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4669 Stratford Lane . . • . . • . ..r ~p_yCt- •.'slz:. . . ~ ~f a~ • ~ Y ~ ~e~ti~icate v~ ~ccu~anc~ ~it~j o~ ~agan ~,~~t ~ ~~~e~~n~ Tiris Certificate issued pursuant to the requirements of !he Unifornr Building Code certifying that at the ~ime of issuarrce this structure was in compleance with the various ordirrances of the City regulating building constructian or use. For the following: ux c~.~~e~c~: SF DWG ebg. a~~~~ Ho. 2 3 l t 6 o~y rya R 3/M 1 z~~ o~, R 1 rya c~5~. ~ ' ow,~~B~;w;,,aHOMES BY CHASE aaa~ 2500 w!'7'Y ttn 4?, RavT1.T.g Bu~kling wm~ 466Q SZZATFORD ~NE t.onliryl.3 B!{~ WESTnN HTT.T.G ?NTl ~ ' Dare: • Buit~ng OfFicial ~ ~ POST IN A GONSPICUOUS PLACE ~ . _ . . INSPECTION REC4RD ` CITI~ OF EAGQN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date ~ssued: ~ (612} 681-4675 SiTE ADDRESS: , fi ~ t~ ~ t , APPLICANT: i , rs i I~~kli t ANl1 ,~•~f;, , , 'is .~~~~I iltti , idl~ <<.) f PERMIT SUBTYPE: TYPE OF WORK: , , - r i • • i:~+ l 1?", i iill~ill;~ I;~~;~ , ~ Pv., 1 ~ ~ .tll i; 1 I~~: f i ~ i I,~ ~ I ~ ili,~i (1i ~ I : ~ ~rlfi.!! . !i i i I tt%i I ; 1{:!: ' 4 II. I ~ t C'Ii~,Nt LJ 1'•' 1 1 1'i }'I iit~ r~ ~ • ~ ~ ~ ~ Permit No. Permit Holder Date Teiephone ~ S/W PtllM84NG f~ 1~ HVAC ~/f Q~~ ELECTRI 3 ~ f ~ ~j ELECTRIC Inspectfon Date Insp. Comments Footings I ' Foundation Framing -'1~.~}y ~ Roofing Rough Pibg. Z _ 4 f Rough Htg. ~ IsuL 3 b Fireplace Final Htg. _ ! ~ G' Orsat Test Final Pi6g. Plbg. lrtspecto~- Notity Plumk~er G. Const. Meter Engr./Plan Bldg. Final ~ Deck Ftg. Deck Final Weli Pc Disp. ~ _7 _ 1U INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r~~+ 3830 Pilot Knob Road Permit Number: 4 A~+ Eagan, Minnesota 55122-1897 Date Issued: N J~~; '+t~ (612) 681-4675 SITE ADDRESS: t ~ r~ ' ' . `i ' i9 " ~ APPLICANT: i.i?1 : t Itl u~ ~ i ~ i r~,a ~ rn~r~ i r~ra~ ~ , ~ „t.i ~ ~ ~ • ~ i ~ , ~ ~ PERMIT SUBTYPE: TYPE OF WORK: , , ii~ • . ~ ~ ~i~. . ; . ~ ~ ~ ~ f Permit No. Permit Holder ~ate Telephone N ELECTRIC PLUMBING HVAC Inspection Date Inip. Comments FOOTINGS FWND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE ' AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAI BSMT R.1. BSMT FINAL DECK FTG % - 'L(d OECKFINRL ~ a~• INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ r~'~ 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55123 Date issued: 3~~~ ~ a~`"? (fi12) 681-4675 SITE ADDRESS: i„ i , R, , APPLICANT: ~ ~~r.r? ~ ~tr~r , ~„~Nrr-t + i~ ~ ,iu ! i i . W~~ ~ i i ~ ~ . ~ PERIUIIT SUBTYPE: TYPE OF WORK: i i+ I I~~~ i i :l I I k P, A I c iitd • • i ,,r', I tli. I i~ .~ti r, ~ ~,~t} :+~~~~~li ~ f? { t~l~ ~ I(di:l ~ f, f M~1~: t'~ •,t I~AI+l111 1~'f irM 1 1', fil~ l { t~~t~ l l.: I~ ~,~i~ nr1`i f'l 11tiF11 N1~ +~I; 1! i+ I(< 1 ~ 11i 1•lllhf ~ ~ ~ ~ J Permft No. Permit Holder Date Telephons M SNV PLUMBING ~ HVAC ELECTRI 7~ Q pD ELECTRIC Inspectfon Date Insp. Commsnb Footingsl Foundation Framing ~ Roofing Rough Plbg. Fough Htg. Isul. Fireplece Final Htg. Orsat Test Fna! Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final / S Dedc Ftg. Deck Final Well Pr. Di5p. ~13 7 8 8~,3. . ~T~S r Repoest ~a~e Fire No. Roug~-In Inpseclion RequireE tM1er T~an Roug~-in lvou must ~ ~nspeelor wnen reaay) eatly Now ? W~~~ NoOty ~nspacmr ~ ~es ? No Date Ready ~ I icensed contractor r] owner hereby request inspection of above electricel work at: Job Ftltlyres~s ~S~reet Box or Route No~.~ Cily `I (o(aq s~Y'0.~~7-p ~itA'lR.~ 5ecfon No. Townsnip Name or No. qange No. Counry OccupanllP INT~ P~one No. ome,~3 b ~ects~ - 33 Power Suppber AtlOress ~ Elpctncal G nvador ICOmpany Name~ Convactor's License N0. '~Sorr fL~ee.~r~ ~ C'-/¢-~l30 Mailing AaOress IComrsaor or Owner Making installetion~ . ~s ~S Aulhonietl Slgnalure ~COnV ctoVO~llalionl P~one Number a s~o d MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga~MiEway BIOg. - fioom Sl]3 BE ACGEPTED BV THE STATE BOARD 18Y1 Universlty pve., SL Peal. MN 55100 UNLESS PROPER INSPECTION FEE IS \ Phone~612)642-0800 ENCLOSED. ' ,s~~~ REOUEST FOR ELECTRICAL INSPECTION F~fi EB-000O1~OB ? See instruaions br competing ihis lorm on back ol yeuow copy. - F~ i ` 1 7 8~ X" Below Work Covered by This Request ~ . e . ~-F1e{a TypeofBuilding AppliancesWired EquipmBntWired Home ange Temporary Service Duplex Water Heater Etectric Heatlng Apt. Building Dryer Load Management Comm./Indushial Fumaca Other (Spec'dy) Farm Air Conditioner Other~syeciry7 Coniractor5 Ramarks: Compute Inspection Fee Belaw: - # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 ~0 200 Amps ~U to 100 Amps O Transformers A6ove 200 _ Amps Ahove Amps Signs Inspector5 Use Only: ~ ~ TOTALgt^ IrrigationBooms ~~G' /Ji,sd t Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O E~.iE i ISCONNECTED IF NOT Other Fee COMPLETED WITHIN.7 MON I, the Electrical Inspecior, hereby Ro~qn-~n oa~e certify that the above inspection has F;,,ai js oa~e ~ been made. e OFFICE USE ~NLV This request wia 18 momns irom ~ 9 ~~'Y~m- 64 53 ,;a O°° Reqvesl Dete Fire No: Roug~-In Inpsetlion Requiretl Inspeqion OMer Tha Paugh~ln . - ~ . ~VOU must call inspactor wh¢n reaCy) ~ qeatly Now Will Noiily Inspector T Ves No Date ReaCy < I~ licensed contracror ~wner hereby ~equest inspection of above electrical work at: . ~ - Jo Atlpress ~Shcel. Box a Rou~e No.l Ciy ~ , S ~ a~ ~CU _ ~V Section No. Townsbip Name or No. Ranqe No. Couny / (.~J OccupantlPRl T~ Ppone No. ~i.~~ A~(,~cs~ (2- ~ 8I - Po~S~~ Atltlress Electrical ConhaMOr ICompa~ny ~Nameln ~ ConVaQOr's License No. ~~V /~+c~- Matling AOOress IConVactor or Owner Making Installa~ion) Y1~J s~~a3 AmM1OraeO ~gna r p u ner aki II ~ n Phone Number ~ ta -~~~-qlb MINNESOTA 5 T PD OF ELECT ITV Ty THIS INSPEGTION REOUEST WILL NOT Grlggs-Mitlwey tlg. Noom S/]3 ~R+ BE AGGEPTEO BV THE STFTE BOARD 19Y1 Univercity Av¢., SI. Paul. MN 55104 V UNLE55 PFOPER INSPECTION FEE IS P~ane(612)602-0800 ENGLOSE~. / REQUEST FOR ELECTRICAL INSPECTION ~y""-~~~ eaoooo,aa T ? See inslmq~ons lor completing t~is brm on Oack ol yellow copy a89'S~ 'X" Below Work Covered by rhis Request ~~,:i} C~ .~3 ~ ` f ~w naa Rep. Typeol9uilding AppliancesWired EquipmeMWired Home Range Temporery Service ~ Duplez Water Heater Electric Heating • ~ Apt. 8uiltling Dryer ~ Loed Menagement • Comm./Industrial Furnace Other (SpeciTy) ~ Farm Air Conditioner O[her (spxity~ Camrector§ Remarks~. Compufe Inspection Fee Below: ~ • v ~ ~ eJel ~ # Other Fee # ServicaEntranceSize . Fee # Circuits/Feedars Fea Swimming Pool 0 to 200 Amps 0 to 100 Amps Transbrmers Above 200 _ Amps Above 100 _ Amps Sig~S Inspec~orY Use Only: TOTAL IrrigationBooms L~p~Q' L~O•,~O Speciallnspeaion . Alarm/Qommunication ~ THIS INSTALLATION Y BE 0 D EFl DISCONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Roug~~in , r , oa~a. ~ certity that ihe above inspection has Final ' Dete been made. ~C OFFICE USE ONLV . ~ This request witl 18 months irom AddieSS 4669 ST?tATFOR? LANE Zip 5512 3 I.ot . Blk ~ Sub WF.STl1N HTT.T.S 9Nn THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway I/ Permanent gas ~ Sod/Seeded grass ~ TraiUwrb damage Porch Basement finish Deck Pfease verify with the builder [he removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ~ ~ ContaM~engincering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy , . RESIDENTIAL BUILDING PERMIT APPLICATION ~f L 2 S ~ CITY OF EAGAN k•~ G 3830 PILOT KN06 RD, EAGAN MN 55122 ~ 651-681-4675 ~ ~ / ~ / ay. New Construetion Reauiremants RemodelfRaoair Reauirements • 3 registered site surveys showirig sq. ft. of lot, sq. ft. of house; and all raofed a2as • 2 copies of plan (20% mazimum lot coveraae allaxed) • 1 se! of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; paured found design, etc.) • 1 sde survey for eztenor addNOns 8 decks • 1 sel af Eneryy Calculatbns • Indkate H home served by septlc system for addi~ons • 3 capies af Tree Preservation Plan if lof platted aftaz 711/93 • Rim Joisl Detail Op6ons selecdon sheet (bldgs wiN 3 or 19ss unitsJ DATE 9"k~~~Z VALUATIONI~ ~W~ ~ SITE ADDRESS L'Ilc~o~I STRprCOR.+p '~-+~1 MULTt-FAMILY BLDG _ Y~ N TYPE OF WORI~SiD~NC, FIREPLACE(S) _ 0_ 1_ 2 APPUCANT A1.r.~.2.~u.n1 g+~t~D~~ vD,-aTRI.~-Ta (LS STREET ADDRESS (2z-`'1`? 1,~~-o~~.~c Eav S CITY ~AVPN STATEi'~!d ZIP /55l't- TELEPHONE # 952-~1~-10959 CELL PHONE # ~ ~ FAX #Q52"~~'~'YJ~i~_ PROPERTYOWNER ~1.LrL~.Suoy PCT~S TELEPHONE# ~e51-lo8l-D914~ d COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 Cr1TEGORY 1 MINNESOT.A RUL,I~:S 7672 (J submission type) • Reside~tial Ventllation Category 1 Worksheet Submitted • New Energy Code Workshee[ Su6mitted . Energy Envelope Calculations Submitted Plum6ing Contractor: Phone # - Plumbingsystemincludes: _ WaterSoftener _ I.awnSpcinkler D ~ir ~~p,~QO!~ _ Water Heater No. of R.I. Baths SEP 1 7 ZQQZ ~ j No. of Baths - L~~ Mechanical Contractor: Phone # o., Mechanical system includes: Air Conditioning - ~ Fee~70:6 _ Heat Recovery Sys[em 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 rdina s~ Signature of Appllcant OFFICE USE ONLY ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ` • ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 O6-plex O 16 Fireplace ? 21 Porch {3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E~ct. Alt - SF ? 04 02-plex ? 1D 08-plex Q 18 Deck ? 23 Porch (screened) ? 36 Multi ? D5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mova Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (BIdgJ' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demoiition (Entire Bfdg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciiy 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 61dg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion 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 (newlreplacement) _ Insularion _ 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 PERMIT e,~o55~S~~-- , ~ ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BuT~ozNs Eagan, Minnesota 55122-1897 Permit Number: q 0 9 (612) 681-4675 Date Issued: gq ~30 j96 SITE ADDRESS: 4669 STRATFORD LANE IOT: 3 BLOCK: 4 WESTON HILLS 2ND p.I.N.: 10-83751-030-04 DESCRIPTION: ya~rv ~~i~' ~-.c ~arE7tl2re`t~Permit Type DECK ~Bu~.1~3r~~t3~„r,k Type NEW ~ ~~~$~~~~~i~~~ 434 ALT. RESIDENTIAI. ~ , 4 ~ _ ~ ~ ~ ~ ~s,:~ y ~ ~%en. y"'~ c"`5v q~,.,' ~,s~ kw'.,«~a t~ ~ ~j ` ~ .~e a,s^~,. ~ ~ b U°6 ~b ~ x~ ~G~ nY¢= fiE~~`~a.I+"~» ~~~~7$ ~ ~ ,~s rv ~5~,. L b`3 " ~3.r`'~ ~ c ~ ~f sc.! ~`~t''~''] ~En~ ~ig fi~ . =j~ y. 2+F6s3 e ~ ~ , ~ ~esr~re~w W~,~P"~ ~r~ ~ t:~:~~' a~' ~k ~i~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Tvtal Fee $45.50 CONTRACTOR: OWNER: - Applicant - PETER5 DALE 4669 57RATFOR~ lN EAGAN MN 55123 (612)681-0978 ~ ~ . R ~ . ~ . ~ , . ~ . ~ ~ het^a~bY ;ae€c€~criuiedg;e', fiha~- S haue, read tltz& ~PP.I ic~~3.~sn and ~Late 'Chax the ~,ri`Fcrmatie~rr'.~~ .~~+~rv~~;e.et ar~ii ~gree tt~ cs~mpl~t with aIi aPplica#~le 5tate at M~r.. ; ~;5`t~t~a~e~ artd~ ~€ty° ~'f- Eai~z~n Qrsi.inances.~ ` ~ ~a ~ t c . ~ F d . n~ . . . . ' . ' ~ ' ~ ~ _ . ~ APPLICANT/PERMIT,-E SIGNATURE 'IS~ E : IG ~r~ ~ ~ CITY OF EAGAN ~ ~ F 3830 PILOT KNOB RD - 55122 ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ ' ~i 681-4675 : t'~~ ry~ Canshuction Reauirements R mMal~eeai• Reaulrem~nts ? 3 registered aite surveys ? 2 copias ot plan ? 2 coples of plans (include beam & w~ndow sizea; poured fnd. design; etc.) ? 2 site surveys (ezterior addkions & decks) ? 1 energy calculetWns ? 1 energy caleufationa for healed addHions ? 3 copies of tree praservstion plan N lol plalted afle~ 7/1193 _ requlred: _ Yes _ No DATE: . 1 2'~, 1 cz a~ CONSTRUCTION COST: ~ 4~ ~ DESCRIPTION OF WORK: ° ~ ° ~ STREETADDRESS: ~b~G ~~ro-~+._.Q`~J nn2 LOT BLOCK ~ SUBD./P.I.D. ~ Q~~ ~'n~ - PROPERTY Name: ~aS~~~ Phone ~ ~ ( - ~ OWNER Street Address• S~s~-~ ~ - City: State: Zip: ~ ~ ~ coN7w?croR Company: Phone Street Address: ' ense C~ty; State: w.,~ Zip. ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address~ City; State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicatlon and state that t ' o maHon is corcect and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY P~ Certificates of Survey Received ` Yes No APR ~ F~ ~g~~ Tree Presenration Plan Received Yes _ No I QFFICE USE ONLY ~ ~ ` ~ Ya1~. ~a~ ~ ,r `''u'~ ~ w .*.+A~;, BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool o. 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. a 10 = plex 15 Deck WORK TYPE „~31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) 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 ~l Census Bldg Census Unit ~1_ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Pa?k Ded. Trails Ded. Other Copies Total: °k 5AC 5AC Units m ' ~vi 03i16i94 15:99 003 3 ~ a o . f~ CERTIFICATE U~ ~URVEY ,x. . For HDMES BY CHAS~ - ~¢6b9 377ZA7~Y'ORD GANE G ~ ~ i~ ~ BENOH~q Ib( ' TDPOF PIVE ~ - ~ ELEV,. 9~.4~ 55 ~q5~ 5' /6/, G9 N - J o ! 9.7 ~ ~'96B SO' „;p» ~ ~ ~ ~7--- ~ ~O 4r ` ~ - i. s ' ~ ( 9 5 4. ~ m O ` ` ! _ n ~tI ~ ~6.a.~w:l i~ss1 1~ , ~ q ~F"______- 8, E.b ' /O f ~ ' ~ . ~I ~ ~ ~ ~ Q ~ ~ ro ~ ~ io ~ : Z l r~ O' 8e.~~ I M ~ i ~ ~ = h o \'~o N• ~ - o ~W ~ a~o Q ~ IJ/ W . ~ ~o ~ ~ ,n ~ ~o~tl~ ~ 1 - f~ g~ ~ I O" ~ 1 ~ ~ '--~a. ~ . I Q ~ 1 P ag.ss ~ ~ 5 , 9s+.s----f. 1 ~ , ~ I 'a11~5S J ~ ~ 14.G5-~ ~ ~ ` 10 ~ / ~ ~^i F-~' . , r.7 ~ i l~ 5 .~9~ 5s. E ~ 47.3 r , .oo Qp~W ~1 . . _ N ~8° O4' 1 ~ Cq~'i1 /39. 12 0 1 ~,,.',,L,~k 17 TOp yr PIPE ~ VlEW~^rI' r i~¦~¦~~V ~ ~n • ~ gY U . - D aa~ 3 7 . y ~ . ~ . Da EAGAN ENvINEE DEPT. Jame~ R. Hill, Inc. Page 2 of 2 PERMIT ~'(~/`~j CITY OF EAGAN ` ~ `~ll 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z G Eagan, Minnesota 55123 Pertnit Number: 0 2 3116 (612) 681-4675 Date Issued: 0 3/ 2 2/ 9 4 SITE ADDRESS: 4669 STRATFORD LANE LOT: 3 BLOCK: 4 WESTON MILLS 2ND P.T.N.: 10-83751-030-04 DESCRIPTION: r1 Bp'ildi g Permit 7ype SF DWG ~`uilding~okrk Type NEW rUBG Occupan y R-3 M-1 ~Const7uction T e V-N /1 ~ Zorting R-1 ~ ~ ~ Building stories 2 MAR 2 2 1994 `~G, r,~;_~ F~ cety~OFc9t7gc~et ~ ~ REAAARKS: PRV S& W PLBR - VALLEY pLBG FEE SUMMARY VALUATSON $110.0@0 Base Fee $674.59 MISCELLANEOUS $1~828.50 Plan Review $438.43 7uta1 Fee $3,796.43 Surcharge $55.00 SAC $800.00 SAC ~ 100 8AC Units 1 Subtotal $1,967.93 CONTRACTOR: - Applicant - sT. t,ZC. OWNER: HOMES BY CHASE 18955397 0061619 MOMES BY CHASE 2509 W COUNTY RpAp 42 260 2500 W COUNTY ROAD 42 BURMSVILLE MN 55937 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 I hsreby ecknowledge that S have read this aQplication and state that the information is carreat and agree ta comply with a11 applicable State afi Mn. Statutes and City ofi Eagan Ordinances. L _ ~ _ -J . APPLICANT/ MITEE SIGNATURE ISSU BY: GNATURE ~ CITY OF EAGAN ~3,'~~~•~3 ~ ~ ~ 1994 BUILDING PERMIT APPLICATION e - " fi81-4675 ` ` ` ° J L i~t~R 1 1 1994 r~ ~,1.~I SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys-,~1=c-opy-o'f energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. G Date .3 / Val uati on of work /.~~i .-~Od ~ Site Address: ~~olv ~ i7if'.szJ`~,r~,! ~n/ STREET SUIiE p Tenant Name: (commercial only) ~ LOT BLOCK ~ SUSD. P.I.D. # Descri tion of work: The applicant is: ,~Own r~Gontractor ? OtI1EY' (Describe) Name Phone S~S~~7 Property LAST FIRST Owner Address ~ S~'JO r~ ,~aG y i STREET STE # City ,~~G~~/L? State ~',l~Jti,~ Zip SC3~,L Company Phone Contractor Address ~~a ~ License # Exp. City State Zip Company Phone Architect/ Engineer Name ~ ti C~sr~c--- Reaistration # Address ' City 5tate Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once ar a as been ap roved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i~/~~~~~~~.rc ~ ~ s~ j~~ . OFFICE USE ONLY 4 • BUILDING PERMIT TYPE " k' ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~ 02 SF Uwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ~ 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ~ 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE r~f 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. ~Z 6 MWCC System (Allowable) ,yfjL lst F1. sq. ft. ~ City Water ~ UBC Occupancy ~ M/ 2nd F1. sq. ft. ^5 o PRY Required Zoning y~../ Sq. Ft. total Booster Pump ~ of Stories Footprint Sq. ft. Fire 5prinkler Length On-site well Census Code ~ Depth On-site sewage SAC Cade ~ Census Bldg / APPROVALS Census Unit _L Rlanning Building Assessments E~gineering Variance REGIUIRED INSPECTIONS ? .Site I,~ footing ~ Framing ~H'Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee vei~eson: g ~ Surcharge ~ LicenRQView ~5,~`/~ (lsC7 z'z,~3z,k/~~/~~ MWCC SAC 3, S-f- 2~/ City SAC f'Z ~ = /2 Water Conn. ~Z,~~= l~ o Water Meter 3r~r~_ Acct. Deposit 5/W Permit 2~k 2~~ (a'~'~X~,~ Ip08~ S/W 5urcharge / Treatment P1. ( ~ ~ p Road Unit Nta%~, Park Ded. .az k-Z s- S 5 o,,r,y = Z 9 O Trails Ded. Copies ~ Other Total: 3J,~zY2 /~~~I,f'S~~ _ 5AC % 5AC Units B3i16i94 15:09 003 1 dr~eou CERTIFICATE O~ ~iURVEY For HDMEB BY CHAB~ 4669 37".¢R7fOR0 lANE ~ -r ~ t_~ ~i ! ro~~~ ~ v,.93¢.55 ~ ( q ga.sj /6 / !n 9 \ ~ 0 ( ' '7 m N' 9~8 Sp' ;gp" ' ~I 0 IO ~ ~'1,._ ~ " - i.> (454.~ W ~ ~ ~I°-N3 :'I 3 /GfSe'' , ~ 1 ' N ~ ~ ~ p' ~ r, ~ ¢ ~a ~ ~ ~ ~ ` ~l ~ ~ Z 1~~ 0 ae.~~ ~ ~ a~~w~ ' O r~ ~i N ~ ~ M ~4~ ~d~ ~ r l~ ^ °W aN"' ` q1 ( 1~ O bi~W n Eb0 ~ ~ ~ ~ ~ 9~, ~ ~ I!~n 3 I 0 ~ ~ ~ ~ ~ ~'c r'_ ~ 0.~\ J ~ W. 1 ~O~ O ~ o+ ~L ~ ~ ~ I ~ a ~ rn Pg.Bg _ ~ 984.5 1 16.G5~: j I~~a/2r`Sf I o. 1 D ~-i F~! ~ ~ ~ ' . ~--W.s ~i C952.~9> ~ 5s.s ~ az~ ~ ~ 'O 00~ V! , C~~~ 1-- ~~9. ~z N~B° ` ' 0 1 BENG I Miplt 11 QR PIPB i ~ 1- w ~'~983.~6 r ~i: ~0~ ~ ~~~C-~~~~~~,~~~~ a o BY ~I ~ ~A~ 3 / 9~~.~ - . ~a FAG~T E1V IIVEE I)EP'T. Jame~ R. Hill, inc. Page 2 of 2 03i16i94 15:09 002 671600 I CERTIFICATE UF SURVEY ~ For HOMES BY CHAS~ 466y STp,q7FOR0 LdNE' PROPERTY DESCRIPTIVN: Lor ~~ocK 4, w~sranr H~ats a.va Ad0/T/ON , ACCORO/N6 '7'C YH~ R~GCRP6v P6r¢7' 7H6R~Ott. I OAK07A COUN'7'Y~ M/NNFi90TA, j We hereby certify that thls is a tn~e and camect survey of the above describeci property and that it wes ~ performed by me or unde~ my direct supervfslon and that I am a duly Lioensed 3urveyor under tha ~ laws of the State of Minnesota. This survey does nvt purport ta shoW all Improvemsnts, easemen4e f or encroeehments, to the property except as shown 4hereon. Signed this 9~~ day of ~~4~~ , 199~ James R. HIII, II1C., B l i Y~ Gary R. Ha s, Mlnneaota LS. No. 10943 ~ Notes: 1. Bullding dimensions shown are for d penoiee set iron menumanF horizontai & v~rtical location of siructure onl O Denotes faund iron monume~ Y• x 927.88 Denotes eiAsUng elevetlon i See architectural plans tor buitding & (930.00) Denolea prnpv5ed elevadon ~ foundation dimensiona_ Denotee proposed drelnege 2. No specific soils investigation has been g@nCh M~t~k:,., , ~ completed on this lot by James Ft. HIII, Inc. ! The suitebilfty of soils to supporf the specific Proposecl C3arage Floor = 955 a ~ house proposed Is not the responsibility ~f Proposed HouSa Top Block= L ~ James R. Hill, InC. Of th~ SuN6y01. Proposed (3arege Top ~lock= ; 3. Proposed grades shown were taken from Proposed l.owest Floor= g~vs. ~ the grading &lvr development plan prepared by Sear~ngs are on assumed datum I PR06E 4~NG/NECK7N6 CO. lAfG. SCaI~• ~=~Q Page ~ Of 2 I ~a ~ W ~ Jame~s R. Hill, inc. i ~ O ~m nZ z~ ~ "m PLANNERS I ENGINEERS I SURVEYORS i ~ ~ O m 2500 W. CTY. RLI, 42 ~ BURNSVIILE, MN. 55337 • Bf 2-880•6044 i I I . LOT 8IIR9LY CHECIILiBT p08 I~BSDENTI7II. ~ SOILDtliG pERMIT LPFLICIITION /l pR~PERTY LEGJIL•i -3 ~ ~ / , ~ . / ~ i, k~ nat~ ot surv~y: J i ~f ~ocvuErrr sr~+~++~nno .T ~6 /9 ~ LL~I~D' 0 • RegisterQd I,nnQ Surveyor siqnature and company 8'~ 0 • Suilding Permit JlpplicanL ' I~~ 0 • Legal dsscriptioa tY D 0 • 1lddress D • Norih arrov and bar-~enle - I~' 0 CI • Aouae type (ramblar, waikout, split v/o. apiit sntry, lookout, stc.) ~D 0 • Directionai drainnq~ arrovs with slope/gradi~nt t. D~G 0 • Proposed/existing s4wsr and vater services ~D 0 • street name ~0 D • Driveway ~L~D7ITIONB ~cistina ~~,0 0 • Sewes serviee 8"~ D • Lot ccrnerc H~ 0 D • Top o! curb at the driveway D[YG • Elevatioas of any existing adjaceat Aomer proneseQ H~D 0 • Carage floor • 9~ n 0 • First flooz P1~ n D • Lowest expo~ed slevation (valkout/windov) P~~~D 0 • Property corners Id" D 0 • Front and renr of bome at the iouadation pONDiNG !?REl18 (3! anfll3eab1~1 D~ ~ n • E~ement line 0 0~ n • xwt, . 0 ~0 • Pond t desiqnetion D D~0 • Emerqeney Overllow Eievation DIlSENSSONs ~D 0 • Lot lines F-!~p D • Rfqht-of-vay and ~treet width (to bnck oi curb) ~ O D • Proposed bome dimensions including any psoposed ~deeks, overhar,gs greater thnn 2', porches, stc. (i.e. a11 structures zequiring permanent tootinqe) ~ H' ~ D • S1?ow all easements o! record and any City utilities within those easementa ~0 D • Setbacks oi propoaecl structure and setback of adjacent existing homes , . D S~D • Retair,in 1 r irements~ it any Reviewed: ~ ~ ame / Date Oetober 1992 ' 3nt~E6~fY.~~.~~.ec.~ 0 1 I I ~ i ~ I:...;~ _ _ J ~ , I ~ ~ i wve ,+e~ ~ ~ ~ ~ WYE 1+55 SAN ELEV. Q PL 94278 ~ ~ . _ v ,I SAN ELEV. @ PL 9b5.38 ~ ~ ' ~ ~ i ~ L ~ I ~ Sp'~ , , - L- ~r - ' i ~ ~ . .~y p I 'J J~i ~ eEno ~ar ~ s 2 A~N•8 ' tiM1~ i ~WY } , ~ ~ r ~ )y 8' ~-PVC SANl~ ~ ~ SAN ELEV ~ /O Y/ ~!P - - _ _ _ y U Q 178' ' 7W / ~ ~ \ ~ a(, ~ ' _n " = mr ~ wve ~+sa ~ ~ ~Q~i~ ;~~1'I'FORD ~ ~ ~ " ~ ~ `O ~Q r- ~ ~ ~ 1 `SAN ELEV. @ PL 94223 ~ \ :..''^8„yT(OfiANT ~ i C~ ~ I `O - - - ~ J 1 1 6' HYDRANT ~ \ _i r- ~ ~~zgg~,.~pp+~ 3~ / I / WYE 7+68 WYE 0+08 1 ~ 6'X6' TEE q~ - 6" DIP \ I I W YE 0+85 I~ ~ SAN ELEV.~ PL 943.21 ~ ~1 ~ Q I I O O ~r~ r~ SAN ELEY. ~ Pl 948.1 il I SAN ELEV. ~ PL 944.50 I I 1 \ 3 y ~ ~ 1 \ ~ r I ~ I ~ ~ 1 ~ ~ ~ I 1 _ ` ~ ~I ~ STRATFORD LANE STA. 1+76.35 = 1 ` ~ ~ ~ ~ ~ WESTON HILLS DRIVE STA. i13+91.40 ~ ~ ' ~ , ~ 4 , , 1 2 3 , i o ~ ~ _ ~ , NOTES: SANIT I I~ ~ - . . _ SANIT ~ I_- I - WATE. 1MARK-SPiKE~ 1N POWER POkE i 00 FEET NOiiTH O~ ~p~~ ~~7y pF EAC~+~PI DOES ~tOT GU~~~E ° RQADr ON THE EAST SIDE OF T.H. NO. 3-ELEV. 931.60 -~E ACCURACY OF UTILIYY LOCP~TIOldS WATE: APlD10R ELEV,4Tt0idS. ~9~S Do~TA IS FOR CuRB --l i IP~OP~~AA710N PURPOSES O~LY ~?ND SAN. F PERSONS U51~C 1T SWOULO VERIFY THE A~L_ ~ t5o> 20o IRfFOR~P,~ION 0~1 THE SITE. A~~ r S6; ~ 10+~° : It~k'~ FEET , ~ THE r ~x s t . ~ . _ . M~ ~ A D L A N E ,~~LL . ~ + „p t. 4 ~ k < . . - P . . ~ ~ f e - l z , v kv . A ' ~,r...w.««« ..............~C ~ ~ ~ ~ ~ . . . ' st ~ . . . . . . ,r . . . . . . . . . . . . ~M~~~ v~~r~~ ~ . . . . . . . . . ~ . ~S~i'2 F n .~..r . . . . . . . . ~ ,"W r!~ !„~'.YLLwi~laSS~ ,°"~"'a,r....~ ~ t~`~~~°^~ , ~ a~~.t.. ~ w . ...S...W_ . . x,,.,.` ~ : ;,f, .._;~-~.~..b.~..~ . ' ,~.n"'.~` .n_ ~~~;~;,,~"'"'~",p'+a+a~'e~T~' .:'"`~rs.wo...-. . _ . p . s ~ . $ a -n , ^ y~„~w,-w~Y'.~'~ a^oS^^-e~""""'' . r .Yi+~. 3 ~ ~ ~w~.-scy •w~~"'"' ...~-..w.S» .w a ? - i . « ~ru-!yt~~ ,{,6'"y'~. , a~,,,nj ~t ~K,~r+~ ~ ~.~M"' ~ . . "~K . , . . . . . . *`"~TM"Y ",°..-A 'sT . ~M .~..xr_ ..o¢..t3-.._trid~«nad ~%.).:.dau. ~R"v^~e'4~~.-+a4rK~Hn~~xs..a.- ~ - - ~ o , ~ , . - _ _ J ~ I ! I I wve ,+e~ / ~ ~ ~ WYE 7+55 I I $AN ELEY. Q PL 962.78 ) ~ ~ . ~ ,I SAN ELEV. p PL 945.~8 I I ~ N ~ ~ i ~ ~ ' ' ' L ~r ~pVC ~SA _ , / - - a G ~ ~ J - ' ~sEN~ »T ~,'MH_8 -7 ~ ; , . ` ry ~ WY JE T ~ jy ~ 8'~-PVC SAN~> ~r C SANELEV ~U a/ DIP 178' •~W \ t 1l ~ ~ ~ t ~ ~K ~ • n ~ ~ yyYE 1+58 ~ ~ ~ RATFORD t ~ ~ m Q ~ ~ ^ ~ "1 ~SAN ELEV. ~ P~ 942'23 \ i~ I ~ / - r 1 ~ 6' HYDRANT ~ 6' HY~RANT 4. I I ~ ~ ~ - _ - ~ ~ L 6'X6' TEE I ~ W VE 0+08 ` 1 6'X6' TEE 11' - 6' OIP 3 W / I ! W YE 1+G8. g• . 6' DIP \ ~ j i WYE 0+85 I' I~ SAN ELEV.@ PL 94321 ~ 1 ~ \ Q O a~ !1 SAN ELEV. @ PL 946.11I SAN ELEV. @ PL 944.50 I I ~ ~ ~ y ~ ~ ~ ~ ~ ~ i i i i ~ ` ~ ~ ~ _ f' ~ ' ~ f ~ STRATFORD LANE STA. 1+76.35 = ~ ' ~ ~ ~`'I f~ g WESTON HILLS DRIVE STA. 13+91.40 4 / ~ w r 1 ili 2 i~~ 3 ~ ~ _ / ~ NOTES: ~ L -I_ SANIT ~W ~ j,~r, % ; ~ - _ _ SANIT r i IMARK-SPIKE IN POWER POILE ~00 FEET NORTH c7'h THE CI7Y OF E,4CaP+M DOES fd0'f GUAR~TEE WATE: ROAD ON THE EAST SIDE OF T.H. NO. 3-E~EV. 931.60 ~~D/OR CELE ATOOIVS. TH S DAT~S'FOR CURB --7 i I~AAATIOM PURPOSES ONLY ~41d~ SAN. P~RSONS USt~IG BT S6i0ULD VERIFY THE ALL ` 150 200 IRIFQR~flle+T10N ON THE S1YE. ALL h 50 100 ~N FEET THE ...............~~!l4.~~~~~~~....~.~~~.............CB-t . ; . . • , _ , : ~ . : , [ilrlll¢l~' . ~bo.~rs /.~c> C-/%'s ~ • . , . , . , , , , . ~ ~I1[ /CU~IlESS: -_Y/C~~~ ~~/S%5~~.~ ~ ~it~ 7m~ :~/';~;t.~ ' COIIi R11C701t t_ Sl/1/~ bA1E -Q%~ hIIUNE s~~Sf,~7 a~ UETERHIRE NoRi;Ilir 5oUl11tfi f00TArE oF EACII: . . , . , t.. 1o1A1. EXf~oSEU llqlL AItEA........ ~p~0 sq ft x"U'r ._/'XJI . - . , z-. ~orn~ f100F/CEILlNC ARC/1,...,...' L S~i r~ x~~u~~~~ ,U,~S~ 3. Torn~ exros~o,uqLl AnEA cAlcUlATlolls~ ~ , . ~ ~ ~ . . . . Total expvsed wall ~ , . ~ , . ' orea above Floor` ~ ' ' ' ' ` . ~P sq ft ~ . . . o) 7ota1 wal) riindow areai • ' ' - glazed.~~... sq ft x nU~~ , ~Z- * glazed...... sq Ft x"U" e~ . b) 7otal door orea 'sq ft x"U'~• a~C~ c) ~1"otn) slldln ~ . ~ • ' . ~ . ~ ' • SI nless' door ~ereat' . , . , , • . • . . 9lazed.:...~ Gf~ sq ft x~~~~i ° . ,S~~i~ia~- ' ~ ~ z~~.~. . . . . _ s~, r t x _ . ~G 3~_ 4 ~a , d) Total flrcplacc wai) arca sq Ft x"U" ,%q e . . , • . • .v.:,. c) Tvtal ~oall frawing arca ~ (n~~~,~i~ io~)........... ,~~~2- sn rc X~~~,~ ,'O~Z " r• ' F) 7otal net wali orea above . Floor (insulntc<I)....... ~~~~j sq Ft x"U" ~Q6~~aj ° .t ~ g) 7otal rlm Jolst .arca,,...._ sq ft x"U'! ,Q e~~ Total foundat.lon ~ ~ arca (Exposed).~........_ ] ~ sq.(t . . h) 7ota1 founJatlon ~ talnJo~i area............ ' 'rj . sq ft x nU~~ ~ i Total net fouiid~tlon" ~ ' -'7 ' ' . area al~ove.~radei......~' sp Ft x n~n d I~~ , TOTAI. a) tlrrv I) e ~f'Itein n) Is the samc as, oY less than Itr.m pl, you havC met thc Intcnt of . s.n.c. se~cio~, r,onr. z, • . ~;.~~.u auuiii:rillnc r,nLCU~nrluiis~ ' • ~ 'lotal exposeJ , ' ' ` ~ Coo(/teilln~i nrea....,,., ~ ~ Sh Ft . . • + . • . . . Total skyl Iolit. area.'...... ~ sq ft x'•U" e. i I:) 'Iotal roof/cr.) l lnq framing . "~t ~ , , . area (Averanc 1pR),,,,,, ~T~ Sq ft x ~'U'~ C. . , r -~G~ ' 1) Total net Insulated , • , roof/cel I lnq orea.......~// ~Cj sry Ft x"U'~ ~t~ '~j• ~ e ~ . , . ""LQ.T~ ~ ' , Tvrn~ ti,r~ ~ , total•of N~~ Is thc same as, or Icss thpn p2 ~ 7.C. Sectlon 6G~G (c) . ydu havc met thc (ntent oF • • ~ ~ ~ ~ : . . . . . ,~:t,. . , .,~';.,~.Y.:.:• • ' • ' • ~':~i- . . • , , . , . , . . , . , , • . . , , . _ • ALTEfUlA1E bUlLblll~ C•IIVELOP6 hCSIL'N . . • . n ut~lizc the tota) enveiope system method, the val~ies.estab{{shed by the sum ~ Itcins N3 ~nd !rb shall not be greafer thnn the sum of (tems /ll anJ !/2. + l.. ~ ' : , 3' + 1~, ~ ~ w• ~ . ' ' ~ . . . ~ . • , . , • . cEiiTi~.ir.nrini~ ' . ~ I hereby certlFy~th<tit I have calcvli~ted the "U" factors and "IN' 'a~~ies hercln ,~nd that thc hullclinry hcrc dcscrlbed mcets or excceds the Statc ~f Nlnnesota Ericrny CoiiscrvaNon Aet. ~ . . ' L~.;~_ . + T ry~ature . • • ~ //~y ~ ~ PERMIT C~L ~ 3 ~ ~s ~ CIT1G0~•EAGAN ~-~S ~y 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o z N s Eagan, Minnesota 55123 Permit Number: 0 2 4@ 9 0 (612) 681-4675 Date Issued: 0 7/ 14 J 9 4 SITE ADDRESS: 4669 5TRATFORO LANE L07: 3 BLOCK: 4 WESTON HILLS 2N0 P.I.N.: 10-83761-030-04 DESCRIPTION: Bulld'3ng~Permit 7ype BASEMENT FINISW J~uildint~ W~ck Type ALTERATION ' !f ' d_ f ~i f~ ~ ~ i 1 ti ~~'\J~1~~ .~,~i:.., ~ i"~ ~1, YY { P j ~ f ~~:~y ~ ~ ~~"l ~ ~~~3 S~ ~ kl .J L:r REMARKS: SEPARATE PERMITS ARE REQUTRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - KOCH DANIEL 4669 5TRRTFOR~ LN EAGAN MN 55129 (612)681-9169 I hereby acknowledgs that I have read this appliaation and state that the informa'tion is aorrect and agree t~ cnmpl.y with all applicable 5tate of M~. 5tatutes and City of Eagan Qrdinanoes. ~ ~ ~la~~, ~.~~.~1 I m~~ APPLICANT/PERMITEE SIGNATURE ~ ISSUED : SI NATUR~~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: sui~ozN~ 3830 Pilot Knob Road Permit Number: 024090 Eagan, Minnesota 55123 Date Issued: 0 7/ 14 / 9 4 (612) 681-4675 SITE ADDRESS: ~ o T: s B L 0 C K: 4 APPLICANT: 4669 STRATFORD LANE KOCH DANIEL WESTON HILLS 2ND (612) 681-9169 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION . . FRAMIN~ INSULATION ROUGH IN PLBG FINAL REMARKS: 3EPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK ~ ~ ~ ~ CITY OF EAGAN ~ 1894 BUILDING PERMIT APPLICATION ~3.~.'~I~ ~ 681-4675 co~,'~~.~c SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered 't ~~+5~'p of energy calcs. .~~II 0 6 ~ggq COMMERCIAL 2 sets of architectural & stru tura7 plans, 1 set of specifications, I copy of ener ' Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / / ~ Valuation of work 3ite Address: ~7"t(~~oq ~Tru,l f7~?G~ ~uru~~ ~Q~l't-~ I~YII~ °J~~ STREET SUIiE # Tenant Name: (commercial only) LOT SIACK ~ SUBD. I~~I'--- v ~Q~ ~_/J P.I.D. # , T l~lJ ,I,O~l .~l.C ~CIUX~ Descri tion of mork: The applicant is: Owner ? Contractor ? Ot er (Uescribe) Name Phone l~la bgl l6 Property ~AST FIRST Owner qddress _7Ct~tp~ V.~YQ,~T~?'~ I.LC.~ll~ STREET STE M City ~qa.?lJ State ~ Zip Company _ /UO V1 ~ Phone Contractor Address License # Exp. City State Zip Company /tt7l YI Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lic tion and state that the information is correct and agree to comply wi all appl' e 5 te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY Y ~ _ , ~ BUILDING PERMIT TYPE ' ~ ~ , ~ ? O1 Foundation ? 06 ~uplex ? 11 Apt./Lodging ~-16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind. ? 04 5F Parch ~ 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? DS 5F Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire 5prinkler Length On-site well Census Code c~ Depth On-site sewage SAC Code o/ Census Bldg ~ APPRQVALS Census Unit o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing Framing ,0•Insulation ? Wa116oard ~O~Fina1 ? Draintile O Fireplace Permit Fee vei~e;~: $ Surcharge Plan Review License MWCC SAC Cify 5AC Water Cann. Water Meter Acct. Deposit 5/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units `I I "132 ~ -r,~ 5% 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / Z'~ / OS Site Street Address ~'+~+i'~d ~-h Unit # Property Owner J~N ~-t-~~5 Telephone # ) ~P $I-~ ~ Contractor 3~1~r~ S ~~JNnr'J ` ~ ~~r~ ~T ephone # ( fp~ ZZ-p~i. -RG~ ~ Address ~ ~Qh0~711~ City ~~Q.~%~ State ~M~! Zip l0~- The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. !f ~oq are installinp onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener ~ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebulld $ 30.00 State Surcharge $ 50 Total 5~ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. C.~~ ApplicanYs Printed Name App~icanYs Signature From: Amanda Klecker Fax: +1 (651) 772-2226 To: City of Eagan City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Fax: +1 (651) 675.5694 Page 2 of 2 3/26/2012 1:17 Use BLUE or BLACK Ink For Office Use Permit `: 3z./ ‘OO, Permit Fee: Date Received: Staff: INFLOW & IFILTRATION PERMIT APPLICATION ►f Plumbing / Sewer & Water Date: .1/4 -3/1 --?-711,P.- Site Address: / t ) 6 Ira/ / Tenant: Suite #: Name: I f i i /iC: -e I % l% ;« : , .' eref Phone: (QS/.1-f-11 f ..: 7 1 66 CONTRACTOR T' Pi OF'wO tK ........................................ _.......... Other: Address 1 City / Zip: 417.4iPc/ 5 Tctia-/- Name: Z e ./ l Ph -1M MYi /.214. c e License #: t�� 4 5 3 !..'5G) Address: E3'/ c 7 City: I.- L :.- State;.�.t Zip: a f + f sem- Phone: 0- S7 — l 3 -3 Contact: Email: PLUABWG (Within the building envelope) V Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair Other: Description of work: je'`] S lLtZed,,,,f..,lI-ez , _. �Lt FEES $60.001 Each (includes S5.00 State Surcharge) TOTAL FEES % Ll ••° *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeactan.corrilinflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE \foil DIG. Call Gopher State One Call at (651) 454-0002 for protection against .underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. > w, .gauher algonegall ig 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. Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA123323 Date Issued:06/04/2014 Permit Category:ePermit Site Address: 4669 Stratford Lane Lot:003 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Lisa Nyberg 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 - Michael D Tuchscherer 4669 Stratford Lane Eagan MN 55123 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124117 Date Issued:06/23/2014 Permit Category:ePermit Site Address: 4669 Stratford Lane Lot:003 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Michael D Tuchscherer 4669 Stratford Lane Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124882 Date Issued:07/14/2014 Permit Category:ePermit Site Address: 4669 Stratford Lane Lot:003 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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 - Michael D Tuchscherer 4669 Stratford Lane Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144087 Date Issued:07/12/2017 Permit Category:ePermit Site Address: 4669 Stratford Lane Lot:003 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-030 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Tuchscherer 4669 Stratford Lane Eagan MN 55123 Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144263 Date Issued:07/19/2017 Permit Category:ePermit Site Address: 4669 Stratford Lane Lot:003 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-030 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Michael Tuchscherer 4669 Stratford Lane Eagan MN 55123 (651) 492-7700 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature