4267 Sunrise Rd
~ CASH RECEIPT
i,
~ `CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
reaceivco ~
PROM -
AMOUNT $ I 4 DOLLARS
~oo
E] CASH Q_GNECK
FOR
` _l~.~i •S_ -
FUND CODfi AMOUNT
1
Thank u ~
L BY ! • -
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
INSPECTI4N RECORD
,,-CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 3R+~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1. 1 r I;i iir f
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . D.
. , , ; t 11, !
FtFMAf'{ 1'; (ti!; I~ 11i I~ i: i ~;T i E ;,ti~',(•1 ,
I ~
~ J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
FOOFING
ROUGH
PLUMBING
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
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG ~
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-$100
BUI~DING PERMIT Receipt #
Ts bo wwd for SF DWG/GAR Est. Volue $ 51 , 000 Da1e JtJLY 16
4267 SUNRISE RD Erect Qccupency Z.3
Site Addresa ~
Lot 11 Block 1 SeclSub. SUN CLIFF IST Remodel ? 2oning Rl
Parcel No. Repair ? Type af Const. V
Enlarge ? No. Stories
Cf Name GRAND OAKS Move ? Length 46
z Addr
City ~ U PE Phone - GS Oemolish ? Depth ~6
b rade ? Sq. Ft.
S AME Avvrovah F•es
,o Name
F' Assessment Permit $ 286.00
u
Address
~ City Phone Wcter E~ Sew. Surcharpe 25,50
~ Police Plon check 14 3_ 0 0
°C Name Firo SAC 52r1,00
rut
Address Enp. Woter Conn. ~.Q.a 00
~ W City Phone Plonner Woter Meter ~.0 0
Council Rood Unit 2-6-0--- 0 0
1 hereby ocknowledge thot I hcve reod this opplication ond sfote that Bldg. Off. Parks
the informotion is correct ond agree to comply with oll oppliccble APC Total o
StaN of Minnesoto $totutes and City of Eagan Ordinances.
Var. Date
5lpnoture of Permittea
cRAND oA.:s
A Bullding Permlt is issuad to: on the exprcu corditia+ IFw
oll work shall be done in accordonce with II opplicable Stafe of Minqysota $totutes and City of Eaqan Ordinonces.
r
BuildinQ Officiol
Psrmit No. Ppmii Holda Date
Piumbinp h`l~
H. V A.C.
Eloctric 2 1 ~ L( ~ . ~
Sohensr
Inspedion Dete Insp. Other
Footings ~ 11 iz Lj
Foundatian
F?eming '
Rough Plbg.
Rough HVAC ~
Inwlation ~
Final Plbq.
Final HVAC s
(q ,
Final SO 27~~./F _ ,f. . ~ I.-. .o_~U/
c.rtlooe.
Water Descri6e Location:
MYell
Sawar
Pr. Disp.
~
Receipt PLUMBING PERMIT Permit No.
r
CITY OF EAGAN
~ Fee U • e~
Fill in numbered spaces S/C •.SV
Type or Princ legibly Tot. . J v '
1. Date 2. Installation Cost ec, 0-0 .V
-7
,
3. Job Addresr'~K+~t! Lot~Blk. ~ Tract
4. Owner 6-
•
5. Contractor / 1 tc- '2- L Phone
6. Address
7. CitY State Zip
8. Building Type: Residential CCt"~ Commercial ? Institutional ?
9. Work Description: New L?' Add ? Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
&7- Water Closet /'ye'
Cesspool/Drainfield
~ Bath tubs Septic Tank
0~ Lavatory Softner
~ Shower Well
Kitchen Sink
Urinal/Bidet ~ Other
~ 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 45448100
Receipt MECHANICAL PERMIT Permit No.
1_f ! CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type ar Print legibly '
Tot.
1. Date ' 2. installation Cost
~ " •
3. Job Address Lot Bik. ~ Tract
;
4. Owner 4 .
5. Contractor Phone
6. Address 7. City State Zip
8. Building Type: Residential C} Commercial ? Institutional ?
9. Work Description: New Lzl' Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Epuioment 9TU - M. Ea. No. EQUiament CFM
~ Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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 Flnal
'I Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN RemarksIJ1111__` 11 - / "i
Addition StIN CLTPF iST Lot 11 Rlk 1 Parcel 10-72975-110-01
Owner ° ' - Street 4267 SUNRISF"ROA,D scace EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. e~5 1985 2775.79 555.16 5 2 10-1 -84
STREET RESTOR.
GRADING
SAN SEW TRUNK 30.64 C009477 9-6-84
SEWERLATERAL* 1985 1082.39 1082.39 C009643 10-15-84
WATERMAI N
WATER LATERAL4 1985 899.22
WATER AREA 1973 93.55 6.24 15 18.79 C009477 9-6-84
STORM SEW TRK jr)5 1971 322.29 16.11 20 96.75 C009477 9-6-84
STORMSEWLAT 1985 789.70 157.94 5 789.70 C009643 10-15-84
Service ~ 1985 776.63 155.33 776.63 C009643 10-15-84
CURB & GUTTER
510EWALK
STREET LIGHT
Road Unit 260.00 #44
WATER CONN, 470.00
's rBUILDING PER. c
SAC 525.00
; iPARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road- 5604
P. O. Box 21159 PERMIT NO.:
Eagan, MN 55121 DATE:
R1 No. of Units: 1
Zoning:
Owner: Grand Oaks
ro~ 4267 Sunrise Road L11 B1 S i
te /lddress:
~r: Jer McDonald
3 ~ ) Conrection Chame: 470.OU pd
' 15 00 d 17 Size: " AcoouM Depostt: p
C) L 3 peRr,it Fee: 10.00 pd
Reod~r No.: .50 pd
1.e.. eo emrh? wuh d• Crr of Eav• su.cho.ga: 63 O~pd mete
Or~IMnCa. Misc. CFwrqes:
r,) V ~ r Totnl:
gy 112~~1, ) a`n f 1,~ . Dote Poid:
J
DOtG Of InSP.: I^I
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551P DATE:
~ing: No. of Units:
;L'8i1 9 9
Owner:
Add`°ss' unr se a Suncli lst
5" Add`esr. erry ona 111 plumber. pd
Metar No.: Connection CFwrge: p~
~
Size: unt Depostt: ' P
Reoder No.: Permit Fee: . P
1 pm te eanPlll w16 N~ C*7 af Eeyan Surcharge: 63.00 pd metei'
OrJl~enai. Misc. Charyes:
Totnl:
BY Dote Paid:
Date of Insp.: I^I
CITY OF EAGAN SEWER SERVICE P~RMIT
3830 Pilot Knob Road ~
P. O. Rox 21199 PERMIT NO.:
Eagan, MN 55121 DATE-
Zaninq: F 1 No. of Unita: I
Owner: G=and Oaks
Addrcss:
Stre Address: 4267 Sunrise Boad L11 B1 Sunh&i.ff lst
Plumber Jer McDonald
7-26 4 44746 4100.00
25.00 pd
1 pn~ h eon~phr wilr to Gtp of 4lew Cor~rwdlon Choroe- P
Oediu~~eea. AccouM Deposit: .
Permit Fee:
Sundarpe: .50 p
gy Miac. Charpes:
Date of I?up.: Total:
Insp.: DaN Poid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
~ PHON E: 454-8100
BUILDING PERMIT RKeiot # / Y SO
Te bs mad fer SF DWG/GAR Est,Value $51,000 pate .TULY 16 1984
SiteAddreu 4267 SUNRISE RD erect ~ occupancy R3L-o t 11 glak 1 cec/Sub. SUN CLIFF 1ST rtemodal ? zoninq Rl
Parcel No. Repair ? Type of Const. V
Enlerge ? No. Stories
a Name GRAND OAKS Move ? Length 46 Z Address 7623 UPPER 167TH ST W Demolish ? Depth--AA_36
~ City LAKEVILLE phone 432-6561 Grade ? Sy. Ft.
SAME ApprovolsFees
p Name
zp ' Assessment Permit $ 286.00
Addreu
~ City phane Woter 8 Sew. Surcharge 25,50
Police Plun check 141 . 00
Gw Name Fire SAC 525-00
Address Erp. Water Conn. 470 00
a Z. City Phone Plonner WoterMeter63~00
. Council Rood Unit 76 n- D O
I hereby acknowledge that I hove read this opDlication ond state that gldg. Off. Parks
the intormation is torrect and ogree to comply with oll opplicoble APC Total ~
Stote of Minnewta Statutes and Cify of Eogan Ordirances. '
Var. Date
$ipnotum of Perrhittea
A Building Permit is issued to: GRAND CS on iha express conditlon that
all work sholl be done in accordarxe with 1 appli b Sta~ of I inn ta tatutes and City of Eopan Ordinances.
Buildirq Offlciol Q'~ ~
,h;s ~ues o;d y 5~~, z c 6~r
,s monms rrom
A068235 Zt~,.,, e.e,' ~ d. sa
flequest D te. Fire No. Pough-in Insuec 'on ~
He uired? Heady NowbeWi ll Notifv. Insoec-
8 es ?NO tor When Reatly
icensed Elecvical Contractor I heraby requasf inapxfion of abovo
l~Owner eleetrieal work inetalleA et
SVeel s ox r Routa No. . CitY
SGr h 2 O Section . iowns
/ hip N"eior.NO. ~ Rang No Count
/
~ %L-
Occu ntIPRINTI ' Phon¢ N .
Oa,~ s 3~-656 /
rower suoo +e, - adar s ,
15R ~o & L~l ~r
3KCantr ctor ICOm amel - Contrect r'S License No.
EI trical
s v-
ilin ddress IConVactor or Owner Makine lnstailationl
416 7 & S
Aufiwiz "Contr cmr ner aking Installationl Phone Number
Eld -355
YINNESOTp STAT BOARD OF ELECTPICITV THIS INSPEGTION REUUEST WILL NOT
Oripps-YiEwey Bldg. - Noom N•191 BE ACCEVfED BY THE STATE BOARD
UNLESS PROPER IN6PECTION FEE 16
1821 Univeraity Ave., SL Paul, MN 65104
Iet21 297 2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION M ~,'0O0V°'
~See insiructions tor como1pti.re this torm on baek ot vallow co0v. ' U 7
A 06823 "X" Below Work Covered by This Request
A ReV. ~ 7'ype oi Builtling AODliances Wiretl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tenk
Farm Other peci V Iher (Speai(y)
t 9/ peci y t Cr Olher
om0ute lnspectron fee Below Y Fee 8ervieaEntreneeSize H Fee Feeders/Subfeedera # Fe Ci~c~its
O 0 to200Ams0 to30Ams Oto30Am
A6ove 200 qmps, 31 to 100 Amps ~ D 31 to 100 q
Swimmin Pool 6ove 100_Am Above 100_Am '
Transrormers IArri ation Boorrs Partial%Other F
Signs SUecial Inspection $
~ f' TOTAI EE
e~rks
~
IbupMin ~ AAADate ~he Electrical
-/i .I~pectw, heraby
~ eartiW thet [he above
final D-ntey ( " yoection hea been
~07„b de.
manqueq vWC 18 monlhe Imm
: CITY OF L'AG]1N Include 2 sets of plans,
9 u
1 site plan w/elevations &
Y~~~ BUILD]NC; PEFLKIT APPL7CATION SI 1 set of enerc7Y calculat~'ons..)
`7'~ WY ./G7A~ ` IU9`Z) e~f/
7b IIe Used For ~ Valuation Date
Site Pddress Oi•TICT•. USE ONLY
I.nt ~ eloc}c Sec./Sub. :"trcct X Oc;cupancy }~-3
Parcel LU Alter Zonin(j - I
! / / Repair Pire Zonc
O.mer: /~?u~ ct /-c.ac' rnlarcle _'[ype of Const.
Address: S() Ilove - # Stories
Dumli.sh Pront 4~o ft.
City/Zip Cocle: _ Grade Depth 3(0 f.t.
Pr,one
q~ ~ 11PI'Ix)V71TS I'f:{S
Contractor: A>sessimnts Pcrntit Ze)(o.
Water/Sctoer Surcharge ZS. 5r
Pddress: Police Plan Check 43.
'V~
City/Zip Code: Fire SAC 525,
- I~x7. Water Conn. t~ 1(')
Phone Planncr Water Meter
Arch./Eng.. • Council Road Unit 2Lo0.="
F31dg. Off.
Address : A1'C
City/7.ip Code:
Phone Tg1'AL
'
.
C. R. WINDEN 3 ASSOCIATES, INC. i
LAND SURVEYORS TtA 645-3646
~
138I EUSTIS ST.. 51. tAUI, A41NN. 8510• ~
i
For: GRAND OAKS DEVELOPMENT Gu
~
N ;
~
~
~ f
~
;
~
~ ;
?~P co So//2S ~
Oo
N Scale: 1" = 30' i
~0 O Denotes Iron ~
Monument !
90o \
i . 906. ~ ?O
coa
NOTE:
o Denotes Wooden Stake p•~ ~
Proposed Garage Fioor E1.
(906.9 ) Denotes Proposed p
Finished Ground El. 2036
~ ~ c}
1`-- nenotes Direction 25 • V'
Of Surface Drainage 3•~ ~
Vertical Datum - N.G.V.D. 192
Lot 11, G9°° •T
ADDITION 6 ')ta.
2634~*
~o.
WE MERE6Y CERTIfY TMAT TNIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF TME
SOUNDARIES Of TME IAND AlOvE DFSCRI{ED AND OF TNE LOCATION Of All 6Uil01NG5, IF ANY,
TMEREON, AND All V151{LE ENCROACNMENTS. IF ANY, fROM Ot ON SAID LAND.
Do1od Mis 171:11 dey oi~.t~~~ ~ •.D. 1984 C' R. W NDEN 6 ASSOCIATES, INC.
6
,
iur.oyor, Minn*wm Rp,serotisn No 7 26
ELIE CARRIER LOAO
INFORMATION QENTER
%V ~
OP*ION 1 OPTIOM Z OPTION 3
1. Summer design degrees - o N - O p ~
(90, 95, 100, 105, 110 ar 175)
(Ii 90, 105, 110 or 115. Item 2 N.A.)
2. Dailyrange(0°-35°)
tl
~ 0 O
3. Winterdesigntlegrees .
(Precede a minu5 number wilh M)
4. Nu zb ~ er3 f l wi 2 0~ 3. ~tem g 5 N.A.)
5. Stormwindows?(VorN)
6. Windows weatherslripped? (YOrN)
7. Four window aieas starting with N or
NEorientation ~ p ~ ~
(Ex: NN25N30N20025pq: Max per si0e:
999 sq. it.)
71 N or NE
72 E or SE
73 S or SW
74 W or NW / p7 #M
8. ShaCeCwindowarea . . . .
(0 0r sq. iL Enter 0 if not applicable.
Maz: 999 sq. tt.)
9. (O Door orsqea.Max:99959.ft.IfO...........
Items 10 8 71 N.A.) . ,
10. Doorweatherstripped?(YOrN).........
. . r
11. Storm doors? (YOr N) S ~ ~ l' "'at ~NH ' : s.;~
12. Firsl slory perimeter
73. Secondstory perimeter ~+j N Q~ N . O
14. Thicknessofwallinsulation............
~
(0, 2. 4 or 6" fiberglas. Enter MA for
masonry; R values, enter R, then value.
Ex: R19) p
15. Basementperimeter
(0 or linear ft. II 0, Items 16, 17 82B H.A.)
. ..~-16. Basement heated? (V or N) F1
(If N, Item 17 N.A.)
s:. . . ,
17. Percentabovegratle(E.:S%=5)
18. Area of rool with axposetl beams or
studioceilinq . Rq nj qN
(OOrsq.lLlFzero Item519.20821NA)
19. Woodoiliber . #i
(W tor wood, F forfiDer II W, Item 20 N.A. 1{~ ~
It F, Item 21 N.A.)
20.7hicknessolfiber
(1.5. 2 or 3" or R values)
21. Insulation
(V, N or R values Y assumes 1 5") - -
Lkot,'T , 4 .
OPTION 1 OP*ION Z OP*ION 3
22. Area of ceiling untler ventetl roof or
uncondilionedspace p
(0 or sq. fL If 0 Ilem 23 N.A.)
23. Thicknessotlnsulation................ ~ y.
(0, 3, 6, 12 or 78" ol fiberglas or R values. ~ F~ sr
Ex: R30)
24. AreaoffloorsoverunconditioneASpace Q q O p ~
25. ~o. 3 or 65t~'be O insulation . . .Item las, oS '
R values..... : »
9 1 ~
26. Area ol Iloors over open or vented space,
orgarage
~ Ma ~j pp #N
(0 or sq. ft. If 0 Item 27 N.A.)
27. Thickne56o(insulalion ^~.q
(0. 3 or 6" of fiberglas or F values)
~.•:5'?. "•''~k~: " p# ~ .
28. Basemenlarea F--
. . ,
(0 or sq. fl. II Item 15 is D ekip Ihle entry.) q
29. To[al heated area
(5Q. it.) ~
30. Perimeter of concrete slab
(0 or linear tt.) (H 0, Item 31 N A
. . . -
31. Thicknessofslabinsulation...........
(0. 1 or 2") _ - '
32. Desired summer indoor temDerature
swing pN
(Value between 1 antl 6 inclusive.) ~
33. Desiredwinterinsidetemperatwe •~c°~ # ? c-~ p p
34. Ductlocalion g ~ ~
(AT = attic, 8A = Dasement, SL = slab,
CR = crewl space, CO = contlitioned
space) (II BA, SL or CO, Item 35 N A) 35. Thicknessotinsulation
`P"~':" k (0. 1 or 2". Use 2 fof 7" rigitl )
'REPEATOATAY' #q pp pq
VorN
••CORRECTIONST"
If there are no corredions required enter qp.
If there are corrections to the data, enter
question number, n, the new data, and pa.
Ex: H no u~~
her Corredions, enler#N only. #N ~ qg p p» MM p
COOLING B.T.U.H. EOUALS.2 J'C L'B.T.U.H.3I`t; 35pT ? ~°F B.T.U.H. AT °F
HEATING B.T.U.N.
EOUAL5.U ~6 i AT" ~7 Cs °F B.T.U.H. G ~ AT ~ 2('F B.T.U.H. sT °F
"REPEATTHEANSWEHS"(YOrN)......... Np gp Ka .
"SAYE YOUR DATA?"
Y or N: or VR## will save your data and goes
to beginning for new Analysis: or NRkk will
not save data but goes back to beginning for
new Analysis.
JOB NUMBER ...................LIC
If you want to save your data C assigns
Job Number
"STRUCTURECHANGES?.................
'
If there are no changes reQuired enter k#.
If ihere are changes to ihe tlata: eMEr
question number. n. the new tlata, antl pn. N ttg p pp p pk Ex:25#F304N
fl n0 IUfthC! Ch8f1J25. ente! p# only. npp pp pp '
Md
~~q~/~~~~~a~
~V I~IIV7l.l~
OPPORTUNIN HOME 3-78 PrinteC in LLS.A. 838-039 '
.
PERMIT
CITY AF EAGAN
3830 Fa6 Knob Road PERMIT TYPE: eulLolNG
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 5 8
(612) 681-4675 Date Issued: 0 6/ 3 0/ 9 8
SITE ADDRESS:
4267 SUNRISE RD
LOTo 11 BLpCK: 1
5UN CLIFF 1ST
P.I.N.: 10-72975-110-01
DESCRIPTION:
10°t1,ei0?D Permit Type qECK
B`wild'Xng 4fio$rk Type NEW
•pGBriSus Gode 434 ALT. RESIDENTIAL
0
~ C
~ PL i • 4$
+8'~~• ~qn.,. F~" ~,E e~ ;A
1x
REMARKS:
PI.AN REVIEWED BY BILI ADAMS
FEE 5
a
s
T
r . . ~<i
'-r,.:... i. IS6! i.
r ~.::1r
CON' OWNER: - APPlicant -
f WISSBAUM MIKE
4267 SUNRISE R4
EAGAN MN 55122
(612)806-3611
~F
, }ad this aprpla.qdtid~n and; staCe, tNat the
a "m.ply~ with aYl.applloa41e 1~tate af Mn.
~ ; , '~..1
~ . .
SS EO Y: S N E
32.1 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~J1 dC q
CITY OF EAGAN ~('f
~ 3830 PII.OT KNOB RD - 55122 1,~~
681-4675
New Construelion Reauirementa RemodeVReoair Reauirements
• 3 registerad sde surveys ? 2 copies oi plan
? 2 copies of plans (InGude beam 8 window sizes; poured fid, design; etc.) ? 2 site surveys (exterior addkions 8 decks)
? 1 energy calculations • 7 energy celalatlons tor heated additions
• 3 copies of tree preservation plan H bt platted eRer 711l93
required: _ Yes No
DATE: p.~ CONSTRUCTION COST;
DESCRIPTION OF WORK: reAeD mf11N1 'oG/~ IJECK .L3vl! t(JL'uJ
STREET ADDRESS: y2 ~ 7 .5Usj le.jSc ~Q F~;J
LOT~~ BLOCK: I SUBD./P.I.D.
SuN cLi !5~7- ADP, iT16r)
Name: ~?j Phone #:"mica-34 4'
PROPERTY Last eint
OWNER
Street Address: L-2-b 7 StJ e3Q\SE ~
City P-O{s-f4-nJ State: MiLIV Zip: S'?17-7-
Company: 5~& Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITEC7'/
ENGINEER Company: 'L Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and sTate that the infortnation is correct and gree to comply with all applicaW
State of Minnesata Statutes and City of Eagan Ordinances.
Signature of Applicant: r l/
,
p
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Requir
r w~. . ~ .
~Jmy .1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition 0 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch` ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 ~,-plex 15, Deck
,
WORK TYPE
AL 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION ' ,
.r , .
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq,lft. . City Water
UBC Occupancy sq. ft. -T Fire Sprinklered
Zoning , . sq. ft. PRV. .a
# of Stories sq. ft: ~ Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAG Code
Census Bidg ~
APPROVALS Census Unit ~
Planning Building 49 Engineering Variance
Permit Fee Valuation: $ .
Surcharge `
Plan Review
License
MCNVS SAC
City SAC '
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded. - , .
Other
rC...
TO
QN iJACr *I
U~ItS
TI!I;t'--
.
C. R. WINpEN a ASSOCIATES, INC.
IANp SURVEYOtS TeL 645-]64{
1391 EUSTIS ST., SL ?AUL, MINN. E5600
or: GRAND OAKS DEVELOPMENT
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0
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co
~ • \ ~'A2 00
'9" Scale: 1" = 30'
~o ilt-
O Denotes Iroa
~ 90°/.~, p Q Monument
ql Aa/
7
~ a.
4 p \?``Y ~ ~0~ ~ ~h ~ ~ b
90° tOp
<LO
s
NOTE: C`~o h ~o ~
e Denotes Wooden Stake 1Z, ~
Proposed Garage Floor E1.907.23
(906.9 ) Denotes Proposed ~J
Finished Ground E1. 0~, \
1-- Denotes Direc[ion ~ r„U
Of Surface Drainage J
Ver[ical Datum - N.G.V.D. 1929
LOt 11, B10Ck 1, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE MERElY CERTIfY TMAT TMIS IS A TRUE AND COARECT IEPRESENTATION Of A SURVEY OF THE
LOUNDARIES Of THE LAND AlOvE DESClI{ED AND OF THE IOCATION OF All lUILDINGS, IF ANY,
TNEREON, ANO ALl VISI{lE ENCfOACMMENiS. If ANY, flOM Ot ON SAID IAND.
Dollild Mis_1,L_der of A P^' ~ • D. 1984 C• R- W NDEN 6 ASSOGIATES, INC.
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Sur+orr. M1nw*NI9 Rpwrot." Ne 7726
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i
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
31~s.0 `r 3830 PILOT KNOB RD - 55122
T 651-681-4675
New Construction Reauiremenfs Remodel/Reoatr Reauiremenfs
D 3 registered sRe surveys showing sq. R. ol lof, sq. ff. oi house 2 copies ot plan
and gil roofed areas (207, maximum lot coveraae allowed) 1 set of energy calculations lor heated addBtans
2 copies of plans (show beam 3 wfndow skes; poured tnd. deslgn; etc.) 1 sBe survey for exferior addifions 3 decks
i 1 set of energy ealculatfons
> 3 copfes of tree preservaflon plan H loT platted afler 7/1 /93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: '~~15-40~ e_ vcT ~~v v~
STREETADDRESS: y~67
LOT: H_ BLOCK: SUBD./P.I.D. 's l~ YL CX ti~C~ I~
Name:/S~8"4 U?q~ /vllke- Phone#:
PROPERTY Lasl Ffrsi
OWNER
Street Address: "l ~ 6-7 .S U!J 2/ S<E1
City 5F A (~7-?-{ vU State: }4/1 I/(/ Zip:
Company: Phone
(area code)
CONTRACTOR
Street Address: License # Ecp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area eode ( )
Street Address: Registration
City State: Zip:
Sewer 8 water licensed plumber (reauired for new conshuction oniv):
Penalty applles when address change and lot change Is requested once permN Is issued.
ply wiTh all applicable
I hereby acknowledge that I have read thls appllcation, state that the Informatlon is e re , an reg fo 7
State of Minnesota Statutes and City of Eagan Ordinances. '
Signafure of Appllcant:
1 ~ I
OFFICE USE ONLY i~ I ~ I
; c I 51G~9
Certificates of Survey Received _ Yes _ No I
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 ? 08 6-plex ? 13 16-plex ? 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
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Ptan 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
% SAC
CITY OF EAGAN 2/84
APPLICATION FOR PERMIT
i
SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINT)
1) PROPII7PY ADDRESS: I...! ~Lp s~J /7 JT [1 C([+ ,
T•FI:AT• DESCRIPTION:
(LOt/Block/Subdivision or Tax Parcel I.D. Number) £ f
t
IF E{IS"'= STRL'CPJI2E, DAT dE' OR2GNAL nUILDIl`7G P=ST ISSJANC:?,: j
~
_or.th/ Year 1 P?2ESr"^..7T ZMIPk:/PROPOSFrJ IISE: ~R( R-i SINGLE FtIMSLY {
? R-2 DUPLEX (Tr70 Wi ITS) ~
[3 R-3 TO[^7NHOUSE (THE2EE + UAIITS) ( UNITS)
? R-4 APAEMSENT/CONIDOMINIUM ( UNITS)
p CORMMERCIAL/RETAII/OFFICE
? LNDUS'PRIAL
? INSTITUTIONAL/GOVERNP=
(
Z) APPLICANT (PLEASE PRINT)
E
NAM: C-6 rqn~ DG
ADDREss: 'I (oC) opea- 1 teDt
CITY, STATE, ZIP: LA~PVI~~~ m~ SS6 14
4f j
PHONE:
~
3) pTI1MRgt PLEASE PRINT) C FOR CITY I1SE ONLY !
NAhIE: _3 Cr r~-1 ~ c, Dd Af a
~ ` PLUMBkRS LICENSE: ~
ADDRESS: ~KO 1 Joc[ V. Active
CITY, STATE, ZIP: L o( iP i, ~Af. S`~~ ~y 0 Expired .
M7~$7~- Q Not of Necord ~
PHONE: LI1,oQ- 3,3 2 PLIIMBER LICENSE '3 ~ 9 r4 ~GJQ
"Staft nitia
4) OCCCTPANT/aN[`IER NAME: (PLEASE PRINT)
ADDRESS: ~
CITY, STATE, ZIP: ~
PIIONE:
5) INDICIITE WHICH PERMIT IS BEZNG REQUESTED:
R CONNECi'ION TO CITY SLS^]ER
EL CONNECTION 'IO C211' WATER
? di'f-g'S2 (PLEA.SE DFSCF2IBE)
6) IIQDIG'~TE ONE:
E] PLEASE HOLD APPROVID PERNLiT FOR PICK-UP BY ONE OF ABCTIE
~ PLEASE MAIL APPROVID PIILti1IT TO 1, 4) 3, 4 AB(n7E
(Ciscle one)
7) SIG'~1URE: G DATE:
#q. mo~~~
F O R C I T Y U S E O N L Y ,
PERMIT ° ISSUED
PEES: SEWER n-'?2MIT
(INCLCDE SURCHARGE)
$ o.a a WATER PERP4IT (INCLUDE SURCHARGE)
$ ~ 3•^-a' WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP lINCLUDE C^;?POR?1TI0*d cTOnl
$ SE,9ER TAP
$ iS ae ACCOUNT GEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ ~f 7 v . a-a WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATF.RAL BENEFIT/TRUNK WATER
$ OTHER $ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILITY CO[V[VECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 7 _ ~
:ND-ritV oF eegen _
3830 PILOT KNOB ROAD if10nN6 EGAN
EAGAN, MINNESOTA 55722-1897 ^ayOf
PHONE: (612) 454-8100 DAViD K. GUSTAFSON
FAX: (612) 454-8363 0~A Mc-CREA
nM vnwLErnv
1NEODORE WACMER
Council Member5
November 5 1990 THQMASHEDGES
i City Adnins[ratp
EUGENE VAN OVFRBEKE
Ciry Clerk
MICHAEL WZSSBAUM
4267 SUNRISE ROAD
EAGAN MN 55122
Re: Stormwater & Streetliqht IItilitv Fees
Dear Mr. Wissbaum:
I recently received you letter concerning the City's stormwater and
streetlight utility fees.
The stormwater utility fee was created in 1990 and is a dedicated
fund established expressly for purposes of promoting and enhancing
surface water quality throughout our community as well as providing
funds necessary to renew and replace the extensive complex storm
sewer system within the City of Eagan. The method of financing
this new program was to establish a specific base unit which is
called the Residential Equivalent Factor (REF). Properties of
different zoning types and land uses are equated to a(typical)
sinqle-family residential use.
In determining this REF policy, it was recognized that very few
single-family residential properties within the community are
identical in relationship to the amount of surface water runoff
directed into any given storm sewer system. It is not feasible for
the City to evaluate every individual single-family property to
determine the exact ratio of runoff in relationship to this common
denominator. Subsequently, an REF of 1.0 at $4.56 per quarter was
established for every single-family residential property in the
community regardless of its size, configuration, topography, etc.
This is based on the premise that the storm sewer system services
the community as a whole. Subsequently, there is no provision
available to consider any adjustment for a single-family
residential land use such as yours.
Enclosed with this letter is a brochure that helps to explain some
of the aspects of the City's commitment to water quality through
the implementation of the stormwater drainage utility.
THE LONE OAK TREE...THE SVMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opportunify/Affirmafive Action Employer
f-- .
MICHAEL WISSBAUM
NOVEMBER 5, 1990
PAGE TWO
In relation to streetlight utility energy fee, this is very similar
to the stormwater utility drainage fee. It has been determined by
the City Council that the streetlights provide security and safety
in residential neighborhoods and have been installed with all new
developments since 1978. While it recognized that some individual
properties may have a greater benefit from the particular location
of any given streetlight, it is the overall streetlighting system
within the development or neighborhood that is taken into account
in determining a sense of equity. There would be no practical
method to determine a factor based on distance or power of
illumination received by any particular property.
With respect to water utility service, the City does charge on the
basis of a 10,000 gallon minimum for residential accounts. This
10,000 gallon minimum is comparable to the availability charges
often found on other utility bills. This minimum was recently
reduced from 15,000 gallons to 30,000 gallons to be certain that
the costs of administering and operating the system and making it
available to an individual account were reflected as accurately as
possible. This decision also recoqnized the fact that certain
users such as yourself were contributing to water conservation and
should benefit by this lower minimum charge.
Reducing the minimum further would result in other users
subsidizing your usage since basic operations and administrative
costs for your account would not be covered. The sole exception of
this policy is the senior citizens minimum of 5,000 gallons. This
reduced minimum recognizes that many of our senior citizens are on
fixed incomes. if you qualify for the senior citizens minimum, I
would encourage you to come to City Hall with a proof of age and we
will adjust your account accordingly.
I am enclosing a budget summary for your review as you requested.
I would invite you to contact either the Finance Director, Eugene
VanOverbeke, or myself if you would like to review the budget in
detail. The budget itself exceeds 100 pages in length and we have
provided new summary items to keep reproduction costs to a minimum.
I hope this response to your questions regarding the various
utility fees is satisfactory. If you have any further questions,
please do not hesitate to contact me.
Sincerely yours,
\ \ " v~~
Thomas L. Hedges
City Administrator
cc: Eugene VanOverbeke, Finance Director
Tom Colbert, Director of Public Works Enclosures
Rich Srasch, Water Resource Coordinator TLH/JA/vmd
I
CITY ADMINISTRATOR
I WOULD LIKE TO KNOW WHY AND WHEN THE CITY OF EAGAN STARTED
TO CHARGE FOR STORM SEWERS. WHY ALSO AM I CHARGED FOR A STREET
LIGHT THAT I DO NOT HAVE. WHY WHEN I CONSERVE WATER AND USE LESS
THEN THE 10,000 GALLONS OF WATER AM I NOT GIVEN A DISCOUNT FOR
DOING MY PART IN CONSERVING WATER.
I WOULD LIKE A COPY OF THE CITY Bl1DGET TO SEE EXACTLY HOW OUR
CITY GOVERNMENT SPENDS MY TAX DOLLARS.
MICHAEL WISSBAUM
4267 SUNRISE RD
EAGAN MN 55122
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121761
Date Issued:04/14/2014
Permit Category:ePermit
Site Address: 4267 Sunrise Rd
Lot:11 Block: 1 Addition: Sun Cliff 1st
PID:10-72975-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
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 -
Michael E Wissbaum
4267 Sunrise Rd
Eagan MN 55123
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
---------------,
� For Office Use �
I �
�it of�a � �
������ I Permit#: � I
I / ,q
3830 Pilot Knob Road AUG 2 0 2014 � Permit Fee: (aV. � i
Eagan MN 55122 j Date Received: �� – ��
Phone:(651)675-5675
Fax:(651)675-5694 �X�-- — � � I
� Staff:
-----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 8/6/14 SiteAddress: 4267 Sunrise Rd, Eagan, MN 55122
Tenant: Suite#:
ResidentlQwr�er°
Name: Mike Wissbaum Phone: 651-452-5682
': Address/City/Zip: same
! Name: K&S Heating, Air Conditioning & Plbg LLC�;�nse#: MB5216
' C�ntr�Ct+D�' Address: 4205 Hwy 14 W city: Rochester
_
- State: MN zip: 55901 Phone: 507-282-4328
contact: Heidi Brown Ema;i: hbrown@ksheating.com
New xx Replacement Additional Alteration Demolition
� �'�'yp�-p�'Wp� ��� Descriptionofwork: replace furnace and air conditioner.
NOTE:Ro�f maunted and�rour�ti�`mYbuntet�mec�anical"�quipm�ri`t�is requ�ed to k���cree�ted by���!�
Cod'e. Please conta�t the Mec�iairiicaf In�pector`f�r infawrtia�'fi anvtrrl p�rmitted�°�e�nii�g metliotls, ,
RES/DENTIAL COMMERC/AL
X Fumace New Construction _Interior Improvement
�y���,�T � X Air Conditioner _Install Piping _Processed
y� � Air Exchanger Gas Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 6�•�� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 Rick Keehn x ,Q�,�,��?�--- �
Applicant's Printed Name ApplicanYs Signature
FOF�OFFICE IJSE --�� ����-� °�
�R�quired Inspec�i�ihs: — Revie�ited B�Y, ���� � °���°a�` D�t�: � ��<<�.
tlnci��gr�und f�°oirgh In ' 1��r�1"est , Ga���rvic�,Test : Ir�wfl4ar l-leat� ��,F Fin�l '"�µHUR�S�t`ee�irr��,-