4249 Sunrise Rd
INSPECTION RECURD
-CITY OF EAGAN PERMIT TYPE: ' A1 "f'
3830 Pilot Knob Road Permit Number: p ;hf
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 6$1-4675 ,
SITE ADDRESS: APPLICANT:
~ ~ i i ~ I ! . ~ r , ~ ;
PERMIT SUBTYPE: TYPE OF WORK:
, . t , ~ ~ ~ . ~
INSPECTION D• • D•
F I ~
L
~
Permit No. PermR Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commertte
FOOTINGS
FOUND
FRAMING
ROOFING
/d
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
9LDG FINAL
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
' ~
CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~.
PHONE 454-8100 -
BEJILDING PERMIT Receipt ~k
Tobausedlor 1/2 DUp ~GA~@stValue $60,000 Date DECEiABER 9 19 85
Site Add5ess 4247 SUNRI.SE RJ Erect l.1 ,.y Occupancy R3
Lot Block Sec/Sub. ' L r S Remodei ? Zaning PI)
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
¢ Name PIETSCH COKS:RUCTIOIY CO Move O l.ength 26 - 4871 = S FAR I ASS Demolish ? Depth 42
o Address Int Impr. ? Sq. Ft
City hone Install ?
o Name S AM L "r~` ulea d e~' Approvals Fees .00
o Q Address Assessment Permit 30• UO
~ City Phone Water & Sew. Surcharge
Police Plan Review 00
F W Name Fire SAC '
08 Address Eng. Water Conn. Q
< W City Phone Planner Water Meter-~ ' 00
Council Road Unit 2tS0 . Qa
I hereby acknowledge that I have read this application and state that the gld . Off. 11 /7/8 Tr. PI. 132.U0
information is correct and agree to comply with all applicable State of 9
Minnesota Statutes and Clty of Eagan Ordinances. APC Parks
-
Signature of Permittee Var. Date Copies ` .bU
' - Total
P I ETSCsi CONSI'RUCTION
A Building Permit is issued to: an the express condition that
all work shall be done in accordance with all applicable State ol Minnesota Statutes and City of Eagan Ordinances.
8uilding Official , .
- 4:
I ftrmN No. Per" Ho1dK Dele Tdsphone N
114umbx,9 r lJ1 ~~3 5
M.V.A.C. ~~:T ~ L• ~"Z~ - 5 I ~ 7
IElectdc
Soll~n~r
Inspection Dete Irap. Commenh
Footinga I
IFootfnys II
Foundatlon
Framiny
u
Roofinq
Rouyh Plby. , 7.
IRouph Htq. -,~l^:~ b+. . •
Insul. 11- ,L" X
IFNopUce
Final Htq. 4 zf*
Final Plbq. z-
Bidy. Finsl 3 AK
Grt.Occ. x
ID*ck Ftq.
Wtk Frmp.
DsscriW LoeNlon:
WNI
Pt. Wsp.
PERMIT # CITY OF EAGAN FEE MECHANICAL PERMIT '
RECEIPT # 454-8100 S/C ~L
. MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50
~
1. Bldg. Type: Res ~ Comm Inst 2. New Add Alter Repair
r
3. Total Bid Price 4. Job Address
Lot _Z Block Sec ; U(v C. + FF j J 5. Owner 7T
f • - ct ~y
6. Contractor L ~ ` ~ ~ ~ 1i I 1 "r
(Name) (Streeq (CitY) R
~ iP)
7. Contractor Phone # ~,7 ,i-~
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6,Q0
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additianal 6,000 BTU's or fraction - $6.00
MO FICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
e1R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: tor
Approved Inspections: Date Rough Insp. Date Final Insp.
~
. . - - - _ _ _ : - - - • - -
~ Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
~Fill in numbe~ed spaces S/C
Type or Prrni legibly Tot 1. Date 2. Installation Cost
j.
` :i.~-:'i .l- I-.~)• ~ i
3. Job Address Lot - Bik. Tract
4. Owner ~
5. Contractor `q (7'tjc'j~_ ~ . { Phone
6. Address
,
7. City ~ . ' State / & Zip . ~ .
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter O Repair O
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
_ Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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 numbered and approved.
Approved CITY OF EAGAN 454$100
, - CITY OF EAGAN . 11375
' 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 ,
BUILDING PERMIT PHONE: 454-8100 Receipt # , - ~ ,
'
To be used tor 1/2 DUP & GAfst. Value $60,000 Date DECENaBER 9 19 65
SkeAddress 4149 SUNRISE RD Erect ?X Occupancy R3
Lot ? elock 1 Sec/Sub. SUN CLIFF 1ST Remodel 11 Zoning P Q
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
PIETSCH CON5TRUCTION CO Move ? Lengtn 2e
¢ Name
4871 Demolish ? Depth 42
o Address t FARI PASS Int. Impr. ? Sq. Ft
City EA$We 452-0389 Install ?
= F Name SAMF ~ I APprorala Fees
$ a Address Assessment Permit --3.0.00
~ Ciry Phone Water & Sew. Surcharge
~ Police Plan Review~'' S0
~
.00
F W Name Fire SAC 500.00
,,a Address Eng. Water Conn.
i W City Phone Planner Water Meter---- -3-. O~
Council Road Unit
I hereby acknowledge that I have read this application and statethatthe Bldg. Off. JL -93 Tr. PI. -~~0 0
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
. ~ Var. Date Copie 50
Signature of Permittee ' • ~ = ~ ~1 ~ ,
Total
A Building Permit is issued to: PIETSCH CONSZ'itUCTION CO on the express condidon that
all work shall be done in accordance with all applicable State of Minnesota Staiutes and City of Eagan Ordinances.
Bullding Oflicial
. PsrmN No. Pe?mH Molda Da1s TNtphone N
PIum6lnp 2
H.Y.A.C.. 3~ 75
JEWhIC r
SoRvw
Inspecllon DaN Inap. Commanh
I Foodnys I S I,, S w 6
Footinqs II 11
Founds0on
Framinq ~
~
RoMlnp
Rouph Plbp.
Rough Hig.
insul.
IFMoplace
FfnM Mtq.
Flnsl Plbq.
Bldy. Final
Csrt.Oca ~
Deck Ftp.
D~dt Frmp.
Descrlbe Locatlon:
w.n
Pr. Dbp.
_ _ . . .
1 r
PEiRMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT
RECEIPT # 454-8100 S~~
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL OICH +~;~L'
DATE MINIMUM COMMERCIAL FEE - S20•00 + $.60
1. Bldg. Type: Res ~ Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address ~~-~f' `sLN c.?r- F Is7'
Lot Block ~ Sec 5. Owner
t ,:,j
6. Contractor - <<~
(Name) 2 cs~roen RiP~
7. Contractor Phone # ~3 ( J ~
RESIOENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's ornaction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MOpIFICATIONS/ALTERATIONS -$10.00 minimum fee
~ HEATING VENTILATING HOT WATEFi STEAM AIR COND.
_AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.SQ TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
s vde- . -
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fea
Fill in numbered spaces S/C
Type or Prin[ legrb/y Tot.
r_
1. Date 2. Installation Cost
---T
Lot:>(_ Blk. ~ Tract
3. Job Address 1-4 L-4~f k 1
3
4. Owner ~ 't i•~ ( C.1. Y.T •
~
5. Contractor%4-1 J74r-<t LNi?/f7~`.~ ~~-r Phone
6. Address . r'- I-l1fL• U 7~__ r. v f* }f
7. City State Zip
8. Building Type: Residential ~ Commercial ? Institutional 0 9. Work Description: New xO Add ? Alter ? Repair D 10. Describe 11. No. Fixtures No. Fixtures
• Water Closet Cesspool/Drainfield
I Bath tubs Septic Tank
~ Lavatory Softner
Shower Well
Kitchen Sink
4
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
F Gas Piping Outlets
12. 1 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 F inal
Inspections: Date Insp. ` Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks l`= ~ ~,(-j
Addition SUN CLIFF 1ST Lot 7 Blk 1 Parcel 10-72975-070-01
owner AIZI.- screet 4247-49 SunriseROAD State BALiAN MIN 55121
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF. C
~ . eO 116 ~j
277979 555 16
STREET RESTOR.
GRAOING 58 Z
07 Q tt-` /
SAN SEW TRUNK 1970 76.54 p. ~ 25 •~j ~Z.. (.~O S`~ 7
* SEWER LATERAL S~F7 9~F 704. S 6-.Ff G
WATERMAIN '
• WATER LATERAL 1985
WATER AREA • 33 ~ IIS-7 611726
STOFiM 5EW TRK 105 1971 322.29 2 ~O 11Y-elF 7 (o
* STaRM SEW LAT ~
CURB & GUTTER ' " -
SIDEWALK
STREET UGHT ~
WATER CONN.
n n
BUILdING PER.
SAC
PARK
CITY OF EAGAN WATER SERVICE PERMIt
3830 r'-4 Knob Road ; p 3 C
P. J 4iox 21199, PERMIT NO.:
Esgan, MN 55121 DATE: ^
" ? Dug ex
No. of Unirr.
Zonlrq: _
~Mr. ?iE.t5CI1 CO[18t. CO.
Addrfl6' ~I~ n1 Sun C: i£~ lst Addn.
-+2~ r Sunr '
Plumb.r. Weierve _ < ' 1~1Q5
Moror No.: 3 6-6-5-6 ~~~~E'' ~L~~Wo,aro.: o.Pa
si~: ' ~ ~,.c.. e o< < C~~ • -
10.00pa
Rsod.. No.: ~ee: , t1 pd
' ~ WM Suecha":
Or~iM~ar. K ti' Misc. Choroes: 13 tl c~ p d TF'
. pd meter
6' M
J "
Toto1:
By ~i ll ,~„yr~,,n.c e pote Pofd:
Date of Insp.: Irnp.:
3-/y-
CITY OF EAGAN WATER SERVICE PERMtT
3830 Pi{ot Knob Rosd
P. Box ?1189- PERMIT NO.:
Esgan, MN 55121 DATE:
Zantrg: . .
Owner: No. of Units:
Addrosx
51h Addrl51: : .~)3, . : i ~ i ~ ~.3~ f'•~- • ~
Plun+ber. r : .
Meter No.: Connection Charge'
Size:
/leeount Deposit:
Reoder No.: Permit Fee:
1 ywe 1* ew* wNb !Iw Qh of amp¦ Surchoroe: '5 ~`Pd i
Or11eeoaw. Misc. Chor+pss: 7 , `,flPa •,.T,
TOtOl: F~d 3P[ -Z
BY Dotf Paid: ~
{
Oate of Insp.: Irnp.:
CITY OF EAGAN ~ P~R
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE:
Zoning: Na. of Units:
OWfMr: r'APor
Addrcss:
Slte Addmss: ~hr ~ ' f 1 +f c~
Plu~fl_: v J
~ .
IMIN t0 Ph
rI~ aoA COfY1eC~p~1 CfOf{'~f: _ 1' .-~-5 _•:~n l tt!
OrJiN~a~. Account Depodt: ~
Pam* Fn:
B SurcFwr~pe.
Y Misc. Chor+p~s;
Dote of leup.: Totol:
Dote Olold:
CITY OF EAGAN WpTER SERVICE PERM14
3830 Pib* Knob Faoad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 ' DATE: - - -
Zanirq: _ ' 1' Plo. of Un1ts: f''ti n 1 ex
Owrwr; P et c`z ^.onst.
Address:
Sfee /lddras: 4`,tinri .ti Cliff lst Acldti.
Plumber. . ' ; r ke Tr ~ 1~ ,!`•C •
Meftr No.: 4 ct on Qw
rx,~ TELt" 15.00pd
V $ 06 nnit Fee: 10. Oopd
Readsr No.:
I*9M w aw* wMh fiw Suret,orge: . 50pd
pnUmenom Misc. Cho?pes: 11? . OQpd Tn .
I? L. Totcl: e-
gy 77 • /zr1vr1U0 Dat. Poid:
Dote of Insp.: Irap.:
CITY OF EAGAN WATER SERVICE PERMIT - i'
3830 P;lat x noh Ro,a
P. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE;
Zoninp:. No. of Unih:
Owner, - - > i
llddrsss:
Sih /lddren: t;'? i* • -
Plumbsr. C ' !;_o
Meter No.: Cannection Qhwfla:
Size: Aocauit Deposit: Reader No.: Permit Fee: ,
1s/rw !o ennvly wMh Nw Qqr of ioww Surcfiorps: I
a'/iMlsc. Choryes:
TotoL•
By Data Paid:
Dote of Insp.: Iniv.:
CITY OF EAGAN SWEg SOVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.:
Eagan, MN 551~1 p^TE;
Zonlnp: No. of Units: - - -
Owrnr.
llddross:
Site Addras: =
-i Li
Plumber. -
I MM te eowply whb IIN CIlp ef Iowa Connection (horpe:
Ord1wmmerr. AccoLmt Deposit:
Ponnit FN:
Surrho?Qe.
By Misc. G+orpc
Dote of Insp.: Totd:
I^p" Dah Pdd:
' CITY OF EAGAN ,
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N_ 11,374
+ PHONE: 454-8100
BUILDING PERMIT Receiptp
Tobeusedror 1/2 DUP & GAPESt.value $60,000 Date DECEMBER 9 19 85
4247 SUNRISE RD Erect 6 R3
SlteAdsiress ' SUN CLIFF 1ST Occupancy PD
Lot ~ Block Sec/Su6. Remodel ? Zoning
Parcel No. Repair ? Type ot Const. UAddition ? No. Stories
Name PIETSCH CONSTRUCTION CO Move ? Length 26
W SAFARI PASS Demolish ? Depth-d,2
o Address Int Impr. ? Sq. Ft.
Ciry EAGAI$hone 5 9 Install ?
i o SAME Approvals Fees
Name
0,04 , Address Assessment Permit $ 313 . 00
" Ciry Phone Water&Sew. Surcharge 30.00
Police Plan Review 156.50
`
F W Name Fire SAC 525.00
nddress Eng. WaterConn. 500.00
s W ciry Phone Pianner Water Meter 63 . 00
Council RoadUnit 280.00
Ihere6yacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 11/7/$5 Tr.PI. 132.00
information is correct and agree to comply with all applicable Stete of
MinnesotaSlatutes and City of Eagan Ordinjjnces. APC P8rk3 ; Signature of Permittee~IsY~~~r/Var. Date Copies
Total $1,999.50
ABuilding Permit is issued ro: P IETSCH CONSTRIICTION on ihe express condition that
all work shail be done in accordance with II ap cable State Minne Statutes and City of Eagan Ordinances.
Building OHicial
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0- 11375
~--~J/~~ G
BUILDING PERMIT PHON E: 454-8100 Receipt# s~
7obeusedfor 1/2 DUP & GAI~st.value $60,000 oate DECEMBER 9 19 85
SiteAddress 4249 SUNRISE RD Erect EY' Occupancy R3
Lot 7 Block 1 Sec/Sub. SUN CLIFF 1ST Remodel ? Zoning PD
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
a Name PIETSCH CONSTRUCTION CO Move ? Length 96
z 4877 SAFARI PASS Demolish ? Depth2
o Address Int Impr. ? Sq. Ft
city EAGMne 452-0389 Install ?
a SAME Approvals Feea
= o Name _ 0 4. 317 $ Q Address Assessment Permit O
~ ciry Phone Water 8 Sew. Surcharge
Police Plan Review~50
a 525.00
w W Name Fire SAC '
~ nddress
~a Eng. WaterConn. 500.00
W 63.00
a Ciry Phone Planner Water Meter
Council Road Unit 280.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 11/7/85 Tr.PI. 132.00
information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinan es. APC Parks
~~~Var. Date Copies ~ Signature of Permitte Total ~50
A euilding Permit is issued to: IETSCH CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all lic le State of inneso Statutes and City oi Eagan Ordinances.
Building ONicial
ReQUesi Oate F e No. RauBh.ln I ian FequireC Ingpectian Other Than RougRln
Il! (YOU must inspector when reatly) p qeatly Now ? will Notiy InsOmor
' ? Y. ~a ~e-~ NO Dale ReaOy
IND licensed convactor ? owner hereby request inspection of above electrical work at:
Job Aotlress (StreeL 6ox or Paute No.) City
Seqion No. I Township Name or No. Range No. Count
Dq 'tz7`"
Occupant(PRINT) Phone No.
PowerSuvG,AtltlrBSs
Electtmal ConVador COmpany Name) Convador's License No.
Gh•J 0EC7744:._ CAOG~ZZI-
Mailing ACOress (GOnvaqor or Owner Making Ins[allatron)
. C ~ 415- A&J SS•
Aut nz Signalure ICOnVacto ner Installatonl P_M1O(ne Number
1 ~ T~~~~I
MINNESOTA STATE BOI1H0 F L RICITY THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mltlway 61Eg. - H S4]3 OJ~ BE ACCEPTED BV THE STATE BDARD
1821 Universtty Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
PROrie (813) 661-0800 ENCLOSED.
g7j~ ZREQUEST FOR ELECTRICAL INSPECTION eeooom o
A
? See in5imc?ans for completing Ihis lorm on pack of yellow copy,
~ 9 . ~ X" Below Work Covered by This Request
e Md ReF lypeofBuilding AppliancesWired EquipmeNWired
Home fiange Temporary Service
Duplex Water Heater Eleclric Heating
Apt. Building Dryer Load Men9gement
Comm./Industrial Fumace Other (Specily)
Farm Air Conditioner
Other (syeciry) Contratlor5 Remarks'.
Compute lnspection Fee Below:
# Other Fee # Serv iceEniranceSize Fee # Circui eders Fee
Swimming Pool 0 to 200 Amps -to T60 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Si9n5 . Inspectors Usa Only: TOTAL
Irrigation 8ooms ~
Special Inspection
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee , COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rough-in f~ ~ oaw
cerCrfy that the above inspection has F;nai
been made.
OFFIGE USE ONLY
This repuest voitl 18 moNhs Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN ~ ~ 0 ~ ~
3830 PILOT KNOB RD - 55'122
651-681-9675
NewConstruclionReuuiremenb RemodeVReoairReauiremenh C-03-U'D 14_9
• 3 registered site surveys showing sq. ft. of lot, sq. fl of house; and all mofed a2as • 2 copies of plan
(20°h maximum lot wvemge allowed) . 1 set of Energy Calculalions for heated addilions
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 sile survey for exlerior additions 8 decks
• 1 set of Energy Calculations . Indicate'rf home served 6y septic system for additions
• 3wpiesofTreePreservationPlan'rflotplattedafter711l93
• Rim Jaist Detail Options selection sheel (bldgs with 3 or less units)
DATE T Oa VALUATION
JOB SITE ADDRESS yzq-7 Su~//ZtS€ P04,0 ~ F4C~A a/. pInl , 5-5'122
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? a(Twr.? ff61n40
PROPERTYOWNER 1?1ZAD /6 oc?,4ClC6
TYPE OF WORK F2'N25ft 9A5E.",541T' FIREPLACE(S) _X 0_ 1_ 2
APPUCANT J?QA-O ICoti/ALfIE PHONE# 9S~-yS7-32~6
ADDRESS /608q eXCC-L crAr ZIPCODE
PAGER # CELL PHONE # 9 Sa -q57-3~?6 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1 @~~
(check one) - Residential Ventilation Category 1 Worksheet Sub d qpR p 4 2002
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 B
- New Energy Code Worksheet Submitted Y
Plumbing Conhactor: Phone
Plumbing System Includes: Water So$ener Iawn Sprinkler Fee: $90.00
Waler Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: Air Conditionirg Fec: $70.00
Heat Rccovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
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 EaganOrdinan/
Signature of Applicant T ~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
13 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addi6on ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
x 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation , 00u Occupancy MC/ES System
Census Code _V3 y Zoning City Water "
SAC Units U/ Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const y N W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _X FinallNo C.O.
_ Footings (addition) Plumhing
_ Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final
_X Framing _ Siding Stucco Stone
F'ueplace R.I. Air Test Final Windows (new/replacement)
Insulation _ Retaining Wall
Approved By T Z. , Building Inspector
Base Fee
Surcharge ?1 ~ ~,J ~Z ~~~~~~~p,~~
V~/~ ~ i•, ir
Plan Review
MC/ES SAC
CitySAC
Water Supply & Storage ~ r
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search ,
Capies
Other
Total
PERMIT # 1!~l d RECEIPT DATE: : --9 -v
8008 MIBENTIAL PLUM$INfiE PERMiT APPLICATION
crrY og EAeM
3830 ev.ar icivoa Rn
EKG", MN 551EE APR p 4 2042
651-6$1-4675
Please complete for. single family dwellings, townhomes and condos when permits are required fo Wh unif J~
backflow preventer for irrigation system
SITEADDRESS: qiaZ y7 SN/JfLj:Sr `LflA-D 5'5-I-2~2
OWNER NAME: : K/ZAO 12oWA1.0C TELEPHONE q S.~_ y S 7-3 a? G
(AREA CODE)
WSTALLERNAME: (5i2kd /low4ULC- TELEPHONE#: oa
(AREA CODE)
STREET ADDRESS: /6 0$ 7 GX C~[ G./J+ y -
CITY: r~oScMouN'T STATE: 1'+l N ZIP: SSti/B
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
r mom additions, excluding water softeners and water heaters. $ 50.00
x Adding fixtures t tse~system
_ Abandonment o_ Water turnaround - existing dwelling unit 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ~ water heater $
State Surcharge $ .50
TOtaI $ 4OV. SO
I herebyacknowledge Mat I have read this application, shate thatthe information is correct, and agree to complywith all applicable City of Eagan ordinances. Il
is the applicant's responsibiliry to notify the property owner that the Ciry of Eagan assumes no li ility for any damages caused by the City during its normal
operaUonal and maintenance activities to the faalities constructed under this permit n Cit g -way/eas t.
SIGNATURE OF PERMITTEE 1102
I
4 V ` ~ ~ •
~
7985 SUILDING PERHIT APPLZCATION - CITY OF EAGAN ,
NOTE: ALL CONTRACTORS lNST BE LICENSED 1dITH THE CITY OF EACAN
COt4MERCIAL SINGLE FAHILY DHELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS' J
$2,000 LANDSCAPE BOND/~
V
To Be Used For: Valuation: 620r000 Date:
Site Address ~y'5'2 SvNPiSf' /`C*(, OFFICE USE ONLY
,~b2_TFi 4z oF
Lot 2 Block ~ Erect ~K Occupancy Q•3
Remodel Zoning P
Parcel/Sub Repair ^ Type of Const
Addition l~ of Stories
Owner ~/I=IQ t'~,~ (T 1,'1,P k)Move T Length Zca
Demolish ~ Depth
Address Int.Impr. _ Sq Ft
Install
City/Zip Code -
Phone APPROVALS FEES
Contractor Assessments Permit 3~ .
1p Water/Sewer ~ Surcharge `
Address /p~~ ~e(L% ~2a Police ~ Plan Review 5 s°
Fire SAC "'25•
City/Zip Code Engr Water Conn SoO.
~-T PlannerWater Meter (03.
Phone CouncilRoad Unit
Bldg Offll ~-4- Treatment Pl 32.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~ ,j 0
City/Zip Code
Phone 0
24-~ 2"~2 = s 2~ x S~, = 3c)& 2¢ . ,
20 ~ 2C~ ~ 52o X 4~ Z2~°oc~ ` •
- " 98o n~2
ZoK Z4
Q-
~
. ~
7985 BUILDING PERMI? APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED ifITH iHE CITY OF EAGAN
COl41ERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERSIF'ICATES OF SURVEY
SPECIFICATIONS AND 7'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND,/,- /
To Be Used For• Valuation: (-~f 00 0 Date:
Site Address 4Z41) ~UN1215G Qc) OFFICE USE ONLY
6ouTH 'A2 °F
Lot 1 Block ~ Erect K Occupancy 1213
' Remodel Zoning P
Parcel/Sub Repair ' Type of Const SZ
Addition p of Stories
Owner Move ~ Length 71~
Demolish Depth Z
Address Int.Impr. , Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit 313.
Water/Sewer Surcharge 30.
Address Police Plan Review 5~ !J
Fire SAC SZS.
City/Zip Code Engr Water Conn Sco•
Planner Water Meter 63.
Phone Council Road Unit Zgp.
Bldg Off 2-3- Treatment P1 I 2.
Arch./Engr. APC Parks
Variance Copies 5 C
Address TOTAL
City/Zip Code
Phone #
"~4 Sunri32 Qana/
~ 1I~~~` C. R. WINOEN i ASSOCIATES, INC.
i~~~V(~G~ lANO su~vero~s r.~ a4a•ass•
0 ~~~1 LUSTIf ST.. ST. IAUI~ MINN, f610~
FOR: PIETSCH CONSTRUCTION
N
~cale: 1' = 30'
~ O.Denotes Iron
~o Monument
~~o
. ~ ca`
i ~
. nJ\ ~ / \ ' VS Gi.
~ O '~i
q ~'h~ / ~ %s ~F, y
~ ~ p ~'y,
~J \ ph ~ jL
1'S ° \ \
\ ~a 1 f ~-r
~ 6~, ~'b. ~Da
~O ~ ~?e A. \l
° ~ ~ ~ rr `.°4~ J ~
~ 90 l `~~i ? 3 . ~ r
'4 , ~ ~ ~ ~ ,
0'~ \O '6a , ~ /'V'
~ \ ~ ~G7 G6~ s~d 1 / ~ ` . - _ ~
\ - .~v~~ ~ /
~ . _ .
o~'' \ \ / ~ .
. . g. ,
. ~ r rr~ ~4
- _ - ~
/ ~ c>_`~ . ~ p1 `~d / Q
~s ~ ~ L°pl x OQ~
o~ \ ~ ~r` ' ~ O~ ,
/ ~
NOTE: ~ g~//~
o Denotea Wooden Stake
Propoaed Garage Floor Er..qo5.43 . Q.,~
(965_C~...Denotea Proposed / o~\
FinSehed Ground E1. J
-rt- Deno[es Direction ~
Of Surface Drainage v
Vertical Dat~ - N.G.V.D. 1429
LOt 7, Block 1, SUN CLIFF FZRST
ADDITION, Dakota County, Minnesota.
M~E MEtE~~ CERTIi1 TMAi TMtS if A TRU! ANO COR~ECT tE~RESENiAT10N Of A SUtVEY Of TNE
WUNpARIIS O~ TME IANq AWVE OfSCRI{ED AND Of TME LOCATION Of All WIIDING3, 1/ AN1!
~iNEREON, ANO All VISI~IE EN~ROACMMENTf, IP ANY, ~ROM OR ON SAID IAND.
~e~1 fAi• ~5~ M~ ~1 ~cfe{+e/ A.D 1~ 8S G~- W NDEN i ASSOCIATES, INC.
b,, c~.~ .9~i~
frrre~. Mi~n~wN Rpi~entiM Ne.77zG
city of 1oomwaie Gf9fuH^.) • , I?\TI•;KfOR ENVGI.OPE AVERACC "U" Cf1MF'U9'ATION
~UN:?Lk~!~;d111L~LSlD Addreas_' ~.AJ!'hone -
I)ote ~ ~ _
I.oj;:iL Uescripc ion of Proper[y: I,ot? Rlock ~ Addition .'`~~We/i~
:;ftr Addretis-----------~~~~J~/11~s.~,~~~..
~ AVERAC.E LINEAL FEET OF
F.RPOSED WALL AREA ABOVE CRADE
`1af n le ve 1.
I.ineal te. of Cramed wall above grade-&-x helght of wall 2 _
Him jois[ area crJ ~
Ltneal ft. of rIm x height of rim
l.ower level / Q
Linea] Ft. of frrimed wail above grade y[v x helght of wall
Lineal ft. of masonry wall above grade~x height above Rrade -%s'3 /3=/~ ~
'I'oT'nL wall area above grade including windows and doors 4Qz3 2a
WLM1UOIdS: Area x "U" value
4ake 6 type '1 , K%/c 5/.~,~ s~ sq. Et. /Yo6 x°U° .i9 =~(U) (A)
Q'C. eq. ft.x"U~. i/ (U) (A)
I t -sq. ft. x elull ,3t/.- .°_~~(0)(A)
"
q: ft. _x flu.. (u) (n)
n- n... v .?Y~fYy- 2 8q. , ft. /9L/olv x 29/ `(D) (A)
H eq. ft./2 x uUn, '~'q-G /rp (lJ)(A)
u - x aUu _ 5~G ~A)
sq. £C. G.9y
, sq. ft. X ~.up. (U) (A)
sq. ft. X "Utl (U)(A)
sq. ft. x PlUl. _ (U) (A)
sq. ft. x "u.i _ (U) (A)
. sq. ft. x (U)(A)
_eq. fC. X lU11 (U) (A)
x "u., (ii) (A)
eq, ft.
sq. £t. x liul. (l') (A)
„ sq. ft. x Ofult _ (11) (A)
sq. ft. X 'OU.r ! (l) (A)
~ sq. ft. xlu,l a (U) (n)
I)OURS: Area x "U" value ::2.2
Make b type r rk!/~ 5/ 4" 8 . ft. 3g 9 x"U~~ - 243 (U) (n)
~q. ft. ^ x „U:„ , D!~(v (u) (n)
„ ~.2o-~ e s f~. x ,OU I-~y (u)(A)
"L'TT ~ p 3p (11)(A)
3 sq. fC. /S! ~9 x 9
OYA()UE WALL CONSTRUCTION; Alrea x"U" value C ~=y-~~~ `I
r J.~•~~ elJ~'A~hcPS sq• l~.• !O~ x 11~11 '^u J _ ~J/~09 11i/ 5A/
eq. ft.--^- ~Vgz d,! x"u" .o~/ ' 3./.~. (U)(A)
uetail refer--~"'-L~6 x "U"_ (u)(n)
e
ence from ~~~._u.tC.C --a q~ f ft t.
. is./P ' X .!Y (u)(A)
attached q~
aq, ft. x (11) (A)
-
sheeta sq. ft. x _(0) (A)
sq. ft. x _ (U)(A)
1'OTAL Wall Area IncludinR , r
Windows 6 Doore y D~ 2' TOTAL (U) (A) //K' 3
TO'1'AL ([I) (A) VAI.UIiS /jy; 3y 3~ ~ AVC. 4,9 -
UlV[pEI) BY '10'1'AL WAI.L AHIiA
AVERAGE "U" Minimum .11 or less for l camily dwellinqs
" Nlnimum .22 or less Eor all other buildinqs
NI)TF'.: 11 avvrnRe "U" values as calCUlated above do not meet the EnerRv Code requirements, tha
"AJernn[e F.nvelope Design" as Sndicn[ed on Page 5 may be ased.
• ' ldALl. .'~b:i:'I'IUN't ~ P:~~•` ~ .
P:u~IP,; [1sc ~ IUY„ ~,I up:3quc w.ill nrmu
fnr I~inwin~~. nicuiLi•rti ~ I(-Vnlue
! FItAM[NC MF:MbERS IN WAI.I.S
V i uw
l•:xterlor air.. film._....
~ Siding
~I + ~ . .
Sheathing
~
soft wovd ~'l?a'
y
~ .45
I S~n dr.y wall '
_
I Interior air film _ 68
~
- - ToTnL e =
U ~ l/R U
FRAMED WALL _
Exterior-sir film'~~" .11
Si.ding
Sheathing
batt ineulation
,45
dry wall
- Interior air film _ '68
~ T~TA1 R
~
U - liR
. RIM,JOISI.qgF,/t_
~ Exterior air film
Siding
Sheathin - - -
~ ~ • g9
- 1.88
_
- ~ .6H
Interior air i -
~ '1'0'!'AL P
~!f
u - i/R o ,DY
HASONRY WAj.~I _
Ex[erior air film
-J' 12" concrete block ~ -
_ ~ ..r._.
Ineulation
~
Interior air film _ . .-..--'~'A - • -
- i ~~3
•rul ni. Ii =
U
• R007' CF.ILIN,
' Outside air fllm .61
IneulatLon yyUU
~+1 rl iI ; 'r ~i(
Urywall .45
~ ~ I l f l~
~ = .3 -
Interior air film .61
- 1'0'fAL R = y5.~ ~
p e 1/R
.61
- - Outaide air film
Inaulation-.--•_-----.-
15" Drywall _ ---45
- ' Interior air film .61
- - -
T01'AL ft =
ll - 1/R U
Outelde a1r film •17
~ Bu11LuP..xnofiny_ - ---->3~ -
~ Ineulation
~ Wood decking
-
-
1-' Interlor air film .61
~ - . . _
, i
,
;
--TOTAL R =
U - l Ix °
oor•/cctLtNC:
GT'AL AREA: sq. ft. (11) (A)
etall reference x sq. ft.~
uVn x sq. ft. _ (~7) (A)
rom above. (U)(A)
escribe openin~;s nUn x sq. ft. .(i1)(A)
n
n roof Uo x sq. t. -
x sq. ft. (11) (A)
- npn x sq. ft. _ (11) (A)
uun x sq. ft. _ (L)(A)
TOTALS 89• ft•
•o•rnt. (u) (n) vni.ur:s
iviui-'u nv Turni, r.uor/ ~ y~ avc. OOu,~
:61LINC nkr•.n )V ~ .
VLiItAi:E "1:" .!JS fur ven[ilated ronEs
,lU Ear all other conetiuction
II"I'h:: If avt•rny,c "1'". valueg ne calcula[ed BbOVe do not meet the EnperRy Code requirements, the
"nitcrnace r•:nve]ope Deaign" as indicated on Page 5 may be used.
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, M in nesota 55122-1897 Permit Number: 0 2 8 3 6 7
(612) 681-4675 Date Issued: 0 7/ 2 5 j 9 6
SITE ADDRESS:
4249 SUNRISE RD
L07: 71 BLOCK: 1
SUN CLIFF 1ST
P.I.N.: 10-72975-071-01
DESCRIPTION:
(ROOFING)
B°Ui.l:diiig,`Permit Type STORM DAMAGE
fBuilding aork Type REPAIR
(`'G.ensus Code"`-,, 434 ALT. RESIDENTTAL
~ r
k a
f
. c~4w~'~ C•"~..._i
l <<
~
t
` r
~ V^ ,r . REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC.OWNER:
ELVRUM CON3T CO 17816743 2000037 KOWALKE BRADLEY
2639 LINCOLN ST NE 4249 SUNRISE RD
MINNEAPOLIS MN 55418 EAGAN MN
(612) 781-6743
I here;by acknawledge that Z have read this application and state that the
infiormation is cor'rect and agre¢ to comQly w9.th a11 appiicable StaLe of Mn.
StaC:utes aqd City of Eagan Ordinances.
~'~i~~.l 7?1~-Piryla APPLICANT/PERMITEE SIGNATURE SSUED B: I t TURE
CITY OF EAGAN
' 3830 PILOT KNOB RD - 55122
1996 BUILDiNG PERMIT APPLICATION (RESIDENTIAL)
1 681-4675
New Conatruction ReouhemeNS RemodetR?eoair ReoviremeMs
? 3 regislered eNe aurveys ? 2 copies of plen
? 2 copies of plans (indude Deam 3 window slzes; poured fid, deaign; etc.) ? 2 ake surveys (exterlor eddRions 6 decks)
~ I enerey plculetiony ? 1 energy ealculations (w heated additions
? 3 copies of hee presenaNOn plan N Id pletled after 711/93
requhed: _ Yes _ Ho
DATE: cl zo CONSTRUCTION COST:
DESCRIPTION OF WORK: 03'"&[0 A"b
STREETADDRESS: 4/'~'147 5tot"~ P I 5r= r~ STB(~~ ~q~-q~~
LOT BLOCK SUBDJP.I.D. ~~I)i
PROPERTY Name: I'Pf~Qo~fPhOnB
OWNER
Street Address•
City; State: Zip'
Phone
CONTRACTOR Company: UVRLl~ eO"dr, Cm '
Street Address: 02~ 3°7 U~vCoL~v ~ u~ License D o0 3'7'Z
Ciry: /Yb State: lylN Zip. ss`06
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
I Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit fs issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicable State oT Minnesota Scatutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE -
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
r 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occuparscy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCMIS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Pertnit
SNV Surcharge
Treatment PI.
Road Unit I
Park Ded. '
Trails Ded.
Other
Copies
Total:
% SAC _
SAC Unks
z/aa
CITY OF EAGAN
7EWicllf
APPLICATION FOR PERiMIT
SEWER AND/OR WATER CONNECTION
~ (M-~j HIHiJ
1) PFOP~7?^! ADD?.: SS: y2 y'~ ,A. : SL/
=at. DrsZ-Z*_yr;cs: ,C m r/) 1-3 Lo~f / A-DD
(Lot/31ocJc/Sl...civisicn or T&% Parcel I.D_ LN=--~er)
! IF-~:I~ Deli ; 0_° CiZTGM
AL uiII.DI:`:G %Si ISS.::~\G:
PC.. GS: ~ SL:GL: .P"~SLY .
~R-2 DiJPi....`"{ ('IZ%,D L'DIITS)
? R-3 'SC:,.-tII?CY!SE ('I?n^, _ L'::TTS) ( U.II"_'S)
? tZ-4 A^c:=ut^_`a,:T/CC:Z~Ci-~?`II~~3 ( II~iI_S)
p CC1"nfE~CLAI,/RE^',AII?OFFIC
? ZmUSIZLu
Q LVSTI':LTIOVAI,/Cn~^V~:~nrEm
2) IPLEASE PRL'ifJ .
c=, zip: _ lu.4G,~-.-•~ ,E,- s•~ i.~'~
Pl:NE:
,
j) pu:..:.:7,, (PLEE PIi14T) POR CITY USE O4LY
N'~•~: GvriEl?~it Ti7E.~c ~f r' EaG Gv
r` PLUHBERS C: E:
Aet' e
CZiI, ST?'~', ZZP: ired
PF.C~IE: ecord
yry 36A~ PIUMBER LILENSE N (JiQlf,~
dfi lnltld
4) OC`~[,'2PS1T/Q:~:~ (PlEASE PNINf) T
L~^~:
HDDRFSS: ~
QTL, STAi-E, ZIP:
PFiC1NE:
SY nZICI,TE WHZCH PMIIT
BEL\G RDQiJESTID:
co. zoy M ciz^r sDIER
COi1:VF7CPIG:I '10 CITY WATEFt -
? ~'[1ER (PISl1.,~ OFSCRIBE) '
6) LDIG,.:; C..z.: .
PT.raSE E?OID P,PPFtpVF]] pg2,"4IT FOR PICF:-Uc BY ONE OF AHC)UE
? PIMSE R^r1LL APP2pVm PFR~lIT TJ 1, 2. 3. 4 ABOVE
(Circle one)
7) SIG'1L'RE: r . . / i
- DATE:
~ ~ ~ i • i ~ • • •o•
' • • ~ • 0. r • • N7~ • 1 1 1 l~ U / : n ~ ,1 .1 V: e i ~
nqR CfS~i
F O R C I T Y U S E ON:,Y
pra~Mi.p n ISSUED
FE`°.$: .S Ci. 5 G, 5. Dv3_~1TT (2_I?CLi.. ^ SU.r~ ~
~ t..., n...:^~ . o._..?. GE)
$ /c' sc~ W.`7.Ti1Z PERP'IT- (jrICLUDL JLRCiIARGL)
$ WATER METER/COPPERHORN/OUTSIDE READER
S WATrR TAP (INCLIIDE CORP02ATIOD7 STOP)
S S :;•iER TAP
ACCOliNT DEPOSIT - WATER
$ SC>~.:h~, WAC
$ l' J" SP.C
$ TRliNK WATER ASSESS:+.E2:T
$ TRliiQ?C SESvER ASScSS:lE:iT
$ LA:EP.AL BEtiEFIT/TRU?]K SE:•i~'R
$ ` LA:E:2_aL SENEFIT/TRU.IK L•]AT_°R
$
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ lG)-, .u Af•IOLTNT PAID/REC..~'I2T 4 ~~yv a'j
DOES UTZLITY CON:IECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L YES IF YES, THEN n"PERp1ZT FOR 'rlORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TY.E
O NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SLTBJECT TO THE FOLLOWING CDNDITIONS:
APPROVED BY;
TI.LE: -
DAT°: _ ZIL ~/"~~7
~
~ ~•s~ ~ ~ ~ ~ ~s rc~ ra ~rw~ ~ w ~ w fia ~ef~ ~t~ w WON w.a wa WM WJM w.i MMia ssr w m
.
.
~.g:._.. ~ • . . . , . . . . . . .
. _ I
1
~ i 2/84
" ~
CITY OF EAGAN
~ APPLICATION FOR PER?4IT
Iltn
SESdER AND/OR WATER CONNECTIOAI
- - (PCEASE PAI J ~
1) PPa7PE.Tr?Y ACD?ESS: ~2
r FraI. BESC-2IPT?CN: 16 % 6G/t ~
(7ntBlock/SUDcivisicn or Tax Parcel I.D.
' I"r S'?".=ECZT~,~tE. Dr1T O_° C.~cIG.^.ai, u,2I.DL':G ISsz:A\G:
PP=SL.^.
CTS: O R-1 SM:GL: FPNSLY
A-=- CiJPi....."{ (Z'iO C^II:'S)
_ - : . . ? 2 3 'IC:v1iII-*.C~cE (??-ic.--- + L''TITc) ( U,Ty^c)
? ic-! AcA:=:T/CC:, .L~C i.t?`;I:.-m ( Uvi=S}
? CCi.^nlt??CLAI,lF2Ef.-~iI?C:'FIC
? LMCSiRIAL
Q l1STI^_L'PIOnA I./G:,JE -:Nr
Z} AP?LIC=.~T l+'L't.15c 'rdItii)
cPME: Co~ s
P.~DREss:
CrrY, sT'= , zIP: r4~~rv
PHoNE: _ y ra a`
~
3) PI.Lmmm ~PLEdSE PRiNi)
^
C G FOR C Y I1SE O4LY
NAiuF: ~11~ 6~
FT,C3£SS: l n C 'F}= RD PIUH S LICE,' E:
- Activ
CZTY, STa:'E. ZIP: ~1441vf'r+- •/l~~.v Q~ P~red
1 "ST`.' 0/ ord
PIiCVE: PLUHBER LICENSE
/ U
rf lnltld
4) OCLLPADIT/G?-;N:E2 (PLEASE PRINf)
t~r~: srs 1,~,a.~T
aDnRESs: ~
cri^r, sr:,xE., zIP:
PFi(}VE -
5} INpIMTE WHICH PEPNlIT IS BEIi\Z', RFX~FX'iJES'ID:
O"q=;I0~1 7C) CITI SE7itFR
:'`~PIG:I 'IL7 CITY STATEFt -
~ U'[ER (PL:11..~' DFSC'.IBE)
6) L":DIG=Z G:.i:
pI= aSE f?OID AppRpVID pgRMiT FOR PICF-L'P BY O:IE OF AB(iVE
? PLFr'1SE D^s1IL APPR(7VF.a PER~LIT TJ 1, 2. 3. 4 AFOJE
(Circle one)
7) SIG-ML'RE: ~ r- • . •
' n.aTe:
. ~ . . ~ -
• y~ ~ u ~ • •o•
ZSA1~7~7Y1\ a~, l/ ~ 1"VY Y 1
~~lOI~iR/lJV~1~Cfl~gfll~~illfiii~~~fi~sii:aa~!!!!'J~1Hff~fr~!!yyll~F,
. . . . . . . . . ' ~i
FOR C I T Y II S E ON;,Y
PE2MIT ISSUED
F°MS: $ /c SU SE'.':LR PEBMri (I- or";2,aGc)
> ICLJL.. JU
$ WATER PE:ZI`1T_T (zr:cLUDL SliRCHARGL)
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$ LATERe1L BENEFIT/TRU:v'K WATER
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$ TOTF,L
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DOES UTILITY CON:IECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN n"PERMZT FOR Y10RK WITHIN
P[)BLIC ROADWAY" MUST SE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT ':O THE FOLLOI4ING CONDITIONS:
APPROVED BY:
TITLE: •
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90
2006 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
_3830_PILOT_ KNOB ROAD, EAGAN MN 55722
651-675-5675
Please complete for modifications to existing residentiai dwellings.
Date ~
StreetAddress [N.~I'11'l K~ ci Unit#
PropertyOwner Telephone# ( ' )
N.P. PIPEWORKS
Contractor 3670 DODp ROAD Telephone ?
AddressCitY State 2ip
TheApplicantis: _ 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
Alteratlons to existing dwelling $ 50.00
_ Add plumbing fictures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are fnstallinq onl a water softener and/ar wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System AbandonmeM
_Water Tumaround (add $130.00 if a 5f8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
ToWI $ ~"',sv
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 wdes 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 pertnit and work will be in
ccordance with the approved plan in the event a plan is re to be review nd ap~ Feved>
pplicanPs Printe Name Appl' nYs a e
~ CASH RECEIPT -
• ~~T" ' CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE f 9
wecovco '
RwoM
AMOUNT $ I
1k DOLLARS
oo
7
? CASH ? CHECK
FOR
FUND CODE AMOUNT
Thank You
BY
Nfhite-Payen Copy
Yellow-Posting Copy
Pink-File Copy
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110893
Date Issued:06/03/2013
Permit Category:ePermit
Site Address: 4249 Sunrise Rd
Lot:072 Block: 01 Addition: Sun Cliff 1st
PID:10-72975-01-072
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Lisa Skogen
5660 Memorial Avenue North
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Neil Weiher
4249 Sunrise Rd.
Eagan MN 55122
(651) 454-9596
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use l
I I
j Permit*
City of Eap Permit Fee: °~5 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: ,L c&' .3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTjI1A,-~L/ BUILDING PERMIT APPLICATION
Date: Site Address: l a / g *I ~ 246 Unit M
x
n _ Name: I I Phone:
Resident/
Owner Address / City I Zip:
(
Applicant is: Owner Contracto
Type of Work Description of work: ! ,Oil bb
A Construction Cost:4 % Multi-Family Building: (Yes / No
Company= (/1w+ Contact:
Contractor Address: ~t - City: La!(
I
7~ U 3a
State: 1411V Zip: ✓ Phone:
i e
i 0-
License 13 YJ 31 3 Lead Certificate
. . . - - - "1 11 1 ~ &iO
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:
_ o~.......... _ m._._o. . .b..
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.oopherstateonecall.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 must be completed within 180
days of ermit issuance.
x~'~ l x
Applicant's rinted Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
' � Permit#: �����U j
Clty of ����� � �: ��n �
I Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: _ i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:���� ���C-2_w"��f�� Unit#:
�� �,�������'� �
:� � � ��.� a / �i—ys"� %S�/
,, Name: ,� �l��2�/LE�!!" Phone: �- �
���Residentf� ��� ' ..---- �
:����� Address/City/Zip: �/�"
'. Applicant is: Owner Contractor
' Description of work: l e !P,�! �
Type of Work '
Construction Cost: ,.� Multi-Family Building: (Yes � /No�
A -� �°
' Company: � S I"D� Contact: e � �e��—
�011"�C�G'�t?t' Address:��7 �` �iu/�� � City: (
��'� � � l�'�p:�� f y
State: i 5 �� Phone: G�/�° l'y'�.�1)�maiL< r� � ��
License#:���,��3 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:
Nt7rE;P/an�.�n�suppc�rt�ng do�urrre�#s�fa���,�v�r sabm�t are cvns�aterea�a be publi�►n��rm�tivr�. Pr�rt�rar�s vf
�h�fnfvrm�tai�n may�be�l��sif��'�aL��"rt�ri�ubl��if yo�r�rc�vid�specifiE reasans;tlrat wc�uld�ermit t�i�Gity to
,,„f °;° c�nclu#e.i�hat.�#he are frade secrefs.'
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.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 of plans.
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.
x Gc� � x �-
A p' ant's rinted Name Applicant's Signature `
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
City
#: G 1 144-181-
0f Ea a Permit Fee: zs
3830 Pilot Knob Road
Eagan MN 55122 Date j Received: r
Phone: (651)675-5675 a
Fax: (651)675-5694 Staff:' t
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 ^ i'7 Site Address: 1� 5\3 Ste' kk.�� Unit#:
Name: Ii- 14 11U ..-.t, 6�, f . Phone: 5 ( S 1 7�{
Resident/ C �
Owner Address/City/Zip: / t: ^y7 c i L r r1 L--e..._ 1 -.----..„30-1 v, _S,_S i 0.e'
Applicant is: Owner Contractor
Type of Work Description of work: ` Is Cc, G'c;or 0\5 D
Construction Cost` l 30 Multi-Family Building:(Yes /No )
Company: iNal .TY o v CI c)\:\-L Contact:
Contractor Address. ity: - V�( (,47
State �VZip: ` 7Phone3 535 �mLicense#: Lead Certificate#:
a
If the project is exempt from lead certification, please explain why:
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 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.gopherstateonecall.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 St t- 'u' •Cod: must be completed within 180
days of permit issuance. I / / '
x N\ .1..1 e__ GO .)( 14ZR x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154968
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 4249 Sunrise Rd
Lot:072 Block: 01 Addition: Sun Cliff 1st
PID:10-72975-01-072
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Neil Weiher
4249 Sunrise Rd.
Eagan MN 55122
(651) 231-2773
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155045
Date Issued:04/25/2019
Permit Category:ePermit
Site Address: 4249 Sunrise Rd
Lot:072 Block: 01 Addition: Sun Cliff 1st
PID:10-72975-01-072
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 -
Neil Weiher
4249 Sunrise Rd.
Eagan MN 55122
(651) 231-2773
Perfection Plumbing
9633 211th St W
Lakeville MN 55044
(612) 867-1192
Applicant/Permitee: Signature Issued By: Signature