4263 Sunrise Rd
. ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE:454-8100
BUILDING PERMIT Reteipt #
=l DWG GAR Est. Vnlue $60,000 Dote JULY 16 , 1984
T, nd far
w
Site Addrest 4263 SUNR I SE RD Erect CY Occupancy R3
Lot 10 Block 1 Sc/Sub. SUN CLIFF 1 Remodel ? Zoning
Percel No. Repair ? Type of Const. V
Enlsrge ? No. Stories
W Name RSM HOMES Move ? Length 3
~ Address 14486 UPPER GUTHRIE Demolish ? Depth 46
City APPLE VAL phona 894-5907 Grade ? Sq, Ft.
RSM HOMk:S Approralt Fees
~ Name
A~~ /lssessment Permit •00
ul City Phone 4 3 2- 21$ 7 Woter b Sew. Surchnrfle 30.00
Police Plon check 156.50
~W Name Firo SAC 525.00
Address E?p. Water Conn. 470.00
~ W City Phone Plonner Woter AAeter 63.00
COUntil Rood Unit ?6 9,0 0
I hereby acknowledqe that I have read this opplication ond stote that gldg. Off. Parks
the information is correct ond ogree to comply with oll oppliceble APC Total , 8.17 0
5tote of Minnesoto Statutes ond City of Ea9on Ordirwnces.
Var. Date
SiQnature of Permittee
A Building Pennit Is iuued to: kSt'I f30PtES on the express cordiNon tha+
all worlc shall be done in acoo~donce with oll opplicoblq~ State of Minrxsota Stotutes and City of Eeqan Ordinonces.
Buildinp Officiol
PKmit No. Pe?mit Holder Deu
Plumbin9 (A.k-f " I l ~ $ k-(
H.V.A.C. LI LJk 14 og I t
Electric ¢ta. oa' -(r Jg y
Softsner
Inspection Oate Insp. Other
Footings
Foundetion
Framing i..~
Rouyh Ptby.
Rouyh HVAG inwlation
Final Plbg. ,s
Final HVAC
Finai ~
Cart/Occ.
Weter Dese?i6e Location:
Well
Sswar
Pr. Disp.
Receipt C}!~ `I ~ PLUMBING PERMIT Permit No.
CITY OF EAGAN -
F e e -
~ Fill in numbered spaces S/C
J Type or Print legibly
Tot. ~2 d ~ T
1. Date 2. Installation Cost
y +k '
3. Job Address Lot.1 4') Blk. Tr t
4. Owner
5. Contractor - y. Phone i-
1
6. Address
i ~
7. City ~ ~ • ~ _ r State Zip - , , ..C
8. Building Type: Residential Cammercial ~ Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
1 Lavatory Softner
Shower Well
I Kitchen Sink
Urinal/Bidet Other
I 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 numbered and approved.
Approved CITY OF EAGAN 454-6100
~ ~ >G >
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee 20
r~~r l~c l
Fill in numbered spaces S/C .50
Type or Prinr legibly Tot. :?0• 50
1, Date 2, Installation Cost 2200.0'"
<
3. Job Address 4,'-63 -=unrise 4Lot Blk. J Tract~
4. Owner ftSP-?
5. Contractor _ ..•~,T', :LliTi 'u Phone ' "%'-5-68b7
6. Address 4637 ChicaUo :',ve. o.
7. City T!pls. State ' Zip 55407
8. Building Type: Residential 91 Commercial O Institutional ?
9. Work Description: New 91 Add 0 Alter ? Repair ?
10. Describe in:~ ~ i_L forCec: rdr h,? ti-irfuel Type n-:t .s
11. No. Equiomenc 9TU - M. Ea. No. EQUiament CFM
1 Forced Air ;OpC00 Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 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 ihis type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
1N SYEC:'1'lUN KE(.;UKl)
CITY OF EAGAN PERMIT TYPE:
~.$30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. • D'
( Sif„
t.A l l 41 A') ~:tl+E0 lil (ir1Nl1 )Nfi Li.LCik!(.A1 1'L-ItMi 1 AfIU lP!'.E'1 t. f li)i`d'-.
