4300 Lyra Ct. .. p . . s - . .: . . . . . i
CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100
BUILDING PERMIT Receipt # r ?
To be used tor RESIDEN1'IN'
RLIdA11Ft. EsL Value s7,0QQ Date-OT 1$
Site Address 4300 LYRA CT
Lot 6- Block 4 SeclSub.?1.DPR1188s PK 2iq
Parcel No.
W Name CA?'r 6 CA17iY 1'ODD
o Address ??? L? C?
City RAGAN Phone 683-9427
olName BERITACS BVILDERS
?¢ Address 9180 DAVENPORT S''
? City tlPLS Phone - 784-001 S
W w Name
? ; Address
i W City Phone
I hereby acknowlege that I have read ihis application and state that the
information is correct and agree to comply with II apelicable State ot
Minnesota Statutes and Ciry o( Eagan Oy anc A
SignaWre of Pertnitee Z?
A euilding Permit is issued to: ERITAGE SU II.DERS
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial _
OFFICE USE ONLY
Occupancy R-3 FE ES
Zaning _
(Actual) Const _ Bldg. Permit 90•00
(Allowabie) _
Surcharge 3. ?
k or srories _
lenglh _ Plan Review
OePth - SAG Ciry
S.F. Total _
SAC, MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
On Site Well - yyater Meter
MWCC System _
Ciry Water _ Acct. Deposit
PRV fiequired - S/W Permh
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Road Unit
Pianner - Park Ded.
CounCil --
BIdg.Ofl. _ Copies
Variance - TOTAL 93.50
Parmit No. Parmit Molder Dete Telaphone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC .,?Ior d ? ?
Inspsction Date Insp. Comments
Footings I
Foundation .
Framing
Rooting
Rough Plbg. h i
Rough Htg. / -
Isul. ? r-
Flreplace
Final Htg.
Orstat Test
Final Pibg. plbg. Inspecta - Notity Plumber
Const. Meter .
EngrJPlan
Bkfg. Final
Dedc Ftg.
Dedc Final
wen
Pr. Disp.
?=is. . . .. . ._. . . . .. . . . .. . .. .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERMIT Receipt # To be used for DECK Est. Va1ue ;i 9000 Date MAY ?
Site Address 4300 LYRA CT
. j
1
17795 ?
_, 19 go
L l 6 BI k d S wi1.DERNBSS PAR1C OFFICE USE ONLY
0 oc ec/Sub.
PdfCBI N0. AMU
Occupancy -
W
Name ?Y & ?? ?? Zoning _
(Actual) Consl -
3 Address 4? L? CT (Allowable) -
0 City RA"N Phone 683-9427 a or stories -
a
Name RAIliD NIBKOLA Length -
oeptn -
;i` Addr2SS 3443 CLIN'!'oN AVe S S.F.Total -
? Cily MP" Phone 825-0868 S.F. Footprints -
UQ
ww
Name On Site Sewage -
On Site Weti _
?? AddreSS MWCCSystem _
aW City Phone cirywater -
I hereby acknowlege 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 Permitee
A Building Permit is issued to: RALIMD mKKQLA
on the express condition that ail work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Building Ofticial ?
FEFS
Bldg. Permit ZS•?
Surcharge .50
Plan Review
snc, cny
SAC,MCWCC
Water Conn
Water Meler
Accl. Deposit
PRV Required - S/W Permit
BoosterPump - SiWSurcharge ?
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council 1.00
BIdg.Otf. _ Copies
26? ?
Variance - TOTAL
Permit No. Permit Holder Date 7elephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Pireplace
Final Htq.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. y(, P?
Deck Final
Well
Pr. Disp.
? CITY OF EAGAN
. . , 7 059
, ' 3795 Ptlef Knob Raod Eepan, MN 55122
' •?
PHON[: 454-8100
BUILDING PERMIT Receipt ?F
Te M wed for Est. Volue Dote 19
Site Addreu Erect
?
Occuponcy
Lot Blxk $ec/Sub. Alter ? Zoning
pamal # Repoir ? Flre Zone
Enlorpe p Type of Const.
W Name Move Q # Stories
Z
? Address Demolish ? Length
Ci phone ' Grade ? Depth Sq. Ft.-
p Nome ADProvals Feos
?
?? Address
? ri..,
Name
Addreu
Assessment -
Water & Sew.
Police
Firo
Enp.
Planner _
Council _
Permit
Surcharye
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
1 hereby acknowledge that I have read this application ond state thct Bldy. Off.
the inlormotion is torrect and agree to comply with all applicoble APC Total
State of Minnesota Statutas ond City of Eogan Ordinonces.
Siynature of Permittee
A Building Permit Is issued ta on ths express condition thai
oli work sholl be done in accordarxe with oll opplicable Stote of Minnesoto Stotutes and City of Eoyan Ordinonces.
Buildirq Officfol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
$swar
Electric 1UZ53?;l ?x;\cnsi;r? 3-1442-
r(oStszq r? ?? re-;46 - c-h
IMpedion Date Inap. Other
Footin¢
Foundation
Framinq
Rouph Plbp.
Rouph HVAC 1
Inwlation _[?..
Final Plbg.
Final HVAC
Final . ?
Water Daaeri6e Location:
YYall
?
Sewer •
Pr. D'ap.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
II 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
I (612) 681-4675
I SITE ADDRESS:
I :,; I 1I1 t;1J; ?. i'r1;;i N!)
PERMIT SUBTYPE:
`4 ' - fa 1," Oll
APPLICANT:
TYPE OF WORK:
ir 1.1 . H 1 11 1 f uw
I itKqiJtlN
f9A I I111+140M 1
INSPECTION DA • DA
. . ?, -. i ?. ?. . . . . . . . . . .. .
?j
Pertnk No. PartnN Holder Dete Telephons a
ELECTRIC
PLUMBING
HVAC
Inspectlon Dab Inep. Commenta
FOOTINGS
FOUND
FRAMING ?_'c qG
ROOFING
ROUaH
PLUMBING
%
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
?4ddition WILDERNESS PARK 2ND ADDITION Lot F Bik a Parcel 10 84251 060 04
Owner R'L,e i', i fict Street _ 4300 Ydmi1IlRTP S.WW State Eajzan, MN 55123
LYRA COURT
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 77.11 A011030 4- 5-8
SEWER LATERAL
WATERMAIN
WATER LATERAL
iE WATEii AREA . - -
iE STORM SEW TRK 197
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
18 .00 #28 4 1-14-82
WATER CONN. 335 • 0Q it 'T
BUILOING PER. 7059
SAC 525.00 ft °
PARK
CITY OF EAOAN WATER SERVICE PERMIT
3795 Pi4eL Knob Road PERMIT NO.:
Eagon; MN 55122 DATE:
Za+in9: - No. of Units:
Owne r;
ite Address:
lumber: _
leter No.:
ize:
eader No.:
e9roe to wmply with ths Ciey of Eagan
rdinanea.
Y
ate of Insp.:
Connection Charge:
Acwunt Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
I nsp.:
SEVNER SERVICE PERMIT
CITY OF EAGAN
3795 P:iM Knob Read PERMIT NO.:
Eagcsi, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber.
1 agree M compip with fhe City eF Eagaa ConnecNon Charge:
Ordinaneos. Account Deposit:
Permit Fee:
Surcharge:
B CFwrges:
Miu
y .
Dote of Ins
: Totol:
p.
Ins
: Dota Pold:
p.
i-n
~BUILDINd PERMIT
N° 7059
Receipt .#
To 6e used for SF D[A1C?i/('zAR Est. Value $101, 000 Dote Tarn3arv 14 , 19--B2.
Site Address 4300 LyI' d ODL1rt Erect ? Occupancy R-3
Lot 6 Black 4 See/Sub. W11.dP,.Y'rie3S PdLk 211dqlter p Zoning R-1
Parcel # 10 842 51 (160 Od Repoir ? Fire Zone NA
E
l t
V
T
f C
n
arge ? ons
.
ype o
W Name S_ Plp?}p rGpn m? rn_ ipn,,T?- Move ? # Stories 2
; Addreu 4701 W. 110tl1 St.., Demolish ? Length_56
b
Ci
Phone 884-5194
Grade
?
Depth4.2--Sq. Ft.-
9 Name CXDle1• Approrals Fees
?
i
OU Address
Ncme _
Address
I hereby acknowledge thot I huve read
the information is torrect ond agr
State of Minnewta Statutes an
Signature of Permittee
A Building Permit Is issued to: G-
oll work sholl be done in accordance with oll
CITY OF EAGAN
8795 Pi1M Knob Rasd Eagan, MN aSl'lY
PHONEt 4548100
Phone
and state that
'811 applicoble
Stote of
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Permit `=JZJ . ju
Surchorge 50.50
Plan check 217.75
snC 525.00
Water Conn. 335.00
Water Meter 60.00
Road Unit __U5?nn
Totol $1 ROR_ 75
on the express wndition that
y of Engon Ordinancea.
Building Officiol
Zb Be Used For _
Site Addrss??E??.??,?'
Lot ??Block ?L{ Sec. /S
Parcel
a'a 117.:e
CI3'Y OF EAGAN
41?? ?P -* -705?
Include 2 sets of plans,
1 site plan w/el.evations &
BUILDING PERNNUTT APPLICATION 1 set of erergy calculations.
valuation 0 Date ?117 -C?/
'__ {^"e i l4?aU<'ftslr?cs ;1 OFFICE USE ONLY
,-
ttb.6y? Fsect OccL?ancY 3
Alter Zoning
? Repair Fire Zone
awner:
Address : 4/70/ /`/ t? ' ° ? SCity/Zip Code:
Phone # :
Contractor:
Address:
CitY/ZiP Code: ?
Phone #:
Arch./Ehg.:
Address:
Enlarge Z?pe of Const.
N3ove # Stories ?
Demolish Front ft.
Grade Depth y ? ft.
,
APPROVALS FEES
Assessments Pesmit y,?,? So
WatQr/Sewer Surcharge L56 iSe
Police Plan Check -a Y 7, 7 S
Fire SAC 325,a6
Fhg. Water Conn. 33S . o 0
Planner Water Meter &p, o a
COL1riC11 ROdCl UT11t
Bldg. Off.
P,PC
C.ity/ZiP Code: AV
Phone # : RnTAi, ?Oft
-'-' sA.eSw ?s 1772 ?7QUag/S
CITY OF EAGAN
N_0
17795
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100 f-- /
BUILDING PERMIT Receipt # `- ? 1?(?
To be used for DECK Est. Value $1, 000 Date MAY 2 , 19 90
Site Address 4300 LYRA CT
Lot 6 Block 4 SeGSub WILDERNESS PARK OFFICE USE ONLY
Parcel Na ZND Occupancy - FEES
Zoning _
W Name GARY & CATHY TODD (Actuap Const - Bldg. Permit 25.00
Address 4300 LYRA CT (Allowable) - SO
o Surcharge .
City EAGAN Phone 683-9427 a ot stories -
Plan Review
Length _
o Name RAIMO MIKKOLA Depth - SAQ Ci1y
=
¢
0 Address 3643 CLINTON AVE S S.F.Total -
0
?
City MPLS Phone 825-0868
S.F. FoolpriNS _ SAC,MCWCC
Water Con
On Sile Sewage _ n
?
W w
N8f116
On Site Well
W
t
t
M
??
AddfESS -
MWCCSystem - a
er
er
e
a W Cil Phone
Y City Water _ Acct. Deposit
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the eoosler Pump - SrW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and.6itvoE,Eagan Ordinances. 7realment PI
?
Signature of Permitee U"yY177 d//, d'/GC??7l APPROVALS poad Unit
A euilding Permil is issued to: RAjMO MIKKOLA Pianner - park Ded.
on the ezpress condilion that all work shall be done in accordance with all Council 1
00
applicable State of M
(i?nnesota Stalutes and City of Eagan Ordinances. Bldg. Otl. _ Copies .
.
Building Official
Q?,, Variance - TO7AL 26.50
1
CITY OF EAGAN
Np 198 19
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100
BUILDING PERMIT Receipt # C3
RESIDENTIAL
To be used for
REMODEL Est. Value $7, 000 Date (1CT 1 R
Site Address 4300 LYRA CT
Lot 6 Biock 4 Sec/Sub.WILDERNESS PK 2N OFPICE USE ONLY
ParC21 NO. Occupancy R-3 FEES
Zoning
GARY & CATHY TODD
Name (Actual) Const Bldg. Permil 90.00
W
a Address 4300 LYRA CT -
(Allowable) - 3
50
.
Surcharge
City EAGAN Phone 683-9427 # of srorieg _
Plan Review
Length _
o Name HERITAGE BUILDERS Depth Cil
SAC
Z
00
Address 9180 DAVENPORT ST _
S.F.TOtal _ ,
y
F
City MPLS Phone 784-0015
S.F.Footprints - SAC.MCWCC
C
W
On Site Sewage
- onn
ater
?¢
? w Ndme On Site Well
??
Addf@SS -
MWCC System - Water Ma1er
a W Clty Phone Cily Water _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Boosier Pump - SiW Surcharge
iniortnation is correct and agree to comply with I ap licable State of
Minnesota Statutes and City of Eagan O nc . Treatment PI
Signature of Permitee APPROVALS qoad Unit
A Building Permit is issued to: HERITAGE BUILDERS Planner - park Ded.
on the express condition ihat all work shall be done in accordance with all Council
appticable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
I I I.LJ
Building OfliCial D,Q(jq 8*4 T
-
Variance -
TOTAL 93.50
j? RE?UEST FOR ELECTRICAL INSPECTIOW°l'S,$?
? II?II?? I I I III II III I II? Minnesota State Board of Electricity ?? ?
1821 University Ave., Rm. 5-728, St Paul, MN 55104 t? ?'
* ? 2 3 7 6 0 8* Phone (612) &42-0800 ?9(0
Home Duplex Apt. Bidg. Other: New Addn
Commercial Industrial Farm Remod Re nir
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Ofher:
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspecfion Request wifl noi be accepted without ihe correct fee:
Other Fee # Service EMrance Size Fee # Circui}s/Feeders Fee
Mobile Home Park $Tall 0 to 200 Amps 0 to 100 Amps
Sireet Lfg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECroR'susEONLv TO
T1AL
Sign/Outline Lig. Xfmr. ?/
?, .. L
ib
Alarm/Remote Control '
? ??G
Swimming Pool ?
wl ' ed herein on ihe daks staMd
el
l
n
I h
b
ni th
t Ii
i
d th
Irrigdtion Boom i
ere
ce
a
ns ec
e
e
m
s
Rough.ln .' ', ?,? • te A ? ?- /_'
Special Inspedion
Invesfigative Fee Final C/? ? J/
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2^?_^ O^
J V L P C?E USE qNLY This request void 18 months hom validation date pnnted in this 655 9
fG
PLEASE PRINT OR TYPE
Requesl Dole
??` ?' ? Rough-in inspsction required2 Yes []No Inspection OMer Thon Raugh-In: ? Recdy No? Will Coll
A
d
d
D
ea
y:
y)
ole
(You must <oll ihe inspeclor when rea
I, t*icensed coniractor ? owner hereby request inspection of the above eledrical work at :
Job Pddress (Sireet, Boz, or Roule No.)
? Ciy ? ? Ip Code
t
Secfion Na. Township Name or No Range No. Fire No. C u ry
O[cupanf Phone No.
Power $opplier ? Address ?
Elednca onlmctoi (Companz Name) Canlmclor License No. rJ
a Mmhr Lic. No. (Plcnt Elect. Only)
Mai ing dress (Contraclot Owmr Pedorming Initollofion +
lWlhorixed Signa7ure (Con clor or Owner Performing Instollafion) Phone N
y 2-5 oa
EB-OOOOlA-10 6/95 STATEj@ARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOW
7bir Ct?tr fitate istxed purttwnt to thc rrgttiremcntr o f Section 306 of the Uniform Bailding
Code urti f ying that at tlx time o/ iswancr tbir uructun wat in com ptiarue witb tbc vasiow
adinancr.r o f the City ngu/ating barlding tonnruction or use. Far thc following:
up? ? ?/GAR Bwg. Ponmt Na. 7059
o[wpacrlYee R3 7Ywcm,vacuon V .Fu.z_ NA Zonfixnl.uict RI
0 =,f %? S. Petersen Canst.,,,,,s 4701 W. llOth St., Ntls.
%? P By: --
ofrg,, A,a April 9, 1982
PMr M w COMMeuou? ?uu
?___-____-__`__-_.-
? FOf OIFiC@ USB ?
17 I
j Permit q. 1 ? i
I ?
? Permit Fee: -5`0 • Z2 =
I ?
? Date Received: ?
f I
? S[aff:
L ------------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATIOId
Date: 5- il'09 5ite Addreas: H
Tenant:
Suite #:
RESIDENT / OWNER Name: l Phonej„Q??I " y Uv7 ^
2
J
Address / City / Zip;
CONTRAGTOR Name: Ucense #:
`-?
Address: H1.o
am?
Gity: State: )1'1 f\D ZiP: 55 0 3
Phonerl ?d - T t V M Contact Person: ? n I ?\
TYPE OF WORK _ New LReplacement _Repair Rebuild Modify 5pace _ Work in R.O.W.
Dexrition ofwork: ?
PERMIT TYPE RESIDENTIAL
?x Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ /_ PVB) ? Main _ Lower Level)
Septic System _ Water 7umaround
New
Abandonment
RE5/DENTIAL FEES:
$56.50 Mlnimum Water Heater, Water Softener, or Water Heaier and Softener (nciudes $.60 State Surcharge)
$30.50 Lawn (rrigation (includes $.50 Stale 5urcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 3.50 state surcharge)
`Water Tumaround (add $185.00 if a 5/8" meter is required)
$100.50 5eptic System New ($10.00 per as built) (includes Counly fee and $.50 State Surcharge)
$90.60 Fire Repaif (replace burned out appliances, ductwork, etc.) (indudes $.50 State Surcharge)
??
TOTAL FEE5 $
-
I hareby acknowladgelhal this information is complele and eccurate: Ihat the work will be in confortnance with 1he ardinances antl coOes of the City of
Eagan; that I understend this is not a permit, but only an epplicatfon tw a permit, and work is not to stert wilhout a permit; lhal the work will be in
accordanca with the approved plan in the case of work which requirea a reviaw and approval oF plans.
AppflcanYs Printed Name
x
ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspeetions: _Under Ground _Rough-In _Air Test _Gas Test _Finaf
4b? City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
f _
? IX Q, r [?r
j Pertnit #: _ ZJ?/ ? ??
I Pertnit Fee:
I.
? Date Received:
I
I
? n nn ra
? St2ff:- ? _ r? E 7fi4- r
L--
2008 RESIDENTIAL PLUMBING PERMIT APPLI
Date: V- u' O C? Site Address: "tc3 C? d _u f?LC Ct?•&QQ ?t, (1,
f?
Te.,...#. ? ItLC.u? , PYn vn.
z 12008
7zi Sttftl? 1
RESIDENT/OWNER Name: V?P.+( e4n Phone: & 51 40S I 8?3
Address / City / Zip: ra- c't .EO- OLti M
CONTRACTOR Name: ?ro-it` `t' rO license#: (WOO& C>PM
Address: LJC= 15 ' 0R'(]A LU
Ciry: ??U I c?e State: A40 Zip: 5J"? 0`IT
Phone: R041R Contact Person: J ?
TYPE OF WORK ? New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
_ Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
C-- RPZ !/ PVB) C_ Main _ Lower Level)
_ Septic System
Water Tumaround
_
New
_ Abandonment
RESIDENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State 5urcharge)
`Water Turnaround (add $136.00 'rf a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $??
GJ O
?
I hereby adcnowledge that this infortnation is comoiPtP ann ???.?ye• H.?. .?,? ,...,.,. .._?? ?- '- ---°--- --- ... .. ..
cayan; mac i unaersrand this is not a permit, but oniy an appliption for a pertnit, and work is not to start without a pertnit athat theework wip?brye in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Appiicant's Printed Name
EOR OFFICE USE,..,,_
01 (a3'? MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits arc required for each unit
Date
Site Address 'C' Unit #
Property awner Telephone # ((.pvf f ) T V ? ? U I ?
Contractor G
j
Cit
pfififrA Il
1 0 12
y
Street Address
(i
.
State r)fl Zip ? Telephone #
The Applicant is _ Owner ?Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
l
t
? f
urnace rep
acemen
_ air exchanger fE r. ?$ p.?
airconditioner
other 1 Ill sU 3 0 200?
,
-?
State Surcharge $ .50
Total $ ?
I`hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ardinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
petmit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed ame ApplicanYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
??-A 3830 PILOT KNOB RDE ?
EACAN MN 55122
651-681-4675
New Construction Reauirements RemodellReoair Reauirements
• 3 registered site suneys showing sq, fl. of lot, sq. ft. of house; and all rooted areas • 2 copies of plan v a
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies ot plan showing beam & window sizes; poured found design, etc.) . t site survey for exterior addilions & decks
• t set of Energy Calculalions . Indirate it home served by septic system for additions
• 3 copies of Tree Preservalion Plan ii lol platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
SITEADDRESS 4/30d ? y
TYPE OF WORK p1Xk
APPLICANT KO "` e-U vf °Lo w `? ?_ '
MULTI-FAMILY BLDG _Y
_ FIREPLACE(S) _ 0 _X1
gy Code Wod
Q 7 20O2
STREET ADq[tESS 167,1o l- ^?j CITY JJ ?+^^ 4?ATE ?'?ZIP - 5'1a b
TELEPHONE # 93 S cCS -3_79 CELL PHONE # fl o FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE FOR KIVEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLP:S 7670 CATEGORY 1 ]? ?
(?1 submission type) • Residential Ventilation Category 1 Worksheet Submitted ?gw En
. Energy Envelope Calculations Submitted AU G
Plumbing Contractor: Phone # gy??
Plumbing system includes: Water Softener I.awn Spi•iiikler
Water Heater No. of R.I. Balhs
No. of Baths
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water CorrFractor.
Air Condirioning
Heat Recovery System
Phone #
Phone #
Fee
$70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 4114 4? Al _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
VALUATION G Uv
_?(N
_ 2
Submitted
Fce: $90.00
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
??23 Porch(screened)
? 24 5torm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - 5F
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
/?( 32 Addition ? 36
? Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* D 43 Reroof ? 46 WindowslDoors
0 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code A?W Zoning City Water
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Lengkh ? Fire Sprinklered
Type of Const ? Width 1?F
?-7-
REQUIRED INSPECTIONS
_ Footings (new bldg) Fina]/C.O.
Footings (deck) ? FinaUNo C.O.
Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
? Fireplace _ R.I. _ Air Test Final Windows (new/replacement)
? Insularion _ Retauvng 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
Capies
Other
Total
4-1, C?a. CJ (a
/y 3
;
Aug-16-02 07:41A P.01
'?+/l??' [c.? i v? • -- . -- - - - • v-?--?- -i..-`?,?,?Y!
? . a
NNChB[k CpYOLIAMCE RERORT
Minnesota Energy COde
MNCheck Sofrirare Versfon 3.0
/ Perwir J` /
/ Checked 6y/olate /
COIJNTY: pakOte
STATE: MinnB50=a
ZOAlE: I
cavsneucrrav rYpe: SfrrgTe Faei)y
uarE: 8-I6-1007
OATE OF PLqNS: 7-I5-0I
PROJfCT SNA7/PAL4TION;
JACK BERGEN
4300 trR,a CouRr
EA44N, AI9N
CAMPANY INFORkITICNy:
RONGOR CONSTRI/CTIOIV
10740 Lvrvu,qLE AVf. SouTH Sre. IIE
at00MIiv6-7r7N, A8y 55420
CQMPLIANCf: PA55£S
Required uq = 323
rour Haaw = 275
11.1% Better Than Code
Area or Cavity Corrf. G7azfny/aoor
verfnerer R-V81ue R-V37UB U-lydll/B UA
-------------------------------------------------------------------------------
cErtzNGS I764 38.0 0.0 53
wuaLts_ rtwd Frame, 16" D. c. I5540 29.0 2.0 97
GuZING: windaws or poors, Above Grade 366 0.350 228
FcO0o2s: Over Durside Air 266 38.0 0.0 7
NVAC EQt/lPwENT: Furnace, 90, p AFGE
------"'--"----------------`------------------------------------ ° °--------'
caMrGZavcE srwrEMEar: rhe proposed 6rri7diny desfyn described here is
consisTent wICh =he bui7ding p7aes, specifica[fons, and other calcularions
subaitied sfth rhe penoit applfcation. 7Yre propnse0 building has been
desiqned to eeet the requ9rewenrs af the 'A!!"ota Energy Code.
- { /
Builder/oesigner cOa[r n`'l?!' `6?-
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S. PETERSEN CONSTRUCTION. INC.
4701 VVEST 110rt[ STREET 884-5144
BIAOML\GTO4. MP.VNESOTA 56137
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CITY OF EAGAId
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
G?zo ':ra 995
0?/'-9/no
BUILDING
026987
02/68/96
SITE ADDRESS:
4300 LYRA CT
LOT: 6 BLOCK; 4
WTL,pERNESS PARK 2ND
P.I.N.: 16-84251-060-04
DESCRIPTION:
(BRTHROOM)
ermit Type 5F (MISC.)
Type AI.TERATION
e ""x 434 NLT. RESTDENTIAL
gn??
?iI?% r?v
?a $+ 3iE 3rs bm
? na ?s a?
a&r i . ??. ?a«^'
REMARKS:
FEE SUMMARY:
gase Fee
SurchargE
Total Fee
VALUATTON
$124.75
3.50
$12E.25
';a 'T
M ?
V4
iz+ ns vstm x?*„ ?%= a efiZ+sT Z B
x¢f
$7,006
CONTRACTOR: - ,qpplicant - sT. LIc.OWNER:
D J'S HAMDYMAN SERVZCE 14237168 2000015 BERGEN JACK
13836 GURRANT CIR 4300 LYRA CT
RCJ5Eh10UNT MN 55068 EAGAN MN
(612) 423-7168 (612)405-1813
-
P P, L CA) ! ERMITEE SI?GNA RE ISSUEI?J? Y: IGN ?UHF I
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026987
02/08J96
SITEADDRESS: P-=-N.° 1e-84251-06e-04
Lnr: 6 BLOCK:
4300 LYRA CT
WILDERNESS PARK ZND
PERMIT SUBTYPE:
sF (mzsc.)
4 APPLICANT:
D J'S MANpYMAN SERVICE
(612) 423-7168
TYPE OF WORK:
ALTERATItlN
OESCRIPTIpN (gATMRppM)
INSPECTION D. . ..
FRAMING RQUGH IN PLBG <
ROUGH IN HT6 FINAL
?
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GITY OF EAGAN Z? ??-
3830 PILOT KNOB RD - 55122
^
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements RemodeVReoair Reauirements
? 3 regislered ske surveys ? 2 copies ot plan
? 2 copies of pians (inciude beam & window sizes; poured ind. design; etc.) ? 2 site surveys (exterior addkions b decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies ot tree preservation plan H iot platled aRer 711193
required: _ Yes _ No '
DATE: ?/ CONSTRUCTION COST: ?r' `9 CD
DESCR{PTION OF WORK: `-3 ? ? o f?? +? « ?'-? va L
STREET ADDRESS: 13 p d ?`Z C-o C^-
LOT b BLOCK SUBD./P.I.D.
PROPERTY Name: -Z-ac- Phone #: 3
OWNER ?? iIR6T
Street Address:_
City: 1 roti;`? ?. State: 1-1,411_ Zip:
coNntacroR Company: ?,T pm a 14 54PiwtPhone #: ? 23- -716 19
Street Address: 1 "1 $3 6 Cu vvr,t-?.? C License #:11,V200??lf- I -
City:?DSPcv?pG ?-- State: AI 'l1/ Zip: ?`'V65;
ARCHITECT! Company:
ENGINEER
Name:
Phone #:
Registration #:.
Street Address-
City:
State:
Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issueci.
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 Ciry of Eagan Ordinances. ?.
Signature of Applicant: ?
OFFICE USE ONLY :5RI ???? V E ?
Certifcates of Survey Received Yes No ?? ??N96
Tree Preservation PIaR Received Yes No ""-- "----
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch a 09 12-plex
,0" 05 SF Misc. 0 10 _-plex
WORK TYPE
? 31 New =EK--33 Alterations
? 32 Addition ? 34 Repair
GENERAL (NFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt.lLodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace o
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscetlaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Ptan Review
License
MCNVS SAC
City SAG
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total;
MC/WS System
City Water
Fire Sprinklered
PRV?
Booster Pump
Census Code. 9'
SAC Code Di
Census Bldg i
? Census Unit °
_ Engineering Variance
Valuation: $ 7r 00-o ?
% SAC
SAC Units
? i ?
1991 BUIL rDING P IT LIGATION
CITY OF EAGAN
t
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS
1 SET OF ENERGY CALCULATIONS 1,SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIREU. NO CFLANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCE55ING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT HUST SHOW A LICENSED PLUMBER.
GFE'v'T\l.?.vE.?G f4D? iT[O ^' P1ND ll
To Be Used For: gie,,tr_oo,rn r4n?isy Valuation: ? Date: Sb-tg 'T I
5ite Address -t3po LXP,-A CT .
Lot L Block ?
Parcel/Sub t'fih.A 1nl.?
Owner C^Z'NY
Address LXRf} C'?' •
City/Zip Code G- f-lcGR X) -,S l?-3
Phone 60 F 3'- '7`(g 7
Contzactor E.(E?tTA?,? Pv??-DE6Z S
Address :jl S,;o pAj ?n1?oe'r ST',
Y11 N
City/Zip Code S.S
Phone
Arch./Engr.
T7, D DU ' OFFICE USE ONLY
Occupancy
, Zoning
Actual Const
Allowable
# of stories
' Length
Depth
S.F. Total
iFootprint S.F.
_
On site sewage_
On site we11 _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit qa . 0.7
Surcharge
Plan Review
SAC, City
SAC, MWGC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL q3• S'?
Address - l
City/Zip Code
Phone #
Sewer/Water Liqqnsed C
agrees that all wolrk shall be done in accordance with
(Signatu=e of/,Zontxao+Eor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?? . .
11196
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE:
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[]ST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
looo aPR 2 7 REco
To Be Used For : D2c Valuation: 43-uv? Date : 7'- ? d
Site Address q36Q L. yV-'n' C'-"t`
I
Lot G Block ?
Parcel/Sub 1 6,,&LlmrJ,L T'fuAl IllA
Owner
Address ? 3(so Lv rG C?'
City/Zip Code
-U
Phone 'q Y Z- 7
Contractor
Address Ujx ti-m raLy, ?
City/Zip code ,(? MOCI
Phone DqJ Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Sooster Pump _
APPROVALS
Planner
Council ??
Bldg. Off. ?}
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
? i
Z-'?
.SQ
400
1?-
Phone #
.. ea
C
h
?
r?
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S. PETEASEN CONSTRUCTION, IrTC.
4701 V4EST llartt STREET 884-5144
BIAOMQdG7'ON, M3NNESOTA 55I37
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S. PETERSEN CONSTRUCTION, INC.
4701 WEST 110Te+ STREET 884-5144
BIAOMINGTON, MINNE30TA 55497
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN °
3830 PILOT KNOB RD - 55122
q?(^ 651-681-4875
y?
New Conshucflon Reauiremenh p - ----
?J'
? 3 regiatered sife wrveys showlnq sq. R of loi, sq. R. oi house
and g?l roo}ed areaa (20% maximum lot coveraae allowed)
> 2 coplea of plans (show beam d wincbw si:ss; poured tnd. dealgn; etc.)
> 1 aet ot energy calculanons
> 3 cop(es ot hee preservaHon plan It lof platted atter 7/1/93
DATE: 5 la,? Co
DESCRIPTION OF WORK:
• : 1! •? :-1113-)r:- 7?iL ?li:u:S?i r7
2 Coples o( plan
1 set of energy calcWatlons tor heated dddlHau
1 site wrvey tor extedor additlons & decks
CONSTRUCTION COST: ? 13 SQ C4, 0o
*?r o°'T ( '' P.'a-1 -
STREET ADDRESS: Ll I C"O L y (2 C?4 - -
LOT: ? BLOCK: 4- SUBD./P.I.D. #: WI WPNheSS 6PC 44
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: 52 6- 1L Phone #: yo 5~? sa ??,
- Lost FltSt
Sheet Address: k
City t 2 a 2? State: M? Zip: ? S? 2?j
Company: M?? -5N r, ? 12 L. 410 Phone #: `A`A'7 '
(area code)
Sheet Address: la"' ? 12 kz ? ? -r.. =16, -_ Llcense # `?-(oTExp. I --) I1
Clty --4 a-y zove. State: C'r1'?%4 Zip: s S3. 2B
Company: Name:
Telephone #: ( )
Slreef Address: Reg(shaBon #:
Ciry
State:
Seweriwater licensed plumber ((f installina sewerlwater): Phone #:
Zip:
I hereby acknowledge ihat I have read fhis applicaNon, sFate that the tnlortnatbn is cortect, and agree to comply wNh otl appAcable State
of Mlnnesota Sfoiutes and City of Eagao Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
r/3<? a.7
2006 RESIDENTIAL MECHANICAL rERMiT ArPLicaTioN
" City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permi[s are required for each unit
Lb S?
Date
Site Address
Unit #
Property Owner`Ig ( ,? u 1 Telephone #( )
Contractor \ Jl 1 1 L.'
Street Address a ?oO Vvv '#\/v V. City
State Zip ? Telephone # (q bb _/Lo- (wc
Bond
Expires:
The Applicant is _ Owner X Contractor
Add-on or alteration to existing dwelling unit
_ furnace _Additional
air exchanger
? air conditioner
_ heat pump
other
,....- - ----?------ -- ?;?
- '
J U N1 t. ZC06 11 ?
' .I J
State Surcharge
Total
$
$
30.00
.50
I hereby apply for a Residential Mechanical Permit and acknowledge that the inf'ormation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permil; that the work will be in accordance with the
iipproved plan juthe case of work which requires a review and approval of pj?ps.
Other
$
_Replacement _ New
Applicant's Printed Name kApplicant's Signature