4124 Strawberry Lane
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner. -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge: ~
Size: Account Deposit;
Reader No.: Permit Fee:
1 agree to compiy with +he CiFy of Eagon Surcharge:
Ordinunees. Misc. Charges:
Totol:
By Date Paid:
Dote of Insp.: Insp.:
C{Tlf 4F EAGAN SEVIfER SERVICE PERMIT
:795 Pilot fCnob Rood PERMIT NO.:
Eagan, MN 55122 DATE: _
Zoning: No. of Units:
Owner.
Address: _ - '
Site Address: -
Plumber: •
I agree to oamply with the City of Engan Connection Churge:
Ordinoncea. Account Deposit:
Permit Fee:
Surchorge: -
BY Misc. Charges:
Dpte of Insp.; Total:
Insp.: Date Poid:
, CITY OF EAGAN
3795 Pilot Knob Rood CrMBUMMM ArR TM=
Eogan, Minnesota 55122
Phone: 454-8100
FMZ= PERMIT No. 1498
Date: 7 1?-79 Receipt No.: 15138
Single
Site Address: 4124 S}SaWbeti'Zy LArkp- Residential X
Lot 12 Block 6 SublSec. _aiZwp Estate.- Multi Res., Comm./Ind. I
Name ~ & Ighmn
- New/Aiter./Repoir. ; Address 1~ ~~d L?liVe
Cost of Instollation
o
B~~~~ 2avw 20.00
City Phone: ermot Fee
4
Name Ray WleltABIr 11eatirig Surcharge '50
.
~
ddress 4637 ahi.aP~o Soezth
c
0
~ Cit -''~17].S 5~~7 Phone:
y - Toto I
This Permit is issued on the express condition that a11 work shall be done in accordance with all applicoble State of
Minnesota Stotutes ond City of Eagan Ordinonces.
Building Official
cirr oF E?"N
3795 Pilot Kaob Road Eogan, MN 55122 N! 5264
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be used for Est. Value Dote 19
Site Address Ered ~ Occuponcy
Lot Block Sec/Sub. ~ Alter ? Zoniny
parcel Repair ? Firo Zone
Enlcrge ? Type of Const.
W Nome Move ? # Sto?ies
; qddreu Demolish ? Front k.
b
Ci Phone Grode ? Depth ft.
~ Name APProvals Faes
,o
u~ Address Assessment Permit
~ Ci Phone Woter & Sew. Surchorge
Police Plen check
~W Nome Fire SAC
/lddress Enp. Wuter Conn.
<W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have reod this opplicotion and state that Bldg. Off.
the information is correct and agree to comply with cll oppllcable APC Total
Stote of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued ta: on the express condition that
all work shall be done in cccordance with oll applicoble State of Minnesota Sta[utes and Gty of Ecgon Ordinances.
Building Officiol
~
~
r«,sit # oen Iaaee r«wlth.
Plumbing / 'Mo '7-/7 9
Mechonicol j499 1
Lu fj - -+lv~Zuu e-cX- C-
INSPECTIONS DATE INSP. Rough-In Finol
Footings Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechonicol
Final
Remnrks: g 3 ' - ~,,.~,-r' _ ~ ~ <
.
, CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MinnesoM 55122
Phone: 454-8100
PUMOM PERMIT No. 1400
7--I7-79 1SOf 5
Date: Receipt No.:
412A S Single I +i
Site Address: I~ Residential
Lot 12 Block b Sub/Sec. TfiZlboP EftgtF~S _ Multi Res., Comm./Ind. I
Name
New/A(ter./Repair. ~ Address P'«' Cost of Installation
*`-ii~ Phone: 15.titl~p ZG.1~
City Permit Fee
Name T)n3iAG`t -T'1`a bi1'lCJ .5r3
Surcharge
.
Address 743 Fiutbo3.dt Ave. So.
~ '
~
0
" '.5~!?? , ~n,~;
City s. Phone: Total
This Permit is issued on the express condition thot all work shall be done in occordonce with al) applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CASH RECEIPT 1
.
r'
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6Cfi1VED
P11OM
AMOUN7 $ I',
" ' - & DOLLARS
teo
? CASH ? CHECK
~ . ~ i
Rof7
C' • . j ~
FUND CODE AMDUNT r. r . i' • ~ ~
~
.i. ~ . . .
J _ ~
L- ~
Thank You~ Qs~. El Y 1 ,
White-Payers Copy
• Yellow-Posting Copy
. e . .
Pink-File CoPY
Certificate Por:
. . ' Uro$z & Lehmen V
~
?.0. Box 1211
- Burnsville, Mr:. =,5337 ~k : -,1
. DELMAR H. SCHWANZ
LANOSUQVEVOR
AM+ste?b UnOer Lawf of The State of Minnnot•
1MTM'i".I"REET w. - 9QX M IiOGEMOUNT, MINNESOTA 660U PHONE i12123-17U
30 SURVE`Pt,'M-'q CERTIFfCATE
ti
e~
Bb.Op S 83°34 143 "F
8
cr
~ ~0~ ~ 'o ~ 9 ,3~ t 6 ~
f6
-2~---~
w `
~
o
`30 p ti \~qoppE
J
~ ~ \ \ ~~~s a \ ' x
m /p/ / *s ~'cuia %%I•~ N016.0 ,06~~ J
LOT 12
= ) feet
1~ SCAL:: 1 inch 4l
Drainage & utility
eaaement Elevations shown are exiating
and based on aasumed datum
101.0 0
- ~0~•1 Proposed garage floor
110.~ SIW°2e'52"E - elevation
000.0 CURO
` cuRe ~
O
M
I hereby cert3fy that this is a true and correct representation of
Ia-)t 12, Block 6, HILLTOP ESTATF.S, aocording to thq recorded plat
thereof, Dakota County, Minneaota.
Aiso showing the location of a propoeed hauae as stak+ed thereon.
I?ated: June 6, 1979
Anproved for Dunn i. Curry Real Esta±-,. Mant;ement Ir.c.
~
MINNESOTA REGISTRATION NO. 8626 ~
/
Thi t void 18 months from
R 87081
Date of is Request
I, as icensed Electrical Con actor ? Owner, do he eby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. W~-/.v,A~ City~~
Section Township Range County~4:k"
Which is occupied by (Nama of Occupant)
Is a rough{n inspection required on this job? No ? Yes ? Ready Now f11~ Will Call ?
Power Supplier Address 2o
Electrical Contractor 0 /n ~`-v Contractor's License N L
(COrt/{panY a~ )
'
Mailing Address 3''
~EJ~f riwj~ nt ar or VOwner Making 7his Installatlon)
Authorized Signature , Phone No.
(Electrlcal Cantractor or O r ak ng This Inatallatlan)
This iMpection request will not be accepted 6y the
State Board unless proper inspection fee is enclosed.
, Minnesota State Board of Electricity
~'~,~versity Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELECTRICAL INSPECTION ~ 87081
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliencea W'ved For Check Equipment Wired Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex 0 Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? Dryer ?Electric Heating ?
Commetcial Bldg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. Air Conditioner L9' Bulk Milk Tank ?
Lisl List 1
Farm ? ? ? Q p y
Other 0 ? ? Heiefs~ Heier3f
COMPUTE'INSPECTION FEE BELOW
Service Entrance Size: u Fee Feeders&Subteeders: # Fee C'vcuits: # Fce
0 to 100 Am s. 0 t m s 0 ta 30 Am eres
101 to 20 Amps. 31 t s 31 to 100 Am res
Above 200_Amps. Abo ~ s. ` Above 100 Amps.
Transformexs
11 Rem.eCo o Partialocotherfee
Signs 11 Special Inspection Minvnum f
Remarks ~ p i O^0
p , ,S
TOTAL E
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) te
(Final) ate
This request void 18 months from °
This requsst void 18 months from
~ ~ ~ 65697
R
Date of this Request X~~-~
I, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ring installed at: ~~~8 1~'
Street Address or Route No. ~C;2~ City QE49~1
Sectiocr--' Township ~ Range County ~G ~'Tdig.
Which is occupied by 66f'aS 7 Go~~n
( ame of occupant)
Is a roughin inspection requiced on this job? NPo ? Yes ~ Ready Now f' Will Call ?
Power Supplier L I~'' ~6' LAddress ~r o)I/vr„~~77J~_
ElectricalContractor ~~i"1t'vrY~Contiactor'sLicense ,&2~
(-ornnyame)
Mailing Address
(Electric 1 Contract r Makln9 This In lon)
Authorized Signature one No.!(-32gL2Zr
(Elec ca n nc o or Owner Mak g This Installatlon)
STAVE . . ~ This inspection request will nat be aceepted 6y ffie -
. State Board unleu proper inspectian fee is endosad.
nnesota State Board of Electricity
t~eni-A7in~ ~,~t0eRhme-64&4703
REQUEST FOR ELECTRICAL INSPECTION C~~'}'Y ~Tp 6 5 6 9 7
CHECK BELOW WORK COVERED BY THIS REQUEST L
'Iype of Building New Add. Rep. Check Appliances Wired For eck uipment Wired For
Home ? ? Range Temporary Wiring ?
Duplex ? ? Watec Heater ? Lighting Fixtures ?
ApL Bldg. 13 Dryec ? Electric Heatittg 11
Commexcial Bidg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. A"u Conditioner ? Bulk Milk 7'ank ?
List List
Farm . ' ? ? ? p p
Other ? ? ~ Heie~s~ Heierg~
COMPUTE INSPECTION FEE BELOW
SeeviceEntranceSize: # Fce Fceders&Su .eiFee Cucuits: # Fee
0[o 100 Am s. 11 0 t r m res5~~ 0 to 30 Am eres p
101 ro 200 Amps. / oo31 te 30D)Am`res 31 to 100 Am res
Above 200 Amps Abdv 0 Amps. Above 100 Amps.
Transformeis 11 Remore on[ro1C'uc. Paztialor otherfee I's
Signs 11 Special Ins ction Minimum Cee E5.00
Remarks / iOTAL F o
I/Ld
I, the Electrical Inspector, hereby certify that e 6ove ctipn has been ma
(Rough-in) , SS'_~ ~
(Final) ~ate
This request void 18 months from '
, /plars CITY OF EAGAv Inclu1~~2 sets of ~
1 site plan v/elevations S
BUILDING PERMIT APPI:ICATION 1 set of energy calculations.
~I,(~
To be used for ~ Valuation Date
Site Address / qiGGei OFFICE USE ONLY ~
Lot A2 Block _j~- Sec./Sub. rect /i Occupancy - ~ ~
Alter Zoning
Parcel U D C56. ~
~ Repair Fire Zone 3
Enlarge Type of Const.
Owner: Move B S[ories
Address: . ~B? ~Z~~ Demolish Front ft.
Grade Depth
Phone li: ?1902/ ~
Appravals Fees
Cos+tractor: ~l,r ff" • ~ ' t
Assessment ~ Pemiit
Address: Hater/Sever Surcharge J J
Police Plan Check Z /
Fire SAC
Phone ll: Eng. W ater Conn.~7
yLj 2- ~yZ
Planner Water Meter / 0 c 3
Arch/Eng.: Council Road Unit 7.'i
Bldg. Off.
Address: ppC ~
~
Phone Ih. _ TOTAL ~ ~
, cirr oF eacaN
' 3795 Pilet Knob Road Ee9an, MN $5722 N2 5264
'PHONEs $34-8100
BUILDING PERMIT APPLICATION Receipt # Jyl~~--
To 6a uaed For SF Dwlg. & GarageEst. vai„Q 51,000. Data 6'12 , 19 79
SiM Addreu 4124 StraWb2rxY I,d712 Erect EM Occupancy R3
Lot 12 Blxk 6 Sec/Sub. H111GDA FStd't2S Alter ? Zoning R1
Parcel # 10 33000 120 06 Repair ? Fire Zone 3
Enlarga ? Type of Const. V
w Name GY052 & L21'IIildil. 711C. Move ? # Srories ;Address P.O. BOX 121 Demolish ? Front 62 ft.
° Ci B'ville phone 452-3929 Grade ? Depth 46 fr.
Name Sarne Appemale Fees
o
oG Address " Assessment Permit 1_42_00
V~ l~
~ Ci Phone Water & Sew. Surchorge ~t
~ Police Plancheck 7L00
~w Nome TeY'YY NbrSO Fire SAC 525_00
Integrated Desgin
Address Eng. Water Conn. ~7n _ no
a1° Ci Phone Planner Water Meter 6i0..00.
Council
I hereby acknowledge th e read this opplication and state that Bldg. Off.
the infortnation is corr ct and gree to Comply with all opplicoble 1~168.50
StMe of Minnesota 5 tutes a Cit of E Ordinances. APC Total
Signature of PermittA 6uilding Permit is issued to:\ ro52 , IP1C. on the express condition that
oll work sholl be done in a n ii oll iim~2.$\tat~e /ofI~Ainnesoto Stotutes ond City of Eagon Ordirwnces.
Building Officiol --e r^~
CITY OF EAGAN Remarks
Addition HILLTOP ESTATES Lot 12 Blk 6 Parcel W0 3300'b 1:20- 66i
Owner f~? ' 4124 Strawber~ Lane State Eagan, MN 55123
-t`'+~••..'... -/S Jj . Street
Improvement Date Amount Annual Years Payment Recaipt Date
STREETSURF. 1336.72 C006534 9-26-79
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.14 8.6 1 20 • -26-79
• SEWERLATERAL IORn 3178.71 317.87 10 2$60.$4 A009161 6 il 80
WATERMAIN
ft WATER LATERAL yl~ y 1980
+e WATEF AREA 1980
* 1980
Services ,r STORM SEW TRK 1980
• STORMSEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road 1 - -
WATER CONN, _ 2_79 270.00 14723 BUILDING PER.
SAC
PARK
City otEtan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: 1 s2 r 8 Site Address:
Tenant:
x Apple ant's Printed Name
/T/ „r7< f C A
()CI 2 1 2 009
nt's 111
r
ce
Permit
i/7 C�
O 6C)
Permit Fee:
Date Received:
Staff:
Use BLUE or BLACK Ink
Jo 1
('7
2009 RESIDENTIAL BUILDING PERMIT APPLICATION CG? d /6
Suite
RESIDENT OWNER
TYPE OF WORK
CONTRACTOR
Name: Sct� L� ti
Address City Zip: tfi' ,6 1
Applicant is: Owner k Contractor
Phone: 65/ r5 S 9
Description of work: ai4imit, ✓7 -CIc Nik/i 13T is 4'7 1tt 'J
Construction Cost: 6, i” vt Multi- Family Building: (Yes No X
Name. 4 416 l7` q' 40 mod.. T (-LC License L 9.63 c f 2�
Address: FE? Z 7 4" 1✓ 41= ,2i
City: kJ/44 4 k' S State: M JO' Zip: SS0 �7
Phone: fo S 1 (4 Contact Person: JA <47/ I W t2 ®l A-9
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:
Phone:
Sewer Water Contractor:
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
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 flans.
Page 1 of 3
51e,q6Db6--ett
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation C (2 42
Plan Review
(25 100% X
Census Code
of Units
of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit Surcharge
Treatment Plant
Copies
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
TOTAL
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
✓vpv 9--c9 0'7
19K/O'c,
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window Water Damage
*Demolition of entire building give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final C.O. Required
y Final No C.O. Required
HVAC
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
3 l oc'D
Page2of3
Certificate for:
Grosz Lehnen
Box 1211
Burnsville, Mn. J5337
DELMAR H. SCHWANZ ql
R1lsiSf71W Linder Laws of The Slate of M,rmetc■ta 1/
LANG SURVEYOR
3'1/'71- t1MTH ltS'S1tEIT W. WX M ROSEM OUNT, MINNESOTA 66068
By:
SURVEVt. I:X CERTIFICATE
5TRATI NQ.
3/1
PHONE *12123.111$
CAL /lFPL 1 /41
:;CAT.: 1 lrti:h 4:1 f eet
:levations shown are ex .s
and based n asaurred datu
Propeed garage floor
elevation
hereby certify that this Is .a truce and correct representation
.:)t 12, Block HILLTOP wI'A `f i.oc.,rdin6 to the ree r'ded plat
thereof, Dakota County, Minnesota.
Also showing, the location or a prr potted house as st aked the eu
Toted: June 6, 1979
Approved for Dunn L Curry Real Estato Mar gernent tnc.
MINNVWITA
Use BLUE or BLACK Ink
r
For Office Use l
~ Permit
City of Ea~d I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: _ I
I I
2013 RESIDENTTIA')L
LfBUIL,-~DpING QPERMIT APPLICATION
Date: /_3 Site Address: / /(P'` Unit#:
w..a,_. So ~ Phone: VS
Name:
Resident/ I
Owner Address / City / Zip: 71oZ__7
Applicant is: Owner Contractor
I Type of Work Description of work: _
<::5
~ol p2 0o
Construction Cost: Multi-Family Building: (Yes / No
Company: (f 4 Od E/ /'-~Ct Contact:
Address: ko,--/C krJ City: Vg NS uJ L Ls
Contractor
State: A/t'.) Zip: Phone: 7---) 0/
License 00 /al 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
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 r
conclude that they are trade secrets.
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.gopherstateonecall.org
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.
xAC L x
Applicant's Printed Name Appl' ant's Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123226
Date Issued:06/02/2014
Permit Category:ePermit
Site Address: 4124 Strawberry Lane
Lot:12 Block: 6 Addition: Hilltop Estates
PID:10-33000-06-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Roger R Roffler
4124 Strawberry Lane
Eagan MN 55122
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature