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4264 Sun Cliff Rd CITY OF EAGAN WpTER SERVICE PERMIT 3830 Pilot Ki;a6 Road P. U. tsox 21 i°Q PERMIT .ND,; Eagan, MN 55121 DATE: r' 5-0 l- ' ZO^i^fl No. of Units: - ~ ~ Ownar. Address: T E 'L ~Site Mdress: •~-1n4iJ~ i~ vd~ Rz 9tr ,C 1 i f f 2 plumber. ' ~c~$ai~ ? , AAeter No.: a Connection Charge: 500.00 ci r. ~ Rm e Account DePosit: ' . . r No.: ~ QL Q C> 3 0~ Permit Fee: l:~, ~'r)Pd I o9me to amplY wkb the C' of Eava Surchorge: . 50pci I Ordlwaeam Mtsc. Ctarpes: - 132.00 ad Total: t BY Date Paid: Dnte of inso.: Insp.; - - I CITY or E,4GAN WATER SERVICE PERMIT 3830 Pilot Knub qoad P. O. Box 211$$ PERMIT NO.: Eegen, MN 55121 DATE: Zoninp: No. of Unlts: 1 Owner. Ke land 11omes Addross: Sne Addrcsx 4264 Sun Cliff Roed L17 r3 5 rZ C, f Plumber. r. ''e ch~ir. i cg 1 Meter No.: Connection parge: ' Size: Aooourn Deposit: 15•0 p~ Reoder No.: Permit Fee: I'.0[?nd ~alroe to cqnply wilii 14 CiFy ef Eqpn Surcharge: . SOnc3 Ordhw"°m Miac• Chorpes: 132 00 od TotoL• By Date Paid: e r Dote of insp,; Insp.: ~ - - - - - - - - CITY OF EAGAN ~ 3830 Pilot Kno6 Raad SEWER SERYICE PERIYIIT ~ P. O. Box 27199 PERMIT NO~4 7? Ir, ~ f Eagan, MN 55121 pATE. ' .1 ~Zonina: . amea NO• of Untts: Owrer: KeY and i ' Address: ~ Site Addrcss: un - ~A3 1.. B. Sun I ~ Plumber. ' • - . ` - ~ -J-U-J ~ '"MN M oowPhr I rllU tM ' O~iiMneN. ~ Eelow Connection Chorne: 425.00 pd ~ ! AcoouM Deposit; • ~ Perimit Fee: A I By SurcFwrOe: • ~ • ' Mlsc, CJ,orqes; Dcte of Insp.: ' Totdi; Insp.: bote Poid: ~ ~ CQSH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE - 19 FROM - - . - i . AMOUNT & DOLLARS ~oo ? CASH Q CHECK roR~ . J ' • i . . f l . . ,~-C..-i . • . i , , :T (p ~ ...--~(/YL-L_ / ~ ~ rr~'. . _ ' • , , , _ . r~ ,.i'' ,'X.i ~ FUND CODE AIAOUNT . - ' . . . . V ti ~ G~ - - - r J a . rJ u ~ . J f l i,I . - ? F, . ? Thank You s v White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C U Type or Prin[ legib/y Tot ~ • O 1. Date ~~n 8 a 2. Installation Cost ~ 706 C 3. Job Address 'y~~`~ SvNc c Lot ~ B I k.= Tract 4. Owner /Ge.l 4'1' } f 5l'f?~~ 5. Contractor A-7ro Y`f ' r2 Phone 6. Address ~~~1tfl Nor?'hAN4s f ~ /rr?" 7. City Pf :o r State 1111.41 Zip 8. Building Type: Residential -)fl Commercial O Institutional 0 9. Work Description: New K Add O Alter ? Repair ? , ~ 10. Describe Fuel Type /V~'~.~:~~..r, 11. No. Equipment BTU - M. Ea. No. Equipment CFM ~ Forced Air 7-il 0100 Air Handling: Mfg. C- G( t, i, C Boilers ~ Mech. Exhaust 5 ei Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify tha e a e in ormetion is true and correct, and I agree to comply with II or nan s`aodes 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 454-8100 Raceipt PLUMBING PERMIT Permit No. - CITY OF EAGAN Fw Fill in numbered vaces S/C Type or Prin[ leyibJy Tot. 1. Date Installation Cost ? ~;1! _ L.~~/ , 3. Job Address ~ Lot Blk. Tract 4. Owner 5. Contractor l- Phone 6. Address ~7G y~' ~ ' - ~ . l 7. CitYj State rii, .c Zi P 6 Z 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New fl Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures 4 Water Closet Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory Softner ~ Shower Well i Kitchen Sink Urinal/Bidet Other ~ Ldundry 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 sgrerning this type of work. Signed : for Rouyh F inal Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ CITY OF EAGAN 3830 Pilot Knob Road. P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING ~ERMIT Receipt T~ M rNd ie~ Est. Val ue S56, 00e Oate A1' r? Z l., 23 , 19 ' Sits Addreu r'; , itiJ Erect Q Ocapancy c? 3 Lot =7 81ock % ~lSuh. Ranodel ? 2oning t Parcel No. Repalr ? Type of Cornt. 11 Enlarge ? No. Stories `t.AN7 HUr-9 Move ? Length Q ~ 1 Z Name ~ J Demolish ? Depth 48 ~ Addresa Grade ? Sq. Ft. City 1 Phane 't `2. Inatall 0 Name 3 2 3 Apprayals fen ~ ~ ':1 s 3 .i • Addresa Aasessment Permif • ~ i ~ ~ City Phone Woter 3 Sew. Surcho?ge Poliu Plan Review ' SQ ~W Name Fin 5I1C s~ Address 4j01 w 7 Erq. Wofer Conn. Q ~ W City i~' Phone i 3 i-1 v 7~ Planner Watar Meter - ~ Q Council Road Unir 0 1 hercby acknowledpe that I how reod this opplication and state that gldg, pff, 4 2 11 L 5 . ~C) the inlormotion is o0rred and Oqree to tomply with oll opplitabiis APC Totel i. ' 5(1 Stcte of Minnesoto Stotute; and C~ify of;Eopan Ordinancss. _ Var. Dste Sipnotuh of Per+niftN - --f' A 9ultd+ny Pennif I: isswd ro: on n,..rpress caditia, frw, oll work shall be done in aooordonee with oll applicable Stote of Mlnnesoto Stotutes ond City of Enqan Ordinonces. Buildinp Offiaal ' Permlt No. PKmk Holder Daft Te1~ hon~ i~ Plumbla9 c- H.V.A.C. 5 (p ('4 'C q 7 & Ehmtric W 0 3 vz~ Safterwr Inwection Oan Insp. Other Footinyp Foundation 7 . Frsmino Roofing Rouqh Plbp. Rouph HVAC Inwlation Final Plbp. Finsl HVAC Final 7, c.rwooc. 7a ~ r> ~ 3 wam Dataibe Loeation: YYsll S~vNr Pr. p'np. PERMIT # MECHANICAL PERMIT RECEIPT # ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ CONTRACT PRICE PHONE 454-8100 B;.pG. TYPE WORK DESCRIPTION Lot ~ Block SeclSu. / Res. v New ~ m Name G~ Mult Add-on ~ Address 7 ' i" Comm. Repair ~ c City F Phone Other ~ Name FEES c Addr y ytl C-L94 tcl, RES. HVAC 0-100 M BTU - $24.00 , - p Ciry &q~W~ Phone -7 5 ADDITIONAL 50 M BTU - 6.00 ' ADD-ON AIR COND. 0-24 BTU 12.6Q I ADDITIONAL 6 M BTU `-fi.00 TYPE OF WORK GAS OUTLETS - 1•50 EA. Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 -Ill U' M BTU MINIMUM - COMM/IND FEE - 20.00 Air Con M BTU STATE SURCHARGE PER PERMIT - .•50 II ~ Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYO 1 ~000.00) Gas Piping Outleb # Other FEE ? -x ` S/0. ~ j'Q GNATURE OF PERMI E TOTAL• '5J I FOR: CITY OF EAGAN ~ f INSPECTION RECORD - ~ CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number. ~ Eagan, Minnesota 55123 Date Issued: ~ (612) 681-4675 ~ SITE ADDRESS: APPLICANT: "IIN f i R i= 11,11 ~ rn I I t-ii) f I i 1 t .AJii 0 0 fA H PERMIT SUBTYPE: TYPE OF WORK: i r INSPECTION D• • D• 1 r~ !S Iq 1 Ml i ~ i+ t i ~ I I ~~l I' l i~ I f I I i I I ~ - - - - - - PsrntR No. Permit Holdw Dab TelephaM Ik SNV PLUMBING HVAC ELECTFiIC ~ 00 ELECTRIC Inspectlon Date Msp. CommeMs ~ Footings i FOUndatiOn Q ? Framing ~VSlfG7 J Roofing Fl ~ Rough Plbg. Rwo Ht8• Isul. Fireplace Finat Fftg. Orsat Test Flnal Pibg. Plbg_ Inspedor - Notify Plumber Const. Metet EngrJPlan Bldg. Rnal Deck Ftg. Deck Final weli Pr. Disp. .3 IF 17 ; Pepuest Date Fire No IPo Inspection • r q 1~o ? Reetly Now PI Will NoLty Inspector Yes No When Ready9 ? IXicensetl contractor p owner hereby request inspecuon of above electrical work at: Job Adtlress (Streel x or Rou e No I Ciry Z rv G.~rieG SecLOn No Township Name or No Rarge No Counry Occupant (PPINT) P~one No ~ D O D mer Atltlress EI ncal onlracI or (COmpa y Name) Conactor's Licanse No ~ ( w~ c e Mailing Atltlr s IConvador or Owner Making Installauon) ~ Aothorrzed g aWre iCanVac Owner Ins~alla Pho Number MI SOTA STATE BOARU OF EIECT THIS INSPECTION FEQUEST WILL NOT Grlggs-MiEway BICg - Room 5410 BE ACCEPTED 6V THE STpTE BOARD 1821 University Are.. 5t. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phane (612) 842-0600 ENGLOSEO ,G{o'Z REQUEST FOR ELECTRICAL IN~E~p ee-oooo,-oe ins[mclmns tor comple0ng ihis form on back of yellow Co ~ See t "X" Below Work Covered by This Aequesf ew Ad`o Rep TypeofBmlding • AppliancesWired EqmpmentWired Home Range Temporary Service Duptex Water Heater Electric Heahng Apt. Budding Dryer Other (Specify) COmm /Indusirial Furnace Farm Air Condi6oner Omer (suecily) Conirecror5 Remark5 40,+GG rJoo~ aPevter ~'o C R il Compute Inspecrion Fee eelow: C a// # Omer Fee # ServiceEnVanceSize Fee # Cirwrts/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to Wo Amps Transformers Above 200 _ Amps bove 160 _ Amps Slgns Inspecror5 use onNTpTAL Irrigation Booms Speciallnspecnon AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPLETED WITNIN 18 MONTHS. L the Elachical Ins ector, hereby pouyn-m oate ~ " certify that the above inspection has F,nai been made. ~ / r y J ~ OFFICEUSEDNLY ~'~1•'' , Y r This request voitl 18 monihs Irom This requesl vmd I^ _ C~ ~ IB months from l.. / . C - 2 8 7 9 2 I Renue t Date ~ Fire No. RouPh-~n Insoecuon Reqwredl ~ady Nuw Q WlII NntrtY Inspec- - ?Yes (or When ReadY y2<censed Elec[nCal Cartrnc[or 1 hereby ~equesi inspacM1On of ebove ? Owner elactrical wotk mstallad at 5lreet Atldress. Boz or Route No. ' L Ci ectmn o. Townshlp Name or No. flange No. Coun OccuoanllPqlNT) one o. ~ 6elro)iit 3~z .Power Sup0lier , AdCress . p Co omracior'sLicensel o. ' Elactncal Cmtractorp( fompa N ) L E37~'~1 C 71 IV.~9 L`J~FILL'"AT~7 ' s ' Madinp Address 1 Lact~Rtjfrner Makine,Inst t 1 . . MN. 55119 Aut ¢ S~gnaWre IComract . or/Owner MakinB Installationl Phone Number MINNESOTA STATE BOAflD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT Griggs-MidwaV Bldg. - Noom N-781 BE ACCEPTED BY THE STqTE 80AND 1821 University Ave., Sl. Peul, MN 55104 UNLESS PNOPER INSPECTION fEE IS Ph..n. 18121 297_2111 ~ ENCLOSEO. J_ ~ 7 REQUEST FOR EIECTRICAL INSPECTION lV 11, Sae instrucbons for comoleLng this torm on back of yellow copv. rj~y 1~ 1 ' i_'"X=+Below Work Covered by Ihis ReQirest C 28792 Adtl Reo. . Tyoa ol Builtling Apolmnces WireE Eqwumem Wired Home Range Temporary Service Duplex W3ter Heater lighhn,y Fixtures Apt. Bwlding Dryer Electric HeaLn CommerCial Bidy. Furnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tank Farm otne, pecifv tner ISper.rivl t er Uec~ly ther Oihor ompu[e inspection Fee Below p Fee ServiceEMrencaSize q Fee fexdars/Subieeders ~ Fee Circuite U ro 200 Am s 0 to 30 qm s 0 to 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 Am • Swimming Pool Above 100-Am s Above 100_AmPS Transiormers Irri ation Booms Pertial-'Other Fee $igns Speciai Inspection Zva50 TOTAI FEE flouBh-m Oate ehe Electnwl Inspectoq heraby Final 07 rb~y thet the abnve i i ueetion has been mb repuest voia te montha trum 17/' 7 OFFICE USE ONLY This esl vo~d I8 months (mm validahon daR pnnWd in Ihis box. 'g3' C;JD ~ 111111~111111111111111111 I III II 7 ~1 * O 4 7 2 S I 4 6 I I L PL PRINT OR TYPE ,SE Reqmst Ome / yhin inspectlon reqmred2 ? Yes o Inspecoon Other Thon RwgMn: eady N. ~ WiII Coll L ~ (You usr coll ihe mspecmr when ready) Date Ready. I, licensed conhactor 0owner hereby request inspecfion of the above elechicol work al: b6 Address (Slsl rcei eox, or Rwre No.~ Gry Zip Code SMuon No. Township Name or No Ronge No Fim No. Cwny ie-IL;2o e 6s rL/ PhoneNo. 3- oe Pawer $opplier Address A I E hunl Cann r ~ ny Na Conhoclor Lcenu No. Absbr Lk. N. (Planr EIM Only) ~ ~ Moiliig Address P mirg Insmllanon) 12 a s/~ S AoMorized iwN C Imcbr Owner rformmg Insmliohon Phone Na. 1A-11 6/96 p~ B D COPY - 5 INSTHUCilON3 ON BACK OF YELLOW COPY G/n~ 7/y 7 REQUEST FOR ELECTRICAL INSPECTiON 47-L 5 46 M 8127eUnivers,ary Ave.,rRm. S-Q 28,ISt. Paul, M 55104 , . _Phone (612) 642-0800 ff~` ~ ara ome Duplex Apt. Bldg. Other _ Ne ddn C mercial Indusfrial Farm emod Re ir ir Cond. H. Equip. Woter Htr. Lood M mt. Olher: Dryer Ronge Elec. Heaf Tem . Service "X" above Ihe work covered by rhis request Enter remorks in Fhis space and on ihe back of fhe white copy only. Calculoie Inspection Fee - This Inspeclion Request will nof be a«epfed withouf the rorrect fee: Olher Fee N Service Entrance Size Fee # Circuits/Feedcrs Fee Mobile Home Park Sfall 0 to 200 Amps 0 l0 100 Amps Street Ltg./Traffic $ig. Above 200_Am s e 100_Amps Transformer/Genemfor INSPECTOH'S USE DNLY TOTAL Sign/Oudine Lfg. Xfmr. Alarm/Remote Conlrol Swimming Poal I here6 ceni thaf I ms ihe elechi<al iaemllanon des<n6ed herein on fie daies sroied Irrigalwn Boom nooqMo ome Speciollnspecfion Final Dom - Investigafive Fee TMIS INSTALLATI[11J MAV RF nRf1FRFIl IIIS . 1 N Ff1 WITNIIJ 7 MONTH_ This reQUest wid5 18 \ r) 6',6-97 ;,,fr d-~ P B 7S'~ Ln43C~,~ v 3 9, dD Nepues[ Date Fire. No. Ibuph-in In - - Ne$uir T Meatly N. ~ ospec- ~ ~J"Yes ?NO tor WMn qeapY ~cen EI tAI Contnctor 1 hgreUy repuest inspection o1 above ? Ow r eleelriwl work installed at Streei AdAress, Box or R 16 No. City ~ 7 ~ • ~ ~ ecL n ownshi ame or o. Mnge Na_ ,Pw-f NO. Occupant ( 1 7) Phone No. Power li Atldress ~ ~ G....~ Ele tn ntractm (c.,ripdv Na , C~ mr s"ceaise No[. _ ~ ~ Mla' inB Address (Contracmr or Owner Making Instsilationl AuMorizeA Si iu,e ( [ra /Owner Ma 'ng Ins ation) PM1O~ Mumber f YIIW TA STpTE ApD OF E ICITY I THIS INSPECTION REQUEST WILL NOT Gri~/s-NiAreY elb'g. - R. N-19t BE ACCEPrEO BY THE STATE BOARD 1~1 Univarsiry Ave., Si. peul, YN 5610C UNLESS PROPER INSPECTON FEE IS PI...... 16121 29]1t1/ ENCLQSED. ) REQUEST FOR ELECTRICAL INSPECTION EB'000D1'04 r~J ~N ' Sae instructions fqr complating this fam m beck of Yello+r covY. 027372. "X" Be/ow Work Covered by Ihis Request Aaa ne . Tym ot eu:iaios ApPliances NireJ Eauicinent w:.ea Home Range Tempwrary Service Duplex Water Heater Lighiinq Fixtures Apt. Buildfng Dryer Bectric Heaun Comnercial Bldg. Furnace Silo Unloader Indus[rial BIAg. Air Corditioner Butk Milk Tank FdR11 Offie.r Dea thpr ISPecelyl t.r pecf y Other Other ompute Inspection Fee Below p ServiceEntmnceSiza d Fee Feeders/SWfeedera b Fee Giecuits 0 to 200 Amps 0 to 30 qm 0 m 30 Am Above 200 qm s 31 to 100 Amps 31 to lOQ q Swi'rmi Pool Above 100_ Arnfis Above 100_nm - Tra~tormers Irtigation B-s Partial- Olher Fee SigS Special Inspec!ion TOTALF - Ne~re~ks 6 xouan-in R-1 tr. me~Elec - ~ I~peetor. hereby Final r ~ertih thet xhe abova ~ [ J i~apection hes 4ee~ O' ~de. TiW reWem voi0tamonRehwt CITY OF EAGAN N2 1013 7 i 3830 Pilot Ifngy RRsid, P,O. Box 21-199, Eapn, MN 56127 BUILDING PERMIT PHONE: 4$4.8100 Recelpf $ To be OSW {m SF DWG/GAR Est, value $56,000 pate APRIL 23 19 85 StteAddrea 4264 SUN CLIFF RD Erect QC Ocrupeney R Lot 17 slwk 3 See/8ub. SUN CLIFF 2ND Ramodal ? zooinq Rl Rapair ? l'ype M Conrt. V Parcel No. Enle ree l7 No. stories KEYLAND HOMES Move Q Lengeh 40 ~ Name Damollsh ? Dep[h ¢ $ Addrat Grade ? ^,q, Ft. ~ c;ty JORDAN phona 492-6646 inscau ? SAME 435-3323 Aoo~ls has Name Addren Azsessment Pertnit 301.~0 ~ City Phone Woter 6 Sew. Surcharqe 28, ~ 0 Pollta Plan Review icin- SO tW Nama HALLOUIST Fira SAC S2S-00 x ~ A~m6 5001 W 79TH ST f,np, WcterConn, S(1(1-(1O ~W Cixy BLMTN Phone 8ll-187`' Plannar WotarAAeter 63.00 Cowuil Road Unit Z$ 0 0 1 MrcbY ockrowlad9e that I haw rcad this apDllcation urd state that Bidg. OH. ~~I8 S T. P- 132.00 fha informolion is corre nd agrea to ComplY with all apDlicabla A~ 7otal $1, 979.50 Staro of Minnesota Stot te 0and ity G~ Ord' ncas. Ver. DMe SipnMUro of Permittes A Buildinq Vannit Is issued ro: KEYLAND HOMES ani *0 e~ thot oll work sholi be dona in armrdonce with a pplicabla StuM f M ufes and Gry of Eopan Ordinoncet 8uildirq Officlul ~i CITY OF EAGAN Remarks 3f` Addition SUN CLIFF 2nd Lot 17 elk 3 parml 10 72976 170 03 Owner gveet 4264 Sun Cliff Rnad State Fagan, MN 55199 Improvement Date Amount Annual Vears PaYment Receipt Date STREETSURF. 9 C010 g- -gp STREETRESTOR. }gQ}I0'7 1986 i~r°r°-.'r,1-.°~r- 431.51 5 I S$ - b O - GRADING SAN SEW TfiUNK 17.60 coio 7 8-5-85 SEWER LATERAL 212. 1 C010537 g- -8 SEw R LATERAL 999 1986 829.62 165.92 5 a. a. C-IOG u- -85 WATERMAIN WATER LATERAL 1000 1986 942.60 1$$.52 5 9{~?. 6 0 -1 04P U-CP~ S WATERAREA 401 39 CC010537 WAT LAT BEN 49a~M'79 1986 57.88 11.58 5 57•8Y -/U /0'd'-A5 STORMSEWTRK 40.52 C010537 1-5-8 STORM SEW LAT S ~F S/W SERVICE 1005 1986 808.77 161.75 5~6,7. 7 7-3 CURB & GUTTER SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5(o/O,/ -fU /U-8-c~5 WATER CONN. u n BUILDING PER, u n SAC 52 PARK ~ Fm Office Use - - - - - - I j Pertnit I ~ I City of Ea~aIl I C,~qV't,V I 3830 Pilot Knob Road ~ Pennit Fee: ~ Eagen MN 55122 j Date Received: ~ Phone: (651) 675-5675 ~ ~ Fax: (651) 675-5694 i sraff: 2008 RESIDENTIAL BUILDING PERMIT APPLIC *G 22 2008 Date: 4~40 SiteAddress: ~-w`I Tenant: Suite RESIDENT 1 OWNER Name: U(lda- 1-Ll l7 i 0.Ao n Phone: Address / City / Zip: 4o~~I ~V1 C~ /I f Y Kt~te(/ EQnII "!V SS ja;)- ApplicaM is: _ Owner YContractor TYPE OF WORK Description of work: Construction Cost{ ~ ~ 1 c ~y~,- Uct Multl-Family Building: (Yes No Xj X' l Dd~4~~n~ C~ lL3fl License ol OTI Ip TT ~ CONTRACTOR Name: 14~,e Address: J~ t'~J CX I..~l4^(~ ~'1V`~ WE S 1.1'- ~ ~l Cin~: Mk6cr'o i 5tate: MJ\.' ziP: Ss 3710 Phone:-CN3'"~.JIS~IJ(lJI~ ContactPerson: ~i A(,`ue-,V-e,Gn COMPLEtE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residerrtial VeMilation CaLegory 1 Worksheet • New Energy Code Worksheet CatCgOry Submitted Submitted submission type) • Energy Envelppe Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a aimflar pian based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Machanlcal Contractor: Phone: Sewer & Water CoMractor; Phone: NOTE: Plans and supporting documents that you submlt are considered fo be pvbfic iniormation. Porllons of the Information may be classified as nort-pu6lic i/ you provide speciiic reasons that would permit the Ctty to conclude that the are trade secrets. I hereby acknowledge that this iMormation is complete and accurate; that the work will be in coMormance vnth the ordinances and codes of tlte Ciry ot Eagan; Ihat 1 understand this is nirt a permit, bu[ only an application for a permd, arid wodc is not to start without a permh; thffi the vrork will 6e in accordance with the approved plan in the case of worlc which requires a review and approval of pl s. xp 46A x ApplicanPs Printed Name Applicanfs Signature Page 1 of 3 / A/)/f 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS lNST BE LICENSED iIITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 5/0 o0 To Be Used ForJ/ Fl1/?1/ T . `/,CC T aluation: ~ Date: Site Address: il?'i) OFFICE USE ONLY 7 ~ i1 ~)fD Lat: -L7 Block 3 Sect/Sub S 0ivc/LFr-Erect x Occupancy R-3 Remodel Zaning p~-I Parcel N Repair Type of Const ~ Enlarge ii of Stories ONner ~~~E^ \J I /D Xlp-,grs Move _ Length 4D Demolish Depth orb Address ,j el Grade _ Sq Ft City/Zip Code _J 02l7lf/1/ .jS- Phone Voi 9PPROYALS Contractor Assessments Permit Water/Sewer Surcharge Z 8 Address Police Plan Review 5p ~ Fire SAC 525, ~ City/Zip Code Engr Water Conn 500. °o Planner Water Meter (03. Phone Council Road Unit Zbo. Bldg Off z~ Parks Arch./Engr. 1,4 APC Treatment Pl 132, Variance Address 5'Bp J w. TOTAL City/21p Code Phone $ xS 4- ° 2- 4g 2Q-~ 52~30 Z x 1 S ^ 5S 758 C. R. WINDEN A, ASSOCUTES, INC. tANn suRVeroes r•t 64e•3644 , v 1381 EUSTIS 51., ST. ?AUI, MINN. 65108 FOR: KEY-LAND HOMES Scale: 1" = 30' ~ Denotes Iron Monument ~d ~ ~ ~9 p~•S~ ~ f v;••- ~ So ' t ~~=L~ ~s o~ \ c O ,r y ' , ~ C ~ l.~ 9s~• `s / ~ 6' o o wJ_ \ ~ ~ ~o m .a- ,v ~ 3• N c l° m 0/, 9) 1 y1 ~ l' O O ~ ~ NozE: ` ,2 c Denotes Uooder. Stake ~9 Prope:ed Garage Floor El.-_90=-''t \ ( 90(. .1) Denotes Fropesed Finished Graund E1. ~ -F- Der.otes Direc[ion C Cf g~rface Prainage l'ertical Datum - N.G.V.D. 1929 Lot 17, Slock 3, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota' WE MERFlY CERTIfY THAT THIS IS A iRUE AND COARECT REPRESENTATION OF A SUIiVEY OF TME 60UNDARIES OF TME IAND ASOVE DESCRIlED AND OF TME IOCATION Of Atl lUIIDINGS, If ANY, TMEREON, ANO All VISIlIE ENCROACMMENTS, If ANY, fROM OR ON SA10 IAND Dolad this__Iyl~doy of A G. 19Bcl C R. WINOEN 6 ASSOCIATES, INC. bY ~ SurrerOr. MinMwfo RopiHrotieo No 772G-. N ~J; R . , EXTER30R ENVELOPE AYERAGE "U" COMPU7ATION rt ~ OFfNER: OATF: - SITE ADDRESS:_ PHONE: LONTRACTOR:_~ Determine working square footage of each 1. Total exposed wall area..... ~+894„L(0y sq. ft. x.11 = ZDD• 6a97 2. Total roof/ceiling area..... 89R.441(,e sq. ft. x.02b = Total exposed wall area above floor=_,,_~ a. Total vrall window area //[p b. Total door area .3 7•y6 c. Total sliding glass door area 9. 99G d. Total fireplace wall area y/,¢ e. Total wall framinq area (average lOb)......... /74 g• ~g~ f. Total rim joist area i.~2.o g. net wa11 area a6ove floor ry h• wa17 area above floor I. wall area a6ove floor j. frame wall area at foundation Total exposed foundation area= - k, Total foundation window area nl~}Y 1. Total net foundation area above grade . sp Determine "u" value of each wall segment (e.g, window, door, each separate wall section) , a. lIla x ~V, b. 37~7/o. x „U„ lr.7 c. _39.94k X iT109B . „ d. VIp Y /!/l0• /l e•_/7&..8 X 'lull .D8 1`to144 f. /3 2.03 _ X "U" , O 4 = 15.26 9• I2,G,'S.L7 X "u" .-D = 1n3.28 If item #3 is the same ~ . as, or less than iiem ' /1. you have met the - 1 • ,18 X "U" , _ .8/L lntent of SBC 6006 {d 3 . .......................'..........Total - - ~ -Ex~rior Envelope Average "U" Ca-r,;:raticn Pa9c 2 of 4 . • . e / ~j4,tr IO Kd, (~O^57• Total exposed roof/ccilinq area = B~JB.9¢ J U4. 1bta1 skyliqht area n. Total rooi/ccilin; f_-aning arca (n:'crarj.• 104) o. Total net insulated roof/ccilinq area........... 791.6 ~ Uetermine "U" valua for eich iouf/cciling aeqnient m. ~ ltJ A- X HUI' IU14- n. R7. 69 X "U° ,DZ¢- o. 791, n-t) x"U" . D = f3z~ a . 7btai = i'7.Y3 ~ If total of #4 is the same as, or less than #2,;you have met the intent of SbC 6006 (c) 2. , Alternate Buildina Envel.ope Design 2b utilize the total envelope'system method, the values established by tlie s;un of items #3 cnd #4 shall not be greater than the sum of iteans #1 and #2. 1. ZDO•,I8'F7 + 2. zz.BSz. = z.Z3.79- 3. 17t)+ 4. 17•9 = IB8.77,Z • .•.."~IY^8N1 . ±.ak .''T3+ ' i ~ ~ ~ 5~. . . , -PLAQ Ar ~ , L i risAL FT, Ex.poSE D WAL L , z~l, t s~ 4 L-~7~ a - 36- - =//G FU L L I r J - 1 ' ~ _J zz + .37~~ ~ f' fi L • - - i% ~I•i? t4. ~.a~ ; I~z~O ~ . ~ Scrz . PT. SkPoSED WA LL AzEA 3Loc~C ; ~ X . S = se K.~,r~: x S= sBa - W .O 1C 8 - rc 1:V l. L SC S= z 4- P, . ~ I ' /I. /3z-0~ X ~ = l3z,c~ TotA L. . ~ 5 CS,Pt . EKPoSF,-D GEil.f Uq;~,~%~~ d7B ~ ~ wovu5 Dooe.s ~ . , • 17~o X Cc0 ) ~ ~L, "a ~,97 ~ 7 4 z 3G~ _ .5~4 . ~ 3Z. ~ ?ATI O DRS . . - T s w~ .Y - - sM+ u-ui ¦g ' . _ I - . ' • . . " • ' ~ ~ COnst~ruccion , A-Va2uc 1, Inicrior air ftlm 0.61 ~ i' II'(i~' ~l 4. Extcrir, air filn lsi:ll) 2 S Total 4 80 VrAIT L~ . . . • - Fti^M ? ~es~ fl,~ . ~ Inr~rior r.ir filn _ _ 0.61 icsted 2. up . • a. 3S ~ . • ~ 4. -T . rzc. es~ . . U ' 014.. • • CoA. ~~~[?Gri .r~._ . . •M...-a~.?a~t~.~. 0.61 ,.L ..sii..~.~:~•.v,:~•`?_-1=- ? • - ~---~r 3: - . ' ~ 4. y n ^ ' S. Outsidc :;ir. fil:n 0.17 Total. • ~ ' ~ : ~.C~•-, E . . . , . 1. Insidc air fil+n 0.61 2. •veRied 3. ' ' . Heac llov vp- , . . 4. - • ~ ~ . ' • S. Outsidc air film 0.17 . , . _ . ~ , lIG. 16' . . ' . . . ~ Total 3 Insidc ait film . . • _ 0-61 . . ~ 2. . . ~..t•..:~ 3. ~ , a ~CS'~%!~j''. '..~C'- 4. ~s~~~,~;~: • / ~ . ~ Gvt;idc oiz fil:n 0.17 . . . ~ ~ . . ~ . . . xowl i ~ ~ . . . • • , , . : • ttotes U~;e additional Sheets if morc fpace i: • 80:l-i'f?.T..D . ~ ~ • , s.ecJed for det. ils and caleu!ations. . . , , , • $eat . , . E1ov up • ` ' . ti • . .r • . ti • • • , , : . ' !Wo. !7 • ' . • . . , . . ~._f- .s _ _ :an¢__'_'-.:....~~~~~. ...r.... . _ _ _ :"~.•n ~ ' ' - - - ~ ~ - - ''.tq' . - _ =ant.L Ar.cr:rmR ~ ' s~.~.n ~•~a.~ • Ea'Vro tyt of opa~!ua va11 erca for • .ltnlx:-conc.lTUCl3un ('c.n•:tructir.u ~ ; - ~ ~ ~ _ j • ~YP_ ~a_ . - ._,9,s ~ - - • ? - 4. :iV.427-co. -CYht•m61G~ ~ ~.~--~3 -5-l-Dl?~Llo. . '(oZ- 'IC j ^ 6. t:r.lcriur nit' fi!m r• U.i7 1LL - ° - ~ .rou~ 1 12, 2,-j _4Z) - V= 08 . FIC. 01 'iGPVIF:t,I OF - (F(SUI.• • F1tNtE IQALI. _..-.--------O:Gtl 3. s 8-k_ i,~s -~3-0 • . , ; 4 ~-t,tNe~.mCt~L_~.^(o.D , ~ s. 1~2 tD.uAb_. 6. Extcrior air iili.i • p.17 FI`G: 12 ~ -I ----~0 ~ V = • 0 5 ' 1. )n~ciriMnir fiLn 0.G!1 i. JNSVlr--+~'~ -.J3.0 ~a .____.__Q~ . 1. ~X1~------ - -----1•~9 I 4. °T--~'~- ------L-.9L SrR L ~l --(S-~ 6. }:xtrrlM nir (iIm_J •--0.7 1'otal ZZ.3(i o9 ~ • , U• ` c air fil,n_GR ; • L _ o .~~i'• , ~ 3. LL--~NL~---E_t.~- ~ ' • ,i ~ . •p • ~ ----•-Q • n . ~ ~ . u ~!iTnO~ - S. . n. ----'O.l~i ~ , sr.nn n;i .=v,ui; - ; ~ . , , . . . /it . , ~ T( ' ~ " , ' r~~rR~~, _ rr~~,r ,t . ~ , • ~ ~ ,'•r~ ' , ',v ~ N , ~ iri . • ifr I(r - FiC. 1!4 • e^• 1!~ d, V . " _ ~•'r ~ ri~ ~ . ~ ~ valmi, dcoth and ' . ~ ~~,:a~rn~••:: cC ir,::,ilntinn. CITY USE ONLY ~ nBL ~ RECEIPT#: SUBD. SV~ ~ CA-z-a RECEIPT DATE: MECHAIVICAL PERMIT # y ) ~ ~ ~ ~ 1999 MECH"ICAL PEtMIT (USll}ENTIAI) CffY OF EEkfiAN S$SO PILOT F{N08 RD gasAri MN $5122 I 2- 20 -99 (651) 681-4675 Date• Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U $ 30.00 ADDIT'IONAL 50 M BTU 6.00 • Gas outlets (minimum of one required Q$3.00 ea.) State Surcharge .50 Total $ Complete this section oi:lv if you aze remodeling, adding to, or repauing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or repair. _ New Alteration Repair _ Other Reminder.• Call 681-4675 for inspections. ~ Furnace ~ Air conditioning _ Air exchanger _ Other $ 30.00 State Surcharge Minimum Total Due ~ SITE ADDRESS: L`I 2-~D L"I S li{ i C HP-C O. OWNERNAME: rIqnSM1p1--~f !eIYYI PHONE#: USI INSTALLER NAME: Y VD hI~.z ~ ~LJL~l~ I dCi PHONE # ~ C~~Z - H31 ^~I~Y~ STREETADDRESS: f.Qnn(}(,L AAAC2• ~AREACODE) CITY: VoW'~) STATE: MQ _ ZIP:55 Z STGNA'I'URE F PERMITTEE CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT#: 1999 MEcILAlvcCA1. PERMrr (cobtk[EtcIAL) CITY OF £AfifkN 3$30 PILOT KNOB fW_ EAfiAN, b1N 55122 (651) 6$1-4675 Please complete for: all commercial/industriai buildings muiti-famiiy buiidings when separate permits are not required for each dwelling unit DATE: CONTR.ACT PRICE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minunum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price Q& $30.00 minimom fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STAT'E SURCHARGE ($.50 per $1,000 of pit fee due on all peimits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: PFIONE - (AREA CODE) CTI'Y: STATE: ZIP: SIGNATURE OF PERMITTEE n;...: : .qq.:+.: ~r.~ :i{4'e'iSie$'fT'N Ii::K;~iS%F4: , >:M . Y : . ~!,{,~45,`He`,.i.'~•.',F~:~'~Z.,a':3: Q £ . ~n..n p•. ~ . ro.se.. . <~i„n:.~S~,~t,:"X>:i: 0~•',a`: ee-;.Y:''.;3'..:::":'~?. ,~L~.:'~p_ . =~:.?a:";:, ~ ~ ~;~...,e k$"~~::> ~k.. ::.s~? .''`A >~c WimiS '.c ; ~ . .~.i¢9m :R'~~. ~n~~3a.~,~XS,~,. a o- _ ~>4 . ..41~ . s`~ofg~ '..a . . . . . ~ ~ ~$.i~.=u arb,. ..e.T.2jf'~ !Th6f~`~. ~Gd... . a... .~.a ::..;..z :~v~ ....£.r . . ~'ir . . . . ~ 1993 PLUMBING PERNIIT (RESIDENI7AL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT. 10. FIX7'URES EACH TOT~ ~ SHOWER 3.00 -51v o WATER CLOSET 3.00 :y, A v BATH TLJB 3.00 LAVATORY 3•00 ot9 KTTCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER 3•00 FLOOR DRAIN 3•00 ! GAS PIPING OiTt'LET • mm+mum • i 3.00 ~ O ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaLay. ii~ 15.00 U.G. SPRINKLER • nome uneer cmt. 3.00 ALTERATIONS • to aesiin8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE 2~50 TOTAL: ~ 5, 5v STTE ADDRESS: ~ ! ~C ~ OWNER NAME: INSTALLER: ADDRESS: CITY: STATE:ZIP CODE: PHONE ( / I-1 4NARIE S OF EE r-',~.aF%r~;t:.a'g~is:.:,;:n:e,~..~-,.;;;~:ee`wg:<:..fi:«;:~. .•ii`ss:>~~~,.,..ar.!~..;t .:,::f., yy~!:~Lr~o-:.~.~ e°:«"e:a~~.•.. p n ....~..w ....>_ra.i:.:.. ;o.s `,4>3~4,5{a~.:::ti'?7C . . e,...~;:..~gz;;.3~. .<a ....'~'.s t1.;.,1l;t,y,~•,, .,a,<...,,.t.:~ i ; . ..,_:.:.::.r< a..,-::. . . v.. ,....e .Y.<;.:>•::::;:;rs.~?~:::~i.:?>:o~::,::•:•.<=z':;.;..:..t~<S'~'s,t>:~:.'s::«~~xu~~£:as~s':~:'`::":~rY~~ .,,~s.,ra`b,~ ...:..;.^>.<:'.!b::`.~-`~`m?s:..~ ..b"'z:>~".$a~~~~?~~rsp~z:.:n~2'a~:°;, 1993 PLUMBING PERMIT (COM11ZIItCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAgRCL41./INDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUPLDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING U': iT. _ NEW CONSTRIICTION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ - FEE: 1% OF CONTRACT FEE STATE SURCHARGE $.50 FOR EACH $1,000 OF ~ER1KYf FE& bIINIMUM FEE: $ 25.00 ' CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NARZE: ~ STE. # OWNER NAME: WSTALLER: ADDRESS: CI1'Y: STA1'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT PERMTT CIT'`Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesola 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: DESCRIPTION: ~Iij i. (;Ut tiC~i L-ICj W L~I, k I WJ:i• iJ! I,J C • ~ ii ~ I ~~;1 ~ REMARKS: FEE SUMMARY: loe l "re ;{t V ~ / CONTRACTOR: OWNER: ~'ii; , ~,llPd l. FI 1[U . . ,orlij!'! 7"Lc3f' .`.1.1'. 11' I i.,-•r~;4 , t~~~ ~u r.crrnt:.. ,ariti u=4P~e t~, p Iy w St' ~ f I •~~~w .ra~t) Mt~. ~ y L J ~ APPLICANT/PERMITEE SIGNATURE ISSUE BY ATl1RE & INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 687-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: i~ F , ~1 p: ...~i; n;,~ INSPECTION . .A F P „ r, F ~ L REACTIYATE _ CI1Y OF EAGAN PERMIT ~ 1993 BUILDING PERMIT APPLICATION ~ 681-4675 idqR 2 6 REcR ""t SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy cales. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of manth in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / / Valuation of wark Site Address: STREET SUITE !f Tenant Name: (commercial only) LOT ~ BLOCK ~ SUBD. P.I.D. 0 ~lJ Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Deacribe) Name rh446 l` Phone ~ g~ 60 d Q Property LAST ?IRST Owner Address 4-2-0 Su i STREET - STE N City ~C1~q11 State Zip Company Phone Contractor Address License # Exp. City State Zip Archttect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ~ ? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging pazeLglA-V n i s h ? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition 13 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE EX31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition 0 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System SAllowable) lst F1. sq. ft. City Water UBC ccupancy ~ 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Boaster Pump # of Stories Footprint 5q. ft. Fire 5prinkler Length On-site well Census Code ~ Depth On-site sewage SAC C~de C1e~5 APPROVALS /l ~ r ~ cAn: ~ Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS 4L,S0 FIR6-p[,AeC ? Site ? F 'ng Framing JZ~ I-r+s~l ' n ? Wallboard Fina n ile ~Fireplace Permit Fee 3.f. vJ v.iua:;oo: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: SAC X SAC Units CLAIM VOUCHER - REFUND REQUEST ~ CITY OF EAGAN MAKE CHECK PAYABLE TO: American Heating & Air Suppiy ADDRESS: 5347 University Avenue NE Spdng Lake Park, MN 55432 LOCATION: 4264 Sun Cliff Road P.I.DJLEGAL: Lot 17 B13 Sun Cltff 2nd RECEIPT #/DATE: 121037/12-10.99 VALUATION: REASON FOR REFIIND: Duplicate permit PERMIT 39043 TYPE OF REFUND: Electrical Permit 3211-9001 $ Piumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ 30.00 Building Permit Fee 3210.9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275A220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Pennit 3743-9220 $ Water Permit 3713-9220 S Account Deposit 2252-9220 $ Wata Meter 3716-9220 $ Wata Treatrnent 3868-9220 $ Surctiarge 2155-9001 $ Utility Acct Ovetpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 22549220 $ Water Usage Chazge 3711-9220 $ Other $ TOTAL $ 30.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 1-6-2000 SIGNATURE ~ _ .Vd-v-~ ~ DATE CITY USE ONLY LOT BL ~ RECEIPT SUBD. RECEIPT DATE: U ' L ! MECHAIVICAL PERMIT # l U kLZ;> 1999 MEcHMicAL PERMrr WsinErrrIAw crntoF £nshx 3$30 PILOT KNOB RD $A6AN bIN 55122 (851)881.4675 Date• Complete this seceon onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occuuied. e uyp,r. 0_10nty(r3~ rr e ~n.p ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one requ' ) ~ ;ae, char .50 $ Complete this secrion on! if you aze remodeling, a g to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new ite , alterarion, or repair. V New Alteratio Repair _ Other Reminder- Ca11681-4675forinspections. V Fumace _ Air condirioning _ Air exchanger • _ Other ' a Jv.CO State Surcharge .50 Minnnum Total Due $ 30.50 SITE ADDRESS: ~J u C OWNER NAME: S YVJ l7 I~ e PHONE `-"S-1 ~ f (AREA COD ) ~ INSTALLER NAME: Y C F ' f PHONE ~_.Q I - D' STREET ADDRESS: J-1' I ~J ~ 1n ~ (AREA CODE) CITY: `KV f ~ 1ATE: ZIP: q-5r ( ? ;2, A F PERULiTfEE~ CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY; , INSPECTOR MECHANICAL PERMIT 1999 MEcHaxicA. PERMr (coaMEtcIA.) CTfY OF E4filkN S$SO PILOT KNOS gD EA6M,14IN 55122 (651)691-4675 Please complete for: all commerciai/industrial buildings multi-family buildings when separate permits are pg; required for each dwelling unit ruA i E: CUN i 12.P.t;1 rKIC`c: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspection by fire mazshal and plumbing inspector. DESCRIPTION OF WORK: FEES: _ 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1 °/a PERMIT FEE STATE SURCFIARGE ($.50 per $1,000 of rcrt it fee due on all pemilts.) TOTAL - - - - - - - SIT'E ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): INSTALLER: ADDRESS: y PHONE (AREA CODE) CITY: STATE: ZII': SIGNATURE OF PERMITI'EE 2/84 i CITY OF EAGAN APPLICATION FOR PERAI2T S£WER r1.1?/OR WATER CONNECTION (PLEASE PRINL) 11 PPOP~t'PY ACORE,SS: f r.FraL, DEsm*PrTcV: , 7 07 ~ . (Lot/$lock/Suzdivisicn or Tati r arcei I.D. Numer) :..'`(IS_=:G ST^i:=7:, DaTE 0F CRIGiAi, ri;IIDL:G ISSZ:?.:G: PP`S=-.'?' Z^`MN7/~P()S= L'SE. ~ n-1 SL:GL: :P`ASLY - ? R-2 DUr L`Y ('I•.`'O L'.nITS ) ? R-3 'ICt,--L1U?CUGE ('P= + L':]I:S) ( L1I2"_'S) ? =-4 [.-CZ"_'S) ? CCi.niE.qCr?I,/F2~:AIL?OF:'Z~~ Q ;;Si'==,L Q DiSTI:LTICNT'1L/G=~n':' 2) AP?I.IC='S tv'LEaSF ?Rit,IJ ADCRESS: ~ CI'I"'. ZL~: :jLI'i' PEOM: 6 Z ` ~ Si 3) PI'Z':T=, (PLEASE PAj'yt) fOR CITY L'SE OHLY rAl`E: 72C /OJech.v~ cr~~ , ADC:ZESS: fJd S't, PUJHBERS LICEYSE: S,cr~,.,~ f9-~ C Active CITY, ST?TE, ZIP: ~'y.Zerr Zak'P Expired PfiOVE: v5/~7j Not af Record PlUABEN LICENSE q 4~'3 7V/afJ arr nic3a 4) O~.'*„'pp[]'r/Cr~~;M (PI.EASE PRINr) i~~: ADDRESS: CITY, STaiE, ZIP; PF:(?NE: 5} INplCATE ;yHICH PERi,tIT IS BEI\G RIDOUESTIM.: ~ CMNECI'ION 'IC] CZTY Sa'E.R ~I cn"-'=Tcv TO czTt WATER ? CiEER (PI.`iE DFCCRIBE) 6) Z:DIG=.~;. ? Pr-°.7~SE E?OID APP?Q)ED PER.NIIT fl7R PICi:-G'P BY ONE OF ABCVE ~ P?.E-tiSE :*1'.IL APPROIED PER:•1IT T'J 1. 2. 6) 4 ASCNE ~ (Circle one) si(zaTt-RE: Da2E: ;~-'-_;o ~i5- ~wai+.~iw~e.,as~ar~.aata~~r+rosa~~ssrFS~:aa.~s.~~.r~~+r~s~e :saa~F 0 R C I T Y U S E O N L Y pE°`tIT ISSUED rr^S: $ 19- SC) nr tiT'*` ~Tv r••~^ 7!~r~`ar^) _ sEE:;Eo s-•-1 _,r_.,,;,,~ $ WATER PER111T (zrrci;;nE sURcsaRca) $ WATER METER/COPPERHORY/C[;TSID: RE:.DER $ WATER TAP (INCLUDE COR?CRATIQDI STCP) $ 5_-:4ER TA? $ UG~ r..=_.T ..`.:r•.c.l_ - J=...:.~ $ r~61 U ACCOuNT DEPOSIT - WATER $ S'?O• Gd WnC $ S~~ 5~ oo SAC +S TR[iNK WATER ASSL.SS=-:.'T $ TR:iNK SE;'iER y55:5.":L:•:T $ L.`-.:E?,t,L BE:;Er IT/TRU:IK SE=.F $ LA;ERrIL BEVEFIT/TRUNK ;•;A^ER $ WATER TREATMENT PLANT SLRCHARGE $ DTHER: $ TOTAL ~~j,UCJ p,lMOL'\T PAZ'J j REC°I?T n S4y DOF.S UTILI.Y CON:7EC:ZON REQUIRE EXCAVATION I:I PUBLIC RIGHT OF WAY? YES ZF YES, THEN .'v "PERh1IT FOR 'AOR:i WIT!?Ziq Pt1BLIC ROADWAY" MUST BE ISSUED BY THE ~NO ENGINEERING DIVISZON. LIST AS A CO.7DI- TION. Si:SJEC: TO THE FOLLOWING CONDZTIONS: ' ~ APPRaVED BY; ~ TZ:LE: ' DATE: Ma sm sum w = w W--M wMe Bt+ a.tM w M-JM l.pg wa w M si Wi+ wa penp ra si+ g, ~ CITY USE ONLY L 17 6L RECEIPT#: SUBD. RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete fnr: . single family dwellings ~ townhomes and condos when permits are required for each unit New construction Add-on fumace V/ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. . - - - - Date: fil % EEU ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M B7U 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TCiTAL o200-5ZZ - - - - - - - SITE ADDRESS: OWNER NAME: PHONE ld3-eCei INSTALLER NAME: PHONE d Y 8~~5 STREET ADDRESS: ~ " CITY: (//)Ji/) /JSTATE: ZIP: T25-3,~60 R 47a sy b l 51 NATURE OF PERMITTEE G/1-~1 c? -7 CITY USE QNLY L BL RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-3675 Please complete for . all commercialfindustrial buildings. . multi-famity buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: - $25.00 minimum fee or 1% of contract price, whichever is greater. . Processed piping - $25.00 • State surcharge of $.50 per $1,000 of er i fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCNARGE TOTAL - - - - SITE ADDRESS: OWNER NAME: TELEPHaNE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: ' S(GNATURE OF PERMITTEE _•C1TY INSPECTOR _ ~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION \ City Of Eagan S30 S-V 3830 Pilot Knob Road, Eagan MN 55122 6, Telephone # 651-675-5675 Pleasc complete for: single family dwellings & townhomes/condos when permits are required for each unit Date -7 / L / a"' Site Address y~j i t&r- Tl~d - Unit # Property Owner ~aft-(~1 ci CL,, K('1 I ! l. 1 Telephone # ( Lrji ) ^CI O ,5 - I t,0j_g - Contractor Wohlers Southside Htg. & Air, Inc 6950 W. 146d St., #106 Street Address _I Apple Valley, MN 55124 City State i (952) 43 I-7099 Telephone ) - Q ~r ~ Bond RL-Z- OS--~ ~I `I B Eapires: U- The Applicant is _ Owner Contractor _ Other 7c Add-on ar alteration to existing dwelling unit $ 30.00 ~ furnace _Additional ~Replacement air exchanger ~ air conditioner _New KReplacement other State Surcharge M $ 50 J QU~ Total By Z2004 Ol/ $ L~ • ~ I hereby apply for a Residential Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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U_)~11erS QU,~, d,~ ]z /,£~NJ4 ApplicanYs Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compiete foc commerciaUindustrial buildings multi•family buildings when septvatc permits are not rcquired £or each dwelling unit Date Site Street Address Uuit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Instail _Remove *"see below Interior Improvement _ Install Piping _Processed _Gas Nature ofWork: "When installing/removing underground fank, call for inspection by Fire Marshal and Plumbinq lnspector Permlt Fees: $70.50 Undergmund tank instailation/removal $50.50 Minimum (includes 5[a[e $urcharge) or Contract Value $ x _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If eo rmit fee is over $1,000, add $.50 for every$1,000 pe rmi[ fee $ Tatal Fee I hereby apply for a Commercia( Mechanical Permit and acknowledge that [he information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to staR wi[hout 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. ApplicanCs Printed Name Applicant's Signawre Approved By: , Inspector Date: ~55~y \_4 rz) aa 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 NewConsWClionReauiremeMs RemodeUReoairReouiremen6 3 registered Site surveys shaving sq. iL of lot, sq. R oF house; and all roofed areas 2 copies of plan ~g~~, - 20% mazimum lot covers9e allowed) 1 set W Ener9Y Calculations for heated addi6ons ~*~~?'N ( ~ 2 copies of plan stwwing beam & window s¢es; poured fauntl design, etc. i site survey for addNons & dedcs t setof Energy CalculaUOns AddRion -iodicafe i(on-sde sepfk system le 3 copies of Tree PreservaUOn Plan N bt platled afier 7l7193 Rim Joist Dehall Options selection sheet (61dgs wifh 3 or less units Date 20 l 041 Construction Cost Site Address 4 Z4o~ Su.n ('I iFF 12d UniUSte # Description of R'ork ) ?J~S Multi-Family Bldg _ Y ~ N Fireplace(s) _ 0 _ 1 _ 2 Properly Owner PAfR i C 1d LQ W Telephone #(00OS- f(O Zq Contractor R/2 [0 J' Wd ` . Address UJJD City State Zip Telephone - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CBtegory . Residentlal Ventilation Category 1 Workshee! • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 14 Licensed Plumber (~n Telephone # ( ) , , - t 2no MechanicalConhactor V Telephone#( ) Sewer/WaterContract Telephone ) B I hereby apply for a Residential Building Permit and acknowledge 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 MN 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 approval ofplans. -~V L_l t f>VI~.S ApplicanYs Printed Name Applic riY ignature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 27 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Pemolish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors O 34 Rep18C@fn0nt `Uemolition (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 Bldgs Length Fire Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) _ FinallC.O. _ Foorings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fueplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Uiility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total t 53r9 15_50 2004 RESIDENTIAL PLUMBING PERMIT APPL{CATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 S / o 1 Site Street Address Su i?CU F(= A L) Unit # Property Owner PA TR t U A kA L D~ Talephone #((.S! )05 - /6 Z`f con c?actor 57~~j k%2aJS Pl,u^^131~6 Telephone# (I fL) 34 i- e1 t4 Address 11Z E 5° Sr , S+ r ~ I o I c;cy G1-1 AS k A StateMnl zip ,57,s s c The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener _~\1Nater Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharg $ 50 j UU7 Total $ I ~ ~O gv I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. L., JCR.ES[A 3• FQ SE ApplicanYs Printed Name ApplicanYs Signat PERMIT City of Eagan Permit Type:Building Permit Number:EA115349 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4264 Sun Cliff Rd Lot:17 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-170 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 . Pavel Pilich 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 - Kamal B Buchanan 4264 Sun Cliff Rd Eagan MN 55122 (952) 292-8499 Smart Construction 8432 Xerxes Ave N Brooklyn MN 55444 (612) 216-1186 Applicant/Permitee: Signature Issued By: Signature