~
L
3 a 65 ~
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS ~r
FOUND
FRAMING
C
ROOFING
ROUGH
PIUMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT - - -
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDHOSTATIC
TEST
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks i/ L ' ' ' L.../
Addition SUN CLYPF 1ST Lot 10 Rlk 1 Parcel 10-72975-100-01
Owner Street 4263 5BNRISE ROAD State EAGAN Il 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, c
STREET RESTOR.
GRAOING
5AN SEW TRUNK
SEWERLATERAL ~ 10$2.39 C009610 10-1-84
WATERMAIN
WATERLATERAL 10 10-1-84
WATER AREA ZD 1 12-13-84
STORM SEW TRK 80.64 C009975 12-13-84
STORM SEW LAT ~
x 776.63 C009610 10-1-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 #44724 7-16-84
WATER CONN. 470.00 11
BUILDING PER. <<
SAC
PARK
' . . , . 'jn..F~~.r;. - ' ' ' . . . _ . . _ _~.--r--••~
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. D. Box~21199 r 3 a 1q~ PERMiT NO.: '
Eagan, MN 55121 DATE: ' - -
Zoning: 11 No. of Units: l
Owner: 5y ,
-JJ b~ P ~'1f
ll{74Mi~c ~I~ 1 ~ Y( _ .
S~te Addres~e.~.~_`~~~r~i~i9~b~@~~}i'@g~ SLnclif f 1 st
Plumber: '
Meter No L~` ~ , ~CpA~~~+nectian Charqe: 470,00 p: i
Stzs: ~ ' ' t ` `Y1Ecount Deposir: 15 . 0 U
1r~•
• ~ Permit Fee: 0~ 1,.~
~ ,
~R~~r Ne ~
1 ogree to oomplp wMr Mw Citp of Eaqen Surcharge: .50 r4
Ordimaces Misc. Chorqes: A. 00 gt3 TnP r a r
TOtal:
gy Date Paid:
Dote of rnp.: InsP•:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 559-D
P. O. Box 21199 PERMIT NO.:
Eagan, MM 55'1,~i DA7E: -
Zoning: ~e8 No. of Units:
Owner; M
Address:
Stta Address: unr ae oa unc e t
Lake§lde
Plurnber.
$
Meter No.: Connection Chorge: p
SJze: Account Deposit: • P
Reader No.: Permit Fee: ~ p
I e9~ to empiy wuh !re C'ifp of Eagsn Surchorge: .50 P
Ordlneness. M(ac. Chorfles: • P metel
Total:
BY Dote Paid:
Date of Insp.: Insp,;
~
CITY OF EAGAN SEVI/ER SERYICE PERMIT
3830 Pilot Knob Road ~
P. O. Box 21199 PERMiT Np.: ~'30
Eagan, MN 55121 pqTE; 1-16-P,4
ZO^i^Q- 't 1 No. of Units: I
n•••{ riOfiE!$
Owner:
llddress:
Stte Address: 4263 Sunrlde Roa:i L1U Bi Strnc.liff lst
Piumber: LgkeSide Plb
7-lir;~'4 44724 100.00 P
I pm to eempy wilh NN Ciyr ef Eo9os Connectlon Charpa: 425.00 pd
OrdiNnaso. Account Deposit: • P
Permit Fee: 10. P
$urthOrye: ' D
BY Misc. Chorpas:
Date of Insp.: Tptal:
Insp.: Date Pold:
E ` CITY OF EAGAN ~a
3830 Pilot Knro6 Road, P.O. Box 21-199, Eagan, MN 55121 .
PHONE: 454-8100 ~
BUILDING PERMIT Receivt #
Te 4e uwd fee SF DWG/GAR Est. Value $60,000 pme JULY 16 _ 1 984
SiteAddress 4263 SUNRISE RD Erect C~ Ocwpancy R3
Lot10 Block 1 Sec/Sub. SUN CLIFF 1 Ramodel ? Zaning
Parcel No. Repair ? Type of Conrt. V
Enlarge ? No. Stories
~ Name RSM HOMES neove ? Length 3 FRON' -
= Address 14486 UPPER GUTHRIE oemolisn ? Depth 46
~ Citv APPLE VAL phone 894-5907 Grede ? Sy. Ft.
~ RSM HOMES Avvrorals Faoa
Name o Address Assessment Permit 313.00
V~ City Phane 432-2187 Water85ew. Surcharge 30.00
Police Plon check 156.50
~W Neme Fire SAC $25.00
Address Enp. WaterConn. 470.00
~W City Phone Plonner WoterMeter 63.00
Councll Road Unit 260_00
I hereby ocknowledge that I Fwve reod this opplication ond state thaf gldg. Off. Parks
the inlormatian ts.correcf cnd ogree to comply wifh all apDlicoble qPC ToWI ~50
Stote of Minnewta Statules and City of Eagon Ordinonces.
. . Var. Date
$i0noture of Pertnittee
A Building Permit Is issued to: RSM HOMES on tha express condition thot
oll work sholl 6e done in acco once, ith all ap icable Sta of Mi Slatutes ond City of Eagan Ordinances.
Buildirq Official
- ~~ITY OF EAGAN Include 2 sets of plans.,
. 1 Certificate,of Sitrveq &
pw U /~,6~p BUILDING PERhIIT APPLICATI(7N 1 set of energv cal.culations.
7b Be Used For -s • ~Valuation 1~, ~ro• Date
site Address: ~/Z 6 3 oFFICE vsE ot~Y
7nt /0 Block ~ sec./sub. Erect X_ OccupancY R-3
Alter Zomng R - I
Parcel ~i..,.~!?i T'lii~ `"_~~.y- • Repair Fire Zore
Oaner: /T .r/Jl7 l~rYs,,a~o E~~e -T~ of Const. ~
Nbve # Stories
Pddress: 1/~P~ ~ ~lish _ Front ~jCo £t.
City/Zip Code: -175 Grade Depth 4 ft.
Phone # _ !Fy- y 5,~'/ d ' APPRDUALS ~
contractor: Assessaannts Pernu.t 3 1~ o0
Address: Water/Sewer Surcharge
Police Plan Check ~o
City/Zip Code: y ~I Fire SAC 525_0
• Water Conn. 4 ~ C~
Phone # : 7 ~ 7 / ~ ~ p ~er Water Meter (0 3.
Arch < Council Road vnit Z~oD , pO
' ./F~g.: ~C. Bldg. Off.
Pddress: APC
City/Zip Code:
Pho~ ~9,~ 3 6 ~ ~rr~ 8' ~ 7~ s v
rl)
~ xx
~
n Il
Ui N
This reques[ void ~f~ 9 i-tL/
18 monlhs tmm f T / I r 7
A 45892 L ' 3
Requ st Date . Fire No. Hough-in Inspecti ~
Repuire Reatly Now ill NotifV InsPe..
1 6 ~ ~ QNo Qur When Ready
? l3censetl Electrical Comractor 1 hereby request insDection of ebove
? Owner electncal work instelled at -
Sveet Address, Box or Houte No. -C-itY
.3 ~ ~ aCr,>
e uon o. ownship Name or No. Fange No. County
k0
Occup.ntIPRINTI Phone No.
Pawer Supplier n~ AddressI
DAfCO~ L~t`CTi ~T'SLK? . Hir.J~$-t-&j
Electrical Conuactor IComoany Namel Contrdtlor't License No.
G~' /570 -S
Mailinp Address lCOniract r or Owner Making Inst ilationl
949 zill A. . Ao^-ar Ra.,~ ssia~
AuMorize ignaWre (Contra or Owne king Installati 1 Phone Number
/ -737D
THIS INSPEGTION BEQUEST WILL NOT
MINNESOTA STATE BOAFD f ElECT111CITY
GrigBS-Midwav Bidg. - floom N-791 ' BE ACCEPTED BY THE STq7E BOAflD
UNLE55 PPOPER INSPECTION FEE IS
1821 UniversitY Ave., SL Peul, MN 55704
Phmw (6121 297-2117 ENCLOSED.
(/~~fp REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa
l ' See insituetions lor comple[ing Ihis torm on back o1 Yallow copY. '.~-Z-Y
A 50 G~ "'X"" Se/ow Work Covered by This Request
Ada NeP Tyoe ot Builaing Apoliancea Wired EQUioment Wired
Home Raoge Temporary Service
DuplPx Wa[er Heater Lightiny Fixtures
Apt.BUilding Dryer ElectricHeatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othei peci y Other IS11e6 fy)
1.r ueufy Ot er Ofher
ompute lnspection Fee Below
p Fee ServiceEntrance5ize k Fee Feeders/Subfeeders K Fee koO cuics
, Q 0 to 200 qm s 0 to 30 Am s L Am s
Above 200 q~n ~s 31 to 100 Amps 0 q y
Swimming Pool Above 700_Amps .4m s
Transtormer5 Irrigatio n Booms Other Fee
Signs SNeciallnspection
EE
Berrarks
flouBh-in Ila1e ~~pw the ' al
• r, ~ /Inspector, hare0y
cenity thet tha a0ove
Final i y~rPaeiion has been
.Oe.
mie requwl vouA 18 monthe irom "
C. R. WINDEN i ASSOCIATES, INC.
t~~ O LwNo suevcroRS r.t $sa-asss
, 13~1 EUStIS SL. SL ?AUI, MtNN. 6510i
For: '
RSM HOMES
N
01,
.Fi
\
O 0
9 0 \ 'L
Sob Scale: 1" = 30'
O Denotes Iron
/O Monument
1 • 9D° . . ~5
1~ CO~'~ 5~o s~ ti\\ q
A
, ~0e
~
o91O 9
~'y~ p'~
c~^G .po \ rq,
oNOTE: 'O
o Denotes Wooden Stake (~v
Proposed Garage Floor E1.906.93,
(906.6) Denotes Proposed
Finished Ground El.
-f-- Denotes ?irection
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Lot 10, Block 1, SUN CLIFF FZRST
ADDITION, Dakota County, Minnesota.
WE MERElY CERTIFY TMAT TMIS IS A TRUE ANO CONRECT REPRESENTATION Of A SURVEI' Of TME
SOUNDARtES Of THE IAND A?OVE DESCR16E0 AND Of TME lOCA11pN Of ALL 6UIlDINGS, li ANY,
TMEREON, AND All Vt51{lE ENCROACMMENTS, If ANY, FROM OR ON SAID IAND.
Deeod tAis IF7'Alder gF L7-61ne ?.D. li gy C. R. WIrlOEN 8 ASSOCIATES, INC.
?r ~~o.~' .~•-"..P~,uE'.2.,i.
Srr.tsvOr, Minmewle Rp~urotien ?~e ~71G
Mn51?
.I L 7 • . . .
EXTERIOR EIJVELC?E AVF.RACE "U' COti?'JTATIOiI
OMIiiER
SITE ADDRES3
CONTRACTOR,425, ~ DATE PHONE
Determine working snuara lootage ot each. I I ~-70Z8 x
1. Total exposed wall area /SfO.o eq. ft. xa9r~
2. Total rooP/ceiling area ..!f
1(rle.O sq. !L. x'W
~
.G6'00.~ c~ZC~ 2 -rj. l Z Y,
Total exposed wall area above floor a
a. ToLal wall winzow area .................~,Y _
b. Total door area
c. Total sliding glass area .
d. Total fireplace wall area O
e. Total wall framing area (erage 10%)...~
P. Total net wall area above floor i s
S. Total ric joist area «/.jL
Total exposed foundation area
h. Total foundation wlndow area o
i. Total net Poundation area above grade
Determine "U': value of each wall sepaent.
a. f'~•fe nUr. .~r'~_ • , .
b. lJJ.G X nUr ,09/ a
C. X uU:t
D. D X"U~' v ~ 0
e. X I.Uu • &
f.X "U" ,pyy ~ •~Bt~,
K• nU•. • G.f~
h. X"U' D ~ O
1.~ R 41,
3 Tota1 ¦ 3• x-
If item N3 is the same as, or lesa than item 01, you have met the
intent of SBC 6006(c)2.
Ic~pq" v 3 ~'/3•49 ~ w7
~/li9f~.al~w~fxs~+t
~W Kot. ~i~ ~ 3Q~ G ooG,«•~ ~
• ~!t
' .
~ •
Total exposed.roof/ceiling area ~ 9l.li•~
Total akylight area . ,
k. Total roof/ceiling framing~area (average 10;~)k-fp
^
l. ^aotal net lnsulated roof/ceiline area o&e ~
Determine "U' value Por each roof/ceiling aegm6nt.
i , --jep_g I,U;t p ' 4
k. .G X ''U" •Oy ~
1, 869~ X I:~, •O.?G ~ ~i~'~ .
a Total
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1.
e~s» •4 yC-:M~59 cAtW
Alternate Huilding Envelope DesSFn
To utilize the total envelope aystera method, the values established
by the sum oP items N3 and M4 shall not be greater than the swa.or
items #1 and 02.
1'10• + 2. 25,12
1 • _c~~ IW4?'_ - "q 4 q S, q- x
+
I
CITY UF EAGAN
CASHIEfi: $ TERMINAL N0: 762
DFl7E- 07/30/38 TIMF: 15:49:23
ILi.
NAME: ROOM3 TO GkOW INC
3210 9001 4263 SUNftISE RD 74.75
2155 9001 4263 BUNkISE fiD 1.50
~
r
:
7o+,a:L Receipf, AmOufSt S 76.25
cRo9ssnz
USEF; IU: NANCY
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: ~ 3i6~ 6 N G
Eagan, Minnesota 55122-1897 Permit rvumber:
(612) 681-4675 Date Issued: 0 7/ 3 0 J 9 8
SITEADDRESS:
4263 SUNRISE RD
LOTa 10 BIOCK: 1
SUN CLIFF 1ST
P.I.N.: 10-72975-100-01 '
DESCRIPTION:
t$ .
B~"la~"`Ziq9~ Permit Type GARAGE/ACCESSORY
,4u.iLdting *o_rk Type ADDITION
fts~s° ~ode' '~~438 ALT. GARAGE
~
~ ~St e~:;t r
z
MV.'fr
dnR°'"r •
e
.i~`"~ i ~,.:ssvi,Lt ~-:°m.'_. ~ 6°~.-,°•_
w'P s sr.^
~a Sg ~ a2. Rs' 4`t~E~z.~g s`~t Y'"5S {s §#,'~+`~+'°t
REMARKS:
PLAN REVIEWED BY ,70E VOELS.
CALL 445-2840 REGflRDING ELECTRICAL PERMIT AND INSPECTIONS. .
FEE SUMMARY:
VALUATItlN $3,000
Base Fee $74.75
Surcharge $1.50
Tota1 Fee $76-25
CONTRACTOR: OWNER: - APPlicant -
HENJUM STEVE
A 4263 SUNRISE RD
~ EAGAN MN 55122
~ (651)454-6199
,
I' ~T her~~ 'by acknb~ll~cYt~~that'2 have read-"this 400,1icetaan r?od sta`~~ that fihe ' ,'100rmata;on ii's , correet' aind aqres ta co:mply wiCh all applicable Stata pf Mn.
~ >rSt eiCUt!o s- Xity `f f-agon Ordlnances.,
._m;/. ~ _ •
I sue~ ev. siGNATUa~
` T! EESIGNATURE
~
t
° 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
3 a c~ ~ ~ 68 1.4675
New Canstruction Reauirements RemodeVReoair Reavirements
? 3 registered sde surveys • 2 copies oipWn
? 2 copies of Dlans (inGude beam $ window s¢es; poured fid. design; etc.) • 2 site surveys (ezterior addRions & decks)
? 1 energy calculations ? 1 energy celculetions for heated addkions
• 3 copies of trae preservation plan if bt platted aRer 711f93
required: _ Yes _ No
DATE: 'Z~ f-r c.~ CONSTRUCTION COST;
DESCRIP ION OF WORK: _-6~aApa gx
STREET ADDRESS:
r ~ ISA--
LOT: `0 BLOCK: ~ SUBD./P.I.D. S lti vt VC~R
Name:_~~ 'U~V1U?Yl ~Str_4 X Phone#:
PROPERTY Last V Fiat
OWNER ?
Street Address:~J
City /M-, State:
Campany:------~_~. Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHIT'ECT!
ENGINEER Company. Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is and ee to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
O 03 SF Addition ? 08 8-plex Atf-t3 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Afterations 0 36 Move
~32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3B
Depth Footprint sq. ft. SAC Code a/
Census Bldg ~
Census Unit ~
APPROVAL5
Planning Building XZ--' Engineering Variance
Permit Fee Valuation: $ 3 i~~ ~
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn. / X
water Meter 3 Z
Acct. Deposit Z x l~°
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
- EXI`.I ~j~ r ,1J~~J' L i ( ' I ~ i , -
~
- _ ~ ~ .
~ .
i - ~
A
. i
~
V rlI DOi'~<~
I .VI / ~
~ Stoii3H1> U"1'FCTiJ12:i (r1dltrt-v ' i-~ ~ ' `(;i.:`.,n
~,itt~' ItE ut;r.nitcd a.~.) ~ % : ,y ` ~
4,1U17ii.D iiN ALt, f,FVI;C.g ~F'1'IiE IlCi~`_,'e ~Pd!(~~ II D(~ ~~~~:1
t!.Cli? IN ~;?d.~:-
1.L ~a.r:r;rrN~~
UfJ'!'AI:JifJi' ROc;!~s. oN
r.r;~~~~[s i I '~f_ ~~r ; ~
; ;,LFEPINC ARF;:AS.
LtX' Cr;tiTt;:1 I I
A7E LLY
:;141c)liLT I)}?77.'('TY~It.`i IN }iAJJ.W,fYi. r I`•z:' ~-t
aT
1
.r ~ ~ I 'l I I . , ~ ~ . i~ ~ ~ ~,,i ~.!+S i . ~ ~ I • ? ,
~ ` V
.
_-L-
-
G
Au
_ - - 36 ~ K ~
~ 7_.--J , . / - .
- ...J-......... .3-- ~ ' ~ I _ \ - i ~ _
~ ~ i 11~{I T n- •__loM pAc
~ ~ ~ ~ ~II~ • II
_ ~0~ 1~ , hb~~.GN~.
~ I L7rl~'(1~1/ ~'/)UIJp,.`~~
0 tiC
' o I 5 I- 20 40
~
.
~ y ~ ~ ~L a ~ - - - - - - ~ a
- ~
CITY USE ONLY
LOT ~ BL I RECEIPT
SUBD. RECEIPT DATE: F1
1996 MECHi41V1CAL P£RMIT (gESIDEN11AI)
crrY oF s,a?snx
8$30 f'ILOT KNOB iiD
gAHAA NP 55122
~y~ ~ DI ia~
Date: (61E) 6$1-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
A.r%^.T!nP; ".*.,'0 r : ° ~T 6.00
• Gas oudets ( mixiimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following: °
_ Install fumace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. ~ Otherko ViNmT
LANRC~
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITEADDRESS:
OWNER NAME: PHONE - lI~V - Li
INSTALLER NAME: PHONE
STREET ADDRESS: J d~ \ " ~ ~1 ~k • °J~
CITY: STATE: ~ ZIP:
SIGIQATURE 'F PEAi TEE
]S/FORMS BLDlI~ff CH PERMIT (RES) - 1998 Y
C11'`! USE ONLY
L BL _ RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1998 MECHANICtkL PBR14IIT (COMbIERCIlkL)
C[TY Of EA&rkN
3$30 PILOT KNOB RD
RAsAx, huu 55122
(612)681-4675
Piease complete for; all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
[Zl!'IATiT~1T~y~L'+YYVVPYUla~V~.livPr 7%
Y~ \/1V~ 1 S 1 DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTIRACT PRICE x 1%
PROCESSED PIPING '
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of nermit £ee due on all pemiits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONL1):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERNIITTEE
!~l 1
"t Z/$4
CITY OF EAGAN
FEE~r~ I~ APPLICATION FOR PERNIIT
~ - SELJER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
1) PP.OPE.T"fY ACDRSSS: '62 6 ~ ~
r.Fr:,L DESctPrzCV: _ l6 -
(Lot/Block/SubcLvisicn or Ta;c Parcet I.D. Piiu,ber)
Si'Ri:C^.7=, Dol^ G=' ORIGi.;AI, yiiIi^L`:G F=•ST T_SSZ:?~NC::
i=-: gR-1 SD;G'i~-~. ?a-MrTY . '
? R-2 C'JP= ('-7%0 UNITS)
Q R~3 'IG`'vi~.f'30LTSE ('I".?F2t''c, + UNITS) ( LTiVImS)
? R-? P~pP.R1"!="/CCma%LT\Icm ( U~IITSi
? CU-nfEF',CLAL/R'TrIII?CFFIC::
Q IImC;ST?S.3L
Q NSTITGTIO%7.'-1L/GG4'~~niE~,"^
2) APPLIC`-VT IPLEASE P,~IYT)
NtlME: 6 Vlvt- ~
ADDRESS:
CZTY, STA'?':', ZI?: -
PHO~\T::
3) Plu,IBER ~PLt;i PRINiJ ~
ZA1E - FOR CITY USE 08LY
. , z.:,~ µC
ADDRESS: c{ S'~j ~ PL RS LI£ LE45E:
Attive
CITY, STATE, ZIP: QjLi o,, Lfj(Lz /t Expired
MaicR 0 Not oi Rec rd
PHONE: ~t{7- ae6 PLUHBER LICENSE N(j 6 2- 3 ~ 7~p dSol~
arr lnt[ia
q) cccuPANr/a.7iT-rR NA (PLEASEPNIN!)
i~:
ADDRESS:
CITY, STA:E, ZIP:
PH(?:E: -
S) INDICyTE WHICII PEP.h7IT IS BEZ\G RDQUESTID;
PT CC. ~.i'ION 'It7 CITY SE"IER .
V- CC:PNECTICV 'Iq CITY NATER
? C7I'EE'i2 (PLEASE DESCRIEE)
6) U:DIG C:W:
? PL:1SE f:OID APP?2Ct/ID Pg2,titlT FOR PICi:-UP BY ONE OF 11BaJE
~°IEaSE ~'r'+SL P.PPRO~, PE1~•LLT 'IO 14f2~ 3, 4 AWJ7E
~ (Circle one)
7) SIG!MT[.1E: DATE:
. S~its~~at[
F 0 R C I T Y U S E O N L Y ~
L
PERytIT ISSUED
FErs= $ /o--_C;'~ SE:iE^ nro•.(rm fT_'_;C=..:~'
$ WATER PEIL*4IT (INCLUDE SURCY.ARGE)
$ G~ -'-i'> WAT°R METE°/COPPERHORN/OUTSI= RE:-.u :R
$ WATiR Tt1P ( I;VCi,iiD,^-, COR?ORATIOti STO? )
$ S°S'IE3 T:`.P .
$ ACCOUNT DEPOSIT - SE:.'ER
S /•~"-d ACCOUNT DEPOSIm - wa:EZ
$ m---o WaC
$ SAC
$ TRUNh tdATED ASSESS.3E:iT
$ TRUN:: SE;dER ASSESS'r1ENT
$ LATE°AL SEtJEFZT/TRUiVK SE?•:ER
$ LATERAL BEiv'EFIT/TRU:Vi: WAT°R
$ ' OTHER
$ TOTAL
$ ~~-r-gy A:lOU:IT PAID/RECEIPT
DOES UTILIT't CONNECTZON REQUIRE EXCAVATION IN PCiBLIC RZGHT OF LvAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
r]v ] NO ENGINEERID]G DIVISION. LIST AS A CONDI-
TION.
SU?JECT TO TFIE FOLiO:'7ING CONDITIONS:
APPROVED BY:
TZTLE:,~/ zr ~
DATE: A7`f
0440 N%40 "20rW+N ta
i
~ CASH RECEIPT f~
CIT:.I~ 4F EAGAN
4 P. O. BOX 21-199
EAGAN, MINNESOTA 55121
~~n DATE 19
REG6tNCD/~
RROM
AMOUNT $
& DOLLARS
~oo
? CASH ? CHECK
, ' .
FOR FUND CODE AMOUNT
_ - 1
I ~
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
~ CASH RECEIPT
~ CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
weceivco i
FROM ~
AMQUNT $ I
Q DOLLARS
~ao
? CASH ? CHECK
D c
FOR-
1 j
. / .
F11N0 CODE AMOUNT
}
~
, ~ . • . ~ '
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4263 Sunrise Rd
Lot: 10 Block: 1 Addition: Sun Cliff 1st
PID:10- 72975- 100 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078506
06/25/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4263 Sunrise Rd
Lot: 10 Block: 1
PID:10- 72975- 100 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Beth Janohosky
207 W. County Road 42
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
Addition: Sun Cliff 1st
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA081694
01/15/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115122
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 4263 Sunrise Rd
Lot:10 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Johnson
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
(651) 454-8384
Cardinal Exteriors
4110 Valley Industrial Blvd. S
Shakopee MN 55379
(952) 445-8638
Applicant/Permitee: Signature Issued By: Signature
~~oa s z ~nw
Use BLUE or BLACK Ink
r For Office Use
01 ,
.3 575-
~O j Permit / I
City of Ea a~ ~ -S ~
E ay Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 lY I Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
~4 I
-i
Dater I Site Address: Li 0\(. ~ - Unit
Li
Phone:
Resident/ Name:
.
Owner Address / City / Zip: cc-k-L'z z a s
Applicant is: Owner Contractor
Description of work:'
Type of Work
t
Construction Cost: t~' Multi-Family Building: (Yes /No
Company: J, OVCr -S 41, Contact: (3~2~ ~G Lt~r~C v
~r ✓a. t-. v~
Address:
City: Contractor
State: UW Zip: + Phone: Email: t~ t,: c_ r ?.4-4 t e~ Cc. _ C r,;*x
License 136 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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.aopherstateonecall.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 Minnes State Building Code must be completed within 180
days f permit issuance.
T
t ('~.~G ki, x
X° 4-i
-
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi ~4_ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of _ Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
- New _ Interior Improvement _ Siding _ Demolish Building*
- Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace - Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition jM p, SAC Units
(25%_ 100%) Zoning
City Water
e-D
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
-T` Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough in -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls f Other:
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC t`
City SAC
Utility Connection Charge
S&W Permit & Surcharge ~ {'0 1
Treatment Plant J~ .a
Copies
TOTAL
Page 2 of 3
3 375
s
t
C. 4. WINDEN ASSOClj,~"
For - 4 .1301 EUSTIS st, ST.- PAUL* Wm:-J'
RSM HOMES
N
01,`, '
470 10,
I C® Scale: 1" = 30
Denotes i-ron
10 Monument
r
C)o
I
It r -
c~~ra
WIN
A /0
NOTE. ~ /0
0 Denotes Wooden Stake
Proposed Garage Floor El.906.93 v
(906-6) Denotes Proposed
Finished Ground El.
Denotes Direction
Of Surface Drainage
Vertical Datum - N,G.V.D. 1929
Lot 10, Block 1, SUN CLIFF FIRST .
ADDITION, Dakota County, Minnesota.
8
F MEEEBY CERTIFY THAT THIS IS A TRUE AND CONVECT tEPRISEWATION Of A, SURVEY OF THE
~YOI 10t6Mvm Y.QP h> w..• ..w •rh°.r Rwe sr.0rw rh a... rr.. a.. ww r.... s...wd .M ...s
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141097
Date Issued:02/15/2017
Permit Category:ePermit
Site Address: 4263 Sunrise Rd
Lot:10 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
Spotless & Seamless Exteriors
8715 Jefferson Highway North
Osseo MN 55369
(763) 428-1111
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159728
Date Issued:01/13/2020
Permit Category:ePermit
Site Address: 4263 Sunrise Rd
Lot:10 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-100
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
(651) 503-5470
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166016
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 4263 Sunrise Rd
Lot:10 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Wendy M Grahek
4263 Sunrise Rd
Eagan MN 55122
(651) 503-5470
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature