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4709 Stratford Lane i - 7 1!r ~ ~ la 'S,~y 1 ~e~#i~icate v~ ~ccu~anc~ _ ~it~} o~ ~agarc - - ~ra~car o~ ~~a~g ~«~ertion This Certificate issued pursuant to the nnquinements of the Uniform Building Code certifyircg that at the time of rssuartct this strr~ctu~r was in compliance with the various ordinances of the City regufating 6uildirtg construcrion or use. For rhe}'o!lowing: Use CLssific~on: Bldg. Pemiit No. 22~5 ~ OceupancY'I~'Pe ~ ZoninB asuia R~ TYP~ Const. ~ OwarofBuiWirg.~ }~'~.S ~~yyi54 Q~. F'~.~ B~ 470Q SIRAT~RD I~NE L 10, B I, WE~SZO[~i ~LL.S 2rID - . n~: 'i i e~~ urt~r POST IN A CONSPICUOUS PIACE s ~ ~ ~ , ~ . INSPECTIQN RECO~D ~ItTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: ~ ~ (612) 681-4675 SITE ADDRESS: , „ t ; ; : , , , , ; ; APPLICANT: ~ ~ ; ~a!:E: ~ ?pi~ „~i ; ~ ~ . ;;.:n~ , . , ~ PERIVIIT SUBTYPE: , TYPE OF WORK: ~ . " ~ r,: r ! I ~ ~ i~ , , I~! : , rifli~i~i~, < ~ _ ~ fl!~ ~~~~I I I~q~, ii' tii~,fl~~l~; f i1~F~'Iri~! ~I I , iii i i ~ ,.i:ii ~ . ' I I t I'.~ t 1 N;. i ~ li ~s't ;'1 - 61 1;t. •i1 If~. t: i iYF~ !`L L'i~, _ . , . . ~ _.~.~i:n-.-:4•. ~ ~ ~ J ~ Permit No. PermR Holder Date Telephone i SNV ' PLUMBING ~ p~ 3- HVAC f 1~ ~I' ELECTRt 53 ~ ~ ~ ELECTRIC Inspection Uate Inap. Comments Footings I ~~3 7 ~ ` z~~~g y ~ ~ r ~/y~ D Foundation , r~ ~y u G Framing 2_2~ c~ ~1leT fI~ - ~ - 7 ' `/Y - Roofing Rough Plbg. ~ / ~l ~ l! G Rough Htg. ~ ~ , . -e, ~ n ~s~~. a`I-~ti W Firepiace ~ c~ ~ ~ /1 ! Z~ o` ~7 fl. Fnai Htg. ~ ' Orsat Test ! ~ Fnal Plbg. /l q Lr ~_7~~ ~ Plbg. Inspector- Notify Plumber 7 ! ~°J Const. MetOr Engr.lPian Bldg. Final 7~31~~ ~ Deck Ftg. Deck Final weu Pr. Disp. ~ ~ ~ ` ~ 0 4 7~3' v c? "B ~ U7 Fedues~ Oa[e . Fire No. Fough~ln Inpgeclion Repuire0 Ins etlion Olher Than Roughdn ~(VOU must wll inspeqorwnen reatly) ~ qeady Naw ? Will No~ity InspeIXar Q2,-17-C~ ~Yes ? No DeteRea I],~licensed contractor ? owner here6y request inspection of above electrical work aC Job AGOress (SVeeL BoM ar Faule No.~ Ciry 709 Stattford Lane Ea an Section No. TownsM1ip Name or No. Range No. Counly Dakota OccupantfPRINT) Phone No. Joe Miller Homes 454-4663 PowerSupP~~er '~"feu4300 220th St. S.W. Dakota Electric Farmington,MN 55024 ElxVical Conlrac~or ~COmpany Nama~ ' Conlrec~o~'s Licanse No. . Midland Electric CA 0123 Mailing Atltlress lCOnttacior or Ownei MaKmg Instella0on) 22691 Red Fox Drive Lakeville MN 55044 Av~ rize~ SrgnaWre I ntradoUOwner Making Inslalla~ion) . Phone Number MINNESOTA STATE BOAqD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT G~iggs-Mitlway BIOg. - Room 5113 BE AGGEPTED BYTME STATE 90ARD 1BR1 UniveraNy Ave., 51. Paul. MN 55100 UNLE55 PROPER INSPECTION PEE IS Phone~614~6J2-0800 ENCLOSED. ~j,~°.~/~//~ REQUEST FOR ELECTRICAL INSPECTION ~°4""~ GEB-000 1-08 Q~ ~ ~ See insvuctions br compleling this torm on back ol yellow copy. J~~ Q.T 7. 3 `X" 8a~low Work Cove~ed by This Request ~ ~ ew Atld Rep. TypeofBUiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Builtling Dryer Load Manegement Comm.llndustrial Furnace Other (Specity) Farm Air Conditioner Other~syecily~ Contrector5 Remarks: Compute Inspecfion Fee 8elow: # Other Fee # ServiceEntrance5ize Fee ~ # Circuils/Feetlers • Fee Swimming Pool 0 to 200 Amps Q, o to i001tmp@ Transformers A6ove 200 _ Amps A ue,WO ~ Amps Signs Inspec~or's Use Only: Tp~ IrrigationBooms ~'~v J Special InSpection AlarmlCommunication ~ THIS INSTALLATI ~ AV RED D}SSONNECTED IF NOT Other Fee COMPLETED W 8 j?5!v`~'~t~ I, the Electrical Inspector, hereby Rough~in ~ oa~e { ~a~ , certify that ihe above inspeclion has Final ~ ' Oate 6een made. ~ ~5~~ OFFICE USE DN~V This request witl 18 mon~hs Irom Address 4709 STRATFYIRD LANE Zip 5512 3 . , Lot ~~~o Bik i Sub wesiarv ~ma.s zrro THESE ITEMS WERE / WERE [JOT COMPLETE AT THE TIME OF THE FINAL INSPECIION. Date: !f ~3 ~j Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ~ Basement finish ? Deck Please verify witk the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering di?ision at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Conlractor Copy ~ a~ RESIDENTIAL ~S BUILDING PERMIT APPLICATION - C~~~ CITY OF EACAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewCanstructionReauiremenh mod VRe airRe uiremenb , • 3 registered site surveys showing sq. ft of l06 sq. R. of tause; and ~ ivofed areas • 2 copies v( plan (20% mazimum lot wverege aliaxed) . 1 set of E~rgy Calculatio for heated addNons 2 copies of plan showiig beam 8 window saes; poured found design, etc.) . i sde survey tor e#erbr ~itiore d decks • iselofEne~gyCalculaYions . IndicateRhomeservedby5eplicsystemforaddiGOns • 3 copies of Tree Preservalian Pian if bt platted after 711l93 • Rim Joist Detail Optio~u selection sheet (61dgs with 3 or less units) DATE IL%'as-oa VALUAilON~a~ 6~.~~1 SITE ADDRESS y~~~ S{~'F+ {orc~ L~. MULTI-F~ILY BLDG _Y L N TYPE OF WORK (Ze- P.c~F fLe~ S~~ e FIREPL CE(S) ~0 _ 1_ 2 APPLICANT ~6v,s~vvc-~-~or~+C~~.{vaca-irac, (~r~. $TREETADDRESS ~c a`~5I 133`=~' S~ N•w_ ~~Ty ~i~r~ LaKe STATEM!~ ZIP 5 S3b°l ~ TELEPHONE #'t(~~'aC2--65s~ CELL PHONE # 6~~ ~8S-a~~ ° FAX # , PROPERTYOWNERT~m } tQllySoi.. ~z~~~ TELEPHONE# 651-686-~'~SI COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~INNESOTA RliLES 7670 CATEGORY 1 MI\`NESOTA RLiI.ES 7672 , (d submission type) . Residential Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor. Phone # ~ ~ n i Plumbing system includes: Water Softener _ Lawn Sprinkl ~ Fee: 9.00 Water Heater _ No. of R.I. B~}tli OCT 2 5 20G2 ~ No. oF Baths I" Mechanical Contractor: Phon \Ulech~tnical sysCem includes: _ Air CondiUOning Fee: ~670.00 Heat Recovery Syslem Sewer/Water Contractor: Phone ~ I hereby acknowledge that I have read this application, state that ih'~ informaf n is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan'Or~linanc s Signature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 : OFFICE USE ONLY O 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 0&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIU ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation} ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof O 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - GWe PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion ~pC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Frasning _ Siding Stucco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retain~no Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , PERMIT ~ CITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: BU:Ct_DING Eagan, Minnesota 55123 Permit Number: 0 2 2 7 51 (612) 681-4675 Date Issued: 12 J 21 / 9 3 SITE ADDRESS: ~ 4709 STRFITFORD LANE /~S't,(5 LOT: 10 BLOCKo 1 / I I WESTQN HILLS 2ND V J II~1-3 P.I.N.: 10-83751-100-01 ~~1~ DESCRIPTION: B ida.ngt,Permit Type SF DWG ~uildirig ~k Type NEW BC OCCUparf~~~ R-3 M-1 ~t~~ ~~Y1St~^UCt7-atr ~1' e V-N zt~rr~ng ~ R-1 ~ ~ Bu~Zding LehgClS 67 Bui.tdanr~ Wid~h 40 Q,ui,idi~t~g stories 2 m i„Y-~~t,_ I~ ~ y~~~.~ C~~~ ~L~ C~~~ ~ ~ ~ REMARKS: PRV S& W PLBR - GENZ-RYflN F'LBG FEE SUMMARY: VALUATION $163,@00 ~ Base Fee $860.90 MI5CELLANEOWS $1,7A4.5@ Plan Review $559.00 7ota1 Fee $3,995.00 Surcharge $81.50 5AC $750.00 SflC ~ 10~ SAC Units 1 Subtotal $2,250.50 CONTRACTOR: - ~PPlicant - s~'. ~IC. OWNER: JOE h9ILLER HOMES 14544663 0002431 JOE MILLER MOMES 3459 WASHINGTON DR 3469 WASHINGTON DR 204 EFIGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 , k~ Z hereby aekr?crwledge that 2 haw~ read this applicatian and staCe that the fi inforrp~tion i:s carrec~ and agree to campLy wztfi aJ,l applicable 6tate o'~ Mn. 1 i St~tuties ~nd Ci~y of £ag~n Ordinances. ~ ~ n~ ~ APPLICANTIPERMITEE SIGNATURE SSUED BY SIGI A7UR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: s u~ i. o s N~ 3830 Pilot Knob Road Permit Number. ~ 2 2 7~ ~ Eagan, Minnesota 55123 Date Issued: 1. 2 I21 I9 3 (612)681-4675 51TE ADDRESS: ~ ~ r, 1@ s~ ~ c K: 1 APPLICANT: 4709 STRRTFORD LANE JOE MILLER HOMES WESTON HILLS 2ND (612) 954-4663 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . . FQOTXNGS FOUN?ATIQN FRRMING ROOFING INSULATSQN FTF2EPLACE ROUGH IN PLBG ROUGM IN HTG FINAL PLBG FINAL REMAftKS: PRV 5& W PLBR - GENZ-RYAN PtBG _ . . _ . _ . . . ~ '.i . . . ~ . ~ : . ~ . , . . ~ . . ~ : ~ . ~ ~ . . ~ . . ~tl.~..__ . ~ . ~ J aEaCT;vAT~ _ ~~~~~,~G~JMC~DD CITYOF EAGAN $,3~G~.7,0~~ PERMI7 ~ 1993 BUILDING PERMIT APPLICATION 2 1993 681-4675 - - - - - %,+'1. - IN6 & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificatfons, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date~ / f~ / Yaluation of work - Site Address: 7 STREET SU1TE M Tenant Name: (commercial only) IAT ~ BIACK L SUB . ~a~,P P.I.D. ~ ~O-~3~.~~-~c0'(~~ Descri tion of work: d~ The applicant is: ? Owner J~Contractor O Other (Destribe) Name Phone Property ~.ST FIRST Owner pddress STREET STE N City State Zip Company N11~.LE~ FiOiVIES Phone ~~~f"'~~' ~ 3d59V'VAStiINGT DR P Contractor Address SIfITE204 License # Ex EAGAN, MN 55122 City ,~pp02~13~ State Zip Company Phone Architect/ Engineer Name Registration # Address ~~ty State Zip iSewer & water licensed plumber - . Processing time.for sewer & water permits is two days on area s been approved. ~I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of !Eagan Ordinances. l n~ n .vf l d'/ Signature of Applicant: dU`_ fi- OFFICE USE ONLY s % . BUILDING PERMIT TYPE ~ ~ ' _ ~ , 4 ? Ol Foundation ? O6 Duplex ? 11 Apt./Lodging ~ Bas jnen~F$i~n sh ~'02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 1T 5gim P.e~a.}^~ ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.~ ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Cnmm./Ind. Misc. ? ~5 SF Misc. ? 10 Multi. Add'l. O 15 Deck ? 20 Public facility O 21 Miscellaneous WORK TYPE ~f 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. r~~ MWCC System ~ (Allawabie) lst F1. sq. ft. /~a~ City Water UBG Occupancy 2nd F1. sq. ft. /e~8 PRY Required ~ Zoning Sq. Ft. total Booster Pump # of Stories ~z- Footprint Sq. ft. Fire 5prinkler Length On-site well Census Code /o/ Depth 3y,so On-site sewage SAC Code ~ APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? 3ite ~ Footing ~7 Framing Insulation ~ Wallboard ~ Final ? Draintile ? Fireplace Permit Fee voi~c;p,: g ~3 Surcharge Plan Review g~~ Zh~ license 3~.~ (.$d~` : s~`~ MWCC 3AC - 5~8 0~le„-/bB~~'.S'~c SB~Sz C i ty SAC 3 3 Water Conn. = z ~ Water Meter (v-P ~ Acct. ~eposit ~ 3z G S/W Permi t Z- TreatmentaPle !zX ~p "r 8 z = ~ya Road Unit ~2s'~e,~: ~q33s /?~t- z° 3y Park Ded. Trails Ued. f~P~_. a-/~ ~ /zyYB Copies ~'x2 : f6 Other g,G~,r I,S= ~y,sl Tat al : ~ -Z. S Z , S'/ SAC % 30.5/ SAC Units t(~ 'JZ~~~ 5~~ ~`33S,Sl.I-5~- . . ' 7AT SIIRVEY C8ECICLIBT FOR RE6IDENTIAL ~ ' BIIILDING ERMIT ,PPLICATION ~ ~ W PROPERTY LEQALS ~ l~,,~,7 ~ ~ Date of 8urv~ps 4'--J ~ ~ DOCOMENT STANDARDB rL~ 8'~ ~ • Registered Land Surveyor siqnature and company @~0 ~ • Suiidinq Permit Applicant ' 8" 0 0 • Legal description ~ [Y 0 • Address g" ~ 0 • North arrow and bar scale ~ 0 ~ • House type (rambler, valkout, cplit w/o, split entry, lookout, etc.) D~ 0 Q • Directional drainage azrows with slope/gradient 0~ ~ 0 • Proposed/existing sewez and water services I~ D 0 • Street name ~0 0 • Driveway ELEVATSONS ~„~istinc ~ 0'~0 • Sewer service IY D D • Lot corners L~D 0 • Top of curb at the driveway D 0~D • Elevations of any existing adjacent homes gzoflosed D~-D D • Garage floor ~D D • First floor ~ D 0 • Lowest expose8 elevation (walkout/window) D' D 0 • Property corners j]~~ 0 • Front and rear of home at the foundation $QNDING I~REAS (if acpiicable) Dr0 0 • Easement line Q~ 0 ~ • IiWL . ~ 0 • Pond ~ designaiion D ~ • Emergency overflow Elevation DIMENBIONB ~ D • Lot lines 0 0 • Right-of-way and street width (to back of curb) 9/0 0 • Proposed Aome dfinensions including any proposed ~decks, overhangs qrenter than 2', porches, etc. (i.e. all ? structures requiring permanent footings) ~a 0? • show all eas~ments of record and any City utilities w3thin those easements ~0 0 • Setbacks of proposed structure and setback of adjacent existing D~ ? • Retain g w irements, if any Reviewed: ~ d ame / ate October I992 ~ t:~vo• ~;"~ialY! • • ' t! •a•..•. ~ ~ . ~ll~ r~ .0 11 • ~~1; I: . ~ ~5~: ~ . 1~~'lT.~ •w~~ I.~: 7' . : 1 . t.. • , . ~ , .r: . . . . . . ~~~:jsA T;~', rr:".?-;~;.~~~:7,• -:i. • . . . . S' r•.~.. ~ r . ~ ' .r7 ~ . ;1~ • . . p , . • . ~ ' - , w~ U~1m~a2TtLn~ehe~~uF,~wc_.s:~n~ti.s:w,caii.ex~~ua . : . , • ~ , • ~ unsen ail cl~~rren g a~ mii~ qrj„?~3 . • U4f1E[._P,IIFIISIY~Sll1fL^.~.9$~lli'CI911 • . ' ' , 1,dopk ot? ~tfeakLva . . • ' ' ounar ~SS/~iZ(''~~ ~ Pliona . . . Date elta l~ddce~n ~ . i . . contreator Yf!' 1(i~i~/+~- (~1`JI4~i~ Fh ne putlding CLGBqI~L~4kI0111 Typo A1 (eingle faoally ~ ouplex) Type A1 (Ileeldantlal~ ] etorlae or laea~~~oVer ] eEotlea) (otlier) II9TS1 Cop~(ilate uIIggs ~ end ~ t1reE~ . ' a~u~nec.su~nliazuiu 5~~ ~N ' : N p~'~ ' 1, pullding Perimeter I`-r" [k, N ' ~ ' Hnll liolglit (grou~d ta anve} ~t, , 7. 1. X 7. (6boVa~ gCOee ftqll araq ~J~9~D Bq,IE. . 1. ~4Lldlpq dla~enelane (l.) " X(Hj ~ 1~~4 ey,[t.roo[ i[loor eran 9. Bq. ~not eren oI rlm jolsh - Floor jolat alza `7 R'~~ ~ i ~ ' x ~Zz1~(Perlmeker) ~ ~~aq.[t. , , ~3~ ~a . . 6, paora - Area I Tlilokneee ~ ln U. [aoror . Type o[ Conatructlon Per moter ~t, . Ilahutnoturar 7.•: Total door'e peclmatar [E, .B. HLndoNe~~ flenu[np turer `rvSUf~ l`i{'~~' eteEe pphroved U [aaEor__ ~~1~ ; TYPR ir 9TZR AnE11 ~ 8~ ,Ft, ~ , IIUIIOEtt oP • ToT1,L ?-I . 6ACI1 UIIITB 8q FEET vvaR~ ' 9, Total oq.[t, Olaee ~~7~ ' , ~ l0. Flrepince arant Illdtt~ R IIe1gI~E - x e Bq,~E~ . 11, Bxposad [oundntlon~ ,ilelght X Perlmeker~_g1~.. IITeq.[t, COIIpLETI011 OP T1119 FO(lll I8 pBqIIIREp FOR I~LI. IIEIi C0119TpUCT.ID~~~ ~~hJOR pE110pELI11U AIID OIIII.DIIIag p~i11d HOYEO IIIIEn6 EIIEIIqY ~ oT11ER TIIAII ''i'll~ IIIII1IlAL COU~ ALLDWA11C8~ I8 119E0, • ~ [ 'M,~f~r~~y:~:wi~~~~~~'r.. . .~.k•].~}6t~~~~1j4~~f1;'~~~.::~:rv~..~, ~ .,.o. r.,~~y.-~ ~ •~•r::'•s~..:~. ...~i, 1 ~'A ~.Z..t~•.~. .r:i~ ,.,}•r_. . i. 1~. Frainln a ea p lat ac . : ~'`]~j-~~~i ~ . . . . . ~ ~JCO!l11~ H0.1~.•ACOq~ 1~. arosa Hall area ~G'~~/ aq.cl:, ~ Hlndow araa A. ~Z.~ . aq.[h~., Il ~jtndokin ~j~ t~~~ IL7 ~w,~~~~/~ : r -i . Nlp jolek AY4A A~V ~U/ ~q. tt. 11 rlp~ ~qlat•. r I~ I 11xA a - 6 „ paor:aran 1~ aq.tk~ U doarrsrea4 ~ 4 ' . Ux1.~~ ';othar doora pCeA A~aq,tr, U other doora~ ~,x~ a Rxpoaed [adu b~_aq,lE~ u [nundatlon4 •D7~O Ux~ ,Frsaing araq A--~n9.lt, l! Lraming araa= ,D7 S Ux1~ yl~ , ,~~4,~ ~WA11 AC9A 1. !/`I e[~. l~ 11A11~___, / ~ , ~ ~1x~. p ~ . . (171!) ToT~I, ~ . . ~ . UxT. d. . . . 1~. Qroqy Nnll prea x Q,I1 (A-1 aingla iomlly R dup~ex~ n~~oWeble Ux~/Coda (1~. apnve) . ' ~ 0.~7 ~A-a ather raaldantlal) • , x .7~ athar uulidlny~) . x .~9 over ~ akorlaa~ ' A, ~~Q ~ 1 ~ n~ 8TU11 munt y» ~prgar thon oC nnma 1c U COds M~~,/ , oF. Ay lan paova 16~ CaU ing Irowing 4C9q•~A~) aquala 101 6L aalling ACQq 16A, QYana aelling GC6{1 ~(l.~ ` x({i) ~~1~. ° ~Bq. [t. 16p. ~olat aran (A~~ ~ lOt oe11111q araa • ~v~4 ~ry.~k. 1E4, llak aelling aran i~c) (leA.- 198) a~.~t. u aelllny x Aa M n.~0 x~Q'~~/ ZjZ ' ~ ~ U ~ramin~ x~1. ~ ~ %t~ • x~„~ ' 1DI1. ToTA[, Il X A...~~.~..:..~•~~~~~~~~i~~~~.._-~_ • ~ • • 16, cdlling prea (18~,~ x o,0•a4 a?~g1a ~pml~Y G i~,~~,lex} ~ ~ nllownule uxA/C~d~ • x o,oja A-a ather rant~lentlal) ~ x A,44 ~nkl»r) • ' ~~161~~L~~x U Coda ~ pT~~~~ munt ha largcr than ar eama -i= F• na 15b uUoVe IIQR81 Uae tl att~~ valuee oatallted [ro~p pngea 1~ ~ nnd 4. • G6AT1PI~ibTlSlllt I hara6y aerkl~y khnt I havu aelculated tha ~~u~~ ceotoce and ~~4N Vnluea hera~n and khak Eha pu11d1ng {tara deearll~e~f ineeta qr axaaeda tiic Atnta a! Illnneaa~a ~narqy conaarvnl•lon 1,a~. peka • . ~lgnaturn . _ . _ - _ 1 ~G _ ti Z ~0 ~3s ~ls ~ Z _ ~s ~4 ~ ~ _~s z f c~-~~ _ _ - - --c~~ Z - pu~ p l - 5.~~ - _ _ . . _ - - ~x _ - - - 8 _ ~ ~ ~ ~~~ti 1 ~ _ - - _ ,~Z__ ___~i z o~02 Z ~ _ _ ~ z ~ x,S ~ n~ _ _ _ _ - _ _ ~1 ~ 2'~ S~o~r-L~d~'-- ~ _ . . _ ~X~ZI Z c~Z___ _ - _ _ _ - - Z = `Z Z _ _ _ - - - -s--- _ - - - 1 ~ Z 1 I - .~~1_`--~~-XCp~.~-~~--ll - . _ _ _ y~ry~ - - _ _ . ~~~,~1I - _ ~b~~ - . - - , - - _ _ / L ~ ~j'Z' z ¢,S~ ~'rG "~'~L~~fT~~x ~G~j ~ - _ - - - I = - ~-~os - x ~~`QI > j- _ . - - _ _ _ _ L (S 5 fa, s) Xo+~,' _ 5~ - _ _ ~ o~ f ~I n _ BRANDT ENGINEERING & ~SURVEYING 1600 West 143rd Street, Suite 206 Burnsviile, Minnesota 55337 . (612) 435-1966 • Fax (612) 435-2929 s~ J~~iy, i~s~ Jc~e Rtiller- H~~rnes 3%+59 Washir~gtan Drive Eagary MN JJiCC ~ Goured r-vr~crete 6asements 8" thick and a clear aistance fr~~m the 51E16 to the fr~arning of '3' require the fallc~wirig structi_~ral desiqn: Reinforce walls with #5 bars at 4~c'~" c~n-center. F'lace r^eir~far-cing frt~rn insicie face of wall cm every ather b~r and s" frc~rn c+utside face of wall far the other 6ars. F~rc~vide #5 dawels x 2' int~~ fo~ting ta rnatch vertical reinforcement. Reinfarcing shall be Grade 60. Cc~ncrete shall be 4ak~0 psi concrete. Cuntact rne if you have any q~~estians. Sincerely, ~ ~~y 5~~~ Ra H: Brandt, F'E/LS Y Minnesc~ta License #81ti~ - . DEC 17 '93 15:46 TO 6124540460 FROM PROHE ENGINEERING T-656 P.02 c ~ . ` . . _ ~r5. CONSUITINa ENOINEERS ' ~ J0~ ~d~g ~,~QF, PLpNHEflS ond LtIND ~iU11VEYORS f ~l.bJ~}O,OJ '~.NGIN~ERING f ' . 13~• !97 ' `a; CAMPANY~ ~N~. p~'.`~ ~ I000 EAS7 1161h STREE7, BUBNSVIL,tE, MfNME30TA 'J~837 pt{ q32-3000 ' CERi'IFICATE O~ SURVEY L~ga! Descriptdon: ~oT io, BLOCK l~, W~STOnI xrus 2ND ADDI710.~1, DAICOTA Couu7Y~ M1,vtiIFi47A C2~~~ ) DENUTEB EXtS71NG ELEVATION t 949-5 ) DENpTES PROP05ED ELEVATION INDICATES DIRECTION OF SUH~ACE DFiAWAQE ~~x = ~INlSHED GARAGE fLOOR E~LEVATIDN 9¢~.! 3.~ ~ BAS~MENT FL~OR ELEVA710N ' S°' ~6 = TOp p~ FOUTIpA71C7N ELEVATIOiV SCALE : 1•= qo' B61G'/hMAEC ~ TNH ~ GD712 BLoC~ 4. Ec~~ ~ 9¢B. as & ~~z~' ~ gR~sroL . _~UCILEVAR.D I ~ ~ ,9'~; ~ ~ ~s . _ ' ~J; /~`.0~09.0~ R, ~ c~ 3pF7: R2[~VT BWCD~N~6 / ~~et• •97 p'2O° .sy•~ ~ . a tt> LR' 2 1 ~ $ETBR~~ LtN~ 5 ~0 ° ~ • xs,a~ , i r ~ / G ` `i ~.P ~ ~ c ~D f / e ~ p ~ ~ n~.+ 9 ~ (.Ll ; b~ `S1 ~ ~ + fn1 -tdR~~~.y~ ~t;~'~+S°.o w t o ~ `TS 'r_~ $ ~~~,'o ~~•Py~~,~` w ~r ~ / ~ ~ 550 •~Sk~J ,,p a~o , ~ N' ,G~ i ~+'~e~ s W ~ / `P{A C~~Y 4~~ 10 ~ 1 ~ ~ \ ~a ~ - t ~ ~l / / `1 ~ ~`3, qC~ Z,o w I , ~ ~ ^ m ~ 4 ,~1~~~~ m M1~,~p~~ ! ~~l f \ ~ l ~-y-`~°~`,~ a v°''`' ~ z ~s ~ , Q ~ I s ~,oo ` ; ~ ~~+1' / tl ~ ~ra, ~ •J~v~; . ti \ f :J-~$~?,i ~ ~ ~ ' s/ d / \ ~ ~ I v~ . ~Ap EA EWN~ , ~ ~ / / y~ r~ s REV ~e ~ / ~,h ~,r`.3 .S~,i" pR3 . S , ~ 8~( ' 5~ 1 i `R pp.pE ~ Z.- 20 p' , ' S 5~~. t ~ ~ j i i + ~~O ~L-„=~~:J~ y L ~ L ~ t ~ l~ ~ NNLqL ~ 1 /~GJf.'7"r D.~liNAG~ A,t~t~ ~ Ur/L/7Y ~q`..E.~' f~s/7~y D ' ~Q G~ E~G E~G DEFT, ~9~3:Z~ r' (yz3.z) I hereby certiEy tliat this is a true and correct representation of a tract af land as shown anct descr~.hed hereon. A~ prepared by me tkiis ~ day of TJ~~3~rC' , ~9.~_• . _ !~~~"T!_c""/~'`.f_ Mi~u~. Reg. Na. /v/ ~f5 ~ - ~~~~~~~m~*ra~~~~~~~~m~~~~~~~*~*m~~*~~~*~ CITY OF FAGAN CASHT~R: 7 TEftMIN~L NU: 949 ~A'1'E° 0~/30/99 TIMCe 15:2ce58 ID ^ NAME ~ CONTEMF'L]fiARY NL.DRS :3210 900i. 4 i 0~ STFiATF C11iD 60. t.ltl 2155 900j. 4 i 0'.:3 SThATF(.IRIl 0.50 ~ 'intal Ftr:cc~ipt Amaunt: 6U.50 Cfiil2475 US~R IL~: NAi~CY ~ ~Xc#%~~~lc*~k**~ *~k ~*~~k%c?k ~K% ~k~k*~k~C~X~k*k~ s%~%Nc~k~k~*~c '1999 BUILDINC PERMIT APPLICATION IRESIDENTIAL) a,. ` CITY OF EACAN 3830 PILOT KNOB RD - 55122 ~ / ~ ~ ~ 651-681-4675 ~ ~v ~ lo C~ (o-a8 •~i~i ew ons ~ on t eMs Remodel/Reoatr Reauiremen}s ? 3 registered sMe surveys showing sq. R. ot lot, sq. R. of house 2 coples oF plan ~ and all rooted areas f2D~ maximum lof coveraae allowed) 1 set of energy calculations for heafed add8lons ? 2 coples of plans (show beam 3 window shes; poured fnd. design; etc.) 1 sNe aurvey tor exierfor addHions 8 decW ? 1 sel of energy calculations ? 3 coples of free preservatbn plan H lot plalfed alter 7/1/93 DATE: C,v_I~~~l CONSTRUCTION COST: 3bpq~~ DESCRIPTION OP WORK: I~~L~ STREETADDRESS ~ i ~4~1-'~42~J 4A~~- LOT: ~ Q BLOCK: ~ SUBD./P.I.D. ~ ~ ~ ~ ~ l~ ~ ~ S ~ Name: G~ l~ ~ T~ ?~t Phone PROPERTY ~an F~ 0,1NNER Street Address: ~''1 O~ S'?~/L I~ i~6R~ City I~G iAr-~ state: M r~ Zip: ~''7 1 Z3 Company: ~Rct~ ~C(ltSi/Vl~cL 2~a~~- Phone#: ~~Z C~7a -225~ (area code) CONTRACTOR StreetAddress: '~--~f'~p~~u-~ Cc=~4N~p9~ Bc~«p/JLS License# 2-l~0~ Exp.3I3~ Zooa C ity ~DA~ ~R~ ~ ~ ~ ~ State: ~ ~ Zip: ~534-7 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water Iicensed plumber freaulred for new conshuctlon onlvl: PenaNy applte: when address change and loi change is requesFed once permR is issued. I hereby acknowledge Thaf 1 have read this applicafion, state that tNe Intorm n is corteet, and agree to comply wMh al~ applicabl 59ate of MinnesoTa STatufes and City of Eagan Ordinances. n~~ r, . Slgnature of Applicant: ~ ~2~--Lq S~ ~E I~' ~ ' OFFICE USE ONLY j~ I Certificates of Survey Received _ Yes _ No ! i, ~ul~ 2 5 i; Tree Preservation Plan Received Yes No _ Not Required - - c . OFFICE USE ONLY ' ~ T~ BUILDING PERMIT TYPE ? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Decli ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 1D 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/So~ts/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ~ (Allowable) Main level sq. ft. SAC Code o/ UBC Occupancy sq. ft. No. of Units o/ Zoning sq. ft. No. of Bldgs ~ # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. ' Trails Ded. ~ Other , Copies Total: SAC Units % SAC DEC,17 '93 15:46 TO 6124540460 FROM PROHE ENGIMEERING T-656 P.02 R. i CONSUlTINO iH01q~MS ~ ~D~g ;f A~S~ PLflNNiR3 and `8ND 3URVfY011~ . ~.{,~qo,0/ 'E.NQ~IN~EAING gK• ~97 r: CAMPANY~ 1NC. p6.~ ~ ~ 1000 EIIST 1461~ STNEET, 9URNSVIl,tE, MINNESOTA 5~917 PN A32-3000 CERTIFICATE OF SURVEY Legal Descri~tion: L~7 10~„~LOCK W~STDN NILLS 2hlD ADDtT1oN~, L~AKGTA C.q~JAITy,~ M~(6fE,~o'~d. E~~.~o ) DENOT~S El(IST{MG EI.EVATION <949~~ J DENOTEB PROP09~D E~EVATION INbICA7ES DtREGTIGN O~ SUfiFACE f3WAWAQE ~ 83 ~~INISHED GARAGE F~.O~R EL~VATION 9¢/~ 3 v BASEMENT FIUOR E1.EVA7'ION Sa~ I6 c TOP O~ FOUNDA710N ELEVA710N SCALE : 1~ rNN~ ~.or iz Bioc,e 4, EGE?. = 948. $6 8 ~~z~'~ 8 R~sro ~ ~ _~1FVA~.D I r~,9~ , ~.5 ' `.1' o9.p ~g ~'q'~;~ ~i•e.._ • 7 .~~7: F1~WT SflIC.DI/J~P ~ 'Q'2O' a a ° ~ L'~re9• ~ SETB/kGjG LINE 5 ~0 Q o~, ~ ~ ~ ~ -y ` 4 ~ (P c ~D r" / 6' ~ ~.a \ ~ ~a s.p~ ,9}~ ~`~~~`~J~e•'01 ~ °Q s ~ \c.naV / ~ ss ? $ 'Yn e, y'g'~,~_w~ l , W ~ \ $~~qa ~ C ~l a N. ~ \ y~ ~n ~ \ `O ~ee 9 W b1 / ~ ( ~P ~ cp~• ~O c .l~ t.~ P.o d~6 ti\ 2'0 ` 5,,,, 1y~ ~ ~ ~e , y `;s~ r ~~~j~ ~ I~` .eYp, o+ ~ ~f• ~'tS a ~3~ s i ~CAI ~ ` '~f / V ~a~~ ~'h .,y~ ~~9,y\~ o ~ 1s~~ ~~0~ ` ~ ~b~ / \O ~'J...9~ ~ (y ~ ~+J~w~ ~i ~ ~~i . `v y ' S/ d ~ G ~ ~ ~'A; EAGAN ~ ~ F~ REVIEYVED do ~ / ~ o~ `~'3 s~_ : ~ R~ 8~ s~ /~~~y~ 1 ~ ~z'2O ~ ~ gti ~ i 1 a'C16 - $ h'~ ' ~•~.~9. ~~;~i~IRED ~"~75~ QllTt.'Y ~ ~ , > ~ ~ z , ~j~ sf~< t33'£~.r p e;~ ~~:.f~<at3ru.~~~~ t: p`~ - VN 3~ 4~D~ b f y 4 9~ i~ ~ . N x< ~ : E . < 3i a~ ~'~'F 'r r~ ~ ~ ~ 3 a~Z < iL~' ~YFS~ s ~~]~~a~.( ~ ~ ~~w r s ay 3 , ayl(~~ Ji ~t f - k~~~vo-t ~ a» ~y ]F ~~`l~wf f . ~ ):j f a:.~ . - k S ~ x ~ «M ...~».a.:.....~.«.~ ~ .o:L~'o'kt Yeo-..3., x<,.~-«e... ~Ei..~.. .~M..SeY.L.h..~i`.S`..:C ~Att.S.w.. ..a:LW~.uva~.4V~n~~AW4N.~"aN' 1993 MECHAMCAL PERMIT (RESIDENTIAL) 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 PERMTTS ARE REQUIRED FOR EACH UNIT. ~ NEW CONSTRU~'ION ADD-ON A/C ADD-ON FURNACE DATE 1 ~~4~ ~"I-Ol~ FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3 ~I'~ ADD-ON/REMODEL ~ExlsriNG CoNS~rxucrtoN) $ 15.00 STATE SURCHARGE .50 TOTAL ~3 SZ~ SITE RDL~RESS: ~ ~ ~ ~-'~>l~ ~ ~'`r C~ ~ c~ ) ~ OWNER NAME: ~6-e ~ ~ I ~ ~ ~SLYI S~ TELEPHONE ~'~~-I-- ~}-~C~3 INSTALLER: ~k~ . \ t'~ ~,`P l 4 'C~ ADDRESS: ~ • O ~ ~ c~ ~C~~ ~ .l) c~ CTTY: STATE: M I~J ZIP CODE: ~ TELEPHONE ~ C) C» - _ S NATURE OF PERMITTEE y~.yyy~ ~'X`~7~ t~l~'t.'~ ~^V a { ,DL ~ k r z ~ ~ s ~ 3 : g r~ ~ s b ~ e?DUe a~4~" "~4:~~: ~ ~ 3n~'b. ~ a x,%`c.. -~9 ~s _ i E k ~ F M A'F w~ ~g . = x si3ta a~~t '£tt d t E Y : qii s ' 2 a~~' w a g ~ D~ ~f a~'~~.ra F s d.4i s~~ ia ; k~v er^ykx~Y Z~y~ d E x$y, ~ T ~ ~~a `rr s2`` sTea.°',;.~~k::`..;z >N~. ~.~.~4",~2"~.§ 3i'9 ~u<-:z~i~,4'~[p 4~ ° ai"'. ~L F x 43i .~u::' a:?i~:,~'.~..'~`~>~~)'Y .LS%~ y? ~gy,~,~c e~.~ r r @.~~& x s..]~ r~mE' r~ r ~ ; u hn.. . ....>.~d.. Lf...b.~... ~~k.3n3..Y ~'~)f~., siv.~'.Piih'€ .°~w~`.&`.YSi~v.Q.~ s~~»~~xai~~.~i.E'i H: k~~".i.d.$:$2$Ua...C~~rt~3 SaL.~#:U:+ 1993 MECHAIVICAL PERIVIIT (COMMERCIAL) CTIY OF EAGAN 3830 PIIAT I~10B RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIv1ERCIAUINDUSTRIAL BUILDINGS. AL50 COMPLETE FOR APARTMENT BUILDINGS 4R OTF~R MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. DATE: CONTRACT PRICE: $ NEW BUILDING IN'TERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COIvTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'~RM1T FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: ADDRESS: CI71': STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY WSPECTOR ~yF'iz~~~ . v zt 3~. #.a« r~z, ~".,~'"'~3D a.K',~ ».p~,< r«~'r #~'Y.,'~ x < 3 r c ~ i ~l~ f' S f 5~ k 3 5~~ '~Fc fa~ 3~r~ 4~ap~~~ ..~.'a~~;>~3£~~~fv'~e° . s" €y r~£ ~i f s¢i, = ~`~x L < 7"'r: ~ ' 4 (r L S: ~qk~ k "3s.~ s.E"3~ g. ~g 3~. x i' d'it. e~ .,d i~ av,.,,;r;_,. rx": a... a~Ck~~.~>~a:?L~ an.~... ~.~.3..~~ Y~.id`'~ ~ . ~.~.u'S,SCY.,Y~. 1993 PLUMBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHONIES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T. NO. FIXTURES T~T~ ~ SHOWER 3.00 ; DD WATER CLOSET 3•~ BATH TUB 3.00 b- OU LAVATORY 3•~ ~ KITCHEN SINK 3•~ ~ _L LAUNDRY TRAY 3.~ ' HOT TUB/SPA 3.~ WATER HEATER 3•~ ~ ~ FLOOR DRAIN 3•~ GAS PIPING OU'I'LET •~m~m 3.00 Q ~ ROUGH OPENINGS 1.50 ~ WATER SOFTENER 5•~ PRIVATE DISP. • ne~.ccy. ~G 15.00 U.G. SPRINKI.ER • home under mnst. 3•00 ALTERATIONS • ~o aduing 15.00 WATER TURN AROUND 15.00 STATE SURCFiARGE .50 TOTAL: ~ ~ STI'E ADDRESS: h~-~C~J~Q~J ,r~~ V OWNER NAME: Uty-~ J ~C~~-~~ - INSTALLER: V - ~ `'t I ADDRESS: I t-I 1 U P.~~ .d 1Cl.~Q CITY: ~aR~k-mQl~~- STATE: m~ ZIP CODE: -5 ~ PHONE ( '-t aJ" ~ (~-I U ~~(~Gru.u.~I~n?'l~t.~v _ SIGNA OF PERMITTEE ~e ~'St'~SE'~?~~ ~ ~ ~as ~L~ r~s~ : t~': E3^YCSe ~F'~S. ~L$ a;t33 ex ~ e' a ~~3:~'~^''"~'."., g,.;y~ a j f a r . £s<rtr ~<~g£a-~ € d r~w~sxt~;s ?~~'~~~a cs :~~~s 4st~i<~.~ ss'` . k'. : s . E< < g~xas~`. y5.xa i $z x~.. a s : ~ s o , ar w y _.r~'.~ 'i,'"` 5K_is x~ar kEA°~`~ 3~"~ '~~b~`x,}° # ,Z 'a~x~,ran.'§.~~~ `~N~~~:~a~~~e Y~ k ~ : ~.x .......~~u3:._.::,.a.3..._.>..<o z.. <.e .'>x d,se°d~.3Rr..a..kfi.?,..ax~:~#zxk:'~3:~..35:isrto~~. .17• y~,Y'v;~;~j #~s~'~'~F;.ES3......v..£ ¢~r a3.: 1993 PLUMBING PII2MIT (COMIV'ISRRCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMA~RCIALJINDUSTRIAL BUII.DINGS. AISO FOR MULTI- FAMILY BUP DINGS VJ~~N SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U~tT. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE. STATE SURCHARC& 5.50 FOR FACH 51,000 OF ~EA~f~' FE& MINIMUM FEE: S 25.00 ' CONTRACl' PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # t"~ii'NER NAIVIE: ~ INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT L~~ BL ~ CITY USE ONLY RECEIPT#: ~ D/ Y-'~ SUBD.I~L~ ~L(XX~ o~ ~a RECEIPTDATE: ~ ~~/y 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ~ single family dwellings ~ townhomes and condas when permits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACH I~,Q, TOTAL 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 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 x = Water Softener ' for exlsUng dwelling 20.D0 x = U.G.Sprinkler 'tordwellingundereonst. 3.00 = U.G.Sprinkler 'forexistirgdwelling 20.00 = ~ Altefatlon5 ' to existlng residence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems • nba~aonmem 20.00 = STATE SURCHARGE .50 TOTAL 2~, 5 ~ I hereby adcnowledge that I have read this application, state that the infortnatlon is cortect, and agree to comply v?ith all applicable City of Eagan ordinances. It is the applicaM's responsibility W notify the property owner that the City of Eagan assumes no Ifability for any damages caused by the City during its nortnal operatlonal and maintenanca activities to the facilities consWCted under this pertnit within City property/righROf-way/easement. _ SITE ADDRESS: ~ b S~~-~or a OWNER NAME: ~ R so r RosS INSTALLER NAME: i M e~-~- CZ0. 0. TELE ONE Io S~' g~as i STREET ADDRESS: 7 ~ CITY: ~0.L~ 0.r~ STATE: M~ ZIP: S 5 I~--~ SIGNAT E OF PE TTE ~'-~7~ Y7 ~ _lc~~ a- 1 5 ° 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~-r a~ O v CZAJA, ALLYSON ~ 4709STRATFORDLANE SItE St!@Ct Add~ESS . EAGAN, MN 55123 Ulllt ~ (651)686-8651 ~ Property Owner - - ~ Telephone # ( ) contractor NORBLOM PLUMBING CO. Telephone ) Address City StaYe Zip MINNE4POLIS~ MNr~r~,0$ The Applicant is: _ Owner ,~(.`"onfrac3or _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--compiete next section if installing these appliances). _Septic System Abandonment _WaterTumaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ i 5.D0 _ new ~ teplacement. Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 SWte Surcharge $ .50 Total $ I S. SO I hereby appiy for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved pian in the event a plan is required to be reviewed and approved. r , , _ u ~ ~ ~1~e~FF Na,rbl~nn ' ~ ~ Applicant's Printed Name Appli nPs Signatu~e ~ ' ~,i;~ Q' 20G5 I ~ I~ I~" ~Y - .,I PERMIT Permit Type: Building City of Eagan Permit Number: EA105243 Date Issued: 07/05/2012 Permit Category: ePermit Site Address: 4709 Stratford Lane Lot: 010 Block: 001 Addition: Weston Hills 2nd PID: 10-83751-01-100 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Comments: Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Renewal Andersen Timothy A Czaja 1920 County Road C West 4709 Stratford Lane Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature C!ty ofEaaaii 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 16q (s ' Permit Fee: Date Received: S I -a0 ((> Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Unit ft: \\\ Date: Site Address: `i 70 Typ Name: -MA.. 6 6 Tt Address / City / Zip: 4/70 9 - 44 - Applicant Applicant is: Owner Contractor E Description of work: ,rik ftt,c c a'i .c_ i @, F-0 TIA S 1tblotfoos' a va Construction Cost t t tiotJ > € Mufti -Family Building: (Yes I No Phone: Company i _ ' 11 Contact , t' Address: City: V.4-%A(._.) Ii/ State: (wl.. Zip: 12-3 Phone ; i - - 5'J Lt - l N - bSI -yi- G= License #: De, 931 USG-- Lead Certificate If the project is exempt from lead certification, please explain why. (see Page 3 for additional information) —`_ \\6 .riiSr. z_ (cab ') 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: _ NOTE: Plans and supporting documents that you submit are public considered�to be reformation. Portions of the information may be classified as non-public if you provide*pecific reasons that would permit the City to �.. conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher state One Catt at (651) 454-0002 for protection against underground utirdy damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. vvww,qopherstateonecalt_or : I hereby admowledge that this irdomtation is complete old accurate; that the work will be in conformance with the ordinances and codes of the Cay of Eagan; that 1 tarderstand this is not a permit, but only an application for a perrrit, work is not to start wthout a permit that the work w81 be in accordance with the approved plan in the case of work width requires a review and air -oval of plans. Exterior work authorized by a buikling permit issued in accordance with the State Buitdmg Code be completed within 180 days of permit issuance. Pagel of 3 1 • t70 q S tae DO NOT WRITE BELOW THIS LINE ifomt SUB TYPES Foundation _ Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace — Retaining Wall DESCRIPTION Valuation Plan Review � (25% i _ 100% �4, ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final /0- _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Budding* _ Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required —7' HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings — Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 2)2 Page 2 of 3 DEC,17 '93 15:46 TO 6124540460 �. , FROM PROD ENG1NE.ERING ENGINEER1NGRC?RE PMflNHE and°LANDsgURViYORS COMPANY, INC. (000 EasT 1469w STREET, BURNSVILLE, MINNESOTA SS337 PH 432-3000 1—b b r.to CERTIFICATE OF SURVEY Legal Description: ift_Laj3LOC44,14 WESTON N114z$ 21'JD ADDIi10h1, SCALE :1" = .404 opT:Marl" Vuu.DJN6 sergetce LINE DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE = FINISHED GARAGE FLOOR ELEVATION BASEMENT FLOOR ELEVATION TOP OF FOUNDATION ELEVATION } leitonmez: rAtzV Cor 12 face 4. Virg 1#8.2.8 1 Sr EAGAN REVIEVlED ompE P,R.V. WQUIREt PERMIT City of Eagan Permit Type:Building Permit Number:EA160483 Date Issued:03/12/2020 Permit Category:ePermit Site Address: 4709 Stratford Lane Lot:010 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-100 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 - Timothy A Czaja 4709 Stratford Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162529 Date Issued:07/17/2020 Permit Category:ePermit Site Address: 4709 Stratford Lane Lot:010 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-100 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 - Timothy A Czaja 4709 Stratford Lane Eagan MN 55123 (612) 998-1197 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature