4693 Stratford Lane
•
~'~-~~f
~e~~icate v~ ~ccu~anc~
~~t~j o~ ~agan
~epartacxt ~ ~~Ibi~tg ~tt~rection
This Certefecate issued prersuant to the requirements of the Uniform Building Code
certifying that at the time of issuance lhis structure was in compliance with the variaus
orrlinances of the City ~gulating building construction or use. For the following:
Use Clauifieation: ~ Bldg. Pumil No. 2~
Oaup~nCy 'i~'Pe R3IM I Zonin6 Disaict R~ Type Const. V~~.~
o.~~ or e~;w~og I~fAR 1~I~5 Aaa~ 1801 (I~_~iY 8~ I~T 8~t1G~f~i
Building Ad~ess ~+~3 i~~ l.acaliry t q~~-~-.~-~
' ~/y ~
B,~
P~ST IN A CONSPICUOUS PLACE
~ ~ - . INSPECTION RECORD
CfTY OF EAGAN PERMIT TYPE: . ~ ~ , ~ : , ~
3830 Pilot Knob Road Permit Number: ~j'a Fs
Eagan, Minnesota 55123 Date Issued: '
(612) 681-4675
SITEADDRESS: ; ~ , ~ : , APPLICANT: ,
, . . ;,~~n t ntt~ , ~ . ~ ~
:~i „ , . ~ , ~ . ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
, ,
. .
i i ~,i~, . ~~~iri~. ~
. ; r~~, ,~~,i i F+~
i~~~!~~ ~~,~r~ ~ i t i,t i::
, ~ r; ~ ~ . ,
I I~.~ i ~ I I.I f ~i;~, i
~ i:l~: t ~ I I . i . , . ~ ! , ~~~i 111 ~ : ~ , j
~ ~
~ ~ J
Permit No. Permit Nolder Date Telephone N
SNV
PLUMBING ~ ~ 9 ~33-
HVAC ~/S 9 Q•Z.9~
ELECTRI ~ ~~4 g ~
ELECTRIC
InspecHon Date Insp. Comments
Footings 1 6 4 I~
G~/
Fo~~et~, ~y~
Framiog
Rooifng
Rough Pibg. ~
Rough Htg. .4
ry
Isul. ~ r ~ ~I. ~
Freplace "i~/ ~ ~ G
Final Htg. , ~i~
J
Orsat 7est 1 ~
Final Plbg. .J~'~`' Plbg. Inspector-Notify Plumber
v
Const. Meter
EngrJPlan
Bldg. Final S v
Deck Ftg.
Dedc Rnal
we~i
Pr. Diap.
- v-9
Address 4693 srxnrFOxn r~ Zip 5512 3
I.ot ~ 9~ Blk 4 Sub _WESnx7 E~.s 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ~ 9 Yes No Inspector.
Final grade (6" from siding)
Pennanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gtass
TraiUcutb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof [est caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exists. ~
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
~ REQUEST FOR ELECTRICAL INSPECTION ~ ee-aooo~-oe
~~p ? See inslmctions l~~ completlng this lorm on pack of yellow wpy a~~ ~
V 2 6 5 ~"X" Below Work Covered by This Request. ~ F~+~
ew Ad8 Fe{i TypeoiBuilding AppliancesWired EquipmerNWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heafing
Apt Building ~ Dryer LoaA ManagemeM
Comm./Induslrial Furnace Other (Specity)
Farm Air Condi~ioner
O[her (syacity~ Convactor's Remerks~.
Compute Mspection Fee 8elow: ~
ff Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$IgnS . Inspectors Use Only: O .
~ Irrigation Booms ~r L{J ~ ~
Special Inspection ~
UJ
Alarm/Communication THIS INSTALLATION MAV BE O ERED DISCONNECTED IF NOT
~ Other Fee COMPIETED WIT 8 MO H$~. F
I, the Electrical Inspector, hereby Rough~in j oa~y ~ y
certify that the above inspection has F;~ai , oa~eL
been made. ~ ~J" `
OFFICE USE ~NLY '
This reduest voi0 18 montM1S imm !
C~ 0 2"4~~5 ~ 8'~
ReQUesi Date Fire Na. Rough-In Inps ion Repulrea Inspection OMe~ Tn Fough~ln
Q ~Vau m t call inspectorwhen ~eaay) ~ qeeEy Now ~ Will Notity Inspacror
~ ~ _ / ~ Yas ? -NO Oate Reatl
I~licensed contrector !7 owner hereby request inspedion of above electrical work aC
Job qtldress (SlreeG Box o~ Poute No.) CAy '
~l~D ~+b,J~
Senion Na. Townsplp Name or No. Range No. County^
U14~O~
OccupanllPRMT~ ' PhonB No. r
1 ~ ~ - 4O
Power SuOPl!ie~r Atltlr ss y~S~
l~)~~O}~" -~i,~~ ~-.z?l ~ ~ n! .J
Elearical Comractor ~COmpany Name~ ~ Conlractor5 License No.
~ c c ~ ~~~aTJ~
Maning qtltlress IComrattor or O ner Making Installa~ion)
zg S,~-v ~a ~ ~ ss~3 03
Aufiorizetl Signawre ~COnvectori ner Meking Instei tion) Pnone Number
~ 7S3 7~l ~
MINNESOTA STATE BOAqD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
G~Iggn-MiEwey BIOg. - Poom 5~1)3 BE ACCEPTED BY THE STATE BOARO
1821 University Ave.. SL PauL MN 55104 UNLESS PqOPER INSPECTION FEE IS
Phone(812)6CY-0600 ENCLOSEO.
~ , RESIDENTIAL ~ S
5~~ BUILDING PERMIT APPLICATION o~ S~
CITY OF EAGAN
,~j '33 ~f ~ 3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New Construclion Reauirements RemodellReoair Reouirements
• 3 regislered site surveys s~owing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing 6eam & window sizes; poured found design, elc.) . 1 si[e survey for exterior additions & decks
• 1 set of Eneyy Calculations . Indicate if home served 6y septic syslem for additions
• 3 copies of Tree Preservation Plan A lo~ piatted after 111193 ~
• Rim Joist Detad Options seledion sheet (hldgs with 3 or less uniLS)
DATE ~J/ ILPIU~ VALUATION ~S , OOO
,
SITEADDRESS `7L~3 ~"~~'G.~rGf' LVl ~ ~r~s MULTI-PAMILYBLDG _Y ~N
TYPE OF WORK 1 e~ ? O~ a' Ye ?oU-~ ~ I'~C ~i~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Vl 1'> >~GI C~< ~ G1'l
STREET ADDRESS I~T~S I.~KX nY. i~? CITY L'~ STATE ZIP ~S 3~ 7
TELEPHONE#`~Sa-a~a-I~I~~LLPHONE# "ISo~ 3Ifl~E~1~"I~X FAX# ~soZ-`3~$-~~y~
PROPERTYOWNER TI'~ ~S~D~-/ TELEPHONE#~S~ ~~Og~J~~
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \4I VNl•:SO"f:\ RCiI.I{S 7Ei70 G\'I'4:GORY I MI\ V LSO"G\ RliLLS 7(72
submission type) . Residential VentilaGon Category 1 Worksheet Submitled . New ~ r~C{q7lelo$o~f.l~sF~t ~i'i i d
• Energy Envelope Calculations Submilted U~ U L
JUL 1 $ 2002
Plumbing Contractor: Yhonc #
Plumbing syslcm includes: ~Vatcr Softcncr L.awii Sprinklcr By F~ •'~4~~
~Vatcr Hcatcr \o. oC R.I. 13adis
No. of Baths
Mechanical Contractor: phone #
Mcch.uiical syslcm includcs: :~ir Conditioniu, Pcc: ~670.00
Hcal Rccovcry Sy:titcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City oF Eagan Ordinances.I/
Signature of Applicant ~ /V
~J'
'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Ait- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire B~dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & ~Vater _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air "Cest _ Final _ Windows (new/replacement)
_ Insulation _ 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
Mechanicai Permit
License Search
Copies
Other
Total
~ , PERMIT a ~ ~
~ C~TY OF EAGAN ~~~/y~'
3830 Pilot Knob Road PERMIT TYPE: e T L ING
Eagan, Minnesota 55123 Permit Number: 0 2 3 0 9 0
(612) 681-4675 Date Issued: 0 3/ 14 / 9 4
SITE ADDRESS:
4693 STRATFORD LANE
IOT: 9 BLOCK: 4
WESTON HILLS ZND
P.I.N.: 10-83751-090-04
DESCRIPTION:
Bu"ilding+permit Type SP OWG
9uilding Work Type NEW
UBC Occupancy'~, R-3 M-1
~ Construotion Typg V-N M-1
~ Zohing R-3
i Building Length % 58
Building Width 46
Building stories ~ ~ 1
_ _ >
'~~%~ti, ; ,
. ~
1\ ,
~ O ~ -~77 ~-t/~7
~ ? L7 I ~]`\1~~ !..J ~ `l~~J `-~C~ ~7L1 ~
REMARKS:
PRV S& W PLBR - PLYMOUTH PLBG
FEE SUMMARY:
VALUATION $105.000
Base Fee $657.00 MISCELLANEOUS $1,828.50
Plan Review $427.05 Total Fee $3,765.05
Surcharge $52.50
SAC $800.00
5AC ~ 100
SAC Units 1
Subtotal $1,936.55
CONTRACTOR: - Applicant - sT. ~IC. OWNER:
ROMAR HOMES CO 14844044 @001281 ROMAR HOMES
1801 OLD HWY B 116 1801 OLD HWY 8 116
NEW BRIGHTON MN 55112 NEW BRI6HTON MN 55112
(612) 484-4044 (612)484-4044
I hereby acknowledge that I have read this application and atate that the
information is correct and agree to comply with all appl3cable State of Mn.
Statutes and Gity of Eagan Rrdinances.
~ ~
~
~APPL ANT/PE
I~\`~UR~ -~SS EDBV'SIG ATUF~~j~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u z ~ n x N ~
3830 Pilot Knob Road Permit Number: 0 2 3 0 9 0
Eagan, Minnesota 55123 Date Issued: @ 3/ 14 / 9 4
(612) 681-4675
SITE ADDRESS: ~ o r: 9 B L 0 C K: q APPLICANT:
4693 STRATFORD LANE ROMAR HOMES CO
WESTQN HILI.S 2N0 (612) 489-4044
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - PLYMOUTH pLBG
~ ~
~ ~
CITY OF EAGAN ~9, O~
~ 1994 BUILDING PERMITAPPLICATION ;~i"~i': ~~:;i
681-4675 ;;;;,t 1 0 9°~4
G~ ~~r,^( .3-~
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 / ~Q / ~ qa Valuation of work ~7
Site Address: ~o p .~f
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ~ SUSD. P.I.D. #
, ~
Descri tion of work:
The appl i cant i s: ? Owner ~ Contractor ? Other (Describe)
Name cc~rn4 . p~ ~,.5',.~,~~sy, ~ Phone
Property ~AST FIRST
Owner Address
STREET STF #
City State Zip
Company ~ Phone ~4~`,.-y~~.~
Contractor Address ~4,0\ ~~cL, 1n,~\\1~;, License #~,2~\Exp.~~
c;ty ` k.~~.,.Y~....~ State ~ z;p "~~\\Z,.~
Company Phone
Architect/
Engineer Name Registration #
Address "
C9ty State Zip
Sewer & water licensed plumber ~ Processing time for
sewer & water permits is two days onc ea 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
, .
Signature of Applicant:
OFFICE USE ONLY .
BUILDING PERMIT TYPE
~ O1 Foundation ? 06 Duplex ? 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 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) ~i~ Basement sq. ft. /3 j~ MWCC System ~
(Allowable) lst F1. sq. ft. i3S City Water ~
UBC Occupancy -p~ 3 M-~ 2nd F1. sq. ft. PRV Required
Zoning R 3 Sq. Ft. total Booster Pump
~ of Stories footprint 3q. ft. Fire Sprinkler
Length ~ On-site well Census Code / o
Depth ~ On-site sewage SAC Code ~
Census Bldg ~
APPROVALS Census unit ~
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS
? .Site ~ Footing ~ Framing LS]'Insulation
O Wallboard 0 Final ? Draintile O Fireplace
Permit Fee vawas;p,: g/O~ aao
Surcharge ~ ~p°'°
Plan Review /2k z/.3 = 2.s5~6 ~a~
MWCCnSAC `izkz3. 69 = 99Y,/y ao,3,~ ~2.3~ (o-~s,GS
~
City SAC l~/.t-y S6 ~2•3,}. z= ~y_~
Water Conn. ~ 3X S~ oo,z9 k/6 =
Water Meter 7
Acct. Deposit 3s.,~ ~ ~p Zo
S/W Permit ~ `1x ~
S/W Surcharge ~ ~
Treatment Pl . 3 (v QyOG
Road Unit
Park Ded. ~ p ~ ~~8 ~d
Trails Ded. ~
Copies
Other
Total:
SAC %
SAC Units
. ± Pioneer En9ineerinv 7831883 P.B2
~ ; ~
t ~
_
J/~. * * 2022 Entergrke ~r~ve
~ LAHOeWlV6YdK~CIV~l6NCAx~nS Me~dotaHeiyhSs,MN55120
*engineering.. Ist?16st-ts~ai
~
Certificote of 5urvey for: _ li~J~A/~
House Address: 4d93 5~ia~~'o~ .
Model Nam~: G9~3.= 1Zr_ ~
~
. 43 5
943•'~
~V fD ~ ar~e
~ 1 ' ~ ` ~~:b s I
ek~ 0~1 ~ . \ .~p C-~
~tiq j . ` qy5.Yq~ `
°b ~ `
i . S'~ 33 i
~
i y 9 , ` ~ ~ '
+`W ~tr `y 9H7.9~ I
9 ~ ~ '^~n8 y~ i
i j~b ' ZX o ~d, ~ ~ ~ ~.~,L ~
'O ~ CY . ' ~ ~ ~a ~9~Y73~ `
f~---y~ p o y
~'V;~~? N~` ti94o~ i°•o a"~~o~ `,C ~ n ^~yb
y ~ h
°~"3'6 ~4°~dy~,,` / ti~u tiv ~ ~
~ x Q C h -i , o o,o , . . .~s ~ ~f`~ ,J
~ `9vs.7 p t~y ~ yo r QT / / ~
~ N ~ pi~ ~ .n^~ n 9W7 / ' ~ ~
~Ka ~33 ~ r ij6• ~
'
9A5.8`~ K7.z m i . ti~
y \ ~6,3 \ 1 ~ V~~ ~ i~8 , .1Q ~ / .
ss., $ _ 3 , .~r~~ //~x ~H ~O ~i
°.y~i ~ /
q47.H7 •~b ~~//p 2 ~J,O
~ ~ :
T E EAGA OE OT - RA E - 9y5~3 r<- ~y q+ ;
~ ~ ~ ( ~ ~'i S 9~~`~D ~45. A i *ti
Pg ,i y
/ N. A ~ OR ' h f V i~~W E D
I ' TI ' 0 0~' ~!D . ~ _
. ~
P' S ~ S ULD 1' Tl~,~ ;
IV~FOR TIOfV OIV H~ ~TE.
/ ~ ti~ ~I;/ ~
~n11 Uo V r'.~,,-
~ • 0 6~~ ~~E~r~~,t~
EAGAAT El ~INEER IVG DE~ VIF~KoYZ ~ i~Y - 9~.
.9uao Oenotas ~xisting Elevation Pft~PQSED HOU5E ELEVATION;
qenotes Proposed Elevation ~vwest Floor Elevation. B4l.o_
Denotes Drainaga & Utility Eosement Top of Black Elevatlon, 9'1~• 1
Denotes Drainage Flow Direction
~ Denotes Monument Garage Slab Elevation: 9'~8•8
Denotes Offset Hub Be4rings shown are assumed
LQT 9, B~.ocK w~rau ~ius aNQ,~~~~~
r~rcora coun~rv, IdINNESQTA ~
t hl~ebY ~%Rifv that this aurvey, plan or npert wes praqa.ed W mv ae under my dinot eupervt~lon aNd thel 1 am duly FepitlPrW ~d Burnyar
~mtler the tawe af tha Sleta al Minneeqt~. Dstad thk~ day at h._ A.O. 19~ . ~
Rao~scd 3-~~•99 Addad .$r.+vi q~.oiw P.r C:~7
~
Scafe: 1~= ~or~. . . . . _ . , . ~ f~
_ zosq~
~7 I~Z~~.olo ~
R=95% 4831683 03-11-94 ~3:36P&I P0~2 1443
.
• LOT BGRVLY CBECRLZBT FOR 1lLBZDLNTIAL
~ BIIILD2NG P .[T 71FPL C1ITION
pROPERTY I,EG71Lt ~`c~tt-~-`.
~
~ ~ Dat• o! surv~y:
DOCQMENT 8T]?AtDiAna ~4~- /~f~
/
Q~0 0 • Registered Lnnd Surveyor signature and company
!YO ~ • Building Permit Applicant '
0'0 0 • Leqal deBCription
~ ~ • ]~ddress
0 • North arrow and ,ba~r-scale
C1 0 • House type (rambler. valkout, split w/o, split entry~
lookout, etc.)
@~0 0 • Directionnl dzainege arrows with slope/gradient
6~0 0 • proposed/exiating stwer and vater servicee
9' 0 0 • Street name ~
~0 0 • Driveway
ar.avaT=oNs
Lxislino
~Cl 0 • Sewez service
0~0 0 • Lot corners
0~0 0 • Top cf curb at the driveway
~''0 • Elevations of any existinq adjacent homes
PronoseE
~0 0 • Garage floor ~ .
9~ 0 0 • Fizst floor
1~ 0 ~ • Lowest exposed elavation (Walkont/window)
D A D • Property corners
D' t7 0 • Fzont and renr oi home st the foundation
DOND2100 f1REAB (!f a~piicabl~l
' 0 p~ 0 ~ ~Lement 1 ine
0 0' 0 • ttwL
0 0' D • Fond / designation
0 9~0 • Emergency Ovezflow Elavation
DIIiENBIOfle
~0 0 • Lot liaes
0 • Aight-of-vay and street xidth (to bnck of eurb)
Q' O 0 • Propoaed home dimensions including any gropcaed decks,
overhnngs greater than 2', pozchea, etc. (i.e. all
structures requirinq permnnent fooiings) ~
-0'D 0 • Show all easements of zecord snd any City utilities within
those easements
Q~D 0 • Setbacks of proposed structure and setback of adjecent
existinq homes ,
D 0~0 • Retnining v ire ts~ if any
Reviewed: ~ ~
Nam / Dat .
October 1992
~ C ~ W Yt [+~a i ~
\ ~ ~
' , / ~ ~ ~SAN ELEV. @ PL 93728 ~ ~ / ' ~ MH~
~ ~ y ~ / ~ ~ ~ \
/ ~ ~ ~ ~ ~ / ~ ~
/ ~ ~ q VC ~ % / / ~ ~
Op, ~ / AA
~ ~ ' ~ T~ g ~ WYE 1+30 / ~ L'~} \
~ WYE 3+26 ~ . O~ ' ~ SAN ELEV. @ PL 936.07 ~ ~ ~
/ SAN ELEV. @ PL 938.93 / ~ ~ ~ \ ~ \ / / ~ ~ ~O ~S
~ / WYE 2~4Q /
/ f~ELEV. @ PL 93712 \ 4'~' \ ~ ~ W YE 0+47 ~ Q \
2/,
~ / 8" HYDRANT ~ ~SAN ELEV. @ PL 934.8~~
~ s ~ ~ ~6' TEE ~ h \ ~ ~
Pfl 1~- 8' DIP / ~ - ~ ' ~~5
~ ~UJ~omn ~ \ ~ ~O T / U ~ ~5/I
/ O~~ / ~ ~ ~ ~ ~ C
~ / ~ ~ ~ ~ C~ ~ ~ / WVE 1+55 ~ i / 7~
\ \ ~ ~ ' O C O r C ~ / ~SAN ELEV. @ pL 936.39 ~ / ~ ~ 4 ~
~ ~ ~ C~ ~ P49 ~ ~ / / ~ ~ ~ ~%,'~p ,S
\ Q~ ~ ~ ~ ~ / ~ ~ / ~ @lcN~
\ ~ G ~ / ~ ~ / WYE 0+73 ~ ~
~ \ ~ ` ~ ~ ~ ~ / ,$AN ELEY. @ ~ 935.22 / \ -
~ '~4q'-~
. ~
i Q7 r
i ~ i
i m~ ~ 9 ~ ~ ~ G ' ~ 8•I0
/ r/ .N ~r~. / / ~ `
. i i ~
9 ~ v. , ~ ~ w~E o+o~ ~
~ ~ C \ ~ ~ ~s ~SAN ELEV. @ PL 934.34 WJ~ ~ ~
/ ~ ~ ~ D ~ ~ \ ~ 1 ~ / ~ ~S ~ / SAN ELC~/ CBl Pl 944
~ ~ / / 6 H
/ / / ~°G =E ~ \ % ~ ~ / ~ 12';
/ / Z D O Z f~Tl / / ^ ~ ~ ~ ~ / / ~ / ~ B._ ,
/ / I~7t777fAeT1 / / ~ ~ ~ ~ s'~
. , 11 ~ , 1
K-SPIKE IN POWER POLE 100 FEET NORTH OF CLIFF ROAD ON THE EAST SIDE OF T.H. NO. 3-E
.
• . .
. : . _
: . .
• : . . . . .
:
~ :3..:STA:::1:'tL+~~::9:FT.:::LT::::::;::::::::::::::::::::::::::::i::::::::::::::::::::::::::::E :.:::::::::::::::::::::::E E
• . • . .
....:::::.::::::::::::::::::::::.E:::.:::::::.::.:::::::::.:::::::::::::::::.T~)P:~~:]~74:::::::::::FIfJ13tiEd:GR,Ik~E:::::::::::::::::"::::::::::::::::::::::::::::::::::::::::::::::::::
. . . .
, :
• . : . . :
. .
.
. 50 ~
: . .
. . . . .
,
.
.
. . .
,
. . ,
, . .
. .
.
• . _ .
:
~ ; . .
:............................:..............,..........:.......................m ....n:...................:.::::::::::....
•
•
.......1~...piP::;::....._...:.
;
; :
. •
. •
. .
. . , .
.
.........filiH~ . . .
. ~ ~
. ,
. .
~ ~
. ~
~ . . .
. . _ :
:
.....~::s:ra:::s~:~3::~:~::st . . . :
~ ~ ~ . ;
~ ~ ~.40~6.. ~ pVG=4~LUG : :
q......~C1~• ~=:~?19~~:3:::
.
. ..............159._~....... : . ;
..............................................:9DR..35........
,
. .
. •
. • .
. . . .
.
~
. .
• . . tp . . _
.
. . . .
.
.
. M
..:......................0.
. . ,
.........................p.
Q~
. . . .
.
~ • ' ,
• .
. :
:
, • _
.
~ ' .
,
.
: . . .
~ ...Z.. .
~ .
. . . .
. . . . . . .
. . . . TA 9 +33 4 £ ,
~~31::2:5::H7::: : : •
't'.."'SI'~L-~ . : . . . .s a~ 0:40~ PVG I~LUG ~ S TOP o 84dif 7 Rj
_ 944„~3 . Ib9':$ . ~:f>... .
.
"C`~ :
• . . . . . .
. . . •r~ . . . . . .
. .
. .
. .
. :.:i7~::::::.::::.: . . :SUR 3 : . .
.
. . _ .
: . . . ~
• . .
,
~o..
. . _ _
. • .
. :
. . . : .
. '
. . . ui.. .
. . tt3
. . . . . . .
. . . . . .
: . .
. . M . . . .
. ......p. _ _ 0i.. .
i . ; . . ~ .
:
C : . . . T~
, : . . _
, . : _
S8
9a3
• .......a. ~P
• . : _ _ .
: ......................Y'+. : ...........z : . . :
.
. . .
, .
. .
.
.
. . . .
. . .
. . • . _
~ : : :
. . . . .
. . . . _
: . . . . . . :
. . . , . : ; _
. . . ;
..::gi..1•~
. • : .
, • . _
~
• .......................p......................;.......................;...................... _ . _ ,
. : .
. . : :~`~IISHED PRbFILE ' '
: .
.............e~~ . . . _
; . .
:
• . . .
;
. • •
, . •
. . .
.
• a, . . . . .
. • _
, •
...............r... . . . . , . .........a.. ; ~
• : • - . _ _
. ~ .f : . . . ~
.
. ir . . . ~ .
~ . .
....6....p1p .......:M1:":::::::::.:::::::::::::::..............:......._.................................. ; Q,. .
.
. , . .
• . . .
. , .
. . . o
. . . .
. . , .
, . , • r. . . .
. .
. . .
: 400 8" PVC @ _
_ _ , _
; . : . . 'SDR 35.. ~ ~ ~41'.g~~ pVC:.@::0;
4_4496
:
. : . :
. . • .
•
, . . ; .
, . . . • . . . •
. .
'3'~'
. . • •
. ~ •
. • _
. , . .
.
, . : . ,
. . ~
.
• . .
.......:.....:::..::....~:'~:::..:.:..:::::~:~::::::::::.::::::E::::::::::~:::::::::.p..:;...,.,.. .,..5...........................:............................:..:.....::::::.............:.......::::::::....
.
. .
. ~ ~
. . . , ,
. ~`I~~~i~'~ 0~~€~ACAC,4~f3f3~~ ~:~+~~4':." ;~n
.
• '
. . ~ ~x~~;::::::::::::::::::::::......:.......
:::::~'FI~....~~U~A~X....O~....~JT~~+~t:: ~Gv~,T,aY~~, ' ,
. • .
~ ~
.......:............A6~/~R...~L~~A~'~ONS:..:T~41~.
~3frT~~:: :f c3~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:::::::::....
. . . . • .
. . •
...........(~'I~A~~~1~4V........p{~RPOS~S~::ry:::: r,~..'~J ; ::::::.:::::::~1.
~ .
• • . . .........pu/~
_ _
. •..........C.~... . C7T'Il7U~tT"~~~'~~i1'~.-~...T~.,~.`:............................:............................:............................:.............(y
.
• .......;...........~~~t~~VS ~~.~IG...~`~:::............ ' ' `
. . ;
.......:............I~~~t~€ATI~i~OPI-~#~I~•~+~~.........:.....::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::`:::::::;
.
. .
. .
.
. . • ~ ~
. •
.
. •
. . .
, •
, . . :
. .z. . ;
. '
•
. - •
. •
• ~
. •
, . :
.
: .
, + 8t0U -I- lU+UO 11+ U
,C
. ~ EXTERIOR EYVELOPE AVERAGE "U" COMPUTATION
OWNER D!f1.i- !vAc~~r.'
r c<
• SITE ADDRESS _~~Q?-~ ~,-Y~.r.: c~ , \~c~.~~
CONTRACTOR ~ ~,,.n4~ s~ DATE PHOYE ~Q~~-~,0~~
Decermine working square foo~age of each.
1. .Total exposed wall area "UOS sq. ft. x./// _~.(~le~,
.Cti
2. Total roof/ceiling area 1 3~ y sq. ft. x~0~(~ = 3 S.4 ~
Total exposed wall area aboae floor = 4~
a. Total wall window area ~ 3~
b. Total door area s.. S
c. Total sliding glass door area ~1>
d. Total Eireplace wall area v
e. Total wall framing area (average lOX) I 1~
f. Total net wall area above•£laor ~ L~I
g. Total rim joist area Z ~
Total exposed foundation area = Sf ~o
. h. Total foundation window area V
i. Total net foundation area above grade S, L
Determine "U" value oE each wall segment.
a. 1~~ X~~U~~ e uS =~N.yQ -
b. ~/S X "U" .07 3./S' ~
c. ~'6 U g„U~~ , S~S = 3G.0
d. O X"U" O = O
e. / 75 x "u" ,G~a7 = /4:57
f. /6!~ x~~~,~ ~ puL = 67 L.~
g. I 7~ X ~~U„ ~U=10 -G.SS
~ h. c X "U" 0 ~ , ~
~ ~ X „U„ .o~~ G.s~.
3 ......................................Tota1 = ~ ~ii,
If itea i! 3 is the same as, or less than itea J1, you have me[ the intenC
of SBC 6006(c)2.
Tocal exposzd rooE/ceiling area = } 3~ ~
Total gross roof/ceiling area =
j. Total skylight area -
k. Total roof/ceiling framing area i
1. Tatal net insulated roof/ceiling area /2 w~'
Determine "U" value for each roof/ceiling segment.
j. ~ X~~u~~ o 0 0
k. `~7 ~o X ~~U~~ ~Q~ - ?.s~
1. ~5 x~~o~~ . OZ S = 3?. ~
4 Total 3~/~_
If total of U4 is the same as, or less than U2, you have met the intent of
SBC 6006(c)1.
To utilize [he total envelope system method, the values established by the
sum of items U3 and 04 shall not be greater than the sum of items O1 and U2.
1 . ~ ~ (0 ~ 7 ~ + L . 3 S 1 / ~ a 3 Q ~ / ~ y
3. 2 yCJ• 20 + 4. ? ~'`•7~7 = ~ ~u ~
~ ~ . ~
u.. a.,~., ~ •r..: ~ .
s,.: : , : : ~:.<A., ~ .
~ p
<:sa.i
~"E~~i.w~<. °~~~i`.~'~3;~~~:S:~E°~ < ' . a ;..~,i.
~:S
r~.:.:~'.C:`Y..~'.r:'.9.gi~:c?.;' .:~;'.ai.~~.:au, ~ao . . . 4?~~o.H': P~
wt°.:°~~ . 'S~ M:_Y'
~:F~n4~'o~''„
y£;d.~?'~2:.~ 4~~ .:v. 'M'ux'~y.'.~.$': , ~ µnY:.: .
AR~, .f"~ f . y~ $ c , x3 , ~
~~w t Z):'.~v ~ ~i'} S i... . .L : . ' y~ ~
~ . . .~'~i., . m
xar. ~«w'2s~.,..~ ~ , .
1994 MECHANICAL PERMIT (RESIDENT7AL)
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 REQUII2ED FOR EACH UNTT.
~ NEW CONSTRUCTION
' ADD-ON A/C
AI3D-~N FURNACE
FIREPLA E INSERT
DATE ! 7 ( ~
FEES
HVAC: 0.100 M BTU 1-e-~~~X 5> $ 24.00
ADDTTIONAL 50 M BTU 6.00
r~S OUTLE S INIMUM 1@$3.00FA
CH r~~ ~5~~
("W`VV.~`=2 ~'~?-~11~/J ~ ~ ~ ~ l~` ~ ~ I ~ ~ OY ~ f ~Q ~
ADD-ON/REMODEL (aacisrII~rG coNSnzuCi~tOrp $ 20.00
STATE SURCHARGE .50
TOTAL ~G ,
STTE ADDRESS: `t~~1 ~J ~ ~UtCJ~
OWNER NAME: ~ ~I U.. ( I~C,~,~S~ ~`~1 ~~TELEpHONE
INSTALLER:
HEATIRQ 8 AiR CONDITIONINQ
ADDRESS: ~~an rnRNnrt~ a«
ST LOUIS PARK, MN 55426
CI~: SALES979-fi7fi7 SFRUICF970.~~~: ZIP CODE:
TELEPHONE
~;U ~~~r~
SIGNATURE OF PERMITTEE
4 ~`°F' cL~•..z.v6...~..r..y. 3 'q F~~
...k~:2:<uL.'','?^~.,'.i`.'v3:?!:i:. ....'a,:e:sYe..' . '.~w . . . . . ' • _ ..s.~.
~J~ •
;w.. ~ . . ~ ~ 4fS:
a~e K dYf y ,y~, bYSltca.'y`~
~3:
y$ ~ a p F~ ~ ~ f.. ~ ~,{~Y i' , k3aa$a,.'3sb~'' ~ xa4,~ 'h+~,. f$YS ~~Y.~'F ~¢u,o-~'.
i~>.~i, ..~~fz~ "~~R'~~~£TF4 ' ~~'1'R~""',
m~
~,x:nc < K::s,.. ...::t~~`.F,...~°>:.. ;.~.~,xm«;.°:8.: ¢Y~..x:.; v~; Esa". ~ ;a,
x... ~ x s.3 ^~a~a.a r ~&eG?'~.a, t>;.£y3s?g'F.o:;..<~,E... • °Y;~3eu; .
}~'..b.~ 4y,Sa_ ~ ~ bk^i~ ~,W.~h'9 }Rk ' ~ ~4~~+~~V~E4+Yk~~ ..~A :.w&~.~'~~:',c<Ke~3:.J~~~ ~ `~~X~y..c. d~~~
~ '~E''`r`Y.'3£ ~ ~r3~'F z x4~~"'9"4.,~Fw $ ;a3».m~' ti~~ °%e~to;.`°. ' `"''a&: ~
v
~~~~•.s.a;~.:.,.:£.,.,~...~...,:,c:>~.:::~;.e g:r::u.~..E~.~.a:... ~~::.~.'a: a .eE%~qs, <~'s$S~ ~~.'.1
o-:o.:- f..3' p.~.~' ...~.~3:3 Y. E
~~s '~.R.: x> ~...:a:. ~~'°^~ff a;R
a.s.....s.,>::.s.:.::o~......w..~>e:wY;~:..>-.xi'<.~~;:..:>::.~`W>..r~~
..:~&'~~~~'~.SZ,,~~~ix:s~?k~:axrz:sm~~~~~ ~¥a~Ra"~~a>~` ^ `:~"~~a`~a~'% .
1994 MECHANICAL PERMIT (CONII1-IERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMbiERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IIVIPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $
~
PROCESSED PIPING: $25.00
1~1II~TIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
STTE A~DRESS:
OWNER NAME: TELEPHONE
TENANT NAME: ~n~rROVE~tv~rs otvL~
INSTALLER:
ADDRESS:
C~~ STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMTITEE CITY INSPECTOR
~ ~b ~iTi'` ~3SE:~N~.Y ~y+~ ~
~ R~~'~,~5m,~.~,+.Y~~~?~'i~~Y~~'C(~ d .T. y~ ~L~Y~f~SY ~~~~ay~.v"+:4VL~i~d{tt~r+1~y~~~~tf.~i'Ej.F.r S 0
. R t~"A f~"F :.Ae~°L~ F Kh ?x YvC S. Vik `;i SN k ~ R~R< i d. ! Sk ~yY,F ~~XC .Sa R~
`ttr ~e~'~s~~i~eA4's'~.a :e~d3~'ya~:W&.3E3~;Ar gtE~tF d'ZAe"~'s§Skxj~.'y°re £u.~xET' 'C~t'~"" ,rt. 3~ u¢S.F~ st' s s.
~:AJ~D kar g ~:<M¢ sr~ ~~~~c*~~<ixa~4~~s~~r~ Ea"",~3 ,b~`of',~.ir°c~ 5`3F3.~~;s~Q' ~~~3~~„y.~S~~r.a i'z~3~~3;~ -0 `
. ..~....;~'a)n:~C».bRa'~aiaLl~.6v.:u..wd~'>~3`::d.'.R~:3~,:.~$'.i~ £.~kai°.E x~;Aa`:w..:.'.w~,: ' Ya~ai
~.~-r[Ria? .z..n..~u....ca~.. v,.....S.u3s,u«w .x...£u.......
1994 PLUMBING PERMIT (RESIDENTIAI,)
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 UNTT.
NO. FIXTURES EACH TOTAL
! SHOWER 3.00 ~ o ~7
~ WATER CLOSET 3.00 G~ m o
I BATH TUB 3.00 .3, aa
LAVATORY 3.00 ~67~T o
°
KITCHEN SINK 3.00 3, ~e
~ LAUNDRY TRAY 3.00 , ~ o
HOT TUB/SPA 3.00 o a
WATER HEATER 3.00 3. o0
1 FLOOR DRAIN 3.00 3:i~-
~ GAS PIPING OUTLET • m~n~mum - t 3.00 3~
ROUGH OPENINGS 1.50 ~
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. ZO.OO
U.G. SPRINKLER • nomo unaer consi. 3.00
ALTERATIONS • to ebs~ing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50 ~
TOTAL: D
SITE ADDRESS: '1~~3 S~`~'~tD1~G'
OWNER NAME: ~VYLQ.1` CC61N~~
INSTALLER: ~1 v~ ~\v~M.~11.
ADDRESS: ~o-`~ Uv~Y1.VlQ.'t'~-~ N
CITY: ~~rv.7 ST,ATE: m~ ZIP CODE: SS4a'g
PHONE ( ~ 533 - ~k3S~
i~.~~ a~~
IGNATURE OF PERMITTEE
i~S~ t~~51~,"S~ n y '
~7! Yi -~'~`e I`~'E°.S!g~~ %"xd ,q~.,~R~3~Q'LH ;1La t~~~ssF ~ta~L~F1~~~~~3m~~ 3: I ~
; ~ S8 . 3 ~t'F s ~'f' ~d ~ ^1, ~ .
~ a j ~sh~~ .~g~R4^~`~#.fiz.~'a'~'`~a 't;ry ~S~£Si~~ .Yp~a ; x a n>e.g~,{ ¢a b~i
~~p € b._ _-."..~.s'e
~
ak~ `~[~'~e ¢ Ya °~`.°4`°~m ts'~:~' a ~sssts ~ $z~Q a z,. "eM+ ~~a'F~~
.t< ~ E L jA d~~s'~~q?`r..~Y"4`"i ttsfs3.,,
•7•~1D~~~.. 3,:. .::.}~?~°w~w~u~...~£5.~
+x~.. R~~~iit'.~~`AV.~~.~w~a~t~ii~.t..~.`~u~~wA.~¢~s..~A~x."Pdaw~~ SF~S..~.£
~a~~~..~: ~ ~ w,
w~~.u. .....,v.
1994 PLUMBING PERMIT (COMMERCIAL)
CITY 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 PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
_ REPAIR
WORK DESCRIPITON:
CONTRACT PRICE: $ ~
FiiG 1'7c OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
MINI11tUb1 FEE: $ 25.00 . :
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SI7'E ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS: -
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
09/26/2013 THU 9:08 FAX 8774423424 Craftsman Restoration 10001/001
Use BLUE or BLACK Ink
For Office Use--_-_-__- I
Permi
t C1~it ty Qf l I Permit Fee:
Eap
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 4 I
Phone: (651) 675-5675
Fax: (651)675.5694 i Staff: I
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4(09?b ST ff~UYt-D ~.t l Unit
Name: J ~f F Phone: _65I -Vol -VEM
Resident/,
Owner Address / City ! Zip: 4(D9?.7
Applicant is: _ Owner / Contractor
Type of Work Description of work: 1~'RM
3
Construction Cost: Multi-Family Building: (Yes_ / No___)
Company: Contact: ~~'V ACVkNI~
INNtSOM !
Address: _ tO~J1 ~jp(11A 1,e1 ~?.Q . City: ~1/~Jllf~1
.Contractor, ' ;
State: VA Zip: Phone: ~ Z' (04S' 1151 0
i
License ?26J'03101(7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
f In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
f
-Yes No If yes, date nd address of master plan: i
I Licensed Plumber: Phone: ¢
Mechanical Contractor: Phone: ¢
Sewer & Water Contractor: Phone:
NOTE: Plans andsupporting,documeri t you,submitare'considered to 6 public information. Porfions of
the information maybe classified as"n ` -lc if you proviale specific` reasons that would permit the Cltyr to
. orlclude aUhey ate tirade secrets.
I
CALL BEFORE YOU DIG. Call Go State One Call at (651 4 0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates underground utilities. www. o erstateonecall.or
1 hereby acknowledge that this inform on is complete and accurate; that the wo ill 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, d 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 appr I of plans.
Exterior work authorized by a building permit issued in accordance with the Minnes to e u ding C tmu be completed within 180
days of permit issuance.
e
l
Applicant's Printed Name Applic nt' Slgmakulillp
i
_ _ ;
Page 1.0.3
I
i
i
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139848
Date Issued:11/10/2016
Permit Category:ePermit
Site Address: 4693 Stratford Lane
Lot:009 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Jeffry M Espy
4693 Stratford Lane
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
1 b 9e1 Ziff , 0 010
� � j—For Office Use I
�j • . FAcANI T-;?
• (----c___±.
..... • • . . I Permit#: /
....
vi Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildi nainsoeotionsecitvofeaaan.corn ——
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4693 STRATFORD LANE unit#:
x . Name: JEFF AND KELLY ESPY Phone: 651-202-6977
Ftesldefit? 1 4693 STRATFORD LANE
Ow_nr Address/City/Zip:
s - Applicant is: ✓ Owner ✓ Contractor
Typt3.�f 11140,
` Description of work:
1 ' L 2 GAS FIREPLACE AND 2 GAS LINE
Construction Cost: 11435.15 Multi-Family Building:(Yes_/No 1) •
• n- `i :. V µ&t O.."- 11tAd15t
Company: dba fyt`tt&' *114 Contact:
U�N
Address: 2700F to! h City:
00.#4actor : Rost s?�,e,u►'�w1 ;6+a+
661.63
'' State: Zip: . ` Email:
License#: Lead Certificate#:
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 docuji ents you submit ere-con;(diri iii tolfkofficiOlfrAadrip.,irosiOifs of tfkinfdirrigoit may bei
classified as rtort ublic If you/1r4vld_e rp ific reasons that woutek*tinit the Gty'to co]iIuda tbatithey ars:fiade ltacreR., St5-::.A
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www,citvofeaaan.com/subscrlbe.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 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.
x DIEGO AGUILAR xil —%---
Applicant's Printed Name Applican 's Signature