4754 Cypress PtAddress 4754 CYPRESS PT
Lot . . ;1. Blk
Sub FAIRWAY HILLS 4TH
Zip 5512_
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 5/26/93 Yes No Inspector: t
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
Permanent driveway C
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please vetify with the 6uilder the remo4al of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze po[ential exisu.
Contact engineering division at 6814645 before working in right-of-way or installing underground sptinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy .
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1 ;r..n c,P Rf:ss Pr rsoN +ioMe: zNc
1IIIRIdAY Fill I_S 41 f1 (612) 895-q715
PERMIT SUBTYPE:
sr owr
TYPE OF WORK:
NEW
dU(Lf1ING
?1 ? e e 'I 9
G;3; 0 'I/93
INSPECTION
1-oo1 2 n!r, D. •
F r nM rN c, .,
zNSULF,?rLor, r=I fvr-, L
FfRf'P i_f, CF
RFM,IRKS: 5& W F'L6R - 91'AP PI.i,GI I;U!itic R F'UihP
F
L
- - ' . - ' ' - -
?.
Kertificate uf Ccrupancv
Wttv of Cfagan
zcpartaicut of Zut[biKg 3n#0cc#iox
Titis Certicate issued pursuant to the requirements of the Uniform Building Code
cerrifying that at the time of issuance this structure was in com,pliance with the various
ordinances of the City regulating building construrtion or use. For !he following:
SF DWG/GAR 20419
Use Classification_ gldg. Pemut No.
- - n
0-uP-cr TYre -Sl.. ing Districc WAiriL . , 1 LLE
Owner of Suilding Address
CYPRESS , B2,
Birildi "ddcess 1.ocaliry
e!n 4(?? MAY 26, 1993
Date:
uilding Official
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
? `CIYY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: <> ? < 4'? •? ? ? ? ?
(612) 681-4675 SITE ADDRESS: APPLICANT: f: I
,
(? i. >•,'l?i-A7l?i
4 111
PERMIT SUBTYPE:
:1
TYPE OF WORK:
H r i„i
INSPECTION .• . .•
Fhl:(lIF1fli?tl ? if!???
C1 F'I ftf+ `,TAtt 1•1 Esf; p.tM)" 1 i' R('f1MV
Pormk No. Permit Holder Dats Telephone
S/W
PLUMBING ?
HVAC ? - ?45/
ELECTRIC
ELECTRIC
Inspection Dste Insp. Comments
Footings l
Foundation
Framing 3 2 ) 0
Roofing
R«,9n Pibg.
Rough Htg. 3 36 I
Isul. 313
Fireplace
f/
Final Htg.
Orsat Test
Final Plbg. !?/, ?3 ? ?3 Plbg. Inspectw - Notiiy Plumber
Corist. Meter
EngrJPlan
aldg. Fmal • ?6?3 ??
Deck Ftg.
Deck Final
weu
Pr. Disp.
--
-
[ I
' 3 a ?#
A 3
L 1 97 ? i /70
?
'
Re uest Dat ?s edion
Flre No. Roug
Req ,?C'
p Ready Now ?q•ill Nolity Inspedor
When Reatly4
Q 3
3 O ?'Vas r No
IW licensed contractor ? owner hereby request inspection of above electrical work at
Job Adtlress (Slreel. Box orROUte No.)
4(7,?"?[
)-css o""f - oily
?
? o n
Section No. Township Name ? o. Range No. County
D
occuoaoiiPRlNri
Seuea-s?-.
?-lomc-_s.TnC- anooe rvo.
s s- y7/4
Pawe; Supvliar
NSP Aetlress
3?00
/V1akWc// ??•?J r
Elxtncal GonVacror !COmpany Name) /
eG7l'%G Coniractor§ LicenSe No.
c-
Mailing Atloress ICOnVdctor ner Mek'ng Mstall9[ionl
i v nG L.J uYnsv?'lle
/ll
o
Authonze Si wre IComractor,Ow g Inslallalionl Pbone Number
9>?91-08?3
THI$ INSPECTION REDUEST WILL NOT
MIN ESOTA $TATE BOAflD OF ELECTPICITY BE ACCEPTED BV THE STATE BOARO
Gdgga-Mitlway Bltlg. - Noom S413
UNLE55 PPOPER INSPECTION FEE IS
1821 Unlverefly Ava.. S1. Paul. MN 55101 ENCLOSEO.
Phona(617) 602-0WO
"? E6-00001-08
REOUEST FOR ELECTRICAL INSPECTION "
See loiimctions br completir.. :is form on back of yellow ropy g???'p??
?
k 01297 "X" Below Wak Covered by 7his Request
ew Add Rep. TypeatBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othec-(Specify)
Comm./Industrial Fumece
Farm Air Conditioner
Olher(syec?ry) Conbacmrs Remarks:
Compute lnspectian Fee Selow:
?t Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee
Swimming POOI 0 to 200 Amps 0 to 100 Amps
Transtormers P.bove 200 - Amps Above 100 _ Amps
Si n5 InspectorBUseOnly. ?
2 TOTAL
SJ
Irrgation Booms 7
/ ? ??
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ED D CONNECTED IF NOT
'
Other Fee COMPLETED WITHIN 18 MONTHS
I, Ihe Eledrical Inspector, hereby ??In
Rou9 ?- Date
?7-r 3
certify that the above inspection has
been made. Final
?
OFFICE USE ONLV
Tnis raquest voitl 18 monihs Irom
L
Page 1 of 4
Tom Colbert
t/ 7 Sl/
? T.
From: Richard Grundman [RGrundman@Yahoo.com]
Sent: Tuesday, July 01, 2003 12:40 PM
To: 'Tom Colber
Cc: citycouncil@ci.eagan.mn.us; thedges@ci.eagan.mn.us
Subject: RE: Fairway Hills Water Pressure Concerns
Has my email to the City Council been delivered?
Please aiso see my response to your email below in Black.
Richard C. Grundman
Home 651-456-0855
Mobile 651-235-2349
-----Original Message-----
From: Tom Colbert [mailto:TColbert@ci.eagan.mn.us]
Sent: Monday, June 30, 2003 4:58 PM
To: 'RGrundman@Yahoo.com'
Cc: Wayne Schwanz
Subject: FV+I: Fariway Hills Water Pressure Concerns
Mr. Grundman,
I received a copy of your email to the City Council and thought I could help by responding to some of your
concerns. Thank you but I would really like a response from the council.
After a quick research of our files, I have been informed that this house was constructed in 1993 and had
a booster pump installed to help maintain the city's minimum water pressure This pump was replaced on
March 3, 2003. The pump is being replaced for the third time since I purchased this
house in 1996. For the record the pump has been turned off the majority of the
time because it is extremely noisy and leaks. It is a hassle to have it repaired as it
is in my basement and someone has to be here when the repair people are here. If
I were to run the pump continuously I am sure you would have replaced or
repaired it significantly more. We have learned to not run two showers at the
same time or water the lawn and use the clothes washer at the same time etc. etc.
We have also come to expect to take long showers, thereby using extra water, too
adequately rinse the soap off. I think you get the idea. We have adapted too low
pressure but we have never resigned ourselves to accept this condition forever.
Records for this service call note that the pressure at the time of installation was recorded at 43 psi and
that the pump was programmed to turn on at 40 psi and off again at 60 psi. ThBt IS 110t truB as the
pump did not work when the guys left. I accepted this as I did not want the hassle
anymore. It was even suggested that I have the city remove the pump and was
told that several people have done so because they did not want the hassle of
maintenance and were not running them because of noise etc. I only recently
started the pump again because of my dissatisfaction with the water pressure. (it
is the City of Eagan's goal to provide and maintain a minimum of 35 psi.) If it iS the Cities goal to
provide 35 psi as adequate pressure then why don't you put pressure reducing
valves on every house in Eagan that has pressure above 35? Just think of all the
water and expense we would save. The fact is 35 psi is not adequate. This service
7/1/2003
Page 2 of 4
record also noted that the property owner had indicated that the pump had been replaced 5 years earlier
(1998?). We couid not readily locate a service record for the 1998 work. On June 17, 2003 there is a
record of the City returning to replace a defective pressure switch. You indicate that you only have 34 psi
of pressure at the present time. We will have a maintenance employee contact you to investigate this
concern and again inspect your pump for proper service. We (and thls is a We process beCause
I have to be here) are in the process of replacing the entire tank, motor, switch,
and pump. You do not need to have anyone contact me as this process is
ongoing now. The two gentlemen that are in the process of replacing my well
pump now are knowledgeable and are working very well to repair my system,
thank yoU Very muCh. I have been assured that there shouid be no concern for the quality of your
drinking water due to any potential corrosion of your pump, water heater, or softener. Really? Who
has assured you of this and on what basis? I believe this could be a huge issue
for me and my family as well as the City of Eagan if pursued and adequately
researched.
Because the City's topography varies considerably (770 - 1040+/-), Eagan has 3 different pressure zones.
There really is no "average" pressure in the City as it can range from 35 psi to 90+ psi. The southern
portion of Fairway Hills is located in the higher elevations of the high zone where pressures are expected
to be lower. Similar to the lowest elevations in the low zone where individual pressure reducing valves
have to be installed to maintain an acceptable range of water pressure, booster pumps (similar to
individual well pumps) are installed in the upper reaches of the high zone. YoU 8re COrreCt we h8d
this almost identical system on the farm 30 years ago. I grew up on a farm and
know about individual well pumps. Even on the farm they are typically not placed
inside of the house. They are put outside in a"pump house" where they can run
and run with no disturbance to quality of live. Do you honestly believe this is a
solution to this problem? Would you accept a well pump in your home? rhese are
provided and maintained by the City. The addition of the proposed Marsalla Woods development to your
south should not affect the properties within the Fairway Hills development as the mains in the street are
sized to accommodate the anticipated flow volumes and the booster pumps will maintain adequate
pressures. Some of the homes within this new development may need individual booster pumps for
pressure assistance as well, depending on the elevations of the new structures. All Of the hOmes
will require these pumps. The council, developer, and new home owners need to
know this before approval of the plan. I am not against the Marsalla Woods
development. I am against you pushing aside a serious problem that should have
been addressed many years ago. I am against a council who is more concerned
about soccer balls going into back yards than adequate water pressure in the
new homes as well as existing homes in the area.
The alternative to these residential booster pumps would be to create an "ultra-high" zone for the Fairway
Hiils area and construct a standpipe reservoir with a related system wide booster station. Although a cost
study has not been pertormed, it could be expected to run several million dollars. A COSt StUdy 8I1d
research of viable solutions should be done. I cannot accept your speculation.
"Several million dollars" is inflammatory and a pure guess on your part. wthout a
greater demand from additional development and the resulting connection charges to finance this system
modification, it does not appear to be cost effective. It is nOt reasonable to eXpeCt a neW
development, perhaps in Parkview Golf Course, to shoulder the cost of past
mistakes of this city. It is not reasonable to expect us to wait, I think for a long
time, until that golf course is developed with single family homes. In tne interim, it
has been the standard for the City to provide and maintain the individual booster pumps necessary to
provide the minimum water pressures. This standard is no longer acceptable. An interim
period by its definition is temporary, not forever. .
I hope that this additional information has been helpful to you in understanding the need for the booster
pump and the viability of any altematives. I understand it very well, perhaps too well.
7/1/2003
Page 3 of 4
Viability of alternatives is not your decision. All alternatives have not been given
adequate research, study, or consideration. If you have any turther questions, please feel
free to contact our Supt. of Utilities, Mr. Wayne Schwanz at (651) 675-5300.
Tom Colbert
Director of Public Works
City of Eagan
3830 Pilot Knob Rd. (55122)
(651) 675-5635 (ph)
(651) 675-5694 (fax)
tcolbert@cityofeagan.com
-----Original Message-----
From: Richard Grundman [mailto:RGrundman@Yahoo.com]
Sent: Sunday, June 29, 2003 10:41 PM
To: citycouncil@ci.eagan.mn.us
Subjed: Concerns
Hello, I am Richard Grundman I]ive in the Fairway Hills neighborhood at 4754
Cypress Point.
Fairway Hills 2"d 3rd and 4th additions are considered high elevation points in
Eagan. As a result of the high elevation we have below average water pressure. My
water pressure is 34 psi and the city average is 70 psi.
Pressure increasing pumps were installed in each home of Fairway Hills by the
City to solve the low water pressure problem. The City owns and maintains all of
the pumps in each home. These pumps are very noisy and require substantial
maintenance to operate correctly. They require so much maintenance and are so
loud that some homeowners have just shut them off because they do not want the
inconvenience and noise. They do not consider the noise and inconvenience a price
they are willing to pay. There is also a question of corrosion inside of the pumps
and how that may or may not be affecting our drinking water.
The neighbors that I have spoken with and I are concerned that the new Marsalla
Woods development will decrease our water pressure even more. We are not
willing to accept that.
We believe the pumps that have been installed in our homes and the pumps that
will be installed in the new development homes are not acceptable long-term
solutions to low water pressure. The pumps are not an acceptable solution for the
homeowners or for the city.
We would like the city to consider a different solution to this problem. Perhaps an
economical long term solution would be to install a pump station or a new water
tower.
We believe this will be in the best interest of the City as well as current and future
7/1 /2003
Page 4 of 4
homeowners
Richard C. Grundman
4754 Cypress Point
Eagan, MN 55123
Home 651-456-0858
Mobile 651-235-2349
7/1/2003
; ..,
Hello, I am Richard Grundman I live in the Fairway Hills neighborhood at
4754 Cypress Point.
Fairway Hills 2"a, 3`a and 4`h additions are considered high elevation points
in Eagan. As a result of the high elevation we have below average water
pressure. My water pressure is 34 psi and the city average is 70 psi.
Pressure increasing pumps were installed in each home of Fairway Hills by
the City to solve the low water pressure problem. The City owns and
maintains all of the pumps in each home. These pumps are very noisy and
require substantial maintenance to operate correctly. They require so much
maintenance and are so loud that some homeowners have just shut them off
because they do not want the inconvenience and noise. They do not consider
the noise and inconvenience a price they are willing to pay. There is also a
question of corrosion inside of the pumps and how that may or may not be
affecting our drinking water.
The neighbors that I have spoken with and I are concerned that the new
Marsalla Woods development will decrease our water pressure even more.
We are not willing to accept that.
We believe the pumps that have been installed in our homes and the pumps
that will be installed in the new development homes are not acceptable long-
term solurions to low water pressure. "The pumps are not an acceptable
solution for the homeowners or for the city.
We would like the city to consider a different solution to this problem.
Perhaps an economical long term solution would be to install a pump station
or a new water tower.
We believe this will be in the best interest of the City as well as current and
futare homeowners
Richard C. Grundman
4754 Cypress Polnt
Eagan, MN 55123
Home 651-456-0858
Moblle 651-2352349
Mr. Grundman,
I received a copy of your email to the City Council and thought I could help by responding to
some of your concerns.
After a quick research of our Fles, I have been informed that this house was constructed in 1993
and had a booster pump installed to help maintain the city's minimum water pressure This pump
was replaced on March 3, 2003. Records for this service call note that the pressure at the time of
installation was recorded at 43 psi and that the pump was programmed to turn on at 40 psi and
off again at 60 psi. (It is the City of Eagan's goai to provide and maintain a minimum of 35 psi.)
This service record also noted ihat the property owner had indicated that the pump had been
replaced 5 years earlier (1998?). We could not readily locate a service record for the 1998 work.
On June 17, 2003 there is a record of the City returning to replace a defective pressure switch.
You indicate that you only have 34 psi of pressure at the present time. We will have a
maintenance employee contact you to investigate this concern and again inspect your pump for
proper service. I have been assured that there should be no concern for the quality of your
drinking water due to any potential corrosion of your pump, water heater, or softener.
Because the City's topography varies considerably (770 - 1040+/-), Eagan has 3 different
pressure zones. There realiy is no "average" pressure in the City as it can range from 35 psi to
90+ psi. The southern portion of Fairway Hills is located in the higher elevations of the high zone
where pressures are expected to be lower. Similar to the lowest elevations in the low zone where
individual pressure reducing valves have to be installed to maintain an acceptable range of water
pressure, booster pumps (simiiar to individual weil pumps) are installed in the upper reaches of
the high zone. These are provided and maintained by the City. The addition of the proposed
Marsalla Woods development to your south should not affect the properties within the Fairway
Hills development as the mains in the street are sized to accommodate the anticipated flow
volumes and the booster pumps will maintain adequate pressures. Some of the homes within this
new development may need individual booster pumps for pressure assistance as well, depending
on the elevations of the new structures.
The alternative to these residential booster pumps would be to create an "ultra-high" zone for the
Fairway Hills area and construct a standpipe reservoir with a related system wide booster station.
Although a cost study has not been performed, it could be expected to run several million dollars.
Without a greater demand from additional development and the resulting connection charges to
finance this system modification, it does not appear to be cost effective. In the interim, it has been
the standard for the City to provide and maintain the individual booster pumps necessary to
provide the minimum water pressures.
I hope that this additional information has been helpful to you in understanding the need for the
booster pump and the viability of any alternatives. If you have any further questions, please feel
free to contact our Supt. of Utilities, Mr. Wayne Schwanz at (651) 675-5300.
Tom Colbert
Director of Public Works
City of Eagan
3630 Pilot Knob Rd. (55122)
(651) 675-5635 (ph)
(651) 675-5694 (fa;t)
tcolbert@cityofeagan.com
-----Original Message-----
From: Richard Grundman [mailto:RGrundman@Yahoo.com]
Sent: Sunday, June 29, 2003 10:41 PM
To: citycouncil@ci.eagan.mn.us
Subject: Concems
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 3? ?' aS
New ConeWdion RwuiremenU
• 7 regislered site surveys showirg sq. R. af lot, sq, ft. of house; and all rooled areas
(20% maximum bt coverage aliowed)
• 2 copies af plan showirg heam & win0ow saes; poured found desgn, elc.)
• 1 sH of Energy Calculations
• 7 capies of 7ree PreservaUan Plan if lol platted after 711193
. Rim Joist Oe1ad Options selection sAeet (WCgs wilh 3 or less unAS)
DATE 51 2Z10-L
SITE ADDRESS q75q 5?,jprcSS
TYPE OF WORK « ?I ? 12e (La;_ .
APPLICANT 5e L ^,ZcLA-
MULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS 140 u 48K SR *''''Z
TELEPHONE #ICELL PHONE #
ia-g0-1
aUo?: STATE,'C-J ZIP S5`f-to
F,ax # 9s2- Ry'8- 0,?4
lL-?rO Ca??-?-a^- TELEPHONE#?? ?~ VQ-0`59
PROPERTY OWNER
-------------------- ------ -------------------- -------------------- --°---------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l ML`lNFSOTA RULES 7672
(J submission type) • Residentlal Ventiladon Category 1 Worksheet Submitted • New Energy Cotle Worksheet Submitted
• Energy Envelope Calwlations Submitted
Plumbing Confractor:
Plumbing system includes:
Mechanical Contractor:
Vtechanic.il system includes:
SewerJWater Contractor.
_ Water Softener _
_ Wa[er Hea[er _
No. of Baths
Air Conditioning
Heat Recovery System
?
Ph ? #M
--------°-------------------------°--------•------------------------°-----------
I hereby acknowledge fhat I have read this application, state fhat the informc
with all applicable State of Minnesota Statutes and City of Eagan Orqir36nce
Stgnature of Applicant
OFFICE USE ONLY
RemodallRaoair Raaui'emeMa
. 2 copies of plan
. 7 set of Erieryy CalcWafiore fa healeC additbns
. t site survey (a exterior addifans 8 decks
. Indipte if home served by septic syslem for additions
VALUATION a-31 Z 2 7`o
_ Phone # _
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
9 IC5 IJ
to comply
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Upda[ed 4102
ACITiOF+EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
eur; u.rc
47%4]!I)4
SITE ADDRESS:
? .1.Pd.,. lVi ?,(?GS?i -?11?i -?i)::
„, ,-) f?? L .? 5 J-1 ,
LUf; 11 :'I.OCK: ?.
'- flIP,6JitY IIII. L'-, 4T! 1
DESCRIPTION:
E? 1_ii7d1 ri.n Pernii.i. T y p e
Bu11d; ng Wor-:.:. r''PH
uGC 0c:i.wpan.r..}:
Cr.n.^.tructi nn Ty(;e
Zoniny
Pi.ti7.dtng t Er,gch
ttuildinq WidYh
S t O6JG
PI c I.l
F;.
t,' - M
1:-t
?• ?
rl
REMARKS:
w F, i_aIt - srraR F>L 8 r B oosrt- I z t) 11 ri1-1
FEE SUMMARY:
V Fhl_UAl`Ii)D!
f a ;e 1=e??
I'la ri i%;wi.cW
Surch?.-irqa,
AAC
`1 C .
GFlC Unit_.
sLio rfA 1.
'{- i :% i . Vl I7
L „ PI ,;. .. 9 E4
$ 6 5 0
'. I G f9 . vS (A
1C?6
7.
:4:133.000
MILC?LI.fy"! (1 US 17, 9..7 ,1 .1 o?0
CONTRACTOR: i.OWNER:
SEVFfiSQid FiUMLS INC 1.t?39S 117 16 4't?1.?i?1.30 5 SEVERSUN FIOPIFS 11Vi;
5110 GATf6JP,'Y :<Irq Ghl'CWAt' L\/0
NIJRNS?,'ILLE f4!V SS:S:i7 SUI?fd`.?V.T,LLE i11 P! 5 5 3;51
( 612 ) 896-q7 1 6 (G1.;:,)7i95_l171£S .
?
I hereby ackru,., ledge tli a t I tiave r-eo d this appli.cu+-.ion anc :;t,i l'c• Liiat 11.2
infiorm - t[on ..s ;Qi^rcct arid ?,gron to cemply i-diLh all appl.icah.Lce St.:t- vt Mr..
StatuL,.S an., Ci.y o f Laga n 0.- d i n a r7r,hs.
AP ICANT/PERMI7EE SIGNATURE -f.,S ED BV S16NATURE ?
REACTIVATE,
PERMIT •3,
lzdiq
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
_33
APPLICATION
MaR REO
3-R!
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: ??op(??.e5S
STREET SUITE M
Tenant Name: (commercial only)
LOT ? BIACR
I
P.I.D. N
W±'
Descri tion of work:
The applicant is: ? Owner a Contractor ? Other (oescr;be)
Name 4qmEz . _ Phone
Property LAST FIRST
Owner Address S?N C-T A-r-? ?Ry I-vO
STREET STE 0
City )?L'r2-tJVIL.?t State MN Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company SC??ICs ou ?J 1? Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber iri b . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a licatian and state that the information is
tate of Minnesota Statutes and City of
with 11 appli
correct and agree to comply
?
7
Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
EX 02 SF Dwg.
? 03 SF Additian
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
IR 31 New
D 32 Addition
? 33 Alterations
? 34 Repair
? -° . .. ..,.
,..
? 11 Apt./Lodging
? 12 Multi. Misc. `
? 13 Garage/Accessory
? 14 Fireplace _
? 15 Deck
0-16 Basement Finish
*1-"1'17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCL System YES
(Allawable) -_V_-t4 lst F1. sq. ft. City Water v05
UBC Occupancy ?t_3 M-? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump yE5
# of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code !° /
Depth ? On-site sewage SAC Code ot
APPROVALS ?
Planning Building ? 3-393 Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ? Footing 0 Framing ? Insul ation
? Wallboard ? Final ? Oraintile ? fireplace
Permit Fee v,iuat;a,: g 13R? OJ J
Surcharge
Plan Review GARnae;
32XZZ= '7b??
License
MWCC SAC
City SAC BgMS: 60 8
K/ 6.= /p g g o
Water Conn. so x 26 - 13.00
Water Meter y
Acct. Deposit r$6v
S/W Permit Jv04XIS= ,
S/W Surcharge
Treatment Pl.
Road Unit 9 S/ ?? ?
` gs,mf? i?loa XSy :
Park Ded.
Trails Ded.
Copies
Other ?
y <<
Total: ?
Z N 6
sac % I?? /Y?SSo
SAC Units ?-
138r56G'
t -
?
?
YV O
0
9/103 V 13
D 0
Ir/0 0
0/B' 0
8'?0 0
?
0
?0 D
?
Lor BmsvEx csacu=aT roa xBssaaxTM
acn
pROPERTY %y?A!._
R2C@SENT BTAliDAStnn
• Regiatered iand Surveyor signature and company
• Buildinq 8ermit 7lpplicant
• Leqal description '
• 7lddress
• North arrow and bar acale
• House type (rambler, walkout, split v/o, split
lookout, otc.) • Disectional drainaqe arrows vith slope/qradient t.
• Proposed/axiating sever and tirater service6
• Street name
• Driveway
LLtVATION6
Existinv
• Sewez service
• Lot corners
• Top of curb at the driveway
• Elevations of any existfng adjacent homes
eTltry,
Proooaed
?
Lf 0
0 ? • Garage t'loor
0 • First floor
?'
, D ? • Lowest exposed elevation (valkout/window)
5 0 0 • Property eorners
0-? D 0 • Front and renz of home at Lhe loundation
PONDING aREAB (if toolic et.)
n ? 0 • Easement line
o
0 d
? o
0 . Nc,,L -
w
°
• x
L
D Er D • pond / desiqnation
D D' D • Emergency Overflow Elavation
?
13
0
• D IlSENS 20N8 '
Lot lines
H? D D • Right-of-way and stzeet vidth (to back of curb)
? 0 0 • Proposed home dimensions including any proposed decks,
overhangs greater thnn 21, porches, stc. (i.e. all
?
D
? structures requiring permanent lootings)
• Show all easements of record and any City utilitias within
? those easements
D 0 • Setbacks of proposed structure and setback of adjacent
existing ho •
+ t? Retaini w e ements, if any
- Reviewed: ?--T
CCtober
Ioo? /
ame a
nat• o= Surveps -e??41
. .' ,
,
?..J
kftv?
B%TBRIOR SNVBLOPE AVSRAGE "U" COHPUTATION
OWNER: f)e-Vef,-,Or•J H(3M(,5 ?SJc-
SITE ADDRE85: q )J q Cl? CONTRACTOR: vCVC(?O0 I?YJMC?S DATE: a'a(.'q3PHONE: 1qS' L49I6
Determine working square footage of each.
1. Total exposed wall area:--?sq.ft.x .11 =[ Y75?-,
2. Total roof/ceiling area:-- sq.ft.x.026 =[ G(J?? ]
Total exposed wall area above floor = Z{f 4-
a. Total wall window area .......................
b. Total door area ..... ................ . ....
c. Total sliding glass door area ................
d. Total fireplace wall area....................
e. Total wall framing area (average 15$)........
f. Total net wall area above floor ..............
g. Total rim joist area .........................
Total exposed foundation area = 77?'?J
h. Total foundation window area.................
i. Total net foundation area above grade........ 7????
Determine "U" va
a. ZfG122 x
b. 37'» X
c. 40 x
a. oo X
6. 77?'V 7 x
f. (g32??to x
q, 'L?Jf7,6v x
Lue of each wall segment.
liU?l , 7v,_- ?S, Log
„U.l ?1, SS
flUll
IIUII
itu,t , 010 - ZO, ?(o
iivli
ifUlt
h. -- x "U" -
XJIUV. . c?7 - z?i? I n
3 ..................................Tota1
if item #3 is the same as , or less than #1 , ....,
you have met the iutent of sBC 6006(c)2.
. ?
,
r '
?
?
Total exposed roof/ceiling area = I 541;
J. Total skylight area ..........................
k. Total roof/ceiling framing area (averaqe 10$)
1. Total net insulated roof/ceiling area........
Determine "U" value for each roof/ceiling seqment.
flUll ..? _ ._..
" x. 154-, Sv X11 U?? ? o S = '?. ?7 3P.
1. I?,?,SO x "U?? , o73
4 ...................................Tota1 =I?-]
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1. `
Alternate Buildinq Envelope Design
To utilize the total envelope system method, the values established by
the sum of items #3 and #4 shall not be qreater than the sum of items
#1 and #2.
(.C'-Y +2. qLg.
3 . ZLoZ .
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
goBSNG gm
FOR CITY USE ONLY
PERHIT #
RECEIPT #
DATE: -?
/
3 3
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _?i-'
ADD ON _
REPAIR _
OWNER NAME: S2J2?:) o? ?ome?
SITE ADD'nnSS: I54 C f tsS f ??nk
IAT:_A_ BLOCK _at SUSD. ,
INSTALLER: ?GMana?, ? 1 ?; nr)
ADDRESS: 4.9i? /,7dr; iaJ ' ?
CITY: D'r;cib?J1AsC? ZIP: 553'7
PHONE #
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
o SHOWER 3.00 3 -
WATER CLOSET 3.00 4::c -
? BATH TUB 3.00 3 -
? LAVATORY 3.00 b-
/ KITCHEN SINK 3.00 3 -
i LAUNDRY TRAY 3.00 3=
_ HOT TUB/SFA 3.00
? WATER HEP,TER 3.00 3-
/ FLOOR DRAIN 3.00 3-
GAS PIPING OUT.
/ (MINIMUM - 1) 3.00 3 -
? ROUGH OPENINGS 1.50 ??o
OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 3? - S O
ST. SURCNARGE .50
TOTAL: S
?p2?RGI1lLf:T[1DIISTATAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------------------° - ° _---°__-°____-----___-__°-----____-----___------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
lo OF CO?7TR;CT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
C1TY OF EAGAN
L_?/ B o2 ?/l? MECHANICAI. PERMIT
SUBD. ?,go (612) 651-4675
RESIDENTLAL
xECEIPr # 4987
DATE 71 /!O
PLFASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMYLY DWELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PEItMITS ARE REQUIRED FOR EACH DWELLING UNTT.
OWNER: S Qv ?.rS v eJ i-...Q 'TEFS
SITE ADDRFSS: ? ADD ON/REMODEL (EXISTING
CONSTRUC!'ION ONLI) $ 15.00
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE #: ADDITIONAL 50 M BTU 6.00
ADDRFSS: ` l? GAS OUIY.ETS - MINIIKUM 1@ $3 EA. 3.0•?
CI1Y: ?.?s a2 ZIp:zn??N SURCHARG& $ .SO
SIGNATURE: TOTAL: $'a'1,? C?
COMAMERCiAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAUINDUSI'RIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS R'HEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTP.
R'ORK DESCRIPTION: CONTRACT PRICE FEES
196 OF CONTRACf FEE.
STATE SURCAARGE IS $SO FOR EACH
S1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
a
hmvnHUM FEE - $25.00
OWNER: TOTAL: a
SITE ADDRFSS:
TENANT:
SiTITE #:
INS1'ALLER:
ADDRFSS:
CTfY: ZIP: '
PHONE #: CI1T SIGNATURE:
SIGNATURE:
------------------
? Foi 6#ice_Use ?
j Pertnit #: E6 YI 7 I
? Permit Fee:
? Date Received: j
I ?
I SIaH: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Y - ,W, ' O d Site Address:
Tenant:
Suite #:
RESIDENT / OWNER n
Name: Di Gryl Phone:
Address / City / Zip: e& FQ l'l') n !tY?W2j
Applicant is _ Owner t-'Contractor
TYPE OF WORK Description of work: Aet A (TO Ff
Construction Cost 40a 29 . ? MWti-Family 8uilding: (Yes _ / No
CONTRACTOR Name: 60 License #:
?
Address:
City: ' State: ni A,_ Zip: 7 7/ ;W
Phone: Contact Person: _j ?Q ?^rig s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheel • New Energy Code Woricsheet
Category Submitted Submitted
(4 submisslon 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 plan7
_Yes _No If yes, date and address of master plan:
Llcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents thaf you.submit are considered to be public in(ormation: Portions of
the information may 6e classitied as non-public' if you provlde specific'reasons that would permitThe City to
cnncludelhat the "are trade secrets. >
I hereby acknowledge ihat this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of ihe City of
Eagan; ihat I understand ihis is not a permit, but only an application for a permit, and work is not to start without a permih, that the work will be in
accordance with ihe approved plan in the case of work which requires a review and 7,,V,., I of plans.
X ?oNrc - _(? E?.. P/" ,k..,
ApplfcanYs Printed Name Aplicant's Signature
Page 1 of 3
SURVEYO,R'S CERTIFICATE
?
?
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i
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ut 10422
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1 =
1
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.
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.
?
SEVERSON HOMES (1039.0?
? es
Stj
? ?.
Fqi??? 6'026,
, ?. .
i
i
o O?
?
A\
? 4<0
a°'.'
?
Q? io4¢p.? .
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\X1043.O
ING dMENSIONS SNOWN ARE
NOTE: BUtLD
FOR IORRdNfAI B VFATICAL LOC-
ATION OF STRUCTURE ONLY. SEE ?
ARCNITECfUAL PLANS FOR BUILDING
6 FOUNOATION DIMENSIONS. ?
4c
EAGAil1 glq
G DEPT
NOTE: NO SPECFlC SOILS INVESTIGATION HAS BEFN COMPIETED
.'ON THIS LOT BY THE SURVEYOR. TFE SUITABILITY OF
SOILS TO SUPPoRT THE SPECIFIC HWSE PROPOSED IS
: NOT THE RESPONSIBILITY OF TME SURVEYOR
-a-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAQE FLOOR - i0 4G:3 FEET
X000.0 DENOTES G V. PROPOSED LOWEST FLOOR - l038.(o FEET
(0009 ??S PROPOSED TOP OF BIOCK =/0 4L -7 FEET
?
WE HEREBY BZW g -FIOTAES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot II , Block 2, FAIRWAY HILLS 4TH ADDITION, occording to the recaded
plat ihereot, Dakota County, Minresota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25 DAY OF FEB. , 1993.
PROPOSED'GRADES SHONM WERE TAKEN SIG R. HILL, INC. ?
FROM THE GRADINO d DEVELOPMENT ?j
PLAN PROVIDED BX PIONEER ENGINEERING
??..---
??.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
m
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- r
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p ND
m ??
nZ
O m
O ?I D T
T A• z0 m ? w {
.
James R. HiII, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CN. RD. 42 o BURNSVII:LE, MN: 55337 * 612-890-6044
i ^-i i.,
L1J i i c=
n_r-N
0
7j?AOR?,
? /
Use BLUE or BLACK Ink
For Office Use I
3s
1 Perm it M
Permit Fee: I
City of Evan I
I I
3830 Pilot.Knob Road I I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I Staff: j
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l~' 1 J Site Address: !J:35~G~j 12n% - P4
Tenant: 6 ' Suite M
Resident/Owner Name: ~,\Zi~101/Y~ f~YlilY![i1Yh01~V1 Phone: (j ~~-LI - g~3LP
Address / City / Zip:
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@wppmn.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 L- RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
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 Tumaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$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.aopherstateonecall.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 *ork will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
x Carl Michels x
Applicant's Printed Name App icant's S nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test -Gas Test -Final
✓
� Use BLUE or BLACK Ink
r———————————
� I For Office Use �
� � � �
• ,n� � Permit#: �'"' I
�lt� 0� ����Il � � � �
� Permit Fee: a I
3830 Pilot Knob Road � r� �
Eagan MN 55122 �-� � Date Received: U.i� .��s I
Phone:(651)675-5675 �`�-�"�����-Q I I
Fax: (651)675-5694 ��� ,� � �I,,�� i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (9'�� 5'" ( � Site Address: ���� ����'� Unit#:
� �� ` -��, � �e�, ��� �9� �d
� � � � Name: � C¢„ �,5, Phone: �-,�
����
��� Address/City/Zip: K��� �+�'�' �� 6 �N �S!
�� � � /
Applicant is: Owner �C Contractor
Description ofwork: ��, (W�-( �iu��rzsa1,.. re�d.e-�'
�`��?�@#?��� '
� ���'��� ,: Construction Cost: �� �� Multi-Family Building: (Yes /No
,��F � Company: �C�r�,�c. �t�,✓n� Contact: /�ti'� _
<�
�� ��`� � � Address:�"l�� 5�" d�r�, S City: 5��� S'� PA��
�'.��r'��r
��,�� ; .
� State: �*/ Zip: �5��� Phone: GS( �� ��� EmaiL•���rr�sr r���-��ars�bt�ka�hn.z.e�-(-���►�-
,..
� „ :: License#: � C�G7(���`� Lead Certificate#: ���Z��� �
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�'T��P�s ar��l�u�p�a���1�o���a��`�',����'����s��r�l'�'b�j�la�� �rn� l��r�s c�#'
; tl�e�'��a��r�e�������t��'��p��+��`� �.F r�����✓#�a1 ��t 3
` ; � ,,e �.;: :a�.e.`.},�� ;�ir���a+�t�����, ,.,. ;:..�„`�„�,,,�,���,•F�„�•�� .. .,�vZ..:����' *�,�� J'
�
F
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.qopherstateonecall.orq
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 State Building Code must be completed within 180
days of permit issuance.
x ���` l2-'�Sf?�u SS�h x i�%G.�
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
��� S.S , DO NOT WRITE BELOW THIS LINE �l`� �
SUB TYPES
Foundation _ Fireplace _ Porch(3-Seasonj _ Exterior Alteration(Single Family)
�Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES ��� ,4,� ��`� ,y,�����
�
_ New � _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
� Aiteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall '�Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation . t� a't� Occupancy i� MCES System
Plan Review Code Edition �"1,�� SAC Units
(25%_100%�) Zoning __�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV �
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
�o„- � Other:
Reviewed By: � �, Building Inspector
RESIDENTIAL FEES
Base Fee '�
� ��` �
.�
Surcharge �� � ��r�,- r ���t�,
�' �~ ����
Plan Review � � � �' r4•`�
�C° i � : ' ti;.
MCES SAC �
� � .-
t ; �7
P .
Cil�/ .SACi i `
Utility Connection Charge
S8�W Permit 8�Surcharge `y �`� � �
Treatment Plant „�` � �
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
---------------,
� For Office Use I
� � �� I /�
' I Permit#: �/
Glty of �a a� � Permit Fee: '� "
� , �
3830 Pilot Knob Road � �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 j �
Staff:
Fax: (651) 675-5694 L________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ���L���J Site Address: `?` �S'7 C�r'E'S� ��r���
Tenant: Suite#:
� � "�� Name: c�������� Phone:
Resld�#/C�r�i�,r�,
���rP
��,��� � "� Address/City/Zip:
���,� � d � �� /
�����
���� Name: /'�� /��GUw�/t�/✓�.-�ir/C License#: /'�� ��-�l/
�, �r����,. � ` ����� lO���� /t�� City: ����^�'1Cz�
� �
�Q��,����„ Address:_
�� �� y
���� 4r o State: �w Zip: �S> �� Phone: �� ��o�.S�����
� � �
� r ,� �1 �/�
r Contact: �� EmaiL �rr ��i"��`'C`G+" ��y�
�� ;
'� ' ������ :
_New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
�"Y#�+��'V�l�►1"1�
� '� ��: Description of work: �i�� ��� �G�`�l.
�''������ RESIDENTIAL
�: � � � ��� ���� Water Heater
' Water Softener
£ � � " Lawn Irrigation�RPZ/_PVB)
� ��� :r �t�^„� � aN ��. .
���`ti`1�:���e
�'� Septic System Add Plumbing Fixtures�Main/_Lower Level)
� Y i �� � � �'�� �
� '"`��`�. - New Water Turnaround
���� : —
y���,�.;�` 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$210.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
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 ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla .
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City of Eaaau Permit#: /L--/- •,...„/ (Ili . 1,>
Permit Fee: - O t�
3830 Pilot Knob Road RECEIVED "-_r"-/ 7
Eagan MN 55122 Date Received:
Phone: (651)675-5675 ,lif
Fax: (651)675-5694 JAN 3 1011 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f(�01c7C)i-7 Site Address: 7� ?,,,,,,+- Unit#:
�4 ,9A. .`�.�.
Name: C 1` S Phone: 6 51-6 8'6 .110a ?
I Resident/
owner Address/City/Zip:i 1-1 754 Cyp POl>nf Gln MO 55/g 3
t Applicant is: Owner ( Contractor
Description of work: LA )T dm Cu)at..( 01-7,‘/
Type of Work
Construction Cost: t 1t 000.O0 Multi-Family Building: (Yes /No )
Company: OC CI SuAde c -LAC. Contact: i&ocr-t OC2.\
14 15 F[a S A .5. City: k()%4.1.(1-)15/1
Contractor Address: 9
I State: MA) Zip: 55o Phone:6S1-755-14%3 Email: oc.e.x\ Lk�r @-Rep'1- er icon/
A
License#:
a 5Ct 001 a Lead Certificate#: NA-C—t®Sg Ct 1
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:
i
Mechanical Contractor: Phone:
j
j Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you iubmii are considered to be public information. Portions of
l 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.gopherstateonecall.orq
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 State Building Code completed within 180
days of permit issuance.
"...\--,
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x ri ek) 1 1 x n
Applicant's Printed Name Applicant's ignature
Page 1 of 3
`7 4 (1l/, ,,z_ SC, DU NOT WRITE BELOW THIS LINE /6--/ 10
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
1 Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
u 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 I0
anc OC Occu
Occupancy y 1. ,." " MCES System
Plan Review Code Edition `t t i i, SAC Units
(25%_ 100% �() Zoning City Water
Census Code tt�� Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 0 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) i" Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
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 J 1„ 1:1\.../,,-111'
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: ; Building Inspector
RESIDENTIAL FEES '`
Base Fee
/ 0 } -
Surcharge
Plan Review „,,;�� p
MCES SAC i `"+ , '`
,,,j1P
City SAC
Utility Connection Charge E/l
SSW Permit& Surcharge !
Treatment Plant ] C”
O
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167932
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 4754 Cypress Pt
Lot:11 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-110
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 -
Thomas E & Stacey M Madsen Jenkins
4754 Cypress Pt
Eagan MN 55123
(651) 276-5498
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167933
Date Issued:04/05/2021
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:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169155
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 4754 Cypress Pt
Lot:11 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas E & Stacey M Madsen Jenkins
4754 Cypress Pt
Eagan MN 55123
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177541
Date Issued:07/07/2022
Permit Category:ePermit
Site Address: 4754 Cypress Pt
Lot:11 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Thomas E & Stacey M Madsen Jenkins
4754 Cypress Pt
Eagan MN 55123
(651) 686-4028
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature