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4758 Cypress Pt3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit Fee: Date Received: / / / ///7 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION` Date: 4/7/2014 Site Address: 4758 Cypress Point Name: Patrick Dillon & DeAnne Dulas Address/City/Zip: 4758 Cypress Point, ,,Eagan, MN 55123 Applicant is: Owner Contractor Description of work: Bathroom Renovation, Construction Cost: Multi -Family Building: (Yes /' Company: Purcell Quality, Inc. Contact: Tim Purcell Jr. Address: 2115 County Road D East City: Maplewood State: MN Zip: 55109 Phone: 651.748.1304 License #: CR636489 Lead Certificate #: -NAT-67802-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Home was constructed in 1992. PHI 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: 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 must be completed within 180 days of permit issuance. x, App icants Printed Name Applicants Signature '15 DONOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3 -Season)_ 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 113 New _ Interior'Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish' Interior )(. Alteration _ Fire Repair _ Windows _ Demolish Foundation [ Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction VO Occupancy MCES System Code Edition ' N -L4 SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation ›,t+' HVAC Gas Service Test Gas Line Air Test Roof: Ice & Water Final Pool: Footings _Air/Gas Tests Final 7C Framing Drain Tile Fireplace: Rough InAir Test - Final Siding: _Stucco Lath ,' Stone Lath _rick Insulation : Windows Sheathing Retaining Wall: , Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls ' Erosion Control Braced Walis Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection, Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Address: 4758 CYPRESS PT Lot 10 Blk 2 Sac/Sub FA7RWAY 1IILLS 4 These items were/were not complete at the time of the final inspection. Yes No ) Tnuortnr- Final grade (6" from siding) Permanant steps - garage ? Permanent steps - main entry 17 Permanent driveway ? Permanent gas ? Sod/seeded giass ? Trail/cur6 damage Porch Basement finish (.? Deck Please verify vith the builder the removal of rooE test caps from the plumbing system and the shut-off of water supply to the outside lavn faucet before freeze potential exists. w • P[LKl[YI?RR White - City copy Yellow - Resident copy Pink.- Contractor copy ? INSPECTION RECORD Control No. 0857 CITY OF EAGAN PERMIT TYPE: suiLoiNG--:... 3830 Pilot Knob Road Permit Number: 001124 Eagan, Minnesota 55123 Date Issued: 0 T/ 2 3/ 9 2 (612) 681-4675 SITEADDRESS: Lor: ie BLOCK: 2 APPLICANT: 4758 CYPRESS PT HERRMANN CONSTRUCTION AL FAIRWAY HILLS 4 (612) 891-1100 PERMIT SUBTYPE: SF OWG TYPE OF WORK: NEW INSPECTION FOOTING .. . FRAMING .A INSULATION FINAI FIREPLACE REMARK5: RECEIPT N 1- BOOSTER PUMP S&W PLBR = SCHERER PLBG 7 INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLoiNe 3830 Pilot Knob Road Permit Number: 023662 Eagan, Minnesota 55123 Date issued: 0 5 J 2 0/ 9 4 (612) 681-4675 SITEADDRESS: Lor: ie BLOCK: Z APPLICANT: 9758 CYPRESS PT WARZALA WILLIAM FAIRWHY HILLS 4TH (612) 297-6300 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION .. . D. FOOTINGS FINAL ? ? r ^4 y_? wemlicate nf cccupanc? ' - -; ? -_ ??j o? ?agatt IP This Cenificate issrred pursuant to the requirements of the Uniform Building Code certifying that at tfie trme of issuance this structune was in compliance with the various ordinances of ihe City regulating building construction or use. For the following: use Classificatian: SF DW' aidg. Pumit No. 1124 pccupancy Type Zoning Q'wxict Type Const. VN ownuofa,,;WM HUOM OONST IWC Addnm 535 SiM IRD, NDIDOTA HUQ= 4/58 - , . su;Mft naaen , t.ocAiry nmu. 10/16/42 Budding oificiW POST IN A CONSPICIJOUS PLACE ? - - INSPECTION RECORD Control No. 0857 ° CIT3' OF EAGAN RERIIAIT TYPE: "'l ! i t' l"{a 3830 Pilot Knob Road Permit Number: 00 1 i V 4 Eagan, Minnesota 55123 Date Issued: w 1 /2'3 /97 (612) 681-4675 SITE ADDRESS: t Ot: 10 ? i. r?+ t, .. APPLICANT: 4IS8 GYPREsq PT tIt'ItRMAMN CUNSTkl1CTYON AL fqlWWAY hILk.S 4 (Fi}:) 891-11!!0 PERMIT §,?PTYPE: TYPE OF WORK: Of N ,' INSPECTION rf<<l 4 1 rl<< . . I f+l'iM 1 Nir .. 1 N•.t?L A I ION F 1 NAl 1 rV?P I'l Ji! f • r_ j I I RfMARK:,: i"iFf.1;Tf F * NOU'y'fER PUAIp Sfild PtBk +a `:f.=F1EltER Pt i+4i }?i. ti . ? -.'Yra" frr ?'-.T c•'`Y.-.x? F1?' 9?y?") j4 '-- & ? ¦ Permn ra. Pe?mn Howe. oaee TeiePhofte # SNv PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commendo Footings I Foundatipn Freming Roofing Rough Plbg. J Rough Htg• ISUI. ('7 Fireplace G Final Htg. Orsat Tast , Flnal Plbg. Plbg. Inspector- No PI mbe Cnnst Meter Engr./PIBn Bidg. Fnel l 1"'A Oedc Ftg. Deck Fnal Well Pr. Oisp. 01 aN &.4/1' oti b'" /"4/ i P3 1 ( 0' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: :. , 11 loll 1 1 r41:11; ON RECORD PERMIT TYPE: Permit Number. ?? ?' ? ? ? ? • Qate Issued: 10 APPLICANT: ? ? .? - TYPE OF WORK: r ;•+r% 1 ? •? . ? ? ?. ?. ___ Permlt No. Permft Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date inap. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. ISUI. Fireplace Final Htg. Drsat Test Final Pibg. Pibg. Inspector - Noti(y Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. rs Oeck Final wen Pr. Disp. ? 2 7 3? 3 0 5 0 OFFl E OSE ONL, This reqoest void 18 monfis (rom validofion dore pnnlad in ihiz box sa59 PLEASE PRINT OR TYpE yy, ? ReqveslDok ? q ? Rough-in inspenian re quired2 '?] yes UN Inspedion OlherThan Raugh-ln: 0 Reody Now Will Call ?You m?s? ll ?h I h ? ? m e nspecror w e dYl Dole Ready: I, ? licensed wnhador 9 owner here6y request fnspeclion of the above elechicol work at Job Pddress (Skeet, Bor, or Rome No.) G Zip Cade ? SJI? Seclion No. Township e or No. Rnnge No. Fire No. Counry OccvPam Phone No. II,c. 2?Jq LfS?" `?7?{l Power Supplier .hldress Elendwl Connocror (Compony Name) Comractor Limnse No. Moster Lic No. (Plant Eled. OnIYI Mailing Addms s (Co ntratlor or Owner PeAorming Ins?allofion? ? ] C ? ' 1 ,0 rP Aulhonz Si9n m( ?tm "o ?wne PeAarmirg Inswllalion) ? Phane No ( , -,. 4-7vy? Ys co-uwvin-mva/vo I?f STATEBOARDCOVY- SEEINSTRUCTION90NBACKOFYELLOWCOPY f 11 IIIIIIIIII IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII 82QUni e State Board Rmo. SR 8A$? 'Paul P, MN 50 0 ? * 2 7 3 .? 0 5 3 s pnone (61z) saz-0eao 9I?n k?i. H o me AptBldg Other mmer J Cond oOfher , er Ronge Elec. Hea} Temp. Service n wo? covereo oy mis request Enter remorks in fhis space and on Ihe back af the white copy only. ?iA?? ,;) # ?aN7 /;2/ ?olt y Y?t' 4 Cnspecfi on Fee This Inspecfian Requesf will nol 6e acce pteJ wit h o u f f e c oue c t i e e: ?er Fee $ervice Enhonxe Size Fee # Circvih/Feeders Fee Home Park $tall 0 to 200 Amps 0 to 100 Amps 51reaf Ltg./Traffic $ig. Above 200_qmps Above 100 Amps Transformer/Generotor INSPECTOp'SUSEONLY / 7thed.wx L ; Sign/OuNine Lig. Xfr. ?Q,?- Mcqoea?, 1 f!m ?Q'7 Alarm/Remofe Contmrol p ? ? SI '1( ?? ._ Swimming Pool Ir 1 hereb cer?i that I ins ecied Me elearical immllofion des?ibed herem smred rigc?ion Boom e_ .. I Inves}igafive Fee I -1-°°, THIS INSTALLATION MAY BE ORDERED 78 MONTHS. `? 9 ? ? ? .. ? . f? ? ? Request Oate Flre Mftug? . . Reatly Now Will Notily Inspedor <J .. When ReatlyP I?licensed conhactor :3 owner hereby request inspection of above electrical work at: Job Atldress (S eal. 8ox or R[e No.? ? ?? Ciry .? ? I ? $ection No. TOwnship Nam No. Pange No. Gounry . ? rl? Occupa pkfRINTI Phone l , ^ r? A/ //O Power S Iler AOOress . ? Elacvic onvacior(COmp?Name) ?-_ ;66( _? Conire ?s License No. ooa/ Maning tltlress iGOnlracMr r e? Ma ng I lat a??lnonzed SI,Jffl W/ry/ ICaNr nar Making nslal ion' \ .C_w JA a O /( hon Nuipper ?? - C , MINNESOiR STATE BOi ELECTRICITY ?-? THIS INSPECTION REQlJEST WILL NOT Gtlqga-Midwey Bldg, oom S113 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Paul. MN $5104 UNLE55 PROPER INSPECTION FEE IS PhOne (612) 644-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooI.oe ? ^? p A O? See inslmcti ons for mniplpting Iliis tortn on pack ol yellow cqpy, ?. aJ ?41 ? ' ?O 7077? X" Be/ow Worl; Covered by This Request ew Atltl TypeofBuildi, ng uiltling AppliancesWired EquipmentWired Temporary Ser vice r Electric Heating n Dryer Other(Specify) , trial Fumace Air Conditioner ConVactors Remarki Compute fnspection Fee Below: Other Fee # ServiceEntranceSize Fee # Circuds/Feeders Fee ming Pool ' 0 to 200 Amps ao 0 to 700 Amps ? ormers Above 200 _ Amps Abov 100 _ Amps j Inspector4USeOnly: TOTAL ?O ion Booms s .?iOV l I a nspection /Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Fee e Other COMPLETED WITHIN 18 THS t I, ihe Ele ctrical Inspecror, hereby certify that the above inspection has been made. Ro°9n-'" z - _ Final t oeie 4 ? OFFICE USE JNLV ' Thls request voitl 18 monihs Irom CITY OF EAGAN 3830 Filot Knob Road Eagan, Minnesota 55123 '(612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: cR z?i?z BUILDING 023662 05/20/94 SITE ADDRESS: P.I.N.: 10-25603-100-02 DESCRIPTION: PERMIT 4758 CYPRESS PT LOT: 10 BL4CK: 2 FAIRWAY HILLS 4TH B'uilding'-Permit Type Building Wor.k• 7ype ? 1 ? , \ ? ?- ?? r DECK NEW r?, ;i 1?\ !`,-:] rji '? ?? - I/?.; (-u? ? ? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - WARZALA WILLIpM 4758 CYPRESS PT EAGAN MN 55123 (612)297-6300 I hereby acknowledge that I have read this intormation is correct and agree to compiy Statutes and City of Eagan Ordinances. L ? y ) d APPLICA EFiMI EE SIGNATURE applicaCion and state that the with all applicabie 5tate af Mn. < eY: IGNATURE ISSULXE J . • CITY OF EAGAN , 1994 BUILDING PERMIT APPLICATION ` c;?3 6? Z 681-4675 ? ab •50 rr ? C?E OfEl? -i?+?` S 94 S INGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,! copy of energy calcs. COMMERCIAL 2 sets of architectural & 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. Uate Valuation of work af J 00 Site Address:_ 4`15g L g ress P4 ST EET SU(TE # Tenant Name: (commercial only) ' IAT / 6 BLOCK Z SUBD.? I ?2 u?itiLfN'?"? P.I.D. # Descri tion of work: C, The applicant is: V Owner ? Contractor ? Other (Descri6e) Name n'\\N'a,.,, Pho e 1 149 Property LAST FIRST Owner Aadress _ yl5g C „Q''N5s STREET STE if City r a?a? State M1? Zip 551?'3_ Company Phone ? Co ntractor Address License # Exp. City State Zip Company ' Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 1 I hereby acknowledge that I have read th is application and state that the information is correct and agree to comply w'th all app' ic le State of Minnesota Statutes and City of Eagan Ordinances. " ? " Signature of Applicant: ? ? CITY,OF EAGAN 3830Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Build3'ng Permit Type Building--,Work Type UBC Occupency Construction'T,ype Zoning ', Build3ng Length , Building W3dth 4758 CYPRESS PT LOT: 10 BLOCK: 2 FAIRWAY HILIS 4 DESCRIPTION: , . REMARKS: PERMIT PERMIT TYPE: Permit Number: Datelssued: SF DWG NEW R-3 M-1 VN R-1 57 36 ? ,, r t J ? BUILDING 001124 07J23/92 RECEIPT # C()pwvp3 BOOSTER PUMP S&W PLBR ffi SCHERER PLBG FEE SUMMARY: Base Fee Plan Rev3ew Surcharge SAC SAC 8 SAC Units Subtotal VALUATION $772.50 $502.13 $69.00 $700.00 100 1 $2,043.63 $138,000 MISC FEES $1.610.50 Total Fee $3,654.13 CONTRACTOR: - Applicant - ST. LICpWNER: HERRMANN CONSTRUCTION AL 18911100 0002616 HERRMANN CONST INC AL 535 STONE RD 535 STONE RD MENDOTA HEIGHTS MN 55050 MENDOTA HEIGHTS MN 55120 (612) 891-1100 (612)891-1100 I I S hereby acknowledge that I have read this application and stete that the informaCion is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? L 4y , _kQ ? APPL CANT/PER ITEE SIGNATURE ISSU : SIGNATURE Control No. 0857 cmr oF EAcaN 1992 BUILDING PERMIT APPUCATION 681-4675 I / 3 1" 3 ?s?/,/? ,Jl1L . i R RECo 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 17 /1 -'S;-_ / °I'? Valuation of work 1ZQ?? Site Location:_ '}7S i5 ?. ? o r ss \-?- STREEi STE M Tenant Name: LOT 10 5 BLOCK ? SUBD.? ? P.I.D. # >. a?V Descri tion of work: ? The applicant is: ? Owner 2-ntractor ? Other (oes«;ne) Name Phone Property LAST F[RST OWner Address STREET STE k City State Zip Company c_ Phone Vi1 -llOZ Contractor Address S 3S License # City ? State 0&4- Zip Company +.ri1LA_d Phone Lo g(- l9 t? Architect/ Engineer Name Registration # Address v_ .e D City o ? State ??-v? Zip ?Sl u Sewer & water licensed plumber n..? ? ? . Processing time for sewer & water permits is two days once area has been 4 W oved. I hereby acknowledge that I have rea.d this app ' n and state that the 9nformation is correct and agree to comply wit a 1 ap licabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: __..c \ J OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 02 Single family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE El 90 New ? 91 Addition ? 92 Alterations ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel 0 94 Repair ? 95 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 96 Move ? 97 Demolish ? 99 Undefined 0 16 Agricultural O 17 Building Move ? 18 Demolition ? 20 Miscellaneous Occupancy Basement sq. ft. /O 2 2 MWCC System 2oning ? lst F1. sq. ft. /o z? City Water Canst. (Actual) ' 2nd F1. sq. ft. n9 Z PRV Required (A1 lowable) I Sq. Ft. total Booster Pump # of Stories _ z Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth 34, 33 On-site sewage SAC Code - APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site JRI Footing 11 Wallboard 0 Final 0 Framing ? Draintile k X ,L! Insulation ? Fireplace reiuac;p,: $ / 3 B ooa Permi t Fee gS?, ? ? ?s Surcharge -- Plan Review 76.? -2 9,G? _ 1/2 License ? 8, 3,t - t3,?9 ;ZSo,lb MWCC SAC ? City 5AC Water Conn. Water Meter 6 9 yd'? `fY Road Unit --?--`-' Treatment P1. Road Unit 3 0,(-z6 = ggo Park Ded. Trails Ded. Copies Other Total: G4 ?' 2e ?G(" o k14 SAC % SAC Units ? ?. p-ne or Two {?11 Other 3 Ci'PY OL' I]UILUIIVq llEPARThIL1JT EX'PLRIUR 11JV1y0PE AVli12AGL ??U?? C014PUTpTION (Tb be submitCed mlch buil(I 7.?ir , permiC application) Family Dwelling _'Y Contractor ._-- LINEAL FEET oF EXPOS'ED YIALL t ' ? n 11 ij I I ilU npn' OPAQllE. WALL COP{STRUCTIOIr: 111J?l VRlne x nr ? 'Delail?' en Fl reference ?le p sq. C? FT. ? d?- "11? (U) A ? ) ? -- from •, /?.'? x ?2. S . ?, FT ?- / .-. --- ---?---?\ U)(A) ' Y aty ?achad lipu X ??2. FT sheete - -` upo 5;?. ' FT i?p??----____- < sti. -'(U)(A) ----_____ .x SQ. WIND01yg; "pn Va1ue x Area Atake & Type n u 01 n n u noonss •;_ jouii i•iaice & Type u u n`. `n u ° n Value x Area Owner Site tlddress DaCe _- Phone ? -a-? - 37? , above grade i'OTAI- I:XPOSLD VVt1I,L AREA SQ, FT ' -----_-- ? U) tA) x SQ. PT.'%I.,_4? Id?l-IcL(U)(A). x s,t . rr. _ (U) x SQ. FT---------- (A) X sQ. rT._ __._,(u)'(a) f7r??,r=___nuu SQ. 5Q. sa. --_ x S2, TOTlILS 175Q. TOTAL (11)(A) vaLUES nvERncE Hull DIVIDED By TOTAL PlALL AF2LA AVLRAaL lipn 11.5r lecs for 1&2 faud.ly c?.?c.,ll.i r?gs ROOF/CEILINQ; 'POTAI, AREA: FT. [D = ( FT. i,..?:, _ ln (U)?A) FT. ??U)(A) FT.--?..- ?U)(A) '_----°- ? U) (A) Z3x.?;,i (U)(A) 1 N VW ,.•?Y ? ? Detail.reference j. ` from --- ---nU x s2 FT 1 ? . ached sheets. ?? tj -- . x 5a . ?1 FT ` i?- - "--?-?-?U) (A) DS:ri6e ononin Li ?y U?? ??pn------ . - -x :;a. , FT -- ° (U)(A) T roof. ----- ?_ S O, . r„r ---- -_-_ (U ) (.A ) ? - - ?U TOTAL ? U)(A) VALUES (U ) (A ) I i'::IDL1? P`_/ ?`- , , 'c;-7"hl TOTAI, ROOF/CEILIIlU n - AVERACfP "Uii _ -_?_-- 25 for >.e A 3 ':s y y k?? y -1 '? .: ?.'.a='1•i??,:.(?Ic,•ihl?i r?? %?•i). ? 1"?U? C )?, "` , . , . r;>e? . / ?.J. {.l ?-J \ ?•I? * IC.?I') 1?:?`? ?.?'` 1 ..,. . 11 .`...?` ? ?.ll?• ? ? , i.- "1 xj(v c:i 7 i C f , b . I ' .?.'?.. .. q.•. . . ' . 1 ?, r k-_?"_ :. - I ZC,G1fi' - ? ,J IN ?7ov?i? III 11. : ? 41-- "l. , x ? r,C l - •1 I . ? -? , .' - , , ? ? r z c,. >>> UJ?.1-? , 7-7'SG? Illll Zw-L.1Y?1~?= L?.7 ? ..:aiJG lOl - ?Lff Z.! ??, . ,°S WC/?tJ5 ZZlo. $ zzli-`4L: ?ooe5 U ?'? ? + ;_> > L- `•ri. ?:=t< _ ?..'i. U ..,... ? - ? , .. . ?? x l;? L= ?UI. ?Sy '63 Deterudning 11Uu vnluaa nt Roof? Wnll, I11m, (And Conc, Hlock • > :: 120UF/CEII,I1Vt3 A VALU i:?, ? 1.) z ) Intorior Air eYlm 5/8,, I •,_. 0.61. " . ; • yp, sd. ( •56 3.) Insulatiion ?? 5.) Extarior Air Film 061,.." ;€:. (BTILL) . ..x, . upu a 1?R= iOZI i'OTAL (A)a ro75 WALL R VAI.O 6.) Tnterior Air FilM 7.j 8 ) }n Qyp. Bd. I . ; t` ?c ap ' ` . naulutxon ,, '. 1 1 s. ) 1 L-r-Ri rF 10.) Muaonite Siding .67 tt Exterior Air Film t7 . 12.) Interior Air N'11m 0068. 13.) Ideulstion 14•) 211 Fir Riro Joleti` 16. ) hiaoonite Siding 170 Exterior Air Film :17 .. _?.:•:,:, lipll 004-?- TOTAL ?R)a 73 . .0? RI14 R VALUE upn Ci 1/g. 40p?'D TOTAL (A)a ? _- `.. FoUNDATION 18,j Intarior A1r Fllm 19.) 20. > P-?J 5 7RlPr-eD 21 . ) 12" Clonoreke Blocls 2?_. ) 23.) Extorior Air Film liull t 1/R? .OJ? TOTAL (R)= J3.l? R VALU p 0.6$ '??• 1.28 .'17?., ? <<:. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuiLoxNG Permit Number: 0 2 8 8 7 5 Date Issued: 0 9/ 2 7/ 9 6 SITE ADDRESS: P.I.N.: 10-25603-100-02 DESCRIPTIOPI: PERMIT 4758 CYPRESS PT LOT: 10 BLOCK: 2 FATRWAV HILLS 4TH eUildzng-;?E,ermit Type B'uilding W"ork Type Census Gode - ..<..-t e`l . . ... . '. `-;? _ t x (e'e_ .j? a . - m BASEMENT FINISH ALTERA7ION 434 ALT. RESIDENTIAL REMARKS: 5EPARATE PERMITS REQUIREL7 FOR ANY ELECTRICAL OR PIUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - WORZALA WILLIAM 4758 CYPRESS PT EAGAN MN (612)297-6300 ? g 5"_ I hereby acknawledge'that I have read this informatian is correct and agree to comply Statutgs and City f Eagan Ordinances. f- 1 1 A { application and state that the with a11 applicable State of Mn. hkifl R.P;r?? 141 ISSUED BY: IGNATURE' - l CITY OF EAGAN ??/ 3830 PILOT KNOB RD - 55122 S? ? V lV ?2,5 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) p( ' 687-4675 CC'r't??t '1' zg ir Reauiremen ? 3 registered efle surveys ? 2 coples of plan ? 2 copies of plans (mdude beam 8 wirdow sizes; poured ind. design; ete.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculationa ? 1 energy calculations for heated additions ? 3 coplea of kee preservation plan H lot plaUed after 711/93 / iaquired: _ Yes _ No D DATE: 9 CONSTRUCTION COST: A? DESCRIPTION OF WORK: ?? r'?"?+ ? ???e?^• ? STREET ADDRESS: y? S$ C_ i t9fQ`'vg LOT 1 0 BLOCK :?Z SUBD./P.I.D. #: I D.?_ (?A a r)_?3so ? PROPERTY Name: Qf2. jlzk 4?-`ltq? »M ?, Phone#: OWNER "'°' Street Address, ? ? City: CONTRACTOR Company: Street Address: State: Zip: City: State: ARCHITECTI Company: ENGINEER Name: Phone #: License Phone Zip: Registration #, Street Address- ciry: State: Zip: Sewer & water licensed plumber. Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicaHon and state that the informaNon is corce and agree to comply with all applipble State M Minnesota Statutes and City oi Eagan Ordinances. /.1 11 /! Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Pian Received Yes No No 4 SEN 18 ig96 CITY OF EAGAN FOR CITY USE ONLY i 3830 PZIAT RNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454 8100 RECEIPT DATE: ? Z PLEASE COMPLETE IIPPER PORTION ONLY FDR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: FEES SITE ADDRESS: Y'SY L- 4A_ -+ A LOT: ia BLOCK , O SUBD. / 4uIYiGtk ? INSTALLER: J ! (..2.L?ZF (.1e.1 ?Lli,•_z,- • A?DRESS: 49 CITY: (7./tia'd; ZIP: S531.'?-? PHONE #: I-)-F/ 4 ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM K,;t- 3.00 OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: .50 TOTAL: $ .3o SIGNATURE OF PERMITTEE NHIMAL/ZNII?STRIALtj PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #; FOR: FEES 18 OF CONTRACT FEE. STATE SiRtCHARGE _ $.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 LgL CITY OF EAGAN P(UMBING PERMIT SUBD.? 612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PER24ITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? N0. ADD ON REPAIR _ f I ? OWNER NAME: Cepn S?- ? I SITEADDRESS:_+ZSQS C-.re(cSl ??' ? I INSTALLER: 3 ADDRESS: 4r?iQn 4 r;sW CITY: Yflv Z.LFk' ZIP: 5537 Z)- PHONE #: `t`T ( " C.Q " l J `Y ? - 5 CITY USE ONLY RECEIPT # ? 2CD3 -, DATE /i a--- ALSO, FOR TOWNHOMES AND CONDOS •---------------------____ COMPLETE THE FOLIAWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 3- BATH TUB 3.00 9 - LAVATORY 3.00 -3' KITCHEN SINK 3.00 , 3_ IAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3.00 WATER HEATER 3.00 ? - FLOOR DRAIN 3.00 3 - GAS PIPING OUT. (MINIMUM - 1) 3.00 ? - ROUGH 9PENINGS 1.50 ,4-5 o OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 a TOTAL: S /77.0 COMMBRCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INnUSTRIAL 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: CITY OF EAGAN CONTRACT PRICE: lX 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) 5 R.-j°I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Construction Reauirements • 3 registereA srte surveys showing so. `f. of lot, sa. N. ot house; and all rooleA ereas (20%mazimum iot coverage allowed) I • 2 copies of plan showing beam g winaow vzes; poured found design, etc.) • 1 set al Energy CalcWatans . • 1 copies of Tree Preservation Plan if lot platted afler 717193 . Rim Joist Oetail Op[ions selection sheet (bldgs with 3 or less units) ., DATE 2,^ aa -Ua i s-+ . ?S RemodeVReoair Renuiremenn . 2 copies of plan • 1 set of Energy Caiculations for heated aCditions • 1 site survey for extarior additions & decks . Indicate if home served by teptic sysiem for addition5 E.Z VALUATION -7/ S0 V SITEADDRESS y?s? C?,fJ?''?55 ?.n f MULTI-FAMILY BLDG _ Y ? TYPE OF WORK / C FIREPLACE(S) _ 0 _ 1_ 2 APPLiCANT STREET ADDRESS TELEPHONE # 7E ?-SNt CELL PHONE # r ; 19,10-5- TELEPHONE# C-51- ISf_o2 SV PROPERTYOWNER ??'dr 6rll"? Ar14'p1pr COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category ('J submissian rype) _ MINNESO"1'.1 RULLS 7670 CATI:GONY l MINVESO"P:1 RtiLI:S 7672 . Residentiaf VenLlarion Category 7 Worksheet Submitted • New Energy Cotle Worksheet Submitted . Enerqy Envelope Calculations Submitted Plumbing Contractor. _____--- ---- - __________ __ Phonc # Plumbing system includes: _ Water SoCtener _ L1wn Sprinl:ler Fee: $90.00 Watcr Heater No. oF R.I. Baths No. oF Badis -- Mechanical Contractor. Phone # X<«di.unic.il wS«„n i„ciu<ic,: Air co«d;uoninn ree: $70.00 Fll'ill RCCUYCI'y" 5)'SLl'lIl l Sewer/Water Contractor. Phone U AUG 2 8 20-17 ;]i I hereby acknowledge that I have r ead ihis application, state tha t the information is correct, an mply d agree tb c with all applicable State of Minnes ota Statutes and City of Eaga n Ordinances. ? SlgnaYure of Appllcant OFFICE USE ONLY PtLv- ZIP -&5%% FAX# Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ , Updated 4/02 ? 9qb s RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Kno6 Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 L1o2 j 5r z--S' New ConsWC6on Reauirements Remodelrtieoair Reouiremenfs Offce Use Oniv 3 registered site surveys shaxing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert oi Survey Reoj (20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addNOns Tree Pres Plan ReW 2 copies M plan showing beam & window sizes; poured fourM design, etc. 1 site survey for addNOns & decks Tree Pms Not Reqd 1 set of Energy Calculations Addition - indicate ilonsite sepfic system _ Onsite Septic System 3 copies of Tree Preser+alion Phan if lot pVaqed after 711193 Rim Joist Detail Opfions selection shcet (bldys willt 3 or less units Date Construction Cost 5ite Address ?? h b \_ A1? ?? '06DI UniUSte # Description of Work 1 AU ? I Mulfi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 ert Owner o Pro n `, { I t ) j l l dn Telephone #((g51 )`7"I L? - d 0?Jy p y _ Contractor ifi neX& 91 Address City State nQ ? Zip Telephone # COMPLETE 7HIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateForv 1 _ Mnmesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor .i (JN Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work wil] 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 cas ;of work which requires a review and approval of plans. Applicant's Printed Name . Applicant's ignature S 6 ? ? Z ' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 NewConetructlon BeaulremeMe • 3 registered she surveys siwwing sq. tt. of lol, sq.1t. of hause; and II raoled areas (200/ mvomum lot coverage albwed) . 2 coples of plan shovring beam & window sixes; poured found aesign, etc.)' . 1 set of Energy Calculatlons • 3 copies of Tree Preservailon Plen A Wt platted afler 1/1l93 . Rim JaIS1 Deteil Optrons selectbn sheet (hkigs wM 3 or less untts) ' DATE IO / ((. /Q ? SITE ADC TYPE OF APPLICANT IULTI-FAMILYBLDG _Y ?fV' FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS ?6,r.i.+.I1 A-u CITY C Pa w 1 STATE Ma ZiP SS W TELEPHONE #?,?I6yS36Ffb CELL PHONE #j07 t/c? 5-$"E/5-_ FAX #?,? ? e2$ ? Q(qS- PROPERTYOWNER P tt^(e, Ic j2r II&vx TEIEPHONE# ?S/ 99`X !?54/ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RUI,ES 7670 CATEGORY 1 _ XSPTA RL1I.E5 7672 su6mission type) • Residential Ventilation Category 1 Worksheet SubmlBe Nev En 1rgy Code Warksheet Su6mitted r. ?. ? • Energy Envebpe Calcul2tions Submitted ?Plumbing Conhactor: Phone # Plumbing system includes: Water Softener _?wn Sprinkler? Fee: $90.00 _ Water Heater _ 4:'2ifhs No. of Baths Mechanlcal Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhacfor: _ Phone ll I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignalureofApplicant _, GdGL? P?JULI ....... .....---_......-°-°°--------°-------_.._.._........_..._.r...........__..?.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPdecad aroz ?s- RemodeUFte iqr RegulremeMa . 2 copies of plan . 1 set of Energy Cakuletians tor heated addidons . 1 s@e survey for emerior atltlillons 8 tlecks . Ind;rate a nome servea by seWic system ta addamns VALUATION 44, 7q ,? P.02 ., * * ? * 2422 Entetprise Drive ?. Mendotc Hetghts, MN 55120 ,s PIONEEIq uN o suRVernres - CIViI ENpNEERS (812) 681-1914•FaK 681-9488. g LANO PLANNCqS • LANOSCRPE ARCHItECt5 * en n ? 625 Hlghway 10 Northeo9F * ?( * * ?(6t2). 783-1880 Fox 783-1883 Certificate of survey rar: AI Herrmann Construction CO. House Address: ress Poink. Eagan4, MN --...----?._ S 06'26'35" E o + - ? I I I '.. 4 I I 11 i 10 a 9 - 00 , co 4? rw ? Li ? I ?0'1?2.z ?oKZ.Z I . pGAN ? 16.33 ,Z q-6b} W rtii.o ? q ?1? vl? ? ProPosed ? ? •?:k N W f 29?34 I ? av. ? lW 81j POftCH O ? . 7'"?' Ih.33 ? a i?.a3o9'SO il,o . . - ? - -!- - - -- OA s ? oa?.o 1 ?? DrWewa? Ig ??-----------? -? 00453) 85.0 ? N 00'4 8" W ' o ?' ? ?f T m ? . ? 0.0 ??, cYPREss - ?? ...: _.- . -. - -.. .._ ?. .._. -- - - - •- - ?? ? .IRT?? I 1V T ? R 900.13 penotes Exlsting Ffevation i? ? ? ?(o ???do?..? Elev, ???p,7 Denotes Proposed Elevotian PRgPOSED HOUSE cLEVATION --- Denotes Drainage & Utility Easement Lowest Floor Elevation, 103`I.1L - Denotes ' Drainage Flow Oirectlon Top of Block Elevationc 1047,63 --o-- Denotes Monument Garage 5fab Elevation: (091,5 "I; --a- Denotes Offset Hub Bearings shown Qre assumed LQT 10 BLOCK 2 FAIRWAY HILLS , DAKOTA COUN7Y, MINNESOTA 4TH A D D! TI Q N 1 FerelJy C¢lflly lIM[ Ihit SUrvey, plan pr repOif W?a5 yp?r?epnred bV m rrn,IRr my dlreCl iVpervislOh Bnd Ih81 1 011, ?{Wy RCd:itBr@d EOnJ S4rv6y0! ? under th¢ lew, ol the $tnre of Minnesaln, Dpted thir.y?? day af ?`?l? A 1L - .D, 19 _ , ? 1, 5ca1 e? ?teet '^eh ?'o r?.. , .. onrai 4e n R[ -?? ' _. _ , ? . GN0.14B91 ", ? 74 SOZ. ul . .. ,:.;:..?.?.. * nglneeri * * ?* 2 Enterprlae Drive 2e1 Mendola Melghty, MN 59120 681-1914•FPx 6$1-9? ?n?m SuAvEVV+is ? cm? ENGINEERS (812) LANO-PLANNERS - iANDSCPE AaC41iT[Cts iD Norlheask 625 Ht9hway pl:•Jne, MN 55434 1(612) 783-1880•Fox 783-1 Certificate oF siarvey ror: AI Herrmann C011StrUCtiOCI GQ. House Address: Cwress Polnt. Eacap,_MN Ln ? w ? ? ED W Ln El?GPNp ? R ? V 1 F_ W ..?..-.'.r"'.' oASE , S O6'26 35 ? 85.41 CYPRESS 0 ? ? J -1 vo N ¦ ? . . .... .:? Kh .??.'. lA J I, n..a . ti ' iL045:? ? -- `.? ? dN GINEERING t[ g_ L(o uj;rdow Etev, ? iOlZ.;13 . coo.o Denotes Existing Elevaiion PROP05ED HOUSE EIEVATION .:?00.07 Denotes Proposed Elevation Lowest Floor Elevallon: 103?•7z- - Denotes Droinage & Utility Ensement Top of Block ElevatlUn_ I041.S Denotes Drainage Flow Directlon Garage Siab Elevation: Io9"1,5 •---c>-- Denotes? Monumant -?--- Denotes bffset Hub 6earings shown are assumed LOT 10 , E3LOCK DAKOTA COUNTY, I herel>y ccrUly thul ihif survey, (rlan nr rep0r1 under thC lav:s ol Ihe StatC 0f MinnesolP. D31CA t1`13 cCaIncll -301?Tet 1 2 FAIRWAY NILLS MINNE.SOTA 4TH ADDITION was repnrPd hy m pr}+?,Jar mv nlrec? cuparvlsion end thoi I an+dulv RegRter¢d lnnd Surveyor 1 {_?4,,daYOl_?•]I? A.D.19 _!L. ? o ? ? _?. .... -- -- ?, ?p4?S fy0. F-M 9z3o2. oi N 00'4U8'r W _ _ PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA074360 Eagan, MN 55122 . Date Issued: 07/19/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4758 Cypress Pt Lot: 010 Block: 002 Addition: Fairway Hills 4th PID 10-25603-100-02 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 Patrick J Dillion 6400 High Point Trail 4758 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 r City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /, C Permit #: / �6(91 Permit Fee: (10( `"o Date Received: 5/iy/iy Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5—At—N. Site Address: `t Tenant: Suite #: Resident/Owner Name: Name: 7 "6.-A-6 j1/('7 -11/L License #: "C 60-.C77 Address: ,2"? / 7 /07-11.5/' 1.) City: 'e;41/ti@%i? State: /11/" Zip: '.-.C.--?.,e Phone: 7(p3'".2S-g ` 9V Contact: /Oft Email: 7/✓�i'nig%✓5 /efi✓ko /v eoI4-7 New 70 Replacement Repair Rebuild _ Modify Space — Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround 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 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 wi,t 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 /1147/-6,v' MM rn 5 e/ Applicant's Printed Name FOR OFFICE USE Required Inspections', Meter Related Items:. a Applicant's Sigh'-ture Read Jun. 30. 2015 10:21AM PURCELL No. 6320 P. 1 � ` Use BLUE or BLACK Irtk °� � � ForOfficeuse---------� 1� I� C' j Permit#: �/��G I ��j—�� ity of�a�aIl � Pertnit Fee: ��` � j � , 3830 Pllot Knob Road I � I Eagan MN 55122 �,.— j Date Received: � � �� j Phone;(657)675•6676 ��F�I�� I I Fax:(657)6755694 I Staff• � I � I ,�U�� 11a �-----------------� 2015 RESIDEIVTIAL BUILDING PERMIT APPLICATION Date: 6��2p�^`� SiteAddress: 4758 Cypress Point Unit#: Name: Patrick Dillon & DeAz�ne Aulas Phone� �';�;'�.R�es�ldeRtl:,;�::;,; 4�se Cyprese point, Eagan, rav ss�23 �:; >;�0'w�ier�,°�:,,:�'�`;:' Address/City/Zip: Applicant is: Owner � Contractor — �" � '� �'`''' ''�� ''� � Description of work; Hathroom Renovatioz�, 2�►terxor F,�n�,sl�es Only . ....... „ ...... ... :: ...:.�. <.�Typs��f.;lNork;;' ' : Construction Cost: �2 0,0 00.0 0 Multi-Family Building:(Yes�I No X) �;� Company: PurceJ.7. Qualxty, Ir�c. Contact: Tim Purcell Jr. �� ' �� ' ��'� Address: 2115 County Road D East, Ste. A200 �;�,: �aplewood �CQ11tt8Ct01`1;.�.:; � "' � �� State: � Zip: 55109 Phone: 651.746.1309; Email: tP�x�e��purce�.�,quality.com License#; CR636469 l,eadCertificate#: HAT-67902-2 If the project is exempt from lead certification,please explain why: Home was constructed in 1992 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlLDING In the last 92 months,has the City of Eagan Issued a permlt for a similar p1a�based on a master plan? Yes _No If yes,date and address of master plan: Lice�sed Plumber: Phone: Mechaniesl Contractor: Phone: Sewer 8 Water Contractor: Phone: Fire Suppression Contractor: Phone: � NOT.E:,P/ens'snd su'pporti�g,da�'cuiii;ents that:you subinit;are.co�s►der+ed to�be public;informat%on.;:Portions of. . .: :, .,, . . . . . . . 'tl�e information may b�e c�fass�eal as non-p'ublic if.you provide speci�c ieasons f/iaGt would,permit the Cify,to,� .:. , ::.: :.�..• . ; .�. , �:,. .. � .: � •• ..: .�conclude that the a're tiade''secrets':' � � .. . ; �.��; . � • CALL BEFORE YOU DIG. Call Gopher State Ons Call ai(661)454•0002 for protection against underground utiliiy damage. Call 48 hours before you intend to dig to receive loca(es of underground utilRies. www.aonherstateonecaii.org I hereby acknowledge that this information is complete and accurate;thal 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 onty an application for e permlt, and work Is not to start whhout a permit; that the work will be in � accordance uvith the approved plan in the case of work which requires a review and approval of plans. �i Extarior work authorized by a building permit Issued In aecordanco wlth the Mlnnesota State Buiiding Code must be completed within 780 days of permit Issuance_ x�t�.s 'G r'c1Bi �/ ��• x ,1'.., •._...�./ �i "� ��'LC.�, Applicant's Printed Name ApplicanYs Signature . Page 1 of 3 Jun, 30. 2015 10.22AM PURCELI�� No, 6320 P, 2 ` � � l �7.�y . � `� ��' t,.,,�--{p�� DO NOT WRITE BELOW THIS L.INE .` _,,.�, SUB TYPES Foundatlon Fireplace Porch(3-Seasoa) Exterior AI#erotion(Single Family) � Single Family _ Garage _ Porch(4Season) � ExterlorAlteratlon(Multij _ Multl ^ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool ,^ Accessory Buliding WORK TYPES _ New r Interlor Improvement _ Slding ,,.,_ Demolish Buflding' Addition _ Move Bullding � Reroof ^ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ �g�eas Window _ Water Damage ^ Retaining Wall *Demolition of entire building—gtvo PCA handout to appllcant DESCRIPTION Valuation ,�`2,o•o.�o Occupancy ,�j2�—t MCES System Plan Review Code Edition �'y1/1 2ptS 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 ConstrucEion �,� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Finai!C.O.Required Footings(Addition) �4 Final/No C.O.R�quired Foundation � HVAC_Gas Service Test Gas Line Air Test Roof;_Ice&Water _Final pool:_Footings Air/Gas Tests _Final k� �raming Drain Tile Fireplace:wRough in Air Test _Final Siding:��Stucco Lath _Stone Lath _Brick tp Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Finai Sheetrock Radon Control Fire Walls Fire Suppression:_Rough in^Final Braced Walls Erosion Control Other: Reviewed By:_ 1 0 �"'`� ,�►'��1��J4 ,Butiding Inspector RESIDENTIAL FEES Base Fee � `,S" K (� ' � " Surcharge Plan Review � Z o� p� 5�� •Ft • MCES SAC City SAC �2� a fl o.�a /Y1:.�;m�ir�- Utility Connection Charge � SB�W Permit&Surcharge Treatment Plant Copies , TOTAL Page 2 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � ' �� Clt of �� ; Permit#: Y � � �o� � � Permit Fee: 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: I Phone: (651) 675-5675 � � I Staff: � Fax: (651) 675-5694 �_________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l��Y '�J Site Address: �� (/�``��C�rn/l/� Tenant: Suite#: �: R��. � t/4W . r �� Name: �Gt.��Cr S^ �1/ �� Phone: %�� w �� : ��: �� Address/City/Zip: # � �� _ /,� �. �� . � � ��` Name: /��I,//��l�!��'f�' ..�.�/� �icense#: .�C ��Cl�l/ � { . � -� - > n. Address: � 7 (��G/ 1�� S�/`�l� City: ��'6�iY'/�✓ � C�ratrac# �r � � ��° � �� State: �� Zi �1c6 Phone: �C2�"�f-S � �Q�'7 �`� _� P� �.� �� .. � , � � ,� Contact: l�N Email: �/✓� �/�1��'C(�/ � ��/��If'�l s�� . �h* � � ; New <°Replacement _Repair _Rebuild _Modify Space Work in R.O.W. �:��`�ork � ; — — — x�` ` ��= Description of work: ��Gl ( �"'�� : ` RESIDENTIAL �� Water Heater Water Softener ��r�� ''� Lawn Irrigation(_RPZ/_PVB) � � • Se tic S stem Add Plumbing Fixtures�Main/_Lower Level) ��r� �� P Y � �� Water Turnaround � � � � �� .x New ��,r ��, � ��..r w;,. .x: „ * � Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic SVstem New(includes County fee and State Surcharge) TOTAL FEES$ 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 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 ! �/1/ �+�<� x Applicant' Printed Name Applicant' Signa re „ ��v w � � „� � �' � � �� ,r � , �� $V1��" �.�� '�� ;�.;�� . � ��_�'.�"� ,' ,,,; x �'� ''��r .� �� .�"y� , : ��eq�a�ted Inspe��i��s �r€t��;r Grouncl � µ�� sf � � �rr�� ` � � � x: � .: � �. Me��elafed 1#+ems `¢M�t�-��.. , � t�t �� w� �� rQ ��t —�-= ��, �� :: �� irn�e. ., : � �� . PERMIT City of Eagan Permit Type:Building Permit Number:EA148334 Date Issued:03/21/2018 Permit Category:ePermit Site Address: 4758 Cypress Pt Lot:10 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-100 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: 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 - Patrick J Dillion 4758 Cypress Pt Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature