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4176 Strawberry LaneC!ty oi'Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink P:PtaffaiN0 Permit #: -5'(-761 v 35 75 Permit Fee: Staff: Sic\ Date Received: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �- �v Site Address: Tenant: /7� JTZ `G4i Suite #: RESIDENT / OWNER Name: (C o 7-p(2. 1 c /L So) Phone: Address / City / Zip:4/ 75- A-(,) Y % ) E Applicant is: Owner X Contractor TYPE OF WORK Description of work: 10-1e 5 1 d -e- �a "� r �`/ w S Construction Cos '7/0 7 / 0'D Multi -Family Building: (Yes / Noe ) CONTRACTOR Name:i (T� Address: 2-7 ; L L e a S f e (4C-ho/Licensee #: ' J/ ctets' )°�`i City: vo/Ded V lky Phone: - 576 61-7/ State: Pit) Zip: -S1/ Contact: Email: 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: 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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. 4-£ i -j • LLe Applicant's Printed Name x Applicant's Signature Page 1 of 2 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zuning: No. of Units: Owner: - Address: • r,~,,, ; . • ' ~~.~^rv . . . ~ Site Address: Plumber. Meter No.: Connection Chorge: Size: Account Deposit: Reoder No.: Permit Fee: ' I egroe [o comply with Hhe City of Eagan Surcharge: Ordlnaneea. Misc. Charger. Total: gy Dute Paid: Date of Insp.: insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: ' Zoning: - No. of Units: Owner: _ Address: Site Address: Plumber: 100.00 p3 1 agree to tomplr wilh fhe City of Eagan Connection Chorge: -425 . 00 ~a Ordinanceu Account Deposit: ~ Pertnit Fee: Surchorge: _ BV Misc. Chorges: Date of Insp.: Totol: Insp.: Dote Puid: , CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 ' Dare -19 RQCEI V fiD RRdN - . , AMOUNT ~ I Y- ~ Ae DOLLARS ~se ? CASH f!j`CHECK P'OR l, . -4.%T FUND CODB AMOUNT </~J c-J Thank You BY 9.013599 ~ite-Payers CoPY ~ Yellow-Posting Copy ' Pink-File Copy CITY OF EAGAN 3795 Pilot Knob Road Engon, Minnesots 55122 MAR •zCr A-~ I*Ml= Phone: 454-8100 HEATLW, PERMIT No. 1457 Date: 5-24-79 Receipt No.: 14397 4176 S Single I Site Addreu: IResidential Lot 7'6 Block 5 Sub/Sec.Rill+-M ~"~tieS _ Multi Res., Comm./Ind. I Nome CmsZ 11 I~man New/Alter./Repair. NeW ; Address P.O. BM 1231 Cost of Instollotion 4,300.00 O City ~'Ville Phone: 4~2-3929 Permit Fee 20•04 Ae ame ~ N• ~1*~ Surchorge • S0 Address 4637 CUcaW Ave. s - +r.*? , rr,4rz1 _ r--F7 2^, 5f1 City - Phone: Total This Permit is issued on the express condition that all work shall be done in xcordcnce with all oppliwble State of Minnesota Statutes and City of Eagan Ordinonces. Building Officiol cIrr oF EA"N ~ , - 3795 Pilet Knob Road Eogae, MN 55122 N2 5128 PHONEs 454-8100 BUILDING PERMIT Receipt # ' - To be wed fer `'z' r~t JLT ` Est. Vol ue Date 19 • 1-7i- •^•,~~""i.1k'_ . Site llddresa ' Erect Occuponcy Lot ' r Bixk Sec/Sub. Alter ? Zoning , Parcel # Repofr p Fire Zone Enlarge Q Type of Const. , oe Name ' •m. - F ` _ . Move ? # Stories Z Address Demolish ? Front ff. ~ . . _ ' . . Ci ^ Phone Grnde p Depth ft. p Nome Approvols Fees o~ Assessment Permit ul Water & Sew. Surchorge Ci Phone Police Plon check ~w Na~ Fire SAC /~reu Ertg. Water Conn. `W Ci phone Plonner _Water Meter Council I hereby ockrwwledge that I hove reod this uppiication and stote that gldg, pff. the information is correct ond agree to comply with all appUcable APC Totol State of Minnewta Stntutes and City of Eogan OrdinanCes. Signature of Pem+ittee A 8uilding Permit Is issued to: on the express condition tfiat ull work shall be done in accordonce with all opplicable Sfote of Minnesota Stotutes and City of Eagon Ordinances. Building Official ' • , f PN1RIF # DOf! IMNd pN~1if'fM Plumbing kk!su-_ s ' 2z 9 Mecr,o~ical r "i S• i4-1 tj -J~ t 7 76 - ,7- cr INSPECTIOHlS DATE INSP. Rou9h-In Final Footings w.. Date Inap. pata Irup. Foundation _ Plumbing -2 -7 :2- Z4, Frome/ins. Mechonicnl Final Remorks: 7-sr-;p9 CITY OF EAGAN 3795 Pilot Knob Rood Eogon, Minnesota 55122 Phone: 494-8100 PERMIT No. 1354 5-23-79 ~ 13954 Date: Receipt No.: 4176 :itS3dlXL^y IreR~ Single I x Site Address: Residential C; Ai11ftp EstabPas I Lot Blotk Sub/Sec. _ Multi Res., Comm./Ind. ,3ros7 & Leiyron Name New /Alter./ Repair • P.O. Boat 1211 ; Address Cost of Installotion ° 3'VilIe 55337 452-3929 ~.OQ City _ Phone: Permit Fee Name Pr4jec} 'Plixr!)17cr (b- Surchorge •sn ~ 4 Address a'-743 ALndbOlLlt RVe• `4• 0 ~ City ?~5• '~~~1 Phone:~~+;- -n•-'' Totol This Permit is iuued on the express condifion that all work sholl be done in uccordance with oll opplicoble Stote of Minnesota Statutes and City of Eagan Ordinonces. Building Official INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: ~ N~~ 3830 Pilot Knob Road Permit Number. • Eagan, Minnesota 55122-1897 Date Issued: ' • % ~ ' % ~ (612) 681-4675 t SITE ADDRESS: APPLICANT: . 'i i , I;;Af-1HF"14{7Y 1 ANI tiGllli I 11t1l i Ai 1 I N4*. G/11tY PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . \ ~ ~ ~ Permit No. Parmit Holdx Date Telephone • ELECTRiC PLUMBIN(3 HVAC Inspscdon Daft Insp. Commsnts FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 11VSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTQ DECK FINAL 9 ~P~I ~ This~;equest void 18 months from p , p s7os2. Date of giis I Request R O~~- 7 1 I, as It7Licensed Electrical Contractor ~ Owner, do hereby request inspection of the above eledri- cal wiring installed at: L~ /a 3 S ' ~~-o-J 62 Street Address or Route No. City ~i Section Township Range Countya~= Which is occupied by (Name ot Octupant) Is a roughin }nspection required on this job? No ? Yes ? Ready Now [~J" Will Call ? Power Supplier Address _ Electrical Contractor Contractor's License ~cany NameJ Mailing Address ~ c--- t`n ( 1 trical tr to r O~r nef Makiog This Installatio z Authorized Signature Phone No. d (Electrical Co actor or Own Making Thls Installatlon) SUVE BOARD COPY This inspectian request will not 6e accepted by ffie State Board unless proper inspectian fae is enclosed. minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55704-Phone 645-7703 ~'Rf QUE3T FOR ELECTRICAL INSPECTION R 87062 CHEC LOW WOAK COVERED BY THIS REQUEST Type New Add. Rep. Cheok Appliances W'ved Foi Check Fquipment Wired Foi Hume 0 Range ? Temporary Wving ? Duplex 0 ? 0 WaterHeatec ? LightingFixmres ? Apt. Bldg. Dryec ?Electric Heating ? Commereial Bldg. Fumace tp Silo Unloader ? Industrial Hldg. ? 0 ? A'v Conditioner ~ Bulk Mdk Tank ? Farm ? ? ? List List Othei 0 ? ? ~~hers~ Otherst exe Here COMPUTE INSPECTION FEE BELO Secvice Entrance Size: u Fee 11 F u rs Circuits: # Fce 0 to 100 Am s. 0 t 0 A 0 to 30 Am eres ~ ~ 101 ro 200 Amps. 31 t 00 r 31 to 100 Am res Above 200_Amps. Above 100 Amps. Above I00 Amps. Transfortneis RemoteControlCirc. Paztialorotherfee Signs Special Ins ection Minimum fee $5.00 Remarks TOTALFEE I, the Electrical Inspector, hereby certify that the above inspection has been made. S.~ (RouBh-in) ( Date `J tJ,t 44 ' (Final) Date~-/6-7~ A&.5-b This request void 18 months from This request void 18 months fcom DaYe of this Request C-S?-'T `t _ P 94198 I, asA Licensed Electrical Contractor OOwner,,do hereby req st inspection of the above electri- cal wiring installed at: U~ ~ Street Address or Route No. 41:76 Section Township Range County Which is occupied by 07'r~,~ m Z_ 9 "m0.h, ~ua ~~-~L ~nf11p vrs (Name of OccuOant) Is a roughin inspection required on this job? No ? Yes Q' Ready Now Ek' Will Call ? Power Su lier ~ PP R o~~ ~-'PAr', c Address 'vt~- S{'. Ftc+^m~nA e0.. ~ i11'~ T R 35~7' Electrical Contractor~ T_ ~±P~ '~.(i°C Contractor's License No. - ~COmpany Name~ MailingAddress (o a,(og_13r'1 0 r'~" {~U1~~a.~Sa.tt ac~, im~. ~S/a~ (Ele trical C~o,n~t, ,a~<~nto Owner Making jflls I~Stallation) Authorized Signatuce ~ Q. ///lrYXeit. Phone No.'13a-/.Rl h (Elactrlcal Contractor or'Owner Making 7his InstallsUOn) ~~f J~ This inspectian request will not 6e accepted 6y ffie rj j„~ State Board ualess proper inspection fee is enclosed. Minnesota-State_Beard-of-Electr'rcity 19 University Ave., St. Paul, Minn. 55104-Phone 645-77 d REQUEST FOR ELECTRICAL INSPECTION E~h P 94198 CHEGK BELOW WORK COVERED BY THIS REQUEST Tfpe of BuiUling New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fm Hume ~T ? ? Range Tempocary W'ving ? Dupiex , ? ? ? WaterHeater ? LightingFixtures ? Apt. HMg. ? ? ? Dryer ~ Electxic Heating ? Commercial Bldg. Furnace 1y ? Silo Unloader ? Industrial Bldg. ? Au Con Ub~ Bulk Milk Tank ? pLis[ List Herers~ Rereecs# O her ? 0 ? ) COMPUTE INSPECTION FEE BELOW Seivice Entxance Size: # Fee Feedeis&Subfceders: e Fee Cucuita: # Fee 0[0 100 Am s. 0 to 30 Am res 0 to 30 Am eres 51 101 to 200 Amps. lQ „ 1131 to ]00 Ampeies 31 to 100 Am tes Above 200_Amps. Above ]00 Amps. Above lOQ_AmPs. Tiansformers RemoteControlCuc. Paztialorotherfee So Signs Speciul lns ution Minimum fee 15.91 - 10' ` Remazks R'fPW A~ TOTAL F E O jo I, the Electrical Inspector, hereby ce ~at a ~jve ~inspection has been /m . (Rough-in) Date (D~- /.Z" 7'~' (Final) /,'i;; ~ ~l Date lo- This request void 18 months from . • " cirr oF Ea"N 3795 Pilof Knob Rmd Eagan, MN SS123 N° 5128 PHON@: 4548100 BUILDING PERMIT APPLICATION ~ Receipt To be usea for SF D4v1Q & G2Yaae Est Value 80 000 Date Z-lS , 19-7-9==-- Site Address 4176 StYdNAEYIY lar12 Erect QJ Occupancy R3 Lot 16 Blxk 5 fii.lltAp Estat2 Alter ? Zoning ~ Sec/Sub. 3 Repair ? Fire Zone PO~~ # Enlarge ? Type of Const. V n Name GYOSZ & Id]TC1aT7 Move ? # Stories z Address P.O. BOX 1211 Demolish ? Front 37 ft. 6 Ci B'ville 55337 phone Grode ? Depth k. Approvals Fees ~ Name "1° Z~ Assessment Permc ~ t°Addrew Water&Sew. Surchorge 40•~~ ~ Ci Phane POl1e Plon check 92•~S 525.00 tw Name Fire ~C 270.00 i~ Addres Eng. Water Conn. 60.00 Woter Meter <W C, P~e Planner aj UIllt 75.00 Cour~cil 1 hereby acknowledge that ave read t' applicution and state that gldg, pff, 1,248.25 the information Is correc and agree to mply with II applicable APC Total State of Minnesota Stat es and City E 9a~ Or i es. Signature of Permittee A Bullding Permit ls issued ta: GYOSZ & L2YIICI~lT1 on the express condition thot olI work shali be done in xcordanee with oil appli ble of innesota Stotutes and City of Eagnn Ordirwncea. Buildirg Officinl CITY OF EAGAN Remarks Addition HILLTOP fiSTATFS Lot-16 Blk 5 Parcel 1fl,3.3000 160'O5 Owneri~~~~•~"P p.`.If~'.~~n ~t.?•, st,eet 4176 Strawberry Lane state Eagan; NIN 55123 ' Improvement Date Amount Annual Vears Payment Receipt Date STFEETSURF. s 1980 1336.72 133.67 10 13SIS 72 STR E ET R ESTOR. GRADING SANSEWTRUNK dal 197 1 111.94 A007528 3fz0/79 • SEWER LATERAL WATERMAIN ,t WATER LATERAL c/~9 1980 * WATEF AREA 1980 r +r STORM SEW TRK 198() * STORMSEWLAT 1980 CUFB & GUTTER SIDEWALK STREET LIGHT Road Unit 3-15-79 WATER CONN. 270.00 13599 3-15-79 BUILDING PER. ~ SAC -s oo 13599 3-15-79 PARK DATE I BUILDING PERMIT APPLICATION Inclu3e 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations. p cYU To be used for 5/A/OZE FA~aiil y /i F-s Valuation Site Address: Lot~ Block ~ Sec./Sub.Parcel yumber 4s 9 4M"b P CE-4'i- Owner 6peo7z 'F 5 Mf*N Telephone ~~02 q Address ~ I~ ~ Contractor Telephone Address ?90- /ODl 601// AJ,AiUSUIc6E1.L1nJ . Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy A~3 Alter Zoning Repair Fire Zone 3 Enlarge Type of Const. Move It of Stories Demolish Front Grade Depth ~ J Date of Approval and Initial Fees Assessment Permit Water/Sewer Surcharge ~ Police Plan Check q.. Fire SAC O-P ol Engineer Water Connection o~ Planner Water Meter ~ O Council Bldg. Off. A.P.C. TQTAL ~•7tC-toF,r: f:-c-~~.~. . ii;;r•t~~voltljl?ai. SS3~~ ~ ~ DELMAR H. SCHWANZ ' IANOSURVEVOR , ROqiilootl Untlm l,aws ol The 6bte of Mmn.sob - 2878- 746TN STREET W. - gpX M ROSEMOUNT, MINNESOTq B5p68 PHONE 812123-7789 SURVEVOR'S CERTIPICATE ' .4 C.S%- ~ S85°W 120.68 ~ . m ~ .z5'Drsir,age g STRAWBERRY ` ut~.lltiy 6 ~ i ^Ament LANE ffi (;3 33 ~ O T I~ ~ /o n 16 I u~i e / a~ o ~ t ( ~ Z 57' I5 $CA=F:: r . v9Q9\\ r y ~ . 522~\ I - ~ \ I - ~t i her2ry certity that th,is Sa a trae and correct r~orc..crt- _t' ' Irot 16, Block 5, Hif LfiOP cS".^4TES, zccording to the .r-;cnro, ~i- i.- thereof, La}cota County, A:i nnesota. Also showinE thc location of s proposed hnu;;e a: rt .k:~r- i.l-. Duted: JI-nu'try 22, 1979 . MINNESOTA HEGISTPATION NO. 8625 PERNiIT c~ ~qz[~ CI~'YOFEAGAN 3830 Pilot Knob Road PERMITTYPE: BuILnING ~ Eagan, Minnesota 55122-1897 Permit Number: 026282 (612) 681-4675 Date Issued: 0 8/ 2 5/ 9 5 SITE ADDRESS: 4176 STRAWBERRY LANE LOT: 16 BLQCK: 5 HILLTOP ESTATES P.I.N.: 10-33000-160-05 DESCRIPTION: (REPLACEMENT) Building Permit Type DECK buiiding W[z,r_k Type NEW \ ~ , REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - sT. I.IC. OWNER: JOHNSTON CONTRACTING, GRRY 17512955 0009122 ISKOS PIERRE 29190 SUNSET TR 4176 STRAWBERRY LN CANNON FALLS MN 56009 EAGAN MN 55123 (612) 751-2955 I hereby acknouledge that I have read this application and state that the information 3s correct and agree to comply with a11 epplicAble StaCe of Mn. Statutes and City of Eagan Ordinances. L ~ APPLICANT/PERMITEE SIGNATURE ISSUED : IG R INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLorNc 3830 Pilot Knob Road Permit Number: 026282 Eagan, Minnesota 55122-1897 Date Issued: 08 / 2 5/ 95 (612) 681-4675 SITEADDRESS: P'T"N.: 10-33000-160-05 pppLICANT: LOT: 16 BLOCK: 5 4176 STRAWBERRY LANE JOHNSTON CONTRACTING, GARY HII.LTOP E3TATE5 (612) 751-2955 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW DESCRIP7ION (REPLACEMENT) INSPECTION D. . D. FpOTINGS FINAL F _ - ~ . ~ L CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1985 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 at675 New Conahuction Reouirements RamodeVRenair Reauirements ? 3 tegistemd ske surveys ? 2 wpies of plan ? 2 wpies oT plens (indutle beam & window sizes; pourod Ind, tlesign; etc.) ? 2 site surveys (exterior addkions 8 decks) ? 7 energy cakulations ? 1 energy eelalations for heated addftiona ? 3 oopbs of tree preaervetion plen H loi plaked afler 7Hl93 iequfred: Yea _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~~~o c~ L x'> S~ ~ c- 17 ~ C , STREET ADDRESS: ` --j LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: Y -t phone OWNER Street Address, City: State: Zip: C C) 2 ~ CONTRACTOR Company: c _ Phone Street Address: 2' '7 1 4 a s~~ s-Z-7 )'Y , License City: C - - u > U _~1 s State: 'r' 11~- Zip• ARCHITECT! Company: Phone ENGINEER Name: Registration ,,otreet Address, City: State: Zip: Sewer 8 water licensed plumber: x- Penalty applies when address change and lot change are raquested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all appliqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appliqnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservadon Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi 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 a 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex Cpl15 Deck WORK TYPE 4Pl.P"-t Cxi5'i/N6 n 31 New cl!r-33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq.ft. Census Code. J` Depth Footprint sq. ft. SAC Code C;Y Census Bldg Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permk S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ eA~~ ~ ~ b~~~ ~ t ~ ; ~ ~ ~ ~ ~ ~ ~ ~ n ( ~ t, ~ ~ v N ~ ~ ~ ~ N~ ~ J , r~ ~ ~ ~ ~ ~r ~ ~ , CITY USE ONLY LOT ~ BL ~ RECEIPT SUBD. 1A1 I~~C'Q D C S~ RECEIPT DATE: I' J'7 ' OO MECHAIIICAL PERMIT # 3 I~~ a 1999 M£CE4BTICAL PERMT!' (RES1DPIVTIAI) crrY oF EnsM S$SO PILOT ICAOB RD FA6AN MN 55122 Date: (651) 6$1-4675 Complete this section onlv if you are installing HVAC in a single family dweAing, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one requ'ved @$3.00 ea.) State Surchazge .50 Total Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration X, Repair _ Other Reminder: Call 68I-4675 for inspections. ~ Furnace _ Air condirioning _ Air exchanger _ Other $ 30.00 State Surchazge Minimum Total Due' ~ SITE ADDRESS: OWNER NAME: ~ t- NE 4: ~I - ~ - 7 L INSTALLER NAME: 1 ~ ~C PHO~ ctlnE> J ( REA CODE) STREET ADDRESS: CI"I'Y: ( n~ il ll eL'rlk9 f I S STATE: SIGNATURE OF ~ERMITTP9 Q 1 CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT 19991KECHANICAL PERMIT (co1NMERCIi4L) CITY OE' EA6AN S$SO PILOT KPOB fiD £A6takR, DiN 55122 (651)6$1-4675 Please complete for: all commercial/industrial buildings m Iti-famiiy buildings when separate perrnits are not required for each dwelling unit DATE: l I ~ CONTRACT PRICE: WORK TYPE: New conshvction Instail U.G. Tanlc _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) *"NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspecrion by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% oF contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1 % PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of nemvt fee due on all pemrits.) TOTAL - - - - - - - - - SIT'E ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANI' NAME (IIvIPROVEMENTS ONLI): INSTALLER: ADDRESS: PHONE (AREA CODE) CTI'1': STATE: ZIP: SIGNATURE OF PERMIITEE ~(ol(o .4~ qq. z5 D-OBL d2ESIDENTIALBUILDINGii C4A,^( (012. .6.J City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWctian Reaui2ments RemodeUFtenair Reauiremenis Office Use OnN 3 registered site surveys showing sq. ft of lot sq. ft af house; and all roofed areas 2 copies of plan showmg footings, beams, pbk Ced of Survey Recd _Y _ N (20% mazimum bt coverage allowed) 1 set of Energy Calwlalions for heated additions Tree P25 Plan Recd _ Y-- N. 2 copies W plan showing beam & window s'¢es; poured found desgn, etc. 1 sAe survey for addilions & decks Tree Pres Required _Y _ N 7 set of Energy Calculations Adddion - indicafe il on-sde sepfic sysfem On-site Septic System _ Y. _ N 3 copies of Tree Pmservation Plan'rf lot platted after 711/33 Rim Joisl Detail Optlons selection sheet (buildings with 3 or less uniLS) Minnegasco mechanical ventilation fortn ~ pU Date G.I / ),S / aU u G Construction Cost Site Address LH '76 STYUw bPrnl I..A n P Unit/Ste # Description of Work c~G~P inchl~ ci Yr,~w~iV viww 'fNq,o ?frKCA 6f[j r Multi-Family Bldg _ Y4 N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner G141A,4 S f [mv, J 4'U 4w6Crq Telephone#((o5I ) L'IS LI LILl3 l Contractor 0 c.v' t~ Sf~)w-fi Lln CWifr~rc.T~n„ SviC , Address aI7ftn ICPYJYtoIC O(if City L.,,,~pV4j~Q State M (l) Zip S 50~ Telephone # (c) 5-A) 4CoR 3a.jd. a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Woiicsheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan sed on a master plan? _ Y _ N If yes, date and address of mpster plan: Licensed Plumber T ephone # ( ) Mechanical Contractor k~ Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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. Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 MuRi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ~ 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs IFO 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant D@SCriptiOfl: Water Damage _ Yes Valuation L 066, - Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ?l13 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock Footings (deck) FinaUC.O. _ Footings (addition) ~ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ W indows _ Insulation _ Retaining Wall ~~a~ ! Approved By: du~itding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I PERMIT City of Eagan Permit Type:Building Permit Number:EA146871 Date Issued:11/17/2017 Permit Category:ePermit Site Address: 4176 Strawberry Lane Lot:16 Block: 5 Addition: Hilltop Estates PID:10-33000-05-160 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 - David A Newberg 4176 Strawberry Lane Eagan MN 55123 (612) 280-6372 Perfect Exteriors Of Mn Inc 516 Pine St PO Box 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167800 Date Issued:03/30/2021 Permit Category:ePermit Site Address: 4176 Strawberry Lane Lot:16 Block: 5 Addition: Hilltop Estates PID:10-33000-05-160 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Andrew J & Sarah E Paul 4176 Strawberry Ln Eagan MN 55123 (952) 513-7706 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature