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4265 Nybro Lane N Ln _ .? ? .??.s? 1 A? A e G. _ + --- 5-? L ' t LLI-X 3-s-q- CITY OF EAGAN Remarks Addition k1ILDERNESS RUN 6TH ADDITION Lot 5 Blk 3 Parcel 10 84355 050 03 Owner IkL? Aj, - Street 4265 North Nybro Lane State Eagan, Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? 1973 2 8 20 1 7Z. SrJ A012772 9-16-83 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1 86.54 A012772 9-16-83 STORM SEW TRK 9_. 161.46 A012772 9-16-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 450.00 36453 6-15-83 SUILDING PER. SAC CIO 11 ti PARK , ` CASH RECEIPT CITY OF EAGAN 3795 PILOT KNQB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I -' de DOLLARS - ?oo ? CASH ? CHECK 4Vhite-Payers Copy Vellow-Posting Copy Pink-File Cqpy Th You BY Receipt ? 1. Date 3. Job Address MECHANICAL PERMIT Permit No.. = CITY OF EAGAN Fee ` Fill in numbered spaces S/C ' TypB or Print legib/y T t ` o . _2. Installation Cost Lot ? Blk. Z Tract~ ? 'c ?1 P.a__ - -v,n .;, ._., i ? ,:J.-• . ?? City State Zip 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe Fuel Type 11. No. Equioment BTU - M. Ea. Forced Air . No. Equiament CFM Ai H li Mfg, r and ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. ' Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Phone ? - 8. Building Type: Residential O Commercial ? Institutional ? cirir oF EAG?N • . ` 3795 Pllot Ksob Road Eeqan, MN 56122 $ IAS VHOIi[: I54-8100 • BUILDING PERMIT Receipt # ! y =? Te be wed hr SF DWG/C?..P. Est. Vo1ue $70,000 Dcte Juue 15 , 19--.?-L S7te Addrcu 426S N. P1yhro Lane Erect Xg Occuponcy 'Z- 3 Lot 5 Block_.3 Sec/5ubAilterness ?un bth Alter Q Zoninfl tZ-1 Parcel # 10 0+355 050 03 Repair ? Fire 2one i" t? Enlarye 0 Type of Const. V W Name Tilsen Homes, IriC. Move p # 5tories - t z qddress 627 So. Snelling Ave. Demolish ? Length.64_ le-....Ct-- P9„1 S51 1 h oL___ F,UR-SSf11 /777-L7f14 Grode n Death1Il-Sa. Ft. ? o Name _ ? 89 Addreu 1- rip., I hereby acknowledge that I hove read this opplication and stote that the intormotion is correct ond agree to comply with all opplicoble Stote of Minnesote Stotutes and Ciry of Eogon Ordinances. Sipnoture of Permittes Tilaen Homes, A Building Permit fs issued to: oll work sholl be done in atcordance with oll apolicable State o- Buildlnp Officfol Assessment Water & Sew. Police Fire Enp. Planner Council Bldp. Off, APC Permit 54J. VU Surcherge 35.00 Plon check 171.50 SqC 525 _ t)0 Weter Conn. l,';Q rli " Woter Meter 61• "?J Rood Unit - - .4A Total 51584.50 on the expreu condition thn+ ond City of Eeqan Ordinonces. `?• Parmit No. Permit Holder Misc. Parmit No. Holder P 3 5'?"'J 7-?]? ? I tJ '7'?3 5awor ENetric Irnpaction Oste Insp. Other Footinqs (j'+5,83 Qr-- ? Foundation Framinp Rouph Plhq, s l ? Rouqh HVA * HVAC Final ? wowr Detcribe Location: Well Savwr - Pr. Disp. `' .3 S5s Receipt ?LO-7 PLUMBINGPERMIT PermitNo. ' CITY OF EAGAN Fee FrIJ in numbered spaces S/C Type or Prini legibly -- _ Tot. 1. Date?f?x> f?'S 2. Installation Cost 3. Job Address LotBtk. ? 4. Owner 5. ;.? 11:7, "C- 6. Address '?, 7. City State - Zip 8. Building Type: Residential 0'- Commercial O Institutional O 9. Work Description: New Pr Add ? Alter ? Repair ? 10. Describe 11. No. `=-- Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank _ Lavatory Softner ?f Shower y??-?? -- ~?-? . / Kitchen Sink Urinal/Bidet ' Other 3 d Ll ? 0 Laundry Tray ? , '? Floor Drains ? Drinking Ftn. ? _ Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when nutribered and approved. Approved . f_?%% •`.? rk .'i'.?.o..E; •- CITY OF EAGAN 464-8100 130 Pilot Knob Road O. Box 21199 gan, MN 55121 ?san. ro eemvy wtlh K. Cih ,f Ep,. Ordlnone,et, CITY OF EAGAM 3830 Pilot Knob Road P. O. Box 21199 Fagan, MN 55121 Zoning: OW?1lr: 1E9 wddrcss: Sice Address: '•2f.5 ;c ii b='O L! Piunber: t-•--_.in? Meter No.: Stze: -- Raader No.: I agrew te eomPh whb MN Ciey e# Eagan Ordiaeecn. By Date of Insp.: SEWER SERVICE PERMIT PERMIT Nn • - ?. ? Connectfan ChorQe: nd Acca,nt Deposit: Pe.mlr Fes: - I1 'in Surchorge: Misc, phorgm Totol: Date Pofd: WATER SERV ICE PERMIT PERMIT NO.: DATE: No. of Units: I Connection Charye: _ 4)0.00 pd Actount Depostt; Permit Fee: j?•;?r ''?? Surcharge: Mlac. CFarpes: • '- : c ` e ? Totol: Date Paid: / / ?. 3 ? ?? ? ? ???? ?? 5?? ?? ,---- ?? ? ? ? y • ' CITY OF EAGAN N ? 814 $ 3795 Pilof Kaob Road Eegan, MN 55122 • PNONl: 434-6100 ? BUILDING PERMIT Receipt # ?3 - Te M wed fer SF DWG/GAR Est. Value $70,000 Oate June 15 lq 83 SiM Address 4265 N. Nvbro Lane Erect 7a Occupancy R-3 Lor 5 B lock 3 Sec/SubT^'ilderness Run 6th pirer ? Zoninq R-1 parcel # 10 84355 050 03 Repnir ? Fire Zone NA V Enlarge ? Type of Const. rc w Name Tilsen Homes, Inc. Move ? # Stories Z 9 Address 627 So. Snelling Ave. pe,,,ol;sh ? Length 64 c;r„$t_. Paul 55116 ph?,,. 698-5501/777-4204 Grade ? Depth 30 Sq. Ft.- o Name OW1er Avvo.al. Feas Address Assessment Percnif 343.00 Water & Sew. Surcharge 35.00 Cit Phone Police Plan check 171.50 p Nome ?w Fire 525.00 SAC Address Eng. Water Conn. 450.0(1 <WCi Phone Plnnner WaterMeter 60.00 Council Road Unit XXOM- NA I hereby acknowledge thct 1 have reud Ihis applicotion ond state tMf gldg. Off. Ihe intormation Is correct and agree to comply with all opplicoble APC Tofal $1584.50 $tafe of Minnewfo $tafutes ond Ciry of Eagon Ordirwnces. Signature of Pertnittee A 8uildin Permif is issued ro: Tilsen Homes, Iil g presl cordition Ihat on tha ex oll work shnll be done in occordarKe with ull oPPliSalfJ4 S te i newta Statwses and City of Eogon Ordinances. Building Official (trrtifirttfe nf (Orrupttnry Citp of (Eagan Drpttrtttirnt nf Buithing JmVrrfimi Thir CMifitate rnued pustrrant m the nqninnirnu of Sertron 306 of the Uni(orm Burldin8 Coda urtifpng that at the timr af irruana tbiJ ururture wut in comPliancr with the variow o.dinaruer o f the City regulating building conttruttion or Hfr. For the follourng: SF DWG/GAR 8148 Ihe Chufiradm BIAd Rmnl No. a..?rra R3 rywc.wm. V FiRZ. NA zmymn.« Rl n..,...,samnm. Tilsen Hnmec_ Tnr_ ....r627 S. Snellin8 Ave. _ St. 1?1_ 42bS N. Nybro Lane ,__,,,_Lot S,Block 3,Wilderness By Run 6tt September 7, 1983 ?.,.a. ;eim??°ns ?,oml° 7? 1?rld.F.a?nEss 3?f 7 0R??7_7_ ?,u^-i+h G?l ?oa Fenuest Date Fire No. flou0?*in InsVecti7 Required? Reatly Nuw?{VJili Nntify Insuec- 0 7-5-19e3 cs ?No Ior When fleedy ][R] Licensed Electrical ConVacmr I hereby request inspaction of above ? Owner electricel work ingielletl at Sveet Address, Box or Foute No. Citv 4265 North Nybro Lane Eagan ecLOn o. TownshiD Name or No. Hanye No. Covnty D8k0 te. Occupan[(PRINT) Phune No. Tilaen Homea Power Supplier Address Dakota Cty. Farmington Elecvical Cm[ractor ICOmpany Namel Cnnvactor's License No. O.B. Thompson Electric Ca. A40602 Mailiny Address (COnVactor or Owner Making Instailationl 12201 2$tka Blvd., Mtka 55343 , ?., Authorized Sidnawr(Convactor/0y-ner Making Insta , tion ? l a ? F Pho 9?3?"'1S21 ?. , i.??i'%:. ?:?:••J r:i....r:LJ._. MINNESOTA STATE BOAPD OF EIECTflICITY THIS INSPECTION PEQl1EST WIIL NOT Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOAHD UNLESS PROPEfl INSPECTION fEE IS 7821 Univerei[y Ave., SL Peul, MN 56104 ow....e 1w111 In77111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ;.> _ .' See inatruclions for completing this torm on h,ck of yellow copy. " X? BeloO V Veted by This Request 3?pq q S Ney, Adtl Hep. Typg ot Building Applinnces Wired EquiVmen[ Wired icx Home Range .00 Temporery Seivice Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg. Furnace 2.50 Silo Unloader Industrial 81dg. Air Canditioner Z Bulk Milk Tenk Farm Bfig • 0 tne, (s,,.div) thnr SVecifV - 151h., Othe.r Campuie Inspection Fee Below # Fea ServiceEnVenceSize k Fee Fexders/SuMeedars k Fee Circuits U to 200 qm s 0 to 30 Am s 8 20.0 0 to 30 Am s Above 200 Am ps 31 to 100 qmps 31 to 100 Am s Swinming Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Booms • Partial-Other Fee Signs SUeciallnsUection $ ? Remarks Pink HAll 47-50 T iA?'7E/7Pl/ Fovgh-in ? Da?tE - / ? ,h ? specfoq hereby th lif t th b Final ( %?/? cer y e e a ova nspection has been meGa. This raGU08t voitl 18 months Irom r RESIDENTIAL . BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT NNOB RD, EAGAN MN 55122 O b 651•681-4675 New ContWCtWn Renulrememf • 3 registered site surveys showiig sq. R. of lot, sq. R. of house; aM all mofed areas (20%marvnum lot caverage allowed) • 2 coDies of plan showing beam 8 vrindow saes: poured found desgn, ek.) • 1 sM of Energy Calculations • 3 copies of Tree PreservaGon Plan if lot platled after 711/93 • Rim Jo'st Detatl Optlons seleUion sheet (ddgs xith 3 or less unils) DATE '--) / I 3/02 IZ'?s •2J RartadellReoair Raauinmertls . 2 copies of plan • t sel of Eneryy Caladatiorks for healed addAians • 1 site survey far exterof additioiu 8 Aecks • Indicate il home served by uptic system for addifions VALUATION 51 k-0 Z • ? SITEADDRESS qZ-sS til - r..1s;Abv-c? Ln?e. MULTI-FAMILYBLDG _Y _N TYPE OF WORK _T/ i'? ThL?o-Pir-?o. FIREPLACE(S) _ 0_ 1 _ 2 APPUCANT STREET ADDRESS Aq C?, c-x ?,I v7 CITY STATE_ZIP TELEPHONE # 4$G 1 q?Ln CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# U4Z? qZ':S(zk c --"""--' -' -' --"-" --""""""'. -' -"' -"-""-"-"""-"."-"' -"-"""""""""' COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY I MINNESOTA RtiI.ES 7672 (J submission type) • Residendal Ventilatlon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envebpe Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. V[echanical sys[em includes: Sewer/Wafer Contraetor. _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 ---°---°--°.°----------°---------°------------•------------°-----•-----------°------------------------------------ I hereby acknowledge that I have read ihis application, state fhat the information is correct, and agree to comply with all applicable STate of Minnesota Statutes and City of Eagan Ordinances. Stgnature of Appliccnf OFFICE USE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 37 6ct. Aft - Multi O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (EnUre Bldg only) - Give PCA handout to appli cant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Foatings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frazning _ Siding Stucco Srone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Relaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CTTV OF I-A(,AN CAEiH7:ricc ., f'IERMINAl._ NC): 674 L{ATE; 0405/99 T'7MFa 14.40:0 ID:; hAhtE.: S r+ crMPnNi:,-s 7:NC 320 9001 4265 NYBRQ L.N N 60.00 205 9001 4265 NY}sW;C) LN N n.;,Cl '1"ol:a:l Rereipi; Amouri9: 60.50 Ck:l Or:,4".i3 U3f-_:R .T.D: NAN(:Y :XBc%<"?crFXEyFyF>k%k?kt?iF?tkokW.>K>k>Y? 'M?k%k?k???'F?%%K??>k?'nk'%k%cYF?C • ? ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651•681-4675 ?r New ConstrucNon Reauirements Remodel/Recair Reaulrements ? 3 registered sBe surveys showtng sq. B. of lof, sq. fl. of house 2 coples of plan and all rooled areas (20% maximum lot coveraae allowedl 1 set of energy calculations tor heafed addRlons ? 2 copies of plans (show beam S window sizes; poured tnd. design; etc.) 1 ske survey Fa exterlor addHions R decks i 1 set of energy calculailons > 3 coples W tree preservation plan H loi platted alter 7/1/93 DATE: y Z' S? 9 CONSTRUCTION COST: eaJ DESCRIPTION OP WORK: ;?3CIC STREETADDRESS: 1Ia6S N?/G,2o .cAJ?-S ? LOT: S_ BLOCK: 3 SUBD./P.I.D. #: WdCK2A h.t,-LJ (C) l.K Name: 7X/1 tT lK0yC0 Phone #: 6rgS -??3Pi PROPERTY Lan FGSt OWNER Street Address: y??6S City (:%j'G' A.-..? State: Zip: Company: 31 f-?• ?'er?p,o..? ia? -F.u Phone #: 6157 306 - 2 z S y (area code) CONTRACTOR Street Address: yS?/ A?ywARo PQ ? License #eFV2 Eup. 3-3(-s9 City DALq /c;s- State: Jyin) Zip: SY/Zg ARCHITECT/ ENGINEER Company: N? Name: Telephone #: area code ( ) Street City Sewet 8 water Itcensed plumber (reauired for new construclion oniv): State: Penolty applies when address change and lot change is requested once permit is Issued. : I hereby ocknowledge that 1 have read this appilcaftan, state that the informafion is correct, and ? State of Mlnnesota Statutes ond City of Eagan Ordinances. ?-) n irr Signature of Appileant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Registration #: Zip: T?=± Tree Preservation Plan Received - Yes ^ No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE •- , . ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of_plex ? OS 6-plex ? 13 16-plex X 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE )< 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) ?(,J Basement sq. ft. Census Code 434 (Allowable) S•T Z Main level sq. ft. SAC Code ? UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS , Planning Bu ilding Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other , Copies . Total: ' SAC Units % 5AC << f I I ' ? $Sb? r ml? ? P??E LiNE 8s8 N, ,<'E/?? C??PvDE?4TY LwE ?a-?;, 7l IQZJ S N f ??rr aa' _ ? UNr ? -----_ ? ? T - -__ -...----- -- ? c,,<<d-"kass 2Jn -rL ' N, OVy 6 V'o L.aN.t D ? ? r ? rriz-o NT PRoPF. (Z.TY _ L.I.N E \OUSE __ ? \ \ ? ?6 C ? 3' a- c? 1 I 7"lLS?N f??ES f L oT aLac k I N, N bro G,ac,? LaT -PL AN 3Q+? -t c o.?;-o -2D- I L-99 1999 FIREPLACE PERM(T APPLlCATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: 3 -ke- f ! Descriptian of Work: Job address: Lot: _ °_f? Block: ? Subdivision/P.I.D. #: ? ?\" ? ? , , Applicant (circle one only): Owner Conh-actor Permit Fee: 560.50 --c'q R-T-?- Name:QOJC2- 4--C-R-«-o( V^'?«:?- CC-rUI Phone#: I lQgg?- ta30 PROPERTY Last First OWiNER Street AddressAot,(,o- + ? ??-? • ` ? ?V ?A, bm i 'Nl Ciry ii-f ?\ Statn: t"+ N Zip: ?Sl 2-? Company:) A-V,F WOpD .L.?N?.Y ? a r S Phone #: FIREPLACE t INSTALLER Sueet Address: } ?S S??, 1" ?? I? S T City S'TILLUJC^? State: (Vk&) Zip:g2-- Pkone #: GAS LINE INSTALLER Street Address: City State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Ste of Minnesota Stattrtes and City of Eagan Ordinances. _- ? iA. _ /1 e? r?f?(F?R I1\\'i i Construct new ficeplace _ Alterations to existing Ins ll ?as iiisert onlv _ Install gas line o?elv ?C Con?F?RY- sr'?d?`?a ?,kDoob i? ,,`,qR 1 5 ISSD OFFICE USE ONLY BUiLDINC PERb'I?T TYPE ? 14 Fireplace WORK TYPE ? 31 New 0 32 Addition ? 33 Alterarions ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. < ,.- ? S ? i I ?i ? ?r / NQ ? w UNC? gal ? \ouSE ? \ \ i ? ??` -------?1 , ( LOT bIOG K G?i?t??k.a.s.? 2J+1? ? los' bvd c..R.? I 1?0 r I ?onfT._r?Rai}FR.TY ._LI,NE ?f' Ne /V Yo L.a.H-e' LC]T -P L AN i I ? LWE _- ie??,-r-I I?L?J C POS4 eteo.) I .? L"_ Z? EXTERIOR ENVELOPE SPACE "U" COMPUTATION (To be submitted with building permit application) One or two family dwelling Owner CL1w1TOt.1_. An1D. BITQic?A ?? - All other _ Site Address q.?? A?YB? ???, Contractor 'TILSEIJ ??E`j `TiJG ? Datey - IQ - Yhone LINEAL FT. OF EXPOSED WALL 23+??+'?+_?.+T+ ^+` +`R 14 ft. abov?,grade° 2??? ? L ?XP03ED'4)ALL AREt1 SQ. ? Q• FT. _ ) i4g4 TOT A OPAQUE WALL CONSTRUCTION: "ll" Value X a rea +b --?- G.V?! 1D ?? ??U?? g sq. f?? _ - (U) (U) (A) (A) lUlr ??U?? g sq. X sq ? ft. g4..1 ?U? ft. ?rI(aQ.Q (A) Detail reference ?_?iC ???tME w ALI. _ nUu . .. . g sq. _ ft. kU) CA) fXOm attached aheets tAf_1f[2'F'rE oll U -? q ?, J?z _ - (U) ? (U) (A) (A) „ ll X $ , ft. _ ?U) (A) IIUn X sq. ft;. WINDOWS: "U" VALUE X AREA I?1r.3OCk1s ¢ ?tT10 ?3 ??? ? ? Make & type u1%T]? a iX sq X sq :iU:l X sq n- ii --" -? - nUn g sq DOORS: "U" value X area 'bpQiZ^O e = sq. ft. > . sq. ft. = sq. ft. sq. ft. = sq. ft. sq. ft. _ 'sq. ft. ft. I ._(U) (A) ft. (U) (A) ft. ?°- • ? (U) (A) ft. (U) (A) Make & Type -: (U) (A) n ? . IC. ?`-1C?° uUn_ ?3 X sq. ft. ?•N-O - Cll) ' 4 -? (A) Ulf_ . i3 x sq, ft. • -Cu) ' (A) sq. ft. (U ) ? (A) flUill X sq. ' ft. ._._ 1? --- - - ?C)c2 a?-?a , . ? S' ? ? • TOTAL$ ' '2Z?T ? - sq. ft. (A) TOTAL (U) (A) VALUE • DIVIDE D BY TOTAL WALL AREA244,O AVG. U AVERAGE "U" CONSTROCTION FRAMING 1. 2. 3. 4. 5. 6. 17 or less for 1& 2 family dwellings 22 or less for all other buildings R-Value ?o _-? ? ?. 2?Cd• 3 ? . ROOF/CEILING: O sq. ft. ?6 TOTAL AREA: • X sq. ft ' U' ? ?7?. ? ? •_ :r C? (U) ? (A) Detail reference _ X sq. ft. (U) (A) from X sq. ft. _ (U) (A) attached sheets ft "U" X sq. ? (U) (A) Describe openings 11U11 g Sq. ft. _ - ?U) (A) in roof (U) (A) VALUE& TOTAL OOTALS $9• ft•(U) (A) DIVIAED BY TOTAL ROOF/ ( Z 3?0• O ? CEILING AREA AVERAGE "U" .OS for ventialated roofs .10 fnr all other construction ROOF/CEILINGF R-value • .`-7 . 2. S?L '? ?-1- , 3 . U - , + ? 5. (o 25 6: NOTE* . if average "U" irements, values as calcula[ed above do not meet the EnergYbeousedequAdditional ) ta 006 ( the "Alternate. Envelope Design" as outlined in Y SBC 6 B aheets may be used to show calculations. . .: , ' ? y . GITY OF EAGAN CA,HIEF'c S TL.RMINFlL N0: 909 DA'rE. 03/17/99 TIME.: 15:1.7:4'i ID? Nd'iME? METR4 FIFiFF'I_FlCE TNSTAI.LATIONS 32:1.0 3001 4265 NYTihO LN 60.00 21.55 9001. 4265 NYFtRQ L.N 0.50 Yn+, a1 fiacei.pt Amnunt : 60.50 Cfi 104 0?8 USF..:k ID: NANCY ? City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Permit Type: Building Permit Number: EA034708 Date Issued: 03/16/1999 Site Address: 4265 Nybro Lane N Lot: 5 Block: 3 Addition: WILDERNESS RUN 6TH Description Sub Type: Fireplace Work Type: Alteration Description: Free sYanding stove Census Code: PERMIT UBC Occupancy: Construction Type: Zoning: Squa?,e Feeia&. Remarks: Cbimney/flne mnst be inspected be£ore r„oncealing. Fee Summary: State Surchazge - Fixed 0.50 Permit Fee - Fixed 60.00 $60.50 6 651-688-9238 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable SYate of Minnesota Statutes and City of Eagan Ordinances. COI1tYRCfOY: - Applicant - OWner: Lakewood Interiors St. Lic.: Royce Tyre 115 South Myrtha Street 4265 Nybro Lane N Stillwater, MN 55082 612-439-5986 Eagan, MN 55123 Applicant/Permitee: Signature sued By: Signature c 451w, 1.g'y,- 4 city oF eagan THOMASEGAN Mayor September 16, 1997 PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Ccuncil Members THOMAS HEDGES Cliy ACminisirator GLORIA PINKE, MANAGER DAKOTA COUNTY ASSESSING SERVICES ADMINISTRATION CENTER 1590 HIGHWAY 55 HASTINGS, MN 55033 Deaz Ms. Pinke: E.J. VAN OVERBEKE y[/ Ci}y Clerk Please find enclosed the documentation I have received from Mr. Royce Tyre, who lives at 4265 North Nybxo Lane in Eagan. Mr. Tyre feels he is eligible for a temporary property tax adjustment because final repairs to his properry resulting from the May 19, 1996 storm exceeded $5,000. It is my understanding that this property was not picked up eazlier because no building permit was applied for when the work was completed. The City is not going to pursue the permit issue and certainly has no objection to the property being granted a temporary property tax adjusUnent, if it meets the eligibility standards upon your review. Thank you for your assistance with this matter. If you have questions or need anything else from the City, please call. Sincerely, E. J. VanOverbeke, CPA Finance Director/City Clerk cc: Royce Tyre Dale Schoeppner/Parcel File EJV/vmd MUNICIPAL CENTER 3830 PILOT KN08 ROAD EAGAN. MINNESOTA 55122-1897 PHONE. (612) 687-4600 FAX:(612) 681-4612 TDD. (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN Equal OppoAunity/Affirmative Action Employer MAIN7ENANCE FAqLITY 3501 COACHMAN POIN7 EAGAN. MINNESOTA 55122 PHONE'. (612) 681-4300 FAX.(612)681-d360 iDD'. (612) 454-8535 SER 16 197 06:37 MIMIERPOLIS,s1N P. * * OLD REPUBLIC . Nfftio??? ?urmice Company 400 SOMM Avwm Soud, MinneapoAs, Nruiesota 66401-9469 (918 sn-t74 ? ' FACSIMILE COVER SHEET DATE: 7///'g 7 TO:. 45:!F-ic-E- Fxolvt: PAGES: (TNCLUDING THIS PAGfi) ? MESSAGE: -T2> P/FI''iA b'e' FiQ?! /YAY 0 ,, /97 ?/!z'wl?/ 1 f?v?` .4?v Es ?7?'7 /?-T? ,.,? 20 0 ?,?v - "P/ Tio.yAG- G e,.5 r..s FarP //1eS1,G .*?iaw Please deliver this fax to tha sbove addiessee. Tf you did not receivc aU of the pagss, please advise st (Ext Thank you. O[.r[t FA7t NUNIDm rs: (612) 371-1116 http://www.oldrepnatl.com Still the Higheat Rated Titie Insurer in the. Nation! Old Republic Duff & Title's Financial S&P Phelps* Moody's LACE Demotech .?fge ?I?{RLrO ?:?;s.?. ?.Jr,?i?r.' ..? iSr?' ?^,Y;'i,Y' b,?4? ? il,yi,F . . • rii;f.Yi In ] 996, Duff & Phelps, the first "fu11 service° raring agerrt to provide ratings on all savea national ritle msurance groups awarded the pld Ropu6lic Tetle Gronp a AA- rating*, the highest among the natioaal title insurers. We also received our 5m oonseeutive claimsPpylnB abUhy rating oYA+ froro Standard & Poa'a - the highest rating given by S&P m any titIe insurer end the title indushry's highest tatings ewardad fp date by Moody'a. LACE and Demotech. * Dld Republic 11le hae doolilmd W enter inW n fomtai Rd1W 761atSonship MtA DCR. Alllwugb p,rpWn uon•Wblie informt{bn roquesEed by ACR hns been provWra by O1d Repuplic Tifle. W teting Y noe supported by a eoefrtolual agaane¢tthft requires OId Repu6lie 71tle tp kycp pCR Idly ipfptmed otall' lUwre devdapments t6u could a[Rct the reting. 7'hs ratmg ispmvlded by DCR as axnlae to Mose o:gmhatioiu wd'mstidutlorm tlret uu aed poWtsh ACR mtinsa. r.? R-96% 612 371 1116 09-10-9'? 07:36AM P001 #03 SEP110 197 96:37 MIIWEAPOLIS,_MN - ET?' f.+pn 6['AtE inY Oamro6 DMWrP1dN8 8fA8? WOggDA1Y Tfl BE PMMRMED AT: NPI ZIP d0173 1ROP084LNQ 17eplace siding, So4?t, and Facia dne to wind daarage with (9ray doublo 4112" Vmyi I,aP Siding and Yflhite Soffit and Faoia. 3tyle anQ color of cxisting Siding, Soffit, and Facia is obsolete because of age. Ltcludes- Disposal of earisting metexials.- rn'ay Double 41/2° Vinyl L,ap giding. White Sofnt and Facia Housawrap, FasteBatg ]•Iardwere aad Cau3k PRf1POSdLINCLUA6S A!A'!'PJlLILMDlABORAS'RQU/kED 1Ne9CCQRQiNC$ ffT77t' 778+l8J7BSPJ?.^lAIC.l7901JS MRTW SUMOF $6?500.00 rArnrznirmM,vAnar,ss`MVcows ----_____._, DOl.L9n NNFDOWN EPl?IPH ST,1 NT A4TE. BRUNCL 0l.? ONCOd?18TTONL14Y'6 AU27RM28l1 70 CCwf .wwlrAG7ORYAND?lREHkRE8Y?ICC?Rl7$A YOUARE PL8TS7NlSCON7RACTAS?FI'JAILD. PAYbfd'MMIL9FA9?"sASOU?'LlN8,fB0PE SMNATI/REQRCONJ'.fIVP AOrHOBIZBDS/BNATURE A.I7FGl?'A ? COHPJP06 nRAffirt9DCNfRTflV{ rp?yqW?O?f ?1L luon.LVK ?IR/A4ULACd O78 NUl3" 17RSPdQ9ftLXl8P1'y77IDWMNOY(k1WAOf4MM$pyRM/ TMaM ,NREMwm9"N7taw--.? 3309 r.owFJt isarx srw BOfEMOUNT MN 55068 612413-3809 TO; W331?3 R-96% 612 371 1116 09-10-97 07:38AM P002 SF03 SEP.19 197 06:38 MIMIEqPOLIS,_MN _ , ENDRES CONSTRUCTYON INC. INVOYCE RICHARD kNDRBS 3461 U'pPER I43Rp ST W ROSEMOUNT, iNN 5506g 632-423-3847 SETtVICE Y+'OE: ROYCE TYpE 4265 N NYBRO LANE EAGAN, MN 5312;4 B12$88-823g BILLTai lNS7J,RANCE'CO1IIPANI' ..)?Y: . . . ' ? . • .. ' ... . .L'.? . , 612 37 11 16 ?? ?• ?09-?10-97 '07: 3'BAM P003? ii03 nworesnA M ocrWEn s,1gg6 5EP 10 '97 06:38 MIMIEqPOLIS._MN _ a ?: . . . ENDAES CONSTRUCITpN WC. RIGIiARIf EN'DRES 3461 UpPER 143RD S1' W BOSLMOUNT. MN 5SD68 612-423-3847 !M'DICEDATE:OC7nBER8, 1996 SERVYGE FOR: SII.L Ta: P.4 IIV'P'OICE ROYCE 7YRE 4265 N NYBRO LANE EAGAN, MN 55123 612-888-8238 .UNSt/R9NCE CUhfPd1VY rFF ?D REPL4CEMBr17' OP $iDIIVG, 30FFIT, BACL9, DU IALS ANP LABOR TOTAL 31,950.06_ 30B NUMBER 9624 CHARGE FOR GCOVS FAIEZERi_fNNER @ SOFFYTidNE S.ORAP.R) MATERiALS AND LA80R ?OTAL $270.00 $ 2,20Q00 4 R-96% 612 371 1116 09-10-97 07:38AM P004 903 SEP,10 '97 06:38 MIIWERPOLIS,_MIY __ EPTDBES CONSTRTICTlON xlYC. RICHARA E1VbI2ES 3461 UPPF:R 143RD ST w ROSEMOUNT,11iN gS%g 612-423-3e47 rNFaIcEDarF-- ocrosU a l996 lNrVOTCE sMvice Faa: RorcE -rvRe 4265 N NYBRO LANE EA(3MI, MN 55123 6i2-as8.sm SUL 'i'o: ROYCE IYRE 4265 N NY8R0 t,ANE EAGdN, Mhl 55123 14AR OFF AAID RF.C'LACIINEAIT OF SID1NCx, SOFkIT, FACI.4, DT1? 1 ?TERIALS AND LABQR TOTA.L $1,958.00. JOB IV?JMHHR 962A EXTRA CHAR(}B FOlt GCOVE FRT= RU?UM @ SDInT LFAIE SPECIAL ORDER) IuIqTERIA[,g ANP T.ABQR TUTAL 5250.0U !'P.r#R OFF AND RBPLACEM6NT pF ROOF DUE TO WM DAMAGE. Nt1TERTALS AbID I.A&OR TOTAI, $1.900.DO J09 NUM9ER 9624. )0 WN PASIMENT pROMHOTv1B(3WNf.?t "OTAL 55,600,00. )fiMAPID OF PA'SCNlENT FROM tNSURANC:E COMPANY 'OTt1I, $4,100.00. M1T M.00 FOR SIDiNG RBMOVAL, RMIT $50.00 PpR L`Z,SGTRICqI, O171'LET IN3TALC qTrpTr xrxn cKnxcEs QSTJLATE AND SFIEMOCK WfTBRE ppqR g;(,A9.NATED JSTW.d, pY,D DOOR AT BACK GqgpGg qggq, JBLOCKS F.4CIA 1"3C fi' REMpVAL& 1LEPLpCE KTRA CHAItGE TOTAL S350,00 kLANCS OUTSTANDIIVG FYOMEOWNER$ RB5PONSIBILITY YlAy $1,950.00 I5 DITE: WIIVA 51 R=96% 612 311 1116 09-10-97 01:38AM P005 #03 . -SEP 94 197• 14:52 MIN4EAPOLIS,_1N - • • Aoyoa M Tyre 4265 N 2fybro, Ln aayaa aur s5123-3.740 AtigueC 2, 1996 Ciby Adminfstrator Eagan Muniol.pal Center 3830 eilot Rnob &d 8agan Mt7 55122-1697 Doar Mr. sedgea: ...... -°--... . . P.2 T am reepon3ing to your letter oE July 26 in ahicb you aaid you did aot include me in the requeat £or a temporary;praperty tax adjustment bacause my property darpaga +vas lese thaa $5000. As you caa see in the enoloeed lettor Erom Travslerg insuraaoe, the damags osaeeded Chat threshold. Greg smith, Che claim represeataCive, aent me a aheck for $3581.20 to aPVer d3qlage Eo 111y h01188. An additi0S3aX $1900 in b@SLg wiehhald until the rooPing ie replaced. That toCal is $5481.20. Ia Eelephone convereations, a7r. smitA has:aseured ma his company will also pay for additional aCtia insulaCian because soma nas bioom arouud and ccznpressed by•the May 19 storm. Also, we are aurrently in negotiations abouC replaoing Che aiciing hecanae oontraators I have aontaoted are unable to maboh the gattern or color. If you heve any queetions, you caa rsaah me ai work at 371-1111, extention 359. Thank you reconsidering my requeeC for tax relief. Siri087:e3y, 9005r.? 10? xoyoe M. 7LYre C,oK n? C o n+a c+ I ?_? . V ? `J 3B - `-1217 R=96% 612 '371 1116 09-04-97 03:53PM P002 #47 SEP 104 '97 14:52 MINVERPOLIS,JMV _ ?j4F * * i, ?* OLD REPUBLrC I I I I'!F ***'? Natiarrel Tide Inswance Company 400 Seoond Avarwa SaAh Mlnrreapoils. tvRmeaola 55907?2999 , (8121371-tYt; ??494 FACSYMII.E CD'VE.R SHEET DA'I`E: /?Z?P 7 TO: . 6:e-ia--ar- 11h.vDs-r-qr6 "a-c?< FROM: /Pp Yc a- PAGES : (INCLUDiNG TwS PAGE) ? P.1 MESSAGE• ? _4?'?? _.=-s Please deliver this fax w the above addressee. If you did not receive all of the pages, please advise k'n YG4r- at (Ext. 3%`9' ). Thank you. OTll'R FaXNi1M1BER IS: (612) 371-1116 http:/fwww.oldrepnatl.com Still the Highest Rated Title ynsurer in the. Nation! Old Republic Duff & Trtie's Financial S&P Phelps* Moody's LACE Dematech Ratings ::: ? : -,-?; ,::: .?.,.....:,.?. ,„ :: ?,. :_ ; ;, . .?,. . . ?. . ;,;;?MV, . ? _•?.? ._ ;a ?., • s; In 1996, Duff & Phclps, the first "Ml servicd' rating agent ta pmvide ratings on all seven national title insurance groups awarded the 01d Republic Title Cuasp a AA- rating', the highest among the nadonat tide insurers. We also received aur 5ffi conseourive claims-paying abiliry rating of A+ from Standazd & Poor's -- the highest rating given by S&P io any title irtsurer and the title industry's highest ratings swerded to date by Moady's, T,ACE and I]emotech. o Old Itcpu6lic'fide has dwlined ro enocr'vrta a fomml ratfngs rNiCanship vrith DCR AlthougE eainin nonqw6l'w ssTf*rmaNon requdmd Ey DCAhas 6ern pravidad by OW Rcpubtic T'itie, Ihc raGng is mt supported by a conuacWel agrcement lYret requtrq O1dlReyuhllc'[Itle W taop OCR Ailly MIIOnneA olallfiuwn devdoyuwna that cauld aFfattlw re6ng. 'ho nMg is Provided 6y DC& as a service m thOStl Orgaahmfim and instiWdoro tlmtum and Publish DCR?atings. . . . . ? R=96% 612 371 1116 . 09-04-97 03:53PM P001 #47 City of Eatan 3830 Pilot Knob Road Eagan AAN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 2008 IVIEC9-IAIV9CAL PERMIT APPLICA Date: / 3 o S? Site Address: ?I o?lOS N ??? u d?o u h? Tenant: 1Rt? ?j ce ?l..r r p r ---------------- ? ro70ffiCCli" I ? Pertnit #: ? ? Perrnit Fee: I ? ? Date Received: ? i I ? i stan: i L - - - - - - - - - - - - - - - - - J ?) ?? (1 [VJ 1 . Name: fca t e RESIDENT / OWNER aC? Phon : Address / City / Zip: CONTRACTOR Name: License #: address: 3451 W 8umsville Parkwav Sute 120 cicy: - zip: Btxnsriflt?A?N 55?37 State: c ? /? Ph "I S? ?"?1 ? ?00 ? one: Contact Person: V?-?-, CC. TYPE OF WORK _ New x Replacement _ Additional _ Alteration _ Demolition Description of work: NOTE.? 8oth roof mounted antl grountl mounted meclianica! eqpl,vmenf is required to ' be scre ened b y City Gode. Please contact the' Alechar+ica% (rispecfar or one of the Planners for InformatJon on. eriniifedscreenin 'methods. PERMIT TYPE RESIDENTIAL COMMERCIAL ? Fumace _ New Construction _ Interior Improvement ?Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas 6ctarior HVAC Unit HVAC uniLS must be screened _ Heat Pump Under / Above ground Tank ? Install /_ Remove) _ Other `" When installing/removing tank(S), call for inspection 6y Fire Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) r-?1 $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x 1% $50.50 Minimum (includes State Surcharge) - If Perrnit Fee is less than $1,000, surcharge is $.50. Permit Fee - If Pertnit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Perrnit Fee requires a$1.00 surcharga). $ TOTALPEE 1 Foroho er4nnuAednc f6n416:.:..a..?._c . .v_i_._ . . . .. . .. . ... . ----, --•?• •--•?--,.- •••-• ••?•Q ?? 'I„' I I .a,,,,I 1 10 aiJu au:uraLe; ma[ me wonc wm oe m conrortnance witn ine ortlmances antl cotles 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 pertnit; fhat the work 'be..ip accoNance with the approved plan in the rase of work whichq e?t ?ires a review and approvai of plana ?. \ ?\\\,\ ? f X- c? ?-L-? ?'l-?l V C?-. ? O? g Applicant's Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air.Tesf Gas Service Test In-floorHeat Final City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 1 3 2012 r Use BLUE or BLACK Ink For Office Use Permit #:/0 Permit Fee: Date Received: Staff: 222-, 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: /2-5D�'�_ T t- LA(14 Nt phone: 57— 61 Y— / 23 Address / City / Zip: 4 2- t } r ,. of -6V) `55 2- J Applicant is: Owner X Contractor c %ri % ✓'� dei r� Construction Cost: j&13°3 &G00 Company: i 6 --0c IA)C T- t t- Address/' di -05 .� State: Vit " Zip: 5-9 License #: noo- Multi -Family Building: (Yes /No) ) ! V Contac v7"�� 2Lig City: Phone. 651 44 (51-0— (Cfr *3- a167'irk 3 637" Lead Certificate #: 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: 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.00pherstateonecall.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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co. must be completed within 180 days of permit issuance.xtibf C/n LI phi Ap.Iic. ,'t' Signat �e� A licant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation tr Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building A. Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review ,4048e1 (25%_ 100%j' Census Code # of Units # of Buildings Type of Construction 47131, ! 224 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: __Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers IRMO Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ta 5 TOTAL z81. 'Oa pi' 3"10=' Page 2 of 3 r City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 � 2012 MECHANICAL PERMIT APPLICATION Site Address: 142 6 5 NY b co LY Use BLUE or BLACK Ink For Office Use r(� Permit #: ✓ f Zd Permit Fee: Date Received: Staff: Date: Z - I? -I Z 00 Tenant: Suite #: Name: r aYe.-e-- Address / City / Zip: 2 &S /try L/e., Phone: (iP i- 6 -- 5 2 Name: Vo g h + E1/c C4^1 Zoe_ Address: 3 Z i77 C)L7 I37 City: 6e -e,.! License #: M gOo Q I r 3 State: i% I Zip: 5- sC-2 7 Phone: (fS - 112S— S-9 70" Contact: ti Email: New Replacement Additional / Alteration Demolition Description of work: RESIDENTIAL Furnace Air Conditioner Air Exchanger / Heat Pump h✓ Other 2) et -4 'r"'%1 mac% COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1;000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge _ $ TOTAL FEE 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.qopherstateonecall.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 plans. x i'..J ''e / I✓� � h+ Applicant's Printed Name x Applicant's Signature Use BLUE or BLACK Ink r For Office Use A Permit ACID City of EaEd / S° a_ Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: /a,? I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /Unit Name: Phone: l°j~l r V fl Resident/ ~4i Owner Address / City / Zip: 6'/4-2 _,5-5-(L 3 Applicant is: Owner Contractor Type of Work Description ofw k:'~l/ Construction Cost: Multi-Family Building: (Yes / No Company: Contact: Address: /b 9 Contractor City: ~i"V! `~Dc~✓ State: Zip: 53- Phone: r(n License #:406- / - Lead Certificate C> A., )1:7`ccr 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 considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.ciopherstateonerall.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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code muss t be completed within 180 days of permit issuance. x Applicant's Printed Name Applica is Si re Page 1 of 3 Receipt:#629657 3330921 urn to. $46.00 11111111011 VIII VIII VIII IIIII III 111 IIII SIMPLIFILE 5072 NORTH 300 W Recorded on:10/8/2019 3:27 PM By:DRA,Deputy PROVO UT 84604 Office of the County Recorder Dakota County,Minnesota Amy A.Koethe,County Recorder TEMPORARY INGRESS AND EGRESS EASEMENT This easement made this 2 3 day of f f.):72-9, 2019, between ROYCE M. TYRE and CAROL L.TYRE,husband and wife,(hereinafter referred to as "Landowner"),and the City of Eagan, a Minnesota municipal corporation, organized under the laws of the State of Minnesota (hereinafter referred to as the"City"). WITNESSETH: That the Landowner,in consideration of the sum of One Dollar($1.00)and other good and valuable consideration,the receipt.ad�.sciency of which is hereby acknowledged, does hereby grant and cr nve ,unto-the City,its sttuc4sors and assigns, a temporary ingress and egress easement for surface 3,iitgrinanagement purposes b'er?and across the following described premises, situated within Dakota County,Minnesota,to-wit: Lot 5,Block 3,WILDERNESS RUN 6th ADDITION,according to the recorded plat thereof on file in Dakota County,Minnesota. The grant of the foregoing temporary ingress and egress easement for surface water management purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to access and manage the adjacent surface water body and the further right to trim or relocate trees, brush, undergrowth and other obstructions. After completion of such surface water management,the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary trimming of trees, brush, undergrowth and other obstructions, subject only to permanent easement alterations. The Landowner, their heirs and assigns, does covenant with the City, its successors and assigns, that it is the owner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF,the Landowner has caused this easement to be executed as of the day and year first above written. ‘297-20 ROYCE M.TYRE &At X CAROL L.TYRE ( STATE OF MINNESOTA) )ss. COUNTY OF T14-0}2 ) The foregoing instrument was acknowledged before me this 2-3 day of ber ,2019,by ROYCE M. TYRE and C• 'OL L.TYRE. Notary Public APPROVED AS TO FORM: /5 /N. r � ELA TgAPALIYA NOTARYSHEPUBLIC•MINNESOTA City Attorney's 9ffice � MY COMMISSION EXPIRES 01/31/2023 Dated: P("-( ( y APPROVED AS TO CONTENT: , 4 Public or ei Dated: V 2 Y / THIS INSTRUMENT WAS DRAFTED BY: CITY OF EAGAN Public Works Department 3830 Pilot Knob Road Eagan,MN 55122 651-675-5646 2