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4280 Eagle Crest DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA078753 07/11/2007 ePermit Site Address: 4280 Eagle Crest Dr Lot: 3 Block: 3 Addition: Sun Cliff 4th PID:10-72978-030-03 Use: Description: Sub Type: e -Siding & Windows/Doors Work Type: Siding & Windows/doors Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish(i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: Valuation: 6,000.00 BL - Base Fee $6K Surcharge - Based on Valuation $6K $132.75 0801.4085 $3.00 9001.2195 Total: $135.75 Contractor: Owner: Sandra S Sutter 4280 Eagle Crest Dr Eagan MN 55122 - Applicant - 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA084502 07/21/2008 ePermit Site Address: 4280 Eagle Crest Dr Lot: 3 Block: 3 Addition: Sun Cliff 4th PID:10-72978-030-03 Use: Description: Sub Type: e-Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/17/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Bradach Construction, Randy 18267 Italy Ave Lakeville MN 55044 (952) 892-6015 - Applicant - Owner: Sandra S Sutter 4280 Eagle Crest Dr Eagan MN 55122 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 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA084592 07/23/2008 ePermit Site Address: 4280 Eagle Crest Dr Lot: 3 Block: 3 Addition: Sun Cliff 4th PID:10-72978-030-03 Use: Description: Sub Type: e-Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: 3/17/09 Noticed contractor pulled 2 permits for the same location when I was working on the expiration letters. I am canceling this permit and we will be using Permit #84502, dated 7/21/08, for this address. pf If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Bradach Construction, Randy 18267 Italy Ave Lakeville MN 55044 (952) 892-6015 - Applicant - Owner: Sandra S Sutter 4280 Eagle Crest Dr Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Applicant/Permitee: Signature Issued By: Signature CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RUCEIVCD FROM AMOUNT -& -DOLLARS Ion ? CASH ? CHECK FOR FUND CODE AMOUNT Thank You By :u: White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks iu '/29,/8 u3u 03 Addition SUN CLIFF FOURTH Lot 3 Rik Parcel Owner Street 4280 gle Crest Drive State Fagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 175 303-92 20 -;e6 DO. 0 0 //Sy 7 STREET RESTOR. ,19 1986 1622.20 324.44 5 iGa?a A,; 6011 I /( r L? GRADING San Sew L at 1986 502.58 100.52 5 SO SV 1 SAN SEW TRUNK ' CQ //SF? SEWER LATERAL y? 196) a8. 56 43-/3 , I (O & C 7 76 Water Lateral/ 0 198 582.46 116.49 5 GD /4j/ / (t , WATERMAIN iqb? 57-95 D WATER LATERAL WATER AREA 3.93 - D O /SY 9 '11-7 6E6 0 1971 - 1827 5. .27 20 Coo 7/ 64 STORM SEW TRK 1985 96.03 ' 6.41 15 93-.113 0C //S 7' 7 1? STORM SEW LAT 78.u8 5-2U 13 1p -(.6$ -7 Storm Sew Lat O 1986 739.56 147.91 5 (o O/ r CURB & GUTTER SIDEWALK STREET LIGHT Sprvices 03 1986 529.15 105.83 5 „Sad O / Road Unit 58820 1/6/8T6 WATER CONN. 500.00 it it BUILDING PER. 11415 SAC 515.00 PARK PERMIT # PLUMBING PERMIT RECEIPT # ?oL CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: C. - PHONE: 454-8100 a Site Ad ess -70\ Lot Block m Name Addre: c City TYPE WORK DESCRIPTION -100 L Name ?` r-z"-ee- •?. ,, ;_. u? C Address C) City «-. . Phone</_5-?2 r? 7 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) FOR CITY OF EAGAN Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $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 --IL Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: S 5? GRAND TOTAL- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN S5121 Planner Council Bldg. Off. 1/3/86 APC Var. Date PHONE: 454-8100 BUILDING PERMIT Receipt # Site Address 4280 EAGLE CREST DR Erect Q?* Occupancy A3 SUN Lot 3 Block 3 Sec/Sub CLIFF 4TH Remodel ? Zoning K1 Parcel No . Repair ? Type of Const. V . Addition ? No. Stories ¢ Name KEYLAND HOMES Move Demolish ? ? Length 2 Depth 4 8 c Address 3471 h 173RD Intlmpr. 11 Sq. t City .1U Ri)«1`iPhone 435-3 323 Install ? = o Name SAME 0 -x Address r;w, Ph- u¢ W W W ?o t W Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee s->:ra' -ate A Building Permit is issued to: KEYLAND HOMES all work shall be done in accordance with all applicable State of Minneso Assessment Water & Sew. Police Name HALLOUIST Fire 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 N^ 1141-5 Permit a ,t.i4 . UU Surcharge 33.50 Plan Review 167.00 SAC 575.00 Water Conn-5-0,000 Water Meter 63.50 Road Unit 280.00 1. Tr. Pl. 132.00 Parks Copies Total $2.085.00 on the express condition that Statutes and City of Eagan Ordinances. Building Permit No. Permit Holder Dab Telephone # Plumbing B HMA.C. 11,110 Ill. L 11 ii\^ Electric Softener Inspection Dab I.P. Comments I 8 11 n 0 V bg ' -- A6 tg. FlnalHtg. E _204 Deck Fig. Deck Frmg. WON Pr. Dlsp. PERMIT # CITY OI MECHANK RECPPT # U 454- 111g-L, MINIMUM RESIDENT DATE MINIMUM COMMERC 1. Bldg. Type: Res Comm Inst & Total Bid Price 4. Job Address Lot 'Block - Sec S U L I ; (- (Name) 7. Contractor Phone # _ RESIDENTIAL HEATING - Signed: EAGAN FEE .L PERMIT 54s*-/ C 100 L FEE - $10.00 + $.50 TOTAL 0,0 L FEE - $20.00 + $.50 New)!C-?Add Alter Repair for TER STEAM AIR COND. AIR HAND. EQUIP REFRIG. L.P. UNDERGROUND OTHER ATE SURCHARGE FOR EACH $1,000 OF FEE. Approved Inspections: Date Rough Insp. Date Final Insp. 1 5. Owner _ ?**+? `'1o IND. s - $24.00. Each additional 50,000 BTU's or fraction - $6.00 - $12.00. Each additional 6,000 BTU's or fraction - $6.00 fee PERMIT # RECEIPT # ? /7(J r? DATE a CITY OF EAGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE .$10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 FEET S o SIC . ?? TOTAL 1. Bldg. Type: Res X Comm Inst 2. New X Add A Alter Repair 3. Total Bid Price 4. Job Address Lot 3 Block 3 Sec 6. Contractor (Name) (Street) 7. Contractor Phone # v 5. Owner (City) (ZIP) NO. FIXTURES NO. FIXTURES NO. FIXTURES Water Closet - $3.00 Laundry Tray - $3.00 -Well - $10.00 Bath Tubs - $3.00 Floor Drains - $1.50 Private Disp Syst - $10.00 Lavatory - $3.00 Water Heater - $1.50 Rough Openings w/o Shower - $3.00 -Whirlpool - $3.00 Fixtures - $1.50 Kitchen Sink - $3.00 -Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: Plumber. SEINER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: I Mns to amply Wfth Ire City of Eyan Connection Charge: Ordimmees. Amount Deposit: Permit Fee: Surcharge: BY Misc. Chargew Date of Insp.: Total: Insp.: Data Paid: CITY OF EAGAN WATER SERVICE PERM 3830 Pilot Knob Road P. O. Box.21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: ^z,y.: 3 1? f tT Plumber: Meter No.. Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ears to a- sell V" the City of Eagan Surcharge: ordinances. Misc. Charges: A.. Date of Insp.. Total: `,3.50pd meter Date Paid: CITY OF 7AGAN WATER SERVICE PERM 3830 Pilot Knob Road " P. O. Box 21199 PERMIT NO.: Eagan, MN 551??1 DATE: Zoning: _ No. of Units: Owner: _:evland Homes Address: Sift ?? '4280 Eapie Crest Drive L3 Ii., Sur, C +t,i Plumber. - '•`er.,a::ica._ Meter NO.. Dy1 ma'y' nection Charge: pl Size: i posit Reader No.: 0 6fn;g digs ne I mt-P? D% t ; , , ; ; 1 fires to amply I ft"*t id# 5urch s - Odiwaelee. 1 ?yYiU es: p f 3.50pd meter Total: BY L . R? ? . f mate Paid: Y - Date of In p.: Insp.: 3 -)0- g'lo REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 W. See instructions for completing this form on beck of yellow copy. X" Be/ow Work Covered by This Request / ?11_ INew{ Adil{ftri. I Type of Building 1 ?pliancea Wired 1 1Equipmen[ Wired Water Heater io Unloader ilk Milk Tank # ae Service Entrance Size b Fea FeodersrSubfeeders # Fee Circuits 0 to 200 Amps 0 to 30 AM DS GO 0 to 30 Am s Above 200_Am ps. 31 to 100 Amps "(.(y 31 to 100 Amps Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms • V Partial%Other. Fee Signs Special Inspection s Remarks . TOTA / . , QU Rough-in • D.ve /?'? 1, the Ins ct r h b pe , o ere y certif th t th b Final : y a e a ove inspection has been mada. This request void 18 months from This request o l d d?' 18 months from J ! V ?p o .0 8 4 113. 0 3 6 3 ?j ?-• cP? l,? ?t?l. o Request Date / _ In Fire No. Rough-- Inspection Regwren? ? eadY Now i Notify Insp¢c- [o Wh R I ?' ? es No r en eady ?censE lecIrlUal Contractor lihereby request inspection of above ? Owner electrical work installed at Street Address.. Box or Route City ^zfe Section No . Township Name r No. Range No. County 1GT 3 Occupant PRINT) Phone No. Pow Sup ier Address / Electrical antractor (Company Na el trac is//LN Ma' ing duress (Contractor or Owner aking Instailanon) O S ? Authorized S' nature o actor/O wn; ng Instal tion) Pho a tuber r- J ,. F?CTRICITY THIS INSPECTION REQUEST WILL NOT MI NfJ Er90TA SA E CARD O EE Griq? -Midway Bi Room TT'J! 191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 10121 2972111 ENCLOSED. BUILDING PERMIT Receipt If 11415 To be used for SF DWG/GAR Est. Value $67,000 Date JANUARY 6 tg 86 4280 EAGLE CREST DR ,.yy R3 Site Address Erect LT Occupancy Lot 3 Block 3 Sec/Sub. SUN CLIFF 4TH Remodel ? Zoning Parcel No Repair ? Type of Const. V . Addition ? No. Stories KEYLAND HOMES Move ? Length 42 W z Name 3471 W 173RD Demolish ? Depth 48 c Address Int Im r ? S Ft 435-3323 JORDAN Ph Cit . p . I l ? q. . y one nsta l .. CLM T.! Approvals Fees O z? oa U? UQ W W ?z VZ aw CITY OF EAGAN N 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 S-Z?' Phone Assessment- Water & Sew. Police HALLQUIST _ Name Fire - Address Eng.- city BLMTNPhone 831-1875 Eng._ Planner Council I hereby acknowledge that I have read this application and state that the information is correct and ree to comply with all applicable State of Minnesota Statutes and ity f Ea an Or i are Signature of Perri A Building Permit is issued to: KEYLAND HOMES all work shall be done in accordance with all li le State of Miinnnees? Building Official Bldg. Off. 1 / 3 / 8 6 Var. Permit 5 334.00 Surcharge s3.7U Plan Review 167.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 280.00 Tr. PI. 132.00 Parks Copie Tnlnl 2 r 5.00 on the express condition that and City of Eagan Ordinances. o, y ,34- + 3>5+ 167 - + =75^+ SCO.+ 63=5+ 260 0 + 132- + 2f OE5- * a 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE:' ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used V INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Date: Site Address: 7?dZS OFFICE USE ONLY Lot:,s Block Sect/Sub ?y/?,-`? Erect _ Remodel Parcel # Repair Enlarge Owner Move ^TT/? Demolish Address 7/ - / 3 L I Grade X Occupancy 3 _ Zoning _ ?- Type of Const # of Stories Length 42 Depth Sq Ft City/Zip Code Q oj `L)4 r V - --------• Phone Z/ 3 ? - -?3 Z3 APPROVALS Contractor Assessments Permit Address City/Zip Code Phone Arch./En Address City/Zip Phone # d'- 3 / , e 7 C Water/Sewer _ Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council I, TfTZ- Road Unit Bldg Off Parks APC Treatment Pl Variance TOTAL ? So ?7. 500" 3 Z. 0-k5 2 Cpx Q-O - io ?a x ? = ? 4 Zo e ? r (? X - Boo OWNER: Mir: J,? 17771" SITE ADDRESS: PHONE CONTRACTOR: Determine working square footage of each 1. Total exposed wall area..... ?qfq sq. ft. x .11 = 7 I? S 2. Total roof/ceiling area..... J_,Q4fl sii, ft, x ^026 Total exposed wall area above floor=__1711, a. Total wall window area ..........................................• ? b. Total door area.. ............................... _ c. Total sliding glass door area ................... D d. Total fireplace wall area.......... ............ •• _ e. Total wall framing area (average 1010 ..................... f. Total rim joist area.. ••.•••• 9. net wall area above floor ..............•..••.....••.•...•.•..• 13 Z h. wall area above floor ............. i. wall area above floor .... 0 . .•.......•... J. fra wall area at foundation .................... ............ Total exposed foundation area= --L1KD-_ k. Total foundation window area ....................... 1. Total net foundation area above grade .............. [O [v Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a .??-- X b.- x „u .31 C. 40 X EXTERIOR ENVELOPL AUf.RAGE "II" COMPIIT d. X 'lu.l e. 137 - X U.. O$ _ - f.-132, X l 0„ ?4- 5 h. X u,. _ i. X ,.u„ J. X ,.u.. _ k. X "u" If item 113 is the sam as, or less than Item MI, you have met,the Intent of IDC 6006 (o X u 9- 3 ] . ..................................futal M C'./„ ?rior Envelope Average "U" Computation Page 2 of 4 Total exposed roof/ceiling area = _ b i m. Total skylight area ............................ n.'TotaI roof /ceiling framing area (average lot)... o. Total not insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. x ..L" ° -2. q n. -Ia x ..U., _ = 0. x IV, 9. ............ Total = ZI• Z If total 'of 114 is the same as, or less than 112, you have met the intent of SBC.60L16 ,(c) 1. Alternate Building F.nvel.ope Design To :Utilize the total envelope 'system method, the values established by the stun of items 43 and 84 shall not be greater than the swn of items III and 02. „ 1. ZIQ S + 2. 17 Z3 7S • 1'.upe '1't.•n 41AM, fM110149 U1yj or el-wain will nren for fri m•1 r:ulwt rucl Ion Con ;f ricl Ion Ii. Va l udl - -Q A ..C?.YP._. gp _ . " 95 sic .. r.Q G. 1:r•lc6ur n.tr: film U. 17 A I.I. Tut I I Z' Z7 i et(;. III TGl'V11dJ OF IN SL) • FIN10i IJALL 1. _Llll•cll•r air !llm _ 0.611 6. CxLorior air liL:, _....._._._....; 0.17 C''? ,-!O FIG. 42 To La 1 7.049% L) =009 .ter. 1, lnl,.t lur_alr film 0.611 1. 3. _Z1CLI?.. _1,$q hural +?+,lar I•?1! ?? `? 6. I.xCrricr nir film -_ - -- 0.17 To La I 0.60 ATICH All `l :: ...__ __ ? 1 • _.. 12_".. _rnNC •. ? . ...... _..... L.Za' - !I+ ~ '.?'%;•' • fr. I:?/11-1',i 1-L_-.Ill_• 1.1 I1?1 - --.. __...___.. ' ? •0.•1'1 I`?? l,olal "/Z613 t sLAn rrl ,ltnuh U= • vO I ? lit ,a . :.. lit i r Flt. 114 ttl } tl, ;> r /rr 13 tit . •I h'. ' r+_ Illrl'I>: Indicate tync, "!t" valid:. JelAh and PLAN -* 33zs M Lti EA L FT. EXposEp WAL.(_ ?LOGI??Ii, 7-4ta+90-+Z?X40= ?uEE ?? /32 11 A =ULL(j?; t32 =UUL J! - = R.Et?L Ef f. 21 M : ?I (3-L ®S 13LOc f i=k O:SED WA LL AREA . IC EE I ? f / 3Z X , S = ce?r N U 13 2 X S = G (00 I i? 171rr ?u[. FU LLB ? 'L /3z . k t3 /p S7&1 P> .- F, P, ; I sC - Fz?M,I 131--x1 3z 77 To to L. = (all SQ,Ffi EKao5t?D GEt L(uq 4V OKlS Z.(*)Cqf C) 010 1? ¦ D oo R.s 6. zf34r PH-I- 39 704PO r? z S ?A-Flo DR.S . 2844 v ?-?is fit Z e BSH4 Uur+S I: . inted Pmq c£IGING Seat flow up ric. is* ; ,•vented NON-M. 1rZD Rent !low up i v Conitrurdon R-VAWO 1. ?Interior air film 0.61 2. ?_C? f f F3D cSt 3. 4. Exterior air film (still 0ti Total (Z • 4s8a Fns Gr 1. Interior nir film 0.61 2. ?W ----------_- . 4. Exterior <'ir 6111 tsr.x Total ?O is 2 u-.02- [otiyr? ieCri mr`. 1. Inside air film 0.61 4. 5. Outside air fi in 0.17 Total 1. Inside air film 0'61 2. 4. 5. Outside air film 0.17 Total 1. Inside air film 0.61 2. 3. ' 4. 5. Outside air fi1Ln 0.17 Total Vote% Use additional sheets if more space S needed for details and calculations, l Fear flow up • , ric. 16.' ... -1 . 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: X/Z 9- LEGAL DESGRIPTICN: 1, C'/1" .-" -/ u x: Lvisicn or Tax parcel I.D. Nu-q-zer) FYIS DATE OF OP-TGZAL B ILDD.G PZ_•ST ISSUAN,: ?'!^ 8 y PP?SL S:^,`7rX / ?OPOS? IIS: R-1 SZ= FAMILY ? R-2 CUPL (,%D UNITS) ? R-3 TCF -,zFOUSE (THUREZ + UNITS) ( UNI S ) ? R-4 AP:-vR=!E +T/C0:'DG'SIIT-M UI_?T^) ( ? Ca%R'IERCL-%L/RE*.AIL/OFFIC-- ? INDUSTRIAL ? LNSTITLTiam L/C,OVE.•hLIML-,?^T 2) APPLi= (PLEASE PRINT) NAME:'-y/_,?c?il? es ADDRESS: 7s /? s,o r CITY, STA^." ZIP: PHOM:>*_l?? - 3) PLL•SBE? (PLEASE PRINT) ADDRESS: ??? 5'?//ti .rte' CITY, STATE, ZIP: PHONE: ? PLUMBER ??f-2J?Sl PLUMBER LICENSE N 4) OCCUPANT/O!v1jTER (PLEASE PRINT) NAME: ?¢?+e/ ADDRESS: CITY, STATE, ZIP: PHONE: FOR CITY USE ONLY PLUMBERS LICENSE: Active Q Expired Q Not of Record arr nitia .+, uIU1C1i" WHICH PERMIT IS BEING REQUESTED: ??pJ CONNECTION TO CITY SEWER t=y CONNECTION TO CITY WATER ? OTIER (PLEASE DESCRIBE) G1 ram......... __` - v W ?7 PLE.7%SE HOD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE w PLEASE :NAIL APPROVED PEFXIT TO 1, 2, 0 4 ABOVE /'). (Circle one) 7) SIG:,ATL.'RE: DATE: s? ?Ci ^1Y? 04 !( ?,+L'OV?JV! i ! l??ar1? ! i 1!p!? s?a? i r ! is?.a:? a 1t !? wll?rl??a s ! t ?s?saa? F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ /G $ $ C S-n S $ SEWER TAP .R ACCOUNT DEPOSIT - WATER $n? WAC $ -) S C 7 SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SET.-TER $ LATERAL BENEFIT/TRUNK WATER $ o G WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ ?Cl.OV AMOUNT PAID/RECEIPT Q DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? SEWER PERMIT (INCLUDE SURCHARGE) WATER PERZlIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPnRAT my cmnni Q 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: DATE: wm wsw.;MVgamma wwwmwwRm-MwMRaOIL40 wfigwpq g%m p% WsaW_00 "L ¦cfo re!Aw. r' O's! t.....::.4 (.1 na'r,' .. ) -r... r 99. 25 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) J7 q aS CITY OF EAGAN 1 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulrements Remodel/Repair Reaulrements > 3 registered site surveys showing sq. ff. of lot, sq. ft. of house and gll roofed areas (209 maximum lot coverage allowed) > 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: l <D - v 17 DESCRIPTION OF WORK: / --e STREET ADDRESS: LOT: IC '?. 0. 2 copies of plan 1 set of energy calculations for heated additions 1 she survey for exterior additions b decks CONSTRUCTION COST: 2 3 y? i-- S' a--- BLOCK: _ SUBD./P.I.D. #: I 1 (AlA C . ( 1-r -1 Name: Phone #• PROPERTY Last y first OWNER Street Address: -:,-<D y s/? C- i,-;, d ' City 0-to Stater Zip: Company: J?' rC , A Phone #: 9? (area code) CONTRACTOR 9 /LI / .-:Z7 Y V J License # -r7rl Exp.? Street Address: / b ', City /`51"& State: h . Zip: X J ARCHITECT/ ENGINEER Company: Name: Telephone * area code ( Street City Sewer & water licensed plumber (required for new construction only : Registration #: State: Zip: Penalty applies when,address change and lot change Is requested once permit is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with ail appifcabi State of Minnesota Statutes and City of Eagan Ordinances. r--7?? Signature of Applicant:/!' AA-1 OFFICE USE ONLY OCT 8 Certificates of Survey Received Yes _ No y? Tree Preservation Plan Received Yes - No Not Required /? y? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI: Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 42 Wst*" of 9" FOR: KEY-LAND HOMES NOTE: c Denotes Wooden Stake Proposed Garage Floor E1.'909.4 ( 909,/ ) Denotes Proposed Finished Ground E1. -?- Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 W D h1 N M w a Lj ! L9 Q 11.1 "'° al0 o IS N Z IF t q0 V• IN of o, Crest Prwe ? ', ..-; C. R. WINDEN i ASSOCIATES, INC. LAND SURVEYORS %t $46•3646 1361 EUSTIS Sir ST. PAUL, MINN. •$IO$ Scale: 10=301 e Denotes Iron Monument Bearings Are Assumed /ri'faeti ._ 1 Lot 3r Block 3, SUN CLIFF FOURTH ADDITION, Dakota County, Minnesota. 90A 81 0 0 10 90q.1) WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. D*104 this Z3rd day of DecemberAp JOBS C. R. WINDEN ASSOCIATES, INC. Surv*pr, MigM600 RMirrreli" No. '772/ City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA117349 Date Issued: 10/17/2013 Permit Category: ePermit Site Address: 4280 Eagle Crest Dr Lot: 3 Block: 3 Addition: Sun Cliff 4th PID: 10-72978-03-030 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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. Randy Bradach Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Bradach Roofing, Siding & Seamless Gutters Inc 18267 Italy Ave Lakeville MN 55044 (952) 892-6015 - Applicant - Owner: Sandra S Sutter 4280 Eagle Crest Dr Eagan 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 Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 1110 CityofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1-11Permit #: ` i� tbSPermit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: Site Address: Unit #: Resident! OWner Name: ailLkidi2fk UtTei Phone: ( I C -J j� Address / City / Zip: '1Z ` £A8L€ �- Applicant is: Owner X Contractor Type of Work yp Description of work: kEMOUe )Ct it i A q s't ee� �,�( °4 VI<jJC ' �� � Y 1 . � � Construction Cost: IO 6 Multi -Family Building: (Yes / No 'C ) Contractor Company: xfoi`t QtCl, tuA\U1L.a€1,1S tact: loki6Pi kOctaki Address: (4V`1 42 oe - k r City: State: 1 k)e Zip: 567i27 Phone: -76?)- 5273-14b License #: BC ` 65.918 Lead Certificate #: WAI ' 403 68- 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) & ffeL e_ SA- ee( s t ch 99,9 In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 pet nit 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 1 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 1 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 be completed within 180 days of permit issuance. x Lit tI2AK-'2 Applicant's Pt nted Name Applicant's Sig rure Page 1 of 3