4284 Eagle Crest DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4284 Eagle Crest Dr
Lot: 4 Block: 3 Addition: Sun Cliff 4th
PID:10- 72978 - 040 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
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:
Coty Construction & Remodeling LLC
5716 Glen Ave.
Minnetonka MN 55345
(763) 783 -7322
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Joan H Bergstrom
4284 Eagle Crest Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086178
09/18/2008
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
CITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH
Owner Street 429-4
10 72975 040 03
ve
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1985 303.92 20.2 1
STREET RESTOR. 1986 1622.20 324.44 5 d ,?o l O //?? /? /? d
GRADING
San Sew Lat /10 1986 502.58 100.52 5 YO
Zfl
?e l+
SAN SEW TRUNK
SEWER LATERAL
98 582.46 116.49 5 8 V 113 /A
WATERMAIN !:' ?-7 3.87 15
WATER LATERAL
WATER AREA r 1973 58-78 15
127 -!5Ca,) 1W1 185.27 9.27 20
STORM SEW TRK 1985 .O3 .41 15
STORM SEW LAT 1985 7 5.20
5
Storm Sew t /0. 3F 1986 739.56 147.91 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Services 03 1986 529.15 105.83 5 y &0 b.• «
WATER CONN.
BUILDING PER.
SAC
PARK
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee -':;2S_S
Fill in numbered X*= S/C _
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
C 11.
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
:
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
I
PERMIT #
RECEIPT #
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL ?R?S O
DATE MINIMUM COMMERCIAL FEE - $20.00 +$.S0
1. Bldg. Type: Res _,X_ Comm Inst 2. New Add Alter Repair
CITY OF EAGAN
PLUMBING PERMIT
454-8100
FEE -??
.so
S/C
3. Total Bid Price -:5_00Q, 4. Job Address .0 -a Cry r)ri ?G
?'
Lot Blocky sec i5gg d:L1 xc sl5. Owner 6kphk=l GW/,S LJPv
6. Contractor ;I?LI t°J ??vv? Alin 4 GAD . /4/,o Lis-rte/? lo4fle orQ?Wll
(Sheet} (City) (Zip)
(Name) 1?,,tt..,, ??
7. Contractor Phone # 6-& -- CL;? ?
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
Rough Openings w/o
Fixtures - $1.50
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.
.. 3830 Pilot Knob RoadCTY OF , P.O. Box 2G-199, Eagan, MN 55121 11574
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for :>r LAiG/'GAR Est Value $57,000 Date MARCH ? 19 _ & L
Site Address 42 ? 4 EAGL : CRLS`i' DR Erect 0( Occupancy E{3
Lot 4 Block S Sec/Sub. SUN CL UC ' 4TH Remodel ? Zoning N 1
Parcel No. Repair ? Type of Const
Addition ? No. Stories
c Name t ='L?Sll OAKS DEVEL CO Move ? Length a h
3 Address li;bl SfEilRISE CT Demolish 11 Depth
° : dACiA E 452-0747 In 11 Sq. Fr
City ., Phone Insstall ll ?
o Name ALL1 2, l /j?? Approvals
=
?°, a Address Assessment
~ City Phone Water & Sew.
Q Police
L W Name
Fire
z
z Address _ Eng.
W City Phone Planner
Council
I hereby acknowledge that I have read this application and state that the 3/5/86
Bldg. Off
information is correct and agree to comply with all applicable State of .
Minnesota Statutes and City of Eagan Ordinances. APC
Var. Date
Signature of PermitteeT
GRAND OAK& DEVEL CO
Permit 304.00
Surcharge 28.50
Plan Review 152 •00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290 00
Tr. PL 15G.00
Parks
Copies
Total 2• 15 .00
A Building Permit is issued to: on the express edition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. I Pwmil Holder I Date I Telephone N I
r
Date
Htg.
Disp.
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 24199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber.
SERVICE
PERMIT NO.:
DATE
No. of Units:
I agave to oeagI witlr the City of bN¦ Connection Charge:
"Menem Account Deposit: _
Permit Fes:
Surcharge:
,By Misc. Charges: -
Daft of IMP.: Total:
Imp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 2,1199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: . _' i s a k s
Address:
Site Address <? .^. l e C r ?- E> ~ -_
Plumber. ? + u +
Mohr No.. Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
some to , nplf/ willb The City of oages Surcharge:
onewssess. Misc. Charges:
Total: :- r
By Doh Paid:
Date of Insp.: Imp.:
C F EAGAN
3830 Pilot Knob Road
P. O. Box 21199 -
Eagan, MN 55121
Zoning: Ri
Owner. grand Oaks
Address:
Site Add
ress: _ ''r-L??st Drive TA ^3 ,.
Size:
to eearrlt Wj& tlw Citvpw& "k -
Dote Paid:
of Insp.: Insp.:
WATER SERVICE PERMIT
PERMIT NO.: =
DATE: 18 -? C
- No, of Units: 1
This request void T pip, 0 y D
JIL(nonths from
Dc' 097296 ?? jr-X
Request a e Fire No. Ro uAh-in Ins Pectwn
/?t Reyuired7 ?Ready Now? Will Notify, Inspec-
/,?_?/,r5('?es ?No [3r When Ready
LYLicensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
ress, eo or fl No.
{III d`
Stre/e?,t ?A// C
.
/
ecL On No. Township Nam or No. Range No. County
O ant 1?RINTI Phon No.
Asa -, -9?
P er Supplier Adore"
E local Conerae for IC any Namel/
G
L
L?
'
L Contractor's Li ense No.
J SV
P T/
? i
?
Mailing Address (Contractor or Owner Making Installation)
-767.5 tc? 3 5av
i 5--S-573g
Author Si nature (Contractor O nneerr Making I talletion) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1921 University MN 55104 UNLESS PROPER INSPECTION FEE IS
Ave-. St. Paul.
Phone 1612) 297.2111 ENCLOSED.
..
REQUEST FOR ELECTRICAL INSPECTION
"60 instructions for completing this form on back of yellow copy.
96 X" Below Work Covered by This Request
EB-00001-04
Ge fo,
494 AdLdj Rep. ? Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Floating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then peci y Other (Specify)
Other pacify Other Other
Comoute tnsoection fee Below
J# Fee Service Entrance Size ft Fee Feeders/Subfeeders IX Fee Circuits -
0 to 200 Amps 0 to 30 Amps _° "' 0 to 30 Amps
Above 200 Amps 37 to t W Amps 31 to 100 Am
Swimming Pool Above Amps Above 100_Am -
Transformers rogation Booms SG Partial-`Other Fee
I ISigns I I (Special Inspection (TOT FED
Remarks Y
I, the lectri
Ins pectpr, ereby
certify that the abot
inspection has been
toads.
This request
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt #
To be used for SF DWG/GAR Est.Value $57,000 Date MARCH 5 ,tg 86
4284 EAGLE CREST DR
Site Address
Erect
rl
Occupancy R3
Lot 4 Block 3 Sec/Sub. SUN CLIFF 4TH Remodel ? Zoning Rl
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
GRAND OAKS DEVEL CO Move ? Length d5
a Name
W
1881 SUNRISE CT Demolish 11 Depth 40
- ?-
3
° Address
EAGAN 452-0747
Cit
Ph In 13
? Sq. Ft.
one
y sa
Install ll
.. CZAMIP Approvals Fees
0
1
oQ
Phone
a
W
F Name
Ea Address
a w 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 City f Ea(g?a?nOrdinances.
Signature of Permittee ?-1]L\ • 6L
A Building Permit is issued to: GRAND OAKS DEVEL CO
all work shall be done in accordance with all-wDliccjte State of Mi nesot
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 3/5/86
APC
Var. Date
N2 11574
('?°.? 3`i
Permit $ 304.00
Surcharge L8. DU
Plan Review 152.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Copies--$? ,.0 0
on the express condition that
and City of Eagan Ordinances.
Building
D
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 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: 5t-:-. Valuation: ? p Date: 0 - 5 -;S'6
Site Address OFFICE USE ONLY
Lot Block _ Erect X Occupancy
Remodel Zoning
Parcel/Sub
-" Repair T Type of Const
VP Addition 11 of Stories
Owner Move Length
Demolish Depth
Address Int.Impr. Sq Ft
Install
City/Zip Code ------------ ----------------
Phone
Contractor gti1 1)4,W YvJ/"
Address %'j(K{ puce a
City/Zip Code 1? X5122.
Phone 1 ,?,` -Q 7 y
Arch./Engr.
Address
City/Zip Code
Phone 11
APPROVALS FEES
Assessments Permit
Water/Sewer ' Surcharge
Police Plan Review I
Fire SAC F
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off3jTZ& Treatment P1 1
APC Parks
Variance Copies '
TOTAL
we4 ol Y"
For: GRAND OAKS DEVELOPMENT
NOTE:
G Denotes Wooden Stake
Proposed Garage Floor E1.=911.8
(4)1.5) Denotes Proposed
Finished Ground E1.
-.*- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
L
D
W
a
U
J
U
IT
W
WWII
C. R. WINDEN 3 ASSOCIATES, INC.
LAND SURVEYORS Tel 646.3646
1381 EUSTIS ST., ST. PAUL, MINN. 66106
Scale: 1e-301
e Denotes Iron
Monument
Bearings Are Assumed
M
L:
O
o.
125.
0
of
10 1D`?
al
a 1
IO ? •!1
6
I (901.1)
T 90
jProposed W
0-
--? -- ? 10
(909.15)
1250
87'7.9"
f? YV I
Lot 4, Block 3, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HEREIY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRISED AND OF THE LOCATION OF ALL BUILDINGS, If ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND.
C. R. WI EN i ASSOCIATES, INC.
Oared rAi, 31- der elLJL41V-A. D. IVES
Surveyor, MieeeNro IpiNre/ion He 7726
MAP
EXTERIOR ENVELOPE AVERAGE COMPUTATION
GRAND OAKS DEVELOPMENT COMPANY
MODEL N2 AREA U' U X AREA
REQUI RED
1. TOTAL WALL AREA 1600 X .11 176
2. TOTAL ROOF AREA 924 X.026 24.024
ACHIE VED
AREA U U X AREA
A. WINDOW AREA 123.77 .5 41.0ue
B. DOOR AREA 39.B .077 3.0646
C. SLIDE GLASS AREA 13.44 .48 6.4512
D. FIREPLACE AREA. 0 0 0
E. WALL FRAME AREA 160 .041 6.56
F. NET kiALL AREA 1070.99 .049 52.47851
E. RZ?l JOIST oU EA 1065.24 .0436 4.63 J64
H. FOUND WINDOW AREA 0 0 O
1. FOUND ABOVE GRADE 85.76 .135 11.5776
3. TOTAL WALL AREA 1600 146.6490
J. SKYLITE O O O
K. ROOF FRAME 92.4 .032 2.9568
L. NET ROOF AREA 831.6 .025 20.79
i
4. TOTAL ROOF AREA 924 23.7468
SUM 1.+2. 200.024
SUM 3.+4. 170.3958
y .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTS: PAYMENF OF FEE AT TIME OF
APPLICATION DOES NOT CONSTI7[7TE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR FAMM
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTM PERMIT HAS BEEN
APPROVED.
P ease Print-1
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
i
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon th7y
0 COLIMMCIAL/ MAIL/OFFICE
r( INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
i
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
?? R-1 SINGLE FAMILY
Q R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( *Units)
3) u is r - NAME:-
ADDRESS: _ / D G { moo,,,yyam/? ?Ei L C? h e
CITY, STATE, ZIP:1 f D { ry y / I /? ih • S-S-Iff
PHONE: MASTER LICENSE#
4) ••. • iD•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
c
,-L ewers License:
Active
Expired
Not recorded
SUEEF "Initial
•5) t V• i Y: •DI• : D•N YY}•
CONNECTION TO CITY SEWER CONNDCTION TO CITY WATER 0 OTHER
6) • '` Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APP PERMIT T011, 2,tT 4, ABOVE
/???A?2%Circle one) f
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /01,s-0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
/
$ C-.tee S D $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ /mar a-w $ ACCOUNT DEPOSIT - WATER
$ 57) c' • d L $ WAC
$ S7S,U10 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /-,5Z -e- -o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 7,3 Z 6 $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
YES 'IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) _
?Y11V/1` ? A _ J?
3S I O 3830 PILOT CITY KNOB OF N08 RD EARD - 5512 j`-l]L
(J
(651) 681-4675
New Construction Requirements
? 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 7/1/93
required: ?_ Yes _ No
DATE: '1 -q"RCf
DESCRIPTION OF W
STREET ADDRESS:
Remodel/Repair Requirements - q
? 2 copies of plan J /
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: 7ir?/
LOT: Ll BLOCK: SUBD./P.I.D. #:
Name: S? G n l U Phone #:
PROPERTY Last First
OWNER
Street
CONTRACTOR
ARCHITECT/
ENGINEER
City
Street
c2701 3(#k,
State:
Zip: ? 1 -1)- D'
Phone #: I!/
tt /t ??l)CC n?_ License# Exp. 06
City ?l? State: 1 I? Zip:
Street
C ity
Phone #:
Registration #:
State: Zip:
Sewer & water licensed plumber (new construction only): 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 all applicable
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
RECEIVED
APR 12 1999
BY:
PERMIT # RECEIPT DATE: 31zp)lnl
USIDENTLAL PLUM$IN6 PERMIT A"LICiAtTION
CITY OF E&ISM
3830 PILOT KNOB RD
E*GAN, MN 5512E
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME:: ?Jn1?1 p(C TELEPHONE #: CO?51 45 tp^ ( SGC
(AREA CODE)
L ?cxAA ?1.` C\1L C•`?J?l? 1 -7
INSTALLER NAME: T <' TELEPHONE #: 3314-(41
?_ ^ q ? (AREA CODE)
STREET ADDRESS: 1 1 ?G S
CITY: \ ?Y GlO n`Y`.o-r L{ STATE: ZIP: (p
Place a check mark next to the permit work type
New residential dwelling unit under construction and not owner/occupied $ 90.00
v Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turn and
Nature of wor ?C eu) CCU C Zt ?d?DL L?
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?
!i ?Il i
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water
I hereby acknowledge that I have read this application, stale that the information is correct, and agree to comply with all a
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages
operational and maintenance activities to the facilities constructed under this permit within J?ity property/right-"ay/e:
SIGNATURE OF PERMITTEE
etc.
MAP 2 7.g=,. I an ord I0
he City during its normal-
Updated 1/01
_2 7. 75 Cz4 TWP-
Me?-T RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
v 9 Telephone # 651-675-5675 FAX # 651-675-5694?,,_
New Construction Requirements RemodeVReoair Requirements A, "' U
3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan slowing beam & window sizes; poured found design, etc. 1 site survey for additons & decks
1 set of Energy Calculations Addition - indicate if on-sde septic system
3 copies of Tree Preservation Plan ff lot platted after VV93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
j ce Use Onl
Ljj Ced of urryay Recd
_Trde Pis pl?im?r
-Tree Presao(Rega
On-site Septic System
Date ? 1 _1 _1?3
Site Address
"A 531422 Construction Cost l / 31 6W,
Unit/Ste #
Description of Work 4GLCFJ 1???1G
Multi-Family Bldg - Y - N Firep
)0 - 1 - 2
lacce(s
Property Owner !ii/ C /?Q Q
?
s
? F L I a!!L(/ Telephone #
Contractor
Address %
State City
G/?/L1?f !N/?
Zip ?/y/f Telephone # y
( p j) ;jIQAV 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I
Energy Code Category . Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
p I? C? i.? [l ?1 f? ?
Telephone #(
I? I I Hsu b d
Telephone # ( ( J
Telephone #( q'_y -
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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. A r 6 I r
Applicant's Printed Name `Applicant's Signature
Able,
City of Ea jan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
----------------i
For Office Use I
Permit#:
I I
Permit Fee:
I C I
Date Received:
I I
Staff:
----- -
Q]F
2008 MECHANICAL PERMIT APPLICATION
77 Q
Date:___- Site Address: C--I ? C'?D?- JUL 0 7 2008 L
Tenant: 111 vsc-f ( ,S?Y uM
Suite
RESIDENT / OWNER ?j
Name: __,( kcr, ,1?<FC?)?YZ IY? 1 Phone:
Address/ City l Zip: H . ? I Lt. C_< 0'1 nA D f . -
CONTRACTOR Name: License #:
CC73?/
Address: 3451 W. Burnsville Parkway
Suite 120
City:
Rumcyiller AAN 553$7 State: Zip:
G
Phone:?j Qn 4' /.S Contact Person: ??C?Z-(g
.
TYPE OF WORK New --LReplacement -Additional _Alteration Demolition
Description of work: i Q ' t y
NOTE. Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
X Furnace _ New Construction - Interior Improvement
X Air Conditioner Install Piping - Processed
Air Exchanger Gas _ Exterior HVAC Unit
HVAC units must be screened
Heat Pump Under / Above ground Tank (_ Install /
Remove)
Other (x/•./?? ?r >< c_ acct .-, _
**.When installing/removing tank(s), call for inspection by Fire
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ S25TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
- If Permit Fee is less than $1,000, surcharge is $.50. Permit Fee
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I understand this is not a permit, but only an application for a permit, and work is not to star without a permit; that the work will be in accordance with the approved
plan in the case of work which requires as/ review and approval of plans.
x(_1//t??_ r??1/?Ccy[l'/7 x 111 IN ` de_417GZ?
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113405
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 4284 Eagle Crest Dr
Lot:4 Block: 3 Addition: Sun Cliff 4th
PID:10-72978-03-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joan H Bergstrom
4284 Eagle Crest Dr
Eagan MN 55122
(651) 456-9500
Coty Construction & Remodeling Llc
1001 6th St S
Hopkins MN 55343
(763) 783-7322
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
't % i i ; • ::::: -
./,„.„, E AG A N
... .... ' 1I
I
" I*M V E Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 DEC 0 3 2019 Staff:
buildinoinspections(a citvofeagan.com
2019 RESIDENTIAL BUIL APPLICATION
Date: Site Address:1 Unit#:
Name: Z0111/V `K (•r Phone:
Resideldi
side r Address/City/Zip: 1/i95q 5 c, er
Applicant is: Owner ContractorS ICV--.' �11 � Jld1'-l-
Type
i Oil Description of work: IV .4i b � - A� CCC(J�-
Construction Cost: �f �()V Multi-Family Building: (Yes /No X )
Company: L`-2_ Y Of'n.i. T s i 1/AContact: j/,t_ V d I4G11cI Pil l a
Contractor Address: V7 lo &Noa W LIk JE A. City: TLS[
State: /W 77 -(0q7SZip: �. %'i ( Phone: �SC� lit,Email: Y'b�,/h�/ `l.b v�YW0a(o
License#: -( ,' K1' ' Lead Certificate#: �/V4T P21006'3^ Z✓
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.org
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 •t to start , hout a permit; that the work will be in
accordance with the approved plan in the case of rk which requires a review and approval .f la s.
x al/W4119 2 / d x IA / A
Applicant's Printed Name Appli -n s 'igytui-
� / j�
DO NOT WRITE BELOW THIS LINE `�7 0�/ / /Q�ic- CRc-. 1--
' /`� �-_
•
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multii Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
A
W4ORK TYPES
New _ Interior lnipiovement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair' _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy ` MCES System
Plan Review i, Code Edition ==
c6,:, ?040.,:ak irle e99 ,
C. It. WINDEN & ASSOCIATES, INC.
4 0,sii, rr �D SURvEYORS Tel41145-1144411i4
RV SI EUSTIS ST., IT. PAUL, MINN. 5510$
For: GRAND OAKS DEVELOPMEN JAN 7 2020 J ji
BY: /
NOTE:
o Denotes Wooden Stake 1-1... 0 l �`ws C,W- ) 17��uL
Proposed Garage Floor E1.-9I1.8
(9)1.5 ) Denotes Proposed Scale: 1"1.30'
Finished Ground El. 6ti16 \ a Denotes Iron
—41,------ Denotes Direction Monument
Of Surface Drainage Bearings Are Assumed
Vertical Datum - N. G.V.D. 1929
in
> ti /°ra,`�°9e' e' 0/i/'!..? (use -n,j
1 4(
...
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.... 11)i/A
it, R O125. J
0 �aeD - �_[ . ; ` Ar th o o(91
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ON
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IC L-77-- I 4r1 rn
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10
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l25. (90
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Cr
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Lot 4 , Block 3 , SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
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.
Doted this 3l dor of July A.D. io95 C. R. WI EN a ASSOCIATES, INC.
by Ael.144"-li-bA''
iu►vepe►, Minnesota Reoi►treiie, Ne 7726
wmi «I3aa,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169951
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 4284 Eagle Crest Dr
Lot:4 Block: 3 Addition: Sun Cliff 4th
PID:10-72978-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Joan H Bergstrom
4284 Eagle Crest Dr
Saint Paul MN 55122--226
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature