4673 Stratford Lane
Wertificate of cccupaxcc~
- ~it~ o f ~agan
201 artae[eut eF 13Ki[bing aub~oection
~ This Certificate issued pursuant to rhe requirernenrs of the Uniform BuildiMg Code
certifying that at the time of issuance this structure was in compliance with the various
arrlinances ojthe City regulating building corrsinection or use. For the fo!lowing:
Use Qassification: SF DW Bldg. Permit No. 2316R
Oa.u{arey Type RIM Zoning District Ri Type Const. VPl
Owner of Building KEYLArID HrMFS Addctss 1(+4 50 R1 VIjJ F. PM - R1 Vn T F
auilding aaems 4673 STRATFOFM i.AAH? Localiry L/+, B4, WLSDfN H1Lc--2ND
date:
Building' ia!
POST IN A CONSPICUDUS PLACE
INSPECTION RECORD
c CI"rY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
• Eagan, Minnesota 55123 Date Issued: { / ~ ~ 1 `a
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
r;M J N•• ;""ri 1 W,,
It`!":ttl HI I~+p1 f lf~l I'f 11f :
,
I~ i1l~l h'~ I I' , Il 1't I;! Pil 1 11
I ~
~ I
Permlt No. Permft Holder Dste Telephone IF
, S/W
- PIUMBING ~a0 q 8'gQ- 8
HVAC y ~9 a
ELECTRIC f a. 3~ ~L~ • 'S G O J
ELECTRIC
Inspection Date Insp. Comments
Footings I /Qq
Foundatlon
a
Framing
Roofing
Rough Plbg.
Rough Htg.
ot~
'Su'. z
Firepiace I0 .(~d ~f -
Y Rx`~
Fnal Hig. ~
Orsal Test s
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
~ 12 3 tS tS L 41 B~l ~ G~ J~ri ).L.~Co Z`n`Q ~ 8 J`,
RepueSt Oaie, . Fire Na. Rough~ln InpseMian Repuiretl Inspection O'her Tl~n,pough-In
(YOU must cell inspecbr when ready) [3 Reatly Now N Wiil Notity IngpeclOr
~ Ves ? No Dala Ready
t)95censed contractor p owner hereby request inspection of above electrical work at
JoE Fddress (StreeL Box or Roule No.) City 3
SeMion No. Township Name or No. Range No. Couty~
Ocwpant ( PFIN I Phone No. -
S
Power Su ii r a.ess
Gt-k~ •
Eleclricai Conllacior (COmpany Name) Conir clars L nse No.
~Do ~
MaiLng AtlGres5lGo actor or Owner Makiny Installalion)
W / ~ /
Amifonzetl Sq w~e IGonuacID~iOwner Making Installauon) Phone Number 141 D- 10.3ew
MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION FEOUEST Wlll NOT
Griggs.Mltlwey Bitlg. - Room 5479 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PMneIII 602-0800 ENCLOSEO.
/(o REQUEST FOR ELECTRICAI INSPECTION a'" en
? Seg!rxlmctiorn lor compleling mis brm on back of yellow copY ~ SS
p p i
N1 _ O O X" Be/ow Work Covered by This Request
e nda Rep. TypeofBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElectriC Heatlng
Apt. Builtling Dryer Load Menagement
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
Olher(specify) Contractor§ Remarks:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps to 100 Amps - 1110-3.
Transbrmers Above 200 _ Amps Above 100 _ Amps
Signs Inspanor5 Use Onry. //7 ~ 7pTAL
Irrigation Booms
Special Inspection ~ J l
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee ~ COMPIETED WITHIN 18 MO . P
I, the Electrical Inspector, hereby Rouyn-m VLO
certify that Ihe above inspection has Final - r oefe
been made. ( ..i, :-C-?~C
OFFICE USE ONLY
This request voitl t8 manths Imm
AddI0S5 4673 STRATFORD I,ANE ZIP 5512 3
L'oc a Bik 4 Sub taESCaa xna.s 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: A W Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage)
Petmanent steps (main entry) ~
Permanent driveway
Permanent gas ~
Sod/Seeded gtass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exisfs.
ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
~ CnY OF EAGAN PERMIT C6 ZI630
3830 Pilot Knob Road PERMITTYPE: suxLoiNG
Eagan, Minnesota 55123 Permit Number: 023169
(612) 681-4675 Date Issued: 0 3/ 2 9/ 9 4
SITE ADDRESS:
4673 3TRATFORO LANE
LOT: 4 BLOCK: 4
WESTON HILLS 2ND
P.I.N.: 10-83751-040-04
DESCRIPTION:
Bwilding'-Permit Type 5F DWG
8,wilding 4J'o:rk 7ype NEW
,tiBC Qccupancy ~ R-3 M-1
Constr'uctiqn Typ,e V-N
Zanin9 R-1
Building Length ~ 58
Building 4lidth ~ 42
Bui,Iding st4ries f= 2
~ '
5
REMARKS:
PRV S& W PG6R - p C MECH
FEE SUMMARY:
VALUA7ION $144,000
Base Fee $793.50 MISCELLANEOUS $1,828.58
Plan Review $515.78 Tptal Fee $4,069.78
Surcharge $72.00
SAC $800.00
SAC g 100
SAC Units 1
Subtotal $2,181.28
CONTRACTOR: - Applicant - sT. LIC. OWNER:
KEY LAND HOMES 18942636 6001559 KEY 4AN0 HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURN5VILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
S hereby acknqwledgs that I have read, Chis applicatlon and srate`that the
information is correcfi and agree to comply with a3:1 appliGable State ot Mn.
Statutes and City af Eagan Ordinances:
L J
0~)G'~~y`~__
APPLICANT/PERMITEE SIGNATURE - 1S ED BY: IGI IA7URE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: eurLorNG
3830 Pilot Knob Road Permit Number: 023169
Eagan, Minnesota 55123 Date Issued: e 9/ 2 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lo r: a B L 0 C K: q APPLICANT:
4673 STRATFORD LANE KEY LAND HOMES
WESTON HILLS 2ND (612) 894-2636
PERMIT SUBTYPE: TYPE OF WORK:
SF DWCa NEW
INSPECTION .
FOOTINfiS FOUNDATION
FRAMING ROOFING
INSULA7ION FIREPLACE
RQUGH IN PLB6 ROUGH IN HTG
FTNAI PLBG FINAL
REMARKS: PRV S& W PLBR - D C MECH
~ I
CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATtON
681-4675
n04, t°,IR Z 5 9994
SINGLE & ULTI-FAMILY 2 sets of plans, 3 registered site surveys, l--Copy-of=eAer`-gY,
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request 1s made, 2J address is changed or 3) lot change is requested once permit
is issued.
Date MflG~O- / 25 Valuation of work I0-7 raUo
Site Address: ~`fLA-'CFO~D
STREET SUIiE R
Tenant Name: (commerclal anly)
LOT BLOCK 4 SUBD ~~STD t~-L p I. D. #
-r o
Descri tion of work: a ~4 LE MtL`i~ PF--rY4C14E m C--
The applicant is: ? Owner Contractor ? Other (Uescribe)
Name Phone
Property LA51 FIRST
Owner Address
STREET STE N
City State Zip
Company E l., D Phone ~`~4 Z636
Contractor Address 14450 SVQ,F~tI1L4E PA,vq, License # 155 3 Exp.3`31-95
City ~Rt-~SUiLI~~ State lr?I-I- Zip'G53p6
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 5~•G• {~C,L,}1r4-11G~41_ Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all appli able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: _ r
OFFICE USE ONLY
• .
BUILDING PERMIT TYPE f„"':
~
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Owg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) I/N Basement sq. ft. Id(vl MWCC System K
(Allowable) ~IAI_ lst F1. sq. ft. City Water
UBC Occupancy 3 Nf-~ 2nd F1. sq. ft. p p PRV Required I-V
Zoning R_! Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code !o
Depth ( On-site sewage SAC Code _77-
Census Bidg ~
APPROVALS tensus Unit _L
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site I,g Footing El Framing JR Insulation
? Wallboard ER Final ? Draintile ? Fireplace
Permit Fee veiuac;on: g ao0
Surcharge Q g,,,, f /vro-iti a r
Plan Review _
MWCCnSAC
~ ~ ~'?o IG.Sk 6 = 3~
c;ty sac l3. S za -
Water Conn. 3
Water Meter ~
Acct. Deposit f D`/ k~,9 :'73 2O~ ~3 yk =
S/W Permit
S/W Surcharge ~ Z y
Treatment P1. 2 hcQ J
Road Unit ~
Park Ded. ~ ~ ~ ~
Trails Ded. S O
Others -33
Total: /p~o2.sk5~~ 5~333_So
SAC %
SAC Units
. ~ .
0321/94 68:39 004
671eoo 3662 -T~Z
CERTIFICATE OF SURVEY
For KEYLAND HOMES
4673 STieATFORO L1wE
PROPERTY DESCRIMON: Lot 4, Block 4, WE$TON HILLS 2ND
ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and corcect survey of the above described property and that it was
performed by ma or under my direcl supervision and that 1 am a duly Llcensed Surveyor untler the
laws of the Stete of Minnesota. This survey does not purport to show all improvements, easements
or encroachments, to the property excepi as shown thereon, - : - -
_ ,
_ ~ . , _ . . _ _
Signad this - dey of 19 ~f James R. HIII, II1C.,
By: ~ ~ .
Gary . Harrls, Mlnnesote LS. N0. 10943
NOteS:
1: Building . dimensions : shown are for o. `oenocec cei iron monumenc _
~ Denates found Iron monumenl
horizontal & vertical loCation of structure only. x 827.68 Denotes eristing elevetion
See architectural plans for building & (930.00) Denotes proposed eleva6on
foundation dimensions. Oenotes proposeci dreinsga
2. No specific soils investigation has been genoh Mark:
completed on thls lot by James R. Hill, Inc.
The suitability of soils to support the specific Proposed Garege Floor= qss.a
house proposed is not the responsibility of Proposed House Top 61ock= 9SS a
James R. Hill,, I(7C. Of jh8 SUN2YOL Proposad Garage Top Dlock=
3. Proposed grades shown were taken from Proposed.LowaslFloor= 44~.7
Bearings are on assumed datum
the grading 8Jor development plan prepared by
PROBE ENC3INEERINQ COMPANY - SC$Ie: I "m $O' . .
~ . Page 1 of 2
~ James R. Hill inc.
a °.~'~pS ~wo > /
0
W z n~ y~ m p~ PLANNERS / ENGINEERS / SURVEYORS
O~ m 2500 W. CN. RD. 42 a BUFiNSVILLE. MN. 55337 o 612•890-6044
03/21/94 68:39 605
s»soo 3662- .11r'
CERTIFICATE OF SURVEY
For KEYLAND HOMES
9673 ST.e.47,'c0.2p (ANE
BENCH M4RK
I TOPOFPIPE . .
~ - .ELEV..9SS./7
J/ z
~
J
~ r 95i9 A! 00" /7
(,V
%0 1u . ~
-26 G7 p 9sa.~ ~o A.~ ~
mk I . . Z
k 4
m ^ Q ~
~
c /JPG(q n h W
~t0, Ok y
~ o W
"~jki
bz ` ~ p P O
.
. 10 0
t - l.7Z i
94G./ 60. " 42.g7 .r V1/
~ - /3~.90 N 37e 21 4~ o~ 960./
I~ x/97 30
W //0lF.aC
L07 9t0.b: 15
f.AGAN
D esNCH ?nnpwpc R E
E~i.EPV F ~58.
~ ~3 --Z~~
F.AGAN G%ATEERIlV %DEPT.
James R. Hill, Inc. Page 2 of 2
WT iIIRVLY CSLCICLIBT 3POa 7tLSiDLNTI7IL
~ SIIiLD21i0 pLR?SIT aP LICl1TSON
pROPLRTY LE~~*.= yU O Y z f Q T~so/~~
~
Date oi survep: 1744~
~OCIIMENT 8Tf~1PDf~Rna
@~II D • Reqistered Iana 8urveyor siqr,ature and compsny •
~ D G • Snilding permit 1?ppiieant '
H~L D • Legal doacription
8f D D • ]lddrasa
fr'~ 0 0 - North arrov and-bar scale
8'~ 0 0 • Houaa type (ramblsr, walkout, spiit v/o, sp11L entry,
lookout, atc.)
H D • Diztctional draiaaga arrovs vith slope/qradietnt 0.
a • pzopoced/existinq sewar and watsz aervices
D~ D 0 • stroet aame
D~ G D • Driveway
sLxvArsoxs
Lxistinv
fl' 0 D • Sewer sezvica
~0 D • Lot eorners
V 0 • Top of curb at the drivevay
0 Elevetions ot any existing adjaceat homes
4repesed ~ D D • Garage floor .
D~ n G • First iloor
~ D 0 • Lovest axpoaed alevation (valkout/windov)
~ G G • ?soperty corners
~ 0 G • Fzoat and rear of bome at the loundation
PONDIH6 11RE718 cit aoniic•bi.s
13
O ~ Dn • Ea~sement line
0 n : aws, .
0 Q~~0 • pond f dasignation
D Q' D • Zntrqency ovezllov Llsvation
DIrsExe=oxa
D~D 0 • Lot iines
~ D D • 8ight-of-vay and street wiQtH (to back of curb)
E~D 0 • Proposed home dimensions inelndinq any proposed •decks,
overbaags qreater Lhnn 21, porchts, *te. (i.e. ail
structuros requising permanent footings) •
H'n 0 • Shew all ensementc of record and any City utilities within
thoae easements
D 0~ Setbacks of proposed strueture and setbnck of adjecent
existing homes, .
n 6 D • Retainin 1 requirements, if any
Reviewed: Z~
Ham D te
Oetober 2992
-
'JV
/ I y J I I \ \ WYE 0+95
SAN ELEV. @ PL 941.33
WVE 1+40
SAN F1EV. @ PL 947.62
wre 1+87
WVE 1+55 SAN ELEV. @ Pl 942.78
SAN ELEY. @ PL 945.38
I L_ r SPI,
~
$A E
~ ~ ~ Y ~r
far 1 ~2
~ e47 4 • ...w~ ~ J_ ~ 4,4~ / ~ WYE 0+95
~
y 0~, 8'--e~-PVC SAN~a SAN ELEV. @ PL 947.09 ~
R~ = a
U 178'. --6' 7W ~ ~ ~ ~ ~ Y
W YE 1+58
r. I `O r Q r- ~ ~ ~ ~ ~1 rSAN ELEV. @ PL 94223 ~ \v
6' HYDRANT
6'X6' TEE \
WYE 1+68. I I I I WVE 0+08 1 \
VE 0+85 1 9~' 6, DIP
/ SAN ELEV. @ PL 946.11 Yf ~ ~ I I SAN ELEV.@ PL 943.27
! I ~ SAN EIEY. ~ PL 940.50 I I. ~ ~ \
~t r ~ 1 \ ~
STRATFORD LANE STA. 1+76.35
`lVESTOP! W!! s S DRlyF STA. 13+91.40
y
23 , 4
NOTES: SANITARY SEWEF
SANITARY SERVI(
' EEET NORTH OF ,~HE Ci-~~, OF Eq(~p,N pOES f~O7 G~~'RAN~E IO yyATERMAIN SHAI
~ 3-ELEV. 931.60 WATER SERVICES
T4~9E r4CCURACY
TH1S DA ~CSOR CURB STOPS TO
pNDlOR ELEVA7IONS.
pNLV AIVD
I{,1FOR~AAT10~ PURPOSES SAN. & WAT. SER
PERSOt~S USING I T SHOULD VERIFY THE ALL 12" AND 15"
ALL HYDRANTS
~E SITE.
6~IFOR(~ATION ON
z a
THE 1'2'' BARREL
5 4` ~ATF~~D LANE .....w,LL NoT BF AE
. ~ C8-106, C8-107,
rr<
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• ~ OWNER: ZF~ --~tq-
S?TE ADDRESS: Ph:ONE: CJ~P~ Z.~~76
CONTRACTOR: _&YGA~`t7 t7o~~~_. PLAN # ~ 7~oCPZ
Determine working square footage of each
1. Total exposed wa11 area..... %74-~~ sq. ft. x
2. Total roof/ceiling area..... 117710 sq. ft, x .026 = 3~~~Z
Total exposed wall area above.floor=
a. Total wall window area
b.' Totzl door area................................................... c. Total sliding glass door area..................................._ 140
d. Total fiireplace wall area
e. Totzl wall framing area (avera9e 10%) . . . . . . .
f. Total rim joist area
~
g. net wall area a6ove floor (1:51 1410
h. wall area above fioor
i. . wall area afiove floor
j. -rrame wall area at fou--idat_on...................................
-
Total exposed foundation area= ~ _
k. Total toundation window area ~
l. Totzl net."TOUndation area above grade /96r
Determine "u" value of each wa71 segment ~
(e.9. window, door, each separate wail section) •
a. xU., 7 = 3, S -
U,,
~ C. v X lul;
• d. - X „ull - _ - :
e. X 'lull 07 =
-T
7. x 1.ull ZJ'
X ~~U" ,U~
~
h. X liul. _
~ X
i.
X Hul,
-n`- If item ~3 is t~
Y. ~ X lilufli a$a 0 r ~e$$ I1. :IC~.
F1, you have re:
1 X„u„ ~ intent os S8C c:.
3 . Total = cZ
4. TOTAL EXPOSED ROOF/CEILItlG CALCLIlA710tIS:
• ~i,'''_ ~ C . . . -
Toczl exposed
roof/ceilinq area........ l ~[D O sq f[
Total sl:ylioht area....... - sq ft x"U" `
k) Total roof/ceil(nq framing /
area (Averzae 10Y.)...... .I~( ~sq ft x"U" Z,L~ f ~
1) To[al ne[ insulated ~
roof/cei 1 ing area....... ~ ~l9 sq ft x"U" 1006 Z~, 2~ Z~
4. TOTAL j) thru I)
I` tocal o` 'ti is the same as, or less than ?2, you have met che intent o`
• 2`fC: Z 1.16005 :4 ard 0.
• ALTERI;ATE BUILDIhlG ENVELOPE DESIGN
To vrilize tRe total envelope system:meChod; the values esfablishe.d-by -the sun.--
of icens .-'3 and '4 shall no[ be nreater than the sum of items A1 and 92.
+ z. 31,~ _ .~,a3
~,59 = SCa
z. i'...i-3, JL + u. ---3
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3 a x~ ~~z r.~~~,y.,~p,w3'.,t~ap '~~e ~ w?"'' ~3~ <v~ r I3``r`a 1 3;'~n Su i~.~ p~* w,e'•, sY^&~ads s s.
. w„e5.3 Q A,. YA~.",.Y ..S ,~`f s p x~ ~n tr ff` <S~~~L iY, ,~b 35 2~y . N9'Cy4 6
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE •
FI:2EPLFiC'E INSERT
DATE y/_6 ~R 5L
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EAC'rI) °(.OO
ADD-ON/REMODEL (Exls'rINC CONSTRUCTION) $ 20.00
STA"TE SURCHARGE .50
TOTAL 1* 3-SO
SITE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS: ~ ~ g ~"0 I~-~-c4,.-~J Q~ • ~
5
CITY: ~h~ STATE: v`J,3 7a--- ZIP CODE:
TELEPHONE 7 - Y/a ~
,
SIGNAT RE OF PERM E
.
"WTV~~~ A ~ ll~ I
3 ;<~uz ~ 3 €'.'.,~€,ze m~.., a sy'`",p£.~§ &~E t ¢ a ~'F 3 v ¢<<q 3 yy y~. YH s-¢Sn ~f zit
x x
y{ a 1
1994 MECHANICAL PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTI'S ARE NOT REQUIltED FOR EACH DWELLING UNIT.
- - - -
DATE: CONTRACT PRICE: $
PdEW BU.LDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF C~;i' FEE $
~w
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF .,IRiVITT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
C1T1': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMII"TEE CITY INSPECTOR
2006 RESIDENTIAL BUILDING rERnuT arrLicaTtorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 . FAX # 651-675-5694
New Construction Reauirements RemodelA2eoair Reauiremen4s 60 Usebnlv'
3 registered site surveys showing sq. fl. of lot sq. tt d house; and all roofed areas 2 copies of plan showing footings, beams, joists ~t( pPSurv~y.R#' Y ~N
(20% maximum lot coverage allowe~ 1 set of Energy CalculaGons for heated addifions TtW P.res
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 site survey for additbns 8 decks 7ree Pres I?equi~eC '~Y.~~,N.
1 setofEnergyCalwla6ons Addition - indicateifon,srtesepticsystem O~f-sileSeptl'c-_~ystem ~•NY,;t~
3 wpies of Tree Preservation Plen'rf lot platted aher 711193
Rim Joist Detail Op6ons seledion sheet (buildings wllh 3 or less unifs)
Minnegasw mechanml ventilation fortn
Date ~ / D-a/ 04 Construction Cost
Site Address 1(0S79fiTr=t)RQ 4WAlE' Unit/Ste #
Description af Work ~~~~p Ho )v ) -rA-~-
Multi-Family Bldg _ Y_)~'N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone #e/,5v) 7 S7 ~
Contractor q pP0'Dc~N~
v1~/?f'y~G~"
Address ja-3l0 ~-/~oWn1 City
state ziP 5'~~ 33 ~ Telephone #(('o!a-} $34- 7533
COMPLETE THIS AREA ONLY IF CONST UCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 ~esota Rules 7672
Energy Code Category , Residenfial Ventilation Category 1 Works e 0 • . U/p/1Y~i ef~ nergy Code Worksheet
(4 submission type) Submiked ?U/l1 ~ tted
. Energy Envelope Calculafions Submifled 2 2006 l/
In the last 12 months, has the City of Eagan issued a percnit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor ielephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
perxnit; that the work will be in ccordance with the approved plan in the case of work which requires a review and
approval of 94, ~ TTW
ApplicanY Print ame Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-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
0 03 41 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenfgazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alterafion ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/DOOrs
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
Descriotion: Wateroamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Lengfh Fire Sprinklered
Type o4 Const W idth
REQUIRED INSPECTIONS
, Footings (new bidg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) FinallNo C.O.
_ Foundation I-NAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fueplace _ RI. _ Air Test _ Final _ Windows
_ Insularion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~IVUJ~M'
3 T} .Z XS S 9 5:PF71:
t7~~ f~ x.aasx»~¢„4$. t x a.., c~~c~ ~,,.~,.?"3~'>'~'•,'s:....'.....~. - a x .r.r+; 4;a ''~k~t,~{~.~ F%'? s.rouT"A" ~ ucCCknru.u na .v4,)~ . . , . :S..an..e..<..v..hr".uk~bQ.~ R 4.R. ....:i.. 1..L S ,,.,..?rt.n. .
L
1944 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL 3.00
WAOT R CLOSET 3.00 -oI •ov
~ BATH TUB 3.00 r, -aa
LAVATORY 3.00 /a -oV
KITCHEN SINK 3.00 3 • a
~ LAUNDRY TRAY 3.00 3• de
HOT TUB/SPA 3.00
t WATER HEATER 3.00 3-!iD
/ FLOOR DRAIN 3.00 3 • 6-0
~ GAS PIPING OUTLET • minimum • t 3.00 , (/v-
ROUGH OPENINGS 1.50 ci~-rsa
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • home under const. 3.00
ALTERATIONS - io aiSCing 20.00
WATER TURN AROUND 20.00 ~=3
STATE SURCHARGE .50
TOTAL: ~ "fv
SITE ADDRESS: 40b Sh~-~d~"'~ _c..s'I ~
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE: SS 3 7~
PHONE
SIGNATURE OF PERMITTEE
* yT : u h a < r~ ~~II~
>
1994 PLUMBING PERMIT (COMMERCIAL)
CPPI' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR BACH
DWELLING UNIT.
_ NEW CO*7STIdUCT:CA•
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
I'EE: 1% OF CONTRACT FEE.
STATG SURCHARGE: $.SO FOR EACH $1,000 OF F!EI~MIT FEE.
btINID1UM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120035
Date Issued:01/10/2014
Permit Category:ePermit
Site Address: 4673 Stratford Lane
Lot:004 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-040
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 -
Mark R Seagren
4673 Stratford Lane
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143101
Date Issued:06/02/2017
Permit Category:ePermit
Site Address: 4673 Stratford Lane
Lot:004 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-040
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark R Seagren
4673 Stratford Lane
Eagan MN 55123
Bwe Construction Company
476 Hawthorn Rd
Circle Pines MN 55014
(612) 484-8410
Applicant/Permitee: Signature Issued By: Signature
Jun. 21. 2017 2:55PM No. 0700 P. 2
Use BLUE or BLACK Ink
For Office Use Ic(-/
City Oi Eatail
Permit If: /27���
Permit Fee: /
3830 Pilot Knob Road
Eagan MN 55122 Date Received;
Phone:(651)675-5675
Fax:(651)675.5694 Staff:
4
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/21/2017 Site Address: 4673 Stratford Lane unit#:
Name: Mark Seagren Prone: 612-859-5925
Resident/ 4673 Startford Lane Eagan MN 55123
Owner Address/City/Zip: g
Applicant Is: _Owner X Contractor
Type of Work
Description of work: Re-roof
Construction Cost: 13,911 Multi-Family Building:(Yes_I No X)
Company: Prominent Construction Contact: Kristine Palkovich
Contractor
Address: 2855 Anthony Lane S #130 city: Minneapolis
Email: kpalkovich@prominentconstruetlo»Ilc.com
Slate: MN Zip: 55418 Phone: 612-345-4799
License#: BC660493 Lead Certificate is NAT-F109315.1
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression 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 they are trade secrets.
CALL BEFORE YOU DIG, Call Gopher Stale One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receiV'e locates of underground utilities. vnuw.aonherstateonecall.orq
I hereby acknowledge that this Information Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand Ole 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 Slate Building e must be completed within 180
days of permit issuance.
, Kristine Palkovich (Li: 'w , I
Applicant's Printed Name Applicant's Signature
Page l013