4702 Stratford Lane INSPECTION REC4RD ~
CITY OF EAGAN PERMIT TYPE: ~ <<'
3830 Pilot Knob Road Permit Number. N y
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ ~ „ ~ : ~ ' , ~ r ~ APPLICANT:
i _ 1 i: Al F~1R1) 1 ANf -~N~~! ~ , 11 ~~ira'. i . I
, I~ ~ ~ ~ifV ii I ! i '~Il~ i ~ ~ ~ 1 i~~ =.•~~t
PERMIT SUBTYPE: TYPE OF WORK:
, i: i ~ I r,~ ; r,i il
; ~ : . o . . i ; ~ ~ ~ i i ~ ! ~ „ i . ~
• •
i tiU~:{I I I'J ; I Ili•.~
~ ~
~ ' J
I
PermR No. PertnN Holder Daoe Telephone f I
ELECTRIC I
~
PLUMBINQ I
HVAC I
Inspectlon Dsts Insp. Comm~nts
FOOT1NCiS I
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE _ ~
FIREPLACE 1/ rr
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST I
BLDCi FlNAI
x
BSMT R.I.
BSMT FNVAL I
I
OECK FTG ~ I
DECK FINAL I
I
I
I
I
_ _
• ~ INSPECTION REC~RD
CITY OF EAGAN PERMIT TYPE: ~ L>>
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: i
(612} 681-4675
SITE ADDRESS: ~ ~ ~ " " ~ ~ ' ' ~ APPUCANT:
~ ~ i ht i
~ il~ll~f~~{.1~ 111M1~ , ~t~~i„ ~~~~~t~~l~;i.~~1
: ~~f! il I i ; il~~ 1. , S' ~ ~I .
PERMIT SUBTYPE: TYPE OF WORK:
, .
. .
~ ~
~ ~
PermR No. PermR Holder Dab Telephon~ ~
ELECTRIC
PLUMBING
HVAC
Insp~cUon Date Inap. Comments
FOOTINGS
FOUND
FRAMINO
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
~ . .
- ,
~e~ti~ica#e o~r ~ccu~anc~
~it~j vf ~agatt
~e~rhaear of ~~~Liing ~a~ecrioa
This Certificate issued pursuant to the require?nents of the Uniform Building Code
certifying thal at the trme of issuance this structure was in compliance with the various
ordinances of tire City ~egulating buildrrtg construction or use. For the followirtg:
Use Cla.ctificalion: .S'F IY.Y: Bldg. Permit No. ~~f'~_
~Y ~YP~ $rl+:+l 2onina Disaict Type Coost. ~
o~ ~r e~~id~ ~S gy ;l~ie.~? ~mRSS ? Sm f+L~Y_&II m T u
&ulding AddRSS 47[a? SfRA~n T ANF. l.ocaliryT
7
I a RS ~_1.7R j[7J {aTi i~ 7Am
i
~ /~~15~~
e,ti;e;~ a~;,, , ,
POST IN A CONSPICUOUS PLACE
- , ~ INSPECTI4N RECURD _ _
CITY bF EAGAN ~ PERMIT TYPE: ~ ~ " ~
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55123 Date Issued: '
(612) 681-4675
SITE ADDRESS: , , r APPLICANT:
, ~~H1~ t ANh , ,
~ , ~
PERMIT SUBTYPE: TYPE OF WORK:
~ ~ ~
.
~ ~ ~
, ~
. , . , ,
i t~ ~i~ , , . : „
ii~:iF:
, ,i~ ~ , , ~ .
~ r~,, i ~ I;<<,
~ i p• ;k1 , t ~ i ~ t , i
~ . ~
~ , ~ ~ ~
PermR No. Pertnit Holder Date Telephone il
S/1N
PLUMBING ~ 3 ~ ~
,
HVAC ~ ~ D ~J~
ELECT I ~ ~a~ Q,~ rJD
ELECTAIC
Inspection Date Insp. Comrt?eMs
Footings I ~y~ 1 GUSL . U n~ ~l' ~
Foundation
Framing
Roofing
Rouqn Plbg. ' -'c>`Q3 /3 -!G -~j~ y~ _
Rough Htg. /SA~
r/
Isul. G -
Fireplace ~
a~ E' otG a
Fnal Htg.
Orsat Test
' r.
Final Pi6g. n Plbg. Inspector - Notify Plumber
i~
Const. Meter
EngrJPtan
s~. F~~ ~a5~~t ~C
Deck Ftg.
pedc Final
w~i
Pr. Disp.
Q,,. ~ 3
Address 4~oz sr[tnrFOR~ ~ Zip 5512 3
I.ot 21` Blk 5 Sub wESZCxv Huas 2rID
TI~SE TI'EMS WERE / WERE NOT COMPLEfE AT THE TIME OF THE FINAL INSPECTION.
Date: /o2~f q Yes No Inspector:
Final grade (6" from siding) 1/
Peananent steps (gatage) ~
Permanent steps (main entry) ?r
Permanent driveway ?
Permanent gas ~
Sod/Seeded grass ~
TraiU~~b damage v
Porch ~
Basement finish
Deck ~
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Comracar Copy
. ; PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L o z N G
Eagan, Minnesota 55123 Permit Number: 0 2 2 4 6 0
(612) 681-4675 Date Issued: 11 / 12 / 9 3
SITE ADDRESS: ~ya
4702 STRATFORD LANE ~1 ~Q
13
LOT: 21 BLOCK: 5 \ `Y`
WESTON HI~LS 2ND ~
P.I.N.: 19-83751-210-05
DESCRIPTION:
~
Blu'ilding,,Permit 7ype SF DWG
Building W'ork Type NEW
~UBC Occupancy~ R-3 M-1
' Constructzon Type V-N
8uild..i~g Length ~ 70
~ Building Width ~ 50
~ ~ ~ ~ f~
` -
"l'~ ~ . ~ _ i~;~.~, ~
\ i „i
r ~ O
s~ ~ ~ ~
, r_~
y ~r
REMARKS:
PRV S& W PLBR - VALI.EY PLBG
FEE SUMMARY:
VALUATION $108,000
Base Fee $667.50 MISCELLANEOUS $1,744.50
Plan Review $433.88 Total Fee $3,649.88
Surcharge $54.00
SAC $750.00
3AC ~ 100
SAC Units 1
5ubtotal $1,905.38
CONTRACTOR: - Applicant - ST. IIC. OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
2500 W COUNTY ROAD 42 260 2500 W COUNTY ROAD 42
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree ta comply with all applicable State of Mn.
5tatutes and City of Eagan ~rdinances.
~ -
~
~t~n fi a~cl !
ANT/PEFiMITEE SIGNATURE ~ ISS~V: IGNAT RE '
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: guz~ozN~
3830 Pilot Knob Road Permit Number: 0 2 2 A 6 0
Eagan, Minnesota 55123 Date Issued: 11 / 12 / 9 3
(612) 681-4675
SITE ADDRESS: ~ o T: 2 i B l. 0 C K: 5 APPLICANT:
4702 STRATFQRD LANE HQMES BY CHASE
WESTON HILLS 2ND (612) 895-5337
PERMIpW
UBTYPE: TYPE OF WORK: New
. .
FOOTINGS FOUNDATSON
FRAMING ROOFING
INSULATION FTREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARK3: PRV S& W PLBR - VALLEY PLBG
~ ~
~ ~
REA~TIYAT,E CITY OF EAGAN
PEP,;AIi i• I°~~C~~~~If~D 1993 Bu1LDiNG PERMIT APPUCATION
0 71993 681-0675
CG~ ~ ! -
SINGLE 8 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 calts.
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 thange i,s requested once permit
is issued.
Date / / Yaluation of work ~ ~ v
Site Address: L,~~"'~ os~r? Ln -
SiREET WITE I
Tenant Name: (commercial only)
3AT ~ BIACK SUBD. ~~5~~ ~ 'f Y.I.D. M
Descri tion of work:
The applicant is: Owner Contractor ? Other (Destribe>
Name Phone ~ ~ ~ ~
Property ~~ST ~asT
Owner Address ~~oa Gv c~, ~P~L ~Y' /~l9
~o~ STREET ~TE /
Lity State Zjp
Company Phone
Co ntra ctor Address License i Exp.
City State Z~P
Company _ Phone
Architect/ Name C~'e-~- Registration /
Engineer
Address
City State 1ip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once ea has een appro ed.
I hereGy acknowledge that I have read this application and state that the lnformation is
correct and agree to comply wi 1 appllcable State of Minoesota Statutes and City of
Eagan Ordinances. G~%.~
Signature of Applicant: G°~~
OFFiCE USE ONLY
BUILDING PERMIT TYPE ~ ~ ~ ~ ~ ~
*4 ~ + -
? O1 foundation ? O6 Duplex ? 11 Apt./Lodging ` ~ 16 Bdsement F`inish
~'02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ 1~Swim'~Poo~`
? 03 SF Addition ? OB B-Plex ? 13 Garage/Accessary ? 18 Comm./Ind.
~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Co~om./Ind. Misc.
? 05 SF Misc. ? 1D Multi. Add'1. 0 15 Deck ? 20 Pub11c facility
0 21 Miscellaneaus
WORK TYPE
1~!31 New ? 33 Alterations ? 35 Tenant Flnish O 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-tJ Basement sq. ft. MWCC System Y~
(Ailowable) lst F1. sq. ft. City Mater ~
UBC dccupancy 2nd F1. sq, ft. PRY Required r~
Zoning 5q. ft. total Booster PumP
i' of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code
Depth So • On-site sewage SAC Code
,
APPROVALS 7 .
Planning Building Assessments
Engineering Yariance
REOUIRED INSPECTIONS '
? Site ? Footing ? framing O Insulation
O Nallboard ? Final ? Draintile ? Fireplace
Permit Fee v,i~.~;a,: s ~~8~0~0
Surcharge
Plan Review ~~,r+p.te~: 3Z K2^,~ y'~cx•~
~icense ' I ~c (~,c ~G~
MWCC SAC
C i ty SAL ~'S~~ ;
water Conn. ~g~X ~ (.s9 ~6 ~c / 6 ~ ~ 1~16 S
Water Meter Gs72
Acct. Deposit ~ ~C ~Z ~ ~2~
S/W Permit ~,ou
S/W Surcharge ~4...1~ ~ S' ~
Treatment Pl . f~ X t~.- ~
Road Unit ~
~ ~~s~ .?fl~
Park Ded,
Trails Ded. l~~_~~
Copies , .st~
Other ~ gS»~T ~ ~3Sn
Total:
i'°ix ~ ~ i 2
SAC Units ~ $ X ~F ~'s ~aJ
/yoox54% o~ ~bS
~ , u .
~~3~~EYOR'S CEi~Tii~1~CAT~ ~.?~o~+~ HY CriASE ~~'a~
~ ,
NOTE' SERV{CE EIFV~PRIOR ~0 CANST ~1 It t~tl
o~ ~
4~,~ ~ ~ 842.5 i!~ ~
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i n ;
H07.6~ NO 8P8CF~C SDiL3 iNUB8716ATI0N HA8 B~N COM IRT80 NDTEf BppUIl,p~INOpWp?M~EpN~SIONyS~SHOWhT~AN@ I',;,.
~~i~~ 8011.8 ~TO HUPIbIlTMT~li6
S~qgCIF C HOU A~~ s~ A71DN pR$~'RUC~URH ~~6Y. SEE
NOT TNB R68PDN8191LfTY OR THff 8Ul4YEY~ ~ ARCNI7~TilAL i!LaH9 taR 9UILDIN[!
DENOTES PROPOSEb 8URFACE DRAINAQE 8~ ~6UNDA1'ION DIM6NS~aro9.
U DENOTES IRON MONUMENT 8ET SCALE; 1 INCFi m SO FEET
~ bENOTE3 IRON MONUMENT FOUND F'HOPUSEp QARAQ~ FLODR ='95P~~`' FEET'
X000.0 DENOTES EXISTINQ ELEVATIDN PROPOSED LbW~ST FLOOR =%45 ~ ~ FEET
{000.0) DENOTES PROPOSED ELEVAI'ION PRt7POSE0 TOP dF SI.OCK- g~srp F~EF
WE HEREBY CEFiTfFY 70 HOMES BY CNA3E THAT THIB IS A TRUE ANO COFiRECT
REPRESENTATION OF A SURYtY OF TME BOUNDARIES OF:
Lot21,, BWck 6~ WESTON HIL.L.S S~CONp AODI1'tON,occording to Ihe resortled plaT
thareai,,Dakoto County, Mlnneaoto. ~
IT DOES NOT PURP~RT Tp SHbW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SUFiVEYEO BY ME OR UNDEfl MY OIRECT St}PERV{S10N TH18 1CTH bAY OP OCT. , 1995.
SIQNEb: JAM I , INC. ~
PROPO~p ORApfiB SHpWN WBIQH
TAKBN FRgO~'pMN TW1E~,LgOIfAQI~NqGq pIAN , j r~,,~ f~ .
LYMAN~GHVlLOPM6N~~Rf.`0. R6D'8Y ~Y, ~ 4.r•• -
HARO D C. PET~Pt60N, I.AND SURVEYOR
AA1N1~1~8dTA LIt7HN8E NUM~~f~ 1~~94
o~ ~ 4 tl o~ )ames R. Hili, inc.
a ~ ~ o ~ ~ ~ ~ ~ ~ ~ PLANNERS / ENGINEEFtS J $URV~YORS
O m 2800 W. CTY. RD. 42 ~ BURN3VILLE, MtJ, 6b337 ~ 812-890-6044 r
+
tii
u'(
4~~i ~
f . , .
'f .
_._4/.. .
LOT SURVEY CHECKLI8T FOR RESIDEDiTIAL
y BIIILDING PERMIT APPLICATION ~
J W
m
W ~ ~ PROPERTY LEGAL: ~
~ < ~ Date of survey: ~G//S'/~ T
~ S ; ,
z g AOCUMENT STANDARDS
fiY • Registered Land Surveyor s3gnature and company
? • Building Permit Applicant
C~Y • Legal description
0~/ Gd' ? • Address
t-Q/ • North arrow and bar scale
!d' 0? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
t~' • Directional drainage arrows with slope/gradient
-?/['l ? • Proposed/existing sewer and water services
~ ? : Street name
? ? Driveway
ELEVATIONS
Existina
I] C~' ? • Sewer service
~ ? ? • Lot corners
~0 ~ • Top of curb at the driveway
? C~0 • Elevations of any existing adjacent homes
Propose8 -
!3' ? ? • Garage floor
C~,O ? : First floor
? 0 Lowest exposed elevation (walkout/window)
G~}~/~ ? • Property corners
GY • Front and rear of home at the foundation
PONDING AREA3 (if applicable)
i~' • Easement line
~ NWL
• HWL
? j~p • Pond # designation
o • Emergency Overflow Elevation
DIMENSIONS
D'~0 ? : Lot lines
B~ ? ~ Right-of-way and street width (to back of curb)
Cf Proposed home dimensions including~ any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring persanent footings)
~p ? • Show all easements of record and any City utilities within
~ those easements
Lf p? • Setbacks of proposed structure and setback of adjacent
existing hom
• Retaini r qui ments, if any
Reviewed•
• ame / Date
October 1992
l)I7111i~~t i7("/J7~F'S A.JGJ ~/51~f~ • • , , , , ,
' ~ ~
st~Te ni~onESS: L~7~~~~,~s~~ L.1
curiri~ncroii: _ S1~-i.'~ E~ nnTe: a7,~~?'iiouE: _~~,--s"~~'Z
n~T~ni~~nE. uoniunc; sa.unnE FootArE OF EACN,: . , : . . : ~
i. iotnL ~xi~asEn un~L ni~~n...,.... . ~~5~%5~ sn rr x ~ ~ ~
z. iornL nooF/c[ILlitc nnCn,.......~~~~v~ . sn x~~~~~ c'~~..~ °
3. Yorn~ exros~o,?~n~~ nnen cn~cu~ntin~is, •
, . ~ ~ ~ . . .
7ota1 ex~iosed wa11 • , ; '
•r ,
' oreo above Floor~ ~~c~r~ ' sq ft ~ .
,
o) Total ~ral l a+lndow area~ • '
,
~ qlazed...... _ ~/6~sq ft x n~~~ . 705 + _
rylazed,,,,,, sq Ft x "U" ~ '
6) Tatfll daor arco :r~~'sq ft x"U'~• ,,~~~_n ' U
`
c) • lotnl sllJln{~ gless'~door ~area~'~~~ ~ ~ ~ ~ ~
~ 9lazed.: ~Q sq f t x~~Un 7~ n ~'C7
~tlnzed.'.~... s~, ft x ~~~n . .
J) Total Fireplace wall erca s'ry ft x"U" ~ ~
c) 7otal w~ll framing arca
(nvorago ~o~)........... 9q rt x~~~~~ ~ P~~ ° ~(~O
' F) 7ota1 net ~rall orea ebove •
fioor (InsulateJ)....... sq ft x"U" _ ~~r-~,~ e Z~.~j
g) 7ota1 rlm Jolst .arca,..... sq ft x"U'! , Q/{~ n ~,(J~J
Total fo~ndatlon ~
arca (Exposed)......•... ~/~~j sq,ft
h) 1"ott~l (oundatlon
tdfndoa~ area......~...... ~ ~ sq ft x~~U"
I) 7otal net foundatlvn" ' ' ~ ~ ~ • ~ •
arca above.graJe~......, ' sq ft x"U" _ , U~ n
~e " T(1TI1L a) tlfrv 1) d J/_
If'Item P] is thc sarnc osr or less than Itr.m pl, you havc met thc Irctent of
• 5.~1.C. Sectlon f+00f. (c} 2.
~,u. ~:,,i~us~.u nuur/cr:i~inc f:AICUTATI(IIISt . '
' ~ . ti • ~ ~
Tot7) exposed , ' ' , '
~ raof/celllnr~ orea.~~.~~.~ ,J~~ sq ft
•
J) . Total skyl laht. nrea.'...... ~1 sq ft .x u~n „ . , ~ ~ ~~.,,r~'~ .
k) 7otal roof/cclllnq framing ' q 'Q'~~ .
area (Averane 1p9.).,.... '~j~ s (t x"U'~ e
.
r . i
1) lbtal nct Insulated ~ ~
. roof/celflnq area.~,..~.~~~,j~,~sq ft x~~U~~ eC~~ n. ~.~7~~~.
, ,
, • , TOTAI J) tl~ru 1) , i r`. ,
toFal~of N1~ ?s the same as, or less than p2, yuu havc met the lntent oF
s.c. sectlon GGn6 {c? 1.
' .
, . , . . . ~,s
. , , . • . ' -•ti • . .
~ ' ; ' ' . . : ' 1~ .:,•;..:l,:• , ; :
~ nl7Etulnr[ bUllbtllr EIIVELOrE nESlr,rl • . . •
~~tlllzc thc tote) cnvclvpc sy5tem method, the values,estobllshed by the Swn.~ ' '
f Itr_ins N3 anJ N~I shall not be greatet thnn thg sum of Items /11 and /~2. :
~ 7• • • p . . .
3 • + , d •
r E R T I F,I r. A 7 I o Il ' ,
I hereby certify~~l,~t I have calcvl~~ted the "U" factors anJ "R"
~nlues hcrclr~ :,r~d tl,at the bvlldlnq here descrihed mcets or excecds the Stnte ~
rF 1{Innesota Encrny f.onservatton Act.
. r . , ~ •
. ~ ~ ~~~p
' . ' ~ , ~ S qnoture
_ /G~ ~ ~ .
~
i
PERMIT c~,~-~3~0
CITY OF EAGAN pERMITTYPE: eur~orN~
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 0 4
(612) 681-4675 Date Issued: @ S/ 2 9/ 9 5
SITE ADDRESS:
4702 STRATFORD IANE
LOT: 21 BLOCK: 5
WESTON HILL5 2ND
P.I.N.: 10-83751-210-05
DESCRIPTION:
(GAS)
B,fFilding'<,.Permit Type FIREPLACE
Building Wo,rk Type NEW
_
\
i-
~
, .
~ ' e. -
~'i ; ~
~ ~
~
, i ~ ~ . i ' 7 ` ~ 3 i
...A_ , .
REMARKS:
FEE SUMMARY:
Base Fee $25.0@
Surcharge $.5@
Total Fee $25.5~
CONTRACTOR: - Applicant - OWNER:
ANpERSON CONST, S J 16310388 EJUWA JONATHAN
299 17TH AVE NW 4701 STRATFORD LN
NEW BRIGH70N MN 55112 EAGAN MN
(612) 631-0388
Z hereby acknpwledge that I have r~act tHis application and sCate that the
inFormation is correct and a9ree to comply with a11 applicable State of Mn.
Stattates and Gity of Eagan Ordinanees.
~ -
1 . Dt 1 R.~
APPUCANTlPERMITEESIGNATURE -~~SUED Y: ATU~-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ 1995 FIREPLACE PERMIT APPLICA710N
681-4675
8 Z~ 9 s
DATE:
DESCRIPTION OF WORK: ~ INSTALL ~Ip( FIREPLACE: _ WOOD BURNING ~ GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
~OTHER: ,~e
AREA TO BE INSTALLED IN: V~*'~
STREET ADDRESS: / ~Q~ ~ ~
LOT BLOCK ~ SUBD./P.I.D. ~All~ ~'4L~D~
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: CJ)Il?~}(~ lJilfi,t,(ll~,YV Phone#:
OWNER * ""°T
Signature:
Street Address~
City: State: Zip:
FIREPU?ce Company: ~ ' / Phone a 3~ ~ 3~$
INSTALLER s~+~
Signature: ~~I
Street Address: o~ '/~9 /7~ ~ W~ License
Stat G • Zip•SS~/~
GA5 LINE Company: Phone
INSTALLER ~
Name: ~ e-c ~ C
,
Signature:
Street Address~ ~ ~
City: ' ~ State: ~ Zip:
~
~ ~ ~ ~
~
OFFICE USE ONLY -
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
FEES
Permit Fee
5urcharge
Other
Copies
Total:
I
, PERMIT o~o ~7~~7
~ CITY OF EAGAN 9//3/43
383o Pilot Knob Road PERMIT TYPE: Buz ~ozn~G
Eagan, Minnesota 55122-1897 Permit Number: 0 Z 6 3 9 0
(612) 681-4675 Date Issued: 0 5/ 14 J 9 5
SITE ADDRESS:
4702 STRATFORD IflNE
LOT: 21 BLOCK: 5
WESTON HILLS 2N0
P.T.N.: 10-83751-210-05
DESCRIPTION:
B~;i~ld~nt~~~„~[?~ermit 7ype DECK
QU~~.it''irig W6=G,k, Type NEW
s~` y ~~i~,
e`` ir~»
~ ~a
~
~~'y°-t
`~a n i i~
s,. v., a . ~
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?"atx,+w;~~"t::.~S ` J ~
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge _ $.50
Total Fee $30.50
CONTRACTOR: OWNER: - applicant -
EJUWA JONATHAN
47~2 STRATFORD ~N
EAGAN MN 55123
{612)452-6542
F1ereYiy eckndw~edga tFr~t ~ h,~ve; re~d, ~~is a{~~Sli~~~~vn ihtt ~~~~e'~~st ~h~ '
~ ~~.rr~s?rm~ti~r~, carr~c~C ar~d a~~e~~ ~a ~omR~.Y ~~ttr al~:: ~~aF~~~~b.Le a~~t~ a~' t~nr ~
~tatut~~~ ~nct-~.~ty ~~g~r~ ~rd~.n~r~~e~. ~
_ ~ ~ ~ _ ~ : . ~
APPLICANT/ ITE SIGNATLIRE ISS IGN1tT~E'T~~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u= ~ o z N ~
3830 Pilot Knob Road ~ Permit Number: 026390
Eagan, Minnesota 55122-1897 Date Issued: 0 9/ 14 / 9 5
(612)681-4675
SITE ADDRESS: P•_.~.° 10-83751-210-05 APPLICANT:
LOT: 21 BLOCK: 5
4702 STRATFORD LANE EJUWA JONATWAN
WE570N HILLS 2ND (612) 452-6542
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
FOOTINGS FINAI
~ . . . _ . . . . . . . . . ~
L J
i ~ ~
~ 3830 PILIOT KNOB RDN 55122 ~O
~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~j~
681-4675 ~ ~ ~
New Conetn~on Reauloements RemodeUReneir Reouirements
? 3 ~egieterod sits surveys ? 2 eoPks of plan
? 2 copbs of plens (indude 6eam & window s¢es; poured fid. design; etcJ ? 2 el[e surveys (exterior additions 8 dedcs)
? 1 enerpy calwlations ? 1 energy calwlations tor heated additions
? 3 apies of tlee prsservation plan fi b4 PlaCed after 7/1193
rsquired: _ Yes _ No
DATE: /~J O7'~~'L~ CONSTRUCTION COST:
DESCRIPTION OF WORK: ~i~~
STREET ADDRESS: ~7a~ g~'~~" G~~7 ~ A"~ /lI~ S"S 3
LOT ~ L BLOCK ~ SUBD.lP.I.D. a /'~N, rX~.U ~-!I/,f,
PROPERTY Name: Q/ fi~/~i
/iAy? ~i.%~~~ Phone 6i2 {~.s"2-~5-l1 Z
OWNER
Street Address~ ~~~2 Si/1/~-%Gr~~~ ~
City: ~11 G~9-r~' State: Zip: ~~23 -
CONTRACTOR Company: ~~f~r Phone
Street Address: License
City: State: Zip~
ARCHITECT/ Company: Phone
ENGINEER
~ Name: Registration
Street Address~
City: State: Zip:
Sewer 8 water licensed plumber: . Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appiicaGon and state that the iniormation is corte t and agree to compty with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: .
G~~~s~~%~D
OFFICE USE ONLY
Certifiqtes of Survey Received _ Yes _ No SEP ~ 7 ~995
Tree Preserva6on Plan Reoeived _ Yes _ No
OFFICE USE ONLY ~ . ~
~
R:.
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex a 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 MuRi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ~15 Deck
WORK TYPE
~31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zonin9 sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y~y
Depth Footprint sq. ft. SAC Code 0/
Census Bidg ~
Census Unit O
APPROVALS
Planning Building Engineering Variance
~
Pertnit Fee Valuation: $ /Zoo
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatmer~t PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
I
~ -f-a v~--..n,..r-._._
I ~ ~ ~YO~'~ C~RTi~'I~~T~ ~N~M~ BY CMASE n ~
, i ,
_ 'i
r r~~'t
ry pp~pp EJ1~~ggyyg~g 7i
NOTE~ ~~RVIC~ FLEV~PRI~R~ TO CONBT, Il ;1,~,;~
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6)• °v i~ ~ ~
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; ~ , ` v ~",y/~ 0~
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q,y' ~y ,J~:`, ,
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, ;lr,. ~ C~1~+f~RIlVG DEPT.. '
~~t ,
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G, . ~ ~ . . . . .
~~NOT.B~ NO 8PlGfIC SOIW iNV937qATI0N HAS B~1fJ~ COMM.CT~D NOTE: BUILDINO~ZQW?M~E'pNSIONyS~pSTHOM?I ~ARE ~
`~~Vf~f 90I18 1TOLJUPPORT THB lP6CIPIC HOU3![ tRO~ 9F ATION~Op tTA~TURB 0~6Y 86E~ ,
NOT TMlt R[8~ON8191LITY OF TNE aUNVItY6 a aRCNIrBCI'UAL Pl.AMB tflR BUILDIN6
DENOTES PROPOSED SURFACE DRAINAaE ~~~bATION DIMRNtlOn9.
U DENOTES IRQN ~dONUMENT SET SCALE: 1 INCH m 30 FEET
• bENOTES IRON MONUMENT FOUND PNONUSED QARACi~ FLQOR ='95~~~d F~ET
X000.0 DENOTES EXISTINO ELEVATION PROP05ED LdWEST FLOQR ~~45 ~ f FEET
(000.0) DENOTES PROPOSED ELEVAI'ION PROPP5~D TOP OF 9LOCK- 9~s~~' PEE7'
WE HEREBY CERTIFY 70 HOME9 BY GNASE THAT THIS 19 A TRUE AND CORRECT
REPRESENTATION OF A 5URVtY OF TNE BOUN4ARIES OF;
Lot21., Bbck 6, WESTON HII.LS .5EOON0 A4QI710N,according to ihe Cecol'tled plat
thereoi,,0akoto County, MinneaoTa. ~
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENGROACHMENTS, EXCEPT AS SHOWN. AS
SUNVEYED BY ME OF UNDER MY DIRECT SUPERVl810N TMIS I6TH bAY OF OCT. , 1895.
SI(~NEb; JAM I , INC. ~
PROF'O~p CRADE9 8~pWN WERE
TAN6N FRgO7~pMN tN~E~~gotiAblNfl p1AN
LYMAN~DHVCLOPMQNT~R~O R6D^BY 9Y; ' ' -
HAfiQ D C. PETER60N, LAND SURVEYOR
M1A1A1f180TA LIOfffVSE NUM~1~R.1P294
~ ~~WO~ ~ ~~da~ James R. HiII, ~nc.
o g~ o~ ~ ~ W~~~ PLANNERS I ENGINEERS J SURVEYORS
- • m 2 6 0 0 W,. C
T Y. R D. 4 2 ~ B U R N 3
V I L L E, M N. 6 5 3 3 7 ~ 8 1 2- 6 9 0- 8
0
4 4
1..:.
- v -
2 CITY USE ONLY
L O ~ BL ~ RECEIPT#: ~I~Y'I7
~
SUBD.~.(~~ (,j,LpO ~ RECEIPTDATE: 1r
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 d675
Please complete for: ~ single famiry dwellings
. townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES E CH y,Q, 'fOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - i ~ 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. SpCinkle.• * fc: d:+elling undar eon:t 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alteration5 ` to ewsting residence 20.00 =
Water Turn Around 20.00 =
Private ~isposal System ` oak cty iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL ~ ~ ~ ~ ~
I hereby acknawledge that I heve read this application, stete Mat the irrfortnatio~ is correC, and agree to comply wkh all applicable City
of Eagan ordinances. It is the applicanPs responsibility M notify the property owner that the Ciry of Eagan assumas no liabiliry for any
damages caused by the City during its normal aperotional and maintenance acdvities M the facili[ies construded under this permit within
City property/right-obwayleasement. ~
SITE ADDRESS: "1~~~ -~~-'f G a~ M~ SS~a3
OWNER NAME: ~Ona4~Ar` ~ ~~k.w~ °~~r2 ~~!'u w~
INSTALLERNAME: ~aKQ~d~~ L~uwQ TELEPHONE#: ~I~a"~-(DS~I~-.
STREETADDRESS: ~ ~a S"k'2'{`Pvt~ Lh
CITY: ~Q LJi GY.~~ STATE: ~ ZIP: 5~ ~
5o,~rsl-l~. ~.x~~ ~ -
c,_ ~-~j 7 7~~-~ 5~ SIGNATURE OF PER ITT
c~; l r,h ~7zv
. ~3~ ~l v ~
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ~ t 5
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CansWction Reouirements RemodellReoair Reauiraments O(fice~Use':OnN
~ 3 reg'slered site surveys shaxing sq. ft ot lot sq. R of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, jdsts Certof SLrvey Reai _Y _ N
(2b%mazimumlotcroverageallowed) isetofEnergyCalalationsforhealedaddiUans SalsReqat Y-. ~N
1 Shcs RepaA if proposed W ilding is to be placed on disturbed sdl 1 site survey fw additions 8 decks Tree Pres~Plan Recd ~ 3€' ~.:'N
2copiesofplanshowingbeam8windaxs¢es;poured(ounddesign,e4c. Addition-indicatei(onsitesepficsysfem ~Trea~PresRequiretl~__ _l'=~_IJ
1 set of Energy CaIwlaBons On~s~te~Septis System~:~__Y__N
3copies of Trce Preservation Plan'rf bt platted a%er 7l1193
RimJdst~etailOptionsselectionshcet (buildingswiN3orlessunits)
Minnegasco mechanical ver~tilation fam
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ~ / ~ / / ConstruMion Cost
SiteAddress ~ C~/ ~~qyi,~ Unit/Ste N
~ ~L
Description of Work ~iL/1 ~jS .C..~'/ I~Q.Q~ ~'~YL/
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ~~j?'yL[~"/Nt.g/1/U ~J hvt~ ,(~~/2W^ Telephone#(~~)~/~~~~.~~T
z
Contractor
Address CiTy
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 767'1
Ene~gy Code Category . Resitlential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission type) Submitted Submitled
. Energy Envelope Calculations Submitletl
In the last 12 months, has the City of Eagan issued a permii for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Teiephone )
Sewer/Water Contractor 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 City 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 accordance with the approved plan in the case of work which requires a review and
approval of plans.
r//CN.Ci b~~"i ,~ikyf ~ ~ls~,/
AppPcanYs Printed Name Applicai' s gnature
DO NOT WRITE BELOW THIS LINE ~ '
Su6 Tvoes
? 01 Foundation ? 07 05-plex ? 13 1Eplex ? 20 Pool ? 30 AccessoryBldg
~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi
? 03 01 of_plex ? 09 D7-plex ? 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt-SF
O 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc.
? O5 03-plex ? 11 10-plex O 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ~ 46 Wndows/Doors
? 34 Replacement 'Oemolklon (Entire Bldg) - Give PCA handout to appllcant
Description: WaterDamaga_Yes
Valuation ~i ~~a • Occupancy MCES System
Plan Review Z100% or 25%
Census Code ~ % Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) ~ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final
~J Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By. , Building Inspector
Base Fee ~
Surcharge ~ i2 ( 'Z~oO ~
Plan Review
MC/ES SAC
~~ri SA~ r 1~+ Fee
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4702 Stratford Lane
Lot: 21 Block: 5 Addition: Weston Hills 2nd
PID:10- 83751- 210 -05
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
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Jonathan 0 Ejuwa
4702 Stratford Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA084128
07/09/2008
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4702 Stratford Lane
Lot: 21 Block: 5 Addition: Weston Hills 2nd
PID:10- 83751- 210 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Jonathan 0 Ejuwa
4702 Stratford Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA084129
07/09/2008
ePermit
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.
Issued By: Signature
€ity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit# I 1 4-10
Permit Fee:
jos. a�
Date Received: 1 11 1411 3
Staff: nh
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 47 o 25112 \-c-Fi jt0 L Unit*:
Resident!
Owner Address / City / Zip:
ntractor
Phone: (Al 4-cZ - („K -A-7
�'1a2GUS
Applicant is: Owner Contractor
Description of work: 1D'�%►�'C146ek, we (--6r(T1z- (Tf f i i
Construction Cost: /2(1) Multi -Family Building: (Yes / No )
Company. `!`err t1)_ Contact: 1 CheRR
Address: 4)37 S�.,w1 :C City: ('i c. 4
State: (21 ,L) Zip: c*31 ( Phone: V17 -444- - -
License #:
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
BUILDING
he last 12 months, has the City of • an issued a permit for a s' : r plan based on a master plan?
_ Yes No If yes, date and address of maste
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans a
the informati+'
at you submit are onside
public if you provide spa '
conclude that they are trade sacra
be public irtfonnatir n. Portions
sons t at would pe it the City a
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.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 Building • e must be completed within 180
days of permit issuance.
Applicant's Printed ' A h
PP
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112817
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 4702 Stratford Lane
Lot:021 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jonathan O Ejuwa
4702 Stratford Lane
Eagan MN 55123
(651) 452-6542
American Exteriors of Minnesota LLC
1408 Northland Drive #106
Mendota Heights MN 55120
(303) 865-3328
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
OF E. For Office Use//� �/
UU .'' ' ; !; Permit#: !. ! //,,z.0M < 0 Permit Fee:
!:=/sx o,4 Date Received: / -i'"'/7
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I Fax:(651)675-5694
—
buildinginspections(c�citvofeagan.com
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:/272
/ 2 Site Address: � ?c 2 �G��� � L-�' Unit#:
ritARtl
: r
Name:� �' ,4;, �:.,✓c / v 'rt/C Phone:
Resi�� "/
�7 2 4
Owner ; Address/City/Zip: � --r-771'<74:;:" c,ii-o- -/r�
A/ U
Applicant is: Owner UC, Contractor
4 " � Description of work:, i 77
y�0�f Work
Construction Cost: L�cwt Multi-Family Building:(Yes /No )
S
Company: i7G �/- /f L /C C Contact: 7, 2
..:w Address: /77/ ---57-9'-IL'-
vc _5 City: el('3)5
Contractor
9 State: (J/{Zip: s-5.-9/12.25- Phone:- ---22&-:.:2,;23 Email:1 1,6, e pi-: ,ia 4�#.,rc'
� .. . License#_ �Za 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:
NOT ns and s' ®sting• -then,*that you submit arconsidered to •-r•a 1inform1. 'fraPeititlig E ,tile Alli ray be gib`
..I • • as non-! ,iic if you.° ovide� reasons that ould p�ritt `.0-47,0p• e,-S Al. a v ... . , , At
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.cityofeagan.com/subscribe.
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(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
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 C�`.s� 272-A—...--, X �-°:,L.-- —"
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150650
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 4702 Stratford Lane
Lot:021 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jonathan O Ejuwa
4702 Stratford Lane
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature