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4276 Eagle Crest DrCASH RECEIPT 'CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE RECEIVKD 19 AMOUNT $ I Q DOLLARS +oo ? CASH ? CHECK <,A FUND CODE AMOUNT -' r Thank You BY f White-Payers Copy Yellow-Posting Copy Pink-File Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: ! ?i , r"r 1. a t. t PERMIT SUBTYPE: TYPE OF WORK: I lit! -------------------------- Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING a - -? 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 L___' BUILDING To be used for CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 FINISH Est. Value 01.E Site Address '_. a ST Uk Lot Block 3 Sec/Sub. :101i 47M Parcel No Name ?^ a 3 Address 4276 City 1!:ACu`.,7 0 - o Name_ Address City FQ W W Narr W W _ Addi U 4 W City Phone r 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. Signature of Permittee A Building Permit is issued to:_j"'it;;. P?a.ip tra;;;? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt # Date Z"',VT 2 ,19 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 parks°e) 7.7 t, TOTAL Permit No. Permit Holder Date Telephone # Plumbing ?- H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing q / 1f' a 7 P AS f ??nck:ti cf..ech Roofing s a Rough Plbg. 13 A Htg. nag. Bldg. Fina l Cert. Occ. Temp. 4P Deck Ftg. Deck Final Well Pr. Disp. F CONTRACT PRICE: PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PION E: 454-8100 Site Address Lot Block Sec/Sub Name m Address c City Phone Name Address p City it Phone - FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT RRIC&GOES BEYOND $1,000.00, i ' SIGNATURE OF PERMITTEE FOR: CITY OF BLDG. PTA, E WORK DESCRIPTION Res. New T- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 -TShower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL CITY OF EAGAN Remarks Addition SUN CLIFF FOURTH Lot 2 Rik 3 Parcel 10 7297 020 03 Owner Street 46 R@4-° Crest Dr! ire state Fna?n r MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 303.92 26.2 1 STREET RESTOR. j 1622.20 324.44 5 AW, c7 C.01 like-elf GRADING San Sew Lat 03S 1986 502.58 100.52 rod, a CO 11310 fr SAN SEW TRUNK 1 42-52 1.70 25 SEWER LATERAL ?25? 218-56 43-73 5 Water Lateral 03 19 2 46 fi 116.49 5 S-8 C'O 1 O WATERMAIN 1 5 7.95 3.87 15- WATER LATERAL WATER AREA p or ? ?- 1971 .27 20 STORM SEW TRK 29 19ET 96-03 6.41 15- STORM SEW LAT 1985 M 5.210 -15- Storm Sew La 1986 739.56 147.9 5 7,419, © / CURB & GUTTER SIDEWALK STREET LIGHT Services '7 O 1986 529.15 105.83 9 Sa 9 CO -3 1 WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Not Knob Road, P.O. Box 21-199, Eagan, MN 55121 NQ 11558 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for F'F D 4GIGAR Est Value $59,000 Date MARCH 3 19 86 Site Address 4276 EAGLE C REST DR Erect EX Occupancy 83 Lot 2 Block 3 Sec/Sub. SUN CL IFF 4TIi Remodel ? Zoning R.1 Parcel No Repair ? Type of Const . Addition ? No. Stories CC Name WESLEY CONSTR UCTION Move ? Length 3 8 U, 9401 XYLON AV E SO Demolish 11 Depth 4 f3 3 o Address Int. Impr. ? Sq. Ft city HLMTiV Phone 944 -092 nstall Install ? I o Name SAtIF Approvafs = ?°, s Address Assessment City Phone Water & Sew. Police L i Name Fire o z Address Eng. W City Phone 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 rdinances. Signature of Permittee ?_ WESLEY C:OM A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minneso Permit $ 310.00 Surcharge 29.50 Plan Review 155.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Bldg. Off. 41,491 5i- Tr. PI. 156.00 APC I Parks Var. Copies Total . 0 0 - - - - on the express condition that Statutes and City of Eagan Ordinances. Building Permit No. I Permit Holder Date Telephone N s Dab Plbg. Dlap. PERMIT #? CITY OF EAGAN FEE t - PLUMBING PERMIT > u RECEIPT # 454-8100 S/C Cr MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL 2,, u a-y DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. TotarBid Price 4. Job Address ?/ ,? 7 Lot Block Sec / 17 5. Owner 6. Contractor e i/?"-`?jy/if ?/y I'=7tC (Name) _ (Street) (City) (Zip) 7. Contractor Phone # ?? 7 c? NO. FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 NO. FIXTURES Laundry Tray - $3.00 Floor Drains - $1.50 -Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 Softener - $5.00 NO. FIXTURES -Well - $10.00 -Private Disp Syst - $10.00 2 Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS S.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: /r • tsL X-u"'? for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # MECHANIC AL PERMIT RECEIPT # S S CITY OF EAGAN -/ G Z 8 asp `'= 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRI E: r PHONE: 454-8100 Site Address Z 14 L _ . TYPE WORK DESCRIPTION d Loth Block Sec/Sub '4721 Res. New m Name a o?? ? M t Add u t -on Addr Comm. Repair City fJ Phone?GG 131v Omer ?i J.., 5 S 1 3 Name FEES C AddrO?s - '' RES. HVAC 0-100 M BTU -$24.00 p city Phone ' 70 Z ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 75 ?v Lj GAS OUTLETS - 1.50 EA Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) -- Gas Piping Outlets # J Other /r FEE S 5? I Get r _. S' SIGNATURE OF PERMITTEE I S/C: TOTAL FOR: CITY OF EAGAN "- z 3-'16 WATER SERVICE PERMIT ? Total:w - - ;' = f-t er Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Rosd P. O. Lox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Jay k-" ^.truct:iu- Address. Site Address: '_,aRle r?: ;„r • f f << Plumber. :?u el i c I Meter No.: Connection Charge: - Size: Account Deposit: Reader No.: Permit Fee: I some to eerrrpff whir the Cky of Eagan Surcharge: OAleamew Misc. Charges: Total: r By Dote Paid: Dote of Insp : Insp.: . CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: r Address: Site Address: T: , t Plumber. I agree to o' mph with His City of Ea9a0 oralmeme" By Dote of Insp.: I rm4m SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units; Connection Charge: = r^' Account Deposit: 1 5 Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: I Dote of Insp.: CITY OF EAGAN N 0 11558 3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121 PHONE: 454-8100 (UD /?? BUILDING PERMIT Receipt li Tobeusedfor SF DWG/GAR Est.Value $59,000 Date MARCH 3 tg86 Site Address 4276 EAGLE CREST DR Erect & Occupancy R3 Lot 2 Block 3 Sec/Sub. SUN CLIFF 4TH Remodel ? Zoning R1 Parcel No Repair ? Type of Const. 11 . Addition ? No. Stories W Name WESLEY CONSTRUCTION Move ? Length 3A 3 9401 XYLON AVE SO Addres Demolish ? Depths ° s BLMTN 944-7092 City Phone In . Insstall tall ? ? Sq. Ft z o Name SAME $ < Address City Phone Q w Name ?z Address z a a City Phone 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 C1 I Ea Inances. Signature of Permidees-Y Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg.Off. 2/26/86 APC Var. Date Permit v ?" • "" Surcharge 29.50 Plan Review 155.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. Pl. 156.00 Copies--I? ,-0 0 Total A Building Permit is issued to: - WESLEY CONSTRUCTION all work shall be done in accordance Building Official on the express condition that Statutes and City of Eagan Ordinances. c° CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N9 15558 BUILDING PERMIT PHONE: 454.8100 Receipt ? D 145 n To be used for FIREPLACE & BASEMENT FINISHEst.Value $1,000 Date SEPT 2 ,tg88_ Site Address 4276 EAGLE CREST DR Lot 2 Block 3 Sec/Sub. SUN CLIFF 4TH Parcel No. z Name MICHAEL FREDERICKS W Address 4276 EAGLE CREST DR 3 0 City EAGAN phone 456-0693 893-0550 e Name u a Addre City_ W W Name w z? Addre a W City _ I hereby acknowledge that I have read this applicand state information is correct and agree t oJ3??na6 pplica? Minnesota Statutes and aan a Signature of Permifte?l _ _ A Building Permit is is ued to:_. M.___ L _PR9FIF IS$ ©_. on the express condition that all works abbe done in accordance with all applicable State of Minnesota Statutes aw?yne1d City of Eagan Ordinances. Building Official ._.?J OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner _ Surcharge .50 Council Plan Review Bldg. Off. SAC, City Ariance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 _ P-mc-oPY .50 25 00 TOTAL . 18` >onth, ;d . 3-13-8C y to v y9? $ L 3 / C 5 ' Request Date 3/12/86 Fire No. Rough-in Inspecti Regwred? 1 ?Ready Now Will Notify Inspec- ?f yes ?No 1 for When Ready Licensed Electrical Contractor I hereby equest i nspection 01 above ? Owner electrical work in stalled at: Street Address, Boz or Route No. City 4276 Eagle Crest Drive EAgan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Wesley Construction 944-7092 Power Supplier Address Dakota Elect. Assoc. Farmington Electrical Contractor (Company Name) Contractor's License No. Master Electric 040748-3 Mailing Address (Contractor or Owner Making Instailation) 12467 oone AVe. S. S va e MN 55378 Authorized gna tore IC ractor/Ow r ing sfoliation) Phone Number v 1 890-3555 MINNESOTA STATE 8046 OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. . 3 -J'6 REQUEST FOR ELECTRICAL INSPECTION . 4,m E -00001.04 ' Sea instructions for completing this form on hack of yellow copy. a: / (/ c4m 4 1 X"" Below Work Covered by This Request 777 Nw4 Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Cher Ispeci lyl t er sued y Other Other Below ce Siza A' Fee LX I 1 Z . UUD to 2W Amps 0 to 30 Amps 19 IZ 7 - n no to 30 Amps F Above 200 Amos 31 to 100 Amps o a n n A31 to 100 Amus gns s 49. Hough-in Date 1. the Electrical '• ,.! Inspector. hereby certify the! the abo e Final Date nspec lion has been . ` r made. This request void 1B months from This request void WO G la nwnths tram '?' E 13988 a 3' 4L Nd4 X/ yam"// ? Request Date Fire No. R-in Inspection fl quired? ?Ready Now ? Will Nnti`y, Inspec- ?Ye.s ?No Ipr When Ready ? Licensed Electrical Contractor I hereby request inspection of above ;.? Owner electrical work installed at: Street Address. Box or Route Nof o? Q . / G i City _ l 4 Co yV Section No. I To a or No . Range No. CoW 'IcO Occupant IPflINT) Phone NO. P w Supplier / Address Electrical Contractor (Company Name) Contractor's License No. Mailing AJJ ress ( ontract.r or Owner M ing Insta'lation) v-aai / ?l/', Aut naturEL( ' tr -to new akin; In Lion) / Pho7g umb C MILAN OTA STATE BOARD OF EIRCTRIC ITV THIS INSPECTION REQUEST WILL NOT Ori s-Mi I ShI -Room N-791 BE ACCEPTED BY THE STATE BOARD IS 1 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-ORDO ENCLOSED. 1X21561 REQUEST FOR ELECTRICAL INSPECTION EEB-000.011-0B See nstructions for completing this form on back of Yellow copy. ve p ??'lr .?J E -FIT9) 8 8 "X" Below Work Coveted by This Request Misiv Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other (Specify) .IheF ISppafv) ter pcdfy Other Qlhor Compute Inspection Fee Below q Fee Service Entrance Size a Fee Feeders/Sub(extlers k Fnn Circuits 0 to 200 AMPS 0 to 30 Am s 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Am s Above I00_Amps Transtormers Irrigation Booms Partial. Other Fee Signs S ecral"1n^pelion S T flemarks > 7". ? OTA FEE C -Q {'t18/1/ `id _ t Rough-in Final 7' - •, /'r' „ , ::.•:! it yt: it v ?!' (p -` -Pate i? the Electrical InepeC ter, herahv certify that the above Inspection has been made. This request void 10 months from CITY OF EAGAN PERMIT 3830 Plot Knob Road PERMIT TYPE: B U I L D I IN G Eagan, Minnesota 55122-1897 Permit Number: 0341.63 (651) 681-4675 Date Issued: 12/02/98 SITE ADDRESS: 4276 EAGLE CREST OR LOT: 2 BLOCK: 3 SUN CLIFF 4TH P.I.N.: 10-72978-020-03 DESCRIPTION: _ T.O. & REROOF 8u;,[lding-Permit Type STORM DAMAGE B.iildinq. Work Tvpe REPAIR JCensus Code 434 ALT. RESIDENTIAL v REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: RIGHT WAY ROOFING 15578678 0003999 PLASTER RICK 16475 45TH AVE N 4276 EAGLE CREST DR PLYMOUTH MN 55446 E A G A N MN 55122 (612) 557-8678 (651)456-9093 I hereby acknowledge that .I have read this application and stage that the intormation is correct and agree to comply with all applicable State o1' Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISS BY. SIGNATURE T 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF KAGAN i I l S? 3830 KLOT KNOB RD - 55122 T 681-4675 New Construction Requirements RemodeVReoair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: 11/30/98 CONSTRUCTION COST;$ 3,900.00 Fee Waived due to storm damag% DESCRIPTION OF WORK: Tear off and reroof apply ice and water shield STREET ADDRESS: 4276 Eagle Crest Drive v` Q LOT: BLOCK: 3 SUBD./P.I.D. #: SU C- 10-1 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Plaster Rick _ Phone 456-9093 Last First Street Address: 4276 Eagle Crest Drive City Eagan State: MN Zip: 55122 Company: Right Way Roofing Phone #: 557-8678 Street Address:-1 6475 45th Ave N License #3999 City Plymouth State: MN Zip: 55446 Company: Phone #: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chanc I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicat 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 - State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition , 'j s 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1 5S6 i INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS F)jw PC To Be Used For: rro`r?? ?'?•,SValuation: /0?90 Date: - U Site Address ?76?/ f OFFICE USE ONLY Lot i Block I? Parcel/Sub Address City/Zip Code -)C'n // /fJ SS% ? S 4 Sa.U Phone yS?-O? 93 - 8?3-ossr Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On site sewage- MWCC system _ On site well City water _ PRV required Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ay ?? • S? 0. * 310=00+ 29=50+ 1L5.00+ ?75> l0+ 5?0^C0+ 63°?O+ 29J-''0+ 156-rp+ 21079 ^ CO * 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND f -SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: 6-f.p w a. / Cap{P2. Valuation: ?(O? Date: Site Address ya?? Zile / G es'r & Lot Block Parcel/Sub Owner (!119 ??? Address 9(to, x City/Zip Code ?t? ???' S f5C Phone '20 9 Contractor y/," Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Erect X Occupancy Remodel Zoning Repair Type of Const Addition # of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg OffZZgLU Treatment P1 APC Parks Variance Copies TOTAL 10. 2¢x 3£3 J 912 x. 5v " SL009G (2 2o ,K 2'z sue(?c. f> 1 / rlW 1 } rEY *;W 74AW .y`,f"g4'.... ,a,y(•;',+°i A ;n t . k Y'Y ?V, t 'r 41 Exr t EIT11R E?p.Y.EP "? W, x `?i? ?IrV13 3cF3 r OGlNER: ...i SITE ADDRESS - CON'I'RACTUR" N . s -2s DATE PHONE ?fY? ?gy??,., Determine working square footage of each. ` ''. 1. Total exposed >Kall area 3 ` 2. Total rooOceiIing area' sq ft. r-= a' x Total exposed wa.ll_ area 'above floor = eat ` a. Total will wi ndow area. a b. Total door area O C. Total sliding glass door area - '? Z7 ;` d. Total fire .' place wall area..,,., • "? e. Total wall framing area (average 10i).. , f. Total net wall area above floor a g. Total rim joist area " " " " "-'`''-- • ` Total exposed foundation area h. Total foundation window arra.:..... i. Toal net foundation area above grade . Determine value of each wall segment. n n` 4j, a . x 11 11 _ A 4. V 111111 _ d. x 111'11 e. x 11U,1_ ?? - 1 f. /'fin x Uu11 VR . - S2.3 . x 1 1) i 3 ................... ta1 To { If item #3 is the same as, or less than item #l, you have met the: intent of SBC 6006(c)2. k - up- ,?'?OO 3Ot1iLt4C'?Ylfl 11 x._111 3. 4. 3. 6. 1. 2. 3. 4. 5 J 6. , :17 - - t,07 ,.tf 'F' 1. Interl ;. 2. 3. 4. 5. 6. Total 1. Interior air film O.'GB 4. 5. 6. Exterior air film 0.17 Total: SLAB ON GRADE r r FIG. 04 I /Ir r ? r r rh ._ NOTE: Indicate type, Or" value,. depth and placement of insulaCion;.- L ? r? t. VEIM 44 ' Vented 11.04t f low sa: up i"- ' FIG. $5 I?R oC . 4 Cdluszuat t :Y l a ua Y :£ t. 1• n erior q r Pilm 0.61 . 2 • r 3. `? 4• „i br r i m( t 1 $bEal ? .?, ry • 1F: iNJ .. ... `Vi'i 1. Interior air film p.61 4. 3 r 4. Exteriu • a r m -; ' n}rr 1. Inrldc air film O. GI 2. _ 3. 4. - 5. Outside oir. a Film U.17- Total PON`VENTED NOtoi Use additional sheets if more space i.; 'ut needed for details and calcul.atiors lice r flow up FTG. 1!d Heac flou up ;vented FIG. t6 N 3 Total exposed roof/ceiling area _?4? ------------- .1• Total skylight area... k. Total rogf/ceiling framing area (average 10%),.,`"?j - 1. Total net insulated roof/ceiling area...' Determine "U" value for each roof/ceiling segment. ?. A Y "U" = 1. S. y c, X 4.......... .Total = Leo - / If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design ti k. 71'.•t.r"C'l? /:' ??.?.„., ',sue ) To utilize the total envelope system method, the values established by thp,, sum of items #3 and #4 shall not be greater than the sum of items #1 aid #2 CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTT: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMTT. INSPECTION OF SEWER AND/OR %%TER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (hbn ear CA42ERCLAL/RETAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVIItI ]T 2) f :.? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: NAME: -7 P ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE# 323 4) •• • i?. NAME: ADDRESS: CITY, STATE, ZIP: PHONE: R-1 SINGLE FAMILY Q R-2 DUPLEX (To Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) Active Expired Not recorded rt-alf lti Ial CONNECTION TO CITY SEWER (yr? CONNECTION TO CITY WATER OTHER 6) ? • r PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT TO 1, 2,.3 4, ABOVE (Circ a one) 9 7• •IY ? i sac +: e ? .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ Xd ?-b SEWER PERMIT (INCLUDE SURCHARGE) $ !! $ 16, C WATER PERMIT (INCLUDE SURCHARGE) $ U 3 ' S-D $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ 1,55 C U ACCOUNT DEPOSIT - WATER $ 4T-0 D • or $ WAC $ 3- 7,5-, d O $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ ' $ LATERAL BENEFIT/TRUNK WATER $ ?S? U c $ WATER TREATMENT PLANT SURCHARGE $ $ y ?- OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CO NNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: /,? DATE: 31 City of Eajaa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 675-5694 LR 0 E `'?!I ? }] SEP 2 6 2008 IFMN ---------- I - i j Permit #: Permit Fee: j Date Received: j I I I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' O Site Address: Tenant: RESIDENT/ OWNER 1 Name: TYPE OF WORK CONTRACTOR Address / City / Zip: _D( A ) V , U, Applicant is: - Owner Contractor Description of work: Construction Name: Address: City: W Phone COMPLETE THIS AREA ONLY IF Contact Person: Minnesota Rules 7670 Category 1 Energy Code • Residential Ventilation Category 1 Worksheet Category Submitted (4 submission type) • Energy Envelope Calculations Submitted Phone: Suite #: Multi-Family Building: (Yes No A License #: A Zip: Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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 1.J1 _ W r n ?(?,?f '?-an Applicant's Printed Name Appl Signature? Page t of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108377 Date Issued:12/05/2012 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Janel Behrends 122 West 3rd S 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 - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117519 Date Issued:10/18/2013 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 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 . Danielle Merritt 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 - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 Merritt Restoration 2031 Basswood Ct Rockford MN 55373 (612) 282-9979 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118131 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 Merritt Restoration 2031 Basswood Ct Rockford MN 55373 (612) 282-9979 Applicant/Permitee: Signature Issued By: Signature 443 Lafayette Road N, � ]y���[�,]��4'�'°A ��PA�T[�l9��7'T UF" (651) 284�5005 � St. Paul, Minnesota 55155 ���� � �����T�� 1-800-342-5354 www.dli.mn.gov , � 10/31/2014 APPROVED FOR USE Judith Avery 4276 Eagle Crest Dr �AGAN,M �------ RE• RES STAIR CHAIR LIFT Elevator ID# ELV-1017471 'te: Judith Avery 4276 Eagle Crest Dr , EAGAN �5122 ! . , Dear Sir/Madam: ' - i Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction ' Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts)before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section , recently inspected your facility and determined it meets requirements of the Minnesota Eievator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSIIASME A17.1, Safety Code for Elevators and i� Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. ' i Sincerely, r�A?STRI?�?'rp�? �'ODES �i LICENSING n���� Brad Underdahl State Elevator Inspector c: City of Eagan Building Official ARROW LIFT ACCESSIBILITY E1FormCE2R This information can be provided to you in alternative formats(Braille, large print or audio). An Equaf Opportunity Employer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c?*+.&>&)X2EA W'<'&N?,A&C0*&VW&D21VW:K&Y04#2&NE21&7E "?E,1X+##2&FI&&;;((:Y040,&FI&&;;8WW J<;WL&V(;9WVVW 6&.2E2@A&0$%,Q#2*42&.0&6&.0X2&E20*&.+1&0BB#+$0+,&0,*&102&.0&.2&+,HE/0+,&+1&$EE2$&0,*&04E22&&$/B#A&Q+.&0##&0BB#+$0@#2&>02& H&F+,,210&>0?21&0,*&N+A&H&Y040,&ZE*+,0,$21M )BB#+$0,T52E/+22 &>+4,0?E2611?2*&"A &>+4,0?E2 PERMIT City of Eagan Permit Type:Building Permit Number:EA172042 Date Issued:09/13/2021 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 (718) 697-9500 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173118 Date Issued:10/28/2021 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174604 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 4276 Eagle Crest Dr Lot:2 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Judith S Avery 4276 Eagle Crest Dr Eagan MN 55122 (718) 697-9500 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature