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4750 Cypress Pt Use BLUE or BLACK Ink r For Office Us I ~J I City of E; Permit#: ; I Permit Fee: $ > ~ 1 I I 3830 Pilot Knob Road Date Received: Eagan MN 55122 I I Phone: (651) 675-5675 ,1V -1! n- ; Staff: I Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 1 -1 \ Site Address: L0 5 U Nr !-S= ` N-- Unit Name: kzz P-1\ 1M Phone:(_S?!_-~1- Lk S RESIDENT / n OWNER Address/City/Zip: 14-15A Applicant is: Ownersi Contractor TYPE OF WORK Description of work: hoc r~C~C Construction Cost: Multi-Family Building: (Yes / No ?C) Company:c Contact:~1 \ Address: G\~U W,\~~yN,, ~rePWGS1~~0 City: CONTRACTOR Zip: -15 41 Phone: q5z r~ 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: 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 the 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.gopherstateoneGall.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 not to start witho ermit; that the work will be in accordance with the approved plan in the case of work which requires a review a _ approval of plans. x ,V, C \G.~ S x Applicant's Printed Name Applicant's Signatur Page 1 of 3 DO t-1 *7 50 C of NOT WRITE ~IELYQ THIS LINE G SUB TYPES Foundation _ Fireplace _ Porch (3-Season) - Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES 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 Vemolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0, OL90 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%0 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 4 Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation T HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review JFA MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 z G 00 PIONEER v 12422 Enterprise brfv@ 17 - ; - _ ghts. MN 551 20 "~NEExs (512) 681,1914•F _°@/~/f'~i~ ~ax 681-946,8 * * 625 Highwp y 10 NortheQst 83 oine, MN 55434 (612) 783--1$gd.F'ax 78,3_1 $g. Certificate of Survey for: ON Herrmann Construction Co. - t. House Address: Cress point 9 9 _n _MN 1 PEBBLE WAY w (F 0 p- pp O040.>~r~7 -g l -5CJ.35 ~.4- 10 1- C r, p E' 1 i1 FTI U) (A 0 V l w 4 2 A I D t j i 4: a j 4 a 6~ CD • 9.0 z I ti7 © 2.0 _ (J1 (31 J fU I o in, b Q I N W co cn -D I r,, M r A 14 639. I 104. ` N 7 30 .30 I, G I I x I/, - 00'iER P'tJ~, REQUIREP"". Denotes Existing Elevation E:1e a~t~~= fo~v_zs xivaa[!~„d-;`~. Denotes Proposed Elevation s. E~ ~0 "Rc~POSED HQUSir EVA x T10N / Denotes Droinoge & utility rlo:;-- -r,r- _owest Floor Elevation: !o Denotes Drgina9e Flow ry X7.0$ ~r of 'lock Elevation:{O45.(~, ---o- Denotes Monument ' Denotes Offset Hub (aroge Slab Elevation: fG4483 ~~l( LOT f-ssumed DAKOTA COUI 71 11 - 4d1V i l TE~._)N hereby certify that this virvey, pi3o or ,gpcrt was prer', -f i,;, under the law, of the stare of Minr,e, ' .Ota, I nd Sur'vey0r 3 0 -,~-=ice:"f-~r r l., f(.) n0E.E 7 6:S1 L.S. REG. r40, 14891 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA089045 Eagan, MN 55122 . Date Issued: 05/05/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4750 Cypress Pt Lot: 12 Block: 2 Addition: Fairway Hills 4th PID 10-25603-120-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Dwight T Palmi 130 Plymouth Ave. N 4750 Cypress Pt Minneapolis MN 55411 Eagan MN 55123--217 (612) 824-2656 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 Address 4750 CSrnxESS rolNI Zip 5512 3 Lot Blk 2 5ub FaLIaatY ttna.s 41R . THESE ITEMS WERE / WERE NOT COMPLETE AT THE ME OF THE FINAL INSPECI'ION. Date: 04/22/93 Yes No Tnspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch Basement finish Deck L/I r Please verify with the builder the removal of roof test caps from lhe plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 6814645 before working in righbof-way or installing undcrground sprinkler system. White - City Copy Yellow - Resident Copy Pink - CoNractor Copy ? INSPECTION RECORD ControlNo. 0774 CITY OF EAGAN PERMIT TYPE: BuiLDtNG 3830 Pilot Knob Road Permit Number: 001006 Eagan, Minnesota 55123 Date Issued: 07 /08 /92 (612) 681-4675 SITEADDRESS: Lor: 12 BLOCK: z APPLICANT: 4760 CYPRESS PT HERRMANN CONSTRUCTION AL FAIRWAY HILIS 4TH (612) 891-1100 PERMIT SUBTYPE: SF DWO TYPE OF WORK: NEW INSPECTION FOOTING D. . FRAMING .. INSULATION FINAL FIREPLACE REMARKS: BOOSTER PUPIP S& W CONTRAC70R - SCHERER PLBG ? ? -1 I di w a +n Wertificate nf Cccupanc? wit4 of Cfagan ZcoRrhaent of VaiIbiug ?SO-Vation This Certificate issued pursuant to the requirements of the Uniform Building Code certifying fhat at fhe teme of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use Ciassificaci«c SF UX Bwg. PeruNt No. 1006 HMO" 0 ? 8 District R Cy- VN OocuP-Y TyPe AL -- Owrer of Buitding pddress ? 4750 Bui}t?ing Address V ??i? f s 04/2a/43 Dete- Huilding OFficial v POST IN A CONSPICUOUS PLACE --- . INSPECTIUN RECORD 7Control No. 0774 CITY 4F EAGAN PERMIT TYPE: hot t °i N`l 3830 Pilot Knob Road PeRnit Number: af 1006 Eagan, Minnesota 55123 Date Issued: 07106142 (612) 681-4675 SITE ADDRESS: r?) T: 1 r r? s o c r: .,• APPLICANT: +IlFiY (:1?PNF,' _, PT 11ERItMAWF1 Ct1NSTft11C?'Ii1N AL FpiRWAY IdJI l.S qYH (612) 891- 11NA PERMIT r?qPTYPE: TYPE OF WORK: MEW . ; ?u i i rat I .. . i?{AMltls ., l tJ'3'tc I A([ 110 F I NI?!. 1 I NF i't AC f RPMARRSc l3fiU5tFR NUMP ': & b! cONtRac7oq -%CHEatrk PLRA Permn No. Permn 1+old.r orsts ra.Ql,on.: SNV PLUMBING ?7-'- HVAC ELECTRIC 00 ELECTRIC Inapoctlon Data Inap. CommeMs Footings I ??D Q Z Foundetlon 71,, ?y?Q?, ? Freming Rooflng Rough Pibg. 9? / ? Rougn bS ? Pst, ? ?•> ?'isf Isul. G Final drsat Tast , Flnal Plbg. C?GCa.M.? . Inspgt,KOr - Notify PIu ConsL AAoter EngrJPlan Bldg. Flrwi y zz. 3't ? Deck Ftg. Deck Flnal Wefl Pr. Disp. Griggs-MiOway Bltlq. - Raam 1821 UnlvereetY Ave., SL PauL ly,5451as plrone (612) 662?0800 /o 2-"? 7 ( , JN REQUEST WILL NOT B`/ THE STATE 80ARD Eq INSPECTION FEE IS REDUEST FOR ELECTRICAL INSPECTIO EB-00001-08 ?? ??? ? See Instmctions br <ompleting [his tofm on back ot yellow roPYy3?iy?J ''X' Be(ow Work Covered by This Request uk•" qppla esWr d EquipmentWired J H 9dtl R p Type 16 Idng TemoorarYService Home Healer Electric Remarks. Compute Inspection Fee Below: g Other Fee 1 Other Fee i I, the Electrical Inspector, hereby certify that the above inspection has been made. )FFICE USE ONLY 'bis requesl vatl tB months lrom p ServiceEnirance5ize Aers N CircuHS/FeedF? ' 0 to 200 Amps 0 to 100 Amps .t Abave 200 _ AmPs Above 7 Amps TAL jtz nspectar5 Use Only. ?l U,J TMIS IN5TALLATION MAY BE ORDERED DISCONNECTED IF NOT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT ? PERMIT TYPE: Permit Number: Date Issued: 4750 CYPRESS PT LOT: 12 BLOCK: 2 FAIRWAY HILLS 4TH BUIIDING 001006 07J08/92 DESCRIPTION: Buildfng Permit Type SF DWG Buildiny,,Work Type NEW UBC Occuparrcy R-3 M-1 Construction Type V-N Zoning ? R-1 Building Length 50 Building Width 52 r !1 REMARKS: C D ( 1% b ? BOOSTER PUMP S& W CONTRAC70R - SCHERER PLBG FEE SUMMARY: B0S8 Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal VALUATIQN $853.00 $554.45 $80.50 $700.00 xee $2.187.95 $161,000 MISCELLANEOUS $1,610.50 Total Fee $3,798.45 CONTRACTOR: - Applicant - sr. I.ICOWNER: HERRMANN CONSTRUCTION AL 18911100 0002616 AL HERRMANN CONST 635 STONE RD 535 STONE RD MENDOTA HEIGHTS pIN 55050 PIENDOTA HEIGHTS MN 55120 (612) 891-1100 (612)891-1100 I hereby acknowledge that I have read this application and state that the information is correcC and agree to comply with all applicable State of Mn. Statutes and Gity of Eagan Ordinances. ? Control No. 0774 J ?-n o.Aeul: Lat1p)x,l APPLICANT/PEFIMITEE SIGNATURE 155UED BY: IGNA RE CITY OF EAGAN 4n,171• s5 1992 BUILDING PERMIT APPLICATION IDOL 1-4 68 675 ,UL 02 REGD, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date '7 / v/Yaluation of work oo? Site Location: ?qM G?n,rPA1? STREET STE i Tenant Name: LOT ? v BLOCK SUBD. 0.(rWcx-j3W1l?S P. I.D. # Descri tion of work: ?c?-- The applicant is: ? Owner E-1t?ontractor ? Other (Describe) Name Phone Property uST FIRST Owner Address STREET STE # City State Zip Company ?e Phone ggl-?tao Contractor Address S S I?d License # Z(°<<O City k L.?e.43 State M?- ZipSS(z? Company ie-wa.u. 1?11o? . Phone Architect/ Engineer Name Registration # Address 2 22-- r e p City State ?-? Zip Sewer & water licensed plumber ? . Processing time for sewer & water permits is two days once area has been proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply witplica6le f Minnesota Statutes and City of ? Eagan Ordinances. Signature of Applicant: l' OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation B?02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. WORK TYPE r?Y 90 New ? 91 Addition ? 92 Alterations ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool 0 93 Remodel 0 94 Repair 1:1 95 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public fac. O 96 Move ? 97 Demolish ? 99 Undefined Occupancy R-3 M-1 Basement sq. ft. Zoning ? lst F1. sq. ft. Const. (Actual) (A1Towable) v- V % 2nd F1. sq. ft. S Ft tal t - q. . o # of Stories Footprint Sq. ft. Length ? On-site well Depth g 2 On-site sewage APPROVALS Planning Building 2?_,j;? Engineering Variance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final 0 Framing 0 Draintile 0 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % IDO SAC Units I .t?c;on• $ I l.? IrQoo '- ? 22??z= yfs'4 x ?? - 7?4?I FaSMT! 42 K 20 = zxle- f!X/6: Gx2y= 4x I4v? jsi I17? ?2a ILI u ?- ISyo x I5 = z3,i uo GaMT= IS?Io ` ?'>c S3= 82362 z,,? T:,LooQ l?xi2? 214 zo x/6= 3zo 12Y+2% W?I r6x??= iso y?gob sXsx,s= ?XS3? 161,?j2 - - ? ?. _ ,. ? 16 Agricultural ? 17 Building Move ? 18 Demalition ? 20 Miscellaneous MWCC System E5 City Water PRV Required Booster Pump _)afi Fire Sprinkler Census Code SAC Code ?or Assessments ::-•?:??,? • a( "Y, . .T.:, ..s. . p'ne? or Two Family {ul Other S CITi OF BUILDINQ llEPARTh1E11T EXTF;RIOR EIJVELOPE AVEI2AGG "Ull C014PUTATION (To he submitted with building pormit application) Dwelling `x Owner Contractor La- ?-???n n^Ia1?1f?1 LINEAL`EEET OF ,'EXPOStD WALL Site Address LoT 1Z. 3LOGk Z+ ???rw?. ?{:ILc yta dna?u Date Phone f t. above g2'ade = Z`J.riLn; ?l2 : ZOTAL EXPOSED WALL ARrJ1 SQ. FT. OPQQUE. WALL COPlS'PRUCTIUTd: "U" Value x Aroa °?i;, ? ! ' rt ? n_ AN1? ?? ll U x s2. reference "u" ; ?:.. " x sq . from T i t-^ IIpII X SQ. attached "U" x S2, sheets IIU" X SR. IIUII x SQ. WINDOWB: "U" Value x Area Make & Type ii I?ry?r .?si..tr ??U,? • yCa x S Q __ nUil . R tl ?? flpli x SQ. „ np n X SQ. DOOR5S;,r IIU,I Value x Area Piaice & TYPe f""lr,_,rt»r nUn ?;. • u ? •a?• Q U1 x SQ. n: n nUn X Sq - x SLZ. TOTALS SQ. TOTAL AVERAGE ??U ?? (U)(A) VALUES cs DIVIDEDBY TOTAL V'IAI,L ARliA AVL•'RAaL IIU?? 65 r less for 1&2 family dnellings ROOF/CEILINCf : TOTAL AREA: J(?_ FT. r'd.11,4G.? ?K (? '? (U)(A). FT. I' •t., :21 ='.,. ` v (U) (A). FT. I ?c,,. ?rn = _ ,c U):(p) FT. _ ?U)(R) FT. _ (U) (A) FT. _ (U)(A) PT.y.7<.,-'' = 1.-GYI-L(U)(A) , FT. _ (U)(A)'. FT. _ (U) (A) FT. _ (U) (A) FT.(0_4f(A (U)(A) FT. 147. •v = ?9,?.{ (U)(A) FT. _ (U)(A) FT. _ < U) (A) r'T. Z3K.,.>; (U)(A) Detail reference „p„ ?Z? I: from up n X SR. FT. I r??'y = 2-1./? ?2 ( U) (A) aCtached sheete. „U„ x S2. FT, a (U) (A) D%pribe ononin6e, 'IIUII X SR• FT. _ (U) (1)' , Ln roof. liUil x SQ. FT. - - (U)(A) -_- --_ x S F TOiTAI, (U)(A) VALUES DIVID];D By TOTAL ROOF/CEILI1dG AF?EA AYERAQE °Ull 25 for ventilated a' ?T' _ (U)(A) Z- or ?5 54.? 1.,ca,Cu?A> IC)3Z • UZI roo f s. '., . , . .. ; z. . . ' Illll I. ,, . , :.. i u t . r -a 87 3 1.3 4??h ?nfP?-1- L?C'LA ? 072!- : W l N r.7vv15 !D u 3[a = '1 ? 3 ? !.I ?Go = •? 1.1.5 ? :? - .,.; . . Zw-Lqu.l1y?= z?...SxS- II Zl ?7ooe5 z? U ? " , _.. - ' - -- ( 1'Z.C> > / ? , ... . ..n F?%r ? J , Col x l5 Z= 1 C71. 134 . ,?3 ? t-5 ?- = \c.0 tJ?_r G2e,6o w?-- , ?Z7?5'Ca•`'rz ,. L F6_, ?? ? M IZLn ?I ?o WPt35 Z??'a.$ zzl?_ ?}y?. , --wni L sECTtoN-- *-_•`:'DeEerminittg iiUii valuee at Roof, Wulll Rimt und Conc. Block : i. :. s: ROOF/CEILINQ 1.) Interior Air t'ilm 2.) 5/811 ayp. Bd. 3•) Inauletion 5.) Exterior dir Film (STILL) „ R VALU 0.61 .56 44.aa .61. , uUn a 1/R= ?02./ YOTAL (R)n gS.78 ? WALL R VALU 6.) Interior Air Fi1W Q.68 7.1 II.) P ayi,. sa. insulation :45 90) T-P-j1F $url. I9•oo o. lO,) Mrason3te Siding .67 11.) Exterior Air Film -17 itull , Va= , 043 --?, ToTAL RI17 R VALUE 12.) Interior Air Film 0.68 130 Ineulstion 19.00 14•) 211 Fir Rim Joiat 1.88 15.) ?uuic.r- ?,TG z, 16.) Masonite siding 67 o 17:) Exterior Air Film 17 uUn ..?- FOUI7DATION I ------ TOTAL (R)n Z 18.) Intorior A1r Film 19.) 20. ) P-I/ 5 TXIp-ef> zl.) 12" Oonorete Hlocls z2.) 23.) Exterior Air Film R VALU 0.($ // . C70 1.28 . •17' Ilpll a '/ n- r p/ 'U R'OTAI, ?. 2007 RESIDENTIAL BUILDING rExMiT nrrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 regislered sAe surveys showing sq. fl. of lot sq. tt. of house; and all roofetl areas (20% ma)imum lot coverage allowed) 1 Soils Repotl if proposetl 6uilding is to be placed on distur6ed soil 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan N lOt platted after 11I93 Rim Joist Detail Oplions selecfion sheet (buiidingswi h 3 oriess units) Minnegasco mechanical ventilation form , RemodellReoair Reguiremems 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations forheated additions 1 site survey for additions & decks Addttion - indicate A oo-sde sepGC syslem Ce[t#SurveyRecd _Y _N Sa''ISRaport _Y _N Tree Pres Plan Recd _ Y _ N. 7reePresRequired _Y _N On-site Septic System :. _ Y _ N plans are considered public ?nforma4ion unless you s4a4e Qhey J4fe a.i trade secre4 and the reason. Date to //(? /?7 p O"1 ` Constructin6 st 3 S O O ° `? ? Q C7 Site Address ?/ 7 S U C`(' P!L fz C S P n, _. - 2 6 UniUSte # Description of Work A c c A- f (.o!1 } 9 v r G " S/fi A Multi-Family Btdg _ Y_ N ? Rireplace(a) _ 0 _ 1 _ 2 Propertv nw..ar SJ.) $ 9 3 - S 6 S 8 ( 0 Y) s i dsq -S ys& ','c) COOtCeC / fJ..7- (-?I E.?°"`_ e'.G?g ? : p" /f l. eaj: /. U !. d ? Add l/ /7601.w/4 'SJ..? Stat ro ) q 38 -.3856 N BUILDING Ener9Y In ihe las? ( l L ??l Z Licensec 1 Mechan nQ ? Sewer/W ;sota Rules 7672 v Energy Code Worksheet imitted plan? I hereby __...........,.on is complete and accurate; that the N.,,...-ww oc m contoimance with the ordinances and codes o the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicat9on for a ermit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the c se of work s d approval of plans. MT? ?TV"? 1) L'2 16 H, ? A ? A. 1 Q•C o`CT 14 2007 Applicant's Printed Name Applicant's nature 77-P-11 2007 RESIDENTIAL PLUMBING PeRMiTaPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existinq residential dwellinqs. ,,..67) Date?l?/ ?o0 7 Site Street Address 1?'7 5 ? C`rp(L C- S$ Unit # Property Owner ? C.l i 6, H-r p f} Telephone #OS?l )?S ?S 3- S 6 SK Contrector Telephone # ( ) Address City State Zip The Applicant is: L?Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-6uilt $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alteretions to existing dwelling ? Add plumbing fixtures to main level _41-/ lower level. This fee includes $ 50.00 installation of a water softener and/or water heater at the same time. If you are installing onlv a water sofrener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System A6andonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I here6y apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requi be'reviewed and proved. w<<, ir+T p7'3, L w_ I w. ApplicanYs Printed Name fn?p-plicant', ignature 7Z17 I 2007RESIDENTIAL BUILDING rEUMiT Apri.icnTiorr City Of Eagan 3830 Pilot Knab Road, Eagan R1N 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction ReQUiremen6 3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all roofed areas (20%maximum bt coverage allowed) Mh? I filafi fw RemodeUReoair Reauirements 1 Soils Report d proposed building is to 6e placed on disWrbetl soil 2 copies M plan showing beam 8 wintlow sizes; poured (ound desi9n, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan if lot platted after 711193 Rim Joist Detail Options selecfion sheel (6uildings with 3 or less units) 2 copies oF plan showing footings, heams, joists 1 set M Energy Calcula6ons for heated additions 1 stte survey for additions & decks Addih'on - indkafe ilon-site septic system V 0LUV/ Ml11? n? 1 /;3o, eD Offce'.Use Dnlv Cert of Survey Rectl Y _ N SatlsRepoR Y _N Tree Pres Plan Recd Y _ N. TreePresRequireA Y _N O?sileSepLCSyStem .:. _Y _N mnegascom2cankaven on m ' ?aiAd 1114 Plans are considered oublic informafion unless vou state theV are trade secret and fhe reason. Date _'2) / -_ Site Address ?i QYI !1. Construction Cost ? 3f 5 UnidSte # Description of Wark Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2 Property Qwner IyY11 Telephone#(q.'??) gg5 ?yc) lo Contractor :lddress State J ? Zip e-- City elephoue#(??) 2 3<T6 COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted . Energy Envelope Calculations Submitled In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and adtlress of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor for a Telephone #( Telephone #( Telephone #( and acknowledge that the information is complete and accurat that the work will Statutes; I under pennit; that the c approval of pl ns. e; conformance with the ordinauces and codes of the City of Eagan and the State oY MN ? is not a permit, buf only an application for a permit, and work is not to start without a be in accordanc,p v_?j4h the apprgyed-plan-irh the case of work which requires a review and ?G ?- ApplicanYs Printed I?Yame ? ' - ° Applicant's DO NOT VVI2ITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of_plex ? 09 07-plex ? 04 02-piex ? 10 08-plex ? OS 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work TVpes ?11?1 31 New ' ? 35 ? 32 Addition ? 36 ? 3? Alteration ? 37 ? 34 Replacement DeSCfiptlon: WaterDamage_Yes Valuation 3, ?Do ' o0 Plan Review 100% or 25% Census Code =I ?? SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof [ce&Water ? Franling z 2e ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. 97 19 Lower Level ? 24 Storm Damage - -- : 11 ; 25 Miscellaneous Gncl???? : Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Oemolish Building* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy 'R 'J MCES System Zoning City Water Stories Sooster Pump Sq. Ft. PRV Length Fire Sprinklered Width Final Fireplace ? R.I. 21 Air Test )& Fina] Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total REQUII2ED INSPECTIONS _ Sheetrock FinallC.O. _2.4 Final/No C.O. p HVAC Other Pool Ftgs _ _ Siding - Stucco Lath Windows Retaining Walt Inspector as Tests Final Stone Lath Brick ? D r.?e2- 1 e ve ) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? e51-681-4675 ? 1 New ConaTnution ReaWremeMs gemodel/Reoair Reauirementa -7 _ 9 l t D 3 registered sHe surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan and II roofed areas (20% max(mum lot coveraae allowed) 1 set of energy calculailons for heafed addNions ? 2 copies of plans (show beam R window sizes; poured fnd. design; etc.) 1 sRe survey for acterfor addRlons L decks D t aM of energy ColeulaHOns D 3 copies oF hee preaervaNOn plan N lof plaHed alfer 7/1/93 DATE: CONSTRUCTIONCOST: ? 6?0U DESCRIPTION OF WORK: STREET ADDRESS: (-( 15 Ntl: r, i I LOT: ? BLOCK: ?-- SUBD./P.I.D. #: C Y W0. ?:ame• ?T?l?t'.1r? %?t-L =yon?1#: f?471 74 /7 PROPERTY Last Firat OWNER Street Address: DSQ ? A A b city &WgiL stote: /7AI zip: SSl Z? Company: /7• F-.S !.a r R l a 'tlJr D/y, Phone #: U'? .M13076 (area code) CONiRACiOR p? Sheet Address:_ License # IM 9093 Exp. -Cb City gaa7SLlIle State: NN Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area eode ( ) Sheet Address: Regishation #: City Sfate: Sewer & water Iicensed plumber (reaulred for new eonshuction onlv): Penally applies when address change and lof change is requested once permR Is Issued. ttP: 1 hereby acknowledge }hat I have read this appllcallon, state fhof ihe informatlon is cortect, and agree fo comply wNh all applicabl 'St?te of Minnesota Statutes and CNy of Eagan Ordinances. Signature of ApplicaM: I z?? - ;?. - , OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes _ No RECEIVED ? _ No _ Not Required JUL 0 8 1999 j BY: ? 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 0 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 * Giya PCp, h-ndpu t ?0 Rpnl;ranT fnr'Imm^litlOn ,CeCmlt 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. ? Width Footprint sq. ft. APPROVALS Planning Building CSTY !]I= E:FlGAN ' CA:,H:CC-R: S T'F.RhiINAL N(7: 683 i?A'tE; 07/09/99 TIM[:g i.,°ie4_?:36 Permit Fee ?f Valuati I Surcharge e)CI Plan Review License MC/ES SAC C:ty vAG Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: I??.p SAC Units % SAC IDe NFlhiC;, AFS CpNTF:AC7'Oli TNC 340 9001 4696 f'A.T.FWr`iY 111.25 2i.55 900j. 4696 P`A:CFiWAY 2.50 3e1.0 9001. 4750 cvr-•r,i ss Fr I.2?)u25 aiss 9001 4750 rvPrF:sS F?r 3.00 ? ,. . ro+, al r.e<<ip+, pmoun+. - 242.00 , r.F; i. iana2 USF_R ]'Tie tdANCY i ??k?X?N???KX??X:%*:x*A?k??XX??X?%Y?*?k>KXt?Yh??C?k%? ?*#?Nc?ks?X±k?k I , 11 August 9, 1999 A.F.S. Contractor Inc. 1103 E. Cliff Rd. Burnsville, MN 55337 RE: Building InspeCtions REcE1VED AUG 10 1999 BY-: City Of Eagan 3830 Pilot Knob Rd. Eagan, MN 55122 I am writing a request for a permit refund. A permit for Mary Eich, 4750 Cypress Pt., was applied for and received. Because of denial from the insurance company we will not continue the planned work on Ms. Eich's house. I would appreciate a refund of $128.25 for the permit cost. Thank you for your prompt atten ' Amanda Orr A.F.S. Contractor Inc. (612)895-3470 f? CLAIM VOUCHER- REFUND REQUEST CITY OF EACAN MAKE CHECK PAYABLE TO: AFS ContraMOr Inc. ADDRESS: 1103 E. Cliff Rd Burnsville, MN 55337 LOCATION: 4750 Cypress Pt P.I.D./LEGAL: Lot 12, S12 Fairway Hills 4th RECEIPT #/DATE: 113992/7-9-99 VALUATION: $6,000.00 REASON FOR REF[TND: Job was cancelled PERMIT #: 36690 TYPE OF REFUND: Elecvical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ 12525 Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Mefer 3716-9220 $ WaYer Treatment 3868-9220 $ Surchazge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Me[er Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ Other $ TOTAL $ 125.25 I declaze under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. ? SIGNATURE -? DATE L_-La_ eL ?7 CITY OF EAGAN PLUMBING PERMIT • S`QBD. (612) 681-4675 RESIDSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FDR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # C ? 2C' 5 DATE ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST A-- ADD ON _ REPAIR OWNER NAME: _ IQ 1 1?errmw? ? Cons4- SITE ADDRESS : 41 SC:5 C1 P r c S S Q'? COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 ? SHOWER 3.00 3- 2 WATER CIASET 3.00 4-- ? BATH TUS 3.00 3 - Z IAVATORY 3.00 La- I KITCHEN SINK 3.00 3- I IAUNDRY TRAY 3.00 3- HOT TUB/SPA 3.00 ? WATER HEATER 3.00 3- I FLAOR DRAIN 3.00 3- GAS PIPZNG OUT. 1 (MINIMUM - 1) 3.00 3-- 3 ROUGH OPENINGS 1.50 4•5 u OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 _ ? STATE SURCHARGE .50 TOTAL: S .30-00 PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) INSTALLER: S[?kaw.. PL" nnuREss: 48oa r4dr,4.-, c<< CITY: Fofrlv ]i.4,lC ZIP: /', 5537a CITY OF EAGAN -• 3830 PIIAT RNOB ROAD ' EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # / D 9 DATE : F ?o PLEASE COMPLETE IIPPER PORTION ONLY F08 SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: AL NE22mAnllll L:aNS't• SITE ADDRESS: S?J? lrSS DOin? IAT: BLOCK oG SUBD. I`1,lJLk? ?? INSTALLER: IYIFTR.n J4,R . ZnC • ADDRESS:_ I6?J8'0 GCJEInom; ?E. ?. CITY: Ai'qa ZIP: SS37 ? PHONE #:_ W'7 - $"/atL ? -------------- FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL SO M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 .50 $. 4 7•5d I?JL-' ' _ ` SIGNATURE OF PERMITTEE i"ER4IALjIt7DVSTR%AT.:, PLEASE COMPLETE THIS POItTION FOR ALL COMMERCIAL/INDUSTRIAL BUTLDINGS, APARTMENT BUILDINGS, AND MULTZ-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: Z,Ip: PHONE #: FDR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN OCT. 5. 2007 1:47PM pc?ciS rv ? an*aeoatr a,V? 2 toplas of planshov(in9 ?lap. beenr, iae6 1 eel M Energy Cakulsliws M haate3 addihons t sNe suNeY ta addi5om b dedts pddNron - mBcefe lfanaite sePlrc eYS?em ueu !'muinrllofl RE? 3 reglstered d? awveys ehooWW sq. tt. af bC sq. tt. olhaure; md ad rooted areas (20°k mmomum ktcoveMe dwwed) 19ois "t if prMMed 6uYdinA Is N 6e plscEd on divNrEed sa4 2 wvlga ol plsn ehovAng beam 6vrindaw eizes; Paured twiM arqn. etc- 15etd @nengy CaIwlaGans 3 wPles of 7ree Preservation PIw ii lolpWed aft 7M193 ftimJdst0e4s110ptlorysaelectlonsheH (bu'ddrgswiN3ortesauNlsl ANnnepasco mechakal venGlaGai fam DahLL Site Addreas yz Descriptlon Mu1G•I+amily Bldg - 1' ._ N N0. 027(' ?P?. V2 ? dslm, ? / , s ) 9ird u 6eitbtB^UNeY,R?I ?!e.W?'•..," .. : 7CCe'?rEePCerr(ReeO 7Yekl?MS?Pe4Wred:.: . , &!ga'a&n! Onsilt K. _Y N _Y r..N CO6St1'UC11011 C051 _-! --d- ' UntUSte Fireplsce(s) - Q - 1 - 2 et ?? ?ci.?,•st ? J 1'elephone # (9-3? ! ? 5 33 Property Owner Cantrecior ol! ? . ? r w C[ty e? e n, Addresa ? State Zip 7'elephone # W? COMPLETE Tkt{S AREA C?NI Y IF C?NST??N? A NEW 13U{LDIfi6 .? *?:..„ee..t= gU? 7670 Ceteeorv 1_ ? ????eota Rnles 7672 Energy Code Gategory . RBSIdenUsl VenB18U0n Catepary t WOMtaheet • New Ene[gy COd9 Walk9heel (d submlaslon typa) g„pm;?d Submnted . Enerpy Envelope CalculeUane &u6mitted ln ihe lost 12 months, has the Glty of Eagan issued a Aermii for a similar plan basad on a master plan8 ? Y ^ N iF yes, daie and otldress of mqster plan, Licensed Plumber Mechanical Coniractor SewerlWafer Coniracior Telephone fl Telep}One # ( Telephone # ( I hareby apply for a Residential Building Permit and acirnowledge th8t the ileormation is complete amd accurate; that the work will be in con£oTmaace with the ordinances and codes of the City of Fagan and the State of MN Statutos; I understand this is not a permit, but only an applica#on for a permit, and w4rk is not to start without a permit; that the wvrk will be in accordance with the approved plan in the case of work which requires a review and approval oFplans. ?. 2007 RESIDENTYAL BUILDING PERMIT APPLTCATIOlY ? City of Eagan 3830 Pilot Knob ltoad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 851-675-5694 ?/ , ?i , ?? rt/sl5 ? Applicant's Printed Name Applicant's Signature ------------------ i ForOificeJUse? 1, ? i i Permit #: ? Permit Fee: ` l_L?._ r I A i DateReceived: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j o Y -Site Tenant: Suite #: RESIDENT I OWNER Name: A, ? l4 Q! / Phone: e r s ?o rnT ??i Ss??3 Address / City / Zip: y? Sd C n ? , Applicant is: _ Owner ? Contractor " TYPE OF WORK Description of work: iQaweev? #- /fc r ae l Construction Cost: /Y OD d Multi-Family Building: (Yes ? CONTRACTOR Name: .47?r2?eiYO? 16r14?OKCCAX GKlS License#: v702 7 / rrSr? Address: glQd l? 64rea( Jf iv? s??'Y? 3 Zi 1941 - p: Ciry: State: - Phone: 9-52 - 8r!' ? St13 Contact Person: 04? c /`i Cc4 S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope CalculationsSubmitted - In the last 12 months, has the City of Eagan issued a parmit 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: NOTE: Plans and supporting documents,that.you;submit are considered to be public information. Portions of : ` ' ould permit the Clty to the infarmation may be classified as non-public if you provide` specific reasons that w conclude thst the are tiade,secrets. I hereby acknowledge that Ihis information is complete and accurate; that ihe work will be in conformance wiih the ordinances and codes of the City of Eagan; that I undersfand this is not a permit, but only an application for a permit, and work is not to stan withoui a permit; ihat the work will be in accordance wifh the approved plan in the case of work which requires a review and approval of plans. ?A x A/'l s, S ^/r L x Applicani's Printed Name ApplicanYs Signature Page 1 of 3 r i 41? Clty of Eapff -- -----------, ? For Oifioe;USe 1 ? Permit ? Pertnit Fee: ? Date Received: O??O • L" ? I ? • I I Staff:'<._:_ I _ 20D8 RESIDENTIAL BUILDING PERMIT APPLICATION ?d . ?'`a 'q Date: ?6. S o f Site Address: Suite #: 4 Phone: a S/-?Sy' / 29 / RESIDENT / OWNER Q Name: i? 2 01 Address l City I Zip: 'v7 d(° ia r e r ??? a4 SS?°Z 3 X Contractor Applicant is: _ Owner - ; TYPEOFWORK zyOA?,r Description of work: /l'ciuovt d tA.St?I? 07 /ve Construction Cost: .s,1'J 6E) Multi-Family Building: (Yes No ? CONTRACTOR Name: .6 Ale.- r/ b Y Z?A?? ia Cr rdt eATS License #: ,,2OoZ 7 Address: q1 ?0 A/ 6/0d ee W U 1 tL1ZiP: SSY3 / / o/? State: _ Ciry: Phone: contact Person: /0c ? /?ct tt ?' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Su6mitted (4 Submission type) • Energy Envelope Calculations-Submitted , M the last 12 moMhs, bas 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: NOTE: Plans and supporting documentS that you submit,are consider'ed to be public informationr Portions of the fnformation may be classified as non-public,Tl you provide specific reasons thaf would: permit the Ciry to ` conclude that the are trade secrets.. ' I hereby acknowledge that this information is complele and accurate; that ihe 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 withoul a permi[; that the work will be in accordance with Ihe approved plan in the case of work which reqoires a review and approval ot plans. X ,e/ X S S _"C Fic x zz?? ""4, ? Applicant's Printed Name Applicant's Signature Page 1 of 3 ? , . DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory 8uilding ? Pool )df Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Fxt. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? DS-plex ? Deck ? Porch (screenlgazeboipergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ??-to tA? JC}14 t7Ei/? ? New ? Interiorlmproveme nt ? Siding ? DemolishBuilding* ? ? Addition ? Move Building ? Reroof ? Demolish Interior '?Alteretion ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage "Demolition (entire 6uilding)- give PCA handoutto applicant VGJI+RIr I IVIY: Valuation ?C?? Plan Review (25%_ l OD% Census Code # of Units # of Buildings Type of Consk ? Occupancy aG/y- Code Edition ?:_ "'7.!u'7( « <rV Zoning Stories Square Feet Lengfh Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing ? Fireplace:_R.I. _Air Test _Final Insulation MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Meter Size: Final/C.O. Final/No C.O. HVAC Other: Pool: _Footings _AidGas Tests _Final -- -- Siding: _Stucco Lath _Stone Lath _Brick _ . , ? Windows Retaining Wall l" Reviewed By: ? -2- , Building Inspector RESlDENTIAL FEES: Base Fee Surcharge Plan Review MC/FS SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant Copies Total ?-- ,^.. `r'?nn..?J U1.v'?.3 ?? l Page 2 of 3 --- ----------- I ?o'tl3fice"t?se I ? ; Pem,a#: ? Permit Fee: Jc'S n DateReceived:VU'??' I ? ? Staff: (? ? I I -----------------i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: v Suite #: RESIDENT/OWNER Name: 4ac.evLf d/Qa/a l.?4fto' Phone: 6S/"%Sy' 8??? Address/City/Zip: 1150 eresS /oIfW A64Ca4l 5S`a3 Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ?D?sUC ? iK.S ['G ?/ r/cW Cl f Construction Cost: X 700 Multi-Family Building: (Yes _ I No ? CONTRACTOR Name: ,Ee?ZV.4a ?nZ .stCCAWe RtS Cicense#: .?0.2 21 5'ff?? Address: 12/06 1?/ ?`Op? ?rrti ?/ City: 1'3LoD^,Lts2Aea e/ State: fIAI zip: S5Y34 Phone: 95:2'ES?JContact Person: ,a2YL i? Q Q S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 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 Contrector: Phone: Sewer & Water Contractor: phone: NOTE: Plans and sapportiog documerits that yov submft aFe co'nsidered fo:be public -informa6on? ?ortions oi i ' ihe info'r`maiion may be ciassrfied as asons that would permit the G7ty!`to ific r non ubiic rf ti rovrde spe g : p yo p g conclude lhat the y, are trade secrets: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x ApplicanYs Printed Name . ApplicanYs Signature Page 1 of 3 ? DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex F) 04-Plex WORK TYPES ? New r Addition ? Alteration ? Replacement ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? EM. Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? E#. Alt. - SF ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 10-plex ? LowerLevel ? Storm Damage ? 12-plex ? Miscellaneous ? Interior Improvement ? Siding ? Demolish Building* ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demoldion (entire building) - give PCA handout to appliwnt DESCRIPTION: Valuation 10-0,0 Plan Review (25%_ 100% ? Census Code # of Units # of Buildings Type of Const -ib- Occupancy INA MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: Sheetrock Meter Size: Final/C.O. ? Final/No C.O. HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESlDENTIAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total D rvk 9! gG:9 o Page 2 of 3 r. n< 'k p14NEER ? ?i7g117?QI`fl'Ig-.? iAVe A;-?hNF? Certfficvte of Survey for: Al I House Address: C ress Point 4V??atr - ---. ?a an MN 2422 Enterprise prjve Afendota Helghts, MN 55721 '612) 681-1374•Fax 681- 625 Highwoy 1p? ?yo? Bloine, Mh 55434 612) 783-1880•Fpx 783, PEBB' t.-E BEAD -i?--- `"'- WAY . '?- ?-- -- ----- --- --- -- ---- -- - - _ - ` ? I N 89'10'32" E . d o• 73.63 ?3pa>_?. _ ?=,58.35 1o 32-'iS r, Yo}- ! tl?0' l l ? Ao?C o I I I C? ?<< 0?4>, i F9 N ? I J 8.33 ?' { A ? I I ? ? ia e I 4m 6? . ' ? N a \Cw ? 4A r? ? r- x° g s,o z I ?- ; N ? p? _ `o' `? m s W F`9 ? y? °0 I m O ? ?oa r?" I Z l70E5 ,,? ,f 1 ? ? o y- N ? `j , Oaz . ? 1 $' ._ _ 1! ?1 '° ? ao 7/7 i t - ? LVAGAN . 900.0 Denotes Existing Elev4tion " 900 Denotes ProFosed Elevation =`= Denates Droinoge & Utllity Eos(?me;r; Danotes Droinage Flow DirecTcn -o- Denotes Monumant -?-- Denotes Offset Huh Q LOT 121 PCfq1q5 Sh9Wrl (7,'(; BLOCK ? DAKOTA C()UNTY, ,uWNE7i!jl4 G 13rpT BOOSTEW PUMP ; ? RCQUffolaCD ! 1040 .z5' . . • ?5., y?aae E1eu?44cK. 10 39.ss PRQPOSED HQUSE ELEVATIqN Lowest Floor Elevatinn: 1037.p5 'oP of Block Elevation;(04i5,l(? ' Goraoe Slab Etevation: (G44:E+,j assumed `- r IjfLL(_)' "'? r , ._._?_D! ?! Tf ON I AerebY cerUfV that tAit corveY. Plnn ?r ,. ?o. t was Pr,[ . i i.v ,. nn60r Mg IawS o' Ihp S[g:P OI Mi?ne:0?a, p?te,1 this_? I'-r ?? .• . s?? er, --pn ., , . - ia4 I_J L ?,nrJ Iha .?.:;? a? `F-a?ared LaqdSurveYOr RA,j 19 jL RnOE 4 4'?? ?^ L5. REG. rv:0. ]C891 r: !QNE6q * * ?, # uxo lnrlD nl' Certificate of Survey for; ouse Address: C ress Point. Eqaa_?MN ???/A -y- -- ? - - -? -- -- - - - -- pEeBLE aEACH waY 16 `-- ? J _ .T__ __------ --- - ___--- --- ---------- -- " ? I N t?s•?o'32° ? - ? ? . - " ? N ---=---? ;? - - ---- -- - --__-_--. _.--- _- ?-_---? - - _ 73.63 L'58.35 --.- ?Yd _ ? -? - ? 3 . ? io - F__---- --- ? iP w ??? I I ?`Oz?4?$ m I ? : V! i ? ? I I ? rvi y ' I ? 1 ? I v ? ? o z ° ?._ . N ? - g I ? I "?- .A. - 16.00 4. m Z --i x n ^! ? ,1oaz.??? ° - s I ?a aa ' i I -? - - ? EAr-,AN . 900.0 Denotes Existing Elevqtion . 900.o penotes F'roFosed E!eva;ion ?= Denotes Drotnoge & Utility ' Denotes Drainage Flow Direr.,,r;-, -o- Denotes Monument -a-- Denotes OfPset Huh QP LOT 12 , .anl,c?s st,cw„ nr? BLOCK DAKOTA COUNI - 111M1NL`?'It, ?? I "°3s. s I 2421 Enterprisa briva . Mendota Neights, MN ; 612) 681_7914.FaX 625 Highwoy 10 NOrthec Bloine, MN 55434 612) 783-1880.Fax DF?? ?OOSTER PUNiP ? REQtJIRED ! ??ress \l./:?d«t, rz.le"a4-"nK= 104U_z5' ? ? ,sh gvade ?lf1?a?-;o? _- Io39.55 PRCPOSED HqUSE ELEVA.TIqN Lowest Floor Efevation: 1037.0$ '" °A o! Block Elevation:1045.f6 ' Goraoe 5lah Elevation: (p44;gj os;umed -- AI li_WAY H I LL.? '? ,AC;DiT,'C)N I AerebY certi/Y thac this erirveV. Plan o. ,ePOri was prer:?,ed i+v ,.?,. _ ... ..' __" onrlCr IhC IawS of ihn, 519lB of Minne:Ota. O;"eri this _i S?? ? ' . ...?. .;•'n`"O?';•?" :+nr! If..; !.r,?, ..p?;:. [;.: A 7 -ar of 4,ce?EJ L?ndSufve hCJ .7_Z_ YOr i? ?dJ ? t Elcv ? SCQ,? 3 reet '.?;?/ .V-?' r ??r"?• r -` nOBE QI ?I ,IC L.S. REG. n;D. 1C891 ?- f ? r_________________ For Office Use I I Permit City of Ea I c cc R I Permit Fee: C 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 j Staff: I Fax: (651) 675-5694 I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: eke - e ss' Tenant: Suite RESIDENT/ OWNER Name: _Z'` aVa' It Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: A2e' ,~t €a .f t ~ Vic' , d lc.tc't". kV.r ag- Wo. -,A1a'' Construction Cost: lam' S 0 Multi-Family Building: (Yes / No ~ J CONTRACTOR Name:. ;r~'er r,10 ice (L,4 ° e rK e /7 f, icense wt I $ Address: l~ City: ~/d 0 !~A l ° ~a iAl State: Zip: 57-5-Yz? Phone: .9Y1 S0 9 Contact Person: U vC COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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 the are trade secrets. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA102434 Date Issued: 12/13/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4750 Cypress Pt Lot: 12 Block: 2 Addition: Fairwav Hills 4th PID: 10-25603-02-120 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: deb larson 8815 209th st Lakeville, mn 55044 952-469-6999 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 995.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Drain Pro Plumbing Dwight T Palmi 881 - 209th Street W 470 Cypress Pt Lakeville MN 55044 Eagan MN 55123--217 (952) 469-6999 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink For Office Use I 3s- I Permit I 1 City of Eajan ' Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~U - ll J Site Address: H b re Tenant: Suite M Name: DW i oyl:t P MI Phone: c q J Resident/Owner --IT 4- 56 Address / City / Zip: n N 13 3 Name: Wenzel-Plymouth Plumbing, LLC License* 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wggan.com Type of Work -New _Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation C_ RPZ PVB) Permit Type Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is requited) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A 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 not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Carl Michels X Applicant's Printed Name App icant's Si ature FOR OFFICE USE Reviewed By Date: Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA122513 Date Issued:05/09/2014 Permit Category:ePermit Site Address: 4750 Cypress Pt Lot:12 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dwight T Palmi 4750 Cypress Pt Eagan MN 55123--217 (651) 454-8458 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-1 -EM*,$E*2 -./$%'53/4-.16789::> ;*%-'!<<3-=1>7?@O?@>7A -./$%'#*%-+(.&1--./$% B$%-'6==.-<<1''9KL>''#&0.-<<'%''  !X"#$% &&X'(())* &&R,).Q,@&D)##<&:1 234 !56X095765X6!X5& ;</ ;-<E.$0%$(,1 =>-&?@A/ B/<)(/*),# C.%&?@A/ H/Q 4/<$.)A)* R.&,*&DB^ a>/<)*<&./J,.()*J&/#/$.)$,#&A/.I)&./P>)./I/*<&<1>#(&-/&()./$/(&&=,/&Z#/$.)$,#&3*<A/$.\]&E,.%&'*(/.<*&,&KV0XL& #(//-,%<1 ::06XW:5M N,.-*&I*O)(/&(//$.<&,./&./P>)./(&Q)1)*&!5&G//&G&,##&<#//A)*J&.I&A/*)*J<&)*&./<)(/*),#&1I/<&KE)**/<,&=,/& EZ&6&2/.I)&R//&KB/A#,$/I/*<LU0VM55&5W5!M:5WW F--'B3//*.&1 =>.$1,.J/6R)O/(U!M55&V55!MX!V0 "(%*21GA>H>>' #(,%.*E%(.1CI,-.1 6&&'AA#)$,*&&6 B*b<&E/$1,*)$,#4Q)J1&?&2,#I) !X5!5&+#(&".)$%&d,.(&B(:805&N@A./<<&2 =1,%A//&EH&&0078VZ,J,*&EH&&00!X766X!8 KV0XL&::06W0W0K90!L&:0:6W:0W 3&1/./-@&,$%*Q#/(J/&1,&3&1,Y/&./,(&1)<&,AA#)$,)*&,*(&<,/&1,&1/&)*G.I,)*&)<&$../$&,*(&,J.//&&$IA#@&Q)1&,##&,AA#)$,-#/&=,/& G&E)**/<,&=,>/<&,*(&N)@&G&Z,J,*&+.()*,*$/<M 'AA#)$,*T2/.I)// &=)J*,>./3<<>/(&"@ &=)J*,>./ PERMIT City of Eagan Permit Type:Building Permit Number:EA167777 Date Issued:03/29/2021 Permit Category:ePermit Site Address: 4750 Cypress Pt Lot:12 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter M & Christy L Buxman 4750 Cypress Pt Eagan MN 55123 (651) 592-4716 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature