4304 Eagle Crest DrCITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH L 9 Bik 3 P.11 l 10 7297 090 03 x
Owner Street 4304 e rest rive state agan,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 6 k/ 2 19 5 303.92 20.20 -7 2 6 3 1t ! .?
STREET RESTOR. ft
GRADING
Snn Sew Lat 103 1986 502.58 100-52 5 50 , CD
SAN SEW TRUNK 197-G- / f 7 t±f
SEWER LATERAL 5 1985- 43-73 --T /-711 lie /7Z2 1/17 1 r f
(O' b 1 8( 5 l ?d t
WATERMAIN c n^ 1985 7.9 Q ( (?
WATER LATERAL
WATER AREA f 1973 58-78 3.93 15 O 7 c1 l
5 1971 1 5.27 9.27
STORM SEW TRK 1965 3 6.41 -43 7 /1 fly
STORM SEW LAT (qi? 1985- 78-08 1 5.20 ` ?r
w L v3 1986 739.56 147.91 5 . (o t[
CURB & GUTTER
SIDEWALK
STREET LIGHT
Spr3Zicep /403 7 1986 529.15 105.83 5 .1 I t
Roa Unit
280.00
55150
! -5/85
WATER CONN. 500.00
BUILDING PER. 10906
SAC 525.00
PARK
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date - 2. Installation Cost
3. Job Address Lbt f Blk. Tract.
7
4. Owner
5. Contractor Phone
6. Address
J
p s >
7. City;, State ?1 Zi 1
8. Building Type: Residential ?
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
L- Lavatory Softner
Shower Well
r Kitchen Sink
Urinal/Bidet Other
Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
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
Receipt --'2 Q` MECHANICAL PERMIT Permit No. /
1 117) CITY OF EAGAN
Fee
Fill in numbered spaces S/C S?
Type or Print legibly
Tot.
1. Date f?0 s- 2. Installation Cost /70o
4 24 C I ?t f - r -?
E4j
3. Job Address 130y Lot_ Blk. .i Tact
4. Owner Ks-V "Nj ?111C 5
5. Contractor 1 k&ra A Phone
6. Address !y ?? AiO ; " N r-r/
7. City Ir l Or ?a'`t- State I A N Zip S 72
8. Building Type: Residential/<1 Commercial ? Institutional ?
9. Work Description: New/ Ad`d' _? Alter ? Repair 13
10. Describe f iCA?? to v K Fuel Type r
11.
No. Equipment BTU - M. Ea.
Forced Air r i <?O No. Equipment CFM
Ai
H
li
Mfg. LG f r ' ". r ng:
r
and
Boilers ' 5
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
A- Gas, Piping Outlets
12. 1 hereby certi thErue and correct, and I agree to
comply wi JI n s n c es governing this type of work.
Signed: ffce- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
IN 10906
5"-/s;
Site Address Erect k l Occupancy
Lot T ;' . •s
Block Sec/Sub. Remodel 13 Zoning
+
Parcel No. Repair ? Type of Const.
tt
Addition ? No. Stories
1
s L;
Name
Move
C1
Length
W Demolish ? Depth
Address
b
Int Impr.
?
Sq. Ft.
City Phone Install ?
Name
nV
?u Address
City Phone
?a Name "-L'„U1ST
W
Z !1'1 ; ? ?? 1
Address
x0
zz,3' 631-1.6
tK 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 of Eagan Ordinances.
Signature of Permittee
A Building Permit Is issued to:
all work sholl be done in accordance with all coolicoble State of Mir
Assessment
Water & Sew.
Police
Fire
Planner
Council
Sidg.Off.
APC
V D
Permit i . " C ,
Surcharge
Plan Review
SAC
Water Conn.
Water Meter
Road Unit i U
Tr. PI. J
ar. ate Copies
I Total
on the express condition that
sota Statutes and City of Eagan Ordinances.
Building Official
G
s
?
e
.?
°
°
'a
?
°
m m
m a
g m
3 o
r m
$ T
s
? m z
?
g
0
0
C
1
f
v z ?
?ti
?
? ^
V?
O
p
T ?
p
00
o
rc,
0
0
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE-
-
Zoning:
No. of Units:
Amer:. T zv :? t
Address: _
Site Address: /
-?:A4 lig
r-n
Plumber:
I none to eereply wills Nye City of [even Connection Charge: -
OrdineneaL Account Deposit: '-
Permit Fee: i -
Surcharge: _
By Misc
:
Ch
.
arges
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagaai, MN 55121
Zoning: _
Owner: -- 1E s
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
I agree to empty wkly Nye City of Enooe
oralMaoee.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
- Connection Charge:
_ Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total: - 4
_ Date Paid-
Insp.:
CITY OF EAGAN
3830 Filot Knob Road
P. O. Box 21199
k Eagan, MN 55121
Zoning: _ t
Owner:
E Address: ,
t Site Address r<;
Plumber.
WATER SERVICE PERMIT
PERMIT NO.:
a -:DATE:.
Meter No.: (e 0 Connection Charge: ,
Size:/g•` Account Deposit:
Reader No.: 10 Y-M P99
Permit Fee:
I mono to empty wkb Nye City of Eogo¦ Surcharge. 11,nd
Ordlneneee. Misc. Charges: 1 'd T<=
Total:
Jiad t. - .
By Dote Paid:
Date of Insp.: o - insp.: /
5 (P REQUEST FOR ELECTRICAL INSPECTION E . 0001.04
n _ ,lee instructions for completing this form on beck of Yellow copy.
tie-?`11t 9 6 X" Be/ow Work Covered by This Request Il
IVaM AdtlLRep. Tvpe vt Suiitl ina Avvlia noes Wire) Equipment Wire
I I I I I Duolex 1 I Water Heater i I Liahtinu Fixtures 1
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
F?.m Other peco y Other IS pacilyl
H _Fee Service Entrance Size N Fee Feeders/Subfeeders s Fee Circuits
" GO 0 to 200 AMPS - 0 to 30 Amps d7 j 4oe 0 to 30 Amps
Above 200 Amps 31 to 100 Amps ;" -, (x) 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100--Amps
Transformers Irrigation Booms rtl Partia L'Other Fee
Signs Cpecial inspection sL 'd'
`--N
Remrks . / TOTAL FE
I, the Ele tricsl
f ?,`:. Inspecmr. ereby
:•ify that the above
YP/ ,
Finale
nspection has been
made.
This request void
This request void
18 months from
N 059165 L °? (3 3 5c- ?4
Request Dale Fire No. Rough-in Ins ti on
Require
?Ready Now otify Inspec-
C as ?NO for When Ready
cans e0Elect,l Contractor I hereby request inspection of above
? Owner electrical work installed at:
Strdet Address, eoor R to N City
ectmn No. Township Name or o. R..go No. Cnun y
Occupant ( 1 1 Phone No.
1 ?L .p
Power Su liar AddressC?-
'r
Cx' ? ?
Electri Contractor ICompan N /mp1 .
,E, ha is Lice9se?ljlo
/
Mai ing Address (Contractor or Owner Maki g Insta ila tionl
Authorize nature ractor/Ow "r Making I allationl Ph ne Numbcr
MINSpTA STA E?OA RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gflg Midway Bl g. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612129]2111 ENCLOSED.
(I?. REQUEST FOR ELECTRICAL INSPECTION ES-00001-02
'Sae instructions for completing this tor. an beck of voltow copy. J
o . X"' Below Work Covered by This Request o% (l GG
?Adtl p• Type of Building /etJ(il iances Wired Equipment Wired '
M Service Entrance Sixa tl Fee Feeders/Subfeedera k. Fee Circuits
r(/O 0 to 200 Amps 0 to 30 Amps ,L' 0 to 30 Am)s
• Above 200 Am is 31 to 100 Amps I /I - ieC 31 to 100 Amps
Swinuning Pool Above 100-Amps Above loo-Amps
Transformers Irrigation Booms ?, C? Partial: Other Fee
Signs Special Inspection
Pemarks TOTAL E
id C1 7%Iy.?l ,i
! c.
Rough-in Date 1
the Electrical /
? ? Inspector, hereby
?fy?.tlhat the above
Final t , to cart i ha
?t ?/ h it?sn s bean
This request void
.cyuest void
months from
X7737 L
/0/') 1/ Z' S
RRquest Da Fire No. Rougft-in Inspection fe /
i+ /j Requrted? ?Ra y Now ntity Inspec-
t/ 1 /I ,r D?ye?n No for When Ready
Lff?I.icensed^lectrlEal Contractor I hereby rso oest inspection of above
? Owner _ electrical work installed at:
Street Address, Box or Route No. City
- _
^ e
ecu on o. Township Name or o. ange No. County r
Occupant RINT) Phone No.
C c
P.Ner uppli Address
/ _ r
5"'J'157 JA.61
Electrical rector (Company Name
)
.. C actor Lie: ns
'
'
j
Mailin A ress IContractor or Owner Making Insta a[ionl
C -
n - ?
Authorized Si , re (C ra C/Ofver Mak g Instal nl hone N e
-
MINNESOT STATE BO D OF ELEC ITY THIS INSPECTION REQUEST WILL NOT
Griggs-M way Bldg. Room NA BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 ENCLOSED.
BUILDING PERMIT
SF
$55,600
Site Address- 4304 EAGLE CREST DR
Lot 9 Block 3 Sec/Sub. SUN CLIFF 4
Parcel No.
I Name KEYLAND HOMES
Z Address 3471 W 173RD ST
9 City JORDAN Phone 435-3323
P Name SAME
,` Address
? City Phone
Name DENNIS HALLQUIST
Address 5001 W 80TH ST
City BLMTN Phan, 831-1875
1 hereby acknowledge that I hove read this application and store that
the information is correct and agree to comply with all applicable
State of Minnesota Statutof*Vnd City of ZcgisrI7Ord winces.
Signature of Permittee ( :26141
A Building Permit is issued to: CEYQ
all work shall be done in occordance with oil
CITY OF EAGAN N°_ 10906
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 (? \
PHONE: 454-8100 J> ??U
Receipt
r,.- SEPTEMBER 5
5
Erect KI Occupancy R3
Remodel ? Zoning R1
Repair ? Type of Const. ?n
Addition ? No. Stories
- t
Move
?
Length ?-
4 0
Demolish ? Depth
Int Impr.
?
Sq. Ft. 48
Install ?
Apprm'als Fees
Assessment Permit $ 301.00
Water 8 Sew. Surcharge 28.00
Police Plan Review 150.50
Fire _ SAC 525.00
Eng. Water Conn. 500.00
Planner Water Meter 63 _ 00
Council Road Unit 780-00
SIdg.Off. 9/4/85 Tr. PI, 132.00
APC Parks
Var. Date Copies
979
50
$1
,
.
Total
on the express condition that
wta Statutes and City of Eagan Ordinances.
Building Official
r. .1
0•*
301•+
28-+
150°5+
525-+
500. +
63-+
260o +
132o +
1,979-5 *
I
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF FAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
tt s-s .1 Sp OF ENERGY CALCULATIONS
To Be Used For: S1ti6C Z' NzG Valuation: j4t* Date: 9-3'ds
Site Address: y?6Y' .cr La- C94:57- QdlUtr OFFIC USE ONLY
Lot: Block 3 Sect/Sub 6?W CliPC y Erect Occupancy
Remodel Zoning
Parcel # Repair Type of Const
Enlarge # of Stories
Owner key z,4/'O /V6.e-5 Move Length
Demolish Depth
Address 3f// GJ /7? Grade Sq Ft
City/Zip Code TU/Lbgy /x'-V,/ S53?Z
Phone ? 33z 3
Contractor
Address L3`/7l l(
City/Zip Code zlnbir) /jj? 65352
Phone
Arch./Engr. &wAhSs ?-
Address ,5001 G? ?0 7j cSgC-
APPROVALS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off&7-i Parks
APC Treatment P1
Variance
TOTAL
i??,
3d rr
f S'n.. S a
z s'a
City/Zip Code /? gp?61J 0;.?4/ C515 P7
Phone # S3/ - /?,Jr
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: DATF:
SITE ADDRESS:
PHONE:
CONTRACTOR: ?4.
Determine working square footage of each
1. Total exposed wall area..... /v B 2/o..L(p sq. ft. x .11 = Z DD is 6 7
2. Total roof/ceiling area..... 8 Jg y-t1(`sq. ft. x .026 = Z1 61 9
Total exposed wall area above floor= ("• .3r6)
a. Total wall window area ............
b.
Total ..................
door area.. 11lo
c.
Total ............................
sliding glass door area ..... -5 *7 yb
d.
Total ..................
....
fireplace wall area..
...... 99. 99G
e.
Total ,,,,,,, ....
.
wall framing area (average 10%)........ 2?s?
•
f.
Total
rim joist area
I /? ,y
?Ek
g.
net .. .................
..................
wall area above floor !
h. .....................................
wall area above floor.. . q q 5
i• wall area above floor .....................................
j• frame wall area at foundation ...
................................
Total exposed foundation area= S`q
k. Total foundation window area .................
??
1. Total net foundation area above grade ..
-
............
-,..SB _
Determine "u" value of each wall segment
(e.g, window, door, each separate wall section)
a. X IV,
b. .37r7j_ X "U" . a/
c. _39.99(1 X hill. i`om
d. ,,,?a Y y,. 1 = I/ A•
e. /7& 6 X U ??2e _ f-1o 14 4-
L.32-o-5 X 11V o4 X Hull
a
3. ...............Total = (70A
IAL
If item M3 is the same
as, or less than item
01, you have met the -
Intent of SBC 6006 (t)2
irior Envelope Average "U" Cor-i:;r,,ticn
Total exposed roof/ceiling area = A>IB .9¢
U.. Total skylight area ............................
n. Total roof/ceiling framing area (avcraq- lOt)... B 7- 69
o. Total net insulated roof/ceiling area........... 791. 0
Determine "u" value for each roof/cuiliny sogmcnt
n. R7 89 x
0. 77/,i) X
..U.. -- _
A.)11)--
page 2 of 4
K?IoKd, Go„s+.
4 .................. . ...... Total
If total of #4 is the same as, or less than #2,;you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelopc Des? n
To utilize the total envelope *system method, the values established by the sum of
items #3 and 44 shall not be greater than the sum of items #1 and #2.
1. Z DO.8A17 + 2. .ZZ.BS?. = zt&.7?-
3. I'7Q .84?. -.. + 4. X7.9 = _ 1661 ?M
L t ti! EA L FT. EXPOSED
SLpGk. ' 1 _ - „?-
F?..l?l?.E 7? + 4 I 3l? - =//lv
W A,'
,gar
u L.L. I
lm/w-
® 5ML . F-r. SKPOSC-b WALL AV-EA
3Ldc?C', / ?? x S = J a
W O y f3 y S
AIM X = l3z'c?
'ro.TAL = I z4,, z4P-
EXPOSED
W DO X5
v
(z4x,-, G) -:r4
z, 4 x -1,F-%.
32
' X17
WALL_
67d .9`fI(a;
® Dooe2s
® ?A-ri o DRS
BSM4 UIJi+S
Construction A-Value
1 Interior
• air film .0.61 '
.
2 Q SIA
3. 1n15uc__ _ __ dej.OD
4. Extc r: n: air fil?a fst:ll)
- CM
_
Total 2 45.8
U= .oZ
:aced
Heat floe
up
rzG. i3 ,•
1. Intcrlor air film 0.62
2. r
3. _2?` _II?Su1= r 38.35
4. :: ;eti, r .:!c. ;-iii,! der
total 2 s /lO.'S
() oz . 02-q
1- inside air film 0.61
3- --
4•
5. Outnidc air film o.17
Total.
rReat Ilov up • , S'v anted
J. 'v
44
WMI
• 50:7-: C':3'?
'•. seat '
• tlov up ,.
Inside air film 0.61
2.
4.
5. Outside air film 0.17
Total
1. inside air film 0.61
2-
3.
4.
?• Outside air film 0.17
Total
Notc: U;e additional sheets if more ypaco is
y.ecded for de 4.ils and calculations.
• uoor/cszLitiG
HALL rmrTIf,NIi
E_: U:o;,? of cpaqun wall area for
frnw., eow.1ructfun Ccar:tr,urlit'll It-Valu•:
• „,,: h_ > i r •....1 4,35
Is -
;IC 6. F.r.tcriur nir film U. 17
•rau.l 12, Z7
NLL 14F
FIG. 11 701'VIE-11 OF ??15U1.•
FRAIME MALL 1. InCrrlnr air 'ilm -•-.---------0.611
3 ------- - ?3-n
a ke'i x i i?eF?nt .-ic.
-- - - ----a 5rt?u?b_._..-•---- __._......_ .l.L
6•. Exterior- air fil,.,
FIG. /2 -mod - Total. ZQ,1
9 R
?-M
'--"-? I. lntc, for nir liLn 0. WI
- 07 3. -21f1 --- - -------- --1•??i
rc: al ----- I - ---- -
?. •= _-Q 6. E;xtcrfcr Air film _ 0.17
- -Q
>i'" A u l01-
I 1.-`_r_-?? _....__.__._._Qj 1. I .?, ?_•,r ar li l,... O. GR
n • n • . 3. _.. lZ ?2NL•. -- - - - -1.Z?
/1tt
r •ft? Sl.A1f ON ;RAUI'
• 13
` rlI -r f --r--
TI
^- ' t f
FIG. 14 7r1 rs a r /
:J01T: Indicate ty••c "v•" valor!, dcrth And
pla.rna-.t c! in::iiiation.
4 r
_ ? 1
I
r? 2/84
i
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: 43Q4 F- Q-( CQes r-
LEGAL DESCRIPTION: to •/- 9 6icet- A
C1?cr
,
(Ipt/Block/Subdivision or Tax cel LD. N
Ii' ZK1S7=:G STR.UCTL'RE /l
, DATE OF ORIG dAL =LDP G P=-',ST ISSZ:A%C3: 9??35
PRESENT Z:^.NI /'PROPOSED LSE: XR-1 SINGLE FAMILY
? R-2 DUP= (7io UNITS)
? R-3 M..vNFCUSE (T1LPr - + UNITS) ( UNITS)
? R-4 AFARI 1ENT/CC:?CiS72 M ( UNITS)
? CC??iMEP.CLAL/RE• AII,/OFFICE
? LmUSTRI.AL
? INSTITCPIONAL/G0VEPN7=r
2) APPLICAyr (PLEASE PRINT)
NAME: 1/,eylanrl ?,c?mPc
ADDRESS: 3??1 L¦ 17
CITY, STATE, ZIP: 4
J(?idpy? )1lTnYlesc?L SSZ
PHONE: Z71 gZ -(aE??(n
3) PLU BER
NAME PLEASE PRINT)
M
'l FOR CITY USE ONLY
: PC
icn /CC
ADDRESS: nn
Y? h(? 2(?( PLUMBERS LICEVSE
CITY, STATE, ZIP:
-Lahr- Cake fb/?neS Q(b tive
Expir
PHONE: C/ /I ?rr MAS ER
PLUMBER LICENSE #_C e7 ?? ),7 of Record
{
nitia
4) OCCUPANT/C.vITER (PLLASL PRINT) _
NAME: SarY1p C]g Cllirnnr
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICNTE WHICH PERMIT IS BEING REQUESTED:
CONNECTION TO CITY SEVIER
CONNECTION TO CITY WATER
? OTHER (PLEASE DESCRIBE)
6) INDICATE ONE:
? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
EJ-PLZASE 11VUL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE
?ff (Circle one)
7) SIGTURE: DATE: Z
R Ra:?1?(1Ulp? a R ERa.f?! s nrv-??:arir aw aos ???a:a :tea ? fa w[>t:a?.^ar fit iif I??acaar ?
F 0 R
I T Y U S E O N L Y
PERMIT u ISSUED
F_ -1
FEES:
$
$ L' 3
S
$
SE,,TER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)'
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK- SETVER
LATERAL BENEFIT/ RUNK WATER
OTHER _? -
$ TOTAL
$ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C] 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:
G
DATE: A?? ?RaA ww Ra as MIEW Mw AIR a R mg-ft ow" Mae" lW A ImAm wi" a*= low R a?w •!# M*w Am SJw wa
CITY USE ONLY
LOT BL ?/J 3 RECEIPT #: 9a 5?.?
SUBD. Uin- l:?h(J h RECEIPT DATE: 01C>2 O
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
5 OIbV /A (612) 681-4678
Date: b
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace -Z Install air conditioning
Install air exchanger, i.e. Vance system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
IG
PHONE #:
PHONE#:S- (7
I --T
_ STATE: ZIP: SJ 7
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
L BL
SUBD.
APPROVED BY:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3650 PILOT KNOB RD
EAGAN, MN 55122
(612) 661-4675
Please complete for. all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
CONTRACT PRICE:
($.50 per $1,000 of 2ganit fee due on all permits.)
PHONE #:
PHONE #:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
43Q4 E49IEG1-&-st
POR:KEY-LAND HOMES
NOTE:
O Denotes Wooden Stake
Proposed Garage Floor E1.ft9/6,9
91G•C. 1 Denotes Proposed
Finished Ground E1.
is - Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
C. R. WINDEN i ASSOCIATES, INC.
LAND SURVEYORS Td 646.3646
1301 IUS71S SL, ST, PAUL, MINN. 66106
Scale: 10-30'
e Denotes Iron
Monument
Bearings Are Assumed
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iJ
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of 12! 5.00
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W
Lot 9, 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.
DH.1 this W4 day ofJ-4 A.D. 1?85 C. R. WINDEN i ASSOCIATES, INC.
?Y ca-, rll ?
But vgynr, Min n•,nfa Rpblrefien N0 y4(-7'9
SEDGWICK HEATING & AIR CONDITIONING CO.
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000
ADDRESS
OA-
HEATING
TEST RECORD
CITY fP&" "'
JOB NO
OCCUPANT '' I OWNER C�1-i--1- L �•'
Cbt-
SOLD BY '''`�
MAKE
Is-nepnci-
SERIAL NO E / /04 F. /DO5-
THERMOSTAT
VALVE
LIMITS t
Gas -n) -vv)
LIMIT SETTING /
FAN SETTING % J�
PILOT TYPE
IGNITION MODEL
PILOT TIMING nI
PRESSURE/� PERCENT CO2 7
INPUT CF 7`-' PERCENT 02
STACK TE - PERCENT CO
FORM 235 (REV. 10/10)
INSTALLED BY
MODEL A-FpL1 0070 R -I
INPUT
10\' -
VENT SIZE
TYPE OF LINER S.-/ L <5
/
LINER SIZE
FILTERS- SIZE 07 )1.-.1)-Q-)
WIRING
NUMBER
7
TEST TAG
1l,
LIGHTING INST.
DATE TESTED
COMPANY TESTING
NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108544
Date Issued:12/17/2012
Permit Category:ePermit
Site Address: 4304 Eagle Crest Dr
Lot:9 Block: 3 Addition: Sun Cliff 4th
PID:10-72978-03-090
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
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 -
Brian F Gullikson
4304 Eagle Crest Dr
Eagan MN 55122--226
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108544
Date Issued:12/17/2012
Permit Category:ePermit
Site Address: 4304 Eagle Crest Dr
Lot:9 Block: 3 Addition: Sun Cliff 4th
PID:10-72978-03-090
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
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 -
Brian F Gullikson
4304 Eagle Crest Dr
Eagan MN 55122--226
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I ~ ~ I
; Permit
City of EaN I 1 ~ ~
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
P~ 1-6
Date: ~1~/3 Site Address:
Unit
Name: Rl`a,9 Phone~5 °z
Resident/
Owner Address /City /Zip:
1
Applicant is: Owner Contractor
>a-~
~ Type of Work Description of work:
Construction Cost: ! S 71 Multi-Family Building: (Yes / No )
Company: Zby~_ 0,,W97_X-,_Contact:
- 71
Address: 5-1s~' All City:
Contractor I
State: Zip: Phone: (a
i
03 G~5-cJ
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NO 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.
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.popherstateonecall.orci
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota ate Building Code must be completed within 180
days of permit issuance.
x x ZLZ~/!~_
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127015
Date Issued:09/18/2014
Permit Category:ePermit
Site Address: 4304 Eagle Crest Dr
Lot:9 Block: 3 Addition: Sun Cliff 4th
PID:10-72978-03-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
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 -
Brian F Gullikson
4304 Eagle Crest Dr
Eagan MN 55122--226
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
For Office Use
i rr :::::
: /ee:
RECEI
vE�ate Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUN 2 8 �19 I Staff:
buildinginspectionsCa�citvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/28/19 Site Address: 4304 Eagle Crest Dr Unit#:
Name: Brian Gullikson Phone: (952) 456-2229
Resident! 4304 Eagle Crest Drive
OW11gr Address!City/Zip:
Applicant is: ✓ Owner Contractor
Deck Construction
Type of Work Description of work:
Construction Cost: unknown Multi-Family Building: (Yes /No ✓ )
Company: Na Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
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.citvofeaoan.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.00pherstateonecall.orq
I herebytacknowledge 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 sta ihikout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approvai)of plans.
x Brian Gullikson �j�
x cant
Applicant's Printed Name Ap licant's Sig''rrRT.
DO NOT WRITE BELOW THIS LINE
1-1-z az/ -66 (c et -c- -e- Az /ss--�-
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi l— Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool— _ Accessory Building
WORK TYPES
`7 New _ Interior Improvement _ 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 4/ ?&70. _ Occupancy4:--) _ MCES System
Plan Review Code Edition -n 20 1 T SAC Units
(25%_100%'e ) Zoning ? P City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of BuildingsLength 1 °( Fire Suppression Required
Type of Construction Via Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
14, Footings(Deck) Final I C.O. Required
Footings(Addition) ( Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /`O 1/Y• iii) k-L 1' 9 , Building Inspector
RESIDENTIAL FEES '2 2 7 S i . fr 40 1/5' ''')
Base Fee _
Surcharge y q S7 A: rz w 4 y
Plan Review -- -
MCES SAC Z S-15.-
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
43 01. E,c,91e Crest Drive • /s-6,5--- --D—
.
�Q C. R. WINDEN I ASSOCIATES, INC.
��t'7J !19'mvey
(AND SURVEYORS Tit 11411.114•
1311 EUSTIS ST., ST. PAUL, MINN. 11110$
FORtKEY-LAND HOMES
NOTE:
0 Denotes Wooden Stake`
Proposed Garage Floor El.in 9/4. 9 Scale: 1"=30'
( 9/6.6 ) Denotes Proposed • Denotes Iron
Finished Ground El. Monument
--•e•--- Denotes Direction Bearings Are Assumed
Of Surface Drainage
Vertical Datum -- N.G.V.D. 1929
Lu N Dro;i?a9e cj Lill/71y Easen hf
j\_ q}.
1 r
DC
Qzs Oa w 411 °(9'
10 to - -- .. q a` f915.0 o —_
00 .
�t� 1.7Ove/bony 113 °cot-0 W
, . .
0
I b fr1
V I -, 20.3 - Zc o m,,( tu . if 4.51'1 0,,-
ii s ,es N
V 1 _.....1._...,.___�t— 3 o a 4 .` r 5' o
. Dklif will Z 29.7 30' N
,J
qo fn w __L_____
4. Nei
i..-`_► ► :7 10 z Co)
•
(ft
(9144
G'., f 5.00 °
U
ll.l cn Na7° 30' a9'' w
J
f
ID
CrIli -rata N a- A-019 6uLLl ksori
lJ 30L1 E A&L1 GIBES l iL..(V ET
Lot 9, 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
IOUNDARIES 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.
Dom./ Ibis /Z14 slop SI sitilvi A.D. 1+►85 C. R. WINDEN & ASSOCIATES. INC.
by C[;1--N-..(17-201..--"6
Survorsr, Minims** RNis rrli•n No /44.7S