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4725 Stratford LanePERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127359 Date Issued:09/30/2014 Permit Category:ePermit Site Address: 4725 Stratford Lane Lot:014 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Dan Neubauer 41531 237th Ave Lecenter, MN 56057 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Mark J Kelley 4725 Stratford Lane Eagan MN 55123 (651) 247-3261 Blue Sky Mechanical Llc 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature ~ ~ ~ , . ~ r p - ' ~ Gs~e~ti~icate o~ ~cc~anc~ ~ ~ ~it~ o f ~agan ~~,~a~»~t ~~~?~au Tlris Certificate isstted pursuant to ihe ~quirements of ~he UnE}'orm Building Code certifying that at the time of issuance ~his stnecture was in compliance wirh the various o~inances of the City r~gulating building construction or use. For the following: ux c~;~~: SF DfiG / GA~ Bldg. Permit No. Z Z G 7~ OowPancy Type R-3 M-i Zmin~ Disuict R-1 Type Cons~. VT1 o,~de,,;w;Ag DON JOHIiSON E10lIES nam~ 4639 PABK RiDCE DR_ , FArAN 55123 eu~ding.~ddrcss 4725 STbtATFO~tQ LII t,o~~ty L14. Bl. WESZON HILLS 2ND ~-~co~.~.~~ y 5-~ B~~ ~ POST IN A CONSPICUOUS PLACE , ~ ~ , . ~ -INSPECTIDN RECORD . - CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: , , r , APPLICANT: ; r~ I I uk11 ! AMf i~~,:t+ +~I~I II~tNi~ IIdF . U~?~q11~ i • . ~i~~ ~i { ~ l {''ll+ , f i, ! ~ :1' . i,~.~ ,.r PERNtIT SUBTYPE: TYPE OF WORK: ~ . ~ ~1. 1I • ~ i,. ~ i i~. . ; ~~~I~~lir~~ ( 1~~~ I ~~,r~l ~(~.ir; fi illll I .i~~ r~~~~r., ~ i~:i fa~ r . ~ r,~~~~,ti i ra r i~ili,tf I tl t~, . ' ` ' ~ I~"~ ~ I N~ZI '~iCa ~ i ~ , . i i ~ I I;i ~11 .~i i i~ ~ ' ~ . ~ ' - ~1'1:Y'~~L"17rR1fi1lNR~A I ~ ~ J F Permit No. Permft Holder DsM Telephone 11 SM/ ' , PLUMBING ~ dL ~f ~ HVAC ~ 4 ~'-Q ELECTR D D • ~~0 9 ~ ELECTRIC Inspection Date Inap. Comments Footings I I 3 ~ Foundation i Framing % y ~ Roofing P~~. 253' -z - G l Rough Htg. ~ ~ ~ Isul. ~ ~ ~y ~y Fnal Hlg. ~J(/ .~JO,r- ' Orsat TeSt ~ r Finat Plbg. ~ 5 Plbg. Inspector - Notify Plumber pSf Const. Meter EngrJPlan Bldg. Final ~ ~ T\ V Deck Fty. Deck Final Well Pr. Disp. Q'~ d ~ ~~L INSPECTION RECORD L>> CITY ~F EAGAN PERMIT TYPE: " 3830 Pilot Knob Road Permit Number. ` s'' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' SITE ADDRESS: ~ , " , i' , APPLICANT: ~ • jaA f f'Ukl~~ I AN1 i, MANK t t ~~fl II ! I I , tll~ , < < . . ~ PERMIT SUBTYPE: TYPE OF WORK: . . . , ; i ii~. ; ~ i~,~~ ~ ~ l~ ~ Permk No. Permk Holdar Date Telephons 1f ELECTRIC PLUMBING HVAC InspeeNon Data Insp. Comments FOOTINGS . FOllND FRAMIMG ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ~ DECK FINAL 13 ~ . DAY I DA.TFF J`7 4jL . ADDRESS ~~/,='1~'~ ' f . FTG. TIME l, D'~ ~ FOUNDATION ~~lENTS: FRAHING lt00FING 4,/~,~~~c ~ ( ~ INSULATION ~ FIREPLA~E /I i,~,<.''' ~.1/`'~~'Q' ~ R.I . HTG. i~ - ~ ~ -r~ AIR Y'EST ~ R.I. PLBG. ~6~ ~b~rl~S~ FINAL HTG. J FINAL PLBG. G ~ ~ FINAL ~/0 DE~K FTG. DE~K FI~IAL , i' ~ : , FOR : - f ~ - 97~ ~G ~Z.~~,~~ . ~5~-~-p _ Z , ~ -d- ~ ~~i.7 G/~ ~ r-t ~ ~ -~y,4-n G~ _ ~ a' ~ . ~~~06 0 ~4 0 1 ~ ~ ~ 9o7w Reques~ D-te Fire No. Rough-in Inspe ion NOTCE: You Must Call Eledrical Inepeclor / 4/ Requimd? A RougRln Inspec[ion ~ 7 Yes ? No Is Requiretl. I~'licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldrass (Street, Box or Route No.) Ciry 7;~..r s rc~A t-~~ 1.4-~ < ,~=.4 Sectlon Na. Tawrrehip Name or No. Fenge No. Counry ,J.-4 Ka~ Occ~Pant~(`PR~T) ~~~s~.. P~~s. b~- 7' Pawer 5upplie Address TJf~~`e~ t~I~c}~~ ~~2~~H~,.,r~~. Elechical oNractor ~COmpany Name) J ConiractorS License No i£.6 Z G~1 L C f2lC, u 2 I:t'~'' Mailirg Atltlress ~Cony~cbr or Owner Maki~g Ins~allafion) ,~'u Y ,z'-z~+~'a ~~~cvtl(.e ..r..../~7'o y~~/ Autlionzetl SjgnaW(e (Contraclor/Owner aking nstallation) P~~ Numbe~ :a'-ii 2 z - Yr.s~ < <GCNY MINNESOTA STATE BOAfl~ OF ELECTHICRY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bitlg. - Room 5-1]3 . BE ACCEPTEO BV THE STATE BOAFD 18R1 UnWersity Ave., St Poul, MN 55709 UNLE55 ~ROPEF INSPECTION FEE IS Pho~ (612) 862-0900 ENCLOSED. ~/~p C~ ~ RE~UEST FOR ELECTRICAL INSPECTION es-oaam-oe p!~ ~+.g ? See ins~mc[iona br comple~ing ~his form on ~ack af yellaw wpy. / S+ i~~ ~ii. . ~ V ! 1~1 6~ J~-F ~ X' Be/ow Work Covered by This Request e d Rep. TypeotBuilding AppliancesWired EquipmeniWired ~ Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm.llndustrial ~ Fumace Otner (Specify) Farm Air Conditioner Other (specity~ Gontradork Remarks: Compute lnspecfion Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O~~ 0 to 100 Amps O~- Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspenor5 Use Only: TOTAqL Irrigation Booms ~ GQ ~ / ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby Rough-in oa~'~-7~ - certify that fhe above inspeCtion has F;nei oat been made. ~-u~3-Y OFFlCE USE ONLY This raquest witl 18 moMhs from Address 4725 STRATFORD LN Zip 5512_ IAt 14 Blk 1 Sub ~STON HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FI AL SPECTION. Date: a Yes No Inspect • r Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Pennanent driveway Permanent gas Sod/Seeded grass TraiUwrb damage ~~y~J 0~~~ Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and ihe shutoff of water supply to the outside lawn faucet before heeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White • City Copy Yellow - Residenl Copy Pink - Conlractor Copy ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z ~ o z N~ Eagan, Minnesota 55123 Permit Number: 0 2 2 6 7 3 (612) 681-4675 Date Issued: 1 Z/ 0 8 J 9 3 SITE ADDRESS: 4725 STRATFORD ~ANE `~i1~~ LOT: 14 BLpCK: 1 WESTON HILLS 2ND ly~~,~I3 P.Z.N.: 10-83751-140-01 DESCRIPTION: r Building~~Permit Type SF pWG Building Wbrk 7ype NEW r~16C Occupanay~\ R-8 M-1 / Construction Typ,e V-N % Zaning ; R-1 ~ 8uilding Length j 60 ~ 9uilding Width 39 ~ Building stories ~ / 2 4.._.\ i:~•~4/ . ` 1 ~ \ ~ ~~A~ n ~ i/ / V' ~ ~ ] r ~LI~.J C°(/ ~l~ ~~~~~~~J\ ~ ~~~J~t,~ v1=Y\li\: u ~ ~ REMARKS: PRV S& W pLBR - OLBERG FEE SUMMARY: VALUATION $149,000 Base Fee $811.00 MISCELLANEOUS $1,744.50 Plan Review $527.15 Total Fee $3,907.15 Surcharge $74.50 SAC $750.00 SAC ~ 100 5AC Units 1 Subtotal $2,162.65 C(~NTRACTOR: - Applicant - sT. ~IC. OWNER: HNSON HOMES INC, DONALO 14560034 0001603 DON JOHNSON HOMES 4639 PARK RIDGE DR 4699 PARK RIpGE DR EAGAN MN 55123 EAGAN MN 55123 (612) 456-~634 (612)456-0034 S hereby acknowledge that T have read this application and state that the infnrmatian is correct and agree to comply with all applicable 5tate of Mn. Statutes and City of Eagan Ordinances. ~ J ,~~c~ R~;~;(`,~°' APPL ANTfPERMITEE SIGNATURE ISSUED BV: IG~-A~E 1~~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: g u z ~ o z N ~ 3830 Pilot Knob Road Permit Number: 0 2 2 6 7 3 Eagan, Minnesota 55123 ~ate Issued: 12 / 0 8/ 9 3 (612) 681-4675 SITE ADDRESS: or : i a B L 0 C K: 1 APPLICANT: 4725 STRATFORD LANE JOHNSON HOMES INC, DONALL] WESTON HILLS 2ND {612) 456-9034 PERMIT SUBTYPE: TYPE OF WORK: SF DWG N~W . „ . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PlB6 ROUGH IN HTG FINAL PLBG FSNAL REMARKS: PRV S& W PLBR - OLBERG I ~ I- J REACTIYATE _ CITY OF EAGAN PErtrtlT r . 1993 BUILDING PERMIT APPLICATION ~k ~~t ' ~ ~ 681-4675 - f SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies:. 1) when permit is typed, but not picked up by last warking day of month• in which request is made, 2) address is thanged or 3) lot change i.s requested once permit is issued. Date /-Z Valuation of work ^L 1~~ Site Address: 4 ~~lYc~ ~o~-,~~- - ~~~P-'-~ STREEi ~~TE ~ Tenant Name: (commercial only) IAT ~ BLOCK ~ SUBD. ~T-'z~,l'°'~ ^~`z-~`~ ~ P.I.D. N Descri tion of work: The applicant is: ? Owner Lontractor ? Other (Deceribe>. Name Phone Property ~~51 FIRST Owner Address STREES 4TE I City State ZiP Company Phone Od3 Contractor Addres 4~Q/ d'~~ litense Exp ~ City State Z~P S 2'-3 Company Phone Architect/ Engineer Name Registration ! Address ~ ~~ty State iiP Sewer & water licensed plumber ~ . Processing time for sewer & water permits is two days once area h been approved. I hereby acknowledge that I ve read this application and state that the information is correct and agree to com ith al ap icable Sta of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE U5E ~NLY BUILDING PERMIT TYPE ~ - P ' ~ ~ ~ ? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging z~ C3 lb Basemen~finish ~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc ~ I~"'$aim~Podl O 03 SF Addition ? OB 8-Plex ~ 13 Garage/Accessory ? 18 Comn./Ind. ? D4 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations O 35 Tenant finish O 37 Demolish O 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. ~Z D z_ MWCC System .-1- (Allowable) lst fl. sq. ft. /os8 City Water X UBC Occupancy 2nd F1. sq. ft. s Yy PRY Required ' Zoning - Sq. Ft. total Booster Pump ~ of Stories z Footprint Sq. ft. Fire 5prinkler Length ToC~ On-site well Census Code /4T Depth ~ On-site sewage SAC Code ~7 APPROVALS Plann9ng Building Assessments Engineering Yariance fIEQUIRED INSPECTIONS ' ? 5ite B Footing ~ framing ~'Insulation 0 Wallboard 1$ Final ? Draintile C] fireplace Permit fee v+i~.c~p,: S g ~~O Surcharge ?~S=f-~~'4iy SY Plan Review 2~,~c38 = p~~ is' License ~y ~ ~ = r~0 ~ ~ MWLC SAL City SAC /2 j-lz /yy Water Conn. Water Meter /Z ZX(,o~ : ~'Z~~ Acct. Deposit zh~ ` S/W Permit r__p__.. ~ 5/w Surcharge Z~,x 3~ ~ yds8 ~ Treatment Pl . 1 y~ 7( 7, 6 U~ Ro ad Un i t / ,r S=~ Z ~,r____ Park Ded. Qs SY= J~J, Trails Ded. 1 ~X CoPies Other Total: 2 3x ~Z ; '~fO,G SAC % /o,~ S, 3 = SAt units Sv3,Gp.r/6= ~'~g~ . A A CONSUITINd ENOINEEBS ~pNAL.O L. To//NSaN 'l~laE PIHNNfI1S ond LpND fUflYEY0115 ~k;• ~'NE5 ENGINEERING s ~ 6/3a~a~ ~ COMPANY INC. ~ BK. ~ }Y 1000 EAS7 1481h SiREET, 9URNSVILLE, MINNESOTA ~63D7 PN A32-3D00 pb, 23 .,q, CERTIFICATE OF SURVEY Legal Description: Lori~,~oU i, h/E-s~-~.,~;i~; ~iv~~ ~oc~: ~~-m~ !~A/(OT,4 GOUNTY , ~i1~1 iNi1/E,50TA ( 9S7,-o ) pENOTES EXISTING ELEVATION C 95~~5 ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 958~83 = FINISHED GARAGE FLOOR ELEVATION 95/, /2 = gASEMENT FLOOR ELEVATION ~ 959, lb = TOP OF FOUNDATION ELEVATION SCALE : 1' = 30' y~ \-~y~ C(/i46 ~ GUTT6~P i 'C \ . \S~,\A I ~E.vCNMARK ; 7NN AT GoT /Z 6~aCif ¢ 2J d~ 30 ~ ELE? = 9~•~8 SF - - ~~`d,o' S'\ ~,',c', 3 `95568~ ~ 7~ 30 ~T f.4YJNT / \ ?'S~a ~.?3. ,8u/[,p/NG S,ETBAC.(' L/NE ~752,~3 S O 8,5 ~ 1 Nug=956.95~ 9s,~ ~ ~ ~57.~i o~ ~ o ~ ~ ~95g S~ o\° / ~i , p~~~ ~ 9s 3~ "`~Y~~ ~83 ~S7 .3 Nug.y55~o8 8 ~cPO 6> o° LZ33 o, _ ~26~81 m ~'l~ ~ ~ e'~'29~ m . (9S8 S H gf0~89 ! ~ I 958, 6: \ ~ / 8 ti ~ ~SS ~ ~ 36• op n iq i ~3j 4i95 9S¢o ~9Y<i ~ 9s~-. 9 ~ ~ ~AGP~~ ~ 6~ a~ ~ ~ w,N~ yT ~s,~, ~ o; ws ~yys ~~v~~.~~v~.~ ~ a~ , ° ry 9%~ I m~.~i _ S hr~j~ / ~ ~ N?8_957.0/ ~Y._. ~ ~ 3 l? '7 ~ls ~ ~ ~ ~ /s~ n ~ ~ _\S2 ~ / \ ^ .DRA/NAGE A~YO / + ~ 0 ~ ~ ; Uri~iTY ~ ~ id:j ~ EASEMENT / ~ ~ ~ ~ ~.<t ~ I ~v / /J L _ / ~ ~ - N~ ~ - m - - - - - - ~AAGAN ENG E G EPT.I ~ : ~949,~~ 200.9/ ~95B,o~ S 89°SB'o9'~Y? (~o o / C~,9 ~ ~f~a~ o ~~L:~,.~.`9.vr~.O~ i°/Z/V/rTE H~GNW/~Y EASEMf?vT I hereby certify tkiat tk~is ie a trua and correct representation of a tract of land as shown and deaoribed hereon. Aa prepared by me this ~ day of I.~c_.,~~ , i9 93 [ dec.~ Minn. Reg. No. /~0~89' LOT BIIRPEY CHECICLIBT FOR REBIDENTIAL ' ~ BIIILDING ERMIT 7?PPL CATION , m ~ /I _ ~ ,S~2 PROPERTY LE(3AL: ' < ~ Date o! eurvey: ~ ~ ~ DOCIIMENT BTANDARDB D' 0 ~ • Registered Land Surveyor signature and company ~ 0 0 • Building Permit Applicant ' ~ 0 ? • Legal description 0 L~ ? • Address 0~ 0 ~ • North arrow and bar scale ~ • House type (rambler, valkout, split w/o, split entry, lookout, etc.) 0~0 0 • Directional drainage arrows with slope/qradient 0 0~ 0 • Proposed/existing sewer and water services E~ 0 • Street name 0 0 • Driveway ELEVATIONS Existina D C~ ? • Sewer service [7~? ? • Lot corners C~ 0-~ • Top of curb at the driveway D~? • Elevations of any existing adjacent homes ProDOSed ~ L~0 ? • Garage floor [~0 0 • First floor ~0 0 • Lowest exposed elevation (walkout/window) ~ 0 D • Property corners 0 • Front and rear of home at the foundation PONDSNG AREAS (if a~ulicable) LI • Easement line D ~ ? • rtwL 0 0~ 0 • HwL 0 6~~~ • Pond # designation D L~' ? • Emergency Overflow Elevation DIMENSIONS H~~ 0 • Lot lines 0 • Right-of-way and street width (to back of curb) D~p ~ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ~0 D • Show all easements of record and any City utilities within those easements ~0 ? • Setbacks of proposed structure and setback of adjacent existing home D,6~0 • Retaining ents, if any Reviewed• ~ Na e / D e October 1992 ~ Donald L. Johnson Homes, Inc. Energy Code Worksheet Kelley, Mark & Karyn Address - 4725 5tratford Lane Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Building Glassification: Type A(Single Family & Duplex) General Information: 1. Building Perimeter - See Worksheet 2. Wall Height - See Worksheet 3. Gross Wall Area 2465.50 4. Square Foot Roof Area 1222.00 5. Square Foot of Rim Joist 124.00 6. Doors - Area 34.20 U Factor 14 & .47 7. Total Door's Perimeter 8. Windows - See Worksheet Crestline Insulated Casements 9. Total Square Foot Glass 198.24 10. Fireplace Area -0- Clearance 11. F~cposed Foundation .67* 161 83.08 12. Framing Area = 10% Of Gross Wall Area U Factor 13. Gross Wall Area 2465.50 Window Area 198.24 0.36 71.37 Rim Joist Area 124.0o 0.04 5.08 Door Area 0.00 0.14 0.00 Other poor Area 34.20 0.47 16.07 Exposed Foundation 83.08 0.14 11.63 Framing Area 246.55 ~.10 23.42 Net Wall Area 1779.43 0.04 76.52 204.09 14. Gross Wall Area 2465.50 0.11 271.21 15. Gross Ceiling Area 1222.00 Joist Area 122.20 Net Ceiling Area 1099.80 U Ceiling 1099.80 0.02 26.40 U Framing 122.20 0.02 2.81 29.21 16. Geiling Area 1222.00 0.03 31.77 01-Dec-93 Page 1 Dohald L. Johnson Homes, Inc. Energy Code Worksheet Kelley, Mark & Karyn Address - 4725 Stratford Lane Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Worksheet 31 +50*8.33 674.73 31 +50+12+38*13.67 1790.77 2465.50 Roof 1222.Ofl Windows 2636 7*5.01 35.07 7 2040 0*2.18 0.00 2640 8*8.36 80.00 8 3040 0*11.65 0.00 2050 0*3.37 0.00 1636 2*1.83 3.66 2 2036 2*2.18 4.36 2 2650 9*8.35 75.15 9 198.24 Doors atrium 0.00 6'0 Patio 342~ 1 34.20 I hereby certify that I have campleted the above information th ~ compl~ ' the Minnesota State Energy C9de. ~ 7 - - - _S~ Je n e M. son Date 01-Dec-93 Page 1 PERMIT CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B u x ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 613 5 (612) 681-4675 Date Issued: ~ e~~ g 5 SITE ADDRESS: 4725 57RATFORD LANE LOT: 14 BLOCK: 1 WESTON HILLS 2ND P.T.N.: 10-83751-140-01 DESCRIPTION: pu.t>,. B~~.d~.rtg':permit 7ype DECK ~uiLd~ng 4.i`c€~,k,r,Type N~W , ~ ,"~t:;~ , ~ r ~ _ z~ ~ ~ m ti_ ~ ~ > m a ' ~ xF~"5 a ~ y ~~.'`'.re ° ~ R s 9~'~~ .'~s% ~.i' ~E~,:_„-a~ ds ~ € : ~'~r ~~a . C. .uh ~y d ~r°z 4s!t ~t . ~y °ir n s~ ~ i J~~ I ~ +.ti ~ '~v ~ 'R t CI ~ ~ ~ '--'~^"~k~.a°"e::a - REMARKS: FEE SUMMARY: Base Fea $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - KELLEY MARK 4725 STRAT~pRO LANE EAGAN MN (812)688-5359 I herab;y.acknaw]etfga tha~_T have read this applic~t~.ait and; s~a~e that th~. iM#o'rma'tSon ~s car"rect snd agree, ticr'campiy wS,~h all aP#3~~~:ab]:~ 5tats of 6i~t. S~atutes and Git~ c~'~ E~qam Qrdin~~cesk~ ~ r~: ` _ _ ~ ~ ~ m_ ~ _ ~ ~ APPLICANy PERMIT SIGNATURE IS~ O B~ I ATUR / INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auz~ozNe 3830 Pilot Knob Road PermiT Number: 0 2 613 5 Eagan, Minnesota 55122-1897 Date Issued: 08 / 02 /95 (612)681-4675 SITEADDRESS:P'z•".: 1e-ea~si-sue-es qppLICANT: LOT: 14 BLQCK: 1 4725 STRATFORD LANE KELLEY MARK WESTON NILLS 2ND (612) 683-5359 PERMIT SUBTYPE: TYPE OF WORK: pECK NEW . „ . FOOTTNGS FINAL ~ ~ _ , ~ ~ _ _ - _ 'x . 3 ~ ~ . . , „ ~ r ~ ~ . ( . . ~ , . _ . ~ ~ ~ ~ ~ ' CITY OF EAGAN O a~ C~ S 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~j~ 681-4675 New ConsNUdion Reauiramerds RemodeVRaoair Reouirements ? 3 registered sfte wrveys 2 coDies of plan ? 2 copies oi plana (Ndude beam 8 window s¢ea; pomed fid. desipn; e0c.) ? 2 site surveys (exterior addkions S decks) ? 1 energy cakulations ? 1 energy calculatlons for heated additions ? 3 copiea of tree preaervation plan ff bt platted aRer 7/1193 ~ eequired: _ Yes No DATE: ~ CONSTRUCTION COST: ~~,c DESCRIPTION OF WORK: AT'T~ Pd ~~~t,Q~~ ~PG~ STREET ~ DRESS: ~ '17~ S7rQ~~G l-~1, LOT ~ BLOCK ~ SUBD./P.I.D. a ~ PROPERTY Name: ,K~LL~y {rlr[~K Phone ~~g ^g~Zy~~~1 OWNER 6$3-Jr3~q C(.Jo/~j Street Address• ~7z~' S~'tat~n~l~ G /1. City: State: ~i N Zip: 55~~ CONTRACTOR Company: - OWner - Phone Street Address: License City: State: Zip~ ARCHITECTf Company: Phone ENGINEER ~ Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: . Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and shate that the informatlon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: /~~~lGI'~~-~~G~~~ OFFICE USE ONLY ~I~(~nGOM[~~ CerGfiqtes of Survey Received _ Yes _ No ,J ~ 2 ~'~95 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ~ BUILDING PERMIT TYPE a 01 Foundation o O6 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 MuRi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ~`-15 Deck WORK TYPE da~^`~1 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code Census Bldg i Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /Lao ~ Surcharge Plan Review Licer~se MCNVS SAC City SAC Jt• Water Conn. , „ ~ • - ' Water Meter „ • Acd. Deposit SIW Pertnit 5NV Surcharge Treatrnent PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ;N:IICF~o ES L1IiicC3~S~l~i l7~ ::Ur~F.~;CE piiqIINAUE ' • - . ~ >>`~~~5 = FINISFIED GAIRAGE ~LOO:~ ~~~VATION ~ 95/,/2 = BASEMENT FLOOFi ELE~"ATiON ~ ` •!e = i OP OF FOUNDATION cLiEVAT10N SCALE [ t" = 36' ~ C uR6 ~ GuTTE.7 ~ ~ ~~~T • ~ `vX,~~`O ~,UG//1~F9R/C : 7NN AT LOt /2 B~CiC 4. ~6~~ d: 3 ~ ~,y ~2 O ELE? = 9~•28 NE S9 • - ~ 66', \o ~a _ `ys' 6 2_ o~ , g .30 FT f.4~NT ~ / ~.?~y I ~u/[piNG 56T~AG.(' l \ .v~ 1/NE ~'v~752J3 Q ~~b,s~ ~ ~ , Nu~3=95L.95~ 9~ ~ 7~ / , ~ o \ ~ \ ~ ^J~ , • ~57, ~i v~~~~.. ' 9s ~_~y Nu6=9S5~a8 / 8 f,~~?Tt~ \ 0022385- ~os~ \ P~y, ti d / `(}'1 ~ue~8~ / /M ~lGr~~ ,~6.4nti~ M l9Sa.Si n,,,..` . / R ~ ^ ~ ' Hug=958.63 ~ H' ~ ry •~SS ~ ~ 3~°'op n /%o ~ , ~J\ / ~S'¢~ ' 4„`~N< T ~5~~ ~a~ ~I \ , ahr ~ry S ~ ~ ~ / _ ~ ~5~:~ ~I m~.~, 4, ~ / ~ ~ N~3 9V o~ ~ i . ~ . ~Ys-~ ~ O ~ o /J, I ^ , ~ T n ,'A/NAGE AiYO / `°``c`. ~ + c+ ~ / 4 l : i~vii \ ~ i~/Tl' y; SEJIIENT" / ~J L _ 1// ~ . ~ ~~I \~I ~ ~ - s~} - - - + - ~ / I ' ~s m m ------.-------~~I ; ,.o ~o ~ 949.~~ ~od.9/ /H.sB,:` ` S 89°S6'o9"~W ,¢9 ~ (a~~ P/~/V/1TE f//GyLYiIY EASEMENT- hereby certify. ttiat:this ia a true and.correct representation of.a trac': c :,d as shown .atid described hereon. ns prepared by me this da_ 7Ec~v~ , i9 93 ; , 1 tu.-~ Minn. Reg:: rto. ./lv0~i%- CITY USE ONLY ~ ~ g~ ~ RECEIPT ~ ~ ZS ~ sue~. ~v~ E-~i 1 l~ a~~ a~ceiPr onre: 1 a- 3~ '~t PERMIT # I 1999 ~'LUbISII~fi ~EgM1T (~i£S1DEH1'[~kL) car~toFSwswt~ s8so ~n.or xxoe sn ~?sw~, ~ ss~~~ , (6b1)881-4675 Please complete for. ? single family dwellings ? townhomes and condos when pertnits are required for each untt ? beckflow preventer for underground sprinkler system ppRp~s Ep~a 8 TOTAI. oaii~ iub - - - - $ 3.00 x _ _ . Floor drain 3.00 x = $ Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC nc. 75.00 x = $ Private Dis osal S tem abandonment 30.00 x = $ RpZ new installation/re air 30.00 x = $ Rou h o nin x ° $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x ~ _ $ Water heater 3.00 x = $ Water softener if dwellin underconsauction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ O. " Water turnaround 30.00 x - _ $ State Surchar e .50 $ .50 TOtal -a ! ~l9. Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I I~areby acliriu~iledpe ttiat I have read thls applipfion, state that Oie IMcrmatlai Is cortect, and a~ee M comWY wflh all aPP~kable (Mj' of EaBan ordlnznoes. It is the appAcanPa responslbility to notHy the property owner that the City of Eagan assumes no Ifability for any damapes caused by the Clty during Its nart~al operatlonal and malntenance acGvities to the faalitles canstruGed under thls pertnlt wlfhin Clly propeAyhightof-wayleasement. SITEADDRESS: 7T~ 5~~7'~{~' ~~d" ~~?i3 OWNER NAME: :/d'~~ rl/-~, TELEPHONE l C~ " 7~Z~ (AREA CADE) INSTALLER NAME: ~I G.1 ~oJ ~ TELEPHONE "~f Z~ ^ pS3~ Z~SB~ yrp ut /yTi•.L (~^cooe> STREET ADDRESS: CITY: f~~/'~r7 N. STATE: ~ry ZIP: -L.~~ ~~t'~~~ ~~e~~ SIGNATURE OF PE MITTEE ~ ~ • ~°i y o~ t~ i, ~~~2.~ RECORD OF COMPLAINT Date - /`~~y Y /y~~' Complaint taken by Type of bui]ding - ~~~1 {~°~r"~` Name - 6"/f~k'/.~ ,~/GGI= , Address 7-? ~ S%2~i ,Gosr 0 i,~ I.ega] description Phone number ~.g~ Complaint r_',Lti"<-/,2%6' ~~;-6~~~sr~,c^ f 6a~/c- d"~~<~Ff ~~D_u,~~/.~'f-jios( % ~i C ~r~1~ Action taken ~~"T r.,i~rr ~fo~/:- ~~=~z ~'~5~:~~s's<=7~ SiTvr/~-Ti~,=~~~ ~'u~Yi~S; r,p i~>.~:t/;/.<:~ tr~rTH- Qu/~/~c/C~ (1~o-J ~T~f/,v>1>„l ~~~,~5 ~ o-v .`>'o~~;;; i~1- Comments ~~~~~Gr' GGu-.~2 Y~o~c~y~ i / r~ y~ f~''~~~ Q~~y ~T~'--~'-'2-~ ~-r/ii ~i'-r ~f/b'C'~- x~l~ i ~ `'/a~ J f/' /~ir1~G `t"f~TGy ~ ^~ir/~ ~ ~ ~'w-UciZ 1~ fr %z/r /i~i ir Y~o,?~1~~ /~r<<;i i~'l_=/~ ~ ~ ~ Signature X('~ ~ 4 • BUILDING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a genera] idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additiona] opinions, and (3) lend credibility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • • Maintain a record of inspections and conversations on a City complaint form. ~7~Y y.~. ~ ~r x ~ ca . ,g~ N k Y~ a~ g~ ~a, y.. a p~ ~~pe~'~ a v d ~ xzh 'Z~.~ 's$§" "~~'`€~~.'a f ~ ~ " Y~~~~H k , `:`i > q £ i^~. a~<` ~ g'~ 3r sxy~i 3 e t 2~T~'xz"~ a,p~~~~? ~+~,bY 3o s~ f £ < : .3~`. i n. E',f > ~Y; £ ~kg•~a ~F; 3'~i~' :~'~.,A~x~i ~.r^~ ~.i S s8 s ~.~3 a z ~ v s . .F 3'~ °...u'•..~r~~§~~~y~z. _ ~'tc~~ . ~ ~ _ _ p'n:`:~~...x,.:,.w~:ai„wti 'w:ik`7g.exd.~'`~.t"C...~t.. . trc 1993 MECHAHICAL PERMIT (RESIDEIVT7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE ~ `i' FEES HVAC: 0-100 M BTU $ 24•00~ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~ ~~b ? ADD-ON/REMODEL (ExISTING CONSTRUCI1oN) $ 15.00 STATE SURCHARGE .50 TOTAL v~ ' SITE ADDRESS: /.~J ~-~l~ OWNER NAME: ~ ~ TELEPHONE `~`Jl0 - ll-~`7~! INSTALLER: ~ °bLi~~-f ~ ADDRESS: I~`~" ~ Ci ~ C,Z'l,+'~ f~ CITY: ~YI ~ STATE: ~ ZIP CODEG~~~ TELEPHONE Z~ SIGN RE OF PERMITTEE y,yy} ;~?~,i~'~ q f,j''~.~(¢z x i17i $"f° r-a°k: a3£~".s,¢..udkwN~'~'s '~`~~',}ry`~"k ~ s ~~xJ ~:ia~~ 4~°~°"~'.; s'~ '~~i~ s s ,~~XE T' t'. s,. eAC3~asi.~ sc 1i ~ s¢S E~iw.¢ s£x' a s n~ ~~S~sa ~f '^c~ u 3.~ ~;%~~Ffo~~s x, ~ ~ x m r ; c° f 3~` kw OfR~ S~ @ f v~~~ 3.~ a s'` a,.~>~3.K. a¢ 'Pa'~z. 3'~~ e~ ~,S i~>~yb 3~i.~ks~ x z ~o-~ Y*~ r eu i p> x i s 2~ s i~ ~;wa a."~a:L~y:~~~ `ss:a~'xY$:4~ s°x.~,.:~xa~Ca~Ss ~8'~~. i3 ,n: r£#~f•p y'~ 4 x'~3a<:t~l~a Sr S i )k 'w jF k C V. v~~ ~ U~ ..(t ~ 9..~~~.~~ ~ .....<...<... w ~;~'s.~.~~.ss ~..`z~~'.3~.~'~~.~,~.~€,`~~£ ~'~'~~~~~~i. . .~~.~~~:F ~g ~ ~..R ~4 a~~~ 1993 MECHANICAL PERMIT (COMI~IERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIvIIvIERCIALlINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI-IER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~f1N~'R}1,~'."I' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~t'~~`~' FEE. TOTAL g STTE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: ADDRESS: CITZ'~ STATE: ZIP CODE: TELEPI-IONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~~;~~z,x y~ : }9X~'J° a k £°~,wa ~o°d.~~'~{y yy~y s~ lr~r3 ~ D~ ~ ' ~ * > 3~'m.~+~,~ Y~a . ~ '~.,,~a~.' :2 t s ~s s ~ ~ . § £ ~ f '~?~~~s~k ~e,~z s r. 4~~~ ,~~.~td~ ~t~'~~:F,.H i K.~ i : ~:s ~ ¢y< u ~ i. ; kb ~•g; a k ^,s e t.E~ £ r 3~ ~ e• F ~ p ) d ~ x r~ .c ~ 3 ~yb. r S y . • . x 3 £ ~ . G/'1~ ~R~~ unx~k.a.~ ~.~.t9 ~ar»aw~&33'e~i~"~ , . :x .-~,~.~~~.W,., x8A,' . 1993 PLUIVIBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3530 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLWGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES C TOT'~' 3.00 1 cxO~t~'R 3 . ° o ~ WATER CLOSET 3.~ • d ° BATH TUB 3.00 Ie . o ~ LAVATORY 3•~ ~ S ~ ° ° 1 KIT'CHEN SINK 3,~ ° o LAUNDRY TRAY 3.00 3• a o HOT TUB/SPA 3•~ WATER HEATER 3.00 • 6 ~ ~ FLOOR DRAIN 3•~ ~ ~ GAS PIPING OUTLET • m~nimum • t 3.00 3- cT U 3 ROUGH OPENINGS 1.50 . St WATER SOFI'ENER 5~~ PRIVATB DISP. • De~.cry. u~. 15.00 U.G. SPRINKLER • 6ome under canat- 3•~ ALTERATIONS • ta adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 53. b d SITE ADDRESS: ~ S ~Q`} ~Q~ ~ {"O`"" OWNER N?,IvIE: ~o~-• d-~~\ L Sa l~.~sa.~ l~~-+ INSTALLER: ~CA-"" S ~ c ADDRESS:~~~-vC'~ ~,~C6,r C.cs..r-o~S-Q-I C,Jts---~ CTTy~oS e_~S ~--~T. STATE: ~f` ZIP CODE: SS O 6 cY PHONE IZ a3 - 3~3 ~ l ~ SIGNATURE O ERMITTEE y ~7SE ~1NI,~'Y L ` t . ~}"RK`a.a'~r3~ ~sa,x~ ~~~3E 3 £~R.~~ <<~'~~£•~'~. a ~ _ t~ i>o z ~ a c'~~ y~ Y<, exa ~ a z i i;. ~ s. . ..s . ~ . : ~ y~ ¢:3s> ~ ~'?.r,1~i ~ A.~.At§3r,~°>xa3,s~m~~~~ ~~s' ~ }<#~„~i~ ~ . . , . . ' . 1993 PLUMBING PERMTT (CONIIIZERCIAL) CITY OF EAGAN ' . 3830 PIIAT I~IOB RD . EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAI~INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUP: ~INGS WHEN SEPARATE PERMTTS. ARE NOT REQUII2ED FOR EACH DWELLING U! ;T. _ NEW CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT F'EE. STATE SURCHARGE S.SO FOR EACH S1,D00 OF P,ER1ti3I7' FEE MINIMUM FEE: S 25.00 " " CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SIT'E ADDRESS: TENANT NA111E: ~t OWNER NAME: W STALLER: ADDRESS: • ' CI7'Y: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4725 Stratford Lane Lot: 14 Block: 1 Addition: Weston Hills 2nd PID:10- 83751- 140 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 3,000.00 Contractor: Maintenance Free Minnesota 4741 University Ave. NE Minneapolis MN 55421 (763) 560 -6140 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Building EA077048 03/22/2007 ePermit Comments: Pictures are not acceptable in lieu of inspections. Engebretson Dan 4741 University Ave. NE Mpls, Mn 55421 763 - 560 -6141 rachelanddaniele @ao1.com $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Mark J Kelley 4725 Stratford Lane Eagan MN 55123 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122326 Date Issued:05/05/2014 Permit Category:ePermit Site Address: 4725 Stratford Lane Lot:014 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Sammy Larson 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Mark J Kelley 4725 Stratford Lane Eagan MN 55123 (651) 688-9724 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r—————————————————� I For Office Use � I I C�� 0� �n n� j Permit#: j y a�u I I � Permit Fee: • � 3830 Pilot Knob Road i �` �� i Eagan MN 55122 Date Received: � Phone: (651)675-5675 � �.� � � Fax: (651)675-5694 I Staff:�YJ I I I . 2015 RESIDENTIAL BUILDING PERMIT APPLICATION _ � 1` i - L � Date: � �� Site Address: � � ��% ��fi�� U1L(� �-��i C� Unit#: � 5 s Name: 1��-�� C� Phone:� `( 4�bJ Ct '��X �' 3� �� k �-i�7 ;�.��- � s� C i r �, �s ,a �`� Address/City/Zip: ��l�1-�� 1 t'+�,�l ��►L� �i�� t.(�11 � ��1 � �� :. � � �.- Applicant is: �Owner �Contractor �a .�' �_ � > � ` � �'yp��'��; Description of work: �\� � �� i��;r. �i�: �ti��<;�.; S �� s►��i1��\�S ` Construction Cost:�� <<�'�`�' Multi-Family Building: (Yes /No� �.�� `� ' Company: `— ! � Y� �� .�C��' ��:1 Ui LS Contact: � �� G t�{Ill\�� 1 ,' ��'�"�G'�C Address: I�-�r�� .U(�k_��C��G� J � City: �� r�'�,�;(, _� � r �;�,:�. � State: ��.�� Zip:�� 1�Z Pho e�:�� ,s � � Email: �4_�� '� �' `��l�l _'�' ��.aa`�� `, � �� d � � � :� License#:��_��c�C�7 L C; Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: Fire Suppression Contractor: Phone: �?'��,��: ��`�� ,��a� �tl� �� °' Po�P'�s�`� �.,��i�`c�r��c+��#��'��d�s��t��c.�'��s��'��r� � ,; `��.;°� � � � �2. �71��t��` -��"�'� � �„�*� � �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X � c p��_U l7 u��_ � � ��c.� (�(7��i�.�v' X ^ - Applicant's Printed Name Appl' a ' gnature -� Page 1 of 3 Use BLUE or BLACK Ink For Office U�sje City 411!!/'' Permit#: (C3 5 f of Eaaali Permit Fee: ( cC 3830 Pilot Knob Road / Eagan MN 55122 Date Received: /q�l� - ( 7 Phone: (651)675-5675 buildinginspections(a�cityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 7 Site Address: L/ 72 5 SI-ret+rvr-. C n (4''7-cffi/7 Unit#: Name: /72ar K �/V' GPhone: i Z-1-1-7 3 2 Co f 'Resident/ ( /� Owner; Address/City/Zip: 1l7 S 5 7�tct�'Trl f a/T P/ii r Applicant is: Owner -Contractor Description of work: e- re 4— I o t4 S - i"47 G Construction Cost: /OO^QU Multi-Family Building:(Yes /No Company: cS74-Pc( s``c(<Irt7 Contact: -3-der-ti6Qtri gS/e tc) Contractor i Address: J4-/(&2 Q �(CL,_ G.-ice& City: 1- (5.3 o t-c 7� State: 1 24 Zip: 5562E , Phone:COS(lam 777 Email: --boa-741a a s>40-4-(-4s--4 � 7y �c License#: I (93er e/Z(9 Lead Certificate#: If the project is exempt from lead certification, please explain why: 1-&-106`P- ktn-SC kccS V; / Scf2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans And supporting docu t that you dhinit are o sid red topublic information. Portions of the information maybe classified as rnon:publieff, ®u provide r: seasons that would r rt h City to.conclude ey are,trade secrets 4's '.5c44,444,1,4044 �'4 t You may subscribe to receive an electronic notification from the City of proposed ordinances by,signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x V i L S I-01' t.nd��c e x Applicant's Printed Name ApplicatiVs Signature/ Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162609 Date Issued:07/21/2020 Permit Category:ePermit Site Address: 4725 Stratford Lane Lot:014 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark J Kelley 4725 Stratford Lane Eagan MN 55123 (651) 228-9200 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature