4751 Cypress PtAddreas: 4751 r-'SPRESS POINT Lot ? Blk z Sec/SubFAII&7AY HIIYS 4IH ZIP: 55123
These items werafwece not complete at the time of the final inspection.
;01/14/93 Yes No lnsppctnr,
Final grade (6" from siding) f?
Permanent steps - garage
Permanent steps - main entry
Permanenc driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the ramoval of roof test caps from the plumbing
system and tha shut-off of vatar supply to the outside lawn faucat bafore
freeze potential exists. ?j
?v
wnaeenua
White - City copy Yellow - Reaident copy Pink - Contractor copy
-,t = 4, ,s s
wemficate vf Cccupanc?
?iti) of Cfa??
??? ? ??? ??"ectiva
Tius Certiftcate issued pursuant to the requiremenis of the Uniform Building Code
certffyrng tlrat at tire tinre of issuance this structure was in complianee with the various
or+dinances of tiee City reguiuting buiiding carrstruction or use_ For the following:
use c?nsifw4W= SF DWG ewg. PcFmit No. 1732 RI/Ml 0-upa-x TYpe 2a,?? n istnet ?Y?,conu.
Owcer of Building V Addiess ?
4251 J ,7B2,
B?? Add't35 LxrwIly
01/14/93
nate:
BLiflaingowww
POST IN A CONSPICUOUS PLACE
------------
,. INSPECTION RECORD Control No. ? 2 6 5
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 001132
Eagan, Minnesota 55123 Date Issued: 11 /04 /qZ
(612) 681-4675
SITE ADDRESS: I OTt i
47fyj I;vVkEr.s p7
FRTRlaAY HTl.i.a 4CH
PERMIT SUBTYPE:
'. r tfwiT
APPLICANT:
i:Ul.1E6iE CItY GQNSTRUCTiQIi
(612) 431-1711
TYPE OF WORK:
N [. W
INSPECTION
17 1 Nti .A .
!{tr1M i NG .•
[N`;l!!AT ION FTNAL
FTRFRI.AI'[
.
? RvMAKY?? : BOfiS7ER wl1MP S A la CpNTRAC fOFt •• '
i
?
? " _ -,? i : ??;;:r•.. t. : - -
t -.?.. F I L
PartrtR No. Psrmit Halder Dste T§tephona N
S14V
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetlon DaN Insp. Commsi?!s
F°ofinp I ll?,F?
P
F°`s,as'"«' ?
Framing
Roonng
Rough Plbg- 4z ' f U
Roug^ Ma.
[sw.
J2/4/fig-
I ?
/O?, Z
2?-ej
Frepiace -10
FinaJ Htg•
Orsat Test I
Flnal Plbg. Plbg. Inspedor - Notify Plumber
Coret. Meter
EngrJPlan
Bld9- Fi"
DedcFt6l.
Deck FUial
weli
Pr. Disp.
1.21 i/ lr/s,;? a04'A.:??w 9?44VA?
INSPECTI
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' ' `' ? •' . ' ?' ` " ? `" "
PERMIT SUBTYPE:
III I 1
I I t 410 1 1Ndti
?
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
I,, : i,a
x.,t:•) .3ir, ??.•?
TYPE OF WORK:
f 1 tiRI
14i„?nrNO
0f,/iA/96
MnNr
PIFiI
?
Permit No. Permit Holder Date Telephona N
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
F{AEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
,
BSMT FINAL
DECK FiG
DEGK FIrJ ?,-
- - , - -I
/ /L/,?! Y1 ! ,
f'jl!
-- i - -
-
? -
i?/?
W CGG+'v Y ri?+?
i
? - - - - - --??
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
?DSFl??
BUILDING
027831
06/10/96
SITE ADDRESS:
P.I.N.: 10-25603-010-02
4751 CYPRESS PT
LOT: 1 BLOCK: 2
FAIRWAY HILLS 47H
PERMIT TYPE:
Permit Number:
Date Issued:
DESCRIPTION:
Building-.?Permit Type
Busl.ding l-1tar,k Type
Ce:nsus Code
DECK
NEW
434 ALT. RESIDEN7IAL
?
. 7'1
a %t? ? D * 3
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45.50
CONTRACTOR: ' OWNER: - Applicant --
LARSON MARK
4751 CYPRESS PT
EAGAN MN 55123
(612)375-1824
I I herby ackno led
info?/mation i cor
S ut
4, e an ' Ci
. ? ?
. . ,,. ... .. . : .; r, ?
at I have read this applicat3on and s'tate that the
and agree to comply w9.th all applicable State af Mn,
ga? ances.`?` ?
3mw Qakj??
JRE - - - - - - - ' ISSUED SIG TUE --
CITY OF EAGAN '? ?
14bl 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construrlion Reauirements RemodeVReoair Reauiremems
? 3 regiateied aite surveys ?2 copies M plan
O 2 oopies of plens (indude beam 8 window sizes: poured fid, desyn; etc.) ? 2 aite surveys (exterior adtlitions 8 dedcs)
? 1 enerpy celalations ? 1 energy ealwlations for heatad additions
? 3 copies M Vee pmurvation plen if lof plalted after 7/1193
required: _ Yes _ No
DATE: ([/ = kI ' % CONSTRUCTION COST:
DESCRIPTION OF WORK: Der, V,
STREET ADDRESS:
!_OT _ J. _ BLOCK t5 i C-Af(25 S
SU9D./P.I.Q. #: I -t
??C18? 1?-?"•'?
`?d.?- ---
PROPERTY IAp??A )
Name: L/tK?J(lJv ?e?1
ivlf7 ,? tfrn o n
Phone #: ?x ?`S?3lJ
OWNER ?* FaI• tOkrE 375- -
Street Address- L(-4S C v A?'QSS 1 ?? _
City: IM64 N State: II/In ) Zip:
CON7RACTOR Company: F'hone
Street Address: License #:
City: State: Zip•
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #•
Straet Address-
Ciry: 5tate: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once petmit is issued.
I hereb acknowled e that I have read this a IipUon and state that the inio tio s co ct d a ree to wfth all
applipble State of Minnesota Statutes and Ciry of Eagan Ordinances. _ ??,?; / 9,???
Signature of Appiicant: 6,f L?P (! '
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preserva6on PWn Received Yes No
????L?UM?Ib7
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
4751 CYPRE55 PT
!.f)l`, 7. BLOCK: 2
FA7ftWAY hl7"I.1.5 4TH
SITE ADDRESS:
DESCRIPTION:
Buildi,ny Parmit Type SF IJWG
6uild.ing `!,Jor°k l'YPe NEW
U8C 4ccupane-Y R-1 M-1
Construction `T,ype V-N
ZAning R_ 1
BuiJ,ding Lengtli ;
13uildingWidth ;
/- ,
PERMIT Control No. 1265
PERMIT TYPE: R u r i_ o z N c
Permit Number: 001732
Date Issued: 1.:1. j 0 4/ 9 2
48
51
? {?
t
REMARKS: ?! Dj I ?0
'" 8005TER PUhfP S& W CUNTR,aCiOft -
FEE SUMMARY:
Basa Fee
Plan Review
Surcharge
SflC
SRC %
SAC Uni.ts
Subtotal
VALUATION
w7341.50
$ 4 7 4 .8 3
$63.08
$700.00
100
I.
$1,968.33
$126,000
hIISCELLANEOUS 1.610?50
l'oLal. Fee $3,578.83
CONTRACTOR: - App).icant: - sT. LIcOWNER:
COLLEGE CITY CON57RUCTION 14311211 0001209 COLLEGE CITY CONST INC
6976 151.57 9T 6970 151ST S7
APPLE VALLEY MN 85124 APpLE VALLEY MN 55129
(612) 431-1211 (612)431-1211
I h2reby acknowledg2 that I have reacl this applieation wnd staT,e thaT the
informat.ion is correct and aqree to comply with a11 applicable State of Mn.
L StatuY..es and City ot F..agan Ordinances. J
?lklfl ?p1I? ? ?l.?l
APPLICANT/PERMITEESIGNATURE -ISSUED Y:S?IGNATUR? E?
PERMIT A,
REACT?dFoTE
I q3 al
CITY OF EAGAN
1892 BUILDING PERMIT
681-4675
APPLICATION ?3r r??. ?J
.049 JI1 9
- in
SINGLE 6 MULTI-FAMILV 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 Nhen 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 10 / 29 / 92 Valuation of work q?2 o d C)
Site Address: 4751 '
Cypress Point
STREEi SUITE N
Tenant Name: (commercial only)
LOT 1 SIACK 2 SUSD. Fairaay Hills 4th F.I.D. *
Descri tion of work:
The applicant is: O Owner In Contractor ? Other coesortbe)
Property Phoi-e,
Name u:T
FIRST
Owner
Address
STREET STE N
City State Z;p
Company Colleqe Citv Constxuction Inc PhOne 431-j2it
Contractor Address 6970 151st Street License # 1209 ExP,3-31-94
City Apple valley State MN j;p 55124
Architect/ Company Phone
Engtneer Name Registration N
Address
City State Zip
Sewer 3 water licensed plumber Jeche Excavat'n M3329 Processing time for
sewer 8 water permits is two days once area as been approved. ,
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
?
Si
gnature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
0 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
X 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
ti
? 11 Apt./Lodging 'b4MBasefint Finish
? 12 Multi. Misc. 0 17 Swim Pool
O 13 Garage/Accessory ? IS Comn./Ind.
? 14 Fireplace 0 19 Corren./Ind. Misc.
? 15 Deck ? 20 Public facility
O 21 Miscellaneous
? 35 Tenant Finish O 37 Oemolish
? 36 Move
Const. (Actual) V-hJ Basement sq. ft. MWCC System `/c3
(Allowable) ?f lst F1. sq. ft. City Water ?_
UBC Occupancy ?
r 2nd F1. sq. ft. PRV Required
2oning -? Sq. Ft. total Boos.ter PumP ?IES
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code 10L__
Depth 51 On-site sewage SAC Code ?
APPROVALS ,
Ptanning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ? Footing 0 Framing ? Insulation
O Wallboard ? Final ? Draintile ? Firepl.ace
Permit Fee r,io.t;a,: g IMOCp°
Surcharge
Plan Review
G a.Ra.f-E
;
?6x2?= $?2 X 1(0 - `?152
License [iSMT; ?y X 26?6 24 X 1S= 93bo
MWCC SAC
City SAC
Water Conn. Ma+N ?EvE'I,5;
y$X26?_ i 24g
Water Meter ? L?xl?.- 4g
Acct. Deposit
S/N Permit ? X?2_ ay
S/W Surcharge ?n
cQ ? J T 1? 7 X IyZ s
??
Treatment Pl.
Road Unit ?-?--
-- ? x z
Park Ded. j'yx 13?f6 x ?3?r/f3?Fr
??= IR6
Trails Ded. x2o: ?3q2a?
Copies aNpFtoaR;
Other
Total:
ayx31 1i2 = ']S? X53 = ?o eb5?
,
SAC 12 5
9953
sAe Units ? 1
LOT SORVEY CHECRLIST FOR RESIDENTIAL
?++ SIIILDING PERMIT APPL2CATION ?
PROPERTY LEGAL•.?*
?
w Date of 8urvey:
` DOCIIMENT BTANDARDB
[? ?? • Aegistered Land Surveyor signature and company
C? ? ? • Suilding Permit Applicant
Er ? ? • Legal description
0 Er ? • Address
Er ? ? • North arrow and bar scale
CA` ? Q • House type (ramb2er, walkout, split w/o, split entry,
lookout, etc.)
? ??/ ? • Directional drainage arrows with slope/qradient $.
?ff1' ? • Proposed/existing sewer and water services
? • Street name
L?' ? ? • Driveway
ELEVATIONS
Existinq
? ? 0 • Sewer service
? ?1 ? • Lot corners
? ?/ ? • Top of curb at the driveway
0 @ ? • Elevations of any existing adjacent homes
Prouosed
C? ? ? • Garage floor
? ? ? • First floor
?
' ? ? • Lowest exposed elevation (walkout/window)
C? 0 0 • Property corne rs
? ? • Front and rear of home at the foundation
PONDING AREAS (if annlicable)
? e ? • Easement line
? ?J ? • NWL
? L11 ? • I-IWL
? CJ ? • Pond # designation
13 ? ? • Emergency Overflow Elevation
C3? ? ? • Lot lines
0? ?? • Right-of-way and street width (to back of curb)
E1? ? D • Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?? ? • Show all easements of record and any City utilities within
those easements
$' Q 0 • Setbacks of proposed s ructure and setback of adjacent
-/ existing homes
? W? • Retaining i ents, if any
- xeviewed: Al"Tn Aip 7,
October 1992
BX1'LRIOR IiNVEIqPI: AVIi(V1GG °U" CO:41'U7'i1TiOt!
CA414rR P +ark & ^=.artha Larson
SL•CL•' ADDItL•'SS 4751 Cvnress Point -
CDNTRAC'fOR Colleae C1tV C9nstrtiction
. DnTE 10-0 9-92 t'llotJL - 471-1911
OcL'ermine vorkiny squarc footogc oC cacli.
1. Total expoycd •.+all arca ....... l(g ?lf'. o ::q. ft. x •ll = 0?03.,3
2. Total roo E.cciling arca ....... /-3S y o sq. [t, x .025
Total exposed wall area above Eloor =18 y8•o
a. Total wall vindow area ..................... ...............
b. Total door .]CCd ............................ ...........•...
c. Total sliding glass door'arca...' ........... ............... 3/•S?
cl. Total fireplacc wall area .................. ............... L7
c. Total wall framing area (average 10%) ...... ...............
f. Tota1 net wall area abovc floor ............ ...............
. g. Total rim joist area ....................... ................ /30 , o
Total exposed Eoundation arca
h. Total foundation Window area ............... ............... ?
i. Total net foundation area above grade ...... ...............
Dctermine "U" value oE cach wall segment.
a. X..U..
b. X ..u,. ,07l0 3 ?. /
c . 3/• t/ x -. U-.
a. O x°u^ D = ?
e. X „U.. . /.?- _ ??'• °?' - -
c.. ,.U.. . oy3_ _ _ ? 3
..i,..
t? . ? ..,,.. O , O
. /?2, y . ..... . O63
B ?/'
. .I? ?
3 ..................................... Tl,t,I _ /96: 9
IC item N] in thc samc as, or lc:::; tlian itum ql, you hav%: maL ellc i.ntant
o[ 5bC 6006 (c)2. w,n -4 3 rl9G• 9J e/ dod 3 ?+-?? /-????
Sa? GvaL ??/ 1
Total exposed rouf/cciliny arca
j.T4ta1 skyliyht area ....................................... O
---
Y..' 1'otal tooL/cciliny Eraminy arva (avcraUv 10'+.) ............. _/39•X_
1. Total net inculatcd roof/cuilin') acc:a..................... .
Dctcrminc "U" valuc for cach roof/cciliny scymenr..
? p X„U., o v
k. 138• y x..U.. , 0-7-?f - 2 . S
x ..U„ • Q?/ ?G• ?-
4 ............................ ..... Total = ? 9• 7
If total of 04 is the same as, or less than 112, you li ve met t1?c intent oE
soc G006 (c) i. ??3
s/3 ` G o? 4 C?? l
Alternatc euildinq Envelope Design
To utilize thc total envelope system meGhod, thc valur_s establish-A by thc
sum oE items qJ and 14 shall not be greatcr thun [lie sum o= item5 kl and 92.
1. .?D3.'3 + 2. 3?/•G = ?3?9
1. + 4.'
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenis
• 3 registered site surveys shovnng sq. tl. of lot, sq. ft. of house; and all roofed areas
(20%macimum lot caverage allowed)
• 2 copies of plan showing beam $ window sizes; poured found design, etc.)
. 1 set af Errefgy Calculatians
• 3 copies of Tree Preservafion Plan if lol platted aRer 7l1193
• Rim Joist Detail Options selection sheet (61dgs with 3 or less units)
oATE ?7-!a - D a
SITE ADDRESS MULTI-fAMiLY BLDG _ Y _ N
TYPE OF WORK IeaP n?-f ?QPV?f o??S?d-'A rf eA ?ar4r,P FIREPLACE(S) _ D_ 1_ 2
APPUCANT SELAROOFING&REMODELINC..
STREET ADDRE53 ST. LOUIS PARKMN 5fi49f CITY STATE_ZIP
TELEPHONE # ' egPIOAONE # FAX #
PROPERTYOWNER A {- I l L? V S C)? TELEPFiONE# ?)-{?oSC(o -57.3($
---------- '_""'-__.----------------------------------------- -------------- ------ _..........
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CATLGORY 1 Ivi1NNESOTA RULES 7672
(4 submission type) . Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Meckianical sysCcm includes:
Sewer/Water Conhactor:
Air Conditioning
Heat Rccovery 5ystem
Phone Ik
Phone #
I hereby acknowledge that I have read this application, stote that the informafion
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
_ Water SofCcner
Water Heater
No. of Baths
RemodeVReoair Reauiremenls
• 2 copies of plan
• 1 set ol Energy Calculations for heated additions
• 1 site survey foreztenoraddNOns & decks
. Indicafe if home served by septic system fw additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
VALUATION ? 3 ?? )
} c:;' rl . 2?
Fee: $90.00
ree: $70.00
I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits ue required for each unit
Date
Site Address
? Uoit N
Property Owner Telephone # (? J )
Contractor
Streek Address City 01
State Zip _`?7']' }?T5 Tele hone #(?jJ?'7I ) --
>-y?? l
r
Bond #:-A4T Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
' air exchanger
air conditioner New Replacement
? other Aj
?d ?
)? r
N- I ? I?iL? LI2t?l Q-i f?-'
?
TT
State Surcharge $ .50
l
T
t po
$ c
o
a .
I here6y apply for a Residential Mechanica] Permit and acknowledge that the information is com
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical
permit, but on]y an application for a permit, and work is not to start without a p rmit, ?the
approved plan in the case of work which requires a review and approval of pl
and accurate; that the work will
that I underetand this is not a
?will be.id3ccordance with the
Applicant's/Printed Name ? Applicqr
X? Signa!
1 l950
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uc6on Reauirements
3 registe2d sRe surveys showing sq. R of lot, sq. ft of house; antl all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set W Energy Caku7ations
3 wpies of Tree Preservation Plan ff lol platted aHer 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less unifs)
RemodeVReuair Reauirements
2 copies of plan
1 set of Energy Calculations for heated addiGons
7 site survey for additions & decks
Additian - indicete d on-site septic system
?
Oifice Use OnW
Cert of Survey Reo] _ Y_ N
Tree Pres Plan RaW _Y _ N.
Tree Pres Required _Y _N
On-sdeSeplicSystem _Y _N
l`nqll o& 'ala4 . 4?
Date 1_?=_ / ?, 7 / (:5 5'
Site Address y{? ? I GY? J&5S ? Construetion Cost
+ UniUSte #
Description of Work ?'?l t5 L I'NG '70 SEA{ ¢,tvl
Multi-Family Bldg _ Y_4_N Fireplace(s) _ 0 _;? 1 _ 2
Property Owner r, - {` ` ,i? Telephone#(6Sj ) IOp&'"S?30
Contractor 16 ? V 1 ? 9
Address
S[ate AlhiftO /v City I
Zip S'?. sta?t__ Telephone#(4S( )c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv i Minnesota Rules 7672
Energy Code Category . Residential VenUlatlon Category 1 Wwksheet • New Energy Code Worksheet
(q submission type) Submined Submitted
• Energy Envelope Calculations Submitted
In the last 12 mor??s has ihe Cify of Eagan issued a permit for a simitar plan based on a mastey;plan,?
Y N If yes, date and address of master plan: ??
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #?,,° - } ???0 /1
A?l
\ ui
Telephone #( ) \\????
Telephone # ( ) ??
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
pernut; that the work will be in accordance with the ap
approval of plans.
/V[ G,?- "Yb,
)n for a pe it, and work is not to start without a
m in the e of work which requires a review and
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Poo! ? 30 Accessory Sldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mufti Misc.
? 05 03-plex ? 11 10-plex ?ik 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
/If? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Damolition (Entire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy MCES System
Plan Review , 1,0?0%? por 25°a
Census Code L/ 5"] Zoning City Water
-r-?T
SAC Units Stories Booster Pump
# of Units Sq. FY. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Foojings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Au Test _ Final
7\? Insulation
Approved By:
Base Fee "
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone ` Brick
_ Windows
_ Retaining Wall
Building Inspector
1 / . ?j?r?l1^?? y?
ls•v"'
? ?? ?
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2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 111651-675-5675 FAX 4 651-675-5694
????ogo
p???QK1C?`??-M-New Consiruction Reauiremenis Remodel/Repair Reauiremenis office 4ke Onlv
3 registered site surveys shaxing sq. it. oF lot, sq. it. of house; and all roofed areas 2 copies af plan Cert a( Suroey Recd ;'. Y? N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree PreS Plgtt RCCd ,,,.N;
2 copies o1 plan showing beam & window sizes; poured found design, etc. 1 site sunrey for additions & decks free Pres ReptlNed i Y Fl
lsetofEnergyCalcuiations Addition - indicateifonsitesepticsystem Drc-si€e3ep1ie5ysiem Y _N
3 copies of Tree Preservation Plan if lot platled afler 711/93
Rim Joist Detail Options selection sheet (6uildings with 3 or less units)
Date
Site Address ?-s CODStNCt10R COSt
C ? Unit/Ste #
Description of Work ySzy-\
Multi-Family Bldg Y_ N FSreplace(s) _ 0 1 _ 2
Property Owner ? ?-i`(?y y ?(?'(? Telephone #(i? ) ?D??- J? 3?
--r-
Contractor
Address f v
State ? lv CiTy ?
Zip ?33 Tekphone #((p -rjb 43I 3SX
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mnnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
(J submission type) Submitted Su6mitted
. 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 plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
Telephone # (
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 ofplans.
'?&A
ApplicanYs Printed Name
Applicant's Signature ??
'.
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilat Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address '1 ???1' ???? ? _ nit #
Property Owner knQ(ZK,__?j? /J( )1? Telephone # I ) °7
Contractor {? D1 IVb?
Street Address City
State Zip Tele hone #(?f
$ond #: Expir : ?
t
The Applicant is _ Owner Conua or _ Other
Add-on or atteration to existing dwelling unit $ 30.00
furnace _Additiona _Replacement
' air exchanger
? airconditioner _Ne _
other Replacement
State Surcharge $ 50
Total $
I hereby ap y for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in wn rmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, ut only an application for a permit, and work is not to start without a permir, that the work will b ordance with the
approv; d plan in the case of work which requires a review and approval of plans. / zl / e in ?
-_L Zb1? /
Applicant's Pnn ed Nam Ap iant's ignature
??
2006 RE5IDENTIAL PLUMBING PeRnmT aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
? i 5 .?
CDL_21?
Date ? I / I (o
Site Street Address f F_ ?.171
Unit #
Property Owner mt4,{-K Telephone # ( )
Contractor ? v!wL,i ?LV J?'\k]? ??L°'? Telephone # ( )
Address X_tF L),Q City ;CTx A J"A State'6W ZipS773S7
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refur6ished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are instaliing on7v a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
?<Water Softener _ Water Heater $ 15.00
_ new replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Totai $ 15,150
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurete; that the
work e in conformance with the ordinances and codes of ity of Eagan and the plumbing codes; that I
un rsta d this is not a permit, but only an application for a permi , worl is not to start without a permit and work will be in
cor nce w'th the approved plan in the event a plan is requir to b reviewed approved.
AppllcanYs Printe Name Appl'ca ts Si ature
u 1=
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
--- -------------
? Far ?ir?g usa/y /?
j Permit #
? Permit Fee:
? Date Received: ?
i i
I Staff: '
1 ---- ra??.P_ AJ1L AW
2008 RESIDENTIAL BUILDING PERMIT APP
Date: 1 ? Site Address:
Tenant: k, qA&1A%!=,_?
T 16 2008
RESIDENT / OWNER Name: Phone: = ?`1_5`f
Address / City / Zip: ? i 'T
Applicani is: Owner _\K?Contractor
TYPE OF WORK Description of r. P) Me-) (\ cu \ D
Construction Cost: Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: _?? ? License #:
Address: A1 ? 4) Q s
City- , tate: ? Zip:
Phone: lL I c?:l?? ._ I" I15" )C) Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 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 Cantractor: Phone:
NOTE: Plans and supporting documents that you submit are considered'to be publiclnformatlon. Porlions of
the lniormation inay be c(assified as non-pub(ic it y'ou provide specific reasons that would permit ihe City to '
conclude?ihat the are trade se`crefs.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance vrith the ordinances and codes of [he City of
Eagan; that I understand this is not a permit, but only an application for a permit, a'rtd work is not to start without a permit; that the work will 6e in
a 7ordance with the approved plan in the case of work which requires a review and approahof plans.
R'S\0-- ?t
x__=1_..
ApplicanYs Printed Name ApplicanYs ignature
Page 1 of 3
9URVEY FOq;
DE9CRIBED A9:
Surivalore8 G'ermllcate
College City
i,ot 1, B1ork 2, FAIRIVAY IiTLLS 4'1'FI ADDTTipN, City of fiaqan,
L),iknta ColmYyL_AlinnesoY.;i ;tnil i'cSCt'victg eascmeiltS Of recoc•d.
wqqA
`°A5,o
Q'20'4 6•449 PHOPOSEO ELEVATIONS
7op ol I'oundatlone „ IPy,q,q
GB(Bg9 flOOf w 1044.5
0esamool Fkxx . ip37.5
Approx. Sewgr Servlc9 Elav, .43wlderUcciFd
Propoeed ElavaUona
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qrelnaga Dlracllons ...'r.
Dananp ollael Slaka - O
HEDL1/ND
Planning Enginesr/ng Sunreying
5201 1..,a??,,t;;F??:a; wl.M,m.K,20
N89'10'32'E 141.02
Foo ra ??
??????? ??M P"
? REGUMED
F.lev = 1037.513
MIN. SETBACK REOUIFlEMENJS
Front - ao Houea Slde • 30
Rosr - 13 Oaraga Slde -g
I NEqE BY CERI RY iNAT 7HI8IH A TRUE ANO COfiNECT REPIiE9EN tATION
OF iHE BOUNOARIEB QF THE AtlOVE DESCRIBEP VHOPEIiTY A9 6Uq•
V[YEbUYMEORUNDEHMYUIRECTBUpERVISIONANOdOEBNOiPUnpOf1T
TO SHOW IMPpOYEMENT9 on ENCqtlACItMENT9, E7(C PT A9 sHOWN.
o.m
J R . U?, REN, t,M70 9UR YOA
iN 90 UCEN9E NUMeER 1491E
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SCAI.E, 1 Inch • 30 Feet
DEpT
BENCNk9ARf{. -rNNG P.bb{e 6wcF,
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JOB NO.:
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CAUD FILE; I OWO. CHK.
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_. -. ._, . _ .. ,,. _. _ .__..?,?„?T..,-,-m,.._.?....p.......,..o ,
*(TcllorG'ert«cate
?
SURVEII FOR: L'ollege City
UE9Ci11BEU A8: Lot 1, elork 2, FAIRIJAY HTLLS d'PFf ADOTTitIN, City of Tia};an,
Uaknta Cnunt,yz hlinnesor.a an,l resex•ving easemenCS of recot'd.
-??
,onaA
413£A
4•0 Q•?o?,s.
,,,
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?p
-,OQ~?
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to Is i
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W I{ `-?`?'
?
---??i --3LI0---
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oa
?.9
? ?oax.fl ioq±,.e
N89' 10' 32' E 141.02
, J? ia99.5
I
l. ^? `Y' • %
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A e R
f.8.'
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?
vEPT
PHOPOSED EIEVATIONS
Top ol I'oundallons „ 1041..l
oBIBgY rlOOf ? 1644,5
Be!Iemonl Flnnr . iq37.5
Approx. Sewer Servlco Elav. . S3u?IderUc?iF?
Propoeod Elavalbna . ??
Exlallnq Efavplbne .
pralneqa OIreCllOna
Oonoua ollsal Slako . O
B4OSTER PIJMP
,_._ REQUIRED
?
SCAIE, I Inch • 30 Ftel
BENGHMAqN. YNNL P.bble Qenchl
?Ohman Rrrk Enl,
E' Icv= l037.5o
MIN. SHTBACK REOVIREMENTS
Fronl - 2o Nousa SMe - 3p
Haer - is Qarage Slda -S
J08 NO.:
I IIEqEBY CEBI RY iHAT TNi616 A iRVE ANOCOhnECT REPIIESEN MTI011
/?E'LUND ar IHE BOUN011RIE8 (JF TNE A60VE DEHCnIBfP P110PEfITY A9 6l1[I• ?T?R•q,?j
VEVEb BY MG WI VNDEl1 MY oiItECt 6Up@11VISroN 11HO b0E8 NOT VUnVO11T
HOWN, gppK; pAGE:
TO C1WW IMPROVEMENf9 OR ENCI1tlAC11MENT9, EU??
Planning ?ngineeNnp Surveying a f101 [II
I ebomMpIN irn?? .1l?aee?aoTlnwl?eM Ntnnaae l6tl0 peR ?1.?`?!/_L o? .w?.
L/WD 9Uh YOA CADD fILE: DWO. CHK.
3E NUMeER 14316
?` q2
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA074358
Eagan, MN 55122 . Date Issued: 07/19/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4751 Cypress Pt
Lot: 001 Block: 002 Addition: Fairway Hills 4th
PID 10-25603-010-02
Use
Description:
Sub Type: e - Underground Sprinklers
Work Type: Backflow Preventer
Description: New
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Dan Clough 3880 Willowwood Street SW Prior Lake, MN 55372 952-447-5761 dmmcclough@aol.com
Fee Summary: Surcharge-Fixed $0.50 9001.2195
PL - Permit Fee (Res Modifications) $30.00 0801.4087
Total: 530.50
Contractor: -Applicant - Owner:
Preferred Plumbing Mark R Larson
6400 High Point Trail 4751 Cypress Pt
Prior Lake MN 55372 Eagan MN 55123
(952) 447-5761
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
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA101760
Date Issued: 10/25/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4751 Cypress Pt
Lot: I Block: 2 Addition: Fairwav Hills 4th
PID: 10-25603-02-010
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: dean Kamrath
13791 jonquil In n
davton, mn 55327
612-205-6060
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Valuation: 500.00 Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Adam's Ani-time Plumbing & Water Heaters Chin Yang
13791 Jonquil Lurie N 4751 Cypress Pointe
Dayton NIN 55327 Eagan NIN 55123
(612) 20-6060
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