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