4767 Cypress PtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4767 Cypress Pt
Lot: 5 Block: 2 Addition: Fairway Hills 4th
PID:10- 25603- 050 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 9533 -
67th Street North Branch, MN 55113 651- 674 -1766 wsandd @peoplepc.com
Surcharge - Based on Valuation $3K
BL - Base Fee $3K
- Applicant -
Construction Type:
Occupancy:
$1.50
$88.50
$90.00
Owner:
Mark S Jesh Tste
4767 Cypress Pt
Eagan MN 55123 -2175
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
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 with all applicable State
Issued By: Signature
Building
EA076638
02/07/2007
ePermit
Addrbss:4767 CYPRESS Ff Lot 5 Blk Z Sec/Sub FAIRWAY HIId,S 41H
These items were/were not compleCe at the time of the final inspection.
Date: 7 28 9 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entxy ?
Permanent dtiveway
Permanent gas
Sad/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Pleasa verify vith the buildar the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ?
PFGMFONffR
White - City copy Yellow - Reaident copy Pink - Contractar copy
INSPECTION RECORD I C°nt °"°. 0456
CITYOFEAGAN PERMITTYPE: BuiLoxna ...
3830 Pilot Knob Road Permit Number: 000535
Eagan, M innesota 55123 Date Issued: 0 5/ 19 / 9 2
(612) 681-4675
SITEADDRESS: Lor: s
4767 CYPRES9 PT
FAIRWAY HII,LS ATH
PERMIT SUBTYPE:
SF OWO
eLocK: 2 APPLICANT:
R S M HOMES
(612) 440-6901
TYPE OF WORK:
NEW
INSPECTION
FOOTING ., .
FRAMING .•
INSULATION FINA4
FIREPLACE
. REpARKS:.B00STER PUMP
?
?
S& W CONTRACTOR - LAKESIDE PLBG
7
?
.w? .
MACTIVAIE FM IFM-04/28/93
# BAM N=n 01)0*"bZ I8 . >?
(W)SS7-8831
(gtr#i#trate of Orrupanry
titp of tagan
lerpurtmrtct of luiiDiag .3nWrriion
Thrs Cernficate Lssued pursuant to the raquirements of Secnon .?06 of tJre Urriform Building
Code cerrifying tha1 a1 Are tinre af issuance lkis suructure wrrs in avmpliance wuli the mrious
adinances of the City reguJadrig building corrslruction or use- For Ae followft-
u. ?nrio. _ SF DWG7GAR Mg. pWm;tNo. 535
?? R3/i`1 l xooinc oiW? R I Tn, cM,., d VN
o,,,,=,f ft&ft REM II?S Add= 16817 DCim AVF, Pg?oR L.a1rf?
/ 1
POST IN A CQNSPICUOUS PU1CE
- INSPECTIUN RECURD
GITY OF EAGAN '-??'Am Em DEM-04/28l93- PERMIT TYPE:
3830 Pilot Knob Road E&'Uff BE= (?)686-6218 Permit Number: 8*0
Eagan Minnesota 55123 ???887-M I Date Issued: 06119192
(612) 681-4675
SITE ADDRESS: t. 0 r;,,
41 ti 7' f.YF'REF-S PT
FATttLtAY Iiltlti 4fiH
PERMlT , ?yiBTYPE:
APPLICANT:
Ft '; M W t?MC ::
(612) 44e-69e1
TYPE OF WORK:
NEW
F7
L -? J
"i MAli! PIIMI' S li W 1 I1M1 FtA1.: ?K1R - l AF: F%I (7E PI Oti
Permrt No. Pem?n Hower oot. ralrpnone s
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inapactlon Oats Irnp. CommeMs
FoaCngs I
Fourxiati°^ s.?
Framing A
ROa?'?rV
Rough Plbg. ?Pz
Rough Htp. /ds
7
d..?
/Y?Y/
Isut. ?
Freplace 7/S/.2 ?U 4 ?•_' ?y ?` -
Rnal litg. - ?
Orsat Test i
?r
Final Plbg. 7??z
G PI n,4peator- Notity Plum6er
Const. Meter
EngrJPlen
Bldg. Final
Deck Ftg.
Deak FWW !I o ?/? c? •.r/s???
weu
Pr. disp.
?
aro -Zplw / e fy
s/?,:'-
5 410/.,,5
nL
-?LO -`a I ?- N I OReatlYNOw. WhryoR I?nspeclor
I.F,-: 'Itcensed contractor ED owner hereby request inspection o( above electrical work at
lob Atltlress (SVeeL 6ox or Route Noa.,
section No. I Township Name or No. Range No. Coun v
Occupan RINTj Phone No.
POw2r ppli? Adtlr¢55 . ?
I
Becrcm ConVaaoriCompany I me)
ConV c r5 Licenu No.
Ndilin9 ptldress oneaclorpr pwner Makmg Installation) ??
MINNESOTA STATE BOqqD OF EIECTRICITY
Griggs-Mitlway BIEq. - Room 5473 iMIS INSPECTION REOUEST WILL NOT
182I Universiry qve.. SL Paul, MN 55104 BE ACCEPTEO BY THE STATE BOARp
Phone (612) 642-0800 UNLE55 PROPER INSPECTION FEE IS
ENCLOSE?
611
? ?. REOUEST FOR ELECTRICAL INSPECTION
0b. See instruclions for completiny tpis form on baCk ol yellOw Wpy.
"X" Below Work Covered by 7'his Request
? - s---?-
E9-00001-OB
/GYv 5zo q
REACTIYATE ?
Nk!0
5
????./
/? W`^l
{:1 I Y Vt tP1tiA14
1993 BUILDING PERMIT
681-4675
AV1Vr? VO 1.lu!alxdHGrHI?-6.
APPUC T??????
APR 2 3 1993
SINGLE 8 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 C1 N XL tcici$ Valuation °of work
Site Address: A-ID C--1f R-ESS ?o t ,4 T s5i 23
STREET SUlTE /
Tenant Name: (commercial only)
IAT -? BLOCK ?2' SUBD.
/ P.I.D. M
Descri tion of work: `ont? 2 .J oP DEC,K
The applicant is: • Owner ? Contractor ? Other (Deseribe)
Name (?CCKC7T (S-Al'"2 '1 Phone \A"b - 2
Property LAST FIRST s3--r , g?-3 {
Owner Address ?-`lG`1 C`i??? N z
STREET STE M
City 'C-?A6z A_,r1 5tate N\ni Zip
Company S'1z_>,_S-- Phone
COntl'aCtOr Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration d
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & 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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: Q U
?'_j
OFFICE USE ONLY
BUILDING PERMIT TYPE
C) OI Foundation
O 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
0 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
?31 New
32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) V- Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
f of Stories
length
14 X/6' Footprint Sq. ft.
On-site well Fire Sprinkler
Census Code ?
Depth R?X g' On-site sewage SAC Cade
?
6
?
APPROVALS ? ?--
4#?"bx .
?u.
6
Planning Building Assessments
Engineering Variance
REQUIRED tN SPECTIONS '
? Site Footi ng ? Framing ? Insulation
p Wallboard ?final ? Draintile 0 Fireplace
? 11 Apt./Lodging .
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
to 15 Deck
R!40
? 16 Basement finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
wtmetm: $
SAC %
SAL Units
2004 RESIDENTIAI. BUII.DING PF.RNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
OT
?v
NewConsWCtionReaulremenLS RemadeVReoairReauiremenls ' dn
3 registered site surveys shawing sq. R of lot sq. ft af house; and all roofed areas 2 wpies W plan m?? ??F?
(20%meximumblcovar?eallaved) isetofEnergyCalailationsforhealedadditions ?fras ?"Plan??
2 copies of plan shaxing beam 8 window sizes; poured found design, elc. 1 sde survey far additions 8 dedcv QW?
1 set of Energy Calculations Addition - irMkafe don-sife sepfic system
3 copies of Tree Pmservation Plan if lot platted after 7/1/93
Rim Joist Deisil Options seled'an sheet (bldgs wAh 3 or less unib
.A
D
? 12
4 / 04 9 ()`
ate
. CanstrucGon Cost O ,
f ' `
Site Address -7 y ^/?
/ `,TP,S S17
L . UniUSte #
'
Description of Work 1
? S y t 1 W Vl I Y?Vti?
-
? ?
Mu1N-Family Bld? _ Y`\N Firenlace(s) _ 0 _ 1. _ 2
Property Owner ffl aKKt,?Sh Telephone # (6r ) 40J - "1 3I J
Contractor _C7(?k a` La re.Q wd m ? ?d i cQ
Address City ADD?V
State Zip-')D 124 Telephone # (q5Z -
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submittad Submitted
• Energy Envelope Calculations Submitted
Have you previously
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
N If so, 25% plan review
Telephone #( )
I hereby apply for a Residential Building Pemut 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 State of MN
Statutes; I understand this is not a pernut, but only an application for a pernut, 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.
,A YL NS
I
AppNi ant's Printed Name Applicant's i ature
with a similar plan2
µ??' ?? L604 P1 Telephone#(
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
SITE ADDRESS:
PERMIT
Control No. 0456
PERMIT TYPE:
Permit Number:
Date Issued:
4767 CYPRES3 PT
LOTs 5 BLOCK: 2
FAIRWAY HZLL3 4TH
DESCRIPTION:
Building Permit Type
Building Work Type
UBG Occupancy
Construction'Type
Zon3ng _
Building Lenqth ?
Building Width
SF DWG
NEW
R-3 M-1
V-N
R-1
66
51
? . ._
REMARKS:
900STER PUMP
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
S& W CONTRACTOR - LAKE3IDE PLBG
VALUATIOPI
$751.50
;488.48
$66.00
E700.00
100
1
;2,005.98
$132.000
BUILDIN6
000635
05/19/92
pISCELLANEOUS ,$1l610.50
Total Fee E3,616.98
CONTRACTOR: - Applicant - ST. lI pWNER:
R S PI HOPIES 19406901 000345 R S M HOMES
16817 DULUTH AVE 16817 DULUTH AVE
PRIOR LAKE MN 56372 PRIOR IAKE PIN 65372
(612) 440-6901 (612)440-6901
I hereby acknow edge that I have read this application and state that the
info ation is orrect and agree to comply with all epplicable 5tate of 19n.
Statr y?es asd ty of Eagan Ordinancee.
?
I
?ED : S ATUA ?.P, GN f,? ?
I S U
ER?
PERMIT N
. A .56
cmr oF EAcaaN
1992 BUILDING PERMIT APPLICATION OAY 1 1 REM
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERLIAL 2 sets of architectural_8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date s / I l / cf`a Valuation of work
Site Address: ???q LInhtaL 4
- STREET STE /
Tenant Name: (cortanercial only)
LOT ? r BLOCK ?_:
T
SUBD.
P.I.D. #
Descri tion of work:
The applicant is: O Owner Contractor O Other (oes«iee)
Name Phone
Property LAST itRST
Owner
Address
STREEI STE A'
City State Zip
Company ?kovv.eS Phone ??0 - 6Fl()(
Contractor Address License #3q5I Exp.
City y62?Ov'_ State MVD Zip
Company Phone
ArchitecU 9 .
Engineer Name Reglstration #
Address
City State Zip
Sewer & water licensed plumber LC16sico'2 Processing time for
sewer & water permits is two days once area has been ap ed.
I hereby acknowledge that I h e read t is ap lication and state that the information is
correct and agree to compl ' h all p lica e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
• OFFICE USE ONLY
? ? ??'
BUILDING PER MIT TYPE •
? 01 foundation ? 05 Apt. Bldg ? 09 Basement Fin ish O 13 Comm/Ind New
002 SF Dwg. C] 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem
13 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
W31 New E3 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish O 36 Demolish
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft. MWCC System y
(A1Towable) V- N lst F1. sq. ft. City Water ?IC'S
UBC Occupancy
i
Z -R 3 M-1 2nd fl. sq. ft.
total
Ft
S PRV Required
Booster Pump ??e 5
ng
on
# of Stories 9_1 .
q.
Footprint Sq. ft. ' Fire Sprinkler
Length Gb On-site well Census Code ?
Depth .y-i On-site sewage SAC.Code oi
APPROVALS
Planning Building _ S ? iz_qz Assessments Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing O Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC.SAC
City SAC
Water Conn.
Water Meter
Acct. Oeposit
S/W Permit
S/W Surcharge
Treatment Pl:
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
TOY,dl:
SAC % 1OD
SAC Units _L
151,50 V.iLmt;a,,: $. 132, aoo
64..
H1f .V GARA6-B;
-
3zx xz = ?oy
pD, O 2 X 12 = (z4)
100,00
• lya.X6yi?
G,T1S. oo ?=--'
9S,oo 66? x!$
-D 2vxa6 - 62y
aa,oo 4X13= S2
3 KO, t» --
7 -'
6G K /s'
=
Itr Fi.oon,
? ,
$SMTS (o?C*
iXk- q
?t?- 2 yb
?c x zai? - °I?1
y
Iyzx iq • -a:i
x
Zhl D ?i-o n /L
026 }c 3 0 = ? ?°
I?(LK I!%z = _ ?? .
? !D,f 672. r797x9*3a
e{?241
^. ?i?943
?!¢6o?T uuF?wsrt Mt??}
? y sc -1-4 = 3 ?L /
x?`'-?"" yD
?s7 K Z?=
1 r'
• GXTERIUIt CNVEfqI'l: AVii[NGC "U" CO.Ml'U'fATI9iJ
rR R.S.?. ,
s rre
ri'+ A a n'.
' coNZRnc•rorc
DATE S??III? PHoNE yyo-G9o/
Determine votAiny square footage of cach.
1. 7'otal exposed •.+a11 area ....... Et. x •?? _?0 3.3
138 y? ; x .025
ft = .35! G
2. Tot al roof
q.
.
.ceiling area ......
.
Tota1 exposed wall area above floo[ _?8 y?•D
• •
a. Total vall vindow area ..................... ...........•••
b. Tota1 door area ............................ ...............
c. Total sliding glass door'arca .............. ...............
d. Total Cireplace vall area ................................. O
C. Total c+a11 framing area (average lOt) ...... ...............
f. Total net wa11 area above floor ............ ...............
. g. Total rim joist area ................. ...... ............... /3 a. o
Total exposed foundation area = Ip2
h. Total Foundation window area ............... ............... ?--
i. Total net foundation area above grade ...... ............... Getermine "U" value of cach wa11 segment.
a. /6, 0, y x "U" 8<1P• `,a -
b. y/•G x --u..
C y x ,.U..
a O x ..u.. p = O _
.
e 64 x "U.. . /a- = o?o?• °'L _
.
r. & K ..U.. .oy3__ - <3L•3_..
,?. _/30, o--- • ,.?,?. _ . Oy?-- -- ' -- ?' ? - --
r'' O
- -- -?----.
_..
) ..................................... Tocal
_ /96 9
If itum q3 is tlic samc as, o[ lew: than itum 0 1, you lave met !:hc iiitunt
Vf $!1C 600G (C ) 2. ,,Wrm 9? ?'94? e/ c=.)0 d'3 ryr.?.?/ rr+?+ .l.?.fi.•-!?
. DJj? GoaG ?rJ 1
Total exposed rouf/ceiliny area
j. Tota1 skylight area ....................................... O
---
k. Tota1 rooC/ceiliny Eraminy irca (avccsyc 1(1'p.) . . . ..... • . ...
1. Total net insulated coof/ceilinq arc:a ..................... /';P
Detcrminc "U" valuc for cach rooE/ccilinq sc(jment,
j p X,.u., o = a
k. ?.3g• y X,.,,.. . ?as = .3. s
X "U.. • Lb%/ - ?/o• ?
a............................... ....... TOCai = a9• 7
If total of A4 is the same as, or less than N2, you h ve met thc inCent o£
SBC 6006 (c)l. ;?cG,,, - y ,) <. ? `? • -2 ?3 y-
SBc. 4c?u 4 (e? I
Alternate Building Envelope Design
To utiLize t}ic total envelope system methocl, thc values establish-_d Cp the
sum of items A3 and 04 shall not be greater than the sum o: items 9.1 and k2.
3/ G :-P37.
r
2.
, 1. v??3• 3
3. /9?• 9 * a. ?9• ? oz?G• G
e4L-7
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # 10 ? S
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WtIEN PERMITS ARE REQIIIRED FOR EACH UNIT.
--
------------------------ -----
WORK DESCRIPTION -----°-------- ---------- --------------------°
COMPLETE THE FOLLOWING: ---
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15,00
ADD ON SHOWER 3.00 3-w
REPAIR _ t? WATER CLOSET 3.00
? BATH TUB 3.00 3•«'
_2 LAVATORY 3.00 4. , w
OWNER NAME: oeded 4L4 /VLJ / KITCHEN SINK 3.00 .a.?v
3 LJ
SITE ADDRESS: y7G7 OTN TUB/SPAY 3.00
. / WATER HEATER 3.00
3. •-?
LOT:? BLOCK oZ SUBD. . / FLOOR DRAIN 3.00 •?
GAS PIPING OUT.
INSTALLER: LfiOf (MINIMUM - 1) 3.00 -9-10
? ROUGH OPENZNGS 1.50 ?l?
ADDRESS:? `??? .?/??.?9?? /?vG S v _ OTHER
WATER SOFTENER 5.00
CITY: ?Ii/i96G ZIP; cl3-?2.0 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ So7
ST. SURCHARGE .50
GNATURE 0 PERMITTEE
TOTAL: $ 3.p'z4o
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLSNG UNIT.
CONTRACT YRICE:
pWP'.gR NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
l% OF CC:7TRACT 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 OF EAGAN Y'! 0'1
3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
/);ED
ADD-ON MINIMUM .00
rAC - 4 BTU 24.00
ADDITIONAL 50?_TU
GAS OUTLETS - MINZMUM j,l_ 3.00
OF 1 PER PERMIT ?°°? •
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
FEES
OWNER NAME:
SITE ADDRESS: 5" 76 ?7 CV 7 D I?
IAT: ? BLOCK ? SUBD.
INSTALLER:
ou1m,viue heatmg & A/C, Inc,
nnDRESS: 12481 Rhode Island Ave. So.
Savage, -1122
clTc: 894•OOQ5p;
PHONE #
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT /F
DATE: 9 T y?--
OF PERMITTEE
jrvt"&c.e? '5T-p/4V 075r'-C
'41c. 39TC,'- 030
,?-
?D
P03M£RCiALjINDUSTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL CO?IHERCSAL/INDUSTRIAL BIIILDINGS,
APARTMENT BUILDINGS, AND TNLTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
-------------
CONTRACT PRICE:
OWNER NAME:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi
TOWNHOMES/CONDOS WFiEN PERMITS ARE REQIIIRED FOR EACH UNIT.
SITE ADDRESS:
lGT: $I.OCK _ S'JBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FDR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIM[TP! FEE.
CONTRACT PRICE x 19 $
STATE SURCHARGE
TOTAL:
$
( S I GNATITRE )
CITY OF EAGAN
susJEcr: vAwnxcE
APPLICANT: BRIDLE R'II.D JOINT VENTURE
LOCATION: NW QUARTER SECTION 34
EXISTING ZOMNG: SINGLE FAMII.Y RESIDENT7AL (R-1)
DATE OF PUBLIC HEARING: APRII, 9, 1992 -
DATE OF REPORT: APRIL 1, 1992
COMPILID BY: COMMUNITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARy; pn application has been submitted requesting a Variance of
15' to the required 50' setback off Pilot Knob Road for L.ot 1, Block 1, and L.of=S;=Block Z;>
Fairway-Hills 4th Addition;located east of Pilot Knob Road and west of George Ohmann
Park.
CObIIVIENTS: To insure house sizes are comparable to homes throughout the Fairway Hills
subdivision, as well as those anticipated with the Fourth Addition. The applicant believes
the 50' setback off Pilot Knob Road severely restricts the buildable area. If the proposed
Variances are granted, future homes on the two lots listed above will maintain a minimum
setback of 70' from the east curbline of Pilot Knob Road. If apprwed, these Variances shall
be subject to the following:
1. No other Variances shall be granted for Lot 1, Blcek 1 and L,ot 5, Block 2,
Fainvay Hills 4th Addition.
2. All applicable Ordinances.
6S d-/ e), 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??
New ConsWCtion Reauirements Remodelrtteoair Reauiremenls Wrip
3 r
egistered site surveys shaving sq. R of bL sq, fL of house; and all roofed areas 2 copies of plan (20% mazlmum bt coverage allowed) 1 set of Energy Calculations for heated eddNOns 2
copies af plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey far additions & decks 1 set af Energy Calalations Addition -indicete Nonsite septic sysfem C `?A 1
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Detail Options selection sheet (bkJgs with 3 w less unb
Date
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Site Address
7" l? ?Pg r 5 5 ?T • IIniUSte #
Description of Work y/ ftn0 ? JV-
:L:alti-, ssaly Sl3g _ Y ?<Pi Ftireplace(s) _ 6 2
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Property Owner I v I?? ,e? S Telephone #( )
& $aing
Contractor
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6124
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Address A? ?Y
City
State MN Lie. fi 20060427 Zip Telephane #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor ?O Telephone #(
Sewer/Water Contractor Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Burnut and aclmowledge that the information is complete and accurate;
that the work will be in conformance wrth the ordinances and codes of the City of Eagan and the State 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
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
.1tAliE IMrzNS (:?] A _ GL- ??-
Applicant's Printed Name Applicant s ature
73E /
2006 RESIDENTIAL PLUMBING PeRMiT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
,41s sz?
Date (0 I ) ?_ I o{?
\
Site Street Address y 1 b? Unit #
Property Owner Telephone # ( )
Contrector ?0 rn?rNL - Telephone# (a ) `)q -7-S?b)
Address ?080 ?J?1?ow?.%oo?? StS?nJ City State(VW ZipSS3?o?
The Applicant is: _ Owner Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener zz Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 1?-? sb
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan i77pp to be reviewed nd appr ved.
D?..? C_ApplicanYs Printed Nan-A ican!?3 gnature
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2006 RESIDENTIAL MECHANICAL rEUMiT arPLicATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
3e) .50
Date
Site Address Unit #
Property Owner Telephone k?p?j J)??/ 3
Contractr
Lofgren Htg & A/C
Street ? 5708 Upper 147th St W# 102
Appl:,• Valley, MN 55124
S'tate
;i C'ty
_ p Telephone #
Elond #: Expires:
Thr Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? fumace _Additional ?Replacement New
air exchanger IECIEO ?
?
air conditioner R D
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. heatpump JUN 0 7 OOfi
t
other h'l.P 1 ? a ?[ ?
,¢ P A
StaBe Surc6arge $ .50
Total $ 3
I hereby apply for a Residentiai Mechanical Permit and acknowledge that the informa[ion is comple[e and acwrate;4hal the work will
be in conformance with the ordinances and codes of the City of Eagan and with t Mechanical Codes; tha I understind this is not a
pennit, but only an application for a permit, and work is not to start without a eit that the work w'll e in ac ordance w'th the
approved plan in the case Qfjwork yyhich requires a review and approval of pl ? ? )
Applicant's Printe? Name ` 'A}?p cnt's Signa?e
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I Survellor?8 G'crt?f?cate
SURVEY FOR: R 5 rl Ifomes Inc.
dE3CFiIBED A3: I,ot 5, f3lock 2, PAIRl4AY IIII.LS 4711 t1DDI"CION, City ol' lingan,
1)akota County, Minnesota a.nd reserving easements ot' rocord.
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7op ol Foundellons y 104q,0
C3arege Floor . 1049.V
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SCALE, I Inch • 30 Faet
IHEPEBYCEqiIFY THATiHIS19A1qUEANDCOARECTREPIlEBENTATION
OF THE BOUNOARIEB OF THE A90YE bESIPN19E0 VROPERtY AS SUR•
VEYEDBYMEONUNOERMYbIRECTSUPEqV1810NRN000ESNOTPUAPORi
TO 9HOW IMPAOYEMEHTS OR ENCAOAC44MENT9, E%CEPT A8 BNDWN.
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INOc7REN,lANO UAVEYOA
MHJNESOTA LICEN9E NUMBER 1137e
bliN. SETBPQK REQUIREMENTS
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JOB NO.:
92R-197
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' Sur?ve?or'8 G'ert?f?cate
SURVEY FOR: R S Pl Ifomes Inc.
DEBCRIBEU AS: 1,ot 5, Rlock 2, FAIRIVAY IIII,I,S 4711 ADDi'CION, City ol lingan>
1>akota County, Minnesota and reservinv easements oP recoe'd.
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Propoeed Ehvalbna . Q
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Donoloa ofleel Slaka a Is
FOOTAGE =13, 219f
BOOSTER Pt? IVi P
F. T u1?: C. - = ? REQUIRED _
BENCHMARK. TNN Q nw. qo?d
? aQbe,3?A i4o. + a,otKn>e
EI eJ *' t098.21
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SCALE, I inch ¦ 30 Feet
i'IN SETBACK RFOUNMENrS
Front • 'iP Hovea 91de • 1 o
Hear • 13 Oarapa 31da - s
MMlNESOULICEN9ENUMBEl11?37! ocn.aa.a iOCT.7.
-- JO8 No.:
IHEpEBYCERiKViW1i14USISATi1VEANDCOARECTREPAESEN7ltTi0N q2a 1q7
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TO SHOW BAPROYEIAEHTE OR ENCROACHMENT9. EXCEPT AS lNOWN. ?QOK: P?
P/anning Engineering 5unreying
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140350
Date Issued:12/12/2016
Permit Category:ePermit
Site Address: 4767 Cypress Pt
Lot:5 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Adam C Schneider
4767 Cypress Pt
Eagan MN 55123--217
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
,. j
r
EI For Office Use
I
%„:'‘,4 f I° r ,Q'r`cEIV. :--.) I Permit#: —3
Permit Feer i t 1.
4%, MAY 22 2020
..w Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buiidinginsgectionsCu3.cityofeaaan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION (04 0
Date: 05/22/20 Site Address: 4767 Cypress Point Unit#:
Name: Jill & Adam Schneider Phone: 952-470-6493
Resident/ 4767 Cypress Point
()wrier Address 1 City l Zip: yp
Applicant is: Owner Contractor
ype dof Work
Description of work: Kitchen Remodel
T
Construction Cost: <(d, �" Multi-Family Building:(Yes /No )
Company: Russell Room Remodelers contact: Sharon Russell
•
Address: 2357 Ventura Dr. #112 city: Woodbury
Contractor
•• ' State: MN Zip: 55125 Phone: 651-735-8367 Email: Sharon@RussellRoomRemodelers.com
License#: BC008166 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Built in 1992 Jr\ ,\
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and 'I'''' ..'"ii
x I thatsubmity
P f rnatlY � nsof
classified as'n�tr icifyo ',t;9*,. areasons atwou multi- Citycoonclrrda f
; '. ....--*-i.:1 me ,.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval =n
XJeff Russell
Aif 1
x � y
Applicant's Printed Name Applica,' : ,ig >-ture
.
' DO NOT WRITE BELOW THIS LINE 1 f I 1-10/t
SUB TYPES CLIrte-SS V `
Foundation Fireplace _ Porch(3-Season)( ExteriorAlteration(Single_ A o Family)
1 A.Single Family _ Garage _ Porch(4-Season) — Exterior Alteration(Multi)
Multi Deck ____ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of—Flex _ Lower Level _ Pool — Accessory Building
WORK TYPES
New — interior improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
-. Alteration — Fire Repair _ Windows Demolish Foundation
___ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION 00,
Valuation 3d2, Occupancy 3X -/ MCES System --
Plan Review Code Edition pp AO SAC Units
(25°10100%) Zoning X-1/ City Water
Census Code /x 34 Stories — Booster Pump —
#of Units I Square Feet — PRV _
#of Buildings / Length — Fire Suppression Required
Type of Construction 7J Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) Final/No C.O. Require.
Foundation Foundation Before Backfill HVAC_Service Te- Gas Line Air ';st it.Hood
Roof:_ice Water _Final Pool:_Footings _'' _Fin:
Framing // 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings—Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Wails - Erosion Control
Shower Pan Other:
s
Reviewed By �2Afr. .4 , Building inspector
AMU I I 1100.4111111111A
' I
RESIDENTIAL FEES i h(40 (I ti at A r �`0 w 2 p,-�,,.��
Base Fee Vr cii /
Surcharge
Plan Review S
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161706
Date Issued:06/10/2020
Permit Category:ePermit
Site Address: 4767 Cypress Pt
Lot:5 Block: 2 Addition: Fairway Hills 4th
PID:10-25603-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Adam C Schneider
4767 Cypress Pt
Eagan MN 55123--217
(651) 340-1735
Terry Overacker Plumbing Inc
502 E Main St
Anoka MN 55303
(763) 572-8880
Applicant/Permitee: Signature Issued By: Signature