4721 Stratford Lane ~ ~
C~~;e~ti~icate ~ccu.~anc~
~it~ D~ ~agan
~cpartmcut of ~x~[bimg ~x~~ection
Tliis Cenificute issreed pursuant to the requirements of the Uniforrrr Building Code
certifying that at the ti~ne of issuance this structure was in compliance with the various
ordinances of the City regulating building constructioR or use. For the jollowing:
u~ cu~;r~;on: ~ s~. ~~~t Na. ~~v.~_
~r ~ R~/M 1 ~~~g ~ Type Const. ~
Ownerof 6uildinb ~ ~'N p ~w--.~~...~-~Z7-r~' ~ ~
Bwlding Ad&cts ~l~~ j~,. ~.ocal~ry T-~~8~~ ~~tID
/ / ; ~ , ' ,
~ r.// Dam: ' ' i ~
Buif~iog
POST IN A CONSPICUOUS PLACE
I
~ n INSPECTI4N RECURD
CITY OF EAGAN PERMIT TYPE: ' ' ' ' ' '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ` ` ' ~ ~ '
(612)681-4675
SITE ADDRESS: , „ ~ , ; t , APPLICANT:
~ . t; r, i;~ittil 1 AMF i i ~~p~ 1 lltp~ INI.
I~ i; ~ Itl~ ~ i ~
- . _'.~!~a,,..~:e.w.s+•f:.r..M~..,y..cT'=v.F:~+
PERMIT SUBTYPE: TYPE OF WORK: = ' ' ` ;
Nf':~ . _
• •
~ ~.i~ i! ~,li, . i~~I.~Jr~ ~t I I~~If
~ 1 rVl9 t I'!~. .:1+1~~ 1~7t,
„~rti~I+~tl tI!'i!'I/li~
~tl I I~ t'I f:i, , I~+I~f~il I N 11 1 i~
i r.tr~~ ~~f~ 1~ fJAI
~..~~{~:'r . ..,tl ;+r~'J I i,~'tt ! iil tt i tn! ~ i; t l:~.:' .
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v = - = m m ~ c~
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~ ~ ~
~ ~ ~
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~ ~ ~
~ ~ ~
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4
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~~018
7
5
~j = ~ GG~~,,, ~ z- ~g~/°~
Request Dete ~ Sire . Rough-in Inspedion NOTICE: You Mus~ Call ElecVical Ins edor
f I' ~ Q~ - Re uiretl? 11 A Rough-In Inspeclion
~ ~ ~ es ? Na Is fle9uiretl.
I~censed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sir t, Box or Route NoJ
. _
~ a~ s"~n o.~c~, Lq ~ p c~ p
$ection No. Township Name w No. Renge No. Coun
pQ~zo~~
Occupenf (PRWT) Phone No.
t~ob R-~^', 6oI.D
PaverSUpplier Atltl~ess
~+~IL~~Q ~ coo~ ~dr•n,~; '(o~
Ele tncal Contractor (COmpany Name) Contractor's Lkansa No.
~1G~,c> t~~c'~n1'- c:.Aa 1~3~(
Mailing Atldress (COnfraqor or Owner Making InStalla~ron)
~ 1 S~ 1~,~E S~ ~E,w ~n~SrL M!~
Aul iz Sig ure Ontrad wner ing Inslsllation) Phone Number ~ ~ 1~~
b - , ,
MINNESOTA STATE BOAND OF ELECTpICITV THIS INSPECTION REOUEST WIIL NOT
G~Iggs-Mitlway Bltlg. - Hoom 67]3 BE ACCEPTED BV THE STATE BOARD
1821 Unlvo~sky Ave., 51. Paul, MN 5510i UNLESS PFOPER INSPECTION FEE IS
Phone (61Y) 842-OB00 ENCLOSED.
~EQUEST FOR ELECTRICAL INSPECTION ee-o oi oe
pp Sce instruction completing this lorm on back o1 yellow o~py J~/~
lyl ~ 7 5 -~'.~~ow Work Covered by This Flequest
e Atld Rep. Typeof6uilding AppliancesWiretl EquipmentWired
Home Range 'Temporary~Service '
Duplex Water Heater Elecvic Heating
Apt. Building Dryer Load Management
Comm./lndustrial Fumace • - Other (Specify) •
Farm Air Conditioner •
Olher (specify) Con[reclor5 flemarks:
Compute lnspecfion Fee Below:
# Oiher Fee # ServiceEntrance5ize Fee # CircuitsiFeetlers Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps ~
Transtormers Above 200 _ Amps - Above 100 _ Amps
SigpS Inspector5 Use Onty: 7Q
Irrigation Booms y~ ~
Special,lnspection ~
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTN .
I, ~he Electrical Inspector, hereby Rough~in oa~e/~ _~6 ~3
certifythattheaboveinspectionhas Fnai o
been made. d~'-~/ ~j
OFFICE USE ONLY ~
Thie ~equesl witl 18 monihs fmm
Address 4721 s1?Za1't~nxu rar~ Zip 5512 3
I.ot t3 Blk i Sub wESmrr ttnt.s 2rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~~0 9~ Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) i/
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass ~j
TraiUcurb damage 1~
Porch
Basement finish ?
Deck ~
Pleese verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system.
Whitc - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~
PERMIT ~ i s-~~ ~
~C`CI'~Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u ~ ~ d{~iu~ ~
Eagan, Minnesota 55123 Permit Number: 0 2 2 3 4 8
(612) 681-4675 Date Issued: 10 / 26 / 93
SITE ADDRESS:
4721 STRATFORD LHNE
LOT: 13 BLOCK: 1
WESTQN HILLS 2ND
P.I.N.: 10-83751-130-01
DESCRIPTION:
B.u'ildirtg_Permit Type SF DWG
Building LJo,rk Type NEW
UBC Occupan`c}+~_ R-3 M-1
f Construction Type VN
Zoning ~ R-i
~
/ Building Length 58
Building Width ~ 36
r, _ r,~. . , .
' i,. i
"l
?
~~1~~ ~~'fi~j~~'~~
; ~r,,= ~
REMARKS:
S&W CONTRACTOR - D C MECH PRV
FEESUMMARY: VALUATION $ss2,eee
Base Fee $751.50 MISC FEES $1,744.50
Plan Review $488.48 Total Fee $3,605.48
Surcharge $66.00
SAC $750.00
SAC ~ 100
9AG Units 1
Lic. Search Fee $5.00
Subtotal $2,080.98
CONTRACTOR: - Applicant - 5T. ~IC. OWNER:
DEUTSCH CONSTRUCTION INC 17583969 0001105 DEU7SCH CONST
P 0 BOX 127 P 0 BOX 127
NEW PRAGUE MN 56071 NEW PRAGUE MN 56071
(612) 758-3969 (612)758-3969
I hereb ackn wle ge thaC I have read thzs application and state that the
i f rma an 3 co rect nd agree to comply with all applicable State of Mn.
St t t s an C ty of Ea an Ordinances.
~ ~
APPLICANT/PER IT IGNATU ISSU BV: SI URE
' INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Bux~oztis
3830 Pilot Knob Road Permit Number: 0 2 2 3 4 8
Eagan, Minnesota 55123 Date Issued: 10 / 2 6 J 9 3
(612)681-4675
SITEADDRESS: ~oT: is BLOCK: 1 APPLICANT:
4721 STRATFORD LANE DEUTSCH CONSTRUCTION INC
WESTON HILLS 2ND (612) 758-3969
PERMI p SUBTYPE: TYPE OF WORK: NEw
. .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION PIREPLACE
ROU~H IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S&W CONTRACTOR - D C MECH PRV
- ~
~
REACTIVATE ~ CITY OF EAGAN
PERMI7; N 1993 BUILDING PERMIT APPLICATION
681-4675 ~
0 CT 19 1993 C~..2e~/ ~~L ~ ~~3~G 5. ~
SINGLE & MUL 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 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 / « Yaluation of work
Site Address: ~7~) Sr~AFo~o L~4w~
STREET SUfTE M
Tenant Name: (commercial only)
IAT ~ 3 BLOCK ~ SIIBD . wC 3T o u f~ ~ ~u p i D *
P4las~
Descri tion of work: ierc u~~r - SiN~~i~ ~ e~ tic
The appl i cant i s: ? Owner ~ Contractor ? Other (Deseribe)
Name R ~?v ~ o~o Ro b t ~E~~ ~~y Phone 43 S' 833a
Property ~~ST F[R5T
Owner qddress 5q7! ~o~..~Ahe R~. ~
STREET STE Y
City /x~~Nhc-~w~c~e State ~n~. Zip SS's4_~
Company De-~rs~~+ ~~MScC2~cG ~ o~. Phone 758~ 3569
Contractor Address P~• ~o,. l'~~ License # oct~ IIOS Exp. 3 31
City ~,~w r`2a~v~ State U~1nl~ Zip S~o~/
Company ~Ecseserf ~on>srt~vc~',o~. 7'n.c, Phone 7~8-3S6S
Architect/ ,1~ ^
Engineer Name /Y~A¢Vr~.. F.~cc~Tsei+ Registration ~M
Address Qo~ l~7
City I~~w P~a~u~: State rll~ai~ Zip S~loO>i
Sewer 6 water licensed plumber ~.C• Mc-cH~1c~.~c~4 ~ . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re this P lication and state that the information is
correct and agree to comply wi al ap lic b e S te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
.
BUILDING PERMIT TYPE ~ ~
? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ~ ? 16 Basement Finish
~02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE -
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ~ 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Y- N Basement sq. ft. MWCC System Yc
(Allowable) ~l lst F1. sq. ft. City Water
UBC Occupancy -~-1 2nd F1. sq. ft. PRV Required Y/ ~
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length b On-site well Census Code /a/
Depth ~ On-site sewage SAC Code
APPROVALS j
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ~ Insulation
? Wallboard ~ final ? Draintile ? Fireplace
Permi t Fee veiuetio~,: 8 ~ 3 2, D D p'~'
Surcharge GAR/a6E; 32x22 = 7oy
Pl an Rev i ew
License 3X6'/2s (La~
MWCC SAC ~
City SAC ~sM . 68y DC !6 10~944
Water Conn.
Water Meter ~ y XZo = Z$p
Acct. Deposit
S/W Permit ~"~OK Z(e ~ fo"16 _ ZNb Fi.aur2
S/W Surcharge 9'
S IS~i~l,34t~ i~5»?1"=G15~
Treatment P1.
Road Unit IsrF~oo2; 'gX`d= w
Park Ded. 6S~~QSL ~ulL= ?l
Trails Ded. ~~txg~~Z_ ~3 R7ZX5Wi
Copies ,5D
Other 3 X 6~/2 "
Total : ,5 X 8_ q ,S 2.,~~
5AC % ~Od ~ ,y t~ : 53~622
SAC units = r3i ~9N
EXTBRIOR SNVELOPE ENEA(3Y CODE COdiPUTATION WORKSHBBT
To Determine Qa~pliance with the Minnesota F~ergy Code
(Se~tion 502 of the Stabe Amended 1983 I~del EnercAr Code)
Project Title ~ p b ~~f'f l^ C l y tico oc ~
sitre Address 47 Z1 STR~4Q'1~o~~0 ~W Y..`;
I. EXPOSED WALL CALCULATIONS
ARFl~ 'U" VAI11E ARFA x "U"
A. Opaque Wall -
1. Masonry re ~.e~ x =
C,l~
b. x
a
C• j( a
2. Four~i
at rn Wa A ove Gr e
a. ~_~/~`-o~r~~ L".?~"flU.~//~,Q~/.1Zcr - 33 a,07.6 = s's •EG
b. x ~
3. Frame Wa
a. Insulated Area ~60•~6 X ~05~/ = f,3-~/9
b~ F`LaIp111g P1t28 (Ave. 158 8t 16" OC) ~7S S~ R~ n
C. FYamltg Acea (Ave. I08 et 24° oC) ~c m-~'-~~'
4. Peripheral Floor e/Rim Jnist
a. ZX/O idi~ .~/9 a ,a3~i ' ~
b x a
B. Glazirfg
1. Wirdaws Si?~/.s~~~16 f~~~ x =
b. x ~ ` s _ ~S
2. Do~s a ~_.~s bZ~S'6 x.c
C. Daors - - _ _
1. i~bod
a. Solid x .
b. W1th~ ¢tC[m x a
2. Metal `~iir/!~ T~ ,e 37- • x,p7/ a~
3. Overhead x a
4.. Other x m
D. ToR'a[. i~,u. a~,, sq. ft .00
E. zv~,r. of t~? x~ /9~'• i9
Q. ROOF/CE[LING CALCIILATIONS
A. FOoof~beilitg InenlBted Area /'~/2 •tb x ,~lz~ _ ~7/3
B. R~of~eiling Framing (Ave. 158 at 16" x) x =
C. Roof/Ceiling Fra~airg (Ave. 108 at 24" oc) U.co x~_ rLY
D. Skylight x ,
E. TOTAL I~OF/C~ILit~ AREA eq. f t . . . . . . . . . . . . . . •6 C
F. 'lU'iTelt~ (F AI~J~ X "U" ~l' i
III. BUiLDING ENVHLOPE REQUIREMENTS
• R'O~~I+ ARFA R~QIJIRID "fT" ALLOWABLB
(Frap I.D 6 II.E7 lFlrom V.1 fAcee x"U")
A. F~cposed Ftd11: ~''st~SE/cJ x , = ol'fF~/.7S
B. Ra~f~Ceiling: /i~36 Gp x ,~26 = 37~jS~
C. ~L AL[AhA~Bt.E HUIIDaiG BdVVE[iOPE (7bta1 of A 6 B above) ~~E'9
IV. ACTUAL BUILDIN(3 ENVELOPE
ACTUAL
(Are~ x "U")
A. E~osed Wall (Ftqn I.E) /-~'jf~,/9
B. IiDOf/Ceilinq (Ftan II.F) 33~6/
j
c. Tomnr. r,cnuw e~nac ra~vsa~ ~rotai of a e e> 3~~
•(Neets eode esquirments tf less than III.C) ~
V. REQUIRED "U" VALUES
F?1LI.S I~O~/CEILING
netachea one ana l.,ao family awelltnys u •°26 _f~
* Nlilti-F`a~aily Aesidential Buildirgs .238 .033
(3 stacies a less in height)
* ALl Other Oonstruction 7Ypes (3 stories or less) .236 .O6
• All Other Caistructicn Typea (More than 3 stacies) .28 .06
' 6esed oe 8007 he~Ney deyree days (Iqls/St. Paui)
Ad~ust 'U' ralues accordlnyly for other locsttons
CBRTIIrICAT10N
i hereby certify that I have cxnQleted the abwe inforniatian and that it ernQlies with fihe
Minnesota StaEe Fherc,~ Code.
A
l
Signature ~ / DATE
HCSD 3-89
CC/3Ht/6574
. . ~ ~00~~ ~~~4~~~~A~B p0~8
SIGMA Deutsch Construction Inc.
3URVEYINQ
3ERVICES INC. Gluality Custom Homes
1911 Seneca Raad ~Sa~fe E• ~ 71~
Eapen. Minneaote 55/22
Plwiw: (812) 452-3077 . fZ~n olol'~
9
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wo~utto,~NO~o,owiAowruN~l~wo .t~ ~o r+
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LMts,~~s~qwNOMiM[K~i. _ / r~'.. 5,~ \
/
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~f eti5 s asss7 .~,'a 6 r~. 1,~
v ~ I ~ u.z-~ - , \ o, p.,~ 85v\.4a
3 .r ' N . r gs r"a~tP~ _ - * . Y ~ ~ i
1`1 I Y~ • y te°- r ~ ~"p ~ o \~r.c. ~
I ~ v` ~ ~ ~'6~E op~F $SV-1~ ~_-.~_.,._60 -l ~ ~ y •p c.~ 85530 ~
/ . ' c,l.~ 'Q f ~y S6.Y ~dt' ~ .21- \ ~
t o.l%~ ~ ~ ~r i ~ , ~e. ,p } v M '
r s,~'I rigs36 .ra ~ _ ~a_- ~~CF' > , ~ s633o
ba i
~ ~1 ya o`i.: ~ ..a°, 5b~e ,~yy' ~
~ I ~ ~ \ P
+ _fF, _ , . r
~ ~ ~F-eye8 ~a° ti~'~ To K 6
~ I asv. ~ ~ ° / i- as~.sz
s~~~ o, M
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z o ~ X~,\ ~
, ~e
N ~ _.:-~~r asss ~ ~ ~,t~
/ ~~h i ~'T
xs5z.3 , ~v~...t-)
Lor l3
3 I ~ / ~~T ~o~o Vo ~L'~ls`~".C~~~~'~7
~ I X851~o / ~
o ( / / ~~~iy~
~ ~o M / j~
,
~ ~ ~
~ J /S
y
~ I ~
34~ ~
~D~ W~re Fc.~GC . ( Il = ~1
j~~;±~ e~«:d:m t
' q rse~ P~~~a1e 4~4.,y Eas~..e~}~~
t ~5~'' ~ pa.- 0~k ~~t, p
~e~. ~ __LE~G_E
_ ~ - ~~~nr~~r ~
~ec Denotes Iron Monument F~.~d PROPOSED fARAGE FLOOR ELEVATIDN= ~ 5~•~
~ Denotes Wood Hub Set PROPOSE~ TOP OF BLOCK ELEVATION= s~~p S8• ~
k856.Y Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR EIEVATION=` 5 O.0
fxes~.7~ Denotes Proposed Spot Elevation
f--'-~ Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and
f'loor Heights with Final Nouse Plans.
-PROPERTY DESCRIPTION-
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
Lot 13, Block 1,, WE5TDN HILLS report was prepared by me or under my
2ND ADDITION, according to the,::,:,.., direct supervision and that I am a duly
recorded plat thereof, Dakota Registered Land Surveyor under the laws of
County, Minnesota. the 5tate of M'nnes qta.
~I~C ~ `~1~Date: (b~ ~
Wayne D. Cordes, Minn. Reg. No. 14675
.
" LOT SIIRVEY CHECKLIST FOR RESIDENTIAL
Pii SDILDING ERMIT APPLICATION
m
~ ~ ¢ PROPERTY LEGALf ~ ~
~ ~ w
~ ~ N Date oP Burvey:
~
~ ~ DOCUMENT BTANDARDS
~0 ? • Registered Land Surveyor signature and company
L~ 0 0 • Building Permit Applicant
fd~ ? ? • Legal description
0 C~ 0 • Address
C}~0 ? • North arrow and bar scale
jY ? ~ • House type (rambler, walkout, split w/o, split entry,
~lookout, etc.)
? • Directional drainage arrows with slope/gradient 8.
~0 ~ • Proposed/existing sewer and water services
C-~~ ? • Street name
~ ? ~ Driveway
ELEVATIONS
Existina
? ~0 • Sewer service
Q~ 0 ? • Lot corners
0~ • Top of curb at the driveway
? B? • Elevations of any existing adjacent homes
Prouosed ~
~ 0 0 • Garage floor
0~? ? First floor
Cr ? ? • Lowest exposed elevation (walkout/window)
B_~~ ? • Property corners
B" • Front and rear of home at the foundation
PONDZNf3 AREAS fif applicable)
? f3 ? • Easement line
? 0~ ? • NWL
O ? • xwL
? C-r~ • Pond # designation
0 ~ ? • Emergency Overflow Elevation
DIMENSIONS
? • Lot lines
0 • Right-of-way and street width (to back of curb)
8' • Proposed home dimensions inc:Luding any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
~p ? • Show all easements of record and any City utilities within
those easements
0 • Setbacks of propose structure and setback of adjacent
/ existing h
p~? • Retaini e irements, if any
Reviewed: U Q
a ame / Date
October 1992
. J
~ ~ \
gy,~
~ . . . s + 4 ~ y S~ , ~ 17~,j~ ~K
~ 4~ ~ ~m~t F3a~S>~ ~ ; s
~ r ~ ~ a :
~D ~ ~~t C~". ~`k~..~~..>..>., x ~ + . . M,,,
Q ":~.Y.Y 5E . ~:t.£:. ,e,~,~~4~'`w~a'k.ww~"~flk <M~;~a~.r.~~~„'n Y~~^ti.. : u
1993 MECHArTICAL PERMIT (RESIDFNTIAL)
CITY OF EAGAN
3830 PILOT KN~B RD
FAGAN MN 55122
(612) 681-4675 -
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
W..
v NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FLJ~ri'AC~,
DATE ~5 ~9 ' -
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 C~3.00 EACH) ~~a • Q0
ADD-ON/REMODEL (ExISTING CONSTRUCTION) $ 15.00
STATE SL72CHARGE .50
TOTAL ~~36.56
SITE ADDRESS: y7~~ ~2,-t~
OWNER NAME: /~~a-r
~ (~-r-~-{' ' TELEPHONE 7. 5~ - 3~~ g
INSTALLER: ~.z.~ho ~tu*- ._5~-~ •
ADDRESS: ~ 9
r~~ .1a -P-r ~i.~ ~ ~
CITY: C 7./LLm ~ STATE: - ZIP CODE:11;~3 ]~-J
TELEPHONE 'S~S~7 / ~/a ~
-.~--u-
SIG ATURE OF PER ITTE
~~.Y
~
~ ~ i ~ w"d. , J' aG ie t y ~i ~ ` 3. ~ ~
s~:c ~ x i £ ~ JF S E3~w ~"~s r~ ' ~ r. ~,i,,.~ i., z ~ .s5
. , ~ f i - ~'~'~t~ s 5Ts s' ~(~~~¢~~t~F~~r.w.~.:>~~~"~'k.*r.~wr.su~°F~i3 ...,sf .
s. ,.>xr., . e...¢, 0.:3,..,..e.'§uP..,.L.<. a 3...~..a..~`»,~c.'Y.ES
1993 MECHANICAL PERMTT (CONiMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI~R MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DAT'E: CONTRACf PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CON'TRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,OOD OF ~ER3~3Tf FEE.
TOTAL $
SITE AUD~ZESS:
OWNER NAME: TELEPI-IONE
TENANT NAME: (IMPROVEMENT'S ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHO'v`E
SIGNATURE OF PERMITTEE CTTY INSPECTOR
` ~'~s~~'~
¢ 9 x x 4 vt~ t r.i '£Sz< t ~ r ~i. a ai o F1~ `4ES~< a"a ~a ; ~ x
} - a > % xa ho£'~> "~y"°`x°~a tse 4,~ : ~ '
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1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIX1'URES T~T~-
~ SHOWER 3•~ ~
3 WATER CLOSET 3.00 9•a~
~ BATH TUB 3.00 le •az~
LAVATORY 3•«1 ~~3
~ KITCHEN SINK 3.00 ~
LAUNDRY TRAY 3.00 3•rJa
I30T TUB/SPA 3,~
~ WATER HEATER 3.00 3 • ~
FLOOR DRAIN 3•00 3. U°
1 GAS PIPING OUTLET •~;mum 3.00 3-o'~
ROUGH OPENINGS 1.50 ~ • S~
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 1S.OO
U.G. SPRINKLER • nome under co~s~. 3.00
ALTERATIONS ' to odsting 15.00
WATER TURN AROUND 15.00
~lc • s~
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: ~ .~Tr~~~
OWNER NAME: ~~~c.,Fsc~i c.=,dn.s/r[~f~6
=-J
INSTALLER: ~ ' ~Y) t~ ~i .~~u-c.c.~
ADDRESS: '7/!7 l~ ~.~L
CTTY: Cc 6~~- STATE: ZIP CODE:
PHONE ( ~9~ ~ ~~-S~
J i'~~V
SIGNATURE OF PERMITTEE
,
~ ~JS~ ~I~Y
~ , y : a ' x~ ~ ~ i~!e, ~ uu~ x' o ~'"e
~ k t "3 i69 ~b6 e~ ~ 9+t'~ 9L 9
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~A s . ,..:,~.z . . s , ; z_MEx><.., fs?a~ #,.c.>'tx ?:z~~~~~,~,,,,~~sx~~T@.t3?'.£.~
ks.,a~ls3#a a..3 if A ~
1993 PLUMBING PERNIIT (COMI1~IIIiCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681~i675
PLEASE COMPLETE FOR ALL COD~IlvIERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING UNTf.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRAGT FEE.
STATE SURCHARGE $SO FOR EACH $1,000 OF p~~' FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
S~TE ADDRESS:
TENANT NAME: S1'E #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
` ' . ( ~~'.__..-8_____"'__
I
~ ~,...:~~1~._ ~
Cit~ of Ea~~Il ~ Pe~rt ~3 ~
j PermitFee:~ I Q.JCJ' ~
3830 Pilot Knob Roed 2
Eagan MN 55122 ~ oate Received:~' '?Q' i
Phone: (651) 675-5675 ~t_ , ~ 5can• ~'~a~~ ~
Fax: (651) 6755694 ~ • U,~ (~(i..~VIL~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ Zwp Site Address:
Tenant: Suite
RESIDENT/OWNER Name: ~f~b~,(~ }CIy1Gi~~ Phone:~ y~ ~~o~
Address / City / Zip: '7 / ~'Q)..Yej,'~~a ~ ~QA S"'S~Z„3
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description otwork: 1~~ Y11~~~ ~ l.(/
~
Constnictlon Cost: ~ST~'L~, Multi-Family Building: (Yes N~ ~r~~
CONTRACTOR Name: 1 . License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenllal Ventilation Category 1 Worksheet . New Eneigy Code Worlcsheet
C8t990ty Submitted Submitted
Submi3siOn tyPe) • Energy Envelope Calculations Submitted
In the last 12 morrths, has the City of Eagan Issued a permtt for a slmiWr plan based on a master plan?
_Yes _No If yes, data and address of master plan:
Licensed Plumber: Phone:
Mechenieal Contractor: Phone:
Sewer & Water Contractor: phorre:
aaNOTE <Rlans and sup~wrtkrg-documents that you`submltare r~ansirl~tl~ta,be~terbHa helormatmr~'~'Portrons ofx~
i,~t@ lti/O~J~IB[fOlt ft~j~ b9 RlA3$~R@6l +~9,lXDII
~~~~y~~I`CyI~ yyyt3N~{!,I`~J9'F18Clf~fC• ItA85OC18~;~1# W4!(~!/~ t~78 ~~O
~~/~?~~.~:~Sl)~ .a~k~~X~y\~~~~, ~ ~~\.~~.~YVV~I/~UIg.~~.~5ltl;~rilva'~~K~~`~:k`~~'~\~~4\~U~l\5~~~~. -!r+'~~?..~'.
I hereby acknowledge ihat this informazion is complete and accurate; that the work will be in conformance wkh the ordinances and codes of the Cfty of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not ta start w out a permi[; that the work will be in
accordance with the approved plan In the case of work which requires a review and approvBJ of plans.
x~(I7(L~ S.Iv?Q Ol~ .l x ,
ApplicanYs Prirtted Name ~ AppllcaM's Signeture
Page 1 of 3
~ DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex O Accessory Bullding ? Pool
? Single Family ? 06-plex ? Flreplace ? Porch (3-season) - ? Ext. Alt. - Multl
? 01 of _ Plex ? W-plex ? Garage ~ Porch (4-season) ? Ext. Alt.-SF
? 02-Plex ~O OB-plex ? Deck ? Porch (screeNgazebo/pergola) ? Muitl Misc.
? 03-Plex ? 70-plax ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscelianeous ~
WORK TYPES
? New ? Irrterior ImprovemeM ? Siding ? Demolish Building'
~Addltion ? Move Building ? Reroof ? Demolish Interior
? Alteretion ? Fre Repair ? Windows ? Demolish Foundetion
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: / ~7'(/
- Valuatlon rjj Occupancy ,L..1 MCES System
T_~~_~_
Plan Review Code EdiUon ~ SAC Units
(25%_ t 00%~ Zoning City Water
Census Code Storfes Booster Pump _
# of Units Square Feet PRV
k of Bufldings Lengih Fire Sprinklers
Type o} Const. ~ Width _
REQUIREDINSPECTIONS
Footings(new bidg) ~ Sheetrock - ~
~ Footings (deck) Final/C.O.
~ Footings (addition) Final/No GO.
_ Foundation HVAC
Drain Tile Ofher:
Raof: Ice R Water _Final Pool: _Footings Air/Gas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation _ Remining Wall -
-_.7_
Reviewed By: ~ ~ . Building Inspector
RESIDENT/AL FEES:
Base Fee
Surcharge q^~p r/ ~
Plan Review ~X ~ ' ~ ~Q ~ ~G t ~ 1S L ' ~ ~ ~ 'b Q
MC/ES SAC
City SAC ~ ~~vv ~lL~ i~
Utllity Conaeetlon Charge
S&W Permit & Surcharge y~,, ' ~
Treatment Plant ~G.~~,~v ~
Copies ,(./~Onq.T l/ ~`,VLJ ~ " ( C' 1~17
ivvy i ~
Total
Page 2 of 3
~
Generated by REScheck-Web Soffware
Compliance Certificate
Project Title: Kitchen Addition - Remodel
Report Date: 07~ao~oa
Energy Code: 2000 Minnesota Energy Code
Location: Dakota County, Minnesota
Construction Type: Single Famlly
Glazing Area Percentage: 23%
Climate Zone: 2
ConsVUCtion Site: OwnerlAgent: Designer/Contrador:
4721 Strattord Lane Ro6ert Ringold
Eagan, Minnesota 55723 4721 Strattord Lane
Eagan, Minnesota 55123
651 454 5167
bsringold@comcast. net -
Compliance: 2.4°k Better Than Code Maximum UA: 41 Your UA: 40
.
Ceiling 1: Flat or Scissor Truss 160 49.0 0.0 4
Floori: All-Wood JoisUTruss Over Outside Air 760 40.0 7.0 3
Wall 1: Wood Frame, t6in. o.c. 64 21.0 0.0 3
Wintlow 1: Above-Grade, Wood, 2 Pane w/ Low-E 6 0.300 2
Window 2: Above-Grade, Wood, 2 Pane wl Low-E 6 0.300 2
Wall 2: Wood Frame, i6in. o.c. 160 21.0 0.0 6
Door 1: Glass 33 0290 10
Window 3: Abov~Grade, Wood, 2 Pane w! Low-E 15 0.300 5
Wall 3: Wood Frame, ifiin. o.c. 64 27.0 0.0 3
Window 4: Above-Grade, Wood, 2 Pane w/ Low-E 5 0.300 2
Compliance Stafement The proposed building design descri6ed here is consis[ent with the "Iding plans, specifications, and other
calculations su6mined with the permit application. The proposed building has been designe to eet the 2000 Minnesota Energy Code
requirements in REScheck-Web and to comply with the mandatory req emen listed in t e R Sc I ck Inspec6on h~list.
~~~~LV ~41V~~ "~L.~~.l~i!C/ rl_ F ~
Name - Title Signature Da
_...._.__......_____._.._.........____w._____..__..__._..___~____._._._._...._-...,..,.~_.._______..,.._.,..,._..__~.__.._._._____...._____._.~____.____....____..__..__._,__
Project Title: Kitchen Addition - Remodel Report date: 07l30/OB
Data flename: Page i of 3
~
Generated by REScheck-Web 5oftware
REScheck Inspection Checklist
Date: 07/27/OS ~
Plan Review and Inspection Issues
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The
items apply to Group R, Division 3 Occupancies, one- and M1vo-family residenGal dwellings. The items marked with' apply only to detached
one- and two-(amily residential dwellings.
Plan Review Issues
Foundation Inspection:
Foundation wall insulation R-5 minimum.
~ Foundalion insulation extends from top of wall down to top of the footing.
~ Exterior foundation insulation is covered by a protective coating finish.
Concrete Slab or UnderSlab Inspection:
~ Slab on qrade perimeler insulation R-5 minimum.
~ Slab insulation extends from top of slab to design frost line or top of footing.
~ Floors over unhealed space R-30 minimum.
Windows / Doors ! Skylights:
~ Averege U-value Is 0.37 maximum for windows and glass doors (excludes foundation windows).
~ Window U-values consistent with building plan and REScheck Certifcate.
~ Window and door areas consistent with building plan and REScheck Certifica[e.
Mechanical Ventllation Issues:
~ Residendal mechanical ventila[ion system provides adequate ventilation per code requirements'.
~ Fumace efficiency is consistent with REScheck Certificate or building plan.
~ Protection against excessive depressurization is installed per code requiremenis`.
Envelope Insulation for Plan Review:
~ Interior basement insulation R-5 minimum (if no exterior insulation).
0 Ceilings with atfics R-38 minimum or consistent with building plan and REScheck Certificate.
~ Wall framing and insulation level is consistent with 6uilding design and REScheck Cert~cate.
Inspection Issues
Concealed Insulation
Framing and Sheathing:
~ Wind wash barrier installed at attic edge.
~ Extenor wall corners framed so that insulation can be installed after exterior sheathing is inshalled.
~ Intersections of interior partilion walls and exterior walls framed so that insulation can be installed between the partition and exterior
sheathing after exterior sheathing is installed. ~
~ Gaps belween freming lass than one-half inch are eliminated by securing 6aming toge[her or are insulated at ihe time of assembly'.
~ All penetrations belween condi6oned and unconditioned spaces made prior to framing inspection are sealed'.
Interior Air Barrier: ~
~ All fre stops are air sealed.
~ Pipes, duds, wires, equipment and flues and chimneys through the interior air barrier are sealed.
Project Title: Report date: 07/27/08
Dala ~ilename: Page 2 of 3
~ ? A sealed continuous interior air barrier is installed on ihe warm side of the building envelope at ceilings~ walls~ and floor rim joist areas
Air 6arrier behind tub and shower is sealed and protected.
' ~ Recessed light fixtures are sealed. '
Envelope Insulation:
~ Basement insulation R-5 minimum.
~ Wind wash barrier on wall separaling house and garage is sealed.
~ Loose fill insulation is prevented from entering the eaves.
~ Insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side.
Attlc Insulation: ~
~ Attic access panel insulated to R38 ior cellinq panel and R-19 for wall panel. ~
~ Attic card attached to framing near access opening.
~ Notification of attic R-value and date of installation posted near building permil inspection card.
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service
InFOrmation Center at 651-296-5175 or 1-800-857-3710. ~
Project Title: Report date: 07/27l08
Dafa filename: Page 3 of 3
~ ~~~4~~~~~4~ ~~~o ~
~~~~q Deutsch ~anstruction 9nc. .
sURVEVS~G
s~~avacES a~ec. Cauafity Gustom Homes
~ - -
f9~ ~ Seneca Rned •S4~}e E• y
Eapan, Minneeota 55122 ~
Phone: ~812) 452-3077 . ~i vtt30 ' ~
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~ ~ Denotes Iren Morument F~^d PROPOSED GARFGE FLOOR ELEVATION= ` ~
a Denotes Wood Hu6 Set PROPOSED TOP OF BLOCK ELFVATION= S8~
i ~Qh~~e i
Clt~ 0~ ~fl~I~Il ~ Permrca ~`i i
D
~ Permit Fee: y 5
3830 Pilot Knob Road j 2 j
Eagen MN 55122 1 Date Received: ':J~' d~ ~
Phone: (651) 675-5675 ~ ~Q~/ ~
Fax: (651) 675-5694 j~tt r~~- I
2008 MECHANICAL P(~ERMIT APPLICATION
Date: Site Addrees: ~I~Ie~ I ~3t`IG.X~ J'~ ~G' K
Tenant: Suite
RESIDENT / OWNER Name: ~~h Ol~ Phone:~I ~I~L~ S 1~n t
Address / CiTy / Zp: ~ QH- NN ~
CONTRACTOR Name: ~ F~ License
Address:
City: State: Zp:
Phone: Contad Person:
TYPE OF WORK New _ Replacemerrt _ Add'Rional _ Alteration _ Demolition
Descriptlon of worki 1~~ 'R ` -0L ~ ~~S
~r,~M0T~n8atlr roof mounted arnt g~ound rrrouated m~hanlcai equipme~t~is i~q~ui±~ad fo~~
~d`e` scr~t~sifby C1ty~C~,ode 'Atease
cL`n'tactYlt~e~MecAa~`nl~af A'~afiactorai
one of th~r
Y C~ 4 J e. \ Y,.>, u .1~x~ '~/`.~C~. wF Y t> .,kG ~X
' ,,.`Plsn~rslt7l;~MbF~HWt`O!e rmltteif`ssreeat ~rn th3d's...`~~°<~~°. . -~k~l.`~Ki
PERMIT TYPE RESfDENTIAL COMMERCIAL
Furnace _ New Construdion _ Interior Improvement
Air Conditioner - ~nstall Piping _ Processed
_ Air Exchanger - Gas _ Exlenor HVAC Unit
' HVAC unks must be screenetl
_ Heat Pump Under / Above ground Tank ~ Install / Remove)
Other " When inetaliing/removing tank(s), call for inspection hy Fire
Marshal and Plumhin Ins ctor
RES/DENTIAL FEES:
$50.50 Minimum Add-on or alteration [o an existing unit (indudes $.50 State Surcharge)
$90.5~ Fi~B f0p81~ (replace burned out appliances, duclwork, etc.) (includes $.50 Siste SUtcha~ga)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Conuact Value $ x 1%
$50.50 'Mmimum (includes State Surcharge)
_ $ Pertnit Fee
- If ertnit Fee is less than 51,000, surcharge is $.50.
- It PermH Fee is >=t,OW, surcharge increases by $.SO lor each State Surdtarge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknoN9edge that this infortnatlon is complete and accurate; that the xork wiil be in confortnance wiM tlie ordinances and cafes oF the City of Eagan; that
I u~erstand Mis i5 not a permit, but only an applicaUOn for a pertnit, and vrork is not to start witho{rt a permtt; that the ~II be In accordance xith the approved
plan in Me case af work which requires a review and approval of plans. ~
x_ 1G"~JO~L' ~Clv'~ A Cl~ a.~c~. x C
AppllcanYs Printed Name ApplicarH's Signature
r c ~r ~ . <<a„~ ~ ~~'~e ~a~tlh -k'`Yr k~ :G~
iPUR OPFIIC~ US~~ m t~',x ~ ? y,~ ~ ~ ~ > ~ s~aR9vieuYptl"PY n ~ s~ ~ (~f~tg
'~x~t : ~ Y~~"{~ - C+~Y ~~~~~k ~ s tr s ~yv~} x~ ~ ~l ei ~ ~ s )'~%F. ;,~~.~5\} r^'~~>
~Require~lnspecftans.r 4+'~Under-Grou~d ~~:Rorlghin~r ~Airiest~;` s Ga3Servicetsst~~~tin4(vorkieaY~y ~nal~;tg ~aa'~~;'
i----------------,
i ~~~~~~ry"~ /r I
City of E~~aIl i Permi[ # l~ i
3830 Pilot Knob Road j Permit Fee: ~
Eagan MN 55122 i oate Rece~ved: ~
Phone: (651) 6755675 I 1f l
Fax: (651) 675-5694 i stan: r~ ~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
om~:.J.,. Zc~t1 ~te~dregs: y~l 5~cc~.rc~ 1~,vs~ ~.iaG.,., l~~1 ~S iZ3
Tenant: Suite
RESIDENT/OWNER Name: Ih O~~ Phone:C~SI ~~5~^~ S 1~o~
Address ! Cky / Zip: cS ~ C~~... 1~•.
CONTRACTOR Name: License
Address:
City: State: Zp:
Phone: Contact Person: ~
TYPE OF WORK _ New _ Replacemen\t-,, Repair _ Re6uild~ ~ p~M~odify Space _ Work in R.O.W.
Descri ion of work: K~~'^"'^ ~e~` `~~e S\wyL
PEpMIT TYPE f#ESlDENTIAL
Water Heater _ Water Softener
lawn Irrigation - Add Plumbing Fixtures
~ RPZ PV B) ~ Main _ Lower Levei}
5eptic System _ Water Turnaround
New
Abandonment
RES(DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.5o State Surcharge)
$30.50 lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $.s0 State Surcharge)
"Water Turnaround (add $136.00 it a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as 6uift) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this iMormation 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 applicatlon fa a permit, and work is not to star[ wfth ~ta permit th ihe work xnll he in
accordance vrith the approved plan in the case ot work which requires a review and approv~l of plans. ~
x K+~b2~ C~~~a c~td J r- a ~ e.
AppifcanTs Prlmed Name ~ pppl(canYs Signature
~ ~ cv~CXa 1 A~1~F s.4 ~ ~ ~
'FL~Rl~~'~IE.'El~$ `k ~ ~y . ~ ~ }~,gVlBWe~~~#3y ~ r ~ - r~ r E18t8'~.,~ ~
a <
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,~R¢~L~IT~B(~ ~K1Gij~S~th~C ~ ~6Xj~tE7tlYtt~ \ ~ '~d1Jg~1 ,ff1 y_,,,,E11C ~95~'~ `~y3$'~S3( 'z ~lI{8~,~~Y,~~ ~
4~"`~`~ :
v vJ 4\ ~?~r., "'^~n.~. >D.s,~< .4G~'`"t""~ ~uS ~ x;z
,
~ ~
Cit~ of Ea~an j Pertnit# v~ ~
~ PertnitFee: /JEJ`~v ~
3830 PilotKnob Road
Eagan MN 55122 . j Date Received: j
Phone:~651)675-5675 ~ ~ ~
Fdx: (651) 675-5694 ~ Staff: ~
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ite Address: ~'C'l(i`~\~.1TCl~ L~K~ rCAAah M u
~ Tenant: cS ~ c7` Suite
RESIDENTlOWNER Name~~PJG'!~\Y~A~A Phone:(~$~ ~rsy S~~I
Address / City / Zip: 'L70~ ~ ~ V ~A,v~~e ~QG.r S512 3
Applicant is: ~ Owner _ Contractor
TYPEOF WORK Descriptionofwork: ~ r~~~JrT~~(~7~/1 !o
Construction Cost: Multi-Family Building: (Yes _ 1 No~) ~ r
~l
CONTRACTOR Name: License ~ G"
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category submmed submined
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
MechanicalContrector: Pho~e:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submif are cortslde/red to 6e public information. PorE+ons of
the information may be classHled as non-public if you provide specef7c reasons fhai would peranlt the City to
' conGude Ehaf the are trade secrets.
I hereby acknowledge that this information is complete and accurafe; ihat the work will be in~conformance with lhe ordinances and codes of the City of
Eagan; that I understantl this is not a permil, but onty an application (or a permit, and ork is not to s without a permit; ihat the work will be in
accordance with the approved plan in lhe case of work which requires a review and appro I of plans.
~a~t ~7i
~v~a ok~ _
Applicant's Printed N me ApplicanYs Signatu
Page 1 of 3
f
' . I ~~R~~f D?~ ,
' DO NOT WRITE BELOW THIS LINE Z~~~~~
SUB TYPES
_ Foundatlon _ Fireplace _ Porch (3Season) _ Stortn Damage
_ Single Pamlly Garoge _ Porch ~45eason) _ Exterior Alteradon (Single Family)
_ Multi ~ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
07 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
Addition _ Move Building _ Reroof _ Uemolish Interior
AlteroUon _ Fire Repafr _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
'Demolition of antire building - give PCA handout to applicant
DESCRIPTION
Valuation OV J Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100°/a~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction ~ Width
REQUIRE~ INSPECTIONS
Footings (New Building) _ Sheetrock
~ Footings (Deck) Final / C.O. Required
_ Footings (Addition) ~ Final / No C.O. Required
Foundation HVAC
Drein Tile Other:
Roof: Ice 8 Water Final Pool: _Footings _AirlGas Tests _Final
Framing _ Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: _ROUgh In _Air Test _Final _ Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: T(/ . Building Inspector
RESIDENTIAL FEES
sase Fee % ~ / ~ /G i~
1 I L, / ~/C/
Surcharge rlJf ~
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
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- Dareies 4ioed 'r',ub Se ~ °RO?uSEG TC~ OF ?LOCn ELEVATIOi1= ~i
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4721 Stratford Lane
Lot: 13 Block: 1 Addition: Weston Hills 2nd
PID:10- 83751- 130 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Maintenance Free Minnesota
4741 University Ave. NE
Minneapolis MN 55421
(763) 560 -6140
ctures are not acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Robert C Ringold Jr
4721 Stratford Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA077460
04/25/2007
ePermit
I For Office Use I
non Permit C) C>
City of EaEd
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I staff:
Fax: (651) 675-5694 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: c\\ ite Address: L17o?I 5 cc cQ 3 L~~Q Saaa, h u
Tenant: S c7~ Suite
RESIDENT /OWNER Name ZnAO\O, Phone:(pS I 9Sq S-1(01
Address / City / Zip: '17A~ CC~eJ L&AQ - SS 12 3
Applicant is: - Owner Contractor / 4Y,241`414, 7 TYPE OF WORK Description of work: /`fi 1e ~7 yr-nUd~J
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(q submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 ork is not to s without a permit; that the work will be in
accordance with the approvedd plan in the case of work which requires a review and appro I of plans.
X8`t K11~q O`~-t x
Applicant's Printed N me Applicant's Signatur
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 0
SUB TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
[ Addition Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction I/A Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In -Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review /
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
1 (~7
(/7 I 0,
- -
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ÿ÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144995
Date Issued:08/18/2017
Permit Category:ePermit
Site Address: 4721 Stratford Lane
Lot:013 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Robert C Ringold Jr
4721 Stratford Lane
Eagan MN 55122
(651) 454-5161
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature