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4271 Sunrise Rd -CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ' 19 RECCIYED , FROM AMOUNT $ r I & DOLLARS ~ao ? CASH ? CHECK ROR ~ - ' ' FUND CODE AMOUNT 4 . . ~ ; Thank You BY White-Payers Copy Yellow-Posting CoPY Pink-File Copy CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 911.4 PHONE: 454-8100 BUILDING PERMIT Receipt Te 6e wmd Mr SF ;~F:'G/G'aR Est. Value $4$,000 Date I~:ilY 30 , 19 84 SiteAddress 4271 _SUNRISE RD Erect R3 12 1 SUN CL; FF 1ST ~ ~cu~~y Lot Block ~1Sub. Alter ~ Zonirp R Parcel No. 10 - 7 2 9? 5-12 d- D 1 Repoir p Fire Zone N A Enlarpe ? TYpe of Const. v oe Neme tiEY LAND Fi MoVe O # Stories Z Address j0t?DAN Demolish ? Length 40 ~ city Pnone 4 9 2- 6 6 4 6 Grode 4 3 p Depth Sq. Ft. CLA CONST CO AOV?ovals Fees ~ Name . o0 v~ Addresa 6451 1: 19 0`'Ii S'r Assessment Permit 4 24.00 City P.Rl«R LK phone 4 4 7- 612 8 Water 8 5ew. Surcharge 0 0 UCC Police Plan chetk GW Name F-likLLQU1 sT ~soo ~i 5uO1 h' b0!'13 S`!' Fire SAC A~?~$ Enp. Woter Conn. 47000 _ ~W City F3L0()^:iIwi;7'0M,one 531-1875 0 O Plonner Water Metar 0 0 Countil Road Unit 1 hereby acknowledge that I have read this applicotion ond state that Bldy. Off. 0 0 the intormation is Corrett ond agree to Gomply with oll applicable r . Stofe of Minnewto Statutes ond Ciry of Eagan Ordinonces. APC Totol Sipnafure of Permittee A Building Permit Is issusd to: CLA C0NST CO INC on the express tondition flxit oll work sholl be done in accordonce wi~i all appliooble Stote ~ Minnesota Stotutes and City of Eopon Ordinonces. Bulldirq Official _ . ;1 Permit No. Permit Holder Misc. Permit No. Holdar Plumbioy bc W~ H.V.A.C. w.u wmr Disp. Sewsr Eleetric 53 4vo Q,,,,A,, 1it T `6+ ~ Inspae[ion Date Insp. Other Footinys ~ Foundation Framinp ~ RouyA Piba ~ Rough HVAC Inaulation , Final Pibq. 3p~ z Finsl HVAC Final ~~-f~ ~ - • ? Q Water Dosaribe Location: Vlfell S~wsr Pr. Disp. j / Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ~ Fee FiII in numbered spaces S/C Type or Piini legib/y Tot . 1. Date ---2. Installation Cost ~ Le - 3. Job Address - Lot Blk. Tract ' 4. Owner ~r~ Ncl ' 5. Contractor Phone 8. Address `7. City -State 1'Zip ` 8. Building Type: Residential E1 Commercial O Institutional ~ 9. Work Description: New Cl Add 0 Alter ? Repair ? 10. Describe i~ Fuel Type 1u,. . ~ 11. No. EqLinment STU - M. Ea. No. EQUioment CFM Forced Air Air Handling: Mfg. , . , Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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 Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 - i ~ - Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ~J Fil1 in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ~ 3. Job Address Lot Blk. ~ Tract ~ 4. Owner % 5. Contractor ~ Phone 6. Address . 7. CitV • • ' State Zip 8. Building Type: Residential 13 Commercial ? Institutional ? 9. Work Description: New D Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures - Water Ctoset Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet Other - _L Laundry Tray - ! Floor Drains ~ -Drinking Ftn. Slop Sink l~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes goveFning 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 454-8100 CITY OF EAGAN Remarks 1%I'J r.-- - "/g y Addition SUN CLIFF 1ST Lot 12 Blk 1 Parcel 10-72975-120-01 owner ; . , . f., ~ _ - street 4271 S tI_NR~SE" ROL~ scate EAGAN 1?Qi 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 2]]5,79 C009644 10-12-84 STREET RESTOR. GRADING SAN SEW TRUNK 76.54 3.06 2 30.64 C008796 8-7-84 q5LfSEWER 94K 10$2.39 C009644 1Q-12-81F WATERMAIN WATERLATERAL ~ 899,22 C009644 10-12-84 WATER AREA 18.79 C008796 8-7-84 3TORM SEW TRK 1971 322.29 16.11 20 96.75 C008796 8-7-84 STORMSEWLAT 1985 789,70 157.94 789.70 C009644 10-12-84 Services 9046- 1985 776.63 195-31 5 776.63 44 10-12-84 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $260.00 #43675 5-30-84 WATER CONN. 470.00 11 T~ BUIIOING PER. 9114 sAC 525.00 PARK Receipt PLUMBING PERMIT Permit No. CITY UF EAGAN Fee Fi!l in numbered spaces S/C Type or Print /egib/y Tot. zz- 1. Date 2. Installation Cost 3. Job Address `'1 Lot ~ ~Blk. ~ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ~ Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank 11_ Lavatory Softner 1 Shower .14 - Well Kitchen Sink ~ ~ Urinal/Bidet Other Laundry Tray Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Fin Inspections: Date Insp. Datc/ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 / o - ,3 0 , ~ l~ G ~ ~r Cov~.~ s...~ ~ ~ ~.U~ ~ 7~~ z ~ ~ ~ ~ CITY OF EAGAN 1NATER SERVICE PERMIT 3830 ^ ~t Knob Road F. O. ox 211&V PERMIT Np.: 5542 Eagan, IVAN 55121 6_2Q_B4 Zoniny; ? 1 DATE: No. of Units: 1 Owner. ~ev f,a.nci I~omes Address: Srt° Address: 4 od L12 B1_ Suncliff lst 4Plumber. DC 5 Meter No.: B:' ~ , - Siu: ' ~ ' ; ~Connection Chorge: 47r)•OQ d ~ Reode NQ.: +AooourK Deposlr: 15 . ~0 pd ~ eors& ro oo~ir C~' e- ~go `^3y ~o?ee: Fee: 1 5750 0 pd ~r wi~#i IIN ,t - pd ordt~aecM. Mi~. Choroeg: _ 63.0 Q pd metzr By Taral: Dote of Insp.: ~ ~e ~id: - 7 Insp.. CITY OF EAGAN 3830 Pilot Knob Road sEVMER SERVICE PERMIT P. 0. Box 21139 PERMIT NO.: Eagan, MM 551:4 Zaninp; DATE: ~ . .~v 3p~ No. af Units: Owner: Address: Site Address: uns-t . v8d L A Sut? Plumber, ~ • ='c.lan ca -1 - ,J--?,-~ , v {..1.0 rfi O~f~ wi1U !rs qh, of Eavsn Connect(on Chorpe: _ 4 2 S. 00 pd Accaunt Deposrt; _ 15.00 nd Permlt Fee: 1 O!) nd BY Surchorpe: . 5 0 d Date of I Misc. p~orqe~; nsp.: Totof: Insp.: Dats Poid: CITY OF EAGAN 3830 Pilot Knob Road WATER gERyICE PEMT ' P. 0. °ox 21199 Eagan, MN 55121 PERMIT NO.: 5.54 2 Zoning: :t 1 DATE: 6- 2 0-II 4 Owner: ~:ev Laad Fzo~ea No. of Units: I Add?ess: Stte "",em: 4271 Sur~ ~~d L12 BI suncliff Zgt Plumber: DC ?iech3aicaI Meter No.. 5ize: Connection CF?arge: 470 . 00 a Reoder No.: +°kcount Deposlt: 15. 00 pd 1 agr" to com~ ~ ~ ~ ~ ~ n Permi! Fee: 1 ~ . 00 .p d Or~d)noas~s, 9~ Surcharge: .50 pd Mlsc. Chorfles: 6 3. DO pd IDet+~r By Totol: 00te of Insp.: Dote Poid: ~rup.: CITYOFEAGAN N• ~ 91i4 . ' 3630 Pilot Kno6 Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8700 ~f BUILDING PERMIT Receipt Te bs wed 4or SF DWG/GAR Esr.Value $48,000 Date MAY 30 19 84 SiteAddress 4271 SUN RD Erect R3 12 1 SUN CLIFF 1ST ~ ~~U~~~Y Lot Block Sec/SUb. Alter ? Zoning Rl varcel No. 10-72975-120-01 Repalr ? Fire Zone N/A KEY LAND HOMES Enlorge ? Tyce of Const. V m Name Move ? ~j.` Stories = Address Demolish ? Length 40 city Phone 492-6646 Grade Depth 43 Sq, Ft.- CLA CONST CO Approvab Feos O Name o~ Address 6451 E 190TA ST Assessment Permit 274.00 u~ city PRIOR LK phone 447-6128 Water 8 Sew. Surcharge .00 u~ DENNIS HALLQUIST' Police Plan check 137.00 ww Name Fire SAC 525. ~0 i~ Address 5001 W 80TH ST Enp. WarerConn. 470.00 ~W City BLOOMINGT0]7hone $31-1875 planner Worer Meter 63.00 Council Roud Unit 260.00 1 hereby a[krwwledge thot I have read this apPliCation and stute thaf Bldg. Off. the informotion is correct and agree fo comply with oll applicable .00 Sfote o/ Minnesota Stututes and City of Eogon' Ordinances. APC Totul Sipnofure of Permittee A Bullding Permit is issued to: CLA CONST CD INC on the express condition lhnt oll work shall be done in accardunce w" ol aDP~icuble 5 M f i wta Statutes ond City of Eagon Ordinances. Buildirq OfFlcial -o r~ CITY OF EAGAN Include 2 sets of plans, 1 Certificate.of.Surv~y &; ~4 ~ BUILDING PERMIT APPLICATION 1 set of enerc~r cal.culatioALs. / - To se usea For SrAu~(e t'b'A.L~j valuation Date Site Address: s',~ J~ - OFFICE USE ONLY wt _12, slorac sec./s,ab. (![,l,~ /StErect _X__ occupancy ~-3 Parcel 7a9 7~l O- Alter Zonin U~ gepair Fire Zone ~ A Owner: 4'~Y IAvD /~1rn e~5 Enlarge -TyAe of Const. 'S[ , Move # Stories Address: c3Y7/ 10 173 2-5t. Demolish Front 40 ft. City/Zip Code; ~Tph,poN /yJ.t/ 5:5-,~> ~ Grade Depth 425 ft. Phone APPRDVALS FEES Contractor: C4~1 Assessaents Perntit Address: cx ~9<~~'i .5J5 water/Sewer Surcharge 24. ~ Police Plan Check City/Zip Code: P[!vx L/NG«r" ,L?iw 6537'L Fire SAC 525 Phone _ elY,2 -61ZY Eng• Water Conn. ¢-70.=? Planner Water .Meter (0 3. 99 Arch./Ehg.: 11)Lh:1:S ,~f6c~g~~sr councll - Roaa unit -qT- Bldg. Off. Address: . ,'ao / w $6`r~ Simr#(-• APC City/Zip Code: Phone =AL i, 7 S 3~ D~ N I~ I ~ C? N , , ~ ~ ~ _ ~ I ~I N --n 0 i~ x x _ ~ ~P ~i ~ ~ ~ ~ N C ~ C ~ xc zBe.ueti~ gp comc m eacl[ m ve11o. mn~. w. I 4! Zq ~P f~ A 07. , X"Re/aw l~wk aveied by Thrs Rertpresf 49C Rap- T~ ot Buitlinp Applianees Wird hui~R 0ired Hae Rango Tenworary $ervtcs pupiex Wa[er Hm(es Lighting FixMes ApL &ii Wirtg Qry¢r Elecvic FIea[i C~cial Bldg. F~cx So9o Unloader {~strial Bldg. Air Cadiiip~er ~Ok A4iik Tank FBrtn OtMr r ASaecvhl Soecih Olt. Oth. ompute /nspecuon fee Below t Foe SarriwEotranee5va A Fw ^Ubfod~ m Fee CircuiCs 0 oo200 AffWs 0 to30 Anips Om30 Above 200 A 37 to 100 /1~ips 31 m tOCo Swimmi'q{ Pbol Ahove OD-AmV Ahoae 700 A~ Tra'ciamicrs Irtiytion Boo~ris Partial•'Otlw Fee Sigc: Special Inspec[ion g TO7AL FFE xmer4s " Not~-in ~ ~a~ 1. tly Eleebiul -~i vu s-t- o h a.S e-e o~pe:c ~6: a%o Final ku ben {••~vs 71is ~apeN ~aid t! mtl6a 4m~ r_ . mm YY(WI lptt 9 /Q7 AC53.4.U Lta- g- i S,,-,. Gc,' 44().00 Naquest Dafe FIre No. RouBh-in InsPection n/ ReQmre ? ~Naedy N. ~ 1 Nolify Inscer Y es No ~or When Heady ~cense Igcvical ontmctor I hereby repuast inspaction of gbo4a ? Owner elactrical work installed ac ' Street Atldress. Box or Route City ~ S. ,v ycuon o. Township ame or No. Rangg o. Counly ;~or/x f Occupan INT) Phone No. ! u Powe Sup 01 i r r ~ ACtlress ~/~J~ ~ Elecvical ntractorlCompany Name) Convactor's License Na. Mai np Atldress ( o actor or Owner ekine ~~sia nuonl l/O %r-,v t~ Auti+orize iBna re (Con ctor Owner Makine ~ ta11eC nl Phone NumDer MINNESOTA ST TE BOAMD OF ELECTflIC1TV THIS INSPECTION RCdUEST WIIL NOT G609s•Midwey Blde. - Aoom N•197 gE ACCEPTED BY THE STATE BOARD 1821 Universitv Ava., St. Peul, MN 55104 UNLESS PqOPER INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. nct2UEST FOfl ELECTRICAL INSPECTION FA'GODD(I°M ~ Sae inatructions for eomplBiine lhi:form on Eack ot Yellow copy. A 0 5 3 J' `7 0"'X" Below Work CIvered by This Request ~ Adtl 0.ep. Type of Builtling Appliontea Nirad EQUipmenl Wired Home Range Temporary S@rvice Duplex Water Heacer Ligh•in Fixtures Apt. Buildin9 Dryer Eiectric Heatin Cortxnercial Bldg. Fumace Silo Unloader IndustrialBidg. AirConditioner BuikMilkTdnk Farm the.r Peci v ther ISDeciryl t er uecdy Oiher Olher ompute Inspection Fee Below p Fee Service EnhenceSize p Fea feadara/Subtaedens p fee Circuits U to 200 Am s 0 to 30 Am s 0 tn 30 Am Above 200 31 to 100 Amps 31 to 100 q Swimming Pool Above 100_Am S Above 100_Am ' Transiormers Irrigation Booms p Partial: Other F. Signs Special Inspection TO emarks J - 'y) 0 ~vv Robeh-in are ~ ~1 ~ ^ _7~I/ spector. haraby PV caNlfi/ IABt thB BbOVB 00 Final C~i %OWf D3'' pKtion hss Oeen ~ ~do' flNo reQUeelvoltliBmonlMlrom „t,` 584 cZj 7eh~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWd'an Reouirements RenodeVReoaQ Reauiremenis 3 reg'biered site surveys showirig sq. R of bt sq. R of house; aM ah roofad areas 2 mpica of plan . Su . (20% ma)(mum bt coverege aUa+red) 1 set of Eneigy Calculations for heafed ad9ltlons 2 copies of plan showmg beam & window sizes; poured fwuid design, etc. 1 site wrvey for additions & decks . p, . 7 set of Fsergy Calcula6ons Add(6on - indicate don•sBe septic system 3 copies of 7ree Presenation Plan if bt plalted after 711/93 Rim Jast Detail Optlons seleclion sheet (Dldgs wIM 3 or less units D O-°= Date 61? / 16 /10 51 Construction Cost ~ Site Address 4~- '1 j S v.vl 9,1 3 L ILOO-n-C Unit/Ste # Description of Work Roo~- ll~_ eC Multi-Family Bldg _ Y ~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner D cx~ 131--~ VV'\. a c, L T~,wO l ~ Telephone #(-S( ) Y9--f/ 361^ 3 Contracror Address CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Pvfinnesob Rules 7670 Cateeory 1 Minnesota Rules 7672 Energy CAde CategOry , Residential VentilaUOn Category 1 Worlcsheet • New Energy Code Worksheet (d submission type) Submifled Submitted . Energy Envelope CalculaGons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y ~C N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 1vIN Statutes; 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 appmval of plans. Ma-rr- k&t 1 n`J ApplicanYs Printed Name ApplicanYs 'gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Aft - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas Tesu Final _ Framing _ Siding _ Stucco _ Smne _ Brick _ Pireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatrnent Plant License Search Copies Other Total kq032~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirY oF encaN 3830 PILOT KNOB RD - 55122 651•681-4875 New Conshucllon Reaulremenh Remotlel/Reoair Rerndrertnanh ? 3 reglalered alfe wrveys ahowiny aq. R. of bl, sq. ft. of house 2 copies of plan and gU rooletl areas (20% mmclmum bf coveraae allowetl) 1 aet ol en9rgy calculaNons lor healed addlHons > 2 coples ot plane (ahow beam & wlndow alzes; poured fid. dealgn; etc.) 1 slte wrvey lor exfeda addlMau a decks D 1 fet ot 6nergy cWculatlons D 3 coplea of Nee preaervatlan plan N lof plaMed atter 7/1/93 DATE: 21-l0'"OO CONSiRUCTIONCOST: -7 LIZ°o DESCRIPTION OF WORK: STREET ADDRESS: _yvZ ?V LOT: BLOCK: _Ji SUBD./P.I.D. SUN l, IA 1 s~ Name: D2ui4 9/- Phone N: ~aSP- ~lSy ~ 3~ SZ PROPERTY last Flnf OWNER Sheet Address: CHy State: r-IAi zip: Si ZZ Company: S'za-rs' W6.-Pe ~vez?K,..~hone M: - Oo- RO 3- - (area code) CONiRACTOR SheetAddress: 140(z- k) _ IlcerueA `7orz2co17' Exp. Cny i~iv f~ar state: '.-iv zip: s5~l~lS ARCHITECT/ ENGINEER Company: Name: Telephone 411: ( ) Sheet Address: Reglsha8on Clty Siate: Zip: Sewer/water licensed plumber fff installina sewer/waterl: Phone (I I hereby acknowledge ihat I hpve read this applkaNon, s?are nar me mroffnanoo b coRect, and agree to cOmply wNh atl applk:Cble Stah of Minnesota Stalutea and City of Eagan Ordinances. - Signofure of App , OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' 'c Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation ? 07 OSplex ? 13 1 B-plex ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 02 SF Dweliing O OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex O 09 07-plex ? 18 Deck p 23 Porch (screened) ? 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibp Y or _ N O 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bidg. ? 43 Reroof ? 32 Addition O 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Give PCA handout to appiicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review license MC/ES SAC City SAC Water Conn. Water Meter Accc. Deposit S/W Permit 5/W Surcharge Treatment PI. - Park Ded. ~ Trails Ded. Other ` Copies Total: SAC Units % SAC _ CITY OF EAGAN CASHIER: JS TERMINAL NO: 004 DATE: 04/11/00 TIME: 09:50:15 ID: NAME: SEARS HOME IMPROVEMENT PRODUCT 3210 9001 4271 SUNRISE RD 307.25 2155 9001 4271 St7NRISE RD 9.50 Total Receipt Amount: 316.75 CR125766 USER ID: JAN i 1 i i i i i i 1 1 1 ~ f i } * i * ~ ~ * * * * * * ~ ~ ~ * * * * * * * * * * 7~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I 0?;-q CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4875 J New ConahucHon ReaulremeMa Remotlel/Reoalr ReGUiremeMs n J regisiered sBe wrveya ataMnp aq. N. of loi, aq. H. of house . 2 copfes of plan mM gff roofed areas (26X mmdmum lot coveraae allowetlf 1 set of energy cdculaHau tor heafed addlHOne ? 2 coples al plarn (ahow bepm R wlndow sizea; paured tnd. design; etc.) 1sife wrvey lor exteAOr addlXOns & decks > t aet a energy calculaHone n J coplea of tree preservaHon plan if lot plaHed afler 7/1 /9J DATE: !"I I Ib IO CONSTRUCTION COST: JqK DESCRIPTION OF WORK: A6 4(At'ALA4 f~sC I,S~-W~cl ~dt STREET ADDRESS: T17 J S,"n 0` 61 P--A _ LOT: BLOCK: ~ SUBD./P.I.D. q: SU11 , I I C F L S I~ Name: 4-olz -Y u V1q Phone tl: pROpERTy tast t OWNER ~ Sheet Address: 9971 ~u A ~r-l ,SS . ciy swre: +1l, v~J ziP: SS I aa . CompanY 5f-a.1'S )'l0A16- `V-''t'`ffjJjLPhoneY: 9~ s0 018°`117Co (area code) COMRACTOR strvet ndarow. ur.arise s a,,o 9 ae, ]Ex_n do ~ citv 6(0~)~ srate: m N Z,p: ss~l ~i ARCHITECT/ ENGINEER Company: Name: Telephone M. ( ) Sheet Address: RegistraHon 0: City Sfate: Zip: Sewer/water licensed plumber (M Installina sewer/waterl: Phone M. I hereby acknowledge lhaf 1 have read thls applicalbn, siafe ihat ihe intortnafion is cortect, and agree to compty with atl applicable Slafe of M nesota Sfalutes and CHy o} Eagan Ordinances ~ Sfgnafure of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 21 Poroh (3-sea.) O 31 Ext. Alt - Muw ? 02 SF Dwelling p OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex p 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 08-plex p 19 Lower Level ? 24 Storm Demage ? 05 03-plex O 11 10-plex Pibg _Yw_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Aliowabie) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. Ciry Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ciry 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 SURVEYORrS CERTIFICATE KEYLAND HOMES (3256) . , \ ~ 0 \ ry y9 s N ~ 2h~~ ~ , \ ryy . - . ~ . Q / ' ~ ~0/ v 4j . 1 O~sS 09J ' 1/'' : 90 4~ /r \ p• t`FO / 0~ ~9 0 h• 6 ~ c`: 641 l t 1 ~ ` J 3j•~ ~y,\,, V ~i? ~ 4) ~ . PROPOSED GRADES SHOWN ARE PER ~iJ~ / ~896-3\ THE DEVELOPMENT PLAN FOR ~ SUN CLIFF FIRST'ADDITION BY C. R. WINDEN & ASSOCIATES, INC., OATED.9-1-83. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 fEET • DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR =5073 FEET X000.0 DEPIOTES EXISTING ELEVATIOP! PROPOSED LOWE57 FLOOR =~704,4 FEET (000.0) DEFlOTES PROPQSED ELEVATION PROPOSED TOP OF BLOCK = O'!•Z FEET I NEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12, Block 1, SUN CLIFF FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. . AND Of THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMEN75, IF ANY, THEREON. AS SURVEYEO BY ME, OR UNDER MY DIRECT SUPFRVISION, THIS 15TH DAY OF FEBRUARY, 1984. SIGNED: JAMES R. HILL, INC. BY: NAROLD C. PETERSON, IAND SURYEYOR MINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. H1LL, INC. 84 541 planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FO L D E R Bbominpton, Mn. 55431 012-894-3024 , . . . . . _ , . . . • ~ BUILDIN[i AND INSPECTION DIVISION -DEPAqTMENT OF CAMMUNITV DEVELOPMENT 2215 W OLD SNAKOPEE . 4T L SS CALCULATIONS ROAD, BLOOMINOTON, MINAESOTA-51 6B3 SBIl ~t. . .P. , eifbtlftl~ . ' . _ . . . , r e ~o I ~s ~I ' (I Coawnctioe Na , IN3ULATION Co, il t~r « s n o~. w.n ~~:w.n cams ~a a~ ~ ` F7J y' oom Leogth bQ+idth / Heig6t FI.1 Room ltngth Qlidth Height ~ Window3 and n--Crackage and Area W~~~ and poom-Ciackage and prca WIEtn Halgnt Ne.of Llnnll[. Arta WWtE H•4ea tlad LGUIlL ~ti Ne. of pane o[ psto ana uiMl eg cratt ap. (L No. of Mee of pane 14eb et vael[ . tL _ / 9•0 , e. S . Ceef. Btu 6oef. &o _ E~ Inhftration Wiltrstion tr Glasa ML% yL~ Glaa ' Fxp. wall 'Wo y Fsp. wall Net ezp. wall Nd - Int. wall Int. wall ' Cefling ~ding Floor ~ (O .7~ Floor Total Btu. y Total Btu. { Required sq. ft. E.D.R. or aq. ins. CVA. L,eader area Required sq. k. E.D.R. or sq. ms. WA. Isader ens ~t Fl. =1 X Room Length (p R+ideh Height j.7.1 Room I Leneth Width Height Windowe aq Doon-Ctacknge and Area Q/'nxlom apd Dopes-Craeksge apd Area - wmte x.Tsni Na. ee Ltn..l n. ena wiy udrpt a a irae.i te. ~n. Ner of wrs of y~n.Ilgb{s of enelt q. f1. Na of p{M O[ p~M Il~sb O[ eftCY p. ft ~5. Coef. Btu Coef. n G° 1n61tretion yj' lofiluation Clau " Glm j`- E:p. wall Exp. wag Net ezp. wali " Net exp. waU t; Inl. wall p0 CJ 1ot. wsll ~r Ceiling Ceiliog - Floor Floor Total Btu. Total gtu. t=-=Required sq. ft. E.D.R. or p. ina. WA L,eader aaa - Rwaircd p. h ED.R. aaq. ios. WA Lesder uea Roem I Lenet6 QI'dth Height A.1 Roomllength Widt6 Height Windows and Doon---CRnekage and Area W~~ a~ p~~„Cra~~ apa prcs wmen x.iret tie. of L~n.•t n. wn. wmtn .Itet a e[ n.al fL wna 6 No. of D~ne of p~nn Iliels Ot enek p. !t. . No. O[ yane Ot ri{ea 11{Sq of CfiCk N. R k'.. . . . ' , . . - b r~ Coef. Btu - . . _ C«f. &a ~ [Of1llIlh00 . . . lofihwtion Glan Glaw t Etcp. wall Ezp. waU Net exp. wall Nr-e.t W,, up. wsl! ^u~ wiY u . . . . - ~ . ~ ~ _ . . ~ ~K...' :.(~1ri4 ~Y In8 . \r .y. n.+,7r~ t , • "R. 1 .yNi S ~1 .j. p . . 4 .e.. ..a ~1' .J,., . ...r r'd 1i : _ ..m. . . . . , . . ~ . . . . .w . . ~ `-TOtLI BIY.. . . . . T0W BhO. . - . . '.;Aequ'ved aq. k. ED.R. m p. ms. WA lt;der ana Rwomed s4 h EQIL m aq. ist. WA Lader um : : BUILDINO AND INSPECTION DIVISION DEPARTMENT OF COMMUNITV DEVELOPMENT 2215 WFST OLD SHAKOPEE ~ LOSS CALCULATIONS ROAD. BLOOMINOTON, MIN4ESOTA 55431 Be1-3811 SO Constractqn IVp, INSULATION ws nRefer nu II Ont. Wall lnt. Wdl CeOwg Roof Floor ICind Fbw Applied 19 pril Room Length / Width Height Fl.I m Lenqth Width Height Window3 and Door?-Crackage and Area Windows snd Doon-Crsckage aM1 Arca •at I* NO. ot D e of Dane Ilih[s u'[ <r~ t p' ft. ~.3 Na. e~f,peq ,pn* Ilfsb o! er~eY p!4 a . ~ ~ . « Coef. Beu Coef. Btu ~`-"Infiltration r~ / in6ltretion I Glaea ~ .,s . , Glaas - 'i'n ~:'f.::,~~ F.xp. wall • / fsp. wall ~ ~ . ~ Net exp. wall f Q Ne "p. w&u . 161 tet. wall - 1nG wsll pQ:J Ceilieg ~ CeJine 'CJ G t,~`, Floor Floor Total Btu. ~ Total Bcu. , (p Required aq. ft E.D.R. or sq. iae. W.A. Leader area Requircd . F.D.R. or tQ• $ lQ• IRl. w.A. L28dG7 6Tt0 Fl.~ Room Length ,Z 1Videh Height F1.I ;'z:e...~..~. Room I Length i."^ " idthi,',1, Height - Windows aod Doors--Crackage sod Area QJiu a Doors--Craekage and Area wltlte Helfht No. ot Llneal tt. wna WL A/ RoIgYt Na ot Llaal tt. Ana ~ Ne. o[ pkna of Wna Il~~b of enok ,Y. tl. Na a! y IY ef Ma' liiSH ot eneY M. tl. - ~ ~ e? b : Coef. Btu oef. Btu ~ In614ation J' In614atiou 19 4,7 n C t: Glaas ~ ly Fap. wall ' Eip. wsll Net exp: well Net ap. wnll / n C,r Int. watl Int. waU ~;••Ceiling .C A- CeilinH floor F7oor -„°;3otal Btu. Total &u. - Reyuired sq. ft. ED.R. or p. ins. WA Lesder area Rcquired p. Q. ED.R, m p. ms. W14. Leadar erca ' Fl. , Room I Length Width Height Flj,o-,jtrn . Room I Length / Widtb Heig6t Windown and Doora--Craelcage and Area Ql~~~ and p~~s-Crecksge sad Arca WIAth Helini No. e! Llnaal tt. Are~ W10th lielibl Na ot Wnol tL Ana xo. or y~no er wn. I1ret. ot enA .a• No. e[ pan* M p~e* Ilib4 ef cr.ek p. [t. - Coef. Btu C«f. Btu - tabltratien 1n61tration 7 G Glus Glea "W ~ Esp. waU ' L Fap. wall NN up. wa0 / Net up. wa0 1nt wap f/~r -a;4o+,.~ / - Int. wall iling Ceiling Q , `x~T" 8tu. 7otd Btu. Revdned sq. ft ED.R er p. im. WA. Leader un Reqaued q. k. EDR er q. ies. WA l.cader nea ; 2/s4 CITY OF EAGAV APPLICATION FOR PERMIT ~ - SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PF.OPE'TY ACDRESS : S!V.(i YS~-T 4 rFr.,i, nFs=pr_cv: 4.e)7-iz R [ / aAv(2 4. (Iot/Block/Subd.vislon or Tac Parcel I.D. ;Iur5er) i E:IS__:G Da'I GF OR?G_ ;AI. EiiII.Z)Z`:G _...:_.,Im . 1 FP.`S~- ~,~•Ti•;~;/=.--C)?CS~ U5E: R-i SL;G'.::: rR:,.I?.Y ~ R-2 CiJP=K (1W17 LNITS) ? R-3 TM-NHCiJSE ('PfL4F" + U?]I;S) ( U.II"_'c) ? '-4 FLp?R'?T.TF'`:;'/CCMCi.LTu:l ( UNITSi Q COI-+2~..'4.CI.MI./RETr1IL?OFFIC:: Q -"rmtiST?S?_L Q INSTITG'TIC,_',L/GGV~~~fEV': 2) p,pnL-r= (PLEASE PR14i) r~E: hJe v ~~.vD #6~ ADD'ZEss: 17 z fio s r' crr:', sTaTE, zrP: ~.1 v r b,*.v /YJ,ir~r•~ -liS35~Z Px01~2: 6(9 z F yL 3) PLu m (PLEASE Pf71NI) FOR CITY USE 09LY NAME- pl0!! RS LILEtiSE: ADDRESS: /~09U [jAvktSr i Attive CITY, STATE, ZIP: ~hiv ~i4/~~ ~i iv~/ Expired No Necord PHOVE: y~j/J-g G v/ PLUMBER LILENSE !f ~'Jd 33;Z $~05pll, le- Q arr inicia 4) OCC[mAT/Cr'T,IER NAME. (PLEASEPPINT) G:~-y .¢1->- ADDRESS: CZTY, STATE, ZIP: PHO:IE: Sj INDIG^,TE Wf-IICIi PEP.tilIT IS BEItiG REQUESTLI7; VI CC.,\lECTIGN 'Ib CITY SE;vTER J9 CC:iN£CTIG.I TO CITY S4ATER ? C= (PLEASE DF.SCFtIBE) 6) L`:DIG,.:: C:.c.: ? P=E F:OID APP?0VID PER;•1IT FOR PICK-UP BY ONE OF r'1B(7VE %°I?'aSE ~~IL APPROV'D PE~Z~tIT 2D 1, 2, 3~ 4 AEp~,7E (Circle one) si~a~.~: DATe: T F O R C I T Y U S E O N L Y PERMIT " ISSUED FE.r. DrD\tTy $ WATER PERI'1IT ( INCLtiDE SURC:iARGE ) $ WATER METEP./COPPERHORN/OUTSI= RE:,uE3 $ WATER TAP ( I.;CLUDv- COR?ORAT:.CN STCP ) $ SEi'7ER T.'.`.° . $ ACCOUNT DEPOSIT - SEi" 7ER $ ACCOUNT DEPOSIT - WA:z'R $ WAC $ S.^yC +S TRU:IIi ?JAT°R ASJESSi':E:IT $ TRliNY SE;vER ASSESS'rtENT $ LATE°,AL BENEFIT/T?2UNK SE:':ER $ LATERAL BENEFIT/TRUNi: SQATz'R $ OTHER $ TOTAL , $ AMOUNT PAID/RECEIPT ; ~ DOES UTILIT`i CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHZN ~ PUSLIC ROAD[•IAY" MUST BE ISSUED BY TY.E NO ENGINEERING DIVISION_ LIST AS A CONDI- TZON. SUBJECT TO TEiE FOLiO'.`7IDIG CONDITIONS: APPROVED BY: DAT°: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 19133 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Type of Work Contractor Name: /116( Ve-•rc 1 Phone: )5 '7 " / 7ti7 Address / City / Zip: L17 l / $:k, -J Applicant is: Owner Jt Contractor Description of work: £F Construction Cost: 1, 000 Multi -Family Building: (Yes / No Company:4-1...p1/14- Ursi9,v Lut I f d (lop f F'c. Contact: 3/5,50fo Address: 1L// 7/ co IA ve City: e6S f l Out Al— State: "III Zip: 5-5-0G r Phone: / 5Z' 23-0 t 7 �0 License #: -ley S5 -'D Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) NF J&L 14 F 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documents :that you submit are considered:to be public information ' Portions of ie information may be classified; as non public ifyou provide specific reasons thatrwouldpermit:the conclude'that theyare 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.clooherstateonecall.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 mus completed within 180 days of permit issuance. M-(1NI kr/0 Applicant's Printed Name x Appli , nt's Signature Page 1 of 3