4763 Cypress PtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4763 Cypress Pt
Lot: 4 Block: 2 Addition: Fairway Hills 4th
PID:10- 25603- 040 -02
Use:
Description:
Sub Type: e- Reroof, Siding & Windows/Doors
Work Type: Reroof, Siding, Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 9,000.00
Contractor:
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(9523 746 -3046
Applicant/Permitee: Signature
PERMIT
City of Eaan
Pictures are not acceptable in lieu of inspections.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be
removed to install a smoke detector.
BL - Base Fee $9K
Surcharge - Based on Valuation $9K
Total:
- Applicant -
Construction Type:
Occupancy:
$177.00
$4.50
$181.50
Owner:
Michael G Murphy
4763 Cypress Pt
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA087104
10/27/2008
ePermit
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.
Issued By: Signature
A3dress:4763 CYPRESS POINT Lot q Blk 2 Sec/Sub FALHIW HILLS 4IH
These items were/were not complete at the time of the fina inspection.
Date: 9/21/92 Yes No Tnqpprtnr, S
Final grade (6" from siding)
Permanent staps - garage
Permanent steps - main entry
Permanent driveway '
Permanent gas ?
Sod/seeded gtasa
Trail/curb damage
Porch
Basement finish
Deck
Please vazify vith tha bullder the ramoval of roo£ test caps from the plumbing
system and tha shut-off of watar supply to the outside lavn faucet befoxa
freeze potential exlsts. ja
White - City copy Yellow - Resident copy Pink.- Contractor copy
INSPECTION RECORD Control No. 0855
CITY OF EAGAN PERMIT TYPE: guiLoiae ;._
3830 Pilot Knob Road Permit Number: 001016
Eagan, Minnesota 55123 Date Issued: 0 7/2 3/9 2
(612) 681-4675
51TEADDRESS: LoT: a
4763 CYPRESS PT
FAIRWAY HILLS 4TH
PERMIT SUBTYPE:
sF owe
aLocK: z APPLICANT:
SONS CONST
(612) 452-5355
TYPE OF WORK:
NEW
INSPECTION
FOOTING D. .
FRAMING D•
INSULATION FINAL
FIREPLACE
REMARK3: BODSTER PUMP S& W CONTRACTOR - R C PLBG
F -7
? ?
"'' ,R??? ?
+
(gtr#i#ira#t uf (Orru?aury
titp of (f agan
ibmbww n# ike'ncg jwrnian
This Cen#%we rsstad pursuant to the Muirencents ojSection 306 of the Unijonrs Building
Code certljying tlrul at the tiw of issuance rlris strrccture Kws in compliance wrlh the waarious
ordinances of the CitY ?r8ulai?i8 building rnnstructioR or usp- For rhe foUowing.
?cwmf,, SF DWG B,d,. Pam M,. 10 16
pmroa-7 TW Fa /'M 1 Zooing nbwia R 1 TyPe r..,,. VN
o.,a d Ildid;.s 9M OONSTRMCN Add,.„ 4600 FAI?iWAY FTII.IS DR, F,AG+,rT
Bdl,?m Addun 4762 CWNM POINT ?, B2, FAIRWAY HILZS 4IH
POST IN A CONSPICUOUS PLJICE
INSPECTION RECOR--------------
D l Control No. 0$55 -
CITY OF EAGAN FZACrIVaTM FOR DECx 09/22/93 pERMIT TYPE: H111 1 l 1)1 NEi
i
3830 Pilot Knob Road MICHAEL MJRPEIY 526-5385 (di$tal) Permit Number: 00101h
Eagan, Minnesota 55123 Date Issued: 01123/92
(612) 681-4675
SITE ADDRESS: i n t t 4
•t; #. . , ; PtrF. I.I. PT
fA3kWAY Nl.LI_'S 41N
PERMIT ?,V,BTYPE:
APPLICANT:
(61: ) ?61-53f.b
TYPE OF WORK: «rW
INSPECTION
14f) 1 104r, .. .
FRANI W< DATE INSPTR.
lN:,111A1I,%N F.t.NA!
f 1f+l.F'I A? i
kl:MAhk S: ksirD°, f Ftt f'UMP S & W Cplli kAf_TAH .. R G P1.96
I y- ?-•' _ ' . . . .. . T ? -. . ?t,S; -`t ?N' , 7?i? 2a ?._l' ,? ,? ..?y,?.? " --._ . -'?.-r . . . -'. .
i ?"+ ? `'? ' ?1' L -`?-?. •' ? 'c{?, `??? . ?k?iR 1hq ? r`??€-.S?y.I1R_: ? •?rsd?,',?- _
I l? . -)
PermH No. Petmft Holder DaU Telephone A
S/1N
PLUMBING
HVAC i8 a. 11,23 //sL
ELECTRIC
ELECTRIC
Inspsctlon Date Irup. Commentg
Foaings 1
FoundaBon
Freming
Rooffng
Rough Plbg.
Rou9h FIt9• Z?
Isul. ? i
Flreplace C?2
Flnal Hig.
Or6at Test
Rnel Plbg. ? Z/_ Z PI6g. InspeCtor - Notify Phimber
Const. Meter
EngrJPian
Bldg. Fn81
bn
oedk Ftg. a
Deck Final
weli
Pr. OiBp.
?f?/ L
3
?y7&.? l
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657-681•4675
New ConstrueNon Reaulrements
• 3 registered site surveys showing sq. fl of bt, sq. fl of house; an?ll rooled areas
(20% mmcimum bl coverage albwed)
• 2 copies ol pWn showirig 6eam & window sizes; poured found design, etc.)
• lsetofEnergyCakuWtions
• 3 mpies of Tree Preservation Plan H bt aatted aRer 711193
• Rim Joist Detail Options selection sheet (bldg9 wilh 3 a less unils)
DATE !U - % - U I
JOB SITE ADDRESS 47
IF MULTI•fAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER inI Kf_ VYIo(bY1C
TYPE OF WORKKP_ - t(DOF FIREPLACE(5) _ 0_ 1_ 2
APPLICANT Ba?w ?a?ato?e?a wrtnrine?.1NC. PHONE# ? 7?0,3-??TI
ADDRESS 9920Zille Street ZIP CODE
oon api s,
PAGER # CELL PHONE # PAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechantcal Conhacfor. _
Mechanical System Includes:
Sewer/Water Confractor.
_ MINNESOTA RULES 7670 CATEGORY 1
- Residentlal Ventilation Category 1 Worksheet Submitted
- Energy Envebpe Calculatlons Submitted
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
_ Air Conditioning
_ Heai Recovery System
All above information must be submitted prior W processing of application.
Phone
I hereby acknowledge that I have read this application, state that the information i?;t;.andzfgFee?-t?s`Cbmply
with atl applicoble State of Minnesota Statutes and City of Eagan Ordinances.
,
Signature of Applteanf
Certifiptes of Survey Received .= Tree Preservation Plan Received _ Not Required _
Updated 7/01
RemodeVReoairReauirements
. 2 wpias of plan
. t set ol Energy Cakulatlore for heated addifions
• 7 site survey for exterior edditions 8 dedcs
. Indkste fl home served by septic system for additbns
VALUaION 6/ r 5-r • Z&
Phone #
Fee:
p5?- ZIOD
$90.00
Fee: $70.00
?O' ? T T
r
R 413 ? . 02 ?a?9soK/0 71 `;Z/ -
Request Date
7/31/92' ??/%? Fire NO nlnspection
equi tl1 D Ready Now ?J Will Notily In or
_ No W n a
I2licensed contractor -? owner hereby request inspection'of above ele cal work ?
Job Atltlress Streel. Box or qoute No.)
4763 Cypress Pt Cih,
. Ra}c xsiie Ea
Section No. Townsbip Name or No. Range No. County
D ot
OccupantlPqlNT,
Sons Construction Phone No
45295355
Power Supplier Atldress
Dakota Electric 4300 220 St. W., Farmington
ElecUioai Gontracror ?COmpany Nams
Joos Electric Co. ConVactor5 License No.
AM01895
Mailmg Atltlrass IGOMrector or Owner Making InsCell9?ion)
2104 Great Oaks Drive, Surnsville, MN 55337
AmM1orizetl Siqnalure IConhacrorOwner Making In Ilztio ) Phone Number
431-4755
MINNESOTA STATE BOARD OF ELECTq
Griggg-Midway Bitlg. - Room S113
1821 Univereity Ave., 51. Paul. MN 55100
Phone(614) 692-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOAFD
IINLESS PROPER (NSPECTION FEE IS
ENCLDSED.
REQUEST FOR ELECTRICAL INSPECTION rff'"`-? ee-ooom-oe
Ill' See insimctions for completing this lorm o back af yellaw copy A?r?/D?
?/V/
? 2 2 413
?.??- ,
?Y
? 'X" Below Work Covered by This Request .,„,-? bCIJ?
ew Add Rep. TypeofBuiltlinn
Heater
I I lotner (syecifyi
Compute fnspection Fee Below:
ming Pool
formers
)Irrigation O?her Fee
Booms
1. the Electrical Inspector, hereby
certify that the above inspection has
been made.
)FFICE USE DNLY
hia raques[ vQftl ig monIDa from
ServiceEnhance5ize Fee # I C' uts/F etlers Fee
to 200 Amns I R , -r_ .,,..? ?. _
inspectar5 Use Oniy
g?; . PO L
-7) $65.50
ti
TNIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
COMPLETED WITHIN 18 MDNTFIS.
iougRin
: i °? Oate . <
? l.s?_ .?41-
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILDING
001016
07/23/92
I SITE ADDRESS:
DESCRIPTION:
4763 CYPRESS PT
LOT: 4. BLOCK: 2
FAIRWAY HZIIS 4TH
-Build'i;ng Permit Type SF DWG
' Building-Work Type NEW
UBC OCCqpanCy R-3 M-1
Construction'-Type V-N
Zoning. ? R-1
, Building Length ? 52
Building Width 4e
i
? -?
+
L:?? ,?5?J Ll u
REMARKS:
6003TER PUMP S& W CON7RACTOR - R C PL66
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Suhtotal
VALUATZON
$804.00
$522.60
$73.50
$700.00
100
$2,100.10
;ia7,eee
MISCELL0.NEOUS $1.610.50
Total Fee $3,710.60
CONTRACTOR: - Applicant - s7. IICpN/NER:
SONS CONST 14525355 000260$ SONS CONST
1091 TIFFANY DR 4600 FAIRWAY HILlS OR
EAGAN MN 55123 EAGAN MN 55123
(612) 452-5355 (612)
I I
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eegan Ordinances.
L -
jCe4?-Q&'1a-x "/L'
A PLICANT/PERMITEE SIGNATURE v ' ISSUED BY IGNATURE
Control No. 0855
'41 h rhd?/
r
PEfhIY 7.' #9' O
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
-43r 110. b 0
W'a s R?r-
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, I copy of eoergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ? /9 -?- Yaluation of work
4res1' irv ?
Site Address:_ 0
,
STREET STE t
Tenant Name: So-.1 s-? ?i
LOi ? BIOLK ? SUBD. {h P.I.D. • .
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Descrihe)
Name 5f, '7 1 e6w 1 T- Phone
Property usT F1RST
Owner pddress 11,LL1 br
STREET ' STE M
City State h"w Zip ) J%L3
Company Phone
Contractor Address AGe FA 1/z4-?z? ?«r l)h License #Exp.3°3i-
City lf4;z<•? State l??r Zip _5 S/z?
Company Phone o - r3 > >
Architect/ h
Englneer Name Registration ?Y
Address LL) bh
City 91«y State Zip S ?ll?
Sewer & water l i censed pl umber ?-?- NZti- Process i ng time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have r ad th s ap lication and state that the information is
correct and agree to compl w'th pp ic e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:'
urrwe uae vnLr
BUILDING PERMITTYPE
? Ol
Foundation
? 05
Apt. Bldg
?
09
Basement finish z>
OU3 jp?1.ic F,ac.
Ef 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Poal ? 14 Agricultural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch 0 15-Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Gomm./Ind.
WOR K TYPE
R 31 New O 34 Repair' ? 37 Demolish
? 32 Addition ? 35 Tenant Finish 0 99 Undefined
? 33 Alterations ? 36 Move -
GENERAL INFORMATION
Lanst. (Actual)
(A1Towable)
UBC Occupancy
Zoning V?
y-
_ Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. ft, total MWCC System
City Water
PRV Required
8ooster Pump E?
yES
?
# af Stories
Length
Depth
ff / a
y0, Footprint Sq. ft.
On-site well
On-site sewage Fire Sprinkler
Census Code
SAC Code
I vl
or
APPROVALS
Planning
Engineering Building
Yariance Assessments
REGIUIRED INSPECTIOHS
? Site
? Mallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/M Permit
S/M' Surcharge
Treatment P1:
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Totalc
SAC 9G 100
SAC Units Z
y.iot;o,: : 7 00-1 '`.
G AR,a6 c ;
.?-
f9'/Z,i Z4 ? '+bg X 16 = 91y10?
fbSM'f ;
?.---
I 0 x/5' ;7 t 5"0
3 z,c Zd = ea9(o
I 2 x 2. :'a t'f
10-70 >4
I&T FLaO';
8sml = ta7v
zxro: zo
?p`inKS's?
iS j'LanW_ 32 x29;? 8fL
IZKZ?,. ,,,_
I5_ I1.1 0 t5,0
5'7,?'7 0
IZ37 xann6 .7 w
? 4bGp?f
.? .
EXTElttOA.ENVLLOPB fiNBRGY CODS COMPQTATlQlf WORK$H88T
7b Determine Oonpliance with the Minneeota Fnesgy Oode
(Section 502 0£ the StaLa Ametded 1993 Mcfdsl BnarfW Cale)
Project TirIP 5e;l, r C/?? s r ?
site Address_ LV
1. EXPOSED WALL CALCULATiONB
,?? v w?ruS xm x -U"
A. cPa4ue Wall .•
1. Masoncy/Concrete
a. x ?
b
. x .
c. x _-- '
2. Faudat at Wa GC
a ? x
. o'
' a
a.7 1
.
b
. ?
Frame Wan
3.
a. Insulatad Area
b. Framirg Area (Ave. 15% at 16" oc) ? x _,,,i n_ •
c. Framing Area (Ave. 10i at 24" ac) x_.__ ' .---
4. Peripheral Floar Fdge/Rim Joist
d ??
•
? Y '?-L
?
.
b. ?
x '
? B. C,lazin9
l. WiI1dQw8 '
a x s ,?
J•`=
.
b. ? x
2. DoorB Y _--- `
C. Doors
l. Wood
a. Solid
-'?_
?n
?
1Z
b. With sta?rra?oot X
2. Metal x ?- '
3. Overhead ' x
?- `
other •
4 Y ? '
. --
,_?_
D. TOTAL WALi+ Al2FAl sq. Pt .......:....... ...... 2'1? ,
E. 1+DTF+I. of ARFA x"[1" ................... ...... ........................ c.
iL 1i00F/CElLiliG CALCULATIONS
A. Ftoof/C.eiling insulated Area YZ- ` Z' 2'
B. Roof/Ceilinq Framing (Ave. 15% at 160 x) x '
C. Roof/Ce iling Framing (Ave. 10i at 24' cc) 1"19 4 sQ:7,._
D. Skylight x
? .
E. 'DDTAL PDOF/CEII.ID]G ARFA sq. Et ..............
F. TO'lNL OF ARFA x"U' ........ 3S.87
?
t?•.... ? •
111. kiU1LDING k:NYi'sLOPB RbQUTAE61EN1'S
4'OML ARFA Egaulm "U' ALLOWABLE
(Fmw II.EI (Fsrem V.) • (Ataa x
A. E?cposed wa].1: ' • .??f5 x ==?
s. Roof/ceiling: ,1g4- x . o;uq •
. . ,.., _ . _ .___. . .
C. TOzAi. Aial.laaLE HOIIDIIIG IIAEGm (ibtal of A i 8 above)... --34.?,,,,5
1V. ACTUAL BUILDIIid ENY8LOP8
AGTUAL
(3?rea x "0")
A. E4posed WEIll (Flom I.E) ' 7-1-0--7" 1
8. FioG£/Ceiling (FZtm II.F) ?.= ,-r'' r:2
l
C. TOM AL'lUAL SUII+DING FNVF3DPE (TOtal oF A i 8) ... ......... ,
"(hau eo" rpulrumts if leu tlw III.C)
V. FiEQUIBED "U" VALUES
Detached one ard two £amily dwe77i ngs .11 .025
• taulti-Family Fesidential Buildings •238 •033
(3 stocies oc less in hei9ht)
* all Other Oonstruction zypes (3 stories oc ]ess) .238. .06
• All Other Constructian zypes (MOCe thar? 3 stories) .28. 106
• 8ased on H007 Aeatiny duyrew daYS (NlslSL. iarl)
IWjust •Y• valws ueorolnply tor otlrr'lacatiaas
C1iRT1F1CAT10N
i hereby certify that I have
Mimesota State EnarGy Code.
the aqwe inbocmatiWand that it caa@lies aith •
7 ? 3 - 9v
bQ'D 3-89
!?n /C?a !F SO.1
REACTIVA7E _ ???MMI?? CITY OF EAGAN
PERMIT 1' SEP 5 t993 ? 93 BUILDING PERMIT
681-4675
I 1 -- ------
APPLICATION
r.MA a MU
SINGLE & MULTI-FAMILY 2 sets of plans, 3`registered sfte surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural E structural plans, 1 set of
speclflcations, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
uested once permit
s re
i
h
q
.
ange
in which request is made, 2) address is changed or 3) lot c
is issued.
Date 9 Valuation of work ???? •eO {'
Site Address: 417& 3 ?nss Po'.47`
staeeT swTe r
Tenant Name: (cortmercial only)
IAT BIACK SUBD.
!'L. P.I.D. N
/
Descri tion of work: Clk
The appl icant i s: A Owner ? Contractor O Other (Deaeribe).
Name Mu.rpAy M;akae? Phone 5;L(o -S38S
Property L•5 V ?IRST
Owner Address y-X3 ?.oress 1?? '.cr
STREET iTE 0
City ?? a1 State A'AJ Zjp 6757'/23
Company Phone
C011tf8CtOf Address License # Exp.
City State ZiP
Company Phone
Architect/
Name Registration #
Engineer
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
Statutes and City of
t
a
correct and agree to comply with all applicable State of Minnesn
Eagan Ordinances.
5ignature of Applicant: 41
OFFICE U5E ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? OB 8-Plex
0 09 12-Plex
13 10 Multi. Add"1
? 11 Apt./Lodging ?
0 12 Multi. Misc.
? 13 6arage/Accessory
? 14 fireplace
? 15 Deck
?..
"`0 1,6 8%sement Finish
E3 17 Swim Pool
'13 18 Comm./Ind.
? 19 Coron./Ind. Misc.
O 20 Pu67ic facility
? 21 Miscellaneous
WORK TYPE
31 New
32 Addition
O 33 Alterations
? 34 Repair
? 35 Tenant Finish
0 36 Move
O 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy K-3 2nd F1. sq. ft. PRY Required
Ioning Sq. Ft. total Booster PumP
i of Stories Footprint Sq. ft. Fire 5prlnkler
Length On-site well Census Lode
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
0 Site
? Wallboard
? Footing
? Final
O Framing
? Draintile
T
?
o.
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ued.
Copies
Other
Total:
2S.60
1.!K2
SAC %
SAC Units
• t
5t CYPRESS F'OINT
0
---------------------------J
S 00049'28' E .. 00? ?A009
72.08 I ?
------- o
.'JRIwWAY)
15.00 120 ° 20.00 R 19.30 ?
? v 19.50 5
PRDPOSED S{OISSE I ?
g ? S; 12 e.e.+.t L (,^rMtAGE $ '$
3 g 1 17.00 fo 419.50 y g .
I ? c'.'
?m a o
-215.06 2 19.30 ?
?
N 00'44'?84
CA ? ? ° ? ? y (V ?
V1 i Deck ? I ? Z
? I
? y
sy ?
i?al L____------= r--? lo
? -------
85.80
N oa•49'?s" w
L4 B oZ ME HANICAL ERMIT RECEIPT #/o ?2 ?21
SUBD. (612) 6814675 DATE _5f/i 8 9 ?--
RESIDENTIAL
PLEASE COMPLEI'E UPpEg ppRTION ONLY FOR SINGLE FAMILY DWELIdNGS. AISO, COMPLEfE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUI]tEp FOR EACH DR'ELLING UNTf.
OWNER: ?o FTM
SI1'E ADDRFSS: . ADD ON/REMODEL (EJQSTIIVG
CONSTRUC170N ONLI) $ 15.00
INSTALLER: GENZ-RYAN HEATING AVAC: 0.100 M BTU 24.00
PHONE #: (612) 423-1144 ADDITIONAL 50 M BTU 6.00
ADDRFSS: 14745 S. Robert Trail GAS OU1'LEl'S • MINIMUM 1@ $3 EA. ?p 67'
cITP. Rosemo t ZIP: 55068 SURCAARGE: $ .So
SIGNATU • , ? ' TOTAL: $,?0, J d
COD'IIAERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMII Y BI7II,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
FACH DWELLING UNI'I'.
R'ORK DESCRIPTION: CONTRACf PRICE FEFc
1% OF CONTRACf FEE.
STATE SURCAARGE IS $.30 FOR EACH
$1,000 OF PIItMTT FEE. $
PROCESSID PIPING • $25•00
S
SiiNiun"ti'ri r aE • >ia.Gir
OWNElb TOTAL• $
SITE ADDRESS:
1'EPTAIVT:
SUITE #:
INSTALLER:
ADDRFSS:
CI1'1': ZIP:
PHONE #: CI11' SIGNATURE:
SIGNATUR&
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
? EAGAN, MN 55122 PERMZT #
PHONE: (612) 454-8100 RECEIPT #
DATE : ? y -
< :.....:.:....:......> ICT?TTA?Y` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLSNGS fi
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
'--------------------------------------=----------------°°--------------------
WORK DESCRIPTION
NEW CONST _X
ADD ON _
REPAIR _
oWNER NAME: Sons Construction
SITE ADDRESS: 4763 Cvpress Point
LOT:?/ BLOCK cl_ SUBD. J ?
INSTALLER: R C Plumbine
ADDRESS: 5910 Chester Ave
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 . ? -
? WATER CIASET 3.00 ?
? BATH TUB 3.00 4c
LAVATORY 3.00 /.?. -
/ KITCHEN SINK 3.00 3,=
? LAUN?RY TRAY 3.00 3 -'
HOT TUB/SPA 3.00
? WATER HEATER 3.00 .3 -
1 FIAOR DRAIN 3.00 3-?
'AS PI??NG OUT.
.3 (MINIMUM - 1) 3.00 -_;7? °-
? ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
? SUBTOTAL $ `? in
ST. SURCHARGE .SO
?
TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
2IP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
CITY OF EAGAN
cITY: Northfield z1P: 55057
d?
? ERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date: ?15 ' o?
Permit #
-T-
Date
Receipt #
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
EAsting residential: $15.50 (Plumbing permit not required if bacldlow preventor was
previousty installed).
` Residential develo ments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees. •
Homeowner/Plumber:
Phone #:
Street Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor:
Phone #:
y763 ??
(Address be sprinklered)
? ? •
I hereby acknowledge that I have read this application and state that the information is
conect and agree to comply with all applicable City of Eagan Ordinances
cc: Engineering Department -7- )G- 73
113 h
?v ?E
7?.? ?
q S",;-- 6.)- 0
PERMIT # I ? '7 b
RECEIPT DATE:
8002 MID£PTIAL PLUM$INfi i'£AMIT APPLICATIOR
Vl l 1 V2' ' Aau'cl\
3830 PILaT KAOB !ID
£d46RP, MN 551 E2
651-681-4875
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
i 0 L
?. n T
, pPR ..83-2002
?,-,°
STREETADDRESS: l?I?US SQ_I -P?Y?L-f(L-T --M?L
CITY: ?? Z?A yy-?m ?STATE: vVl l? ZIP:
jY
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consuttant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ watersoftener _ waterheater $ 15.00
State Surcharge $ .50
$ !!!z
Total
I hereby acknowledge that I have read this appiication, state that the informaGon is corted, and agree to complywith all applica6le City of Fagan ordinances. IC --
is the applicanYS resvonsibility to notify the property owner that the City of Eagan assumes no liabilfly for any damages caused by the Ciry during its normal
operational and maintenance activitles to the hacilities constructed under this permd Wit "n Cijr erty/ri ht-o'way/easement.
S TURE EE 1/02
4q)_? d
NewConstructlon Reauiremenb
• 3 regislered sile surveys showing sq. ft. of lot, sq. ft. W Iwuse; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window s¢es; poured lound design, etc.)
. 1 set of Energy Calculetions
• 3 capies W Tree Preservatlon Plan if lot platled after 711193
• RlmJastDelailOplionsselectionsheet(bldgsvuth3arlessunits)
DATE 3I1 I /0 2-, VALUATION
JOB SITE ADDRESS 1-/ 7" CL4re ss Po: A1-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER M`c kz t I ?+? Y/'?y /?'1 ur?1 ?t y
TYPE OF WORK L owel- FIREPLACE(S) LC 0_ 1_ 2
APPLICANT Il'Itc(tidel aa? Tcv,H Mur???+y PHONE#
?
ADDRESS_41763 Cy???ss Pa%^? Ea?z„? , Mti1 ZIPCODE 5?sJ7-3
PAGER # CELL PHONE # FAX #
Wof,G:: M.(- k,? tl - 95A -L1o2-alos£? -T7;arry- loSl - ( S? - tlb£f
NEIV RESIDENTIAL BUILDING ONLY - FILL OUT
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mcchanical Syslem Includes:
Sewer/Water Conhactor:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
4t --1o,c) ()
RemodeUReoair Reauiremenb c- '" -> - ( ]- -U?-
?
• 2 copies of plan
• 1 sel of Energy CalculaGOrs for heated additions
• 1sAesurveyforexterioraddNons&decks
• Indicale if hane served 6y septic syslem for additions
_ MINNESOTA RULES 7670 CAT'EGORY
- Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calculations Submitted
R 1 1 2002 D
5;3
MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
_ Water Softener _ I.awn Sprinkler Fee: $90.00
_ Water Hcater _ No. of R.I. Baths
_ No. of Baths
Phone #
_ Air Conditioning ree: $70.00
_ He:LL Recovery System
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant???
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
0 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch(screened)
? 05 03-plex ? 11 10-plex X19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 AddiGon
K 33 Alteretion
O 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 EM. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ?f 9
`
T Occupancy MC/ES System
L
Census Code
"? ?°,? Zoning City Water
SAC Units i'f Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs r Length Fire Sprinklered
Type of Const Er ?/ W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plmnbing
_ Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool
Ftgs Au/Gas Tests _ Final
_
? Framiug _
_ _
Siding Stucco _
_ Srone
Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement)
? Insulation _ Retaiving Wall
Approved By Building Inspector
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
)fc',?- 0
r
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2422 EnterDriae fNl`re
MMdata `Me*0. MN
* pIQNEEp ,010 wRAYORs • GNL ENUNEER5
?t '--- • :.- .. - • ". urip al?MUCi?s. uwose?RfNtaA1fC75 , igr?" Ilie?fiway ?YD MG?U
* engineering ?@Id_nF.
12)` 7?1bQ0!fa?
*
Certificate of Survey for: SQC1S COf)Stt' Ct1 '.I'1 ln'C,-
House Address: C s Point, p.
i ?
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? 5 B9'10'32" W ?
? 0<2.? 140.98
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129? 61
N 89'.10'32° E
%
kyy,.._
x 900.6 Denotes Existing Elevation • 9?n? Denotes Propoaed Elevation s
Denatea Drainage & Utility Easement . a?
Denotes Orairtage Flow Direction
-Q- Denotes Monument
s- Denotes Offset Hub Bearings ahawn ar,e .a?
LOT 4, BLOCK 2 FAIR"
OAKOTA CWNTY, YINNESOTA
I herpbv cc.ti{y ehn this wnrv. YlAn a rMGt WDs WqWrW.bY
uMder the I6w, ol 1hp StGto oF MinnKOU. DtlW lM1if I ST QLy01:_
Scqlc: 11aSh-30"d
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Use BLUE or BLACK Ink
For Office Use I
Z I
I Permit ,0/~ V city of Ea
Permit Fee:
I
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 !
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Q' c~ i12_ Site Address: Gy n Y T55 Tenant: Suite
1 ` ~n
Name: Czh"rn"" ` I W ` n;n~rOy Phone:C,Q ~J I' ~~2 q U
Resident/Owner
Address / City / Zip: N
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
1 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 pl
x Carl Michels x
Applicant's Printed Name Applicant's signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final