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4759 Cypress Pt PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA085342 Eagan, MN 55122 . Date Issued: 08/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4759 Cypress Pt Lot: 3 Block: 2 Addition: Fairway Hills 4th PID 10-25603-030-02 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Chris Musta 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Robert L Dykhoff 21210 Eaton Ave 4759 Cypress Pt Farmington MN 55024 Eagan MN 55122 (651) 460-6022 X253 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Address:4759 !,yPRF,$$ ppINT Lot 3 Blk 2 Sec/Sub FAIL$dAY HII,LS 4TH These items were/were not complete at the time of the final inspection. D t: 8 13 92 Yes No Tnsppcrnr. Final grade (6" fYOm siding) r,! Permanent steps - garage vll? Permanent steps - main entry Ll? Permanent driveway (,? Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish L/ ?eck Please varify vith the 6uilder the xemoval o£ roof test caps from the plumbing system and the shut-off of watar supply to the outside lawn faucet before freeze potantial exists. ? uc.nEOann White - City copy Yellow - Resident copy Pink - Contractor copy ? Y • •? C?trfttiratt of (Drrupaury Citp of (tagan srpwfttntt of gwlding irapprtinm This Cerq'frcate issue?d pwswaRt 10 the requvrmena ojSecdon 306 of 1lre Uniform Bailding ' Code certifyulg thar a! the tinre of issuance this slructure nw in rnmplia+tce with 1he Karrores ??? ?the CYty reBuladnB bouiJding corrstruction or use For tlee followirig. I ? ua CWNWnuo. SF I7WG/GAR 698 ; O„?„p.,,?,? R3/M1 ?? Rl ? Typ Co" ' I.VN ?- k owm of maft WrriuaT n nrrNr Itr AM.. 1,212 HUMM BAY RD. B"VIIdF 1- POST IN A CONSPICUOUS PLACE . INSPECTIUN RECORD CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 4I1,11 t:YF`r•f `:,?: P1 fAlkWA1` Htl t% alli PERMIT SUBTYPE: Control No. 0555 ofiri.n'rNO ANN69H Nf;}'A1/9? N4 D? r . APPUCANT: MC04)"ALU r.0NSj' INC (612) 606••IUCil TYPE OF WORK: kwu INSPECTION t ? i.,. D. . ! 0AMl1VE; .. Iii i t,iN F"IMlAF_ ; 1 E: I I I,:i ? kFMAi:Kti, RE0A ]Rt N BOOaTER PUMP S44i PLF3R. R GIAA? F'(.tM A . ' ,. r? ... ' .-,'?. ? ME I ??-'? _. , ? ------------------- - - - - - - - - - - -=---_-------- Permtt No. Pertnit HoFdar Qete Telepfione !I SNV PLUMBING '??2 ?? ,?/?'?• ?'?'j HVAC ELECTRIC 1? EI.ECTRIC 9- 7 Inspectlon Date Inep. Comments Fo?lngs I Foundation G /Y6 6?s Framing ? 3 O Roofing Roug, Plbg. Roug, M9. - c l5ul. ? 9-pz ? Fireplace Fnal Htg. Orsat Test Fnal Plbg. d_q' Z D ? /I?1L ?U U Plbg. Inspector - Plotfiy Plumber Const. Meter EngrJPlan Bldg. Final p// 3 l Deck Fig. Deck Fnai Well Pr. piep. G ZG9 ,13? ??S /?_ ? INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I ' SITE ADDRESS: ? i t•I:! .. 1' 1 IKWAY ?1111', 4 iH PERMIT SUBTYPE: 1, ra • :I APPLICANT: ttllti.UiNO 0x96qH 04 10 t/y7 TYPE OF WORK: .0 {ERAI [C1N ;,; ,. , ; - ; 1?ij r OKF" fiFDFtU[?M) INSPECTION .• . D• i ?,ii?.;t i r.? ?•? i.?. ,? I -1RR1?:5: A .•,F-1'AF'AIt NFI4MI11 Ja (t11" y11i1;Ff1 I7t1H ANY f ltf 1ffIt:Rt 1)Fl F't11MR[tli3 4lill?t F L PermR No. PormR Holder Date Telephane ?? ELECTRIC '? 0 ? PLUMBING HVAC 40 Inspwdon Date Inip. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING . PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL asn.rr R.i. - l 3 -17 ?+3 BSMT FINAL 7? d~ ? DECK FfG DECK FINAL OFFICE USE ONLY Thls requesfvoid 18 momhslrom validati.n dare prjptedjn thy5,6ov. 7 / ?} K ? ?.? ?(? III? ?I?I?II I IIIII IIII ?I?I?I ?I?IIIII III II I 0 4 4 0 5 9 1 6 ? O ? R TYPE LEAR Rm,oes? Dore Rough:n inspecNOn reqoired2 Yes ? N. h d h eeeaaaeee """ Inspx?ion Other Tnon RoagMn: ? Ready Now y?vi0 Call R d ?? W iYou must call t e inspaclor w en rea y) re ea y: I, '?(licensed caniracror [] owner hereby request inspection of the a6ove eleclrical wark at: 1o6 1 Address (Streef, Ba., or Route No.) r; Ciy ? Zip Code 5 iion No- Township No r No. Bange Na Fire No. •!/lMY-p1--?? PFrone No. c? PowerSupplier Address ? Elecrc' I Conrcacror (C qpany Nomel ?? / ?LI)' CoA.xror Gaen/u^?No. Naster Lie. No. IPlant Elecl. OnFy) Mniling Address ?Conrc o? Ow,rer perfarmmg I:mll ' ) . 1 10 5 C Au ized Signamre (Conhador or Ownar Perfaming Insmllation) Phane No. f Lp-' L? 1 .1 ?V- E60000 hl 8/96 STATE BO U COPY - SEE INSiiiUCTIONS ON BACK OF YELLOW COPY p/? REQUEST FOR ELECTRICAL INSPECTION ?? - ?F `i 0? 5 Q1 ? Minnesota State Board of Electriciry W [lh(L p 1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104 Phone (612) 642-0800 e Duplex Apt 81dg. Other New Addn mercial t Indusiriol Farm Remod Re air and. Air Htg. Equip. Water Htr . Load M mt. Othec D Ran e Elec. Heat Temp. $ervice e "X° above the wark covered by this request Enrer remarks in Ibis spoce and on ihe bnck of the white copy only. Cakulole Inspxtion Fee - This lnspeciion Request wi11 nof be occepted wifhouf fhe mrrect fee: Other Fee # Service Entrance Size Fee k Circuits/Feeders Fre M.W. Home Park Sfall 0}0 200 Amps 0 fo 100 Amps Sireet L?g./Troffic Si9. Above 200-Am s ove 7D Amps Transformer/Generofor INSPtCTOR'S fISE ONLY 7 TpL Sign/Oudine Ug. Xfmr. ? ? ?i ? Alarm/Remote Canirol Swimming Pool Irri ati B I here ?eni Ihal I I c?dc fion d d her n rhe date.:mt g on oom Speciollnspecfion T Invesfigotive Fee HIS INSTALLATION M AY BE O Final ?k (? ? RDEREG DISC O O WITHIN 18 MONTHS_ 45422 44'? ? p ?a Flre NoRougMi speation Req e ? Reatly Now ill Notity lnspector i When Ready? ? Ves C No ter ? owner here6y request inspection ot above electrical work at: :e s ntr ire f& ee. Roui., A n n /1 i"? No. Townsnio Name or N I Fanqe No. ICOUN ^'.I.J^ } ^ Owner MINNESOTA STATE BOAHD DF ELECTPICITV Griggs-MiEway Bldg. - Hoom S-173 1821 Universlly Ave., St Paul, MN 55100 Vhone (612) 662-0800 ??4_7_? THIS INSPECTION FEQUEST WILL NOT 8E ACGEPTED BY THE STATE 80AR0 UNLESS PROPER INSPEGTION FEE IS ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION {'e?e-? ooooi-as ,? ????? ? See Insimctians lor rompleling Ihis ftirtn on bdok ot yellaw copy, /(/ ?? X" Below Work Covered by This Request !e dd F":p. TypeoFBUilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt euilding ryer O[her (Specify) Comm./Industrial Fumace Farm Air Condi[ioner OtM1er (specify) Conttac[or Remarks: Chmi}Z Compute Inspection Fee 6elow: # Other Fee # ceEniranceSize Servi Fee # Circuits/Feetlers Fee Swimming Pool 0 io 200 Amps 0 to 100 Amps - Transformers Above 200 - Amps 0 - AmPs ? Signs Inspecro?5 use only. v T A _ q'/? ??? Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT Other Fee HS .? - I, the Eledrical Inspector, hereby 77 Date cettify thalthe above inspection has been made. ? T oate O OFFICE USE DNIY This request void 18 months ( rom RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reaoirements . 3 regis[ered site surveys showirig sq. R. of bt sq. %. of house; and all roofe0 areas (20% mazimum lol coverage allaweC) • 2 co0ies of plan showing beam 8 window sizes; poured found desgn, etc.) . 1 sel of Eneryy Caleulations • 3 copies of Tree Preservation Plan if lot platted afler 7l1193 . Rim Joist Oetail Options seledion sheel (bltlgs vnU 3 or less units) DATE xle9 Z_ -T SITE ADDRESS ?I/ J ; TYPE OF WORK APPLICANT ?? e STREET ADDRESS ?7- ? s pF / MULTI-FAMILY BLDG ? _ N _ fIREPlACE(5) _ 0 _ 1 _ 2 14,7 TELEPHONE #(O CELL PHONE # (o B D L FAX # PROPERiY OWNER TELEPHONE # 2 5- ?- COMPLETE fOR "NEW" RESIDENTIAL BUILDlNGS ONLY Energy Code Category _ -MIVNLS01'A RL'I.I:S 7670 C:YfF.GORl' I NIINA'ESO'C.\ RL'LES ioi? (1 submission type) • Residential VentilaGOn Category i Workgheet Submitted • New Energy Code `NOrksheet Submitted • Energy Envelope Galculations Submittetl Plumbing Confractor: ___ Plumbirg sys[cm icicludes: _ Water Softener _ Water Heater No. oE Baths _ Phone # L.awn Sprinkler No. of R.I. Baths Fee: 590.00 Mechanical Contractor: Phone # blccliatiic.il systcm includcs: Air Conditioning Pec: S70.00 -- Hcat Recovcry Systcm , i?- ? t' ',• ? Sewer/Water Contractor: Phone #!"i U'., i:_ t-: c.:u? u/'I il I 1 L I hereby acknowledge that I have read this application, stafe that ihe information is correct, and agree to.co ? ply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc} Ly=- -/-J SignatureotApplicant i?t--??? v` OFFICE USE ONLY .? r?p 00 RemodeUReoairReauirements V VL-J?.9-?"?`-? , • 2 copies ot plan . 1 sel o( Energy CakWations tor heated addi[ions • 1 site survey for ezterior aCditians & decks . Indicale if home served by sep6c system for adtlitions VALUATION STATE!!'LviZIP S?S l?.3 Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ UOdated 4/02 OFFICE USE ONLY - ? 01 Foundatlon O 07 OSplex ? 73 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. /Ut - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) Cl 33 EM. Nt - SF ? 04 02-plex ? 10 08-plex LV18 Deck ? 23 Porch (screened) Q 36 Muld ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 99 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding CJ 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndaGon) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2L D0 C-1 Occupancy ?-3 MC/ES System Census Code ? -?-•?-- Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const VA Width REQUIRED INSPECTIONS _ Foorings(new bldg) FinaUC.O. ?g Foorings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation ? HVAC Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone - Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By /;' ' I , Building Inspector 'DP c'f- - 7 " RESIDENTIAL w?UILDING PERMIT APPLICATION ?fz?`?/Q?yEAGAN PILOT K OB RD,EAGAN MN 55122 651-681-4675 2 NewConetructbn BeaulremeMa • 3 registaretl ske surveys showMg sq, fl. of lot, sq. fl. ol hou&e; and &I roofed areas (201% max6num bt coverage elbwed) • 2 coples of plen sliowing beam & window slzes; poured tound desgn, etc.) • isetotEnBrgyCalCUlatbns . 3 coples ot Tree Presenretbn Plan d bt platted aner 711193 . Rim Joist Detall Optbns selectlon sheet (bldgs with 3 or less unRS) DATE 6'^10 - ci? SITEADDRESS y,7S9 CY,Pr? ?l TYPE OF APPLICANT STREET ADDRESS `( /(x) f ,5 /rttP- TELEPHONE # 7a3 --Sq l--6.S'U'I CELL PHONE # 5=o PROPERNOWNER M ?)Vk/torn- TELEPHONE#6S/- ?15-2"6GQ2 ----------- °----------------------°------------------°-------------------------------------- COMPLETE THIS SECTION FOR %%NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Rasidentiai Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculationa Submitted Plumbing Conhactor: Plurnbing system includes: Mechanical Controcfor: Mechanical system includes: Sewer/YVater Conhactor: f ? s.15 RemodaNieoe'v Aeauiremems • 2mplBSOiplan • lsetofEnergyCalculatbnsforheatetladdAions • lsttesurvayforexterbraddabns8decks . Intlicate 8 home served by septic syslem for add'Nons VALUATION ?M 60 C._J(.,CJ MULTI-FAMILY BLDG Y // N FIREPLACE(S) _ 0 _ 1 _ 2 _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 ? 1 ?? PIP'M' M JUN 1 1 2002 I hereby acknowledge that I have read this application, sTate that the information is correct, and agree to comply with all applicable State of Mlnnesota STatutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 FAX # _ R55ARCR2 LOG20010V0 City of Eagan ' 7126102 12:04:11 AR Cash Receipt Proof with 06j AR Cash Receipts Proof Page - 1 Balch Number 2977 Printed by LDRFA.tE User ID: LDFtP.LLE Receipt # Co GL Date Address # Receipt Remark GL Remark Amount Total Account # Object Batch # Pyrii[ ID 31644 09990 7126102 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 11,102.00 ! 9001.4085 Bullding 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 300.00 ! 9379.4681 Connx Charges - Sewer 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 2,964.30 ! 9001.4222 PIan CheckFees 2977 71239 37644 . PERMIT FEE SUMMARY PERMIT FEE SUMMARY 3,564.00 ! 92202275 MCES SewerAvailabiliy Charge 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 36.00 I 90014246 Adminishative Fea on SAC Coll 2977 77239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 150.00 ! 9220.4532 Sanitary SewerConnectionPerm 2977 77239 31644 PEftMIT FEE SUMMARY PERMIT FEE SUMMARY 465.70 ! 9001.2195 Due to 5[ate - Permit Surcharg 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 1.50 ! 9001.2795 Due to State - Permit Surcharg 2977 71239 31644 PERMITFEESUMMARV PERMIT FEE SUMMARY 1,620.00 ! 9220.4685 ConnxCharges - WaterTreatmt 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 354.00 ! 9220.4509 Sale of Prop - Water Meter 2977 71239 31644 PERMIT FEE SUMMARY PERMIT PEE SUMMARY 150.00 ! 9220A507 Wa[er Connection Pertnlis , 2977 71239 37644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 2,640.00 I 9220.4680 Connz Charges - Water 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 60.00 I 9001.4088 Mechanical (Heatin9Nentilatio 2977 71239 31644 PERMITFEESUMMARV PERMITFEESUMMARV 210.00 ! 9001.4088 Mechanical(HeatingNentilatio 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 2.50 ! 9001.2195 Due to State - Permlt Surcharg 2977 71239 31644 PEftMITFEESUMMARV PERMITFEESUMMARV 799.00 ! 9220.4509 SaleofProp - WaterMeter 2977 71239 31644 PERMIT FEE SUMM0.RY PERMIT FEE SUMMARY 50.00 ! 9001.4087 Poum6ing 2977 71239 31664 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 270.00 ! 9001.4087 Plum6ing 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 2.50 ! 90012195 Due to State - Permit Sufcharg 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 540.00 I 9220.4665 Connx Charges - Water Treatmt 2977 71239 31644 PERMIT FEE SUMMARY PERMIT FEE SUMMARY 50.00 ! 9220.4507 Water Connection Permi[s 2977 71239 24,731.50 31646 09990 7126102 1"DISPLACEMENTMETER 3012TIMBERWOOOTR 194.00 I 9220.4509 SaleofProp - Wffier Meler 2977 71262 194.00 31653 09990 7/26102 COPIES CAPIES 3.50 . 9001.4230 PHnted MatenaUOther Fees 2977 71278 3.50 7126/02 24,929.00 . Report Totals 24,929.00 Payment Instrument Totals: Cash Total 3.50 Check Tofal 24,925.50 Instrumanl Total 24,929.00 i ; &? -t o 1.? CITY USE ONLY PERMIT #: r f RECEIPT DATE: 2002 RESIDF.NTIAI,MECHANICAT? PEftMIIT APPLICAT60N CITY OP EALfiAA S$SO PILOT KNO$ itD £AfilkN b1N 55122 651f81-4675 Please complete for: ? single family dwellings townhomes and condos when pertnits are required for each unit Date: ? -,?9 - c?:a n SITE ADDRESS: S OWNER NAME: INSTALLER NAME: TELEPHONE#: - 002 TELEPHONE #: G_ 60 STREET ADDRESS: /O EQ /`t"01° , CITY: ? STATE: ? ZIP: Place a check mark next to the permit work type n_PF_ -1 ??i?7 75 Add-on, modification or alteration to existina dwelling unit JUL 0 5 200 30.00 • furnace replacement • air exchanger • air conditioner By - . other Nature of work: i nJo, C_.r'S.l?z State Surchar e $ .50 Total $ - 0 , ?b SIGNATURE OF PERMITTEE 1102 RESIDENTIAL • BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reauirements • 3 reg'xtered site surveys showing sq. R. of lot, sq. R of house; and all roofed areas (20% maximum lol coverage allowed) • 2 copies of plan showing beam & window s¢es; poured found desgn, etc.) . 1 set of Energy CalcWafions . 3 copies of Trce Preservation Plan if IM platled aker 711193 . Rim Jolsl Detail OpOons seledlan sheet (hldgs wXh 3 or less unils) DATE tS SITE ADDRESS TYPE OF eo,/t ?_ MULTI-FAMILY BLDG _ Y _ N _ FIREPLACE(S) 'K0 _ 1 _ 2 APPLICANT ` A,, STREETADDRESS ``fL63 S? CITY??STATE 1?'!?ZIP ?/Z-?-- TELEPHONE # -S?-L~ES6'?SS?I CELL PHONE # 373 FAX # Lj( " Lf5 ? ? /6??'( PROPERTYOWNER ??G `'`?L7t`l ?IwF3 O?(I?b? TELEPHONE#?52 ??3 z -------------------------- ----------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNE50'I'A RLJLLS 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing system includes: Mechanical Confractor. Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning Heat Recovery System -°-----°------------------•-°-°-------------------------------------------°-• I hereby acknowledge that I have read this application, state that the inforrr with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant? - - __----------- -- - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ VALUATION '2? UOU Water Softener Water Heater No. of Baths RemodellReoairReauirements (L_QkA_? . 2 copies ot plan . 1 sel of Energy Calculafions for heated additions • lsitesurveyforexterioradd"Aansddecks • Indicaterfhomeservedbysepticsyslemtoradditions _ Phone # Lawn Spc•inkler No. of R.I. Baths D IK V iti ? ? n M pY 1 4 Fee: $90.00 °-----°-------°- agree to comply Not Required _ " Ora ''3 c Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage K 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ( ? 23 Porch (screened) ? 38 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish_(Interior)_ _? ? .. 44 Siding 32 Addition ? 36 Move Bidg. ? 42 De _--- ? ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Re ? 34 Replacement •Demolition (Entire Bldg only) - Gi? ,, . I ,. Valuation Occupancy t23: 1,?? ? Census Code ? Zoning SAC Units ? 5tories - < - -:;•., I - -: , _ ,-.. ... :::, ,r Nbr. of Units Sq. Ft. I ... _ -' ?'' I Nbr. of Bldgs ? Len9th Type of Const ViJ Width ? REQUIRED INSPECTIO _ Footings (new bldg) FinaUC.O. ? Foolings (deck) ? FinaUNo G \( Footings (addirion) Plumbing' ,.. , _ Foundation _ I-IVAC ? I _ Drain Tile Other Roof Ice & Water Final Pool ? Framinov Siding _ Stucco = stone -- -- --- -' Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) ? Insularion _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved ByTzi , Building Inspector - - ---------------------- - - - - - - --------------------------- ? =4CITY'4OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUTLDING 029648 04/01/97 SITE ADDRESS: 4759 CYPRESS P7 LOT: 3 BLOCK: 2 FAIRWAY HTLLS 4T14 P.I.N.: 10-25603--030-02 DESCRIPTION: r-? (ONE BEDROOM) @?uilding-,Permit Type BASEMENT FINISH iuildin`g W'Qrk Type ALTERATION "Census `Gode : t. t` % . 434 ALT. RESIDENTIAL ?t;i? ? .,... w ? b'?'X:: REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY EL.ECTRICflL OR PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - ? SCHMITZ RANDY • 4759 CYPRESS PT EAGAN MN 55123 (612)686-6430 I hereby -acknowledge thmt I have read-Chis. applica"t,ion and'state that the information is correct end agree to 'comply wath ail applicable State of Mn. Statutes and City of Eagan Ordinances. ? - .. PLICANT/PERMI SIGNATURE ISSUED B: IGNA E 997 BUILDING PERMIT APPLICATION (RESIDEN7IAL) CITY OF EAGAN 3850 PILOT KNOB RD - 55122 681-4675 New Construdion Reauirements -u•?-C-•- .. -?? License #: ? 3 registered sRe surveY$ ? 2 coPies o} plan • 2 copies of Dlans (inGude beam & window saes; poureU tnd. design; etc.) ? 2 site surveys (exteriw adtlitions 8 decks) ? t energy calwlations ? 1 energy ceiwlations for heated addklons ? 3 copies M trea presarvation plan if lot plalted after 711193 required: _Yes No DATE: 3jIg(q7 CONSTRUCTION COST: DESCRIPTION OF WORK: ;:-?1A)15;LI PA5r:-GU T STREET ADDRESS: LOT BLOCK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER 47?59 CyPessS Fb,NT 3,_ SUBD./P.I.D. #: Name: SCHMITZ RRNDL/ Phone #: 6G&- (04330 Street Address:CypegesS Polui City: E? 6PYL) State: lu/0 Zip: SS12-3 Company: 0-':3 aboy?- Phone #: Street Address: City: State: Company: ADOA-)e Name: Street Add City: State: Zip: Sewer & water licensed plumber (new construction only): ?? . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information ' correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates af Survey Received _ Yes _ No WIAR 2 5 1997 Tree Preservation Plan Received _ Yes _ No _ Nat Required 4-1Q,50 f ft..G,4,i -3 I Zip: Phone #: Registration #: .- CTTY OF EAGAN L ? B ? MECHANICAL PERMIT SUBD. (612) 651-4675 RESIDENTIAL RECEIPT # /? ? 12- FS DATE h - 9 -?'-t °Z PLEASE COMPLEi'E UPPER PORTTON ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPI.El'E FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OVVNM: ? FEES STl'E ADDRFSS• 1? // ,7 ? ? ? ADD ON/REMODEI, (EXISTING $ 15.00 CFSS L\ r . CONSTISUGTION ONM INSTALLER AVAC: 0-100 M BTU 24.00 PHONE #: ADDTfIONAL 50 M BTU 6.00 ADDRFSS: GAS OUTI.ETS - 114SNIMIJI?i 1 @$3 FA. ? (fl. CC) CI1'Y: SURCHARGE $ .50 SIGNATURE: ? ;t.":,_C _ } ? •_? , TOTAL: $ < < ? COMMERCIAL PLEASE COMPLEfE TffiS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ATSO COMPLETE FOR APARTMENT BUR.DINGS OR OTHER MULTI-FAMII,Y BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNIT. WORK DESCRIPI'ION: CONTRACf PRICE 196 OF CONTRACf FEE. STATE SURCHARGE IS $.SU FOR EACH $1,000 OF PERMTf FEE PROCFSSED PIPING - S25•00 AIIATRvIUA3 FEE • i35.00 SI7'E ADDRFSS: 1'ENANT: SUITE #: INSTALLER: ADDRFSS: CTfY: PHONE #: SIGNATURE TOTAL• ZIP: C1TY SIGNATURE: $ BL ? CITY OF EAGAN PLUMBING PERMIT SUBD. Alia, 7 (612) 681-4675 ? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WO 7DESC IPTION NEW CONTADD ON _ REPAIR _ OWNER NAME: i I(i R./0 h a SITE ADDRESS: y?s INSTALLER: Ft, vpJ ' . ADDRESS: C 0 CITY:Gf LVL PHONE 4: ? - ? ? SIGNATURE OF STATE SURCHARG TOTAL: E .50 $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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 CITY USE ONLY RECEIPT ? 4 le- DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 ? SHOWER 3.00 6 WATER CIASET 3.00 . 0 BATH TUB 3.00 IAVATORY 3.00 ia.oa ?0 UC/ tlh ? KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3. 00 HOT TUB/SPA 3.00 -4,00 ? WATER HEATER 3.00 - dG ? FLOOR DRAIN 3.00 3.06 ' u 1 (°i ? GAS PIPING OUT. (MINIMUM - 1) 3.00 3-06 ROUGH OPENINGS 1.50 0 _ OTHER WATER SOFTENER 5.00 ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 CINTRACT P.:ICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) ? CITY O? EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT 4759 CYPRESS PT LOT: 3 BI.OCK: 2 FqIRWAY HIILS 4TH 'Buildfi#.g Permit Type;t' BuilQing',Work Type r ,UBC.accupattihy: ConsLructinn 'Type Zarting Building Length t' Bu33din:g ?Width PERMIT TYPE: Permit Number; Date Issued: Control No. 0555 BUILDINfa 000648 06/02/92 SF DWfa NEW R-3 .M-1,..:.:. VN R-1 . _ _ 31 ? r i a S x . , ?y ?rr' ?..1 ?..3 1731 L '.._J... REMARKS: RECEIpT N 8005TER PUOOP S&W.PLBR. = STAR pLBG. FEE SUMMARY: VALLATION-. $232,800 Base Fee E751.50 _ MZSC.. fEES.. :. _. <- :_.... i1,610..50:---_::.o, Plan Review $488.48 Total Fee . $3,616.48 Surcharge $66.00 SAC $700.06 SAC $ 100 SAC Units 1 Subtntal $2,005.98 CONTRACTOR: - Applicant - ST. lI pUVNER: MCOONALO CONST INC 14887061 080237 MCDONALD CONST INC 1212 8LUE8ILl BAY RD 1212 BLUEBILL BAY RD BURNSVILIE pON 56337 BURNSVILLE MN 55337 (612) 688-7061 (612)688-7061 i herehy acknowledge that I have read th.is applfcmtion and state that the information is correct and agroe Cc camply witPr all applica6le State oF Mn. Sta s and City of Eagan t3rd3nances. L J , .. °? APPLICANTIPERMI E SIGN TURE ?UED V: SIGNATU E PERMIT # , / CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 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. -L -7 / q"v Valuation of work 0?) CLLr-cu o?44; cor- s- Date MhY 'f5 Exr2RS) ? C YP2rs5 't T• Site Address: 4 7? STREET STE / Tenant. Name: (commercial only) l0T 3 BLOCK 2- SUBD. ?f+vRWr?y ?! c?s' ?- i.I.D. f • Descri tion of work: S: -1 The applicant is: ? Owner Contractor ? Other coes«sbe> Name Phone Property LAST fIRST Owner address STREET STE M City State Zip ? Company /}1t'D on)AU'L,, COtiSTR.u-c- no0 ? 3nic,Phone 70G! COntfBCtOP Address t2l"L- &uft(3it-L f3Pvq ftD• License #600237 Exp. City RuWNS Vi«F_ State M n) Zip 5 533? Company Phone Architect/ , Engineer Name Registration M Address City State Zip Sewer 8 water licensed plumber S-fPr-K. _PC.uMCifaJ6 . Processing time for sewer & water permits is Lwa days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation ? 05 Apt. Bldg ? 09 Basement Finish IX02 SF Dwg. O 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace 0 11 Res. Add. ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch WORK TYPE P'31 New ? 33 Alterations ? 35 llove ? 32 Addition 0 34 Tenant Finish O 36 Demolish GENERAL INFORMATION Const. (Actual ) V=N (A1Towable) V-N UBC Occupancy Zoning ?-I # of Stories Length :iRr Depth 31 APPROVALS Basement sq. ft. lst F1. sq, ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building ??', 5 z qji Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing 0 Wallboard ? Final ? Draintile ? Insulation ? Fireplace Permi t Fee 17,51-50 v.iuacion: s ??J 2,000 ? Surtharge , Plan LicenReview `i?E? GA_aaA66 2y9Lt= $Z6X/4= 9a'8 MWCC SAC City SAC OO.on p oO ??''!T• 3$ K2` = 988X /,V-% Water Conn. S,e o - Water Meter 9S.ee L5]' Acct. Deposit S/W Permi t 30.00 30.490 ??-,?? T= S/W Surcharge Treatment Pl. , sfl 3oo.e? -2%2 M?- ?-- t 3?te.oa y8 Park Ded Trails Ded. Copies ZND ?coo? Other 7 t 1 Y $ff z 9g? o a : . •Z. 7c/6 = r? SAf. 96 po SAC Units ? /D2otc ,S3 = ,,O6.o .. ,. ? 13 Comm/Ind New ? 14 Comm/Ind Add ? 15 Comm/Ind Rem ? 16 Public Fac. ? 17 Agricultural MWCC System YE3 City water ?? PRY Required Booster Pump liff: Fire Sprinkler tensus Code /o/ SAC Code Assessments MINNESOTI?S'?E ENERGY CO C _At,ULATIONS ? BASED ON CItAPmER 5 OF T);L ' M4?E?GY COD - 8 Adoption Effective Owner AI....? .-L_ Type A2 (Residential, 3 stories or lesa) (Over 9 stories) (other) NOTE• ComoipFo and d flr F, pager, GFNBRAL. ?NFOU Amtnti G 1. Building Perimete?? ??j?? 2. tVall heighh (grvund to eave) y1 ft. 3. 1. X 2. (above) qrosa wall area V Bq.ft.. 4. Buildinq dimensions (L) X(W) gq,ft.roof & floor etea ? 5. Sq. foot area of rim joist - F j st ize (2 X ? x(Perimeter) a eq.ft. 6. Doors - Area??i12 Thickness in U. factor l4?, I Type of cvnstruction Perimeter ft. Manufecturet 7. Total door's perimeter ft. e. Windowe: Man agtu?rerc gtate epproved U factorICe?? TXpE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL ?-(=rw,T?? EACH UNIT9 SR FSBT 9. Total sq.ft. Glass-?? , 10. Fiteplaoe area: Width X lleight = X 7 Bq.ft. 11. Exposed foundation: Neight X Perimeter\(0 X1 =_6B_)04q,ft, COMpLETION OF THIS f'ORM IS Et$Q(JIREp FOR ALL HESQ CONB'1'JiUCTION, MAJOR REHODELINO AND BUILDIlIG9 BEItip HOVEb Wt[ERE ENEROY, ,O,THER TFIAN THB NINIHl1L CODE ALLOIVANCE, I3 U3ED. -1- euilding Classifications Type A1 (single Family & Duplex)?? y??oo nuaa acea. ' ! 13. Grose wall, atea sq,ft. • I4indow arfea A Qt8y,ft. U windowe =(? UxA d?L tilm joisE area U tim Joiet= ? I UxA =? Uoor area fjq,Et. U door ntea=• Uxp - ottier doors area ioL6q,Et. U otiller doots= 1 ? UxA = Exposed fndn U foundation=10(?l UxA t F'raminq area U framing ate8=101? UxA - 11et wall area A???U wa11=1 d ? UxA = (138) 'I'U'fAL . . . . . . . . . UxA - ? lA. Grose wall nree x 0.11 (A-1 elnqle famlly 6 duplex) - alloweble UxA/Code (1]. above) x 0.23 (A-2 other teeidential) x •23 (vther buLldinge) x .28 (vver 3 eEories) ??? B'1'VII muet_ be latqer tlian or seme U code OF, es 178 ebvve 15. Ceilinq Eraming area (AE) eqaals loi of cellinq erea 15A. Gross celling area =(L) g (11) r? 9• 158. Joist erea (Af) ? 10t ce111nq atea 15C. Ilet oe111nq etea (Ac) (15A - 158) sy, ft. U ceiling x Ac =•?'"IfC? x(?'(/1 ? I?g U ftaming x Af 15n. rornL u x l? ......................... ....? " 16. ceillnq nrea (15A) x U.026 (A-1 Bingle Eamlly t? duplex) =.allowable UxA/Code x 0.033 (A-Z oEher residential) x 0.06 (othet) A 15A ? r? q b'fUlt muet be• lArqer Ehan or same ( ), x U Code 1, bG op. pe 150 abova Ilo'fEt Use U and A velues o6teined from paqes 1t 3 and 4. QEMr1QhT1oHs I hereby certlfy theE I ht+ve calculated the "V" EacEoCS end "R" values Iiereln end that the buildinq Itere described mestn or exceedo tha State oE llinnesota Energy Cvnsetvation ltct. bate gignature ' . -2- V-JA L? ,?,2 ? ? 8 ?? ? ?? F?...?-t- ??' `Z? ? 1? ?? ??? 7 ?O .?._ _....._..?. R' Y • ? ??F'/? ??? ? ??---`?C.. ,? ? 51 • I lo ?, ? ??,ig uhtL , SEC?lON Inelde air fllm • ? ' intetiar wall • (Nall) U . ? t lnsulatlon Sheething Z•OC? OA.? Stding Outslde aLr [Llm R ?OTAL Z?J,03 STUb SEC7'ION 2ND WALL SEC7LQN. R.IH JOIST ?- Inelde.slt [!!m I 68 Int?tlor wall tIr stud Sheething stai„e Ovtelde air Ellm . 45 R= -0's78 (o. ->rp(Ftaming) U . t . j 2. oca ' lo.s3 ? R TOTAL Inslde air Ellm Rai .68 Intetlor wall ' Ineulatlon (Nal! ) U . ? . sheathing ? . Extetlor vall eoveting Exterlat •Lt Ellm' Il .,17 * !t i01AL lnterlnr sit [i,lm Rn .6B r • lneuletlon 1} lneh eo(t wood R-1,88 Jaist) ' ' Sheathtng 2.0(a ? O4l Extetlot aatL covering .(07 -? txtetior elt flim Its ,17 ' R tOiAL Z? . ?(o lntetlor air Ellm ln$ uletlon) FlaEk- p??l ? L ?1--?• Exterlor ali Etln R iOTAL a° .68 . iUlS?i I 9 . 00 (Fdn.) U • ? _ t ? • 'txpoeed 8lock ' \.?? '??.?rade 3. a vnLUg ? R VALUE FRNMINtl CEILIHd 0.61 1?iYF?lm_ 0.61 ? ?•? Insulation 45' o 9.3e Joist -0.56 Ceiling 0.56 0.61 AirFilm o.si ?@1/R . aZ1 'indow infiltration 0.5 c£m/lineal esidential door inliltretivn 0.8 reynirement ion-reaidential door infilEraEion foot of crack vfm/equare fvvh or door and minimum nvde 11.0 cfm/lineal foot of ctack lb 120' conetete blvek no lneulatlon ?.47 R 2.1 lb 12" cvncrete block I insulated cotes ?,26 R 3.9 b 12" ligiitweiqlit block ? 332 a 3,1 ?b iZ" liqlitweiglit block ineulated cores e.12 tt 8.3 ? single glase = 1.131 with stotm Nindow .54 I double qlass = .55 I Erlple glass = ,ql 41 exterior walls and ceilings mueE hava e vapor berrier (o.lo perm max.). 'apor batrier must be ori•the inside (heated eide) of wall. lapor barriere of.the poTyethelene thin film have no !t velue. i , ? L 3 gL CITY USE ONLY RECEIPT* n SUBD. Y'Qw.") ." 10- RECEIPT DATE: 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dweilings . townhomes and condos when permits are required for each unit ? backflow preventer far underground sprinkler system FIXTURES EACH N,Q,, TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping OuUet • minimum - t • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinklef `fordwellingunderconst. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 Altefatlon5 ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE TOTAL .50 -22i?o I hereby adtnowledge thet I have read this application, stata that the informetion is correct, and agrea to compy with ali. appliwbleCity of Eegan orclinances. It is the applicaM's responsibiliry to notify the. property owner that the City of Eagan assumes no liability for any damages caused by the Cily during Its nortnalaperational and maintenance activities to the Ydcilities construded.under this pertnR wtthin. City property/nght-of-way/easement. _ SITE ADDRESS: OWNER NAME: h/10 \ INSTALLER NAME: STREET ADDRESS: ciTV: v 14 ? TELEPHONE #: STATE: XW YV ZIP: v SIGNATURE OF PERMITTEE (07? q ( I 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. "g /.r 4-0 Date 61 / Y' / 05 Site Street Address Unit # PropeRy Owner KUb Jby ?-W- Telephone #(W ) 4`J`a-IL1CA2 Contractor NWs -Telephone # (05) Address 2a6&Ck\ City sizcu?` State_OOL- Zip Ci.c5l The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumhing fixtures (excludes water softener and/or water heater--complete next section if instatling these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener ? Water Heater $ 15.00 _ new N replacement Lawn Irrigation _RPZ _PVB ' _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be,.in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Wmc,?,& ?b?mik CRJI&? ______ ApplicanYs Printed Name ApplicanYs Signature (??? I? [? (? 0 Ul City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL ? Date: o ? Site Address: ? Tenant: --------- , I ForOffice;U3e 1 1 . ... .... . 1 ?,.G) I ? Pertnit #: I Permit Fee: C' ? I ? ? Date Received: ?_4 ? I i ? ? Staff: i BUILDING PERMIT APPLICATION Q(-L?_ C Suite #: RESIDENT I OWNER Name: ?U?? oi, Phone: (C? SLi 52 'Gaa Address ! City 1 Zip: `11 ? CN n rLSs Yc-,L?-? Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No ? CONTRACTOR Name: ?p S?? ? U110 ? License #: Zc? 6q SYciJ- 7 T(?- Address: City: &?"^-ou??? State: m/j ZiP: Phone: LvS( - qSb ' I 5Sq Contad Person: Sf?F_U c_ °i' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Code WoAcsheet Category Su6mitted Su6mitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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: NOTE: Plans and supporting documents tfiaY you submit are considered to be pubfic information. Porfions of fhe information may be classified as non-public if you provide specific reasons that wou/d permii the City to conc/ude that fhe are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be inconfortnance 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 nof to s 'th ut a permit; that the work will be in accordance with the approved plan in the wse of work which requires a review and approval of plans. x ??? v?'?YV?/NL x Applicant's Printed Name A plicanY Si re Page 1 of 3 P i ariacr Eria i neer i ria 62194$8 , P.02 p? ? PIONEElS LANO SUR`rYO2S • GINL ? engineer g LANO PUNNERS • LPNCSCAI * 2422 Enterprise Drive Mentlota Heights, M1J 55120 612) 681-1914-Fox 881-9484 625 Hlghway 10 Northe(ist Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of survey for: McDonald Construction, I1"1C. House Address: Cy_press Pain k Eagan MN Model Name: 92-141 CYPRESS POINT ?• not$ 00'49'28" E??.. p(s.?o 85.20 ?1047?,R ? ? -? _ DFf?=YIaY ? ? l,?q3 ? , n? ? n I t0vq,-10x ,•ZSO- r--r--? p2.33 ? Qs 37.67 ro o i j? ??„ ?C??J.RSE 5n£EMr.•;t ? CARAGE /0?/r i pROPOSED MOUSE ? n 22.00 11I' ? 'fy I I ? 72.60 . 38.00 CO 4? Q p I I ? i 7, . ------------ J :[a< 1 a ?o4 Ca,l4._... J Do co OD N GAN ?so?2_S $5.20 ? N 00'49'28" W _ ----- ? ? . .. ?'--•'?6 r??PT ?????ERS PUMp ? _ RMWRED x eoo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION •c9oa.-J-> Denotes Pruposed Elevation Lowest Floor EIev06011:1039J2 -- Denotes Droinage & Utility Easement - " ' - Denotes Orainoge Fiow Direction Top of 61ock Elevation:1047.83 -0-.- penotes Manurnent Garage Slab Elevation: 1046_83 -8- Denotes Offset Hub Bearings shown are assumed LOT 3, BLUCK 2 FAIRWAY MILLS DAKQTA COl1NTY, MINNESOTA 4 TH A D D I TI 0 N I hrreby certify th, e tMl, tu.vey, pinn t)r rFporl was .p+r? eperad Uy rne ir.c superviuun an n+ sm cluly ReylrtFrmd Leno Surveyor undef khe lews of ihe Stare of hiinnasota. De(ed ihis A?"[..u7..day of AFlz! L I n,o. is?. i(],-ltc. FXrS' ??P?'• ? ? % / inch_ -? n feet ??ee? P.11,I?Ar L,$, REG. N0.14A91 97 s2ie4.o1 I". LI__ j-jK ?i 2422 Fnkerprise OrWc ;110NEER Mendota Heignts, MN ssizo UnO SURVErURS . CibiL [NdrvElNS .1(612) 681-1914•Fox 881-9488 ''--• --`?'^?--?--- ..- ...-_?.:? ._._ .,,'_-__ ? engineeriing lANp PIpNNEk: :ANDSCAP[ ARCtlITECiS ? 625 H)qhway tU Northeasl eluine. MN SsAaa * ;(612) 783-1800•Fox 783-1II83 Certificate of Survey for: MCDOCIQICI Construction. Inc. House Address: C ress Painf . Eagan. MN Model Npme: 92141 _ ?---- --•---- ---- -- ------------ --- --??, I ' CYPRESS POINT Ioq? --------------------- - -------- - ?--- ? i S? =4J\'L: i.jOA 5_?) loY% rnV?Y y 00 --? (0 4? -1O ? co ? . ? ? loy?, ,01 „p S 00'49'28° E 7, 85.20 ?r ---'---- -- ?i ? cfoi6 _$ .60 12 I - ?-?-? 37.87 ? - V ? 'PFO?OSEO HWSE I ? n I VI, 12,Ea 38, i - - /oyy ? so y i ? , , 4-(I l /^(/ I J 45.C' ?V- . (145,_ ?n ??? Y? PRf?EPsY i ? G v?; o ? i `?- 22.33 12.BP n? . A U CARAGE o i, o 'o 22.00 ???j b ' I _ _L3.80 w ? \ i ? ?, . ?014(0119._.... O?Stn ? ofs p 6 Oo ! v ,. . , _ ? --- ----^------? .. . 85.20 N 00'49'28" w _'.? BOOSTER PUMP R E Q???E rLwi ? aoo.r Denoies Existing Elevation v::9a* Oenotes Proposed Elevotion PROPOSE[) HOUS[ ELEVATION ---= Denotes Drainage & Utility Easement Lowest Floor Elevation:1039J2 ---Denotes Droinage Flow Direction Tpp of 81ock Elevation:1047.83 -o- Denotes Monument Garage Slab Elevation:1046.83 --e- Denotes Offset Hub Qearings shown are assumed LOT 3, BLUCK 2 F nIRWAY HILLS DAKDTA COLJNTY, MINNESOTA ?- rH A D D I 1 I 0 N I h...,bY r,tilY th. t 1hi? .urvtY, llnti nr .tpnrl waa nrePered by me i r ir wder Ihe laws of ?he -c sup?vismn an q! 91b AWY HPyi>t1fLA LBqtl SUfVP'?Of Stare of Winnasota. De,ed i??{srhiL_day of ARZ -.4.U, 19?. r „ inch _ -? n feet REG. NO, m 921E14.01 * PIONEER ? engineeririg * ? . 2422 Enlerprise DAye Mendoto Hei(jnts, MN 55120 612) 681-1914-Fox 081--9480 625 Hlghwoy 10 Northeasl 816ne. MN 55434 612) 783-1880•Fax 783-1885 Certificate ot survey for: McDonald Constructio,n I.nc. House Address: Cypr?e's'sSPoint, Eagan MN Model Name: 92-141 CYPRESS P01NT ? J . ,r_Urls Mo+S 00•49'28" E i.^ pta.cP_, c ?043?J lovq, ?`/y v y ? 00 tD ? ? O ? w ? N ? 2 ? ? ? E) osa . ??? -?? - -- - ~ QO- 45 ? ? tcVi d1?. ? 2.60 •I ? ? ? ? ?G ? i j? q•., ?Caje?r c4cE4°_ti? ? GANAGE o i, o ??S n PROPOS£0 MOUSE ? 22.00 12.6a 38.00 ° 2_g? - ' ? - ? UCI'4J 7.E." M? 1 _ ; Y?,? ° as?? ?o I f ? S k ?. ' . -z: ? - - - - --- °------- ? r. ? ? ?? Q b to W ? N ,;... r ?!- ? Cw2.S $5.20 N 00'48'28" W _ M BOOSTER PUMP . REQI!lRED . eoo.o Denotes Existing Elevation f?RqPOSED HOUSE ELEVATfON •C9aa?? Denotes Proposed Elevotion Lowest Floor Elevation:1U39.72 Denotes Droinage & Utility Eosement ' - ' - Denotes Droinage Flow Oirection Top of 81ock Elevation:1047.83 -?.- penotes Monument Garage Slab Elevation: 1046.83 --e- Denotes Offset Hub Bearings shown aire assumed LOT 3, BLOCK 2 FAiRWAY HILLS DAKOTA COl1NTY, MINNESOTA 4 TH A D DI TI 0 N I herr,by certifY thrt thlo aurvey, pi,.n or report was prepered by mLe?i`1 u.c superviciun an n am Auiy Reyl;tcrud Lantl Surveyor under the 1e?m of tha Slate of hlinnasota, Deted ihis?A'? day of p^ L1?LL.?I A.O, 791S. ,A:l?' SCai e. I inch_ ? 92184.01 ?B 85.20 I [6f'- ? 1 ?I I `jtt?A . Sf 22.33 0 ? 3757 ? PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA074359 Eagan, MN 55122 . Date Issued: 07/19/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4759 Cypress Pt Lot: 003 Block: 002 Addition: Fairway Hills 4th PID 10-25603-030-02 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 Robert L Dykhoff 6400 High Point Trail 4759 Cypress Pt Prior Lake MN 55372 Eagan MN 55122 (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 nV City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink L For Office Use / / /-� Permit #: did id�T V Permit Fee: J 7c2 3( Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION g,1 Date: Site Address: Unit #: Name: Q..0 4--) V"C Address / City / Zip: Y 7 1 s. 3 S Jac' Applicant is: Owner %t Contractor Phone: %51- Description of work: fir; Construction Cost: L>C1P60 - Multi -Family Budding: (Yes / No ) Company: 1) QC OWN 0 -No k Contact C, or City: ,E dkv\ Address: °V y© SCS:a f Lrnrvk State: 16 Zip: c S- 3'1 `) Phone: 9 ca 91 3 — )03 Sr License #: 1.1} j ®C c?' Lead Certificate #: f D) 4 3 H If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 daysysof permit issuance. 06.1r - Applicant's x l ©r �.� _ V�� x ted Name AppliSignature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition \ Alteration R Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction L75 9p fr J �1 DO NOT WRITE BELOW THIS LINE _ Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy Code Editionjy7 5, 2-60'7 Zoning Stories Square Feet Length Width _ Framing Fireplace: _Rough In Air Test __Final )" Insulation Sheathing Sheetrock Reviewed By: & (' ( MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill , Final Radon Control Erosion Control , 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA136497 Date Issued:05/17/2016 Permit Category:ePermit Site Address: 4759 Cypress Pt Lot:3 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Robert L Dykhoff 4759 Cypress Pt Eagan MN 55122 (651) 452-6002 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161399 Date Issued:05/21/2020 Permit Category:ePermit Site Address: 4759 Cypress Pt Lot:3 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Robert L Dykhoff 4759 Cypress Pt Eagan MN 55122 (651) 452-6002 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:EA165325 Date Issued:10/28/2020 Permit Category:ePermit Site Address: 4759 Cypress Pt Lot:3 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-030 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 - Robert L Dykhoff 4759 Cypress Pt Saint Paul MN 55123--217 (651) 587-8530 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:Plumbing Permit Number:EA178441 Date Issued:08/17/2022 Permit Category:ePermit Site Address: 4759 Cypress Pt Lot:3 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-030 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert L Dykhoff 4759 Cypress Pt Saint Paul MN 55123--217 Roelson Plumbing Services Inc 10924 Pioneer Drive Burnsville MN 55337 (952) 288-1486 Applicant/Permitee: Signature Issued By: Signature