4275 Eagle Crest Dr
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used Fort
al tion: ? o? Date:
Site Address: OFFICE USE ONLY
Lot: JesBlock c:-,?_ Sect/Sub at x Occupancy iz,3
4+ Remodel Zoning R•I
Parcel U
Repair Type of Const ?
/ Enlarge 0 of Stories
Owner Move Length 4 Z
/ Demolish Depth 4_
Address Grade Sq Ft
CitylZip Code -_________
Phone Z/3 S - 3 3 3 APPROVALS
Contractor
Address
City/Zip Code
Phone
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ad Unit
Bldg Off rks
Arch./Engr. APC Treatment P1
Variance
Address TOTAL
City/Zip Co e,
Phone 0? / - d,'v S
34- 510
33-
I(01.
5-F 5.
SD
SD
29 0.
115P&-
U9
50
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4275 Eagle Crest Dr
Lot: 8 Block: 2 Addition: Sun Cliff 4th
PID:10- 72978 - 080 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Craftsmen Home Improvements
7455 France Ave #194
Edina MN 55435
(651) 430 -3706
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Thomas Mohs
4275 Eagle Crest Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA085980
09/11/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$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
FOR YOUR INFORMATION
Date: 2 ' 19 9 5
NAME: 5 ? PC. s 003 TAKEN BY: °`
ADDRESS:
PHONE #: OA - Go + O 5u? C I .
L
PROJ #: 3 Z
ISSUE: C:.a v?Du ?J? n o til c? cs, i1? cg a? =
ACTION REQUIRED:
cc: cx p ?,
REFERRED TO:
LTBM31FYCFM
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ?! , H 1 n( K APPLICANT:
i.R1',I OR
•1114 11 111 - 4111 fl 13b 0040
PERMIT SUBTYPE:
TYPE OF WORK:
10 ,kI,Ii 111.10
14 11 1 1 111 Nfi
0 i 1 /11
Nor /04 /qR
FPA)v
I'Poill /tiT111tl4 D
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING / _ /^ (Or /FL
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
i
CITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH Lot $ Rlk 2 Parcel 10 7297 0 02 (-
Owner Street 4275 Eagle Crest Drive State Fagan, MN 55 2
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. OW 198? 303.92 .26 1
STREET RESTOR. Q 1986 1622.2 324.44 0 60113a33 1J"
GRADING
San Sew Lat 1,035 1986 502.5 2 5. SOd SP 11
SAN SEW TRUNK r 1970 2. 2 1.70 2
SEWER LATERAL 1985 218.56 43.73
Wnrpr Lateral /0 CO /
WATERMAIN 1985 3.$7 1
WATER LATERAL
WATER AREA go/ 1 58.78
3.93
1
N71 185.27 .2 20
STORM SEW TRK 1985 96.0 6.41 1
STORM SEW LAT 19$5 7$.0$ 5.20 15
Storm Sew La ' 9 739.56 147.91 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Sprvices 03 1986 529.15 105-83 5 S /J 6,011,70 3 1"
CLlf
-
WATER CONN.
BUILDING PER.
SAC
PARK
PERMIT #
PLUMBING PERMIT RECEIPT # CITY OF EAGAN ?_ g
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE -9- z
Site Address h'-TV-7 ae7gLe
Lot !;?- Block Z
Name c L
Address w a =
c City v?9e Phone '/ 2-77?
Name {_yG OZA- U
3 Address
p City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$10-00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. ?- New X
Mult Add-on
Comm. Repair
Other
NO. FIXTURES T-QTAL
/Water Closet - $3.00 $ .5 o D
/Bath Tubs - $3.00 3, c o
Lavatory - $3.00 3 . c n
Shower - $3.00
=Kitchen Sink - $3.00
C' o
3,
Urinal/Bidet - $3.00
/Laundry Tray - $3.00
3 •C G
/Floor Drains - $1.50
/Water Heater - $1.50
Whirlpool - $3.00
/ Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-7T- Private
Openings - $1.50
FEE
STATE SIC:
GRAND TOTAL-
FOR:
FOR: CITY OF EAGAN
t -'r.. rA""K'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for A' DWG/GAI1 Est Value $67,000 Date FEBRUARY 1b 19 86
Site Address 4275 CAGLc CRj?bT DR Erect 11? Occupancy 113
Lot 6 Block z Sec/Sub. SUN CLI FF 4T11 Remodel ? Zoning RI
Parcel No. Repair
t ?
? Type of Const
N
St
i
Name Ki: YJ?AND HOMES Addi
ion
Move
? o.
or
es
Length 42
i Demolish ? Depth d
o Address 3471 W 173RD I
I ? Ft
S
nt
mpr. q.
City JORf?A Phone 435-3323 Install ?
o Name SAt+tI' Al
=
0 0
Address
Assessn
` City Phone Water &
u HALLQUIST Foece _
U
j
W Name
a Address En
z
B _
g.
K LMTN Phone 631-6175
City Planner
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 Ornapges.
Signature of Permittee
A Building Permit is issued to: KEYLAND HOSES
all work shall be done in accordance with all
Building Official
Minnesota
N2- 115?5
Receipt #
Council
Bldg. 01
Surcharge
Plan Revie
Water Conn. 5 U U. U V
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var. Date I Copies
Total S 7_ 1 1 9_ 00
on the express condition that
Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Dow Telephone N
Plumbing Ya 7 AD @ M>ti 3 a ql lei.
H.V.A.C. 4-7 7 ?-L- C y 3 6
Ekmb e s Ya ?o '
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
Foundation
Framing
Rooting y/ )
Rough Plbg. -7-yd,
Rough Mg. ?
7
Insui. t
y ? /A.
Fkeplace
Final Hill. •
?
Final Plbg. /
Bldg. Final
Cert. thee. x
Deck Fig.
Deck Frmg. -?
Well
Pr. Disp.
?v
PERMIT # ?7
RECEIPT #
DATE
1. Bldg. Type: Res ___X,_Cor
CITY OF EAGAN FEE
MECHANICAL PERMIT
S/C
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
?^ '
MINIMUM COMMERCIAL FEE - $20.00 + $.50
nm Inst 2. New,c Add Alter Repair_
[A
3. Total Bid Price ??`- 4. Job?Address ? 7
_77 zL/
Lot_ Block Sec 5. Owner
6. Contractor ? 111.81) L-c.Aeffl, I [TV r/ i%-VVYY
(Name)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00
RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00
MO?/DIFICATIONS/ALTERATIONS -$10.00 minimum fee
' HEATING L VENTILATING HOT WATER STEAM AIR COND.
-AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG.
'C RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./ll}D? RAT - 196?0F T T L BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: / for
Approved Inspections: Date Rough Insp, Date Final Insp.
AITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0 11525
PHONE: 454-8100
BUILDING PERMIT Receipt# Sy 3
ITo be used for SF DWG/GAR Est Value $67,000 Date FEBRUARY 18 tg 86
4275 EAGLE CREST DR
Site Address
Erect ?
Occupancy R3
Lot 8 Block 2 Sec/Sub. SUN CLIFF 4TH Remodel ? Zoning R1
Parcel No Repair ? Type of Const. 11
. Addition ? No. Stories
KEYLAND HOMES Move ? Length 42
i Name
3471 W 173RD Demolish ? Depth dR
3o Address Int. Impr. ? Sq. Ft
City JORDAN Phone 435-3323 Install ?
c Anurovals Fees
=o Name SAME
Address
City Phone
GW Name HALLQUIST
.0 Address
aW City BLMTN phone 831-8175
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 Ciry agan Or oftes.
Signature of Perm tries G QsdP. ?I
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all applicable Sta of Minnes
Building Official
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. 01
Var.
Permit '' Y • ""
Surcharge 33.50
Plan Review 167.00
SAC 575.00
Water Conn. 500* 0 0
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Total $9,119 n 0
on the express condition that
and City of Eagan Ordinances.
This r oest void °3
9' 6
18months from
r C 58,2 Lk, 9.)
Request Uat Fire No. R
" ns on
egVhad ?Ready Now EjVl Notify, Inspec-
s ?NO for When Ready
ice ed lectrical Contractor 1 hereby request inspection of above
?-0wner electrical work installed at:
Street Address, Be. or Route No. City
S_ S/-
Section We. Towns 'p N e or No.
Range No.
County
4 -2
Occupant IP I T) Phone No.
?J
Power Supplier Address
Electrical n actor tCompany Nam Contrec .i en
e,J l _?? l
nJuq nstaila[ion)
Mailinn Addre s (Conttractorrr 0 ner Maki
/
Authorizetl nature ntr for/Owner ing Inst lation) Phone Number
MINOTA STATE,eOARD OF EE£CTRICITY THIS INSPECTION REQUEST WILL NOT
G149.-Midway Bldg. - Be.. N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 66106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
. rum ELECTRICAL INSPECTION
V See instructions for tompleti rig this form on back of yellow copy. '
2 "X" Below Work Covered by This Request ()
INawtAddJ_gep.l Type of Building 1 Applia ncea Wired I. Eauiument Wired `% I
ex
ce
Bulk Milk
N as Service Entrance Site a Fee Feoders/Subteeders k Foe Circuits
?yGY/ 0 to 200 Am s 0 to 30 Amps ZZ 0 to 30 Am
Above 20 -Amps. 31 to 100 Amps a
Amps
31 12 -22
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms ? Partial Other Fee
Signs SUecial Inspection $ ?d TO AL l /
l
en arks
i
1, the`6Mo-?al
Inspector, hereby
certify that the above
inspection has been
PSG
s?-,
y?-mss 671-r,L-c s7-
h?
AM g(9s ` '019S
PERMIT
CITY OF EAGAN
3830 Pilot.,Knob Road
Eagan, Minnesota 55122-1897-
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72978-080-02
DESCRIPTION:
REMARKS:
FEE SUMMARY:
4275 EAGLE
LOT: 8 BLOCK:
SUN CLIFF 4TH
PERMIT TYPE:
Permit Number:
Date Issued:
CREST DR
2
-.., REROOF/STORM
Buildin`g`Permit Type
Building Wbrk Type
.`Census Code 434
CONTRACTOR:
AZTEC ROOFING
11583 RUPP RD
BURNSVILLE MN
(612) 895-0040
- App
55337
cant - ST. LIC.
18950040 20139140
DAMAGE
STORM DAMAGE
REPAIR
ALT. RESIDENTIAL
BUILDING
033176
09/04/98
-7 -7F 1
?.)
OWNER:
PEARSON
4275 EAGLE
EAGAN
(651)688-6010
SEAN
CREST DR
MN 55122
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE 1 ED BY. SIGNATURE ?-
I
1998 BUILDING
New Construction Requirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PrLOT KNOB RD - 55122 /?
681-4675 y?J I
RemodelfRepair Requirements q _ (4 - 9?
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required: -Yes _ No
DATE:
DESCR ION OF WORK: Y /110
• 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
4 1 energy calculations for heated additions
CONSTRUCTION COST;
STREET ADDRESS: q Z75 P?11 ,_( PP?S.? ?)e
LOT: O BLOCK: SUBD.IP.I.D. ?\,,k tit
?O ySC)+,-\ q /n
Name: (519-0-n Phone #:
PROPERTY Last First
OWNER
StreetAddrenss:?/-2,7?5-}°'Q?'4
City State: Zip: .6 / C
CONTRACTOR
Street Add
City
ARCHITECT/
ENGINEER Company:.
Name:
Street Add
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
53'95 _00g o
License # 2U_L:29/ D
State: M A) Zip: 7
Phone #:
Registration #: _
State: Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information i rrect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received Yes - No
Not Required I?
Phone #:
2? x 4?
Zc? K 22
lo1C10
io4o x S? ° 1203X7
49O)< 12
Szv o
l oC--,? x 8
goo
(? (Oo
OWNER:
P
EXTF.RiOR_ENYEL01'l Avn(Au "U" COMMIT
PArr :
SITE ADDRESS: PHONE
CONTRACTOR:
?pw ?S
Determine working square footage of each
1. Total exposed wall area ....._1?1I! sq, ft. x .11
2. Total roof/ceiling area..... ,QQ?p sq• fl, x 026
Total exposed wall area alihve floor=___(,7j(,_^
a. Total wall window area ............................. -J
b. Total door area....................
c. Total sliding glass door area.. •. .•. g-
d. Total fireplace wall area....... ...•••..•...•.•••••••••
e. Total wall framing area (average 10x).
f.' Total rim Joist area.. 71_
g• net wall area above floor....... ""••" 13Z
h• ' wall area above floor.. •• .•..•..••.....
i. wall area above floor.....
J. frame wall area at foundation .................... ............
Total exposed foundation area-
k. Total foundation window area..
1. Total net foundation area above grade .............
•?o
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. ?SI X
b._ X
4o x
d. X
IIUOI_ 41
IOU,. 'J4'
V I I _9__
„U,. /9•k
X IV.
f ._ 137, X „U., O 7--R
h. X RO„
i, X
I1 11 U.,
V
v
f , X
_ ,.0.,
R
k. X
] . ........................
If item 03 is the Sam
as, or less dhan item
li, you have met,the
Intent of SDC.6006 (a
i'
?- :x ..liior Envelope Average "U" Computa Lion - rage 2 of 4
f
ToL•al exposed roof/ceiling area a?
Y
M. Total skylight area .......
n. *Total roof/ceiling•framing area (average lot)... „
o. Total net insulated roof/ceiling area ...........q 2i
+ Determine "U" value for each roof/ceiling segment
M. x +.U" n
n. x 11U.1
p n
oz?
4 ........................... Total _ ZI•Z
If total 'of 04 is -the same as, or less than 112, you have met the intent of
SbC 6006 •(a) 1.
Alternate Building Envelope Design
'lb:utiliza the total envelope "system method, the values est-ablishe4 by the sum of
items 113 and 44 shall not be greater than the sum of items Ql and 92.
1: Teo. S + 2. _ 2.7 e 237. _
3. + 4. Z? •Z- 9 1 ?O.g
I
..
unl.r, r.rr.rtrn(s
_ Cr Uve rbt of rpoqu.; wall urea for
ofrnP: com; rucIlo n
s ic .-
AI.I.
,, r?• .
Vvir
_.. _
.
;tmo It-it
..
,. ice
?11? ........ .
it 14 1 C.
Z
G. F:r.L,_riur_alr fitln
• U.
l7
-
_
_
'1',11 i, l
. I z. 2.
lWou.
1. IntI.rl„r air tll.p n.r,n
_ _
yz.:_UYn..Bpl...__
4L
fi. ior aij- -.... _._. ,
Extr.rii,r
-
-"
'ru t.; t
ZO. q
f?
V
2r
M
1. i
)nt?_? ur__•,t(_film
, p
rll
_
,
?
). _.ZXI-b............ ....__.
6. Fxcr•rlor Air film
- 11_17
TOC _
al
t. rl ullor :ilr film 0.6n
Z,•_?7?.?{KO_........ ?Q.e..Q
'
5.
G. I:xtoriln: 41- 1111•1 11.1'1
- 'raL al /Z/?3
U
M.AII (Ntl r•1w,t: • O
F1(.. IIA 711 IL,
hu'l'l:: Indic-ate tvl,• . ",1•• va1u,,. .L•nrh wn.l
rn
t
?Log:?k!II',
?C.u?E it
-ULL I jll
ULL2!
s
.1 D f 1? li. CZ I M : III
13Loc'K
ICN EE I'"
n
PuLL?
FU L.L?)
P /
• / /
Ri f-•I .
L?N FAA L FT, EXPOSED
Zln+9 0 -+ z? •4 40 ? ! 3 Z
!32
131,
f 3 z --
PLAN * 33zs"
WALL
l Sru . F-t-, ?t?aosED WALL. A2EA
3z K
I32._ yC T = G(00
?
13-L
.. g
,o
(,
l 3 L J3z
TbtA L. = I I?
?iSQ,Ft, EKPOSE:.D GEl Ltuq
? W ox?s rh
?oirvo fly
ZBgq
li 2248 fir
x-f 010
Doo25 ?'
e
38
Z S ®PA-n o DRS . [
-t 135 M? U fJ i+5 t=J
?;I A00?'/CEILIYG •
ll
:I •,! L?y?? conJtTnct?On -VA Ilia
f, Interior air film p?B1
2.
11T! (14???,I11?•? 1• Extcrl.or air filca (st 11 }
- --------------
yF,TT ?? 11_?,_? Total (Z [580
1. Interior air film
znted Beat flow 0.6).
38 3-
4. Iixtevior r.ir f:La sti
Total 2 Y 9Q.?5
ric. is*
U - .OZ
1_ Insida air film 0.61
Ontsidc• air film • 0:17
li I ! J /v!!"jUl( ?I ''ll)I`L `? Total
1. Inside air film 0;61
Y.ert flow up , .Vented 3-
• 5. Outside air fLlm 0.17
Total
1. Inside air film 0.61
• •w1 him ?dl.f-•...:... .. "-•L]J_ 3. L
???•,```r,yy -1"//?? / `? ' S. outsldc air film 0
17
Total
H0:7-VI?:IZD Notes Use additional sheets if more space
• •• needed for details and calculations,
i Kent
ti flow up
PERSONS> REQOIRING, ADDITIONAL COPIES WILL'. BE' CHARGED A• • $20'.00 FEE. TO: COM
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
IPlcn Qa Print-1
1) PROPERTY ADDRESS:
LEGAL DESCRIP'T'ION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Z>-
(Month ear)
PRESENT ZONING/PROPOSED USE:
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units)
R-4 APARTMENT/CONDOMINIUM
COMMERCIAL/RETAIL/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
(-Units)
( Units)
2)
NAME: J?2 i??f?f°?O1/,?P c
ADDRESS:
CITY, STATE, ZIP: tj Uv^J7,4,° 5-5-372
PHONE:
3) For City Use
NAME: ?L'i?2 Plumbers Licens(
ADDRESS: tv? -s::' f,41
C.`I Active
CITY, STATE, ZIP: C? ?rw_ „? Q Expired
PHONE: ?y -° MASTER LICENSE # 2y ?v?,rJJ G Not Recor(
Staff initial
4) •a • w
NAME:
??'rY i9S' ?4on1.
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) n ' ?• ' a• ?
FrONNECTION TO CITY SEWER CONNECTION TO CITY WATER
O OTHER (Please Describe)
6) u • i
? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPRQ PERMIT TO 1, 2,0 4, ABOVE
(Circle one)
7) 2 tJrY
F O R C I T Y U S E O N L Y
PERMIT °: ISSUED
7,7 z d 312-11%6
FEES: $ d
/G S£`'Ev 0o ?1I -'b^ mcz RG-
.. z., R__T (I_ICL L SU.._.?.. c,)
$ /G S? WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - WATER
$ 5--b n. c n WAC
$ ?? S • « O SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SET,`-ER
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
S ?/:f6 3
$ //'J AMOUNT ,PA-ID/RECEIPT d
/D7?P
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE 'ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: ?j
DATE:
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CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoning: No. of Units: .
Owner:
Address:
Site Address:
Plumber.
1 some to a- pal with the City of Eooes Connection Charge. _
Ordisoneee. Account Deposit:
Permit Fee: -
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Dab Paid:
IT
I CITY OF EAGAN
3830 Pilo+ Knob, Revid
Box 21199
P
O WATER SERVICE PERM
PERMIT NO.:
.
.
Eagan, MN 55121 DATE:
Zon No. of Units:
Owner:
Address:
Site Address:
Plumber.
Connection Charge:
Meter No.:
Account Deposit:
Size:
Reader No.: Permit Fee:
1 done to owoPly woe the City of love Surcharge:
prAssweoe. Misc. Charges:
Total:
Dote Paid:
Dote of Irap.: I^?
Owner: Reyland HOmets
WATER SERVICE, PERMIT
PERMIT NO.:
DATE: -
_ No. of Units: }
Address: ?75 le -p') Curl %1_?rf
Site Address
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121260
Date Issued:03/21/2014
Permit Category:ePermit
Site Address: 4275 Eagle Crest Dr
Lot:8 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Joan Ciesler
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 -
Thomas Mohs
4275 Eagle Crest Dr
Eagan MN 55122
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128186
Date Issued:10/29/2014
Permit Category:ePermit
Site Address: 4275 Eagle Crest Dr
Lot:8 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
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 -
Thomas Mohs
4275 Eagle Crest Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138884
Date Issued:09/26/2016
Permit Category:ePermit
Site Address: 4275 Eagle Crest Dr
Lot:8 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas Mohs
4275 Eagle Crest Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155542
Date Issued:05/21/2019
Permit Category:ePermit
Site Address: 4275 Eagle Crest Dr
Lot:8 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Mohs
4275 Eagle Crest Dr
Eagan MN 55122
(651) 283-2155
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature