4694 Stratford Lane
^ r _ ` ^ . ' . • . ..t.!'~dF~\RM~^r`4~
- '~4+7~ ,..pw
, . ~ ~ .
«
~ . -
~
~~ei.~ti~icate n~ ~ccu~anc~
~it~ o~ ~agan
~c~arbacut o~ ~~c~iiixg ~»~~ectiax
This Certificate issued parsuant to the ~quinemeRts vf the Uniform ~ui~ding Code
certifying that at the time of rssuance this structu?r was in compliance u>rt~t the various
o~iriances of tlte City regulati~tg building construction or use. Far ~he fo!lawireg:
Use Clusification: Bfdg. Permit No. ~ I
, ~'P~YTjrpe ~/r1~ Z.oninB~~strict R~ TYP~Consl. ~
Ownerof Building ~S Ad~,ess ~~i~ 8~~~ ~E
e~~g naa~ 4694 SIRA1FDftU LAi~. ~~~yI.23, B5, WES1lx1 HLLT~ ZI~ID
~
- ~ ~ ~ o~. ~L,'t- v~ ~ 1 ~ ~y ~ ~
en~ om~ ~
POST IN A CONSP1CUOlJS PU1CE
, j. _ 4 INSPECTION RECORD
C~TY OF EAGAN PERMIT TYPE: ~ ' ' ~ ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~ ~ "
(612) 681-4675 ; '
SITEADDRESS: , . , , APPLICANT:
, ~ , i ~ ~ ; ~~ari~ t nro~ , ,
~ , ~ ~ i ~ i : ~ , , ~ i ~ , . ,
~/5~0 • 9 ~loo
PERMIT SUBTYPE: TYPE OF WORK:
~ ~ ~
. .
' ~ I I 1. 41 I I I•i I: 1 '
I I~ il{Q 1 Fl•e i:IIIV~
I ~t{ r•, ~ I I1~ti~ ~ I~i F 1' 1 i~~ i
~ ~,1tii1E i 1 I.i, . illli~l~ I I•.f 1.~
I f!' i~ I i~:il
i ' f'I i f . . . . . ~ ! 1 ! 1 ~ ~ i 1 . I') { ! ~ ~
~ ~
~ J
, Permft No. Pe?mit Nolder Uata Telephone 8
S/W
~ PLUMBING ~ ~ Q g'~~
~ HVAC ~ ,S 9 rJf~/aZ
ELECTRI , ~ ~~C ~
ELECTRIC
Inspection Date Insp. Comments
Footings I /~,l~ !
~ 7 G(/
s
Foundation ~ ~
!
Framing
Roofing
Rough Plbg.
Rough Htg. I'f ~
6J'
ISUI.
Fireplace
Final Htg. 7~o,.C~'(~
Orsat Test ES
Final PI6g. „/I~ Plbg. Inspector - Notity Plumber
~t'~Y
Const. Meter
Engr./Plan
Bldg. Final 7z7 0
Deck Ftg.
Deck Final
Well
Pr. Disp.
S-zs-S'
INSPECTION RECORD
_CITY OF EAGAN PERMIT TYPE: ~ ~ ` ' ' ` ' '
3830 Pilot Knob Road Permit Number: ''~'R~~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ ~ ~ , , , , . ; . APPLICANT:
' +~~tD 1 ANH .
: ~
PERMIT SUBTYPE: TYPE OF WORK:
. :
. .
~ ~
~ ~
Pertnit No. P~rmit Hoider ~ate Telephone k
ELECTRIC
PI.UMBING
HVAC .
Inspaetion Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGN
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
I
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBQ
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTCi ~
DECK FINAL 'J~ //i~ Y
~ 'WM
~~3~~ , ~ ~
Repuesl Da~e Fire No. RouB~- ^~^OS~ion Fequiretl ~nspeclion OMer Tnan oug~-In
5`~a (VOU musl call inspactor wnen reaEy) ~ Reatly Now Wii1 Notily Inspactor
9 Yes ? No Dete Peatl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joe Atltlress ~Street Box or aoute Nod Ciry 1
9 ~ G~
Section No. Township Name or No. Ran9e No. Counry/~~
/L(/ ~
Occupantl RI ~ Phone No.
Powar $u0 Adtlress ~ /
/
EiecVicai G nvactor ICompany Name1 ~ Conha or License No.
D~/
Maen A~dress IGOn raclor or Owner MaMing Insta~lation~
~C~ S ,
Aufioriietl 5 n wre iCOntrectorOwner Making Installauon~ _ Phone Number
O
MINNESOTA STATE BOARU OF ELECTRICITY THIS INSPECTION REOUEST WILL NO
G~iggs~MiEway Bldg. - Room Si13 BE ACCEPTED BY THE STATE BOApD
t821 Unlvarsity Ave., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 6I]-0800 ENGLOSED.
o,i y RE~UEST FOR ELECTRICAL INSPECTION °.,t'"`~~!a,4 E&-00001-OB
~ ? See mstmctions tor completing ~vi~s form on back of yeilow copy. ~ T~~'S, 9/ Q
~gr~ y~.~
IN 3 3 5 9 L "~X" Below Work Covered by This Requesi
A d R¢p. TypeofBuilding ApplianceSWired EquipmeniWiretl
~ riome Range Temporary Service
Dupiex Water Heater Electric HeaNng
Apt. Builtling Dryer Load Management
Comm./Intlustrial Fumace Other (SpeciTy)
Farm Air Conditionar
Otner (syecify) Contrac~or5 Remarks:
Compute lnspection Fee Below.~
# Other ~ Fee # ServiceEniranceSize Fee # Circuits/Feedars Fae
Swimming Pool 0 to 200 Amps to 700 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS Inspeaor5 Use Onry: r 7p7p v'
' Irrigation Booms ` / / L ~s ~
Special Inspection J ~
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee i COMPLETED WITHIN 78 THS.
I, the Electrical Inspector, hereby Ro~yn~m ~ece ,y
certity that the above inspection has F~~ei oare
been made.
OFFlCE USE ONIX ~
TOis request voitl t8 momns Irom
Address 4694 SrttPSFVRn ~ Zip 5512 3
.
Lo[~ ~23 Blk 5 Sub WESTOI3 HIIa,s ZZL~1ID
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ~
Permanent steps (main entry) v
Permanent driveway
Permanent gas
Sod(Seeded gcass
TraiU~rb damage ~
Porch
Basement finish ~
Deck
Please verify with the builder the removal of toof test caps from the plumbing system and the shuboff o£ water supply to
the outside lawn faucet before freeze potential exists. ~
Contact engineering division at 651-4645 before working in right-of•way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractoi Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD, EA
~ MN 55122
~lJ ~ I 851•681-4875 0 ~
Naw Conelruclbn Henulremame HemodeVHeoair NeaulremeMe~Y ~
• 3 regisfered stte surveys showirg sq. n. of bt, sq. R o1 house; and ~I roofeA ereas • 2 copies of plan ~
(20%maximumMtcovaragealbwed) • lsetofEnergyCa~ulatbnsforheatedadtlBlons
• 2 copies of plen showhg Oeam 8 w'vufow s@es; pouretl tound design, etc.) • 1 slle surrey tor e#e~r add'd'ans 8 tlecks
• lsetofEnargyCa~ulatrons • Indicate'rfhomesarvedbysepticsystemforadditions
• 3 copies of 7ree Preservatbn Plen B bt plened atler 7/1l93
• RM ,blst DeffiII Optbns selection sheet (bltlps with 3 or less units)
DATE a`~ Mpy ~p0 VALUATION
SITE ADDRESS ~'F6 ~ T 3TTITTO r~ LQ.N~ MULTI-FAMILY BLDG _ Y ?N
NPE OF WORK 'FI N~S ~_~~~5 C IMF~-T FIREPLACE(S} ` 0~!I _ 2
~ ~ St~c SWGW1 SO N
APPLICANT ~ l 11~ ' -
STREET ADDRESS 46S 4~r4 r.~ L~tCITY~_STATE IN/1~ZIP .SS`~ i.3
TELEPHONE # GS~~VSV"~~CELL PHONE # bSI -~I K~ I FAX #
PROPERTYOWNER ~WN ~ r.7 TELEPHONE# GSI~~J ? ~5~~7
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CAT'EGORY 1 MINNFS01:4 RiJLFS 7672
(d submission type) • Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: _ _ Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of RI. Baths
_ No. of Baths
Mechanical Conhactor. Phone #i
Mechanical system includes: ~ Air Conditioning Fee:
_ Heat Recovery System D ~ ~ ~ ~ ~ D
Sewer/Water Conhactor: Phone # MAY 2
- -
I hereby acknowledge that I have read This application, state that the information is corr Y
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
SignatureofApplicant a''AA~.BJ1~~ v ~~G~.vi,,a.+°'Y~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updeted 4/02
OFFICE USE ONLY
0 01 Foundation ? 07 OSplex ? 13 1&plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ~ 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 0&plex O 11 10-plex ~19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex PIbg~Yor_N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~32 Addition ? 36 Move Bidg. ? 42 Damolish (FOUndation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doore
? 34 Replacement `~emolitton (Entire Bldg only) - Give PCA handout to applicaM
Valuation ~0177~ Occupancy MC/ES System
Census Code ~ Zoning 2" ~ City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const 5~ W idth
REQUIRED INSPECTIONS
_ Footings(new 61dg) FinaUC.O.
= Footings(deck) ~ FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tesu _ Final
~ Framing Siding Smcco Stone
~ Fireplace ~ R.I. ~Air Test ~inal _ Windows (new/replacement)
~ Insulation _ Retaining Wall
S~3U-OZ
Approved By 'S ~ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
' Water Supply & Storage
S&W Permit 8 Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
Licen5e Search
Copies
Other
Total
PERMIT# ~ ~ ~i . - - RECEIPTDATE:
2002 ~SID~NTIAL #'1.UM~I1~Tfi ~~~iMIT ~Ff'~WCATIO~
CI'CY OF EtkfiRN
3$SO PILOT KPOB itD
EAfiAN, MN 551 EE
65t-sg~-as~5
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 9~ S-~~fifo rd ~ ~0.~~''h i~~ 'Jr' S I~ 3
OWNERNAME:: ~A-YV~~S M. ~u7C~sm'i TELEPHONE#: GS~' ~fS~f-~fL69
(AREA CODE)
INSTALLER NAME: l~l M S~ 0.Y~,5d'~'~ TELEPHONE ~~,~,~.o
(AREA CODE) ~
STREET ADDRESS:
CITY. STATE: ZIP:
SEPTIC SYSTEM, new/refur6ished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consuRant fees may apply
• MODIFICATIONlALTERATION TO EXISTING UWELLING UNIT, INCLUDING:
~ Adding fiMures to lower levels or room additions, excfuding water softeners and water heaters. $ 50.00
_ Abandonment of septic system,
Water tumar und - existing dwelling unit 5/8" meter if needed -$118)
Other. ~~`~C~~v~
RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
ReplaCemenUadditional: _ water softener _ water heater $ 15.OD
State Suroharge ~ 50
TOtal $
I hereby adcnowledge thal I have read this applicatian, statethatthe ioformation is correct, and a ree to co ply with all applicable Cily of Eagaa ordioaaces. lt
~ is the applicanYs responsibilityto notiTy the property owner that the City of Eagan assumes no li bilityfor ~y damages caused by the City duri~g its normal
~ operational and maintenance activities to the ~cilities construded under this permit vithin City ~ ro n t-of-wa /easem nt.
SIG TU OF PERMITTEE 1/~2
PERMIT ~~e ~33i~.
~ CI~Y OI~ EAGAN ~ 9
3830 Pilot Knob Road PERMIT TYPE: B u r ~ o i rv ~
Eagan, Minnesota 55123 Permit Number: 0 2 3 4 71
(612) 681-4675 Date Issued: 0 5 J 0 2/ 9 4
SITE ADDRESS:
4694 STRATFORD LANE
LOT: 23 BLOCK: 5
WESTON HTLLS 2ND
P.I.N.: 10-83751-230-05
DESCRIPTION:
B.i#~ilding'..Permit Type SF DW~
6uilding Wnrk Type NEW
;'UBC Occupancy~.~ R-3 M-1
/ Construction 7ype V-N
2oning ~ R-1
l Buildi~ng Length ~ 48
~ Building Width Q2
Building stories ~ 2
~
_ ~~~~~i ~
~ ~ ~
\~~s/'_
~
~ o~_~
~ (T .-I ( ,~.41 ~ ~ ~ / '7 ~ i -'t~
~ ~ ~t_~`! ~ ~/:I A~ ' ~ Lf
\
l. : ~ \ C~/
REMARKS:
PRV S& W PLBR - D C MECH
FEE SUMMARY:
VALUATION $139,000
Base Fee $776.00 MISCELLANEOUS $1.828.50
Plan Review $504.40 Total Fee $3,978.40
Surcharge $69.50
SAC $800.00
SAC $ 100
SAC Units 1
5ubtotal $2,149.90
CONTRACTOR: - Applicent - sT. ~IC. OWNER:
KEY LAND HOMES 189R2636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55306 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
II 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 Mn.
I Statutes and City of Eagan Ordinances. J
L
~ ~ ~ n~~~~~-
~ APPL A !P ITEE SIGNATURE '~STED 8. SI NATUR
, CITY OF EAGAN =~it, ~ _
~ 1994 BUILDING PERMIT APPLICATION ~
~ 681-4675 ~ f'f;" Z 7 f~,~.r~
'
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specif9cations, 1 copy of energy calcs.
Penalty applies: 1j 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 ance permit
is issued.
Date ,~p, J Valuation of work ~~~1~
Site Address: ~ G} lo`~~ ~7'~iA-T~Ofz.T~ ~.~A-i~E.
STREET SU1TE #
Tenant Name: (commercial only)
IAT 2~ BIACK ~ SUBD. w~T~ ILL'S p.I.D. #
~~[Lr-J S7
Descri tion of work: IV~V~) ~rlLaL~ ~f~/~1 L ~YYI
The applicant is: ? Owner ~ Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner pddress
STREET STE #
City State Zip
Company ~~'~~-A~b rton~~S _ Phone ~q~~Z(o~~
COntractor Address 1495o P~urLtJSV1C~l~ PIh1N~• License #«3 Exp.3-31
City ~JURi~Vi~-L.~ State M~. Zip 5r-v3oLo
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber t7• L• N1~+4~~C34L. 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: 4-2'~°~q9'
,
OFFICE USE ONLY ~
BUILDING PERMIT TYPE ~ ~
O O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 3F Uwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coimn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION ,
Const. (Actual Basement sq. ft. ~L MWCC System ~
(Allowable; V lst F1. sq. ft. ,/oG/ City Water rr
UBC Occupancy 3 s~f 2nd F1. sq. ft. p o PRV Required ~
Zoning ~ Sq. Ft: total Booster Pump
# of Stories z ' Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code i~
Depth 2,33 On-site sewage SAC Cade O/
APPROVALS eensus Unit ~
Planning Building Assessments
E~gineering Variance
REGIUIRED INSPECTIONS
? .Site Footing ,p~Framing Q Insulation
O Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee vei„~c; g 3f' Obb
Surcharge ~S~rd-~s+-
Plan Review 2~ Z6 : 2aP~
License _ 2SZ zz~zo = Y~
I 3. s k~ ~ lv.F G,S = r
CWty SAC /~X l y a/
Water Conn. ~~y,X ~6 _
Water Meter /OG/X(os= ,~3 ZO
Acct. Deposit ~
5/W Permit - J ~(o~ y
S/W Surcharge --L-----
Treatment P1. 2pQQ
Road Unit
Park Ded. 2~,rZp = ~zg ~
Trails Ded. /3lSX~ = ~ ~3~~(0~
Copies -
Other ! y~. i8 zsz
Total :
SAC Units /~~,X~~ ~
~ P. 1
2422 Enterprlse Drlve
i~ *~,x Mendota Hsighls, k1N 55120
* PIOIOI~E1 ,,~,o . t~1$) Oat-1914 FAX:981-9488
* b11~ ?f~l11' F10 LAND CINN s: waox c u~amen g25 Hlghway 10 N.E.
* ~ yt Blalne, MN 55434
~ (812) 783-1880 FAX:7$3-1883
Cert(flcate of 5urvey for: _ KE YLAND NOMES _
469A SiRATFORD LANE 3862-II-D
MH, ~~~NCH MARK
;1 70P OF HUB
i q-.EC., iELE. E LEV~ 949.99
~ TV PED3./
945.1 ~U 945.9 ~k~sn
4 cs. asss~s ~ 8s•x~.~x ~ S2~
J ~ h r , 49 $
~~r± N'~o~ _~y'l 2~8 ~v'' sa9.s s7~~,`'~
r ~ 947.94~6, 016.2~,/ L~Hw~~y ~L/~.
~ ~ ~ SrS ~ 9~ ,
Of,yF EfPf~q /
M I~V-9~3k.61 ~ ~ s47.s~, _~1 ~ ~~ry~Y
~ ~ I -`'~.I q 33 ~ s r MH. / S.
Q o ~ n~ w 9470 ~ 94&6 s?' 86
F" 946.2 a r9aZB~ N'~~ N ~ f ~
44~~1~
a ~ ( N ~ , _•~0.~/ ~ 54
w~ M `g~ a/c
J I ~"J
~ ~ ~ ~ ~ ~ 23
p o ~ ~ ~Rt~v10 V~
~ N1846.8 946.9 ~6s ~ 9 x '~..~iG~~ ~tl W
Mr 4 5L N~ 4 ~3.13.<<' ~ 946.7 N~
9 A ~.0 r* u~
30 ~ ~27.00 - 43.15 ~ ~ 70.55
N ` ~ 94T.21 943.8
I ~7V. PED. ~:~15.5 16 .rJS ,r19.t S87°S~J~~4~~ ~~1`~3•~~
i
~8% x 9 48, t
~ ~
~~~~~~a ~ ~ ~ ~
~EV ~7~ ~
~ ~
~ ~ e~EV.ssne.ss
~ ~l~'`~ EAGAN EIVGIIVEERIlVG DEErT.
0'~ ,
op~ ~ poG°~oMo G~~ ~ ~'~'~.~~J
MtOPOSED GRADES SNOKH PEYt GpAOMC PUN Br. P a00E ENG
NOTE~ BURDRJO D6AENSION$ SFpWN AiiE FOR HORf20NTAl ANp ~FRIICAL
LACATON OF SIRUCNRES pNLY, gE Ap~F117ECNAl PLANS FOR BUIlLdNO
AND FWHpAliON ~IA/[7J90NS
NO~: CONMACTOR MUSY VERIFV OMVENAY DE57Q1. 7Vtl5 QR7IFlCATE UOES NOT pURP~RT TO 5HOW EASEMEN7Y
NOTC NO SPlClFlG Sd4S IN~ES11CAnON HAS ECEN GoNPLLTED ON TH19 Oh1ER SHAN THOSE SNOwN oN rilE RECOROEO PIAT.
lAT BY 7HE SURYEYOH. 1NE SUITABIUlY aF SOILS i0 SUPPORT 7HE 9EAlLNGS SNh1N! AkE ASSI1fAED
~EL1FlC HOU5E PROPOSEV IS NOT 7HE RESPONSIBNTY CF TIE SiR4EYW2.
SV
PROPQSED HQ~SE ELEVAl10N
x uuc.oo peno(es Existinq Elevotion ~ ~
( ooo.oo ) Denotes Proposed Elevation l.owest Flow Elawtion: ~qD" &
Denotes Droinoge k UtiUty Eosement y. 9 q
penOtC3 Orainage FIOw DireClten Top of Hlock Elavatton:
---f~- ~enotes Monumeot
-a- Dan.otes Oflsot Nub Garage SIa6 E7evotion: 9`~g~ ~
LQT ~3 , BLOCK 5 WESI'atJ HILLS 2Nb ADDITION
_OAKdTA COUNTY, hUNNESATA
We heraby cartRy thoi Ihie aurvey, plan w~eva! roa prcpnrod ny me or undu my dhecl eup r~tnhrrand fhat I mn dWy ~aqislerd La~d 3urvaya
u~aer (hC ~ew0 el I~e Ste~e of Mlnnasola, Ooled lFla ~zTH•
, aoy a~ A~~~- A.O. 19 y4 _
REVI~ED 4-26-94
S19NE ~ ~~ON~ER ENG~EERIN . P,A.
, q _ y 8~ v. !
SC~~~i. ! ~nCh ~ 3~ fP'~'l JeHn C. Lareon, l.S. Reg. No. 1982
927 9Ap55.04
R=96% OM1-'A-94 11~58AM P001 R34
W°. LOT SURVEY CHECRLIST FOR RESIDENTIAL
W N BUILDING ERMIT APPLICATION
a ~ ~
~ V ¢ PROPERTY LEGAL:
m a w
m Date of Survey: ~
~ ~ ~ /lW- ~/1
< Z ~ pOCUMENT STANDARDS Z"~~ ~
0' p? • Reqistered Land Surveyor signature and company
p~ ? ? • Buildinq Permit Applicant
? • Legal description
9~? ? • Address
[~0 ? • North arrow and ba~ scale
0~ • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
? • Directional drainage arrows with slope/gradient
• Proposed/existing sewer and water services
0~0 ? • Street name
~0 ~ • Driveway
ELEVATIONS
Existina
~ ? ? • Sewer service
~1 ? ? • Lot corners
• Top of curb at the driveway
C3~? ? • Elevations of any existing adjacent homes
Pronosed
~~7 ? • Garage floor
p~ ? ? • First floor
Q~~[] ? • Lowest exposed elevation (walkout/window)
p' ? ? • Property corners
[~p ? • Front and rear of home at the foundation
PONDING AREAS (if annlicable)
? 9~ ? • Easement line
0 ~ ? • NWL
? p~ ? • HWL
? [3~? • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
~1 ? ? • Lot lines
? • Right-of-way and street width (to back of curb)
@~"? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requirinq permanent footings)
p~p p • Show all easements of record and any City utilities within
those easements
Or ? 0 • Setbacks of proposed structure and setback of adjacent
existinq homes
? p~~ • Retaining w requirements, if any
Reviewed:
Nam- e~ /
October 1992
J// 1 Z
~ wrex+~s ~ 2Jr ~ :
~ , ~
~ SAN ELEV. Cg~ PL 937.26 / ~
~ ~ `MH-14 ~
~ , , ~ ~ ~ CB-10
c B WYE1+30 i~ `24\~ ~ _ -
~ ~SAN ELEV. Q PL 936.07 / ~ \ ~ ~ ~ l
~ / ~ ~Q / ~ l ~ ~ 1
` ~ ~ ~v 's _ 23 22 ' ~ `
,q ~ ~ / ~ ~5 - ~ _ ~ ~ \
~ ~ \ ~ / WVE0+67 ~ 2, I I l \ ` \ ~
NT \
~ ~ ( ~SAN ELEV. @ PL 936.81 ~ e / ~0 ~ ~ 1 ~ ~ `SF
/ ~ / i I ~ 1
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CONTRACTOR:~~l~1~'7 ~`70~'`- PIAN # ~ ~~~P2,.
Determine working square foota9e of each
1. Total exposed wall area..... 7_7t~S sq. •ft. x.ll = ~S _
Z. Total roof/ceilin9 area..... /7?~P sq.' ft. x.026 =
Total exposed wall area above,floor= L~~
z. Total wall window area /3 ~
h. Totzl door area 3
c. Total sliding glass door area
d. Totzl rireplace wall area 7~~
e. 7otzl wall framing area (average 10%)...-..•:•••••••••-•••••:_:_•
f. Total rim joist area : .
g. net wall area a6ove floor l~~lo •
h. wall area a6ove floor
i. wall area a6ove floor
' frame wall area at io~ndation
~
Total exposed foundation area=~~_ .
k. Total ioundation window area
7ota1 net.'foundation area above grade 19/.r _
Determine "u" value of each wall se9ment ~
(e.g. window, door, each separate wail section) •
a. X~~~~~ _ t/7 = 3~ S
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, b. 3~ z .3l = i7_,~~
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d x _ - :
e. ~7v x .47 = 1~.3T.
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J X~~~~~ If item i3 is t~:
r ~ X„~„ p 3L as, or less thzr.
, il, you have me~
X"U" / intent of SBC oC
l. /iiv
3 . .................................Total • .
.
4. TOTAL EXPOSED RQOF/CEILING CALCULATI0~15: ~
. ' ~ C~~.
' Yotal exposed `~r G~'' ~~.F C-.`'~.
roof/ceiling area........ ~lD O sq ft
: j) Total skyliaht area....... - sq ft x"U"
k) Total r(of/ceiltnq framing ~ ~ ~ ~ ~
area Avera4e 1(1~)...... Ti sq ft x' U i0 zrt~ ~ ~
i) Totzl net insulated
roof/ceilinq area....... :
6~j1~ sq ft x"U" r0~ z2•Ti s~'~
TOTAL j) thru 1) Jx~~~`f'
t` total o` °t+ is the same as, or less than N2, you have met the intent of
• 2 ~!C.~2 1.16005 _4 ard 0. .
. ALTERNATE BUILDIPIG ENVELOPE ~ESIGN ~
To utilize [he total envelope system method, the values established by thg sum
of items .-'3 and y4 sha11 no[ be nreater than the sum of items .Nl and °2.
t. ~v~,~~ + 31,~?' _ ~,a3
3. ~~v~~U~ + 4. ~,,~1, _ .75~~ 5(0
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PERMIT
CITY OF EAGAN
~3830 ~ilot Knob Road PERAAIT TYPE: a u r~ o z N~
Eagan, MinneSOta 55122-1897 Permit Number: 0 318 61
(612) 681-4675 Date Issued: 0 q j Z q~ 9 g
SITE ADDRESS:
4694 S7RA7FORD LANE
LOT: 23 BLOCK: 5
WE3TON HIlLS 2ND
P.I.N.: 1@-83751-230-05
DESCRIPTION:
B~3S{~i~~,~Permit Type DECK
~£~t~f~~iYig ,~rk Type NEW
~'Csa7~US ~csd~
~ 434 AL7. RESIDEN7IAL
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~"+~'.yy~Y`~egva~:ap i% ~
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPY $.25
Surcharge $.50 Tota1 Fee $50.75
Swbtotal $50.60
CONTRACTOR: OWNER: - Applicant -
MtlES BOB
4694 STRATFORp LANE
i EA6AN MN
(612)686-4915
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W U"v l i>7 ~~'4'iL ~`_"_~Y
APPIICANT/PEflMITEE SI TUFE ' ISSUED BY: E G ATURE
S~ ~
/ ~ ~ ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
` ~ 3830 PII.OT KNOB RD - 65122
681-4675
New Construction Reauirements RemodeVReoair Requirements
? 3 registered site surveys ? 2 eopies of plan
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & dedcs)
? t energy plculations ? 1 energy wlwlations for heated addiUons
? 3 wpies of tree preservation plan 'rf lot platted after 7/1/93
required: _ Yes _ No
DATE: ~~c; ~ LO q~ CONSTRUCTION COST;
DESCRIPTION OF WORK: _ ~ Pc-~~
STREET ADDRESS: ~ 6~~I 5 t YR'~ ~ f a ~A-
LOT: ~ 3 BLOCK: ~ SUBD./P.I.D. ~CI"~t-~-a Z~~~
Name: 9 Q~ ~,7p Phone 6~b' ~~S
PROPERTY 1.ast First
o,~R ~b~~ sfi~t ~ra
Street Address:
City C~ n ~PR"A State: 1~1 Zip: ~5 i L7 .
Company: Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalry applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowtedge that I have read this applicatlon and state that the information is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant: ~~YL~ 1 ~'Y~~
OFFICE USE ONLY D ~ ~ ~
Certificates of Survey Received _ Yes _ No 2 0~
Tree Preservation Pian Received _ Yes _ No _ Not Required
!
i .
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Qorch ? 09 12-plex ? 14 Fireplace O 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
~L31 New ? 33 Alterations O 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. V~~
Depth Footprint sq. ft. SAC Code or
Census Bldg I
Census Unit o
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies .25 ri)
i:-.1S~j~~~r.;j
TotaL•
lld'
SAC •i
SAC Units '
a.__,_ ~u~.;:
~
_
~ 2422 Enttrprisa Orive
{c~~ Mendoto Nelghls. MN 66120
• ;JN~lR u,noa~,on,.d,u~e~,m„ ~a1$) Oet-1914 FAX:b81~9r188
,ng neer np w~o e,~~n~n axs HianWOy io N.e.
* Bialne, MN 55434
* ~ (gtz) ~ea-~eeo F~x:~a~--~sea
Certiflcate of 5urvey for: KEYLAND N4ME5
t~ 469A STRlITFORD IANE 3862-II-D
t
MH, _-^^T~~a MARK
a. ~ E~EV 94899
/ ~dTV'PEOS/
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Q O 8~.e ~ ~ 68 ~ I„W~~ ~ r
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30 ~ p27.00 - 43.15 T0.58
N ~ `~TV. PED. 947.21 943.8
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~ ~ EAGAN ENGINEERING DEPT.
0, l~; p~ p~n ~yx 88pW
QP,~ ~ . ~ill [e~i M Q;«.:~~~f7E! Hr~F~
~OPOSED tRADE9 SH04Rt PCR GIUORIO PUq Br. P~OBE ENQ
NO1Fi BURDNO OMFN9W18 9HONN ANC FOR HOFtl20qTAl 1WD ~R11CAL
LOCAADH OF SipVOlURES ONLY. 6EE MCHITECNAI Ol.ANS FOH BUIINNO
MN FWNDAIIdI OMENSIWlS
NOtC: CONMACiOR MUSt VEAIFY OMYEWAY DE51Ql. 71U5 CER7IFICAiE DOES NOi PURP011i TO SHOW EASpA[N1Y
r+oic: r+o srmnc sona m~csm~nar~ w~s eaN coNrwcrEO oN n~ia 01HER 1HAN MOSE 910NN ON 1HE REODHOEG DLAi.
lAi BY TIE SURVEYOq. 7HE SUI7AB411Y OF SOIL$ i0 SUPPORT iHE BEA(ENCS SlIOYIN ARE ASSIIIAED
SPEOFlC HWg PROPOSED IS NO7 h1E RESPOH5180.11Y Oi 111E SURVEYOR.
PROPOSED HWSE ELEVAl10N
z ooaoo penolas Fxteling Elevollon c,
{ ooo.oo ) Denotee Proposad ElevaUon l.owest Floor Ela~atTon: ~_P
Denotes Drolnoge Ec lltiltty Fosement y. ~ q
DEnOte4 Dralnage Flow Dlrectton Top ef Block Elevatbn:
Oenotea ?~onument 9'~ ~
-e- Oenutas Oftsat Hub Garage Slab ~evat~o~:
L~T ~3 , BLOCK 5 WES70N NIU.S 2Nb 11001T10N
_DAKbTA COUNIY, MINNESOTA
Wo haraby c~rtl~y Ihal Ihis aurvey, plan w rcovl WOa Oreparod Ey ma or yndar lay d4e~1 eup rAn~and that 1 om duly rsq~slerd I,and Sumyer
undC~ ttit IowO er I~e Sla~e e! Ylnmeola. Ooled lhla ~2TH• • doy o~ APp~L A.O. 1V ~4 ~
REVI~D 4-28-94 S18NE '~~ONEER EN ~EERIN . P.A.
Scat~: 1 inch =~o feet B~
.loHn C. oraon, L.S. Reg. Na. 18 2
921 94dS9.04 T .
e96y; 04--'R-44 11:58AM rnni p34
~"~S~ ~y~fy,
~ ~ 4~$'~•3'~~'~~5~'$e6.h~~w~yFM~ fA''ea~~i4 : ~ex'3 4 ~~~i'A bA~ k.Yk.~?`$~~ ~,Y ~~Y~~=~fT~H~~~~MT
'M Y~9~ ~ uk d~~kR 6 `f'H+ r$ i'4 l A c q
~...Sb . ax,3rc~~i ~~~~w~~~ A ~ ~ ~ Y3~~~37 ~~~E~~r~ Y'xe3~~F~3 > Y i ~ a s
<
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~ s y x~x ; ~5S3~q {p,~~ yeu (a°•~{tea e r is ~
s.~~~ ' %.a. ~ ni 1~£~ . c~~ x £T '~an~a~s 3 s+~s&aPa g e ar ~ 4~~`~''~ 3~ ' i
. : s.~...s 3~..w . a~.ty~~.:~a xfi:x3:e ~ e~.::S•tt,>.,~A~'~a . °..>4 ' Y .a..<.:t., s. ...e. .v , ~ s~.~. s. .
1994 MECHANICAL PERMIT (RESIDENTLAL)
CITY OF EAGAN
3830 PIIAT 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
AL~D-ON FURNACE
FIREPLACE INSERT
DATE ~/.S~g~`
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@~3.00 EACH) , 00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ~ ,.3,~.Sb
SITE ADDRESS: 7 ~6 9~ ~~-~ct/~
OWNER NAME: ~crr~~~ TELEPHONE 595~
INSTALLER: •
ADDRESS:~69~0 ~4.~-~-~-m Q~-~ - ~ ~ -
CITY: ?1t~e~ STATE: /JL~ ZIP CODE:~s_~Y
TELEPHONE ~
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SIGN TURE OF PE I1"T
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1994 MECHANICAL PERMTT (COMMERCIAL)
CI'11' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675~
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~t~I~,~' FEE $
PROCESSED PIPING: $25.00
MINTMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~~~I~IIT FEE.
TOTAL $
SITE ~DREcS:
OWNER NAME: ~ TELEPI-30NE
~
TENANT NAME: (IMPROVEMENTS ONLI~
,
INSTALLER: ~
ADDRESS:
CITY~ STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMI'T"I'EE CITY WSPECTOR
~o~~~ ~~3~~ c~~G1~ ~~o._
zoo~ RESIDENTIAL BUILDING rE~~T aPrUrcaTiox
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsXUC6on Reouirements RemoOellReoair Reauirements Office Use OnN
3 regis[ered si[e surveys showing sq. ft. of lol, sq. N. of house; and all roofed areas 2 mpies M plan showiig foo6ngs, beams, joists Cert of Survey Recd Y_ N
(20%maximum lotcoverage allowed) 1 set of Energy Calcula6onsfor heate0 additlons Sais Report Y_ N
1 Soils Repod rf proposed building is lo be placed on disturbed soil 1 site survey fw adtlitions 8 tlecks Tree Pres Plan Recd Y_ N.
2 copies M plan showing 6eam & window sizes; poured found design, etc. Addifion - indicafe B on~ite sepfic system Tree Pres Required _ Y_ N
1 set of Energy Calculations Oo-sAe Septic Syslem _ Y_ N
3 copies o( Tree Preservafion Plan rf lot platted aRer 71ll93
Rim Joist Detail Op6ons selectlon sheet (buildings with 3 or tess units~
Minnegasco mechanical ven61a6on fwm
rx -,Cy*'i c~:t,". c,G2`..::~".-:?Y~..+; ~~.15C3~~i s? ait:',rC52~L[C~4i C;~31.t`S:; `rvk?,~ .t'~ 3$~,' ~~~"4P' ilF'~ ~::"e';~E.° °`..s~CPP.~" ~tita i~z£ .F-,~•~.,".
d~/~ ~
Date ~ / ~ / ~ / Construction Cost ' '
Site Address Unit/Ste # ~
~ F3-f~''t~.~" C~YI '
-
~ Z
Deacrip6on of Work ~V ~ 6 - j~ ~
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 ~V~/~~
^ ~ ~ I
Proper[y Owner Telephone # ) ~ ~`Z ~ ~ ~
Contractor SHELTER CRAFT INC.
wddress 78 S. ST. CROIX TRL. SUITE 200 c~ty, LAKELAND
stete MN z~P _ 55043 Telephone 651 436-2787
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 ~iI
Energy Code Category . Residential Ventilalion Category 7 Worksheet • New Energy Code worksheet
(d submission type) Submitled Suhmitted
• Energy Envelope Calculations Submitted -
In the lasi 12 mon}hs, has the City of Eagan issued a permit for a similar plan based on a moster plan?
_ Y _ N If yes, date and address of master plan:
i
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( J
[ 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 3tate of MN
Statutes; I uaderstand this is not a permit, but only an application for a permit, and wark 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
ap o plans.
~c.;5 ~~~;c( ~fzrafsfe~/S, -
Applicant's Printed Name App ' ant's Signature
.
~ ~-a~-~ ~ C~~ ~~o._
~a SO(,J Z~07 RESIDENTIAL BUILDING PERMIT APPLICATION ~._n
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tclephone # 651-675-5675 FAX # 651-675-5694 / I~r. A(~-
l.l
New ConsWction Reouirements RemotlelfReoair Reaui2menLS Otfice Use Only
3 registered site surveys showing sq. ft. of IM sq. ft. M house; and all roofed areas 2 copies of plan showing footings, Beams, joists Cert of Survey Recd _ Y_ N
(20%maximumlotcwerageallowed) lsetofEnergyCalculatlonsforheatedadtlitions SoilsRepat _Y _N
1 Soils Report rf proposed 6uiiding is to 6e placed on Aistur6etl soil 1 site survey lor addi6ons 8 tlecks Tree Pres Plan Recd _Y _ N
2 copies of plan showing 6eam & vrindmv sizes; poured fountl design, etc. AddGon-irMicffieilon-sife septic system Tree Pr~ Required _Y _ N
~ 1 set of Energy Caicula6ons On-site Sepfic System _ Y_ ~
3 copies M Tree Preservation Plan if IM platted afler 7l1/93
Pom Jaist Detail Op6ons selection sheet (buildings with 3 or less uniGS)
AMnnegasco mechanical ventilation form
?~3riE3a e:1't=?:.C}ii;'s(.t;EP.B't.~~. '.`c:~2€<_ IY9:x. -"§?3~ }L"~c-s g.;°~'t?::^a y~!".+~° ..:a'e3Y~ `.~5'.-~~"- +aP~ ~Cc`E''~E.° titi~:.$°t L <3it~.z $33,€'i "f.'wA:aCJt°
/ r'~ i
Date ~ ~ / / ~ ~ Coustruction Cost / ~04 ~i d~ ~ -
i
Site Address Uoit/Ste fi
Description of Work r
Multi-Family Bltlg _ Y_ N Ftireplace(s) _ 0 _ 1 _ 2 ,
PropertyOwner G{~~~ J~Y1' 1 TelepBone#(~~1) l"J~1-~~~Y I_
Contractor SHELTER CRAFT INC.
pddress 78 S. ST. CROIX TRL. SUITE 200 C~~y LAKELAND
state MN zip _ 5504`3 Te~epnone st ( 651 436-2787
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 ~
Energy Code Category . Residential Ventilafion Cafegory 1 Worksheet New Energy Code Worksheet I
su6mission type) Submitted Submiried
• Energy Envelope Calculations Submitted
in the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber Telephone ) '
Mechanical Contractor Telephone # ~ )
Sewer/WaterContractor Telephone#( ~
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 Ciry of Eagan and the State of MN
Statutes; 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 aceordance with the approved plan in the case of work which requires a review and
ap o plans. '
WCA'7 4J9n,c~ c7~'~~S"~e-~~S-
Applicant's Printed Name App anYs Signature
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00 3 -oa
T WATER CLOSET 3.00 4•~
1 BATH TUB 3.00 ~
LAVATORY 3.D0 f~a ~
~ KITCHEN SINK 3.00 3- rrr~
LAUNDRY TRAY 3.OQ 3• w
HOT TUB/SPA 3.00
WATER I~ATER 3.00 3 - ~
1 FLOOR DRAIN 3.00 -z . r/v
~ GAS PIPING OUTLET • mtntm~m - t 3.00 3_ v+~
ROUGH OPENINGS 1.50 ~ •
WATER SOFI'ENER 5.00
PRIVATE DISP. • n~.c~. u~. 20.00
U.G. SPRINKLER • nome ~an oo~c. 3.00
ALTERATIONS • w «~w& 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: ~ /111
SIT'E ADDRESS: `1t1~'I ~ ~G~ LL.((1P
OWNER NAME:~P.Ir, ~ asl -~r~ rv~2D
INSTALLER: •DC~ VI~IC[~.~f+d..l'
ADDRESS: ~ I l( f;~ ~c~(g~` ~
CITY: ~~Gt~v STATE: f'1'~1 ZIP CODE: 3 7
PHONE ((p [L) ~
`
SIGNATURE OF PERMITTEE
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1994 PLUMBING PERMIT (COMMERCIAI.)
CTI'i' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMI~~RCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUGTION
ADD ON
_ REPAIIi
WORK DESCRIPTION: .
CONTRACI` pRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF ~ FEE.
MINIMUM FEE: $ 25.00 :
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
C~~ STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
r
rib
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
a56q
Permit Fee: ✓� . ��7
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: `'t �-�U Site Address: `t o9 S`r('Ci - Q �('�tdlrv-V
Tenant:
Suite #:
RESIDENT / OWNER
Name o ek eX. J(-'4) Phone:
,
Address / City / Zip:
CONTRACTOR
Name: l(vNSQU LiktiNc ty.e r 2`r►C License #: Sk )g'r) Y -
Address: 3 % t \ h., t, V City: Y-- the)
State: V11 �1 Zip: c'C` i5 Phoner7 (c114 a - r) b RZ
Contacts )3,C: .-e`�Oi,--. Email:
TYPE OF WORK
New Replacementepair Rebuild Modify Spa in R.O.W./
_ _Work
Goy%,L'�(
i, of work: �, 4 �tL -1/.31,4,-- /A6-6- �i�
iv
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
_
Lawn Irrigation (_ RPZ / PVB)
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.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, a . 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 , +pro . I of plans.
tolocAt
Applicant's Printed Name
Applica is Signa ur
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120093
Date Issued:01/16/2014
Permit Category:ePermit
Site Address: 4694 Stratford Lane
Lot:023 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
James M Swanson
4694 Stratford Lane
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125469
Date Issued:07/24/2014
Permit Category:ePermit
Site Address: 4694 Stratford Lane
Lot:023 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James M Swanson
4694 Stratford Lane
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167142
Date Issued:02/25/2021
Permit Category:ePermit
Site Address: 4694 Stratford Lane
Lot:023 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-230
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
James M & Susan T Swanson
4694 Stratford Ln
Saint Paul MN 55123--398
Lightning Restoration Llc
7600 147th St W, Suite 202
Apple Valley MN 55124
(763) 202-9473
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171319
Date Issued:08/11/2021
Permit Category:ePermit
Site Address: 4694 Stratford Lane
Lot:023 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
James M & Susan T Swanson
4694 Stratford Ln
Saint Paul MN 55123--398
Lightning Restoration Llc
7600 147th St W, Suite 103
Apple Valley MN 55124
(763) 202-9473
Applicant/Permitee: Signature Issued By: Signature