4766 Cypress PtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4766 Cypress Pt
Lot: 8 Block: 2 Addition: Fairway Hills 4th
PID:10- 25603- 080 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
Owner:
Ting Ting Zhu
4766 Cypress Pt
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA083865
06/26/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Address 4766 !,'YF!tESS Poixxr Zip 5512 3
I.o't ' 8' Blk 2 Sub FeuWAY tirti.S 41x
THESE IT'EMS WERE / WERE NOT COMPLETB AT THE TIME OF'T'HE FINAL INSPECTION.
Date: ? Yes No Inspector:
Final gra e(6" om sifling) ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUwrb damage
Porch r/
Basement finish ?
Deck ?
Please aerify with the bui(der the removal of roof test caps from the plumbing system and the shuloff of wacer supply to
the outside lawn faucet before freeze poteutial exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy - Yetlow - Resident Copy Pink - Contrecror Copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
sr r.km
APPLICANT:
?;...:t:..?°•??; , ::??t , , ?
TYPE OF WORK:
i:! e_ 'r,I
INSPECTION
,^,rilllq1: .. .
.,:._ ^r DA
1N5?!I p.?IiOH i '
,?-
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i.!i'!.•i I i'1 rG . ,, f'ililif'
F
"`? ,` •'-?ia
?
wextificate of Cccupan"
Witv of Cfagan
tcoartment of 13uilbucg 3ni$*cctiox
.?.?
_t
This Certifzcate issued pursuani to the requirernents of ihe Uni, form Suilding Code
certifying that at the time of issuance this structure wQS in campliaru'e with tlte various
ordinances of the City regulating building construction or use. For the following:
use classification: SF DW Bidg. Pemiit No. 20582
occupancy Type R-3/M] zonio ni5ai?c aaa? R 1 T corec ?
ow? of suiia?g a?. ??oer MMorrA Icxis
B in& ndaress . LocllitY > >
??;.. --=.-: .
</ Oyfi-
Dai?
? swia;? ott; ?
POST IN A CONSPICUOUS PLACE
?CI"1'1( OF EAGAN
V, 3830 Pilot Knob Road
Eagan, Minnesata 55123
(612) 681-4675
ON
JCORD
PERMIT TYPE:
Permit Number:
Date Issued:
c?sii i t ??.t tvt?
0 4 /0 1193
SITE ADDRESS: ; ,, r : R Hi 00
? a E i I: t?;,. ;! I 1 l •. ?! 1 f i
PERMIT SUBTYPE:
PLICANT:
TYPE OF WORK:
Nf"W
INSPECTION
? .• • DA
t t !., . ? ??' ? I
I
? li 1'I1R3t'
?
Permit No. Permft Holder Date Telephone B
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspaction De" insp. Comments
Footings I
Foundafion ?
Framing
Roofing
Rough Plbg. ?-7
Rough Htg. - / f
J H
%V
'sul.
Freplace we<j?
Fnal Hlg. 3 L!Ll 6ej 1-7
orsat 7est 7?? ? ? LG • .? ?
Fnal Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
EngrJPlan
61dg. Final ?A3
Deck Ftg.
Dedc Final
Well
Pr. Disp.
?
?
Requ s! Dale '-' Fire No. Roug -i Inspetlion
ui ?
? Reetly Nowill Notlry Inspecior
n Reatl
?
?M1'h
_ es G No y
e
Ix licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atloress ISlreel. Bm r Route NoJ
q T ?
n Ciry
?
O
Seclion No. Townshi Na or No. No.
rRege
Occu am
PR7) Phon N
j
? r 1-
Supolier
?
n{ Atltlr
i
n m
ii? mai Convacmr iCOmni mel
-4- L
?A C ractor9 Licensa No.
Z
Mailing Atltlress (ConVador or
? Owner Making Installalionl
-
? .
AutnonEe a
ICo lov
ner M
? ? mg Instal P? mbe 5? .//?
??
MINNESOTA STATE BOAP OF ELECTRIqTY THIS INSPECTION REQUEST WILL NOT
Griggs-MlEwey Bitlg. - oom St]3 8E ACGEPTEO BY TME STATE BOAFD
18211 University Ave.. SL Paul. MN 55109 UNLESS PROPEP INSPECTION PEE I$
Phone(81$) 642-0800 ENCLOSEO.
,?`Q9? REQUEST FOR ELECTRICAL INSPECTION
'/5e?-oooo,.os
l See insirudions tOr mmpleting ihis lorm on Oack ot yellOw mpy ?/?/
? 9 6? /? k ? "X" Below Work Covered by This Request "? ?,•
ew Atld Rep. TypeoiBuildinq AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Other(syacily) Conhactors Ramarks:
Compufe lnspection Fee Below:
x Other Fee 8 ServiceEntranceSize Fee 8 Circuits/Feeders Fee
Swimming Pool % 0[0 200 Amps ,rjc?Q '( 0 to W? Amps
?
Transformers Above 200 _ Amps Abova 100 _ Amps
Signs mspeaor's use anly: 7p7pL
Irrigation Booms
Special Inspection
niarm/Communication THIS IN5TALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONT S.
I, the Electrical Inspector, hereby
certi(ythattheaboveinspectionhas
been made. Ro.yii
Final
i
oa?e
OFFICE USE ONLY
This requesl voitl 18 montns Irom
-J( CITYiOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE: PermitNumber:
Date Issued: " `i ( o / ^:i
SITE ADDRESS:
DESCRIPTION:
A
F -
REMARKS:
, r' l"' ? ,:i<
FEE SUMMARY:
V A t ;i !? I I u!%'.
i 2 <<
i? r1N! t7U'?
V
? . ? ??
1
`b
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CONTRACTOR: ?I ' II- OWNER:
•,S .I (?.';? ?' -.,, .;1Di?i? 1?7?:
T:
? a I
? ?_ ? ,^ i?i ..C}.iliitJl;.r??, rF...,. i I?.,'. Y'C_ , ? i _. .?u? I ' ('.,_ Ut. '.Il?i ., t ? i. . i,.. _ ??7
.?b.-I.i. t)Il .?'qii?(( l dilli .SC?I(: ..`9 Y.f.":? ii?? illi_I• .I CP:.? r..n?l? .' . I ..
rlllC) Cl!'u
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?r?A ? oi?r I 111?
AF?PLICANTIPERMITEE SIGNATURE ISSUED 8: SI NATU 4
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or, s u? ct. .
L; i I:l ,.L
usc ?LiAp unC
Cor.ctri.?:?? .'nri ly?p:•
onicu
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REACTIVATE _
PERMIT N 01021
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION $4, O&A
irRN. 2 1 Recu
cn 8Qr1_3 31
SIN6LE 8 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, 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 /°I? Valuation of work isii;
Site Address: (o(o C?.. nress PA-
STREET SUITE Y
Tenant Name: (commercial only)
LOT SIAC& `7?L
I
SII
Y.Z.D. 1f
Vf S
Descri tion of work:
The applicant is: ? Owner Cl-fontractor ? Other <oes«ibe>
Name
Property LAST FiRST
Owner
Address
STREET STE #
City State Zip
Company e k. Phone
Contractor Address <AkC S'E'or?u. a-O License # z?k k? Exp. 3
City I Y 10L Ae?„L State M-t?__ Zip SC?I-o
i
Company r Ise Phone
Architect/
Engtneer Name Registration # i L,nk_;C-?
Address L 0r,,-n
City `t?v_rnState (Vti? Zip
Sewer & water licensed plumber S ae'f- TL . Processing time for
sewer & water permits is two days once area has been proved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable ate o innesota Statutes and City of
Eagan Ordinances.
IL
L
L
Signature of Applicant:
--
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
Ef 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 Sf Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
R 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 11 Ap4-.110dgg ri"irBasem t Finish
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
GENERAL INFORMATION
Const. (Actual) Y- N Basement sq. ft. MWCC System YEs
(Allowable) V- N lst F1. sq. ft. City Water Y
UBC Occupancy R_3 M_I 2nd F1. sq. ft. PRY Required
Zoning R-1 Sq. Ft. total Booster Pump y?_
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code !oi
Depth ? On-site sewage SAC Code
ea
wc o/
APPROVALS ? )Z ,'
l ?
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ? Footing ? framing O Insul ation
? Wallboard ? Final ? Draintile ? Fireplace
Permit fee v.Lusstoo: S jbg, OOd
Surcharge
Plan Review
GARA ;
License
a6, x2?=5'72 X
lSZ
l?= 9
MWCC SAC 1
City SAC
SSMT? y-
Z NO t'LUO/4,
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
C/Zx
16xao=
32n
S/W Surcharge
Treatment Pl.
Z? t 7
67 = 35 /Y; '
` Z5 2
Road Unit
Park Ded. ,
? )O? 10= ?X?B= i6Z
Trails Ded. Jyxfn= I40 5o976
Copies
Other 1539 X 15= Z31 aS:? ?
Total :
41 -FL B5Y
:
7
I v?
SAC x ,:
n IS33
SAC Units z X?=.?.ry S62
tSS3Ksq; 83.
?
?
?
?
a 0
?VD
DiD D
P 0
LOT EQRFLY CaECIi.ItT FOR
• ROqisterea LanQ autveyor siqrutyss ariQ oompany
• 8uilding Permit Applieant
• Leqal deseripiion '
• 1lddress
• North arzrn,, and bar scai•
• Heuse type (rambler, raikout, spiit v/o, split
lookout, eLc.) '
• Direetional drainaqe arrovs viLh s2" /qradisnL i.
• Propos*d/existiaq sisver anQ vatez ssrvieos
• Street aame
• Drivovay
tLrvarioa•s
8? D D
D?D D
0-? 0 0
6' 0 0
8",Q 0
?a D
• Sever service
• Lot cornezs
• Top of curb at the drivevay
• Elevationc of any sxisiing •ejacenL bomes
• Garaqe iloor
• First floor
• Lovest sxposed •levation (wnikout/vinCow)
• Property eorners
• Fzor,t and senz oi Aome at th• toundation
POr'DItiG ARFA6 fif anDlici+??
D ?D • Easement line
0 0' 0 • IqWL "
0 g?D ? Hs`L .
Pond t desiqr,ation
? O Emerqency Ovarflow E19vation
aatsy,
?D D • Lot lines
? a D • Riqht-of-vay and stroot width (te baek of eurb)
8'D 0 • Proposed Aome Qimeasioas incluQinq any pzoposeQ Aecks,
overhar,gs Qzsnter than =1, poreAes, Oto. (i.e. all
sf ructures teqvirinq permsnent toctinqs)
?D 0 • Shov all sasements oi secord and any City ntilitiss vithin
those •asements
?D D • Scibacks of pz strt? ure ar,d setback of adjaeent
existir,g h
n 0?D • Retain iz Ls, it any
- Revieved: ?
Ha i n.O'd
:
nste ot snrveyt
boe@xzHT tTUiD 4ne j
_ .?.•,?..nrx,iuu.u: ('lo be submi "U" UVIiYU'1'ATlOtI
'. tted ?vitli Uuilding pormit apylicutio.u)
t:,0??s oY.9'ua, ?'ami•ly Uwolliug
. ILFI Obltei' onnvr
t3lF.n AAdrann ?OT
Coi?brnoEor AL,
_•- "'?\L_.S..r?rv?v'f, unl;u .?:.? ?? i'houo '-?f ??'-?C!>??.
LI11Ell[, E'VC1' OF
EXI'o5Ei) Y/ALL fI
nbovn grado ? ?(0?7i10
; . ,L?v,l.A?. EXPOSEb W1lLL AIIF:A 9Q. FT.
i,OPAQUI3 WAj,L dOt18'11iUU'1Iv111 11U1, Vq1ua x Arou
`betdil ,tp„ ? .
sreierence ? rrU??--?f3 F'T. 2 (u)(A)
f2•om . apr? x llq. F'•r, tU)(A) •
?ettedliod nun _a "(2. Q'7'.- U)(A .
Z? )
BI?euEe ]iUn x 131' FT•
F'T.. . ? (U) (?} •
lfbo?psl F°r,
;ylx ? ,. (ll7tA?.
.. Value x Aron . _--
Etniza & myra ? 1ULaLlj 1Aa5;,,.,-r -__-_._--
??
u n ?tpn_"_--'-?----x cu)(n)
n u ---?-----??_ ??ll?i"_'_------x ?R. F"t._ _ ru?r.,
DOOII.q t IIu11
Yal.ue x nrea
Flalce & TyPb
;
n npn
; n n ?-I1LL?L i titfir x -7
rY?7"
n q n?n x Oc?. ?-=T'fZE( U) (A)
??Uu X 6(?. FT._ ?U) (n)
ToTwI) Z(o? ? ..? ='- ?U) tn)
romnL (v)(n) vn?.uv? nvE?nuFj??U??'a' f?'•?ZZZ, SS (u)(n)
2 22 1 3 )zV2bGU BY ToTnL 1?rALL niI?;A n , ?f
' C? `I
203Z ` L?
kv?;isnaE
(OOF'/(3EILINO=115 oI? latie for 1&2 inmi].y d„o1.11.?lfI?
brni, enen,
?eteil reter
euao 1
irom •C) L
iltaclted ailaete. /d O0 = Z?rZ(p?u)
1e1c14be :;c0 F"P._ 4 (?)(?)
u koot. • "--??npu x [Jq. Y'T.
rt, f',l, ---__.'---__ 1 (A)
:1 )
To1'AL (U)(A) VALUEB DIYIllL'U by ? s??. F^i'.` y- ??)tAj
------_=? ( U ) (A )
To'' Illi?A ZZi ua CU
AL 110vF/CEILI110 "`?---------.._-4??r ?
flVE12AUj] oiUn .025 [or venEilatod ?O(?O
tootn, Q?
` ?,-
,
,..
,
m f? 2?4 z?)
• S??X ????-I? .-f-.,.?,Co-I Zr?) = j I 3r>, 24
--
70
, (07
X144-=1I?,?z
7,
32V 24 Ofl = Z S
A 7 5"
2??1 8= z2,5?
?
i 2J° `?1Z?y?i .I W?ZS(„ = >>r?c'
.4260
&tag6"?-'
Zco 32 rc?)
-?134 5'
2?????
L1? Rimp and Conc. Block
nOOF/CEILINa
1.) Interior Air e'ilm
2.? 5/8+1 ayp. sa.
3.) Ineuletion
?I • 1
50 Exterior Air Film
(sTILL)
OZ.j iOTftL
YIAI,L R VALU
6.) Interior Air Film . 0.68 '
7.) }n (3YP. II'd. ?fJr
8.)
Insulation .
..
J9.oo
°•' 1'vg .1- z.04-
10.1 Hnsonite siding ,(y
11.) Exterior Air Film 917.
IIUII . 04?> 7eTAL (it)= 23.01
RItI
12.) Interior Air Film
130 Ineulation
14•) 211 Fir Rim Joiet
15.) gviL7- PITc
16•) Tlanonite 8lding
170 Extorior Air Film
R VALU
0.61
.56
44. co
.61
R VALUE
0.68
19•ov
1.88
Z.67
.17
?M-D TOTAL (I2)a.Z7'•?¢
Fo U17 D1lTION
ifl.) Interior Air Film
19.)
zo. ) i'-aJ S lR?f'r?D 21.) 12" Concrete Blocic
2Z.)
23.) Exterior Air Film
R VALU
0.68
ll. C70
1.28
.17
IIUII .07ea ToTnt, (R)_ )3.
= l?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
_ ADD-ON A/C
RDD-ON FURNACE
DATE 7/a/, /9J'
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) I_ 00
ADD-ON/REMODEL (ExIS7'[NG CoNSTRUCI'ioN) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE
lo
. n .
OWNER NAME: i't ??_C?-?` • TELEPHONE #: cY9/ - //Do
INST
ADDRESS: IG `I byd /,?1.,P..-„?_ L.ew .s?•?
C1TY: STATE: /h?- ZIP CODE: 553
TELEPHONE #: 5?? 7 - Vot v
SIGNATURE OF PE?X?fITTEE
V
1993 MECHAriICAL PERMTf (RESIDENTIAL)
C1TY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIF2ED FOR EACH UNTT.
NO_. FIXTURES EACH TOTAL
? SHOWER 3.00 3 -
WATER CLOSET 3.00 4.0-
? BATH TUB 3.00 3-
:;Dk- LAVATORY 3.00 ? -
i KITCHEN SINK 3.00 3-
t LAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
i WATER HEATER 3.00 3-
? FLOOR DRAIN 3.00 = -
! GAS PIPING OUTLET • minimum -1 3.00 -
__3 ROUGH OPENINGS 1.50 4• s o
WATER SOFTENER 5.00
PRIVATE DISP. • DaILCty. lic. 15.00
U.G. SPRINKI.ER • eome unaer const. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHA2GE
TOTAL:
STfE
.50
O WNER NAME: C4. \ r r- -?2 Cll:z ? f-
WST
ADDRESS: A.J C:.
CTTY: P"; e rSTAT'E: /Z;v,ti- ZIP CODE: SS3 ? z
PHONE #: ((0(2 ) 44?- Ce? 34
/1/ ?l,t..., ?? :'? ??C?.cct /
SICy1?IA'f?JF2E C3?F"PERMITTEE
U
1993 PLUMBING PERMIT (RESIDEN'I7AL)
CTTY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6514675
$3°,50
2006 RESIDENTIAL MECHANICAL rEUMrr arrLlcATroN
City Of Eagan
3830 Pilot Knob Road, F,agan MN 55122
Telephone # 651-675-5675
Please complete for: single family Awellings & townhomes/condos when permits are required for each unit
Date __ ? / ? / a}p
Site Address Unit #
Property Owncr
7 Z
Telephone #(6sI' )?? O
Contractor STANDARD HEATING 8 AIR CONDITIONING
410 T
MINNEAPOLIS, MN 55408
Street Address fi12-824-2616,
City
State _ Zip _ Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit ,_. $ 30.00
furnace _Addifronal _ Replacement _ New
air exchanger
? air conditioner r
(CZ CQI
l
heat pump
other
State Surcharge $ .50
Total $ ? ' aJ
I hereby apply for a Residentia7 Mechanica! Yermit and acknowledge that the information is com lete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechani hat I understand this is not a
permi but only an application for a permit, and work is not to start wi t a permit; that th work i 1 be in accordance with the
appr d plan in the casc of hich requires a review and approv of pl s '
Applicant's Printed Name Applica?t`5'Sqgnature
?
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
134-s .-ZS'
New Construction Reauirements RemodeVReoair Reauiremenis OfFlCe Use Onlv
3 registered site surveys showing sq. ft. of lat, sq. ft. of house; and all ropfed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) i setof Energy Calcula6ons for heated adtliGons Tree Pres Plan Recd
2 copies of plan showing 6eam & wintlow sizes; poured found design, etc. 1 site survey (or addNons & decks Tree Pres Not Reqd
isetofEnergyCalculations Add'mon-ind'rcaterlan-silesepticsystem _On3iteSapticSystem
3 copies of Tree Preservatbn Plan i( lot pWried after 711193
Rim Joist Detail OpBons selec6on sheet (bldgs with 3 or less units
Date
Site Address ?f 7 lJ 3
?? /
C?h le-S S Construction Cost 2/, O v O
/?? ? aj/-- UniUSte #
Description of Work Hv ?S e. 3 S? c?c S - 9u ?L 2.S
Multi-Family Bldg _ Y L( N Fireplace(s) _ 0 _ 1 _ 2
ProperTy Owner C? 14t i2 /- y y"5 Zh v Telephone #( GSl )Zg iK- - S'20 1?
Contractor $ELA pQQFINCi & REM ODELINC WG
Address
State 4100 EXCELSIOR BLVD.
ip *opip_yn Zip City
Telephone li ( 61L ) ? L 3- S°??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(?lsubmissionlype) Submitted Submitted
. • Energy Envelope Calculatlons Subrn'tted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN
Statutes; I undexstand 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 ofplans.
_ /- , z /MC
Applicant's Printed Name
Telephone #( Applic,ant's Signature
S??a Cp
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
(f j (3,qs
Naw Construdion Reouiremenls RemadeVReoair ReouiremenLs Offce Use Onlv
3 registe2d site surveys showirg sq. fL of lot sq. 8. of house; and all roofed ereas 2 copies of plan Cert of Survey Real
(20°kmazimumbtmverageallowed) lsetofEnergyCakulafbnsforheatedadditions TieeP2sPlanRecd
2 copies of plan showing 6eam & window sizes; poured found desgn, etc. 1 sRe survey for addiUons 8 decks Tree Pres Not Reqd
isetofEneqyCalculations Add'Aon - indkateifarsiteseptlcsystem _On-siteSepficSystem
3 copies of Tree Preservatlon Plan'rf lot platted after 711/93
Rim Joist Dehail Options selection sheet (bldgs with 3 or less unils
Date i3 /_to / Qj ConstrucGOn Cost ?V_oU ?
Site Address jz?z qQf 5'f' &-r UniUSte #
Description of Work gar_ti:?O_ ? (,^ ' ?L,? SCiµ•?P ! I?
5!Gitv1F 7 i 7 c
Multi-Family Bldg _ Y_ N r
Fireplace(s) _ 0 _ 1 _ 2
Property Owner -_Vo?'t? 2E(J Telephone # (63C ) 605- ?p $7
Contractor r ?
Address ij u..r /3i vjf1 A4; City y/ (Jln?ih5
State Zip,Q ? Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiladon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaGOns Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 3tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ti? UWY '/lCi,? ?
Applicant's Printed Name pplicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauiremenb
• 3 registered site suneys showing sq. ft. of lot, sq. ft. of house; and all rooted areas
(20% maximum lot coverage allowed)
• 2 wpies of plan shawing beam 8 window sizes; poured found design, elc.)
. t set of Energy Calculalions
• 3 copies of Tree Preservalion Plan if lot platted aRer 711193
• Rim Joist DetaJ Optlons selaction sheet (61dgs wilh 3 or less uniGS)
DATE
SITE ADC
TYPE Of
APPLICANT
ALTI-FAMIIY BLDG Y N
FIREPLACE(S) _ 0 _ 1 2
STREETADDRESS tVCc?t ejl/of jk? CITYL,G+^•,_STATEAg/ ZIP5"5"oI7
TELEPHONE #,7f23-q[3-LCx7 CELL PHONE #Fax # 763 -4lJY-y9,13
PROPERTYOWNER Tt'u?.Cna Z,IJ TELEPHONE# 9S.f_.k5 _!76E7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'{'A_&[.iLF-S-7674?.-,T£GQRY 1 MINNCSOTA RULES 7672
?
(d submission type) . Residential V?eniila on Categary 1 WorksheeS Submitted • New Energy Code Workshee[ Submitted 01
• Energy Ernelo I?Calculations Submitted ? I'i
r???? 1 ? 2002 ?
Plumbing Conhactor: Phonc #
Plumbing system includes: .Water-o-fCener-?=J I.awn Sprinkler Fee: $90.00
_ Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor:
Mech.uiical system includcs:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery Systein
Phone #
Phone #
Pee: $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 Ordi
Signature of Applicant y
OFFICE USE ONLY
(, y- --7 0
RemodallReoair Reauirements
• 2 copies of pWn
• 1 set of Energy CalcWations tor heated addilions
• 7 sde survey for exterior additiorce & decks
• Intlicate'd Mme servetl by septic syslem for addNons
VALUATION 1.7I 0bL
Certificates of Survey Received _ Tree Preservation Plan fteceived _ Not Required _
Updated 4102
RESIDENTIAL
? BUII.DING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon NeaulremeMs
• 3 regislered ske surveys showoV sq. it. of lot, sq. IL ot house; and a roofed areas
(20% maximum bl coverage albwed)
• 2 coples oi plan showing beam & wlndow saes; poured fountl design, etc.)
• lsetotEnergyCaLulefbns
• 3 coples M Tree Preservatbn Plan If Wt platled afler 717/93
. iiim ,bist Deteil Options seledbn sheet (bldgs wiN 3 or less unBs)
DATE I C) I,29 ! (1 `)
SITE ADC
TYPE OF
IULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT [.- IASS I G J?p 6/-S 177UO?-'
STREET ADDRESS 17i0f7 G t Z NE S CITY U 0.lISV r IC STATf MEUZIP 5 S 3.3
TELEPHONE # `152 8ISqMl CELL PHONE # U7- OgS O13D fAX # JbZ
PROPERTYOWNER T?1G I I t7G Zff u TEIEPHONE# LoSI, ?C?? SCvS
- ° -----------------------° ------ °-------° °-----------°° °--°-°------------------------
COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 r
(J submission type) • Residential Ventilation Cetegory 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plum6ing system includes:
Mechanical Contractor. _
Mechanical system includes:
SeweryWater Conhcctor:
_ Air Condirioning
_ Heat Recovery System
--------------------------°°---------------------------°---------°•
I hereby acknowletlge that I have read this application, state that
with all applicable State of Minnesota STatutes and City of Eagan
Slgnature of ApplicaM
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
RemotleUReoalr qeuuiremeMs
. 2 coples of plen
. 1 set ot Energy Cakulalions br heated addBbns
• 7 sile survey for ex1edor additions 8 tlacks
. Indicata N home sened by septic system for addAions
Phone # I
Lawn Sprinkler
No. of R.I. Baths
Y?w Energy Code Worksl
On-T 2 9 200Z
4I
VALUATION -? ? Gg 13YhX
Phone #
Fee:
Fee: $70.00
#
is
agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Uptlated 4/02
91AR 24 '93 14:09 TO 612 891 6072 FROM PROBE EhlGINEERING T-871 P.02
GOTiSUL7INO 6N61NEiR; .OL fIE.P?MAi11N ?V9T. ?N?.
AOBC Pl(INNEeS cnd I,pNb 'URViYOI1S ?5.5'96,0J
ENGINE61#INCw gk. i9i
CQMPANY INC. p?.
L 1000 [ASt 1161h 9tHfK7, BuflwevlLlE, MINNEaOYA 653S7 PH 432-3000
CERTIFICATE OF SUFiVEY
Lega! Description:
BCAlB t t' p 30'
(Zo,??,j) pC1+1C1TE5 EXISTINt3 ELEVA'f10N
(105,0, 8) pENOTES FRQPUSEU ELEVATION
?.----- INDICATES DIREG71()N OF SURFACE DRAINAGE
D ,05 ? FIN151iED GAi2AGE F1.OQR ELIEVATION
0 ,DI = BAgF-MEi3T FLOQii EI.EVAT40N
4 ZZ="fUP OF FQUNpATIUM ELEVATIQN
D94/N44E ANP
Ur'/L/TY CASE/j14417'
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?04'8 16,33 Q Q
°??7 38,00
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s hereby ce7;t1£Y that this is atrue and corraat representation of a tract of
land as shown and desoribed hereon. As prepared by me this Z4'TM day of
M/ORe',t/ , 19 93 • '
, Minn. Reg. Na. / DBg
Use BLUE or BLACK Ink
For Office Use I I
3
P
ermit non
of Ea
Permit Fee: I
city I
3830 Pilot Knob Road I D
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 I I
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 0 &w c,?~;, V4.
Date: P' P (J")
2-7
Tenant: Suite
Resident/Owner Name: 1-f VL% &Ilt] } k VI Phone: u5-f-u~u- ~g
Address / City/zip: Wlt& 0", N
Name: Wenzel-PlymoU6 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
I
Water Heater
Water Softener
Lawn Irrigation 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 requAed)
$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 plan
x Carl Michels X
Applicant's Printed Name App nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110225
Date Issued:04/30/2013
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Ting Ting Zhu
4766 Cypress Pt
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
. � j Perrnit#: S 1 l I �
C�t� of�a�a� � Permi Fee: � '�-S �
3830 Pilot Knob Road � t �
Eagan MN 55122 � Date Received: Z �
Phone:(651)675-5675 I �I
Fax:(651)675-5694 I Staff: I
I I
V����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: t/ � J J �`
Unit#:
� ���P_�l� �1��
Name: Phone:
Resident! l � ��n. l /
Owner Address I Ciry I Zip:�1,� C I` � G 2
Applicant is: Owner �Contractor
� �
T e Of WOI'k Description of work: I S�
Yp �
Construction Cost: Multi-Family Building:(Yes /No )
� o
�l ,v��j�
Company: ��l. ' Contact: ��4?�,�����
,
Contractor Address:!��v �i 1�����V� ��/�, Ciry: �� w�4� � ��� 3L�
State: N�� Zip: �7''r 1�►4�' Phone:�Yj j,,-' ���� ��..�-�t1�
License#: ��V ��rJ� Lead Certificate#: N� � � �V'✓�� �
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:
NOTE:Plans and supporting documents that you submit are consideretl fo be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the Cify to
conclude that they are frade secrets. i
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.qopherstateonecail.orq
I hereby acknowledge that this information is complete and accurate;that the work will ba 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 musf be completed within 180
days of permit issuance.
x �/1�'Z'WW`V� �� 1VV� x
ApplicanYs Printed Name Applic Si ure
Page 7 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131017
Date Issued:05/28/2015
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ting Ting Zhu
4766 Cypress Pt
Eagan MN 55123
(651) 686-5108
Gladstone's Window & Door Store
2475 Maplewood Drive
Suite 110
Maplewood MN 55109-0000
(651) 774-8455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147102
Date Issued:12/11/2017
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ting Ting Zhu
4766 Cypress Pt
Eagan MN 55123
(651) 686-5108
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152080
Date Issued:09/27/2018
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ting Ting Zhu
4766 Cypress Pt
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171787
Date Issued:08/31/2021
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. When a weather barrier is installed or
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 -
Ting Ting Zhu
4766 Cypress Pt
Saint Paul MN 55123--217
(651) 399-9115
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172840
Date Issued:10/19/2021
Permit Category:ePermit
Site Address: 4766 Cypress Pt
Lot:8 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. When a weather barrier is installed or
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 -
Ting Ting Zhu
4766 Cypress Pt
Saint Paul MN 55123--217
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature