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
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' 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~.
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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~'
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_~UCILEVAR.D I ~ ~ ,9'~;
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`TS 'r_~ $ ~~~,'o ~~•Py~~,~` w ~r ~
/ ~ ~ 550 •~Sk~J ,,p a~o , ~ N' ,G~
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(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
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~ ~ ~'A; EAGAN
~ ~ F~ REVIEYVED
do ~ / ~ o~ `~'3
s~_ : ~ R~ 8~
s~ /~~~y~ 1 ~ ~z'2O ~
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- $ h'~ ' ~•~.~9. ~~;~i~IRED
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p`~ - VN 3~ 4~D~ b f y 4 9~ i~ ~ . N x< ~ :
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ayl(~~ Ji ~t f - k~~~vo-t ~ a» ~y
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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