4690 Stratford Lane
s ~ ~ ~
b • i
C~~t~iCQ.~e d~' ~CC1t~Q1iC~
~it~j o~ ~agan
~axtmettt o~ ~~itbixg ~a~¢~riun
This Certificate issued pursuant to the requirements af ~he Uniform Buildrng Code
cerirfyiRg tl~ar ~t the ti~ne of issuance this stneciure was in compliance with the vnrtous
ardinances of the City regulating bui[drng consrructron or use. For the followin,g:
Use Classification: i Bldg. Permit No. 23 ~ ~Q
oa,~y rya R31M I ~g o~c R I Type Const. VN
OwnerofBuilding ~ Addres5 ~~?X} B~~L' ~Y~B~~~
sw~a~~ naa~ 4690 STRAT~ gBNE ~,cy L24. BSLWESDON i~.IS 7[+ID
~ ~
~ Date: ,
B~dlding ial
POST IN A CONSPICUOUS PLACE '
~ _ , INSPECTION RECORD
~ ClTllf` OF EAGAN PERMIT TYPE: ' " " ~
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: ~ ' ' ' ~ "
(612) 681-4675
SITE ADDRESS: ~ y APPLICANT:
; ~ ~ ~ i,:~;1~ ( nM~ ~ t r I r,r;1~ ~~i.;.~i
r . i:l! il i. I III~ I. 1 . i .
PERMIT SUBTYPE: TYPE OF WORK:
, „
. .
; ~ •.r~. , ,
I u~IN~';; ~ '
I
~,ri ~ I~~, ~.~~~t t ~i~,
i i.i' ~tl 1 1~i~a I I I.1 1( i~~ 1 I
I': I i 1 I ~ 1~ ~ I'~~ I. 1 1 f 1 1~ i I 1 N ; I!! i
~ 11~;~7~ ~'3 ~fi~ ~ ~ t~i~{
~..t P!h}~:I~~'. . 1! !'I lil. li I I~tt i.ll
I ~
~ J
Permit No. Permit Holder Date Telephone N
r`
S~
PLUMBING GJ ~Ia~ 8'~ 8~ p
HVAC y ~ ~ ~a
ELECTRIC ~a ~ ~ ~ ~
ELECTRIC
Inspectlon Date Insp. Comments
Footings I ~
Foundation ~/G ~ ~
Framing y/~ Q ~,Q
/
Fioofing
Rough Plbg. ~ z ,
Rough Htg. ! .
~ 7~~
~5~~. ~ y .5~.; ~i'
r~ c
Fireplace ~J /Q
!
Final Htg. ~ -
Orsat Test
Fnel Plbg. Plbg. Inspeclw - Notify Plumber
ir
Const. Meter
Engr./Plan
e~a~. ~7
Deck Ftg.
Dedc Final
Well I
Pr. Disp. I
. I
~ ~ ~ ' I,
1
sa
a~~ ~o
~ 1 9 5~a~, 8-~; L~~ ~ z ,~~'S
Flepuest Date Fi.e Na. Raugh~ln Inpseciion FequireG Inspectbn OtM1ar Th n ough~ln
e
poumustceninspenorwhenreatly) ~ Ready~vow WinNOtirylnspeccar
5- Yes ? No Dale Ready
I'~licensed comracror ? owner hereby request inspection of above electrical work at:
Job Atltlress ~Street. eoz or Roule . City
Seaion No. Townsnip Nama or No, Range No. Coun
Occu n RWT) PhoneNa.
Powar $ lier AtlOress ,
EIeCVical Co ctor (COmpany Name ' ~ Conhatlm5 LicBnse No.
Maibn Orass ~CO ractor or Owner Making Installa~ion~ ~
~C~ . ~
Authonaetl Sgn re IContractonOwnar Making Installalioni Ppone Numper
~ _ ! ~
J
MINNESOT4 STA~E BOAPO OF ELECTPIGTV ~ THIS INSPECTION REQUEST WILI NOT
GriqqrMltlwey Bltlg. - Room S-1]3 BE FCCEPTED BV THE $TATE BOARD
1BY1 Univenity Ave., SL Paul. MN 5510a UNLESS PROPER INSPECTION FEE I$
Phone (812~ 64Y-0B00 ENCLOSE~.
~ RE~UEST FOR ELECTRICAL INSPECTION eeo i~
5 ~ ? See in yruclions fs~rompleting Ihls fortn on back ol yellow copµ
~ 12 3 9 5 "X" Below Work Covered by This Request
e d Rep` Typeofeuilding AppliancesWired EquipmeniWired
Home Range Temporery Service
Duplex Waler Heater Eleclric HeaNng
Apt. Building Dryer Load Menagement
Comm./Indusirial Fumece Other (Speci}y)
Farm Air Conditioner
ONer (specifyl Conlractor5 Rema~ks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cirouils/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 700 Amps -
Transtormers Above 200 _ Amps bwea00 _ Amps
Signs mspecmr5 Use Only: TOTAL ~.~Q
Irrigation Booms ~;,j ~ ~
Special Inspection
AlarmiCommunication THIS INSTALLATION MA ORD E I~CONNECTED IF NOT
Other Fee COMPLETED WITHIN NTH .
I, the Electrical Inspecfor, hereby Ro~yn-~~ . r a~e Y
certiry that the above inspection has F;,,ai oa~e~ ~ ~I
been made. ~ ~ ~
OFFICE USE ONW '
This repuesl voi0 18 months Irom
Address 4690 SiRAiFO?tn LE1NE Zip 5512 3
L.of ' 2L Blk 5 Sub taesmrr ~.s zrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: (p~7 ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Peimanent steps (main entry)
' Permanent driveway
Permanent gas ~
Sod/Seeded gtass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof cest caps from the plumbing system and the shut-off of water supply to
the outside Iawn faucet before freeze potential exists.
~ Contact engiueering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~
White - City Copy ~ Yellow~- Resident Copy Pink - Contractor Copy
CITY USE ONLY
LOT ~ BL ~ PERMIT _'I J IOI(/ 1
SUBD. ~~~''~y~ ~~q RECEIPT
RECEIPT DATE: _ II~ I~'oO
~000 M£Cfi~ENICAL ~~iMIT (f~£SID£NTI~L)
CRYOF SAfiAN
s8so ~u.or xivos gn
gE16AN MN 55l EE
l ~`I a~ ssi~ai-ss~s
Date•
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occuuied.
• 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 $ • 7 v
Complete this section onlv if you are remodefinQ, adding to, or replacinp an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New _ Replacement _ Other
_ Fumace Air conditioning
_ Air exchanger ~ Other CA Y l n Q I~a
Fee ~ 30.00
State Surchazge .50
Total $ 30.50
Reminder.• Call for final inspection.
SITEADDRESS: ~(~~f~ S-frc.-FF~~1 L~ ~'454z l~1 ~I Ss ~~-"3
OWNER NAME: I uf v i S 1~-e,~ ~~`z ~~~r PHONE 3 -~I "~Cos~~
~ (AREA CODE)
INSTALLER NAME: ~ ( PHONE -
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
Q
SIG TURE OF PERMITTEE
CITY USE ONLY •
L _ BL _ PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
sooo M~c~auvtc~~ ~rr cco~~tc~L)
crrY o~ ~?sxiv
3$SO PILOT KNOB iiD
£~k&i4N, MN 551 QE
651-6$1-4675
Please complete for: all commercial/industrial buildings
ulti-fa ' y buiidings when separate permits are not required for each dwelling unit
DATE: I
~E' _ New construction Install U.G. Tank
_ InteriorImprovement Remove U.G.Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 jor inspection by fire marsha! and
plumbii:g inspector.
Description of work: ~ n Sf4 ~~i.~ ~.cc,.
Fees: 1% of contact price QR $30.00 mim fee, whichever is greater.
Underground tank removaUinstallauon = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each S 1,000 Base Fee
TOTAL $
SITE ADDRESS: o s7/'u Tor~ ~ H , a s s~a 3
OWNERNAME: c 5,> 1(P3 - 4 1l - 8'~ a-l
DE)
TENANTNAME OVEMENTSONLI7:
WAS Tf~RE A PREVIOUS TENANT IN THIS SPACE? _ Y~C1V. NAME:
INSTALLER:
ADDRESS: PHONE#: -
_ (AREA CODE)
CITY: STATE: ZIP:
SIGNANRE OF PERMITTEE
PERMIT
~ CI~'Y O~ EAGAN C~ ~~.~0
3830 Pilot Knob Road PERMIT TYPE: euz~ozN~
Eagan, Minnesota 55123 Permit Number: 023170
(612) 681-4675 Date Issued: 0 3/ 2 9/ 9 4
SITE ADDRESS:
4690 STRATFORp LANE
LQT: 24 BLOCK: 5
WESTON HILLS 2ND
P.I.N.: 10-83751-240-05
DESCRIPTION:
6~31ding'_Permit Type SF DWO
B~uilding Wo~~rk Type NEW
i'UBC Occupancy \ R-3 M-1
~ Constructipn Type V-N
/ Zoning R-1
Building ~ength } 58
Building Width 50
Builtling stories 2
S.cjuare Feet 2,320
.
~ _
i-
~D~~ ~~'`~;1~1~
._.-V ~1,..~ j
REMARKS:
PRV S& W PLBR - D C MECH
FEE SUMMARY:
VALUATSON $113,000
Base Fee $685.00 MIBCELLANEOUS $1,828.50
Plan Review $445.25 Total Fee $3,815.25
5urcharge $56.50
SAC $600.00
5AC ~ 100
SAC Units 1
5ubtotal $1,986.75
CONTRACTOR: - Applicant - sT. ~~c. OWNER:
KEY LANO HQMES 18942636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVIILE PKWY
BURNSVILLE MN 55337 EAGAN MN 55306
(612) 894-2636 (612)894-2636
Z hereby acknowledge that I have read this applic~Cion and siate that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
IIL -
APPLICANT/PERMITEE SIGNATURE I SUEO B: IG ATURE
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: su~~osNc
3830PilotKnobRoad PermitNumber: ~d23170
Eagan, Minnesota 55123 Date Issued: 03 J29 J94
(612)681-4675
SITEADDRESS: ~oT: za BLpCK: 5 APPLICANT:
4690 5TRATFORD LANE KEY LAND HOMES
WESTON HILLS 2N~ (612) 894-2636
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTINGS FOUNDATItlN
FRAMiNG RQtlFING
INSULATION FIREpLAGE
ftOUGH SN PLBG ROUGH IN HTG
FSNAL PLBG FINAL
REMARKS: pRV S& W PLBR - D C MECH
~ ~
_ _ _ _ _J
, CITY OF EAGAN - - -
~ 1994 BUILDING PERMIT APPLICATION ^
' 681-4675 i~i;~:f? 2 5 f~'!+.~
~
~ 1. , ?
P~ ~~ir -~'3, ^I- .~r ~
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy 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.
Date ~~Lµ / ZS Valuation of work lt`~2,~i~U-~
3ite Address: ~~o~~ S
I
QA-T~o2.D ~-~E-
STREET 5U1TE A'
Tenant Name: (commercial only)
~~STot1 l~S
LOT BLOCK 5 SUBD. P.I.D. #
~ +~D Dl t
Descri tion of work: t.c.J ~1 Z.~ ~?~'11L ~ Ti4L.1~E
The applicant is: ? Owner ~ontractor ? Other (Deserfbe)
Name Phone
Property ~5T FIRST
Owner qddress
STREET STE M
City State Zip
Company S Phone ~~g'-2(o~1~v
Contractor Address ~~450 ~jUQ,}l.SUU.I.~. P~tYUa • License #~r"~5~ Exp.3- 'Q(
City ~~L~A?-~ State Mt~. Zip o~
Company Phone
Archltect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber L. V~#=,LF~+4t~-1C_,,4L . 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 wit,h all app icable State of Minnesota Statutes and City of
Eagan Ordinances. ~ p
r„
Signature of Applicant: ,C_.J
OFFICE USE ~NLY ~ ~ ; ~m,, ~
A Y
BUILDING PERMITTYPE
~y~i. a a . °A1
? A1 Foundation ~ 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0~02 Sf Dwg. O 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Camm./Ind. Misc.
? 05 SF Misc. 0 10 Mu1ti. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition p 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) 1/A/ Basement sq. ft. MWCC System X
(Allowable) lst F1. sq. ft. ~ City Water ~
UBC Occupancy -~P
3~- 2nd F1. sq. ft. PRV Required
Zoning R-/ Sq. Ft. total Z 3~ Booster Pump
~ of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth ,57~,33 On-site sewage SAC Code
Census Bldg _L
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ~ Draintile ? Fireplace
Permit Fee vea~t;,,,, g ~
l 3 D~
5urcharge
Plan Review 6s_r- za,r2c,r~s_ +5gmr,
License
MWCC SAC Gc_ Zv ~ zFr a=- c~2
Cit SAC
Water Conn. 2° Y24 r,rio
Water Meter i/9zKsy--(oy3
Acct. Deposit
S/W Permit Z,~// FL, SCoY~ S,~ ~=pZc~p
5/W Surcharge y--
Treatment Pl.
Road Unit CR'^- - 30 : coo f~ Z~%g
Park Ded. Z~yZ ~ 40
Trails Ded. `Y~ r~S-; z ~/o
CoPies ) -
Other
Total:
SAC %
SAC Units
I ' t
~c ~ 2422 EnterpAae Drlva
~ Mepdoto Heiqhla, MN 55120
* pion~ema • ~ a~9 (812) 001-1914 FAX:881~9488
~ enp near np ~u+o w~awv• uwwsc +uearhen 628 Highway 10 N.E.
* * * * Blolne, MN 55434
(812) 783--1880 FAX:783-1883
Certificate of Survey for: KEcYLAND HOMES
3o Lkh~l 4890 SBTRATFORD LANE ~
945,3 ~ Tu EP
D'~2f
946,1
P ~ 950.4 F-1'j ^-gENCH MARK
~ I~ 30,p I.r~ ~ hp`S>*j ..-TOP OF MU8
~ ~O / ~~G ELEV.=947.26
/ 944.'7 ~ / ~ ` 45~0 25
Q ~ 946_9`~ .
g ~ a 3 ~ R,ovipLJc
o~ o ~ oz ~
~ ' ~ ~ ~ ~ /eoe~~ D~ o ' ss \ S9, ~ ~ ~Jc.t
Q e p. o.~ y OT~
. ~ Q. ~ t O 1~ b' 9~ OD Rs 45
r i '~SERVICE ~1 ~ ~ \ ~
J ~ .0~~ / 934.8 /945.9 ` / 2?6~ j \ ~
/
ry~o~~ / ` ~ ~ ~ y~~ ~9A5.4 ~ ~ ` ~ ~``a,
9442 ~ ~M / ~RANS. ~ 0 1 epoJ`O `b~ ~ x94 ¢~~P,~ />oY 455
3~ " 448 q p. ¢S Q„~ P~ / S~
O•
: \2~ ~ = : ti~/~gqgq ry?1 ' _ ~Qi ~O
\ ,
TELE.PEDI \~8s~ \s~ 946.0~~~ ~4 ~ry
TV. PED_ ~ ~ _O
~ /4466SO•s ~~~,z\ ~5
N 94s.z< ~ 8
~
s
BOP OFMMUe 56T~49~/•j ~ ' 8 ~'~v
, ELEY: 946.25 ~ ~
~ 23 ~,H ~ccc,~,~ y _ _ 9
~F Co~„~ ` Cq`~3~) CB RIM=943.1
9
~
R~VI~~VdEO
. ~
~4.
Z ~-py ~.Gaiv ~nvEE~r
PROpOSED GRADES SNOMN PER WfADINC PUU1 BY:_ PROBE ENCs. CO., INC, _ ~~f ~ ~~'I ~j r'
~ r~~~
~o Vm r~u~ ~1~-t1C-~IJ
N07E: BU~IDWC DWEN90N3 SNOMN ME Fdt HOR~ZONTAL AIO ~£R11CAL e
~OCATION OF SIRUCNRES O~AY. SEE MCHIIECNAI FUNS fOR BUMINC ~ ~
ANO FWN~A7fON OIMWSIONS.
HOIE: CONtttACTOR MUSi MEPoFY URIVEW~Y OESIGN. TH~S CERIR1C~lE DOES NOt PURpqtT 'ro SHOK' EASE4lNTS
~ O7HER 7HAN THOSF 910NN ON 71IE RECOfiDEO PUT.
NOIE: NO SPECIFlC SOlS ~N~ESIICADON HAS 9EEN Ca?IOLEIED ON 7M13 .
LDT BY ME~ SUIi~EYOR. THE SUITAB0.IT( OF. SOILS 70 AIPVORT THE ~ , BEARINCS SHOMH 1JtE ASSVYEO
SPEGFlC HWSE PROPOSOD IS NOT TNE RfS00NS19NiY Of 7ME SURNEI'OR•
y nvneFn HOU~ ELEVATION
x aoo.oo Denoles Existing Elevotion ~ ~,p
( ooo.oo ) Denotes Proposed Elevatlon Lowest Floor Elevatlon: q
Oenotes Ornlr~age !c Utlity Eosement at Block Elavoflon: Q~q•ti
Denotes Orolnope Flow Otrection TaP
--o- Denotes Monumenf
Danotes Offset Hub Garoqe Slab Elevotlon: ~
LOT 2~ , BLOCK 5 WESTON HILLS 2ND ADDITION
04KOTA COUNTY, MINNESOTA
V/e hB~eDy ce~Ufy Ihol :hla evr.sy. don o~ repoA was 15TH od by me a undn my dirett wpe•~~~ e~ ~hot ~ nm Euly raq4lud Land 9w~eyor
MARC~i _~,o. t9 ; ~ I
~h. ~a.. e~ ~h. s~a~. a~ u~~~:e~a, oo~~a mm aoy ICN IONfER ENG~~ERING, .A.
Scale: 1 inch = 30 feet
John C. Larso~, 5. Req. No. 19828
~ zoT sIIRVLY CSLC7CLIBT ?OS ~tL82DLNTI]IL
~ lIIILDINO ZAlSIT ~PPLiGTION
pROPLRTY LEQl1Lt ~ ~ ~
~ Dat~ ei ~urv~ys ~
~ ~ DOCIIIQENT BT un~ttna
9~II O • Aegioter~d Lnnd 8urveyoz siqnaturs aad eompany •
8'~0 D • SuilQing Permit 1?ppliearrL '
0 D • I,~qal dsseription
8" D 0 • 1lddrass
D~0 D • North arrow and-~a~r •cnie •
~ 0 G • 8ous~ typa (ramblar, valkovt, split w/o, split sntry,
lookout, ~te.)
B" D D • Direotional drainsqs arzovs vith slope/qraQi~nt i.
D'~D D • Propooed/axisting s~wsr and veter services
8`~ 0 • street name •
e~ D 0 • Driveway
ELL'~?~TZONS
Lxisti~v
D~D D • Sewez serviee
~D D • Lot eorners
H~ D D • Top of curb at the driveway
8~ 0 G • Elevations ~f any existinq adjac~nt homec
Pronesed
I~D D • cnrage iloor ~ •
D" 0 D • First Siooz
8~ 0 0 • Lovest exposed elevatioa (valkout/vinaov)
8' 0 D • Pzoperty eorners
8~ D D • Front and rear o! hom~ at tAe loundation
pONDiN6 f~RE718 fi! a~fllieabl~f
D' 0 n , Eastment line .
NwL
0' 0 D • HwL •
0 0" 0 • Pond ~ Qesignation
D D!~D • ~nerqaney Oveziiow tlevation
DSISElQBID1P8
D_/~~ 0 . 7.oL iinas
~ O~ Right-of-vay arfd straet width (to back o! ensb)
D~ D D • Propos~d ~ome dimensions iaelvdinq any propos~d d~eks,
ovezhangs qrestez than 2', porches, stc. (i.s. all
tructuzes rsquiring permanent tootinqs)
8"' D • 6hor~ ail easemente ot sscord and ~ny City utilities witAin
thoae easements
D • Setbecks ot propos~a struetus~ ana setbeck o! adjacent
existir,g homes , •
D~G • Retaini 1 zequiremento, ii any
Revtwea: ~
Name / . Date
OCLobts 1992 '
26 ~ ~
. ~
. , , ,
• / ~ y
/ ~ ~ \ X
/
25
~
~~+,5 ~ ' , ~ MH-14 J
~ ~
. @ PL 937.26 / ~ ~ O
~ ~ ~ / \
~ / \ L,1 ~ ~
\ \ WYE1+30 Z 4 1 J ' ~ ~ ~
~ ~SAN ELEV. @ PL 938.07/ ~ ~ ~O % / n r~ G~ ~ ~ ~ ~
5 _ ~i J ~ \
/ ~0 , ~ \
\ ~ ~ / ~5/ I I ~ \
~ Z~ I I \ \
~q~y Y ~ ~ WYE 0+47 Q . ~p ~
!~SAN ELEY. @ PL 93A.8~~ ~ I I \ WYE 1+~~
~ I ~ I I \ ~SAN ELEY. p
~ ~ ~~5 / ~ ~ \ \
_1 , ~ ~ ,S~b ~ ~
I ~ WYE0+31 \
~ ~ T~/ a WYE 0+92 ~ i
\ L .d~ SAN ELEV. @ PL 937.29 ~ i
~ ~ ~ : / %t1` SAN ELEV. @ P~ 9i I ' '
~ ' \
38.39 ~ ~C . '--_J L.--
~ ' ~ ~i~ l7 ~
/ / B ~
/ \ ~ FNO • 07 v ~ ~ ~
~ ~ ~
/ ~ WYE 0+13 ~ 8~ .
/ ~ 1,, 1 I M ~
~ Pl 935.22 ' 144' ~ ` ~ :
b`AN ELEV. @ ~ ~ ` ~ q ~ .
/ ~ ~ ~ f~ ~ ' DfP - Ary 9 ~ ` f
~ / ~ V•~~ 6" OATE V
yLq
E~ _
/
~ / ~ ~ 12'X6' RED R . 1/18 B D ~ ?
~ WYE 0+07 ~12"Xt T ~ ~ ~
/ ~ ~ 4
/ ~ ~SAN ELEV. @ PL 934.34 W~ ~ ~0 . 12" 6V~-~~ ~V ~ $
/ S 7 ~ SAN ELC~! f~ Pl 944.01 ~ 4 N.~~ ' i` ~`~s a
1 O ~ 5 ~ ~ ~ 8' HYDRANT I , j.: . ( - ,~:rs"'+
~ ~ / ~ 12"X8' 1EE ' ~ . ^,`.~n 1 _r~r'~~ ~i
~ ~ / ~ ~ 8'' 6' OIP I O ~ ..Y. ~~1'1ATT~~L
\ ~ / / ~ 6' GPTE VALVE L A ~ Igy"bL W~I
ii7
~ \ J / / / ~ 2 ' ~/J ~ f:"..
~ , 11 a ; v~ , , ~ -
F T.N. NO. 3-ELEV. 83i'60.....~~..........~~~~~~
>F CLIFF ROAD ON THE EAST SIDE 0 .
; . _
, . .
; : :
: . .
YWE.CI'C1? 0~ EAGRN DOES ~OT GIJ~RAi~~EE
.
f~:° : . : TFIE . ~1C~URACY OF UTILITY LbCP+TIONS
::FI{`If~HED. C'ARbE _ . . . . ; . .
: . ~,ND/OR :ELEVA710NS: THIS DATA IS FOR
: . .
: . !g$0 _ :.l ~Vi~OARAIITi(lN PURPO$f~ . ONLY AND
.
PER~OM$ USING IY :SHOUL.D VE•.Ri~Y THc
~ F(1R~fl~4'TION ON THE StT~.
II~
. _
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. . _ . .
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~ S'*A ~ i~+ ~
g~ pY~ PLU~ fibP ~~~1~ 17y ~'Qp s.
~ o.ao~io :
~~9-8;PV~C, . . ~ :
5 . . . ~ ~I
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I MEREBY CERTIFY TNAT THIS PLAN WAS
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s?r, a~oRESS: ~b~1~ ~T~~ot~o . PhlONE: U~I~-Z(p'~7~-,
COYTRACTOR:~t`(~ A~S~ ~tc,~r-li.~ PLA.~I r~ ~b ~j' Co~P>
Determine working square foota9e of each
1. Total exposed wall area..... 1 3 o sq. ft. x.11 = IG} c. ~
2. Tocal roof/ceiling area..... ~2~1 sq. ft. x.02b = 3 I Z~
Total exposed wall area above.floor= 1 S`~~
z. Total wall window arza
b.~ Total door area 3~
c. Total sliding glass door• area 4 0'
d. Total `ireolace wall arez
e. Total wall framing area (av=raye 10~)......._ 7 7
f. Total rim joist area 1 t~
net wall area above floor ~~31
g- .
h. wall area a6ove floor
i, wall zrea a6ove floor
. - - ' '
rrzme wzll area a~ rOl1TiC~.'-~=U?'t.......
Total exposzd foundation area= ~ Z
k. 7ota1 foundation window area
1. Totzt net.foundation area abcve grade 7 Z
~eternine "u" value of each wall segment
(e.9. window, door, each separate wail section}
a. ~n1 K <<-~ _ ~4~~fi1
, b. 3a X l = lZ~ a~
t~o X ~ _ ~"t.~/
c. ~ ~
~ ^ ul'll ~ .
~ d. ~ .
e. 1'~3 X ~'7 = I ,~I~
T. I~~/ X . J' = G'j~~~~4
g. 1~ 31 X , v = ~1.Z
X "U" _
h.
X _
i.
. X"U" ° Ip item z3 is t^
„ „ = as, or less thcr.
~ r. ~ ~ - rl, you have re=
~~~u„ ~ _ _ intent or SBC oG
l,
3 . .................................Total = 1SL, ¢3 .
_~,.,.,.~_ti. _.....r~_ - -
k. 70T~L EX?qSED RQOF/CEILI~lG CA~LULATIOtIS:
. , ~ ,
~ , To[zl exposed
' roof/ceiling area........ ~~~7 ~ sq ft
: j~ iotal sl:ylioht zrez....... ~ sq ft x"U" ~ ° -
k) Total roof/ceillnq framing „
II II ~Y ~
area (Averaae 10~) ......_LZ[~ sq ft x U
1) Total net insulated „
roor/ceilinq arez....... i:~~l~ sq fi x"U" ,J~~i ° 7i~•G~j
~ TOTAL j) thru 1) .3~• S ~
I~ cot~l o~ =~i is the szme as, or less than °2, you have met the.in[ent or
. 2~;C:
Z 1.16005 _4 a:.d 0.
. ALTERt;AT"e BUILOIhIG ENVELOPE DESIGN
~o ~;ilize [he total envelope system method, [he values estzblished by Che sum
or icens =3 =nd :=4 shall not be 9rezter than the sum of items ~?1 and =2•
' ~p, ~j + 7.. ~7~73 = 73U•
l5l~, + 4. ~D,~I = I~~ls.
. ,
,
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1994 MECHANICAL PERMIT (RESIDENTIAL) ,
CTl'Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
F:P.~PL ;~E IitI~ERT
DATE y/6 ~95~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.OU EACH) ~ ~ ~ / ~
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .SO
TOTAL ~a7. 50
SITE ADDRESS: Id %~ier+-.xl ~~r-~~
OWNER NAME: TELEPHONF (~q~/-~6.3~
INSTALLER: •
ADDRESS: 9~ liL~ca~-~- ~»-t - ~
CITY: c,it..ec /710~ , STATE: ZIP CODE: SS3~
TELEPHONE ~5~7" ~~o~~_
SIGNA RE OF PER ITT ~
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sw ~ 'a~x¢z~"~a<ra xa:~ °~..aS~`~.r'~~a.a`~e.~,ym d b a ~ v, A ~a ~E . : 3s~ y~~~ 3 ~ r <5~
f„e..~ 4`. r~~.~4?~r`"~,~a r. £i" i ?R~t Feh~~ :s'`~ . v°
3w~Y~' ~6 k~~~s r"e
k"~k c~'` .«y h ar7 Ya i aq n. rc:
p~yT~1b J„a~`~~.s. `~pg' rw55~'£"SiS{&»3renac'~k.'v~'t3~. ~Y~ t iY~s~ ~~~'aE 3;
~'3~ ~'k~ Fa'~S~4M~~F~ ~o p~$a~~ P~,~t.~~b~§3 3~;1 F t i.
QVD~ :.~`t`d<w..,~"^.,,~>...~~1'sF~~~'N"7.~et"`.~t3fiz`3'L.[~~3`s.r~e.'a.~'.'a>c3v"'"'.+'~£" ntt &,£~''~~-~'h'~~~~~3.,«~,p~'"- s3,~,i Ya ~kr~' ~ r~'~:
. ...„.a.w.o-x . ..m.,..c . . ~asaoo>..,....,. s ~`.<y«.>...<.a>.>'r...w«,. ,~..„6s.. ~
1994 MECHANICAL PERMIT (COMMERCIAL)
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
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUII..DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~t31'd':CRAG'}' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~`~R~TII' FEE.
TOTAL $
SITE ADDRESS:
UWNER Iv'AME: T`EiEPHvNE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECl'OR
~ i
City of E~~an ; Permit 7J ~ i
I /'7l I
I Permit Fee: ~v
3830 Pilot Knob Road ~
Eagan MN 55122 ~ Date Received: 7~( i
Phone: (651) 675-5675 I ~
Fax: (657) 675-5694 ` Staff: ~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ~ Site Address: Q ~ J/l~G,~~~ - -
Tenant: Suite r._.
RESIDENT 1 OWNER Name: ( kTP I .~w'I ~L Phone:
Address / Ciry / Zip: V ~ ~ ~ i~
CONTRACTOR Name: License#: ~~7~~~ ~
Address: 651-365-1340
, o
City: Eagan, MN 55123-1339 State: Zip:
Phone: Contact Person: i'l ~~1 ~1 0?
TYPE OF WORK _ New ~Repla ment Repair Rebuild Mod' Space _ Work in R.O.W. .
Descri tion ofwork:
PERMIT TYPE RESIDENTIAL
. WaterHeater - ~ WaterSoftener ~ ~
~ Lawn Irrigation Add Plumbing Fix[ures ~ ~
, ~ RPZ PVB) Main _ Lower Level)
SepticSystem _WaterTumaround
New
Abandonment
RESlDEN71AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) .
,
-$30.5D Lawn Irrigation (includes $.50 State Surcharge) . ~ ~ ,
$50.50 Add Piumbing Fixtures, Sepfic System i~bandonmeni, Waier Turnaround` (includes $.50 State Surcharge)
'UVater Tumaround (add $136.00 if a 5/8" meter is required) - ,
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repalr (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~n r
TOTAL FEES $ . .~J -Ju
I hereby acknowledge tha[ this information is complete and accurete; that the work will be In conforrnance wRh the ordinances and codes of the City of ~ ~
Eagan; that I undersland this is not a pertnli, but oniy an application for a pertnit, and work is not lo start without a permih, that fhe work wlll be in
accordance wifh tha approved plan in the case of work which requires a review and approval,of plans. ~
x S _ . x ~ u$~ i . .
App canYs Printed Name Applicafit's i~51t'~~~~
w - "'"u,'~:?~ tiPd~ t~`*.>"P.~ <x aT$'Jmv~'.im.s~. 'y, ~ .
r
FOR OFFICE U$E , ~ `~a~ ~ie~ eYre~~~x '~"~~s ~`~r~ ~~Da~e:~~"4~~'`r~
a - ~ `~'..2s a
sse r ' z~ " y a%,.~ : - °de~,+~: ~ c ' Ay ~ a,;.~w? + s ` .
r `
a ~5~, rvyyz r.
r:
Reguired tnspecE~orts llndei Gi~und~~^J~~n g~9 ~'r.~T.e~s = 6as~e~ ~na~ ~
~ ~
.._1- " _ < 'n ~rt~N.~ `t~`i'$-e:.. .v~._ $ °s'~~",~'+'"`.:i'.,,'`'~~4~.A< . ~fixW^a..;'' ~ ...k~ . _ia , <
~ ~C . .,..~.x . . .
~ ~ ~ ~
~
~ ~ 't~S~`~k~Y
L3 ~ 0 M L f F'^ Y ~e( ,~Y~
E
~ 5 c ai . y.'Lv '_aSa~E ~Fb a. a a~ «~fc r~ K¢,a..r*..w ~ rr ~~.~'~q~L~~s~ i~'s ~ 3
. .3c c ..~t~aA a ..,xi s rY I3 ; ~ a.o .p ~L ~ ww 3
_ ..3i~~~< n~~ F3 732.. S.. 9f€ ~y~1 i"~ .ed3 iEy~~~eti a risz . T
rl~~. >.y>.~.k.S~'."..~'.x~~~...$€f~"a..~~>:N°.3~€.ie,~.A:y~F..~~a.¢..a.~~~x..F...~.i.3.::,^vm.xfi§~s~.~~...<...~.,..."""N£~~.z:..s..a.,~ad~~.:ix~...a.<.,x.~...~
1994 PLUMBING PERMIT (RESIDENTTAL)
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
SHOWER 3.00 • ~
3 WATER CLOSET 3.00
T BATH TUB 3.00 ~
LAVATORY 3.00 ~
KITCHEN SINK 3.00 ~3 • ~
_t_ LAUNDRY TRAY 3.00 3. ~
HOT TLTB/SPA 3.00 "
/ WATER HEATER 3.00 . ~
~ FLOOR DRAIN 3.00 3• ~
GAS PIPING OUTLET • minimum - 1 3.00 .3. uv
ROUGH OPENINGS 1.50
WATER SOFPENER 5.00
PRIVATE DISP. • Dak.Cry- lic. ZO.OO
U.G. SPRINKI..ER • home unaer cons~. 3.OQ
ALTERATIONS • to aisting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: Tto9'O C~/~,-q/~ L~ •
OWNER NAME: . /
~
INSTALLER: rn~`~r~'u ~
ADDRESS: 7~~/ W ~a~~~
CITY: ~ Xu STATE :M.cJ ZIP CODE:S'~S 3~ P~
PHONE ((p/o~ - ~oLd'"~
~ - _ L~ ~
SIGNATURE OF PERMITTEE
.
: .4 ~ ~R7~~~i1~ ,J~
:~~.tc . s ry ' ' ~s L ~ ~~'r~~ 77
iy ~ fi i
~ f ~te~ Y K : i fi 4 i f . A
Ll~~ s a' ' eW L) T' ~ r ~ p~~ x. ' x
. ~'~?:a i;..~..<t~w.~'~~:a...~..'~ fiw>.~'.ts j .v.v. : i a~FtM«. ~ s ~s . ati~is~i~~..~~
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTI'.
~ NEW CONSTRUCTION
_ ADD OA'
_ REPAIR
WORK DESCRIPTION:
CONTRAC'f PRICE: $
r•r~: i~ oF corrritncT ~E.
STAT~ SURCHARGE: $.50 FOR EACH $1,000 OF p~~J~ FEE.
]111NIb1UM FEE: $ 25.00 _
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANI' NAME: STE. #
OWNER NAME:
INSTALLER•
ADDRESS:
CI7'Y: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
a7'
4,fr
City of Ea�all
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit Fee: 10 D
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
41/ /f) Site Address:116 9 0 S Wor"' g
Tenant: Suite #:
RESIDENT / OWNER
Name:��, 0 e I /'fli2',/ Phone:
Address / City / Zip: ti&9'0 ") . rd 4 19
Applicant is: Owner VContractor
TYPE OF WORK(
Description of work: g 0 u°r
bConstruction Cost: i L .9 % Multi -Family Building: (Yes / No
CONTRACTOR
Name: In / ?/ ' 1'POO++ r3 License : j0f Y1
Address: �J/ WF 1Y/ � if �' City: S S C cti � e
State: n Zip: 5537 Phone: (/Z-3& " `)
Contact: 1YO y Email: (van ( COR 5- i Pei
CO
In the last 12 months, has
Yes No If yes,
E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Ea a ' sued a permit for a similar plan based on a mar_plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor.
Phone:
NOTE: 'Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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
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.
me Na
i/1015
Applicant's
Applicant's /Signat
Page 1 of 2
City of Finn
3830 Prot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC 312015
Use BLUE or BLACK Ink
For Office Use
Permit: sq5q6,
Permit Fee: �Q f', 0
Date Reeved:
Staff:
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial ap • Iications.
()ate: 11/3 / Z *15 Site Address:
Tenant: "'"'] 44 .4L
Resident/Owner Name:
Address / City / ZIp: 0
34,2*1
Suite #:
Phone:Q$–%t{Sf'5151
IK1 %I2'?
Contractor
Name: MINNEAPOLIS -ST. PAUL PLUMBING, HEATING & AIR License #:
Address: 640 GRAND AVE.
MB003372
Cdy: ST. PAUL
State: MN Zip: 55105-3402 Phone: 651-228-9200
Contact: Daniel K. Vopava Email: PERMITS@MSPPLUMBINGHEATINGAIR.COM
New ✓ Replacement Additional Alteration Demolition
Type of Work Description of work: _,,,lD–
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
/ RESIDENTIAL COMMERCIAL
V Furnace New Construction Interior Improvement
Air Conditioner , Install Piping — Processed
Air Exchanger — Gas _ Exterior HVAC Unit
Heat Pump , Under/Above ground Tank (__ Install / _ Remove)
Other a.d,
RESIDENTIAL FEES
500.00 Minimum Add or alteration to an existing unit (Includes of oo State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
'if contract value is LESS than $10,010, Surcharge = $5.00
"If contract value Is GREATER than 510,010, Surcharge = Contract Value x $0.0005
""{f the project valuation is over $1 million, please call for Surcharge
=$ c
TOTAL FEE
Contract Value $ x .01
Permit Fee
Surcharge'
_ $ TOTAL FEE
_$
=$
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 1 understand this is not a permit, but only an application for a permit, and • is not to start without a permit; - work will be in accordance
h the approved plan In the case of work which requires a revlew and approval of plans.
4 rwt+k, t‹. �0 Pa v o..
plicant's Printed Name
nt's Signa
re
FOR OFFICE USE
Required inspections: Reviewed By: Date:
Underground _ Rough In Air Test ____ Gas Service Test — In -floor Heat Final _ HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138980
Date Issued:10/03/2016
Permit Category:ePermit
Site Address: 4690 Stratford Lane
Lot:024 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-240
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Joel A Hurwitz
4690 Stratford Lane
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156660
Date Issued:07/11/2019
Permit Category:ePermit
Site Address: 4690 Stratford Lane
Lot:024 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Joel A Hurwitz
4690 Stratford Lane
Eagan MN 55123
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168696
Date Issued:04/29/2021
Permit Category:ePermit
Site Address: 4690 Stratford Lane
Lot:024 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-240
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Joel A & Amy M Hurwitz
4690 Stratford Ln
Saint Paul MN 55123--398
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature