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
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* enginaerfng LAN0 PUkN[RS • lANDSCAI
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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
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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