .
~ - ~.Ya~ y'.b~ T y ' ~}cY~,G4,~~ . ~
. e buyer ehall pay the real a[ate uxu due inxhe year 19 ller shall pay' Rfie - sntatetaxad~teln th19•~ ~_'md aoy
Le
`upaid ins[allments of speclal .ataessmrnts yays6le ^thefeW~[ht;$ell " airanfaYtfiat" ~eatatt:uxes due m th
u e wUl ~
ly. ! ~ rAJ[1. g
~ w/AwY 'hOlOdtl8dfl8ialfiC6tiOT . ~rt~+r- . _ . .
(full, parlial, Of nOn - stat eselkr sagent meke~an )r[e resenteUOnynr aar~[en° whatwever~coricertuqg the amount
perty o[ reet estate tsxes
;iwhuh shall be assessed agamst ythe p~ ~'b~qu"en ` - ate urtl~astl
Seller covenants ihat bwldi~s lt.~pny atr`~i1 ue i - n, A~Sgte"~o move eU personal propertyy v,not included therein and atl debnsfrum..thelpre5"rtisesboyio'.'pouess~S LI;ER= ARRANTS~LL=APPLIANC£S HEATING A1R
-CONDITIONING WIRING AND~LUMB1NGnUSEA NA"I-0CATISESI SYRQPERjWORKINGARDER A'f
.DATE OF CLOSING,•1 U~,.~~b:~ . ~7 . ~ , ~ ~ . .
L . %
3~ r HuYe(s) azknowlcdBe tAat no representauon rrmiyt .6~ , rty6a~aes
y petc-ifkallY~tated mi~is purchase ~
C 1, s_8glKIpM1L.
` ..t ~Scllefwarrantrthatcit3' ,th ' a ~ o aect .o;t , - t ~ YES- t~d D'~', 'u~d that MhoW2 the Q stree t YesA No 0 andcon~neat" ttis' •seller fuither; ag rces t -TV y~e tha on f v thiemrnt havc been+rnm~~6.A tw iCxtltie o on nron rdays 1}d`hereoL .
~ thc event this prope rry~ts stan x, amt y~t miy ui ILU
befWe ~el " nt shell ~
~ Z:become null and vad, at the purchaxr'Spptwn;'and all monktpsid hercdnder ahallbe refiinded to lum s4~'" ' ~
)P2• ct `bY ~f~`Y . .SF1tW.~-~ i.- . V
~ 7- The buyer and seller also muiuat~y h~t,pm biBQ . 51R1811U OI IG11Sa.~~k~6t~ ~nsutance uid pty,ave . le.D Income 1.Property.currentopentingexpenus'du~tllx
. ;The x1le, withm a rea _..qbk .y ~I . .enS, ~~~{n
~^ansbStracluGn~(e ora t ' Tt Abitiact': (
r shaU }
F L~ artificd'to date to include proper~eeaEchu g 1cm tatE'and+'Pe~ref'Judgemenis~ane ~~Lens,y47~e;~buy tie arttowed 10
days efter receipt thereof tor euemineH6~ee ktlio 1heking af'aay ob~eeaops themw..aazdaobjedtlont made+in'writingor f
-deemed to be waived. If any objeitiona are mdnade thegepecsrya0 be allowed 120 daye.to make sueh titla markebla nding.cortecpon of .I
~Q tiqe the payments hereunder tequved:4h~h71~b~'~d`stponE~l~'bUt tipdn correctlon ot htle and withm 10 deyta£t¢rM%tIE~ . ot to:Uu buyer the , ~ -
. 1 1, partiee shell perfortn this.agreement eccoidung 14,ir ' n °s , .
t: If said tiUe is not marke`table ana lanot~fia so witlun - O~days from theidate of wntknobJecdona.there aa%bove:piov~ded this'.,+"- ' ~
agroement zhall be null and void, and neither principal shaR be.lieble fw damages hemuMer to thr6therpcmapHl.~.~`pWmomy thenlofore paid - ,
I L by the buyer shall bc refunded. If the title to asid property be faund merketabk or 6e so made within wd t6nl;,~db'~eM:buyer'fiall detault in
7Z eny of the agreements and continue in default foi e puioda[ lOdays, then and in thet eax the eeller may;teiminaSeltii4 wntractand on wch ' •
' o termination a0 thc payments made npon thy wnhact,ehalLps'retaineJ b aeid eelkr:end said agent, as thetr rcspecNveyntenatsmay eppear, as
liquidated damages, [ime bemg of;,lhe;¢asena~heteot~l'hIs pto4ldomrrot-depiive elther party of the rlghtohnfoniqg the epecifu perforv
m a n ce of this contract pronded sucti^conttacF:shill,no •tenni(le~Q tae" uW,provideA action to enfoca,auch qkt~c.performance
-'shallbemmmcnccdwilhinsiX'Manih'S°ditEY'Stich'Fl-fi{`~`ifialla'd5''~"`--i - ~ ' "
It is understood and agreed that this sale is made subjcet to the apDroval by the owner of said premises, in wricing which.approval Salrs Associate has deys to oblain, and thal the undersigncd Sales Associatc is in no manner liable or responsible on account of [his agreemenr, except to
rcturn or accouni for Ihe earnest money paid under this contract.
MERIULL LYNCH REALTY/BURNET„1NC.
Thc delivery of alI papers and monies shall be made at the office of: _
sy
Sala Associate
1, the undersigned, owner of the above land, do I hereby agree to purchase the said property for the
hereby approve the above agrcement and the sale thereby price and upon the terms above mentioned, and subject '
made. to all conditions herein expressed.
,
Seller Date 8uyer Date
Seller Date Buyer Date
THIS IS A LEG.S LI X BINDING CONTRACT. IF NOT UNDERSTOOD, SEEK COMPETENT LEGAL ADVICE
ORI(:IfvAl.-'." UF.PT., COPY 1-SELt.ER, COPY 2-BUYER. COPY 3-LI9TWG AStiOCI.A'fY;, COPY 4-SELLING A&SOC.IATE. PA•FHA-87
PERMIT cR,..3 ~ 2lq
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025150
(612) 681-4675 Date Issued: 0 2/ 2 2/ 9 5
SITE ADDRESS:
4321 STIRRUP ST
LOT: 3 BLOCK: 1
OVERVTEW ES7ATES REPLAT
P.I.N.: 10-56210-030-01
DESCRIPTION:
Bp'i.lding'_Permit Type BASEMENT FINISH
Building Wark Type ALTERATION
\
~
~
/
R f-'
l~_v\~~i~',
+.~IJQJ\Y
REMARKS:
A SEPARATE PEftMIT IS REQUIRED FOR ANV PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
GAEDTKE DOUGLAS
4321 STIRRUP ST
EAGAN MN 55123
(612)683-9626
I hereby acknowledge that I have read this application and state that the
, information is correct and agree to comply with a11 applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ J
Pu 1~noq 9111y11~~
APPLICANT/PERMITEE SIGNATURE ISSUE Y: S NA TUME
CITY OF EAGAN ~q,{ .
140 3830 PILOT KNOB RD - 55122 •ffD
1995 BUILDING PERMI68 ~s 15 ATION (RESIDENTIAL) wn0t`~ ~_Zl
x
New Constiudion Reauirements RemodellReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies af pWns (include beam & window saes; poured fnd. design; etc.) ~ 2 sile surveys (ezterior eddilions & decks)
? 1 energy calcuWtions ~01 7 energy calculatlons Tor heated addkione
? 1 tree preservation plan 'rf lot platled after 7/1l93
required: _ Yes _ No
DATE: 2- CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: y3 Z/ ST/h'~vP ST
LOT . 3_ BLOCK SLlBD./P.I.D.
PROPERTY Name: G"pT.YE ?.qu<,o •,,Ao4,&aSPhone ~ag3' 9424e
OWNER FI"T
Street Address• ST~iP~~R -:57-1
City: EA6A' State: Zip: 's`s7Z 3
CONTRACTOR Company: Phone
Street Address: License #City:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
8trs~: Add-ss•
City: State: Zip:
Sewer 8 water licensed plumber: . Penaky applies when address change and lot
change are requested once permit is issued.
1 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 Appiicant:
OFFICE USE ONLY RECEO M ED
Certfiptes of Survey Received _ Yes _ No FEB 1 6 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
u
,
BUILDING PERMIT TYPE
0 01 Foundatian ? 06 Duplex o 11 Apt./Lodging ~:ff-'16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) ? 16 Deck
,
WORK TYPE
0 31 New Cor~-33 ARerations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GCNCRi~iL iNi=LiUMA i ivi,
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. vJY
Depth Footprint sq. ft. SAC Code
Census Bldg i
Census Un1t 6
APPROVALS
Planning Building Engineering Variance
a
Permit Fee Valuation: $ /ST ° r
Surcharge
Plan Review
License
MCNVS SAC
Ci SRC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
1, aIl~ ~I~J
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
j" 3830 Pilot Knob Road, Eagan Mn 55122
• Telephone # 651-675-5675 FAX # 651-675-5674
- Please complete for: Single Family Dwellings
. Townhomes and Condos when pemvts are required for each unit
Date 3
Site Address _I ~t"AP Unit #
PropertyOwner 610ek&md- Telephone#(~ -47 /
Conttactor
StreetAddress 1'7 • (//J~I~il • City &MITIZAt
State / i (r) Zip Telephone # ~7 L
The Applicant is _ Owner ~ Conttactor _ Other
Add-on, modification or alteraHon to eristing dwelling unit $ 30.00
fumace replacement
air exchanger
~ airconditioner
other
State Surcharge 50
I ~ U i u 9 ;,l? I~ ~
Tata? $ >U.
I hereby apply for a ResidenCal Mechanical Pemut and aclmowledge that the information is complete and accurate; that the work willbe in conformance with the ordinances and codes of the City of Eagan and with the Meclianical Codes; 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 ttie
approved plan in the cas f work which requires a review and approval of p
S t
~ C~~e~ ApplicanYs Printed Name ApplicanYs Signature ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4321 Stirrup St
Lot: 3 Block: 1 Addition: Overview Estates Replat
PID:10- 56210- 030 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Robin Bjorklund
4321 Stirrup St
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Issued By: Signature
Building
EA090233
07/16/2009
ePermit
City of Eagg
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 6764675
Fax: (651) 675-6684
Cc)
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
1
Date Received:
Staff
2011 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: \\
Description Of Work:
City Sewer
t'a\c
City Water X Repair Disconnect
Fee: $56.00 I
Street Address for Proposed Work
Name, t723 --
OWNER i Address / City / Zip: 13 (.01
Applicant is: Owner Contractor
Licensed Pipelayer Master Plumber
Phone:
Property Owner
Name: YNNCV•C r c -NO
Address / City / Zip: 1S—li n AO_ ha.) 5.57,37e..
Pipelayer Training Certification Card 67 519 0 --cz. or Master Plumber License #:
Phone: 95z 1-1(17
I acknowledge that the information is complete and accurate and 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 for a permit, and work is
not to start without a permit
03--k;
Applicant (Print Name)
pp Ica sTture
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..o.her.. tateonecafl or*
1115
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
C� � Permit#: ���" "� I
��J O� ��6�� I Permit Fee: �� , �.�1 I
�
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received:� �� 7^ ��'I
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: � �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �1 1� Site Address: i'��ZI Jfii��v� �°t� * Unit#:
Name: L,f S6� �t�5S Phone: ���=23�•���,-�o
Residentl I � 1 C°� r�
Owner ' Address�City/Zip: �,3Zt �-�,d`rv,Q �►".,�6�1, J J ��3
Applicant is: �Owner Contractor
Description of work: ����
Type of Work
Construction Cost: ��p0� Multi-Family Building: (Yes /No
' ' Company: l �J�` }��1►t n Contact: f'C' iV�v�
� �-
Contractor , Address: �t�?b t�"'����d �VL City: `'��Y�iI�G�J
State: y�Zip: I ZZ Phone: t0'a �•�L��n��0�maiL �l�t�"�c,.�lne�.�r "��i°h.GOh
License#: t,S � 1p��'j�� v( Lead Certificate#: V
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans antl supporting documents fhat you submit are considered to be public,information. Portions of
the information may;be ctassified as non-public if you provide specific reasons that wou/d 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.QOaherstateonecall.ora
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�l /�►�v�� x
ApplicanYs Printed Name Applicant's Signature
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