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4762 Cypress PtAddress 4762 CYPRESS PT ZlP 5512_ L+ot• , .9 Blk 2 Sub FAIRWAY HILLS 4TH THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: Yes No Inspectot: Final grade (6" from siding) Permanent steps (gazage) Penmanent steps (main entry) ? Permanent driveway Y Permanent gas Sod/Seeded grass ? TraiUcurb damage ? Porch Basement 5nish ? Deck ? Please verify with the builder the removal of roof test caps from fhe pWmbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. . Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE Permit Number: Date Issued: 6 u?rL 0 1 N 0 SITE ADDRESS: 10I? 47 G2 t:(a.f'SS PT 1=R:C; 2Wt)Y 1II1 t ; !!iH PERMIT SUBTYPE: SF DWC APPLICANT: 9 N,LOi:i<e z I-I!=F:F?I?iANN CONSI I'2Ui:T1(llv, AI. i67.2? E; <:1-17Gi0 TYPE OF WORK: Ptif_W INSPECTION F oor'nve .. . ????A M rIN 6 .A zrisui_n-rzniv F r?,! At- 1-1 RF !'I Nt?E Rf?MA?KE,s ., 2: I,d Pl2i°t - SCHF_F<E1? PLti6 f30 0:') T1k FUhIP, I ? L , . J t ?• Y . '? t ' °?7 ?QL't[?iCQ#e nf CCCIPQIiC4 - (Fit? of Cfagan ? TOa?etmext of euubing 3ugloectian This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating bui[ding construction or use. For the fo[lowing: SF DWG/GAR 20423 Use Classi£ication: Bldg. Pennit No. - n OocaP-Y TYPe Zomn Disttict Cwst ?tST RF RD., MENIX)TA EIGHTS MN owner of Buildiog P AddrSS , , AI L1A HILLS T v Building A ss I,ocality ? ^ I? I Date: Bui ' Official POST IN A CONSPICUDUS PLACE Il CiTY OF EAGAN ? 3830 Pilot Knob Road , Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRES5: i r?llrt.lE'+; il! t: 41Ff PERMIT SUBTYPE: TYPE OF WORK: r 44 INSPECTION .. . .• ? 6; W 1}{.14k` - C NF kE F? P i 14 ti RECURD PERMIT TYPE: Permit Number. ?i -` ?? ?a •` + Date Issued: APPLICANT: ,' ?,: ,.,; ?rr; ;?:; ;• "? ? ? M AI (r.1;'f ???3 I INSd _ . H?rrr?•?; i't' at F'?It4r -1 Permk No. Permft Holder Date Teiephone # SM! PLUMBING HVAC VAVI ELECTRIC Q-?f??? F ag 93 ? ELECTRIC Inspection Data Insp. Commenta Foatings I tl?je Foundation j!V Framing DJ Ga o-,ehs J ?4Z I" Roofing ??? ' ?, ? ?pya SP Rough Plbg. -a,iar,_1. Rough Htg. S-9 isui. ? .17 Fireplace ILIG Final Htg. Orsat Test ?117/?? 6 ? Final Pibg. ?U Plbg. inspector - Notify Plumber Const. Meter EngrJPlan BIdg.Final J?7?D7 U ad Deck Ftg. Deck Flnal Well Pr. Disp. ?? L Re est Dat Fire No. Rouq ' I pection eq etl? ? Reatly Naw ?Will Notify Inspector Yes C No Whan Rafltly? Ixlicensed contrector p owner hereby request inspection of above electrical work at: Joh Adtlress (Streel. 80? or Route No.) , City - ?1? n Section No. Township Name or Range No. Counry ? OccuDant(PRINT? Phone No. POWBr Suppllae Atltlres6 C /' 1 (YI Elecvical Conhaclor(Company Name, °` L- Contractor's Licanse No. I3C?C?zt Maihng Atltlress iCOmractor Owner Making Insta ation) Amhorizetl Sgne r onVd Owne Mak g InsW on) Phone um er _ ??Y 3.333 MINNESOTA STATE BOAP i ELECTFICITY .?- THIS INSPECTION FEOl1EST WILL N0T Gdg9g-Mldwey Bltlg. - oom 5473 1821 Univarspy Ave., SI. Paul MN 55104 8E ACCEPTED BV THE STATE 90ARD . Phone1814J6C2-0800 UNLESS PROPER INSPECiION FEE IS ENGLOSEO. 1i/ q/R? REQUEST FOR ELECTRICAL INSPECTION ea-oooo 1- oe ? ? See mslmcllons br completinq fhis form on back of yellaw copy L n , 1 9 6 3(3) " " O ? Q?E4+?.', ??? p?-• - X Below Work Covered by This R equest ew rti7tl Rep. Typeof6uiltling AppliancesWired EquipmentWired Home Range Temporery Service Duplea Water Heater Electric Heating Apt Building Dryer OtheF-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (syecity) , Contredor's Femarks Compute Inspection Fee Below: # Other Fee # ServiceEntrance5ize 11 Fee # CircuitsiFeetlers Fee Swimming Pool I 0 to 200 Amps (;(} j( 0 to 100 Amps Transformers A60ve 200 _ Amps Amps Signs Inspedors Use anly: TpTAL ST Irrigation Booms Special Inspection Alarm/Communication TMIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1B MONT S. L. the Electrical Inspector, hereby certify that the above inspection has been made. Ro°9m'" Final .? oa1e ? Dflte S OFFICE USE ONLY This request voitl te monms tram PERMIT <'? )_s y.? ? CITYOF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u r? nL N s Eagan, Minnesota 55123 Permit Number: r.n 2 ca 42 3 (612) 681-4675 Date Issued: 0 -s / 1 t? / t? 3 SITE ADDRESS: ,I/6? r.YPI;[=`?<7 PT ior: _, r;t0 f:K _ FF,ir;wrA?r r!rI_i.:: ?, P .i.,ne- ie--zti?,a:? 0 ?c-0 = DESCRIPTION: q P r r' iri 11, -I y P ` B uny !W'.ir' l. l ype tlliC Oacupancy Loristructic,n $yu? Zonizig 6uildinq lingth Plui1c13ng 6didL'h ' SF D!.Jii N L I,J R- : hl-..:I. 50 i . . 'i REMARKS: S& I,; PLfR - SCNftcfi P16G f,COSiEi? °UMP FEE SUMMARY `JPLUIITIOIV $'135).0@ +0 E;ase FeE Y6.(110 P1:ISL EI_tAN tC) US I'lan R<^,vi ?,L., 'j;50/1 . QP. (ot,l Pe? ''?3.844. R9 SUI°cl'iarq.^% y;Ei'?,F;Pi SGC (9.o C9 SAC ?. 1G'?V".' F(-1C lJriie. I. subr.ozU] N'as.90 3y I l? ? t CONTRACTOR: ra p F? if- c,; ri t- cOWNER: FIEF2RhIANP: COFiSTRUCI 101v. (iL 18911 100 0 @'d;'6J_Li Rl HLkkMANN CONST 535 _,ruive .r? ?s? ;1nN? o->,r? ri Eh1DOTfl FILfi3Fti.`? Y+IN 0 50 P'ILH I]0 TI'4 I'IFIGHI'S f4P! Ei:S1'„?_47 (61.2) 891--71_00 f.o7?) C h^rohy achnowladge Yhat T hova read t.his dpp.li c.:Cion and 3t,:;.ii'3:' 'li, infnrm.,t1.o n is n?) r r e ci, a nd iGqrFE tp canipty wiTh d 1i ,ap f,I ir.a b.ic Stat.e oi M n. Stiati?te? and C i t v ni Eaqan tlydincncas. L ? J J ?,I (.klll 6Pl : ? ?i ? AP ICANTlP RMITEE SIGNATURE ISSUE? B:51 NATUR , REACTIVATE _ PERMIT # ? CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 MAP Q 3 R? ???hil•d? y rr,.fU .3-4 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /fi-5 Valuation of work NZ, oQ-Z) Site Address: 0 nress STREET SU17E * Tenant Name: (commercial only) IAT SLOCK 2 SIIBD.LZ 0-\ k,((SL/ i P.I.D. M Descri tion of work: The applicant is: ? Owner 131_o?ntractor ? Other (Deccribe) Name Phone Property LAST FIRST Owner Address STREET STE F City State ZiP Company ? ?`/YMcAJu?.Y? Phone Contractor Address i license # 2(?l? Exp. City State (hnI- Zip Company ?- Phone Cog i -(94 Architect/ Engineer - Name Registration fl s Address c City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has be pproved. I hereby acknowledge that I have read this a ' ati and state that the information is ic e State o Minnesota Statutes and City of correct and agree to comply wi 11 T Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE -, '.e ? 1 Foundation ? 06 Duplex ? 11 Apt./Lodging _ ? 0 2 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 Sf Addition ? 08 8-Plex 0 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ?$ 31 New ? 33 Alterations ? 35 Tenant Finish ?? O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Q"19'Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demolish Const. (Actual) y-n1 Basement sq. ft. MWCC System E9 (Allowable) V- N lst F1. sq. ft. City Water YE5 UBC Occupancy R_3 M.? 2nd F1. sq. ft. PRV Required Zoning R_I Sq. Ft. total Booster Pump ` ES # of Stories Footprint Sq. ft. Fire Sprinkler Length O On-site well Census Code Depth r 3 On-site sewage SAC Code (Qn+sut bWq, r?..? APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site 0 Footing 0 Framing ? Insulation ? Wall.board ? Final ? Draintile ? Fireplace Permit Fee v.luae;p,: g ?39, 00a Surcharge Plan Review GARA6E; 3ox ZZ= 660 License ? Xlo= (Zo) MWCC SAC City SAC -?? ?SMT: ??fo X 16= l0, 2yo Water Cann. - 30X2? = r7 gp Water Meter 14 K/ 8=(a S Z Acct. Deposit - S/W Permit ISTFLOOR: 103ZX1S= l5y$o S/W Surcharge ? Treatment Pl. (3gt'Y)r= 1032 Road Unit Park Ded. ZX?o? 2 Trails Ded. CoPies o Other Total: ?u-7 g t- S`f = 5$2I 2 SAC % 100 Z-"'D SAC Units f 30 x2G= 780 a 'c I q - joK r4 = Iw° 5y,432 (bx )n= (vo _ ...? )o08X5?? ? 5% JV , IAT /QRVEY CBLC]CLIBT !OA kLBIDENTI7IL ? 'IIILDIN pER1SIT APPLIC7IT O? ' 371 't ? naL• es snrvey: ?NT BTxND ttea " 0 ? • • Reqistered Iand 8urveyor signnture and company U B ? D 0 • Suilding Permit llpplicant L ' ? eqal description D 0 0 • 1lddress 0 • Korth anow and bar scale • y D 0 • House type (rambler, walkout, split v/o, split antry, ' lookout, etc.) W 0 T? 0 0 13 • • Directional drainaqe arrows viLh slope/qradient 4. ? LV 0 • Proposed/existing sewer and vater services St reet name 0 0 • Driveway sLEvATioxs EY3st3aa 13 B/ ? 0 • Sewez service B jU D • Lot corners 0 • Top of curb at the driveway 0 0 • Elevations of any existing adjacent homes prooosea D-'/ D 0 • 6arage floor ? D • Fizst floor / ? • Lowest exposed elevation (walkout/vindow) 0 r D • Property eorners 13 D • Front and rear oP home at tbe toundation PONDI?1G aREAB lif anplieil.i D 0 0 • Easement line NWL 0 ? 0 • xwL ' D 0? 0 • Pond # desiqnation D? 0 • Emerqeney Overflow Elevation nzKENSZONS • 0 • Lot lines H 0 • Riqht-of-way and street widt2s (to beck oi curb) 0 • Proposed home dimeasions including any proposed decks, ovezhangs gzeater than 21, porches, atc. (i.o. all ? struetuzes requirinq permanent footings) D 0 D • show all easements of secord and any City utilities within those easements • Setbacks of proposed structure and setback oi adjacent existing homes n 0 • Retainin meats, it any - Reviewed: ieoo OCtebnr ame / Dat CITY OF BUILDIN4 llEPARTfdENT ?XTERIOR ETJVk3,OPE AVERA(3E l'U'l C014PUTATIO14 (To be submibted with building permit application) n9or';.Tvto Family Dwelling X Owner ' l Other Site Addresa Lor9 T3L«.a2 4 An?ni . Contractor , Date Phone I.INEAL FEET OF +E7POSEIY : YU1LL ? d 1•• ,,,! ft. abovo grade ? .?n: • ToTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL COHSTRUCTIUki: "U" Value x ,j?.??" u Arorz " D?xe, ? uu u r fe e It p ' ? x SQ. FT. r't q- .??L.?U)(A). e r nce • • ?=.x . Sc? FT , ?;?•??. ..:''1 = ' ` i.. (U)(A) Ttlh^ n fTOm Uu x SG?. FT. ;?c,,, t = •?? ?)?A)' . d U atCache ' ' ? . sheets liuu n X 32. F t . _ U)(?? x Sq. FT. - (U)(A) - Un x SQ. FT. _ (p) (A) WINDOWSi "Ulf Vulue x Area • Make & Type ?`1Ca n u u n x SQ. FT. ti7 f., IbA-19 (11) (A) U u u nUn .. x SQ. FT. - (U)(A)` - n u npn x SQ. FT. _ (U) (A) x Sc?. FT. = (U)(A) DOORS4r.- IOUIt Yalue x Area Mttice & TYPe _C7n•,rt?. iipll u, y u ?>r?1'ti? upn X SQ. FT. 49,e;) = Cn.4S(o (11)(A) pn X S?t. FT. 19.?y (U)(A) uUu x S(?. FT. (U)(A) _ x S2. FT. _ (U)(A) ToTALS Z7f)4_?gQ. b'T._ Z3K.t,,i (U)(A) ,POTAL , U)(A) VALUES AUERAQE IOU" _ . _ DIVIDED; BY TOTAL 19pLL ARLA AYERAQE65 r less for 1&2 family dwellinga ROOF/CEILIN(} i • TOTAL AREAs m Detail.reference IIUII UZI Yrom nU ?? X SR• FT -?= .?1?77:(U)(A) aot?ea,BnQeta. 1 ,U „ 4 ? a• (u) (a) r.ribe oponinga _ , Sq. FT. _ (U) (•A). tYF rooP, nUu x So . FT. _ (U)(A) 1--- TOrTAL (U)(A) YALUES DIVIDliD By x S(?. P`P. - (U)(A) r7?l.c> IC)hs ` Z.I . (n-11 4•?( .?S21L?U?> . To TdL ROOFICEtLINa AREp ? ?7-? AVERAaP.HUlf 25 for ventilated roofa. . Q <.; , . r{r t rr?'?i!, ?, . •::;': ; ?1? 1' s, . 1; "auv55 W?-? t??r?n I .•'3.?,?• X. ? e4 ?7? , ` /??1?.ti f-h ` i ? j1. I' =? '1?.? • ?._) ? + cni. . 8,5 92, -i ?,-*;-,t, ?y;c?. - ? 1 ",iGa.?l L I?b?7 ::???. ?• ,. ?`?; ?. ?; r??., , Z.l?o_5 , '1" 87 ' 73. I / tJE7" ? A-•rh8- U/r?? t-• ??II.3fY..S (?2.c,66 LG'S'`J cs:arJc:- .. IOI. ?' rA IZ.[n WPjj5 ncz.-5 q? . sy?5.f 5:0 5T4 Pv_ ? . .. , ep? X ?s z= 101. 134 . B3 A. 15 ?, = ?V-:,• 1c, . ?Y x r- Detsrmining 'lUll valqee aE Rool, Wall,* Aimb ttnd Cona. Hlock ? }. r. .LrKx. . . . .? (3)Q ROOFpEILINU .. R Y U 1.1 Interior. Air t'i1m 0.61 . 2.) 5/811 ayp. ed. .56 . . : 3.) IneuleCion A? 50 Exterior Air Film ",O (BTILL) . . .y u?n n 1/R= OLf abTAL (R)e ?,75 . .d , ,. WALL R : VALU , 6.) Interior Air Fila1 0 ,68;;i. 7.) }" ayp. Bd. 8.) Ineuletion 19:bo •, 9. ) &u c I8 on ? 10.) Mae it e 1din6 z 67 11.) Exterior Air Film ' .17. ---?.._ upu a 1?R? 0.p4-??. TOTAL (R)a Z3OI • RIM R YALU 12.) Interior Air Nilm 0.68 130 Inaulation 19,00 14.) 211 Fir Riro Joieb 1.88 15.) Kvit-r- j?,7C 2, 16.) Maeonite siding 67 o 17.) ExEerior Air Film M "pll a 1/Ba #04p TOTAL (R)n.r.Trg7' FOUt1DATI0N R VALU 18.) Inbarior Air.Film O.68 19.) • . zo. ) R'-I! S7RrPi)FD Jl.ca? 21. ) 1211 Oonore Ee Bloalc 1.28 22.) 230 ExEerior Air Film ,•17?t1V11 a ??Q -07(o TOTAL MC 1?•!7 E? L g BL oiTY oF Encnx PLUMBING PERMIT SUBD.r-T?rr..rn ??C.kE'!!o ?? (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH lTNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: .4I hikMQJL (,L'Z.A:F• SITE ADDRESS: 4* 0/'955 Y'-/; INSTALLER: n?(Pl PI LC/Ytf7j/'7Ci, ADDRESS : I15Uo lLtnCa.fl l;-, fC-L? CITY: V 2a0e, uuKQJ ZIP: 61573*7a PHONE #: OF PERMITTEE CITY USE ONLY RECEIPT # d1 DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 -T WATER CIASET 3.00 3.c0 BATH TUB 3.00 3.? ? IAVATORY 3.00 JoQ / KITCHEN SINK 3.00 .3. 19 0 ? LAUNDRY TRAY 3.00 0.00 HOT TUB/SPA 3.00 / WATER HEATER 3.00 3-00) ? FLOOR DRAIN 3.00 ? nd GAS PIPING OUT. (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 'LjL? _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. wviZn"' DESCicIPii01v: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ ( S I GNAT[TRE ) PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION _ ADD-ON A/C ADB-ON FUANACF DA? ,?/,79 I93 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1@$3.00 EACH) X y ADD-ON/REMODEL (EXIST[NG CONSmUCrtON) STATE SURCHARGE TOTAL SITE ADDRESS: OWNER INSTALLER: CITY: STATE: ?-+- • ZIP CODE: .5-s,L- ? TELEPHONE #: SIGNA RE O PE ITTEE FEES $ 24.00 6.00 .6d $ 15.00 .50 3L. so TEI.EPHONE #: 9I/' //40 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6514675 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 New Canshuclim ReaWremenh ?? 17? I()J, Remodel/Reoalr Reaulremenh n a regiftrea we wnen tncvnny w. rt a io?, sa. e. a nouse 6 ,)),0 ? z coaies a Wan and p?( rooled aroas c2o% mmdmum lot covemae aiiowem t eet o1 enerpy cdculanona tor heated adcAHOna > 2 copks of Plans (show bKn & wlntlow sixea: PWred tnd. dedprr etcJ 1 stte wrveY far exteAa addiMOna & decks D 1 set ot ensryy ecdculations ? 3 cOples W h96 Pretenotlon plan B Io1 p1aM9d crygr 7/1l93 DATE: 6IZ/o ° CONSfRUCTIONCOST: DESCRIPTION OF WORK: T?4•?f? sh:,•31?1 - 711alaH, T_ lUru shin3lti r(/r.nf. STREET ADDRESS: LOT: Cl 2 BLOCK: r) SUBD./P.I.D. A: aRoPErmr OWNER COMRACTOR ARCHITECT/ ENGINEER Name: Ltcd,, Phone#: Gr/-vsv-zzer- LaM Flrai Sheet Address: 117G z Cyp,<r: Pf. E. CNy Stafe: /17y. Zip: SSi?z Company: Phone t: _ (area code) Sheet Address: G Iva L"?I F Llcense # Sz7c Exp. CHy _ ?lrLz State: N9A. Zip: $SYr9 Company: Nume: Telephone ri: ( ) Sheef Address: Regishdtbn #: citY Sfate: vP: Sewer/water licensed plumber (H Installina sawerlwater): Phone #: ( 1 herebY acknowiedpe Mwt I have read Ihis appikaNon, stafe Mx1 ihe InfortnaHon b cortecl. and agree b comply wiM a9 apP6cable 9ale of Minnesota Sfafufes and CMy of Eaqan Ordlnancea $ignalure o} Applicant ?-- OFFICE USE ONLY Certifiqtes of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No No - Not Required RESIDENTIAL `J-70 S ? BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4875 NewConsWCtlon Reauiremanh • 3 registered site surveys showing sq. %, of lot, sq. ft. of Iwuse; and all roofed areas (20% macimum lot coverape allowed) • 2 copies of qan slwxvg beam & window s¢es; poured fouiW design, elc.) • lsetofEneyyCalculations • 3 copies of Tree Preservatbn Plan'rf bt platted after 711193 • Rim JoW Detad Optlons selection sheet (dAgs with 3 or less units) DATE SITE ADDRESS TYPE OF ZZ -oZ Z (_:'-4 Pr- SEIA ROOFING & r?r,km .• : APPLICANT _ 4100 EXCEL3. STREET ADDRESS ID #000105c, TELEPHONE CELL PHONE # RemodeliReoair Reauiremenb . 2 copies af plan • 1 set of Eneyy Calculations tor heated additions • 1 site survey tor e#erior additbns & decks • IMicate if home served by sepGc syslem for additions VALUATION 't 2 o ( 39 '5, k,Q-t- MULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 lS;T ( iU (1) CITY? STATE_ZIP FAX # PROPERTYOWNER l a(lc?'t?5 ??Ce? TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Enargy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 11 (J submission lype) . Residential VenUlaflon Category t Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Conhactor: _ Plumbing system includes: Mechanical Confractor. Mechanical system includes: Sewer/Water Confractor. Phone # Phone # en?eycod??ivQ"?k?g ecsui ? LI L'I LS p? NOV 2 p 2002 I LI ? ? -- - Fee: _?90A0 Fec: $70.00 I hereby acknowledge that I have read this application, 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 OFF'ICE USE ONLY _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Barhs _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 /s, s0 2007 RESIDENTIAL PLUMBING aeRnnir APPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 651-675-5675 Please complete for modifications to existing residential dwellings. Do nof combine inside and outside lumbin on the same a lication; se arate a lications and ermits are re uired. Date 9 / 1 `4 (i I / ?- I Slte Street Address I y a C ? reS S' Unit # Property Owner CY&(W5 Lee 4 (e, r Telephone # (lp5p?S?I ` a-a`IS ampwn 851-365-1340 ( ) Contractor SM de" Rd. #169 Telephone# Address ?g?. AAN 55V23-1339 City State Zlp The Appllcant is: _ Owner 8 Occupant ? Licensed Plumbing Contractor Septic System _ New _ Refurbished Su6mit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repafr (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. H you are insiaNing onlv a water softener and/or wafer heater, do not complete this section; move to the next section and place a checkmark neut to the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $136.00 if a 5/8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new _&,replacement _ Lawn Inigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 ToWI $ 1 ?5 50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the woric will be in confomtance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a pertnit, but only an application for a permit, work is not to start without a permR and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. NU W,rfi AD 42 VMVA"? Applicant's Printed Name I- ApplicanYs Signature a(.311 ? ? ??D(3Cb Nv-?" q0 City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: 2008 RESIDENTIAL BUILDING P Site ?-Fq-- -S e ----------- ? r, Offme Up I j Permit #: u2c) j ? Permit Fee: j Date Received: j i i I Staff: I I I1 t7, 2t I APP 2 8 2008 RESIDENT / OWNER Name:q \N Phon . Address / City / Zip??1, t Q kA/?\ Applicant is: _ Owner Contractor TYPE OF WORK Description af work: X\A m Construction CosY ] 1)?'"? Multi-Famil Buildin : (Yes No Xi . y g ' CONTRACTOR Name: x License #: 710 0 Address: City: . State: _?_ Zip: , D O Phone I- ?\ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEiN BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supportinq documents that you submft are considered to be public /nformatlon."Portions of ' the information may be classified as non-public i/ you provide specific reasons that wou/d permit the Clty to ° conclude that the are trade secrets. I hereby acknowledge Ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of E gan; tha[ 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 acc(dance with the approved plan in the case of work which requires a review andapprovaFof_plans. q x 1-}?.? ?-lalX" x ,i '601 Applicant's Printed Name icanYs Signat e Page 1 of 3 b? .K * * y PIONEER _ LANU 9URYEY4R9 4 CIV1L * enginaerfng LAN0 PUkN[RS • lANDSCAI * * * 'k P.01 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 625 Highwoy 10 Nprlheost Bloine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: Al Herrmann Construction CO. House Address: Cypress Point. Eagan MN Model Name: xbrou h 10 N e9•10'32" e ? 157.71 a?,. I ? cn 0 0 F-- (0 ? ? IJ 0 cq () m ? ? ? I?J? ? L? ,oa?1,a?? `? F.,,.,.,? io9•7.09 , o? io L7 28.87 40.43 7 I04-a. • r-'--t--------10-\-- --- ----? ? \? :. ?043•4 ?+' 1 ?. ? CnS? O ? °? Nm ? v N ? Q Q1 cn o 'm 9 ui U! I ?P ?o q• ? ?. ? ? ? ro¢z2- ao? , W St \ ?4, 7,o I ? ?$ / ? ? =117 ?4 (01)p :-- ? M ? o 'dp Sj? io??al ;a4-7,tob ?DM3.3z as??z z ,oa?a•?? 128.91 S $9;1 _'. NrA. I D? ? BOOSTEW n nUn?? HAGd?I?3 ?RIGTRTEEftIRTG DEPT U' ?I?/d _ WISQIJ???? NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIpNS . 900.0 penotes Existing Elevation PROPOSED HOUSE EL?VnTION ¦?? Penotes Proposed Elevation Lowest Floor Elevation;1044, Sa- - Denotes Draindge & Utility Easement - Denotes Drainage Flow pirection Top of 81ock Elevation:lo5i.q3 --o-- Danotes Monument Garage Slab Elevation:1049.83? B- Denotes Offset Hub Bearinge shown are assumed LOT 9, BLOCK 2 FAIRWAY HILLS 4th ADD. pAKOTA COUNTY, MINNESOTA I bereby certily that NIs survey, plen or report was prepared py me or under my direC[ SuperviSion and thet 1 am duly Replstqrgd Land SVrveyor undar ths laws ot the Sute of MtnnesoW. pated this-92-daY Of. MAR64 A.D. 79 9 3, REJiSGJ. 3I3Iq3 tt}A??iac HL,&V, ' Sca?e: ?°F?=30reec R?,&€Q,'.s,?? T ,n 0.N0.10091 Use BLUE or BLACK Ink For Office Use 1 1 R I Permit City of Ea "'n 1 Permit Fee: I I 1 3830 Pilot Knob Road I 13 I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 1 staff: j Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: lY Site Address: 4 b Y-4~5 10 ' Tenant: Suite %UCpo Resident/Owner Name: &x 1r n e wtd Phone: Address / City / Zip: AI Name: Wenzel-Plymouth Plumbing, LLC License#: 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work -New _Replacement _Repair _Rebuild _ Modify Space -Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation l- RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pi x Carl Michels x Applicant's Printed Name App icant's 'gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA155854 Date Issued:06/05/2019 Permit Category:ePermit Site Address: 4762 Cypress Pt Lot:9 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-090 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 - Charles L Leeder 4762 Cypress Pt Eagan MN 55123 Merritt Restoration 2031 Basswood Ct Rockford MN 55373 (612) 282-9979 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162822 Date Issued:07/30/2020 Permit Category:ePermit Site Address: 4762 Cypress Pt Lot:9 Block: 2 Addition: Fairway Hills 4th PID:10-25603-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Charles L Leeder 4762 Cypress Pt Eagan MN 55123 (651) 454-2295 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature