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4697 Stratford LaneDate: City of Eapii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Resident/" Owner r Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: 00 Date Received: Staff: 014 RESIDENTIAL UILDING PERMIT APPLICATION -1)) ( SiteAddress: 5+1\' /, �� - Unit #: Name: SMb Address / City / Zip: `AQ - 4-R2 rit LAW- Type of Work Contractor Applicant is: Owner Contractor Description of work: Construction Cost: hek .p4 -h12 d out Phone: Multi -Family Building: (Yes Company: ci jAdhH-- 6"4- Z--0--(��-S) Contact: /114-1- Address: 154 3) L t r i I City: ROS-q4bitiA74-. state: JV Zip: 515i)f�� Phone: J /r 73/— //4-0 License #: �� '�l�� 394564? Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) tks6141N-c 1t1' 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bu' ding Code must be completed within 180 days of permit issuance. x 5)2414-e 4 o& t 1 Applicant's Printed Name Ap c s Signature zLe Page 1 of 3 JA " ~ , 1 ~ wt ~ 3 A{~I ~L'ti~iCQt~ 0~ ~CCIi~Q)iC~ ~it~ o fi ~agan ~art~aenr o~ ~xi[~iag ~~~~ection This Cenificate issued pursuant to the requrrements of the Uniform Building Code cerrifying thnt al the ti»ee af issuance thu srruclure was in compliance wirh the various onfir~ances of the City r+egulating buildiRg constructioR or use. For the following: ux c~~~fi~: SF' I~,IG Bldg. Permit No. ~LI S~LE ~Y ~YP~ R~~~j 2oni~ D'esrtiet ~ Type Const. ~ owoerof &,;w~ng Kr?vr.arm F~[1~7~ nadress ~7n7 ~ urcu unr.rr vn vorr~ T ~,.c e~aing weeras 4fA7 ~iRATFY]Rn T E?yj~ Loca?;ry .T...~~ ?Y~~~ $f~ . .~I-,{ Date' Baif~og Officr~ POST IN A COI+ISPICUOUS PLACE INSPECTION RECORD ^ ~ ~~Tlf {OF EAGAN PERMIT TYPE: ' ' ~ ~ ' ~ ' 3830 Pilot Knob Road Permit Number. ' ' Eagan, Minnesota 55123 Date Issued: ~ (612} 681-4675 SITE ADDRESS: ; „ , , ~ 4S E: ~ t , APPLICANT: . , , „ ~ , ,~~,t~ i nt~r ~ ~ , ~ ~~,~~~~i , ; i: , i~;i ~ S i . iti: ( i, I,' ) QAA i.145N PERMIT SUBTYPE: TYPE OF WORK: - ~ ~ i . , , . ~~•~~~:~r, ~ i t;~, i r~~, ~ r: ~ t r+ ~ i~~ r~ : i;; t c n i~ i i~ E i~~„ ~~~~~~i~ i,. i~ ; i , . „ ~ i~:. i i t~,~:. ~ , i ~ . ~i . . , i , . ~ ~ ~ ~ ~ Pe~nft No. Permft Holder Date Telephone N ~ S/yy ~ PLUMBING ~ ~,s ~ -b' HVAC /U ~ ~ii~-g,~"f ELECTRIC ~ ELECTRIC Inspection Date Insp. Commenta Footings I ~~p /Q ! Foundation I ~ ~ ~ ~ - Framing ~y l°~~9~~ Lt•""~'~'~,`.I~s~LXx--.u.~ss'C~ Rooflng Rough Plbg. , Zt~ /~J Z~~"p7 / J L p Rough Htg. ~ ~ ~ ~ir' L?~ Isui. ~~~s - J~ Firepl8ce Fnal Htg. ~'1~ o~ Or581 Test Final Plbg. ~ Plbg. Inspector - Notify Plumber Co~st. Meter EngrJPlan Bidg. Final Dflck Ftg. Deck Finai Well Pr. Disp. q~ u,~ - 0~06 ~ 1 ~a ~ ~J 6.1~ Request Date Fire No. Rou9h~ln InsOection 9equired Inspection Olher ihan Rough~in (YOU ' call lnsp~1or when reatly) ~ Ready Now ~ Will Notily Inspector - 9~ Yes ? No pa~e Reatl I~licensed contractor ?owner hereby request inspection of above electrical work at: Job Address (Street Box or Rou~e No ) City y/~ ~ ) ~U/ / C- C.~C~ G~+YL~ Section No, Township Name or No. Aange No. County~~ r~ Occupam (P T7 Phone No. ~ ~g Pmaer uppli Atldress . Electrical Conh ~or (COmpany Nam ConVaclors ' ense No. ~ O `r~ Mlailiny Adtlress (COnt mor or Owner Makiny Inslsllalion~ ~o7J~ , /3 Hut~oriietl SOig~ tvre (COnlraclotlOwnar Makiny InstallatioN PFOne Number ~Cl[~a~~ S 9a - /0 3~0 MINNESOTA STATE BOARD OF ELECTHIqTV THIS WSPECTION PEQUEST WILL NOi Grlggs~Mitlway BICg. - Foom S428 BE ACCEPTED BY iHE STATE BOARD 1821 Unlversity Ave., SL Paul, MN 55104 , i UNLESS PROPEF INSPECTION FEE IS VAnne If~1'/1 fiG'J.(IPlIII . FNCL~$E~. ry REQUEST FOR ELECTRICAL INSPECTION ee-ooooi~os i a, 9 ~ See inslruclions for completing ihis lorm on back of yellow copy. ~~~^~`~~5/ ~ r~ ~j 7 7 X" Below Work Covered by This Request ~`•~u~ Ne Adtl Rep. Type of Building Ajfpliance ired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apf. Building Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Olher (speclly) Gontr2clor's Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 fo 200 Amps 0 to 100 Amps " Transformers Above 200_Amps Above 100 -Amps Si ns inspecmr's Uu Oniy: ~ TOTAQL~ Irrigation Booms y~~- ~ ~,ZJ~~ Special Inspeciion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M 5. I, the Electrical Inspector, hereby Ro~9n-m _ y certify that the above inspection has ~ been made. F'"a~ n Dale ?nQ OFFICE IISE ONLV This request voitl 18 monihs fram Address 4697 STRATFt7RD LANE Zip 5512 3 L.oG .~~o~ Blk 4 Sub wesmrr xn.t.s 2rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: I-?Z- 91' Yes No Inspedot: . Final grade (6" from siding) ~ Permanent steps (garage) J Permanent steps (main entry) , Permanent driveway Permanent gas . Sa1/Seeded grass TraiUcurb damage Porch ~ Basement 5nish ~ Deck ~ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze poten[ial exists. ContaM engineering division at 681-4645 6efore working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contracror Copy PERMIT ~ ~ITY OF EAGAN ~~~5~ 383oPilotKnobRoad PERMITTYPE: guzLDxNG Permit Number: 0 2 A 8 3 4 Eagan, Minnesota 55123 Date Issued: 11 / 0 9/ 9 4 (612)681•4675 SITE ADDRESS: 4697 STRATFORD LHNE LOT: 19 BLOCK: 4 WESTON HILLS 2ND P.I.N.: 10-83751-100-04 DESCRIPTION: B~a~].dingi.~Permit Type SF DWG ~4ildir~g W~_rk Type NEW t'UBC o~cupar~cy R-3 M-1 j Ganstructzqn 7y~w. V-N ~ ~oriittg 1-~ R-1 / Building Length < 44 Bu~.iding Width ~ 50 ~*-r Bt~iid%nt~ stories i""~ 4 '.~jY~U~pr e F e~'t , i-- 1, 7 2 7 ~-;~~j'~~ , , 't ~1~~' =~~.L~, ~';LL~~~ ~ .4 . ~ ~ ~ G~-~,,,.,. `~;~-u REMARKS: PRV S& W PLBR - D C MECH FEE SUMMARY: VALUA7ION $120.60@ Base Fee $769.50 MISCEI.LANEOUS $1g828.50 Plan Review $461.18 Total Fee $3,859.18 5urcharge $60.00 5FlC $800.00 SAC ~ 100 SAC Units 1 Subtotel $2.030.68 CONTRACTOR: - Applicant - ST. ~zc. OWNER: KEY LAND HOMES 14409q00 00~1553 KEY LAND WOMES 17021 FISH POINT RD 17021 FTSH POINT RD PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 440-9400 (612)440-9400 I het-eby aak~ow]~t~ge that I have read' this ~pplication and state tha~ the infarmation is correat and' agree t~s com:piy with ali applioable State qt Mn. St~atut~s and Gity of Esgan OrslinanGes. ~ ~ L%d''~'~~~~~~~"r ` APPLICANT/PERMITEE SIGNATURE ISSUED V:51 ATLIRE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suz~oiN~ 3830 Pilot Knob Road Permft Number: 024834 Eagan, Minnesota 55123 Date Issued: 11 9/ 9 4 (612)681-4675 SITE ADDRESS: ~ a r: i e B L 0 C K: q APPLICANT: 4697 STRATFORD LANE KEY LAND HOMES WESTON HILLS 2ND (612) 440-9400 PERMIT SUBTYPE: TYPE OF WORK: s~ ow~ aEw . „ . FOOTSNGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROU6H TN PL66 ROUGH IN H7~ FINAL PLBG FINAL REMARKS: PRV S& W PLBR - D C MECH ~ ~ ~ ~ . % ; CITY OF EAGAN ~ ~ 1994 BUILDING PERMIT APPLICATION ~ ~~f t~ ~ 681-4675 ~~t rt il SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans 1 ~~t~q1f specifications, 1 copy of energy calcs. 7 1994 Penalty applies: i) when permit is typed, but not picked up by last working in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~_T• ~7/~ / 4~ Valuation of work <ooc~ Site Address:_ ~i~~~ ~~i~}~TFo'F~'~ c..A-~l'F STREET ~ SUITE # Tenant Name: (commercial only) LOT 4~ BLOCK ~ SUBD. ~v`~ P.I.D. # p. I 10! 1 Descri tion of work: ~ ~ l.E ~~~1~- m~- The applicant is: ? Owner ~Cantractor ? Other (~eseribe) Name Phone Property ~AST FtRST Owner Address STREET STE # City State Zip Company K~`~~.Ai~l~ itC]??1~S Phone ~~}+C~-9Q'Op Contractor Address ~~~Zl ~Sri ~~(~T ~,D• License #~'?L Exp.3-31~R City ~'~toZ ~4ll.~ State m~ • Zip~S~?1Z Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber C• `~?l~.C.ttf4i~1C~_ . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I fiave 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: ~ ~ ~ _ ~T~`1~~_ OFFICE USE ONLY - ~ : BUILDING PERMIT TYPE k - ~ ? O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~ 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Baseme t sq. ft. ~~2?a~~~~`d35 MWCC System ~ (Allowable) ~ lst Fl. sq. ft. ~,zy~/~,,,~ iu~R)City Water ~ UBC Occupancy n-a 2nd F1. sq. ft. PRV Required Zoning ~-i Sq. Ft. total Booster Pump # of Stories //CI~/LLSPL/T Footprint Sq. ft. ~.~z~ w/fr•Pe Fire Sprinkler Length y~ On-site well y~~~ ensus Code io i Depth 5-o On-site sewage ;y~ SAC Code oi Census Bldg APPROVALS Census Unit o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site c~ Footing ~ €Kaming Insulation O Wallboard ~F-Final ? Draintile ? Fireplace Permi t Fee v¦i~cio~: $ l Z d, o 00 Surcharge Plan Review < ~ ~s.~+r. y License ~u"'~` ~'i~2 MWCC SAC City SAC 2(ox~1'/ _~,idY z~K~ ' szo Water Conn. ZX 3z = ~Y = Go Water Meter yx io - y~ /Z,~ z~ y~ Acct. Deposit ~ S/W Permit z~/s Xs~ S7~ x/r S/W Surcharge ~ ~ 3gZ ~ TG ~~,a Treatment Pl. ~ Road Unit ~,wt Cy,zy_ Park Ded. Trails Ded. Zaxzy ,(~.7ZxSy= ZzXZO ` yY~ Copies Other ?36, L , ~ 33 ~c y~ ~ L / ~ Total : f~- - sac % y3~~!~ ' sac units ,r~ ~ ~~'S',3yy ' 7 ozY ~ , ...~.L.t~i..tAQ.d.~.P1aS~:YO Ys-LO-Tt %ss-x - - 2A22 Fntarprise Prive ~ ~c Me~dota Heights, MN 5512~ , * (812) 881-1914 FAX:681-9488 w+o sim~rops . nw. eNax[~as *~pe ~pg6 p~~ ~ uuu ~u+c^s• wro~ ~u~e~s 625 Highwoy 54 N.E. N. * Blolno, MN 55434 ~ ~ ~ (sia)~ra3-~eso Fnx:~a~-tas~ Certificate of Survey for: KEYLAND HoMES 4~7 STRAlWI~ LANE 387~0-A ~ ~5 ~ is (~t~& 8t.91 N29°45'28"E CQ~}3,5) 51'ORM MH~~ 4.0 p o ~~43'b r '-^~7 16 ~ /~~8 pRAINqGE & UT1t17Y PHOP. LINE~~. / EASFJd~If PQt PLAT<~ I ~ I 3 ~ I a945.9 x 94fa11 ~ ~ ~ 3 ~ ti I I ~ ,25.~_94&6 ~~~5'i ~ 94&~~ .~943.51 9 948.02 ~~l u1 ~ ~ I AAD I 1 w~ 946.8 Wttt~~q y~ g~ ~ M AROPOSED ~ ~ N s ~ HOUSE ~ ~ b • ! / S 945.8 ~ I (2.0 / M ~ ¦ g47.1x . Q• I d ~ ~ N z ~ IOA u ~p /W '9 ~ Ilr'11~,:>~ GAR.~ ~ M ~ii/ ( ~ ~ ~ ~ . '2b_66I ~ ~IT.00` ~ T 94Z4 F~~3 947A ' x 9ENCH MAPof ~ ~ ' ~~ENCH MARK TDP OF HUB._~", I j y o TOp OF HUB ELHY.~948.14 s + i o g~.Ey.~94T.B9 E A G~ N ~ NEY7AY 5 CJ ~ ` R ~ ~ ~ ~ ~ D 6~ \ ~ ~ INV ~935.2~ ~ i / ~y4`~0:.7~ saa.a 91.78 N30°52'30"~ "94~`s - BY Os4 .9 r T 945,T ~ ~ 7 M G8. 945.2 `~Y ~ ~ OR _ L~4NE ~ ` ~ D ~ ~ ~I'~ ' ~J ERIl~,'G DEFT. a~ a~ ~AGAN EIdGINE a aaavosm dtaoES sHO1Nt Pcit cRnmNa PuW BN PROBE N01k CONiqACTOR MUST VENIF~' ALL dYEH90N AND IXtIVEWAY DFSI[7~1• TIIS CERtiFlCATE OOES NM PURPQtT To slaw lA5EAIEMfS OIHER 7NAN 7H0~ SHOYN lN 7HE RECONOEO PLAT. llOlEt NO 5PECIFlG SN~s W4ES1ICA710N I1A5 9EEN CqAPLElE6 OH T105 l0T 6Y 11iE SURVEYOR. THE SINTABIIATY OF 50144 TO ~PP~RT 7HE BEAfLt~S 910YM ARE ASSIAAED SPEGIFIC HOJSA PROP03E0 6 NOT 7HE pCSpdIW9LL1TY OF 7HE SURYE'lOR. x aoa.ao Denotea Existing Elewkian PROPOSFD NouSE ELEVATtON ( aao.oo ) flanotea Proposed Elevotion Lnweat Floor Eleva4bn: Rd2,fa Uonotes Orolnage & Utflity Easement Oenotes Orainage Flow Directlon Top of 81odc Elevation: ysu7 ~-p- OCrlotes Monument Danotee Ottset Hub Garnge 51ob Etevation: 9~9 LOT ~a , BLOCK 4 WESTON M1~LS 2ND AoorrioN DAKUfA COUNTY, MINNESOTA Wu Lmoby ewlil. lHnl thta nmrux pion w ~WU't xae r roJ !~y me w untMr mY oupo~Wion oaG Ihat 1 um duly reqfelered Iw~a 8urw r ~u.i1N 1~a lawp pl Ihn '~lnle ~.f NI~S~Ia. Oel~(1 Inb ~fy 0/ ~_~.-A.0. 1 i REVISER tp-27-94 -~.c~ t.~.v- ~ AK ~"y~,a ~'-•uti.i 5~~7~' PIONEER ENqN IN . Scale. l ~~Ch = 3{~ ~e.~il ~ G Loraon, LS~ Rag. No. 19828 ezr 9ao55.oa T0'd ~ LOT BURVEY CHECiCLI6T FOR RESIDENTIAL ~ BIIILDING PERMST 71PPLICATION PROPERTY EGALt ~U, ~s~(/~,.~/ ~~G.~e.t/lr,.t ~ ~ ~ ~ ~ Dat• of urveys ~ ~ll. ~ 9T~ DOCQMENT BTANDA 8 ~j~y"/C.Jrf ~0/ Z7 l 9 0 • Registered Lnnd Surveyor ~iqnature and eompany ~ ~y D • Building Permit Applicant L9' 0 • Legal description r 0 • Address L 1 0 • North arrow and bar scale 1~ D 0 • House type (rambler, walkout, iplit v/o, split entry, lookout, etc.) ~ ~ • Directional drainaqe azrows with slope/gradient t. B~~J D Proposed/existing aewer and water servicea 8' ~ 0 • Street name D~U G • Drivevay ELEVATIOliB Lxistina ~G 0 • Sewer service 0'~D 0 • Lot corners ~ D ~ • Top of eurb at the driveway D~ D 0 • £levations of any existing adjacent homes PreooseQ B~G 0 • Garage floor ~'a o • Fsrst fioor D~ 0 ~ • LoweSt exposed elevation (walkout/windcw) D~ ~ 0 • Property corners i~D 0 • Front aad rear of home at the foundatfon Y4NDING 71REA8 (if aoriicablef D ~0 • Easemes?L line n c~ o • Nw~. D 6' 0 • 8wL D [Y 0 • Poad # desiqr?ation D D~ G • Emergency overflow Elevation DSMEHBIOIPB 0~ D D • Lot lines ~ U 0 • Riqht-of-way and etreet width (to back of curb) D~ n 0 • Proposed bome dimensions includinq any proposed decks, overhangs qreater tharf 2', porches, etc. (i.e. all structures requiring permanent footings) ~ D 0 • show aii eesemeats of reeord and any City ntilities within those easements D 0 • Setbacks of proposed structure and setback of adjacent - / axistinq homes 0 D~ p • Aetaiai wal quirem ts, if any Reviewed: Name / ate October 1992 Ij~ ~ i •Y / _ ` I~ELEV~Q PL 937~1 q,~, , ~ ~ / ~ ~ ~ 15~ ~ ' ~ / ~ ~ W VE 0+47 / ~ ~2 / / ~ 6" HYDRANT ~ 'o ~ 6"X6" TEE ~SAN ELEV. @ Pl 934.81 / , / ~ ~ / / ~ ~ 1 P 6" DIP / ~ / ~ ~ ~ \ ' ~ lfg / ~ I ~ / ~O,to a ~ u / ~5A/ I ~ / WYE 1+55 ~ ~ ~ R~ ~/V WVE 0+92 I i ~ / / ~5AN ELEV. @ pL 936.39 / \ ~ ~t SAN EIEV. @ PL 9~ / ~ $ / / / ~ ~ ~ ~A ~ ~ _ ~ ~ ~ J- / / ~ ` ~ ~ / \ ~ ~ eFryO - _ J / ~ ~ WYE 0+73 ~ ~ - - ~ ~ ~ / / ~ ~I~ 8" ~ ~ ~ ~ b`AN ELEV. @ PL 935.22 / ~ 7\ ~ 1q4 11 MJ' ~ . ~ ,G~ r ~ 9 ~ ~ , 8. 7 8., DIP _ ~ Ai ~ / f . ~ ~ \ ~4 / ~ ~ ~ ~ ~ ~ i 0 _a GATE yAIVE l5'~~ ~ ~ ~ / ~ / / W YE 0+07 ~ ~ 12"X6" RED q ~ / ~ ~ \ ~ ~ ~ / ~ 7s ~SAN ELEV. (d PL 934.34 WjY 0~0 ~ ~ 1 ~ ~ ,s ~ ~ , 2., ~iz,.~,~ / ~f ~ . / / ~SAN ELE~V PL 9A4.01 r'}~ / / ~ / 6"HYORANT ~ ~i~W~w/~1. /-/~r,f~^ ~~vr.;~f'(;'~~r.~ln~^ / ~ / 12"XB"7EE I ~y~ti ~ . ~;~t . ~,~i.,-_y / ~ 8' 8.'DIP ~ 11~5`1"~ ~ ~ • ~J, \ r~ ~ ~~/~%~r~7 1 / / / ~7~~~ ~ . ~i r . M~J . . r ~t ~j~ j / 6' GATE YALVE ~ L'~-•'.~ , ,Yi ' (v t' / rrv~=C~; `_`=';,'4 r~°~L;, ~-o,~ 11 12 ~ F ~:r~~ `~~;o", _ ~ ~ ~ ~ ~ ,f>,;, . ~ . ' : , _ ~ ~ R POLE 100 FEET NORTH OF CLIFF ROAD ON THE EAST SIDE OF T.H. NO. 3-ELEV. 931.60 ~ ............................................w...................;.........................,' : II~F~=~O.. _ : : . : _ . _ , _ . : t . STA.':1 a+b~::3::FT:.:.LT. ; . . : : ~ : . . . : . : : TQP ~~:1~T4... . .FIN~SiiED GRAD~ , . . : . . , . . . . . _ _ . , : ~,5.~ : : . . ...g5o . . . . . : _ . . . . . # . : . : . ..........m . a.y~,. . . . : : ~~a . . : . . . . . : . : . . . _ . ~ ~ _ • _ : : ~ ~TA: 10+33: 1.4 RT: ] 59'=$'{ P1~ (g~ 0 40% PVG I~LUG TOP - . ~ 946. 7 . 5DR 35 1 . . . . : _ . _ • _ . : . . . . ; . , _ . . _ - . - _ ~=TOG_.. : . . , o , M : 48'! DIA. ..o . d> _ STATILTU3 _ . _ _ ~ : F: : . . . : . ~ : _ ; z . : . . P 943.58 . . . . . _ _ . . . . . • . . . . . _ _ . , , : . . . . E . . FR~IISHED PROFILE _ _ . . . ; ; . . : ' r . . : ~ . . : . : . _ ` . A..R.M............. . . . • V ~ [ • ~ . . . ~ . . . . . . . . . . . . ~ _ _ . . . . : . . . _ . . : ' ~ .:5::~'I':::. : E.::..::.. , _ _ ¢..S'fA: 10+33 f.4 RT. ~ STA. 11+73.92 .73 . X59,~.,~~ O40h. . PVC PI.UG... - : TOP °_94d..i7 _ TOP = 946. . . . . • . 5DR 35 , _ !93 . . ~3=1t~E'i . ~ -~B._~07 . . . _ ~ . . _ 48'! DIA 48" DtA . . , . _ i° . . . . . . ~ ~ . . . . . . : • . e±~ _ S?A:1U+~[3 STA.11+66 . . : ...o . . : . : _ ai _ _ t6 FT. LT. : . .o. : _ . _ ~ 6 LT . . . . ' . • . . ; _ P Jti358 ]'~P:~4576 . . : . • : . . . : . • ; . . . _ . • . . , ~ . : . . . . . : _ _ . • . . : . . . . . . . _ . , . . . , . • ; . , . . ~ : . : i . . . . . . . . . , . • _ . : • : . . . . . . . . . • . . ' ~ 8'~~ ° ii~ . p: ~ , Q. 62% : . . P~1~SHEQ PROFILE . _ . ~ . . . : . . ; . : . . . _ ; ~ ' _ _ . . . : . : _ 75'96 •...........ia.........:.................... ~ . ~ : ~ . :...s...D4P ..:.........:M1: . . . . : t2 . . . ' ~ . . . ~ o : . . . _ . , . . . . . . _ : : . . • _ : _ _ ' _ . m . . . _ : . 400'-8i~ PVG .@ 1:449o i . _ _ . ~ : . . . . . _ . , SDR 3S _ ~ 141 _g~~ P~.:~.::0 40%: . . . _ . ~ _ _ ao 35' rs ~ . . : : : : : _ . . . . . . . . . as . _ . . . . . . . . . . . . . . . . . -.................__....._:_........._.._.........:...a . , ; . . • .....o, : . - . . . . . . • . . . . . . . . . , • ...r • . . .....~...~~~~ii;'r.'ni nn~_L r~.~i:•i r=Sie•'s~;iar~i:~~~'-_' , . . ~ ' ' ...........!.lC~.:,.v.:~.!..~.!.. ~.:....,~.~...e__ . , . . . _ : ~ n . . . . . -:.•.r:...:.^..;!'-.an~7 nr....!i.(.{.~..?.t:!...~i;i.r~i[~i:,4,~........ . _ . _ _ _ . ! ~°ee.:..!:::'~:°.~:.:.. i~~ ~ _ ' '_:.:':;^:i~'°',.......,;°~ . . . , . . ~ . . • :•C..~ 4~z..i: ~ . . ~ . . _ . . . . . . ~ r - . . ~ ' ' " '_'L .i . . , _ . : : . ~ -.~i.~:..}:' • " ' , ~ . . . . ...7. ~ • - . • ...Y_.-ct~ _ . • _ , . . ; : ~ • ' . ~ . ..Z • ...........~i....:..................... . . ~ : . _ ..i tt~,. . . . . . . . . . . . . . : . . : ' : : . . . . . _ . ; . . • ; : , . . . . . . : ............................j t . . . . . . . . _ : . . A . ~ V~oO ~ 0 ~O~oo ~~TOO . ~i+ ` EX/JT, • i _ _ i~~_ Ct1 I I ~I I ` - - _ _ I ~ ~ I ~';'"f ~ ~ ~ '1~ i ~ I ~~f ~ ~ ~ ~ W I ~ •,~,,i; , ~ ~ ~ ~ ~t.~;te` I I f f ~ ~ ~51:;`, ~ I ~ ~ ~ ~ . _ _ _ _ J L _ ~ ~ i i ~~'~~y~ - L__ BRIS _ ' n; ~ TO BgpULEVARD ~°--y 101 , / , . ~ CB-102 - a ::z. ; ~ ~ r----_ , - i i - ~ _ _ ~r ~i`~~ ~ i ~ ---1 r- ~~r,,i~ ~ i ~ ~~~'7 I I ~ I ~ ~ I ~ i i ~ r i i ; I~:., / I ~ 1 ~ I ~ r,-__, : ~ ~ I. ~ O'.; r'`;; , ~ I i '15 ~S'~ ~ ~ ~t - ~ ~ ~L ~ . t . °'1 c c? ~ ~l ~ ~ .J~ ~ 1 ~t ~ ~ ~ ~ r,~ , ...7 ~1 Cy ~ ~ ~ ~ ~ ~ ~ : I. ~ I ~ ~ I ~ ~ T! C~f.~-~j ~ f ~ ' ~ ~ . . , ; N= _ _ ` J L - ' I I I ~ ~ ti - _ J L _ ~ -:~r-`'~ `'--~.J L__ _ ~r ~ 1 ~1r----- ,:t>:', 1 ~ ~ -I ~ : _y 1 ~ 1 ' I ! ~ : ~ : ti ..:1 C,~ s.! ~ ~ ~ 1 OI ~ ~ N ~ ~ < WI r r ~ ~ ! 1 ~ ~ 1 1 I ~ ~ ~ <C r ~ ~ ' ~ ~ ~ 1 1 r5 rs ~ • ~ f I ~ I I ! ~ ~ ~ I ~ ! I ~ q ~ ~ ; J ' ~ 1 I , ~ - ~ I` " ~05 CB-104 - _ ' ; o N : T p ~ ~VC j~ i n1 ,J~~ PVC D ~ O~ ~ ~ e, AN~ t: 8• ~ TRATF013p _ , L~N _ 980 _ _ _ _ _ . . . _ . _ _ ; ~.7..4... CB-102 MH-103 CB-104 ~B=105 46" DIA. 48" DIA. fi0" DIA 60".I~A . STA 11+87.6Z._. . TOR..9446Q _...&'FA=#0+02:8~ .:.:...........STa 1Q+4~. _.......960 16 FT. LT. 16 fT. RT ; i£ f'~ RT (BRISTOL BOULEVARD) i . . ~ ~ (6TARTFO4tD IAME) (STBATFOROLANE) i..... .~TOP ~4S.~J8............i TOP 940.37 TQP .9q3:63 : ~ ~ ~ ~ ..._......950.... _ . ' _ : . ~s _ _ ` ...:.......................:.......940... 1:54' 30"..RCP @ 0:82~f6....... _ _ : . : rt* : . 154'-30" RCP C? 0.82% _ _ C~ASS NI : CLASS 111 41!-30'' RGP ~@ 0.70% ::::::Ct.ASS HE _ ~ _ _ ........::.....n. .............Q- ~ ~ : : : ~ . : I ..T : . . , : : : . N : - , ~ : . . . . 1n : i ~ t0 . : . . . ~ ~ ...pp : ...........~mg ._....j 'h. : . - : : . . ~ . . C9 . . .O? . OI . : i ~Ci : . . ~ : : z z ; z; z. .....~2Q. 1 . ~ . ~ . _ . ......:i`~-!~ G+ i 1` ~ ~`~;~F Fd DOc 9 P~C3 ! l'i `,r i`~ . . `:~Ei~ ~~~EJ€;r~CY ~ , : _ OF U ~ ILI7Y ! .~~r ~ , : :=ti:i~ ~ T _ . ~f~ ~ ' E ~;°,TIp E!~. rilS ~ • ; ~ ! 4 ~i~~~ ~ : i ) ; . ~~"`q~::~" . . J ~ ~ ~ ~ ~ ~ . . . ii , C~Lrf i ~ - . . -.T. . _ . . . . p~. r~~} q , , . . ~;:irLJ i.. V{~~ If9~...~.~..il:_. ~ ~ ,owNEk: nnir:_~-ZL~.-~t4 S?TE ADDRESS: ~b~~ "7~~-,~T~O~'D LIL. PF!ONE: ~'4O-°C4~C'~ CONTRAC?OR:ti r`(~.~~ 'N~ r'l~-, _ PLPN r~ ~zlla-'!L~ Determine workin9 square foota9e of each Total exposed wall area..... ~1 3c sq. ft. x.11 = ~q0. ~ 2. To:al roof/ceiling area.....~__~ sy. ft. x.026 = q~~ 3 Tctal exposed wall area above_floor=__ S~ a. Total wzll window area /O/ b. Totat door area 3. c. Totai sliding glass door~ area d. Total ~ireplace wall area - e. Total wall framing area (average 10%) ~3 - f. Total rim joist area 1A~ g. net wall area above floor ~7~~ t . h. wall area above rloor i. wall zrea atiove floor j. rrzme wall a;ea at.=o~:ndat_o To~al exposed foundation area= '~7i k. Total foundation window area ~ 1. Total net.foundaiion area zbcve grade 7 y Determine °u" va]ue of each wall segment (e.g. +~r~ndow, door, each separate wail section) z. ~ O ~ X,~ b 3~1 X , _ ~z~~ ~ ~o X ~ ~~i = t~ r~ . d y ~ ~ ~ , e. 1~3 X ~~~7 = ~7~+1f T- la~^ X , ~a-, = 5 ,~G g. 12~ I X,~ , v~~ n. x _ ~ _ . . X _ . If item x3 is tn; - as, or less thzn k• A1, you hzve me~ 1 X„~„ ~ _ intent or` SBC o0: 3 . .................................Total = ~13 . - TM~c.._._ ..~._.T.. . , 4. TOTAL EXPpSED RQOF/CEILIhIG CAICUTATiDtlS: . • ~ ~f~ C,h; . • . Totzl exP~sed V~"''.' Q~o,•F , C...__g , roof/cei 1 inc~ area....... • IZ'~I ~j~JGSq ft r : J) Total skyl iahc area....... sq ft x"U" ° k) To[zl roof/ceilinq framing area (Averaae 10~:)......~ZJ 1`-~ sq ft x"U" pZ• 1~~~~~3 t) Totzl net insulated roof/ceiling arez.....,.I~~I _~35q ft x"U",~Za Z7,03 1Z~6`C L TOTAL j) thrv lj 7~C~7~ I~ total o` =4 is the same as, or less than (2, you have met the intent of ? •rC: -L 1. 1600S :4 2rd 0. ALTERt:A7E BUILDIPiG ENVELOPE DESI~N To utilize the ~ocal en~~elope system method, the values established by the sum or i[e~s '3 and :'4 sh~il not be ~reater than the sum of items .N1 znd °2. l. 1-"1O, ~ + 7. s~a.'~~~' = 7~'„ c3 3. ~^ra~,,, L,7j + 4. ~~,Z~ _ ~JZ.r v^ . ; . . • . ~x~*~e*~~~x~~x.~t*~s~:u~z**~s • • ~ crrv~nF. ~ca~a : ~ . . , CASHIFR: J8 ~.TERFiINAL, 1~f1: 789 ~ftTE: 10/iS/99 ;+TIAi~~ : ; 10:21049 IJe . . , s ~ • . 'NAME: ~ ALITOMAT3C •GI~RAI;E~.d00R 6 FIRE.PL ;32i~ 9001 4697 STR4TF'ORD . 60.00 2153 9001 4597 STI~A~`[fORU ~ ~ U.50 . • . ~ . • . ~i ' ~ ! • . . t ~ ~ , I ' ~ , . . . . Tatax Re~si~# Aa~:nt~ . ~ 6C'.~0 Cki.i81?4 ° ' • . us~• xne ~au ~ ~ ' ~ ' izE~~k~kM*x:x~NSx~k~*~k~A~*~X~C~C~F*r.?~A~ . • • , . • . . • . . . . 3 ~ ~ 16-IS-~~ 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: ~ J Descrip6on of Work: ~ Construct new fireplace ~Gas _Masonry _ Alterafians to existing _ Install Pas insert onlp _ Install ,gas line onl,y _ Other Jobaddress: 7`ti ~ ~ /ic.o/~'b?~ ~JI/ Lot: ~ ~ Block: Subdivision/P.I.D. #t: ~_A,,~O Y~ C~l \~S Applicant (circle one only): Owner ontractor Permit Fee: $60.50 Name: ~ ~~dV S ~~I. Yn . Phone ~ Oi~ - ~J PROPERTY Last Fust OWNER r/ ~ SheetAddress: ~~1~/' / C~/C~f1T~/1~ ciry ~~'l~ ~pli/ state: ~ ztp: S$`` 3 r~` 3 6~a -S 7f~aSa Company: iy~ ~a~?~p f- t~~ Phone 5 " (area code) FIREPLACE /)2 ~d INSTALLER Street Address: ~7 ~yi City 4)~2~~/ ~2n State: /~yU~ Zip: S,~ ~/y.S Company: Phone (azea code) GAS LINE INSTALLER Stree[ Address: ~id yY~-~ , City State: Zip: ' I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ /~-a~` Sig r ~ ~ ~ . OFFICE USE ONLY BUILDING PERNIIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterauons ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repa'u ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code O1 REMARKS Chimney/flue must be inspected before concealing. s 0 . . ~ ~ ~~l~~~~ R' ~ay~i~~yt~i s s ~ .tY,h' ~ .~~;.i,,';:. y;:;k:~2:s's~w~~~:~~'":^'~3~„'~,",ri•YtM'.q~ ~I~ ~'~''~'-~c'`~"'~s~x~ y~'#. F.~.~W~~t.x +€xi .~7:b x ' ~ fre Y~3,j't 'b { 2~a ,-+°3 ~ x 4~~z a av &Fr ~~e~ ~ a s Y w~; w~ > ~ s' . % . § 7 ~'j &M b L ~N'd ~i~i cy i '4 ~ k . 't. ~ b' l £ y3$~ `HL 3a~K.' °i~?a ~F~~i~,.a~ r3~ ~ s¢j ~.E~ 3 3 , F ~i ~ ,»~4~~. > . > .w..~~.. «a:. . < . . >,a 3 ~ z,z.. .~,,+b~ .s..^~'u. ~.,s.. ~ ~>.>.&4., s a:~., ...~a . . . . . , r. . .Y'. 1994 MECHANICAL PERMIT (RESIDENI'IAL) CTI'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-0675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRZJCTION :...'~.D-C)N A/C ADD-ON FURNACE FIREPLACE INSERT DATE IiIi5~9~{ FEES HVAC: 0-100 M BTU $ 24.00 AbDITIONAL 50 M BTU 6.00 GAS OUTLFTS (MINIMUM 1@$3.00 EACH) ~ L• o0 ADD-ON/REMODEL (Ex~s'rilvG CoNSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL ~ ,jo.So SITE ADDRESS: 'S~(, 97 L~y"2~T-~oytd Lq,JE OWNER NAME: l~EV L~niD r/am~S TEL.EPHONE ySGa-- g~/oa INSTALLER: rY3Err~ A~'~ 1,~c - ADDRESS: /~,93To l.v~Lc.,,,E AuE. ~~E . CITY: D'°"~t'•8rr L~r-1CE STATE: • ZIP CODE: c$.537~-- TELEPHONE yS~7- ~/oZ~ ~ . ~ SIGNATURE OF PE MITT Y q~~2 k ~i~e~ ~~~~w~i.~~I~ j~ .y w '3~~,~.l33JY,~Y~'~ ~~~ns~'~'~°4~~~Pbi ~''FhfspAy,~dL ~ <~~.5~ ~.y~~~''X7'~~~ y(Y s Ny s'~as ~ 3. °~A3 ~>a s c t35 R., t-~ ~ i y,y 8 A xa ' ~ K~.. ~b ~~,y5v"'~ c,,~ 3~ie~~ '~T`"^«~k33 3~ r~A~£ s~ ?:.t"`~~ ~zu ~~3~sS ~'sa~5 r >.t. i, 'p°y.~Mtezs ~ ts.3 a ~~c .N.~~ h,'T`~r e : s i~ a ~ a : ~VD~ ?A. k' aF ~ ~s "sP' ! zyr ~Yt$£Y~h~'t ~ a sn~.~ wa£ Y F'~ 9 c k b ~ 5 `1 ..nw°'m ~3 . 3 t ~L~ ~~&e,~"c~.2~ s3$a wF~`~'s, rm,uc•k¢g11ZE~;.*3zax4A ~ykk~~`~"'3s o?~s k"ta$ 3.~ £ .+"~a?dy{AYs~£.c.~u~~~`~ta`~s..' ''E~wr 3~a~~~ ~ 4~`aa a ' *M t C~x'Y ~i~~ t IJ ~~~i g t~ s~ .i~::. .a., ..::r . . . «.<or.»....r'z,r....~.~.,~...m,..~e:S;a#w. , s> ~..:.<.c.+. z h sua~;a., „ 2.z, . .,3. 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 REQUIl2ED FOR EACH DWELLING UNTI'. DATE: CONTRACI' PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ,~`.~3~e~ci~T' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF P~~~' FEE. TOTAL $ SITE ,^.L`~'n~SS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEIVTS ONL1~ [NSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~ -~~'~s~ 2007 RESIDENTIAL PL~IMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / 0 ( / 7 / o ~ David Eidsmo Site Street Address 4697 Sh-atford Lane Unit # Eagan, MN 55123 Property Owner 6519058918 Telephone # ( ) Contractor /l~0/~i~H7 P(~L!~/r!4 Telephone# (G12) ~Z7-u033 Address ~(~tvriY,~ - City _ d O~__ State~ Zip s..fyog The AppEicant is: _ Owner ~ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ t0.00 Fire Repair (replace burned out fi~ctures, etc.) $ 90.D0 Alterations to exisYing dwellirtg ~ $ 50:00 _ Add piumbing fixtures. This fee includes installation of a water soft~ner_and/or water heater at the same time. If yau are insiafling onfy a wafer soffener and/or water heater, do not complete this section; move to the next section and check fhe appliance(s) you are installing. Septic System A6andonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: ilVlater Safiianer ~ We4er rieafer . $ ~ ~.~a _ new ~ replacement Lawn Irrigation _RPZ ~PVB new _repair _rebuild $ 30.00 State Surcharge $ 50. ~ Total $ ~s. s~ I hereby apply for a Residential Plumbing Permit and acknowledge that the inforrnation is co work will be in conformance with the ordinances and codes of the City of Eagan and t~ i s; ~ I understand this is not a permit, but only an application for a per i work is not to start without ermit and work wiil accordance with the approved plan in the event a plan is requi t be revie ed and approve OCT 2 3 2007 ~lo~blo~,?~ ApplicanYs Printed Name nYs Signature By .:'Y3zrz> ':%;~a's::. ~y.':s>~>': :.:£::;:M:r,~r.>« -:..:s: q ~ s:ti:.„ . : ; .w:..~.b:+l;s . ~ :22~i°.a`':.,3!::~i~8pa>~Bi~,~~.1'~~3330:#•.."w'~C.+..'' ~ ~^i~`~'c~~.~~" .R::'...' ~ d .y..;:~ ..'.<~:,._<..~::,.::,;«..r..~:..~,.o.: ~.p'<*>.«L::s3.,,;~,.a;... . .>u .,~ba~ .y':'. ,;~e, :,:~s.~ , ~ ~ ta.. ,:~;::.;:..:._~._.:o:~~ra':kw..w;>:d;:'a~ . . J . ~~,.~.:.;s.;::~,«...::.,...'..,.„...,.,~:.:;; . ..~a. < , a ~:9' a.i ;':E:'~.::>,.s::_ ~i£v:<3 ~~a. . ...€h:: ' . .~:a .~.f4.E''„~ ~ . ' 9 ~ .a}." ~ , ~.R... .y;'a~ y.. . „ . ~ t..,i :.a>a<`3... s:<`£'Yas y ;:3~~'s:.: . . : >:.:A:~~: . 3 .yx ~ . ~ 5' ~ > . o~h~ ..~R:; ~i '~'.,E. ~ w . :u.:..S.?'mm ~ . . . ~ ~ . . ~b 1994 PLUMBING PERMTf (RESIDE1V17AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL ~ SHOWER 3,pp ?~.0't) WATER CLOSET 3.00 ( a~ a'v BATH TUB 3.00 3. 0'a LAVATORY 3.00 L. rJrJ KTTCHEN SINK 3.00 ub I LAUNDRY TRAY 3.00 3~ iI7~ HOT TUB/SPA 3.00 WATER HEATER 3.00 3- trp J_ FLOOR DRAIN 3,pp p-p GAS PIPIIdG OUTLET •~~m - i 3.00 3• rn7 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVA'TE DI3P. • ner.ay. 20.00 U.G. SPRINI~,ER • home uoea coosi. 3.00 ALT'ERATIONS • w ~u,~ 20.00 WA'I'ER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: ~ SITE ADDRESS: ~10~ / ~~a~~ur~ Lh OWNER NAME:~ P~l~l LGi n~ `1~ r11.1,0 INSTALLER: D(`~ l~P C~'Y~ vu.CS~z.Q ADDRFSS:_ ~ ~ (A.~ • ~ oZ ~l~ ~1(J CTI'1': d~~sl~ STATE: Pl'l ~ ZIP CODE: S. 5 3~~ PHONE ( (o i~- ) ~f ~JD - ~f~ 1t 1 ~ i~C7'~P- SIGNATURE OF PERMITTEE ~~'~F ;o<~;.".,".~"~^~".'syw:~..~«.:x _{rt'~;?,7:'.::~::rx:a~z.~~f's.~:~~..,,.,°`T`a.~......, <x.. ~~F ~~s., i°i4`~'~~ ' r3,y°: ~ ~ s~ :.:,,".x,.rpn;~~:2nr?xt.:~::x.bt.s,,:'s~:;,Y.aDir.~s. t. ~ ~.~5~ ~~..,S..:p : a~: ~ ::i s, ~.3~~~:.s~ ~ ~~>::"a~' §x :w:'r.'~y s,i:;.x:.~,'>.is:1:(:. ~.::x'~Iy:::~.a f.: ~a:a.,;`^~3~.i", . .,a ;,..yo- • z:;t..a ~a,,a,~ '.;r,. ,Y's':<~ . e~-^L~' ,p„„.,~~ f„ ~~;~p ; g ~~h"~3~~~~~ ~ . x.' . ; . ;ti ..~f>~> a8o~.~,~"C,~:~ p~ : v < z'~ `~~,$+u~~ ~ ~~~E ~x6.`k..._.;£<c-_~e~3~ £f~.¢,.~~'~3,w,~k~3',:~ s.,.. ~'a.~a~. . > u~Pi~'~L1,~sYi~"~~ 1994 PLUMBING PERMIT (COMMERCIAI.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COD~IlVIERCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. _ NEW CONSTRUCfION ADD ON REPAIIt WORK DESCRIPTION: CONTRACT PRICE: a FE& 19fo OF CON1'RACT FEE. SPATE SURCAARGE: SSO FOR EACH 51,000 OF < FEE. MINIMUM FEE: $ 25.00 ` : CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4697 Stratford Lane Lot: 10 Block: 4 Addition: Weston Hills 2nd PID:10- 83751- 100 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: David 0 Eidsmo 4697 Stratford Lane Eagan MN 55123 -3986 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA083060 05/14/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature üù ÿ þ þýý üû÷ûùù øýýüë÷úøé ÷ ß âè þýô ýüûú ù÷ì ï üú ù ÷ ú ùàù ù ü óüù õÿ ýôü ø ü ý áèæñ ñ ü æ ù þæäèèá áâáá êððè óø ýü ñ ÿ ë ü êðèçðçè ë ü èð òüñÿ ôðï ùù ì ó ò áèæñ ñ áçâý î ýü ÿ æäèèç æ ù æäèèá ÞáÝâáá ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �}( � 1 IT17 Permit #: Permit Fee: f 00. 95 Date Received: / /4 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION DateI2- 7. 2.013 Site Address: 4617 f2 -C) L Rise Unit #: Resident/ Owner Name: T ---)9W l>] -t i4 t ©SMV Phone: Address / City / Zip: Applicant is: Owner 1 --mA--s-FortADLA ontractor fIz 366, WT I 2— Description of work: qaFat, F. 5117 Construction Cost: tSi 0400 co' Multi -Family Building: (Yes / No/\, Company: l4mAT Na liv%C Contact: tJ PAULGOV3 Address: i S ( J ! City: Clb 4e-AEA4.04 State: A.A. N Zip: t (Q a Phone: (4, 1 2. ^-ZZ License #: .D� ?M to Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents ti the information may: be classified as non , onci ou submit are cons: ere plc if you provide specific reasons t. that they are trade.secrets. ic, information Portions of atwouldxpermit the City to 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.qopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi 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 ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro Ej of plans. Exterior work authorized by a building permit issued in accordance with the Minnes days of permit issuance. x 7y"vjZ-®,A Applicant's Printed Name State Buildi de must be completed within 180 ant's Signature Page 1 of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cU!36MX5&3W3!M73W5 G--'C3//*.&1 :-A$L,AG9&4&",/9(&*&b,#-,)*&U7cUXM33&V33!MX!V5 b,#-,)* &&7`333M33 "(%*21H7ABI:B' #(,%.*F%(.1JK,-.1 4&&'>>#)$,*&&4 :)G*,-A9&BF9&:9AY)$9/2,Y)(&+&Z)(/F !5I6!&2,A#)*G&0,L7IVK&:A,.A(&,*9 ?/9F-*&CE&&553IWZ,G,*&CE&&55!X6446VW HI5!J&K6!4!!7KHI5!J&V354WV!W 1&L9A9;=&,$%*Q#9(G9&L,&1&L,Y9&A9,(&L)/&,>>#)$,)*&,*(&/,9&L,&L9&)*.AF,)*&)/&$AA9$&,*(&,GA99&&$F>#=&Q)L&,##&,>>#)$,;#9&:,9& .&C)**9/,&:,-9/&,*(&N)=&.&Z,G,*&+A()*,*$9/M '>>#)$,*T09AF)99 &:)G*,-A91//-9(&"= &:)G*,-A9 Aug. 3. 2016 3:10PM City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No 3127_ or P ` �CK Ink L For Office Use Permit #: 1.-M D-) c ' LL Permit Fee: C}(D Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION bate: SlteAddress: -LIGt j S -r4\44 Lan P. Tenant: LV1e- Dim- G 116$ wit) Suite #: `';k side+r t!O.wn'er ' ''' ,;`•': So Phone: • Name: 3 gf ICC_ V� cIv), Address / City / Zip qcg 7 S EDA 1 , MN SSI7.3 w�onfrat torr` 'O sy e 0 Name:US �Q 1'hS License #• C7 $20 (7 I I� City: v e Address: Ni �' U �i e Carl Plums y:�. State: MN Zip: 55)23 Phone:( 'I- 171- 2-92-9el i Contact:A M Email: ir i • . ' IIS p., 1.0s S :_At.- .• id ` "' ;vType::. "Wor C • New $. Replacement Repair Rebuild. Modify Space _ Work in R.O.W. — _ _ Description of w 0 seri r nwork t -t`. p t - ,_Water ':.,'';>`.">•; '';:> ; :'s` : ;:'>.' '' >P.e,,,rrt?ltYyp:�;; .°.,:; "; RESIDENTIAL _Water Heater Lawn Irrigation L_ RPZ /PVB) Softener Add Plumbing Fixtures (_„ Main / Lower Level) _ Septic System Water Turnaround New _Abandonment RESIDENTIAL FEES: • $60.00 Water Heater, $60.00 Lawn Irrigation $60,00 Add Plumbing *Water Turnaround $115,00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) , Turnaround* (Includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (Includes County fee and State Surcharge) CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecalkeg 1 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 pian In the case of work which requires a review and approval of plans. x1 P. Soca( Appli�'s Printed Name App 'cant' tgnature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138281 Date Issued:08/18/2016 Permit Category:ePermit Site Address: 4697 Stratford Lane Lot:010 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David O Eidsmo 4697 Stratford Lane Eagan MN 55123--398 (651) 905-8918 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152038 Date Issued:09/25/2018 Permit Category:ePermit Site Address: 4697 Stratford Lane Lot:010 Block: 004 Addition: Weston Hills 2nd PID:10-83751-04-100 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David O Eidsmo 4697 Stratford Lane Eagan MN 55123--398 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature