4674 Stratford Lane
]a ~ y
Wertificate vf Cccu.panc~
W" of Cpagatt
MOa~eat of Sxitiaig 3860ectioa
This Ceriificate issued pursuant to the reyuirements of the Uniforrn Bui[ding Code
certifying that at tite time of issuance this stnrcture was in complianee wrth the various
ordinances of tlee City regulating buildirtg construction or use. For rhe}'ollowing:
iJse Classifica[;on: SF D6r. Btdg_ Permic No. 22323
o..q.Y TyP~ R3/11I ZuninB ash-kt RI TYPe Const. VN
J= 25524, WOODBZIRY
OwneroFBuildiog EDGELL HIW AMe
su;iffiag naa= 4674 STRAUM LM Loca,;tyI.28, B2, WESinN EIIIdS ZNID
Due: January 26, 1994
PQSf IN A CONSPICUOUS PLACE~'
~
~ ~CI_ : , INSPECTIUN RECORD
TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ I„ i~ tiItii i AMi
Ofr
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
1 ? !i,, .11f1j. , .
~ r,t-t I P!1•
41J .1i1 !Si I~~Id
ff IN f i~~i .,~1~~i,;i It( I~! ~ ~~r.l I'f i. . ~ . I
I ~
~ ~
• Permft No. Permit Holder Dete Telephone #
~ SNV
PLUMBING
HVAC
ELECTR
ELECTRIC
Inspection date Inap. Commenta
Footings I
! GJ
FoundaUon
Framing ~
Rooting
Rough Plbg.
e.
j • ~~J~3
Rough Htg.
l5ul.
Freplace
Finel Htg.
~J
Orsat Test ~
Final Pibg. y ~ Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Fnal
Deck Ftg.
Deck Final
Well
Pr. Disp.
!'le ! 70
M 512 7/,,v8 91 Gt~e& ev
Fequ¢st uate Fir No. flough-In Ins tion NOTICE: You Must Call ElecVical Inspeclor
z~ Requiretl? It A Rough-In Inspection
Yes ? No Is Requiretl.
I licensed contrecror ? owner hereby request inspection of above electrical work aC
Job A~d/dress~y(Street, Box ar (RoWe No.f Ciry c
T / ST-"~.t ~0/'e~ LN C^' ~`I'•~?
Seqion No. Township Ndme or No. Range No. Cour~(y
L/ r^-
Occupanl(PRINn Phone No.
~ c~.e,t : /j'~ • i.
PowerSUppli ! Address
...l~ o III 220* St ~ ~SSo56
Elecirical Comreccor (COmpany N rtre) Contrecror5 License No.
l; C9-0 i 7/ ~
Mailing Atldress (Contractor or wner M In alion) ~
D p* o s ~'j , sso33
AuNOnzed =oniraclorlOwner Meking Inslallation) Phone Number
~..,L~.. 3 1 `S6 41
MINNESOTA STATE BOARD OF ELECTHIdTY THIS INSPECTION REQUEST WILL NOT
GdggsMitlwey BIOg. - Noom S-173 BE ACCEPTED 9YTHE STATE BOARO
1821 Unlvereiry Ave., St. Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone(612)fi42-OB00 ENCLOSED.
I1a3/9~ REQUEST FOR ELECTRICAL INSPECTION ea-oooo,-os
~ 45127 Sea Inetmclions for compleling ihis form on back oi yellow copy. ` ~
X" Be/dw Work Covered by This Request r
e Re(L TypaolBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. 8uilding Dryer Load Mana9ement
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (speci(y) Coniractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service EmranceSize Fee # Cirouds/Feeders Fee
SWimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps o 100 _ Amps
Signs Inspector5 Use Only: TOTAL
Irrigation Booms D- Sd
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in • Oat y}'
certify that ihe above inspection has Final oa
been made. L a2
OFFICE USE ONLY
This request vaitl 18 rtronths from
Address 4674 STRAIFURD LANE Zip 55123_
I.ot 2.8 Blk 5 Sub wFSPOrr tmss 2m
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: .]AN 26, 1994 Yes No Inspector: tw)/9
Final grade (6" from siding)
Permanent steps (garage) V/
Permanent 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 [est caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
, _ • PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 2 3 2 3
(612) 681-4675 Date Issued: 11 / 0 5 J 9 3
SITE ADDRESS:
LANE ~a
~OTQ 28 BLOCKTFORD S 16
t ~~r
WESTON HILLS 2N0
P.I.N.: 10-83751-280-05 ~
DESCRIPTION:
B,uil4int~+, Permit Typs SF DWG
Building fJqrk Type NEW
,-1JBC 0•ccupancy, R-3 M-1
A Const..ructian Type V-N
~ Xotlitl'g R-1
Building 4.enqth , 48
Bu3yd`ing Wislth 50
;
'00~~ fu n
REMARKS:
PRV S& W PLBR - M& W WATER & SEWER INC
FEESUMMARY: VALUA7ION $112,eee
8ase Fee $681.50 MISCELLANEOUS $1,744.50
Plan Review $442.98 Total Fee $3,674.98
Surcharge $56.00
SAC $750.00
SAC % 100
SAC Units 1
5ubtotal $1,930.48
r+g~iTLRACTpR. - Appli17592352 0002667 E~~NER:
~a~E~ ~ L FI IT E L L H 0 M E S
P 0 BOX 25524 P 0 BOX 25524
WOODBURY MN 55125 WOODBURY MN 55125
(612) 759-2352 (612)436-5031
I hereby aakncswledga thaL I have road' ttrls appl"acation pnd state"Chat the
infarmatiun is correct and agree ta comply with all applicabl.e State of Mn.
tatutes and Gity afi Eagan Qrd3.nances.
L ~
.
APP ERMITEESIGNATURE IS DBV: ATURE
INSPECTION RECORD ~
CITYOFEAGAN PERMITTYPE: BuzLorNc
3830 Pilot Knob Road Permit Number: 0 2 2 3 2 3
Eagan, Minnesota 55123 Date Issued: i i J 0 5/ 9 3
(612) 681-4675
SITEADDRESS: L07: 28 BLOCK: 5 APPLICANT:
4674 STRATFQRD LANE EDGELL HOMES
WESTON HILLS 2ND (612) 759-2352
PERMIo~SUBTYPE: TYPE OF WORK: NEw
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - M& W WATER & SEWER INC
~ ~
REACTIYATE ~ CITY OF EAGAN
PERFIII' ~ 1993 BUILDING PERMIT APPLICATION
QQ 2 2 1993 681-4675
A
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of arcAitectural 8 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 roonth-
in which request is made, 2) address is thanged or 3) lot change i.s requested once permit
is issued.
Yaluation of rork
Date C
Site Address:
SiREET iU1TE 1
~r
Tenant Name: (commercial only)
M
IAT BIACIC ~ SUBD. P.I.D.
Descri tion of work:
The appl icant 1 s: ? Owner ~ Contractor ? Other coesoriee> .
Name Phone
Prcperty LAST FIRST
Owner Address
STREEi iTE 0
City State ZjP
Company~:- Phone
Contractor Address, ~~"5a'~ License Exp.~
CityState ~w• 2ip 5S lM
Company Phone
AfChltECt/
Engineer Name Registration 1'
Address City State I1P
Sewer G water licensed plumber~_~~~ ' S~.""' . Processing time far
sewer & water permits is two days once area has been approved.
I hereby acknowledge t I have read this application and state that tAe information is
correct and agree to co with ait applicable State of Minnesota Statutes and tity of
Eagan Ordinances. ~
Signature of Applicant: -
OFFICE USE ONLY
i
BUILDlNG PERMIT TYPE ' ' •
3 ~
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ;~,O~J6 BasP.*nL+imish
FJ 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 5wim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coron./Ind. Nisc.
? 65 SF Misc. ? 10 Multi. Add'7. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
eS 31 New O 33 Alterations ? 35 Tenant Finish E3 37 Demolish
? 32 Addition O 34 Repair 13.35 Move
GENERAL INFORMATION
Const. (Actual) N Basement sq. ft. MWCC System
(Allowable) ~ lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
i' of Stories Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code !p/
Aepth On-site sewage SAC Code
!
APPROVALS
Planning Building Assessments
En9ineerin9 Variance
REOUIRED INSPECTIONS '
? Site O Footing ? Framin9 ? Insulation
? Waliboard ? Firtal ? Draintile ? Fireplace
Permit Fee v.luact«n: g I l2 ~ 000
Surcharge
. Plan Review GA~ra~a~a~.~ ~~2,2 Llyp a~ 74) •up
License
MWCC SAL ~Srr~ = 26ar2a ~ S2,'~ k 1.~ = 7g~~
City SAL '
Water Conn. IsT r'c-~uve+
Water Meter 112 x 24p:: /092
,e.,,..~._.r..
Acct. Deposit 2 rc2'Z r uw
S/W Permit 2 X ff r
S/W Surchar9e
Treatment Pl. 5~ k~y Z~ZoSG
Road Unit :
Park Ded.
Trails Ded ~ ~C~, ^ ~yss
.
Cogies ~0 L,
er
Ot
Total: ~
SAC % G0
SAL Units ~
.l.. e
• T ' ?422 Enterprise Drive
Alentlr,tu Heiahts, A414 55120
* PIONEER _ ^-1914~Fax 6813948A
T
I.AND $L1kOFY0R5 . CML ENGINEER$ (612) 691
er n0 GLANHERS • LAIJD5C.1P[ hRCH~TE9T5
~ P..h e
9m J 625 Highwoy 10 Northeast
Blaine, MN 55434
I,(612) 783-7880•Fox 783-1883
Certificote of Survey for. [d- 811 f~Ur`1eS
-
House Adclress: Statford Lane Ea an. Mn
Model Nai7ie:
~'P
/
R \ ~ • q5o,1\
I,`\ ~ \ 'Y
A ~o
pr , sa:? ~4~•~~. ~~s..
[1
a \ ~
i Y 2 c, Li
/ ~ q51•~`
14%,x- EA~ EfiT I1V~E G DE
~ v p'~;
s9~s00`~48,a3 ~
[y h~ ` \ C~e~.a>
~
9~79
-~..I ro
947•6' ry ~
65.,;,3 v~ rn
S ;16'08'3~., `~4'l•9 / N`~
NOTE: CONTRACTpR MUST VERIFY ALL DIMENSIONS APID DRIVEWAY DESIGN.
THtS CERTIFICATE DOES NOT PURPUFT TO SHDW EASEMENTS GTtdEk i
THRN THO.iE SMOWN ON ftECORDEU FLAT. '
G°~oG°o~o ` "
.
x 900.0 Denotes Existing Elevation PROPOSEQ HOUSE ELEVATION
¦(PP,~ Denotes Proposed Etevotion Lowest Floor Elevotion:-1414,
-F'
Denotas Drainage & Utility Easement Top of Black Elevation:_~,rZ~(~(~
-T Denotes Dralnage Flow I]irectian
Denotes Monument Garage Slob Elevotion: _
Denotes Uffset Hub Bearings shown ore assumed
LO-r 28, BLUCK _5 WESTQN HILLS 2ND
DAKOTA CDUNTY, MtNntESOia
1 hereby ce;tl(y tnat tNis wrvey, plen or repOrt wes prepflrCd by me or uncler my direcl 5upgrvision and that 1 am dulv Hediitsrad LanA Surveypr
under tAe lews of lhe Stata ol Minneeote. Uated [hisJln~ day oF-12CJ_Q-ZEA-, A.D. 19-1
I ~
~ ' }7p/(£~
5ca I e~ 130~et ROB6RT 1(ICM EG, rvn. 1485~
an 93249.00
IAT BIIRVEY CHECRLIBT FOR REBIDENTIAL
v °w BIIILDING PERMIT 11PPLZCATION
S2 ~ PROPERTY LE6AL:
m
Date of Survey: /~~T/ f`'J
~ DOCIIMENT BTANDARDB
? • Registered Land Surveyor signature and company
Ci' ? 0 • Building Permit Applicant '
? • Legal description
? a~ ? • Address
0'~0 0 • North arrow and bar scale
0~-0 0 • House type (rambler, walkout, split w/o, split entry, .
lookout, etc.)
0-~0 0 • Directional drainage arrows with slope/gradient 8.
D~ 0 • Proposed/existinq sewer and water services
0~ D ? • Street name
6/6 ? • Driveway
ELEVATIONS
Existina
? ol? • Sewer service
[?I` ? ? • Lot corners
0r 0 0 • Top of curb at the driveway
? H'? • Elevations of any existing adjacent homes
ProDOSed
0~ 0 ? • Garage floor
~ ? ? • First floor
Q~ ? ? • Lowest exposed elevation (walkout/window)
@l? 0 • Property.corners
0~~ ? • Front and rear of home at the foundation
PONDING AREAS (if avplicable)
L] B<? • Easement line
0 ? • rrwL
0 ~ D • xwL
0 .0-~~ • Pond # designation
? ~ O • Emergency overflow Elevation
pZMENSIONS
~ ? ? • Lot lines
~0 0 • Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Q~? ? • Show all easements of record and any City utilities within
those easements
~ p p • Setbacks of proposed structure and setback of adjacent
~ existing homes
p p/ ? • Retainin all re irements, if any
Reviewed• 4 ~
ame Date
October 1992
I _ _
? ~ '
MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION ~
Adoption Effective
Owner Phone Date
Site Address Ldf z4 I R~0-k~7 ~ HIC.l f1b:d ,
Contractor 9 "I Phone
Building Classification: Type A1 (Single Fami'ly & Duplex) X
Type A2 (Residential, 3 stories or less) (OVer 3 stories) _(Other)
NOTE: Complete pages 3 and 4 first.
GENEIZAL• 7NFORMATTON
VIlI~,l~
1. Buildinq Perimete r
2. Wall height (ground to eave) ~ ft.
3. 1. X 2. (above) qross wall area sq.ft.
4. Huilding dimensions (L) ~-X (W) ~ t=sq.ft.roof & floor area
5. Sq. foot area of rim joist - Floor joist slze (2 Xjo )
ID X 140(Perimeter ,40•1 sq.ft.
6. Doors - Area 12
Thickness in U. factor ~f A
Type of Construction Perimeter ft.
. Manufacturer
7. Total door's perimeter ft.
8. Windows: Manufag t~urer IN~I.- state approved
U factor ,~'LL~/
TYPE r SZZE AREA (Sq.Ft.) NUMBER OF TOTAL
y~--ti EACH llNIT3 ~ SQ FEET
e-
9. Total sq. ft. Glass va1
l0. Fireplace area: Width X Heiqht = X = sq.ft. ,
11. Exposed foundation:" Height X Perimeter-. q-X141 A61 sq.ft.
COMPLETION OF THZS FORM ZS REQUIRED FOR ALL NEW CONSTRUCTION, MP..70R
REMODELING AND BUILDZNGS BEING MOVED WEiERE EHERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
_1_
( 12. Framin area = 10% of
g groas wall area.
13. Gross wall area 12'/lb sq.ft.
Window area AWJ`7 sq.ft. U windows =,'/v UxA =
Rim joist area A`f01 sq.ft. U rim joist= 'M/ UxA = J ~
Door area A sq, ft. U door area= ~ IT UxA =
other doors area A 2o sq.ft. U otheZ doors=LV- UxA =
Exposed fndii A-q&6 .-sq. Et. U foundation=-,(2 UxA =
2
Framing area A~ J~~ sq.ft. U framing area=,05~J UxA =
Net wall area A 10 sq.ft. U wa11= ~~4 UxA
(13B) TOTAL . . . . . . . . . UxA I ~
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. abqve)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (over 3 etories)
I7~~ v)4, BTUH must be larger than or same
A~1 x U Code~ °F. as 13B above
15. Ceiling framing area (Af) equale 10$ of ceiling area
15A. Gross ceiling area =(L) x(W) ' sq.ft.
15B. Joist area (Af) = 10% cailinq area Z~sq.ft.
iSC. Net ceiling area (Ac) (15A - 155) _2 qll -e sq.ft.
U ceiling x Ac t•~ x 10,11/V = V 1"v
U framinq x A f = UL~ x
15D. TOTAL U x A o..............
.
16. Ceiling ares (15A) x 0.026 (A-1 single family & duplex) allowable UxA/ Code
x 0.033 (A-2 other residential)
x 0.06 (other)
HTUH must be larger than or same
A(15A)I~~ix U Code r~`"r = It °F. as 15D above
NOTE: Use U ant9 A values obtained frora pages 1, 3 and 4.
CERTIFIC',~ATION: I hereby certify that I have calculated the "U° factors and
"R" values here:ln and that the building here described meets or exceeds tha
State of Minnesuta Energy Conservation Act.
Date Signature
-2-
~
-
- - -
- _ - -
-Q"z =
_ a2 = -~l~-_-r~~~, o~---
-
_ _ s~---- -
- - _ .
- - _ _ _ _ /,~f~~
- _ - - - ~ C.~ - ~ - -
-
~ -
---C-2~
M2
_ - _ ~1
- _
_ _ - _ 2221-
_ _ ~~ilZ . -
~ -
V -4-°)V4
- ~vf~-dFd ~X~
,,s~~
' u IMUC UHL6ULHIIUI"O
R ALUE U YALUE
T, Inaide air film .68 i i
NALL Interior vall ~ •`i5
(Nall) U • R -
SECTION
Insulatton o
Sheething L,p(p .(~)43
Slding
OuteLde air fLlm .17
fl TOTAL Z3 , p ~
I Inslde.ait film ~ .68 '
STUD ' lnterior wa1L .47
SECTION 4', stud . R= (Fcam(ng) U ~ R .
~ Sheathing ~ Z •00
1 SLding •(A cq4~;
.
• Ou[slde air film ' .17
R TOTAL ~ O
~ -68
_ -
~ Ln[erlor wall '
SECTLON. Ineulatlon all ) U e L
~ R
Exterior vall cover n
Exterioc alr. fllm R ..11
R TOTAL
. ln[erlor air film R= .68 "
RIl1 ~ lnsulatlon 19.00
5=sr- i
JOIST 'l~ Inch eoft wnod R=1.88 (Rim ' U
Joist) '
~ . Sheathing
~ Extetlor wail cavering .(01 ~
. Extertor air Ellm R- ,17
.
\ fl TOTAL ~-.q"• 4(O
\ .
Interlor air fllm R= .68 ,
Insulatton ~I'a
Founda[lon I . La (Fdn. U R =
Exterior a(r Eiln R= .17 r 3, 07~
< R TOTAL I 3~ I~j
~ ~BLock
- '
'~=,rade 3.
~ n vni.ua ' n vni.us
• ~l~'~ IluuUallnu
~c~llliiq~p~HB~
Q~61_~_~,IrPltro A,.G
~ ~ t __l~-'~I~~-~ _Tnlnlll=~.~, J(/•
~
. ' • , • • - ~ ~--J -11 ~ 1 /11 • 0 ~-Z-.
..i
•
, IIIhJo~~ IIIIIItCAkIq 1 q,p a~nIII11YG~ [auE a, pCppk •
I~.rld~qt;lel door 11~t~ilraklop O.p a[n/ayuat¦ YuaL• ar dnnr aull alulnun aod•
req~ilramuuL••
11n11-Cuut~lal~L~A1 ~InaC 111t11L•caElall ll,p p[p/llllnal [anl•'•n[ arank .
Ilj~ (7N anliarak¦ Islook I~o I11411IqkIQl1' M~17 II 7.1~ .
14i 1311
1 7ll, aoi~arul•u I+loak 11~aulal•o~~ aoCOq ~70 il 1 ,B ~
114 Ilyl,l'Ue~gl~k I1Inok ' • .
~~u l~" Ilg1~t~~oJg1i~ liloak Ipptllak4il aaroq H,17 Il e,j .
II ¦II~g 1q IJlpqq ,1,17~ I~lll~ akorn Ullulai~ ~d~ •
11 daulil4 cjIApq ,gg
u, ttlpla gluap
Allt'~ttkarlor Hallp a~ul~oplll?~d a uaL• ~invn ¢ ' . , • ' .
Vapoc ~srcl~r uur6 1~~ ou"l6• J r ty ~ hor I~nrrlul• ~o.lO ra[q aak.~,
1 u411.~
va~,os- rr orn o[ tii4 ~1UIyq~IlYIY11Y+t III~~~lin~,,avp °t
• . • ~ ( ho 11 valua. • ~
. . •
.
~ r ~ • ~ 1 .
, •I ~ ~ ,
,
. ; .
1 .
. ~ t. ,
~
~
el
~ ~ • .
.
. ,
CITY USE ONLY
LOT ~ O BL REcEIPr 1119315
susn.Gc~m~- f.~ ~ne RECEIP'I' DATE: C4A -71/ /
WIECHANICAL PERMIT k
1999 MECHANICAL P£fiMIT (RESID£NTIAL)
CI'fY OE ElkfiAN
S$SO PILOT ICNOB iiD
EEkHAN !iN 55122
Date: (851) 6$1-467$
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this section on[v if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
Furnace Air conditioning
_ Air exchanger _ Other
$ 30.00
5tate Surchazge 50
Minimum Total Due C 3U0.
SITE ADDRESS: y ID-7H StYnI 7LJI'GI Ly-)
owxER NnME: CG} Y r I e CDO"~ PHONE (D S 1 - ~D g I- C~O-I
I,,(~~ I~I,, (AREA CODE)
INSTALLERNAME: WDYIIpI.~S JUL(Ti"ISIde PHONE#: (AREa
STREETADDRESS: H-I~J~- 'P 14hn~C
CITY: ~D DI P U I~ STATE: ZIP: 55 ~a
kxMMq 1" • oA.(N w
S[GNATURE OF PERMITTEE
CITY USE ONLY
L - BL - RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
~ 1999 M£CH4NICAL P£RMIT (COMINERCII4L)
CITY OF £EkfiAP
S$SO PILOT KNOB RD
EA6R1V, MN 551 EE
(651)6$1-4675
Please complete for: ali commerciallindustrial buildings
mul;i •iamily buiIdings wh:)n aepa; ah; psrrn:Qs are not rsquired for each tiwel!iny unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of pertnit fee due on all petmits.)
TOTAL
- - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IINPROVEMENTS ONL1):
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CIT'Y: STATE: ZIP:
SIGNANRE OF PERMITTEE
' i US~
~ ~L ~ - : 9khb3.<E•.l y k C ~ d ~~~Y~}~~
tt" 'd 3~ Yi4 ba t S , s, t'kS~f 'y)
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1993 MECHAMCAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCfION
ADD-ON AiC
ADD-ON FURNACE
DATE /a 1-7 123
FEE5
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 a` $3.00 EACH)
ADD-O;v'/REMODEL (ExIsrtxc CoNSTRUCiTOrt) $ 15.00
STATE SURCHARGE .50
TOTAL ~ 7SD
SITE ADDRESS:~~ 7 `1 c_5'l at.ti1 j
OWNER NAME: E TELEPHONE
INSTALLER: kdt/K
~
ADDRESS: o- /(/0•
CTTY: STATE: ZIP COD15S~ 7S
TELEPHONE O Z4Z
~
SIGNA RE OF PERMITTEE
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1993 MECHANICAL pERMIT (CONII4IERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI-ER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: COi1TRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTKACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PFWiT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENT5 ONLl)
INSTALLER:
ADDRESS:
C17'1': STATE: Z1P CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
k~ ~ i y* ~ ro w ts~
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1993 PLUMBING PERMIT (RESIDENfIAL) ,
CTiY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH iJNIT. ~W-~--
Np, YIX'TURES -ACH
~ SHOWER 3•00 ~
~ WATER CLASET 3•~
BATH TUB 3.00 ~
~ LAVATORY 3•00
KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 ~
HOT TUB/SPA 3•00 ~
~ WATER HEATER 3•00 ~
~ FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50 f ST~
WATER SOFTENER 5•00
PRIVATE DISP. • DeLcry. lio. 15.00
U.G. SPRINKI.ER -nome under m~t. 3•00
ALTERATIONS • to aosting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: S'vl 7'Y 57LV-4v
OWNER NAME: A'v'-es
INSTALLER: ? I/~ l~~~s
ADDRESS: C ClJos /&~v L7711
CTI'Y: ~t STATE: ZIP CODE: 5772 ~
PHONE
SIGNATURE OF PERMI77EE
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1993 PLUMBING PERMIT (COA'II1ZIItCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNMRCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUIl.DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING U?::T.
_ NEW CONSTRUCTION
ADD ON
_ REPAIR
WORK DESCRIPTION:
COA'TRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE $.SO FOR EACH S1,000 OF YERMIT FEE -
MWIMUM FEE $ 25.00 _
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAh1E: STE, aqt
OWNER NAME:
INSTALLER:
ADDRESS:
CITi'. STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
Use BLUE or BLACK Ink
j For Office Use I
Permit
I
City of Evan 1 a~ I
1 Permit Fee: 1
3830 Pilot Knob Road 1 I
j
Eagan MN 55122 I Date Received:11 M43
Phone: (651) 6755675 j 1
Fax: (651) 675. SM i Staff: - I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: -fk.y k" ;r G Unit
Name: Phone: (P • ' t'
Resident/ - ,
Owner Address / City / Zip: o~•T G;CI.l S
Applicant is: Owner Contractor
Type of Work Description of work: ( / S
Construction Cost. { f > /I Multi-Family Building: (Yes / No" Company: ero iL4 4,-(4 r/ 14 j~A
LLL Contact:., lL,o~,_~ /f)'1
/f,e,i
Contractor Address: i' city: Ro ;e
State: _ AA.) Zip: Phone: -27o "
License Lead Certificate*:
.
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
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?
l
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
h
1
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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
Fagan; 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 cage of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Wil mesota State EkdkNng Code must be completed within 180
days of permit issuance.
x x
Applicant's Printed Name Apples Signature
Page 1 of 3
I
I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153596
Date Issued:01/04/2019
Permit Category:ePermit
Site Address: 4674 Stratford Lane
Lot:028 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-280
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 -
Carolyn W Halling
4674 Stratford Lane
Eagan MN 55123
(651) 341-4953
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179701
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 4674 Stratford Lane
Lot:028 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-280
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Carolyn Wood Halling
4674 Stratford Ln
Eagan MN 55123
(651) 341-4953
North State Mechanical
16136 Excelsioor Court
Rosemount MN 55068
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature