4291 Sunrise Rd
. CITY OF EAGAN g $ ,Q $
• 3830 Pilot Knob Road, P.O. Bcx 21-195, Esgan, MN 55121
PHONE: 454-8100
OUILDING rERMIT Receivt #
To M wW fee v nctI r i u Est. Value c i(1c : Dote x.c . 19 k "
SiteAddrea 4291 SUNR7SE RUAD Erect m Occupancy 1:-3,
Lot ' Block 2 SeC/Sub.SLM s'L,iFR 15T Remodei ? 2oning ?~-1
Repair ? Type of Const. V
Percel Na. Enlerge ? No. 5tories
RSM HC`ME:; Mnve ? Length 16
~ Nwm . 4.W 1}Py'Eb. CL:'1!rIE ~'.QL'R:C D9m01ish ? Depth
~ Address 1J 1Grede ? Sq. Ft.
City "LE `Phone 43..-88~L` Inatall ?
APProvols i**s
nN :
Neme Asussment Permit ~ • ~ ~a~ Address
City Phone Woter 3 Sew. SurcFwrpe ~
Polics Plen Review.
~
~W Narr,e Fin SAC _
_U Addresa Enp. Wahr Conn, +
~ W City Phone Plonner Woter Meter
Council Road Unif 280.00
I hereby ocknowledge that I hove road this opplication ond stote thot gldg. Off ~ I 14 j,1, s parks T E 2 32 . o~;
fhe intormation is correct ond ogree to comply with oll oppliooble A~ CO~y . r
Stote of Minnesoto Statutes and Cify of Ea9an Ordinances. .Var. Date
Siprwturo of Permittse i r?TAL : i,'~
A Buildinp Permif Is iuuad to: ;'i ~OMES on tht •zpross tondidon lhoi
all work sholl be done in accordance with all opplioobls State of Minnesota Statutes ond City of Eopan Ordlnonces.
Bulldlnp Offlcial I `
Permit No. Permk Holda Dow Telaphone s
Plum6inq ~ ak
H.VA.C.
EMetric
Soitwwr
Irapaction Date Infp. Othw
Footinp AgS p,ke)
Foundation
Fnminy S 491f •
RoaFlng
Rough Pibp. _ s
~
Rouph HVAC
Inwlation /lot
Final Plbg "aW
Final HVAC
Final ~ e
Cwt/Ooe.
water Deseribe Loeation:
YYall
Srvrer
Pf. D'aP.
Receipt MECHANICAL PERMIT Permit No. F~ ^
CITY OF EAGAN Fee ?p. no
FiII in numbered spaces S/C - 5,
Type or Prini legib/y Tot. 'r - 5 0
1. Date 1-~9-85 ~ 2. Installation Cost )200•Cr
1~~ , a • , `
3. Job Address~ ~'z~e Lot , Blk. - Tract r
4. Owner
5. Contractor R Y Il• Y47LT:.~ TI :Phone ~:"5-6867
6. Address '~h1C ]l?O -VF:. ~n.
7. Citv 1~• State',ZipSr4C7
8. Building Type: Residential 43 Commercial 0 Institutional ?
9. Work Description: New.X0 Add ? Alter O Repair ?
10. Describdn,>t-11 i-- a force d air fL•zlR„el Type nat r.3
11. No. F.quipment STU - M. Ea. No. Equipment CFM
1 Forced Air '~I X~
Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all orlinanceslnd codes gover~ing 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
Receipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN Fee
fill in numbered spaces S/C f
Type or Prinr legib/y
TOL r `
1. Date 2. Instatlation Cost '
3. Job Address Lot " Blk. Tract
4. Owner
5. Contractor ~-d ° Phone • " ' '
6. Address
7. City State ' Zip ` . -
8. Building Type: Residential C3' Commercial ? Inst+tutional ?
' 9. Work Description: New E3" Add 0 Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Orainfield
Bath tubs Septic Tank
' Lavatory Softner
~ Shower
Well
Kitchen Sink
Urinal/Bidet Other -
Laundry Tray
Ftoor Drains
Drinking Ftn.
Slop Sink
i 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~ IN 5YE(:'1'lUN liE(.:UKll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 53
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 41 io y,• APPLICANT:
REi
PERMIT SUBTYPE: TYPE OF WORK:
; , i ,
INSPECTION D. • i•
F . _ ~
L
~
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Oate Inap. Comments
FOOTINGS
FOUND
I FRAMING
ROOFING 2 q
/
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
I HEATING
I GAS SVC
I TEST
I INSUL
GYP BOAflD
FIREPLACE
FIREPLACE
AIA TEST
FINAL PLBG
FINAL HTG
I ORSAT
TEST
BLDG FINAL
II DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
I coNOUCTiviTv
TEST
I HYDROSTATIC
TEST
BSMT R.I.
I BSMT FINAL
DECK FfG
I DECK FINAL
CITY OF EAGAN Remarks t-kv
Addition SUN CLIFF 1ST Lot 3 aik 2 Parcel 10-7297S-030-02
owner/l street 4291 .SUNRISF, T3OAD state EAGM MN 55122
Improvement Qate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 1970 7f'j.rj4 3.06 ZS 27.58
~c SEWER LATERAL 547.94 09.59 - 2--85
WATERMAIN
WATER LATERAL
WATER AREA Zp 1973 93.55 6.24 15
STORM SEW TRK ((J~ 1971 322.29 16.11 20 8,6 C 1 2 - 2-$
~e S70RM SEW LAT -
*
CURB & GUTTER '
SIDEWALK
STREET LIGHT
280.00 #49011 1-15-85
WATER CONN. 500.00 " "
BUILDING PER. rr I~
~ r n
SAC 515
PARK
CITY OF EAGAN i
3$30 Pit~t Knob Road WA1"ER SERVICE PERIy~IT
P. O. Bvx 29t`g9 PERMIT NO.: ,
Eagan, MN 55121
Zonirg• ~~1 DATE:
Owner: ~S'•I Homes - No. of Units: !
ress. k
5i Address: ff!V'44.atfi'~i::3i,:3;~ f 1
' .+meber:
r Na.: ConneSNon 700 pd
}-?YQ-
~.1 i F /rccount Depostt: 15 . q 0 pd
;Re°der "o.: -~o ~ a g Permit Fee: i~. oo De,
; s
.2m. to mmvb wkb th. ' OrdiweneM, CAh ef Eao,
Surcharge: . S; pc
Mlx. Chorpes; 13 . pd
B Total: ~ 3 0~_Ad m~ ~ f, r
Y Dote Paid:
I sp.:~ ~
Insp.:
/
CITY OF EAGAN WATER SERYICE PERMIT
, 3830 Pilot Knob Road
P. O. gox 2-1199 PERMIT NQ.:
Eagan, MN 55121 D/?TE:
Zoninp: .1
~'f ~o~~g No. of Units:
Owner;
Addrass:
Site /lddress; 4292 Sunriae Road L3 13.. Sur, C, i t
P(umber f.ak.es1,.'o nlb~+
Meter No.: Goc?nection Chorge: P~`
Size: Account Depostt: 1 5. ~~Q pd
Reoder No.: Permit Fee: 1J• ) p d '
1 agrN lo aomply wkh NN Ciep af E"sp Surchorge: n d
Orai.enq.. Mtsc. Charfles: • P
Totcl: _ 63.00 nd me C er
ey Dote Pald:
Date of Insp,; (nsp.:
G_ ~ . _ •
~ CITY OF EAGAN
!
3830 Pilot Knob Rosd SEWER SERVICE PERMIT
~ P. O. Box 21199 PERMIT NO.: 7130
! E898n, MN 55121 DATE:
~ zoniny: ~I -
~ Owrbr: R5M Homes No. of Units:
~ Address:
Stte Address: 4 9 Sunrise Raad L3 B~ Sun C i
i Plumber: La e s d e g
f ~ n
"pu ft soft* wieh Hn qey go"4 Connsction O,erpe; 4 2 S. QQ pd
n~sas,
~ AcCOUnt Dapodt; j
- S ,'JO nd
~ Perrni! Fee: 10.00 pd
' gy Surchorpe: Dd
i Dote of f nsp.: Misc. (harpes:
~ Totol;
i^sP-:
~ Dote Pald:
; CITY OF EAGAN No 9$ 4$
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 6l
BUILDING PERMIT eeceipt #
Te N wad fw cF nwr_/r_eu Est. Value 57 nnn Date •*n*•n~, , , 19~i.
Site Address 4291 SUNRISE KOAD Erect 11 Occupancy R-3
Lot 3 Block 7 Sec/Sub. GHN T~ ~ ~ST. Remodel ? ZoninB R-1
? Type of Const V
Repair
Parcel No. Enlarge ? Na. Stories
RSM HOMES Move ? Lenycn 36 -
W Name Demolish ? Depth 47_
Z Address 14486 UPPER GUTHRIE COURT Grade ? Sq. Ft.
~ City APP VALLEyh 435-8868
one Install ?
SAME `Approvala Fees ' .
~ Name
Z~ Assessment Permit ~~14_nn
Address
8l- City Phone Water & Sew. Surcharpe 28.50
Police Plan Review 152.00
Gw Name Firo $AC 525.00
ipZ, Address Erq. Water Conn. 500.00
Z. City Phone Planner WoterMeter 63.00
Council Road Unit 280.00
1 hercby ackwrledge that 1 have read this opplicetion and stota thot Bldg. Off. 1/ 14/85 pU$ TP 132.00
tM inlormafion is Correct and ogree fo comply with all oppiicabla AP~ Copy.$0
State of Minnesota Stnt41m d qry of Ordirwn s. ~ Var. Date
TOTAL: 1,985.00
Siynnture o4 Permiftee Eagan
A Building Cermie is iu~,e_RSM HOM ES on the exprea condition lhat
ull work shall be done i ocwonce witII aDPlicable Stote of Mfnnesota Statutes ond City of Eapcn Ordinances.
Buildinp OHlciol
1-(r
This request voitl. J r3- ~S~ U~ j
18 momhs (rom
A 096914 L. 3, gD,
ea;Dafe ~ Fira No. flough4n (nspeMion Inspec-
A? ReaAy Now ill Notity,
~'j Hequ ?
~ (i ~ ~ 91Yes ?No ~or When Feady
LiCensed Electrical Contractor 1 hereby raquest inspeciion ot abova
?.Owner electrical work instelled at:
Str¢e[ Address, Box or Route No. Cit~y ^
Z~ ~ G~14 nJ
ecpon o. Township Name ar o. angg No. Cow"Iy
ako7lll-
0 pant 1%IINTI Phone Nn. /
S
Power SupP~ier Address
,J
Electrical Contracror (Campany Name) Contractor's License No.
2QIOLlr LLe IL. O /~'J?c'1"-~9-
Mailing AdJress 1 omractor r Owner Making Inslaflationl ~ /
e- G~ ~6/4/
Authori Siemmre fCon Cmr r Making Installation) - Phone Number
D
YiNNESOTA ST0.TE 80Aoom OF EtECTPlCITY THIS INSPECTION NEQUEST WILL NOT
Griygs_MidwaY Bldg. - N•191 BE ACCEVTED 9Y THE STATF 9pqR0
7827 University Ave., St. Peul, MN 55104 UNLESS PNOPFN INSPECTION FEE IS
Phom (812) 297-2111 ENCLOSED.
5'34!' REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
- - 1 ' Sea instructions for comDleting this fprm on back of yellow copy.
A 0 96 9 4 " X" Below Work Covered by This Request 5 a
dd Meo. Typa of Buiitline APPliances WireA Equipmenl Wired
Home Range Temporary Servic:e
Duplex Water Heater Lightin, Fiztures
Apt. 8uilding Oryer Electric HeaUn
Commercial Bldg. Furnace $ilo Unloader
Industrial Bldg. Air Corxiitioner Bulk Mi Ik Tenk
Farm Other aen y t er ISnecfN)
~ , Vecrty t er 01her
ompu[e lnspection Fee Below
A Fee SorvieeEnrtranmSiza H Fae Faetlars/Subfeedars N Fve Circuits
0 to200qm s- 0 to30Am s 0 to30Am
Above 200 qmps31 [0 100 Amps . 31 to 100 Amps
Swimming Pool Above 100_Am s Above 700_Amps
Transformers Irtigetion Booms d Partial,'Other-Fee
Signs Special Inspection 5. TOTA 46E
72~ y'
R¢~rks ~
po"h"i^ 11e I, the Ectoq
ela irical
o
=~,*-ns tity that the above
Final xle inspection has been
~4 ~da.
TNS myuestrdtll8monthalrom . e' ~
,
I Pertnit ' ~ ~ ~ j
Clt~j of ~a~ a~
V
3830 Pilot Knob Road ~ Pertnit Fee:
Eagan MN 55122 j Date Received: ~ j
Phone: (651) 675-5675 Fax: (651) 675-5694 I StaH: i I
' I - - - - - - - - - - - - - - - - - - 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:~-~o M °(jq SiteAddress: 4%`"1 I &jl Intsl . 1\(i.
Tenant: Suite
RESIDENT / OWNER Name: Phone:l9 s 1 •454 • q5~
Addiess/City /Zip:~I mc. 0,~ C&O v\
Applicant is: _ Owner X Contractor
TYPE OF WORK Description ot work: 4 Cl
Construction Cost: 1 1q 0I ~L Multi-Family Building: (Ves No
CONTRACTOR Name: ~ t License m F) (/.,U MW
Address: L~a l l \l ~ • ~
City: WI 1i 1611~ State: Uk_ Zip:
Phone: I ~J ~~IC)' lA .Kl )Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • Naw Energy Code Worksheet
Category Submitted Su6mitled
(4 SubrtliSSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on e master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
. ~
.
rv~' .~3"1
u•~ ~ ~ .
!
I hereby acknowledge ihat ihis informatlon is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of
Eagan; thal I understand this Is not a permit, but only an application for a permit, and work is not to start without a parmit; lhat the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans.
x K. t`a?LI r-e.nc c. xd~ Uuj-anu
ApplicanYs Printed Name Applicant's Signature -
Page 1 of 3
1985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN
NO?E: ALL CONTRACTORS MUST BE LICENSED ffiTH THE CITY OF EAGAN
ZNCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: Site Address: OFFICE USE ONLY
Lot: -3 Block 2 Sect/Sub SGE~e ~ Occupancy
Remodel Zoning R-I
Parcel IF Repair ~ Type of Const
Enlarge = Ik of Stories
ONner Move Length 2,(0
Demolish Depth 42
Address Grade _ Sq Ft
City/Zip Code
Contractor Zr~-^ APPROVALS
Address f/C/vri- ~ Wp~sessments Permit ~
Water/Sewer Surcharge 2g,5o
City/Zip Code Police Plan Review 1 SZ. °o
Fire SAC 525, -
Phone I! ~S Engr Water Conn ~
Planner Water Meter
Arch./Engr Council Road Unit 2$p.°-
Bldg Off ~parks
Address I~APC Treatment Pl
Variance I i~
Phone N T J 6 ~
2~374~ ,
I (oo x s4
22XI~ ~ 3SZx41 ` f4432
2~ X Zo = q-c~ x i i = Q &v
S(o840
4
~ ~ /1~ICp~1~ C. R. WINDEN 3 ASSOCIATES, INC.
lwNO SURVEYOYS 74 640•3646
1781 EUSTIS Si., ST. ?AUI, MINN. 66104
For:
R. 5. M. HOMES:
N
v~
ti
q~ d
Scale: 1" = 30'
O Denotes Iron
Monument
n
OA~y
/ ~ ~ ~ C ~ss ~JA I
-r
~ ~ ~ ~J \ e~
q~ i h\ `~of~ N {`Q 6> )
\ ~ Q~eoJS o~ 0 o i
^ o P 93 p io ,p~ / . T~
O ~ Cl I
R. G0
~i
,s~
~ a
NOTE: ~ rv 0,'•~'
? Denotes Wooden Stake
Proposed Garage Floor E1.9C2,B3 P ~
( 902.5 ) Denotes Proposed
Finished Ground E1.
-MR- penotes Direction o,h
Of Surface Drainage ~
Vertical Datum - N.G.V.D. 1929
Lot 3, Block 2, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE NERE61' CERTIPI' TMAi TNIS IS A TRUE AND CORRECT RE?RESENTATION OF A SURVEY OF THE
IIOUNDARIES Of THE IAND AlOVE OFSCRIlED AND OF THE LOCATION OF All 6UIlDINGS, If AN1;
TNEREON, AND All VISISIE ENCROACMMENTS, If ANY, FROM OR ON SAtD IAND.
Detad rAis ziVD der o+ JAN°aRY A.o. 19 85 C• R. iNDEN 6 ASSOCUiES, INC.
SurrorOr, µinnNeb Rpinrotien No. ~~~6
• ~ . . .
EXTERIOR EI1V~,'LCPE' AVFRAGE '-U ` COti°'3TATIQ,`1
O4NER
SITE ADDRESS
CONTRACTOR DATi PHOrJE
Determine working square Pootage oP each.
Q Total exposed wall area .,.lSf~•O s.q.. ft. x.19
~ Tot31 roof/ceiling area . . 9Glo•O " sQ-rt. x .04
Total exposed wall area above floor
(a) Total wall winCOU area ~$V .
b. ToLal door area G~Y G'
c. Total sliding glass area . a•• ~
d.- Total fireplace wall area • d
e. Total wall frar.iing area.( •erage.l0,)..~ 4
f. Total net wall area above"floor:.:....•~/,.Q.Z~
S. Total rim Joist aTe2 • • . . • • • •.l2L1e--
Total exposed foundation area
h. Total Soundstion rtindow area o
i. Total net foundation area above grade
Determine "U' value of each wall sepnent.
. a /,7 X flp,•
b. y~.G X „U„
, cx "v.' .~~V, a ,
D. D X "U~' tP
e.~ X t.Utl ./,a s /O,G
r.~.~ x ,lutr
K~/ G g uU" . 0.tF9 ° fr~-
h. X "u' a
1. ,~/1// X "U" • 3A ' 7//•/
T
3 Tota1 ' s~/3•8
IP item M3 is the same as, or less than item #1, you have met the
intent of SBC 6066(c)2.
'96, ,r3
.
.
Total exposed roof/ceiling area = 9GG.4
~ Total akylight area . .
k. Total roof/ceiling framing~area~(average 10% "r
1. iotal net insulated roof/ceiline area y
Determine "Ul value for each roof/ceiling segment.
J. O x''U" O ~ G
x. ,;U„
1. B~9s~ x ,:u,~
4 .........................................Total Q aG~3
If total of #4 is the same as, or less than f2, you have met the
intent of 5BC 6oo6(c)1'
.W44"
Alternate Huiiding Envelope Desit,n
To utilize the total envelope systera method, the values established
by the sum of items #3 anfl N4 shall not be greater than the suae,of
` items N1 an3 02.
1•_C;179v, .p + 2.~~_
, _
3 • ~:rg:_._ ~ • • s ° ~yo.3
0~;s'o.3, 4 ctG6v~Y3 0
_
1
2/84
i
CITY Or EAGAN
` APPLICATION FOR PERMIT
• SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPII7i'Y AI]DRESS: 4-L)-G( 1s-P . RL)Ca-// ~.GLG~ Q.i'l
r_Frar• DESCRIPTICV: & rf ~
(Lot/Bleck/Su~livision or TaxParcel I.D. Nisnber)
~ g z„^{I;^__.;G 5?'.°.C'CPTRE, DAT.' Oc Oc2IGuIAL tiiZi.DL`:G Pu_•ST IS=?.NG::
P.TtFSL:" 7.^,`7I;R;/°aOP0S7,) LS: ,$f R-1 SL;GLE FP-MILY -
? R-2 DLTPL~.`": ('I.%o T]NITS )
? R-3 TCI.iNNCUSE (?:_..F""-. + U:IITS) ! Wi ITS)
? R-4 A2?LRZ"E~1T/CC2Z)a~SL`II[i.l ( UVITS)
p CQMI~SE2CIAI,/RETAII,/OFFICE
? 11DliSTRIAL
? PN5TI'S[; PIODIP.L/GGVE.RNME:\'T
2) AppLIcLN7r (PLEASE PRINT)
NAh1E: ~
r.DnREss: j Ava.
crrY, sTaTE, zzP: 79
PHaNE:
PLEASE PNIIT)
3) PLL:ffiFR FOR
i s', _ ~(~ll 4 CITY USE ONLY
l~
Lt.C..lJ
Pll1MB,ERS IICEYSE:
ADDRESSc Active
CITY, STATE, ZIP: ~ Q Expired
MASfER Nat af Necord
PHONE: PLIIMBER LICENSE H~b`~,?~ ~~ee-le
r
a nttia
4) OC.C[JP71NT/Uv1`7ER ;S 1 V t P-t'i7s! Y LP R~ r)
NANIE:
ADoREss: ~ a-9-~d t o ~,t,~mr~_<~l~t,y?.w~' c~
CITY, STA'It, Zip; .
PfiONE: - ~
5) INDICIITE WtIICH PERNIIT IS BEING RFDOUESTL•U:
~ CODINECTION TJ CITY SEWER
~ CbNNF]C:ION 'IO CITY AiATER
? O71ER (PLLASE DESCRIBE)
6) ILdDIG= G:+'E:
PLEASE F?OID APPR(7VII] PEfL+1LT FOR PICF:-UP BY ONE OF ItBGVE
~ LEASE N*AIL APPR(7VEq., PERMIT 'IO 1. 2,0 4 ABOVE
f' (Circle one)
7) srCaZ:aIL7mm: DATE: /-,7z ~~1'~
. .
Ril+Y~fRJY i~ i s! l~:1Qxa ! sl.nt ~a'.ssr:lo~ as a i~S.ia'i:~ a Jlleak+laYeYl~l~~1 a~ Il't ~ tYCi'~ r
. . . _ . . F.. -
FOR C I T Y U S E ON:,Y
PERMIT ISSUED
rP . $ D. -S" d r ^ or
/ SETriER nB.11.T _T (I_? I.^_L:;i,n ~U..~HARGc)
$ /d.S"d W.~~TEc`t PERPIIT (INCL'JDE SliRCFIARGc,)
$ ~y, ae WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUOE CORPORATION STOP)
$ SE:vER TAP
$
$ _ ~4Fr~ ACCOUNT DFPOSIT - PiATER
$ WAC
$ SP C
$ TRU'VK WATER ASSESSb?E:IT
, $ TRli:IK SEGqER ASSF,SSb1ENT
$ LATERAL BENEFIT/TRUNK SE?•7ER
$ LATEIZAL SENEFIT/TRUNK WATER
$ OTHER '
$ TOTAL
$ AP40G'NT PAID/RECEI?T 4_ y„LL:~V 9
DOES UTILSTY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN ee "PERMIT FOR Tr70RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TIO[V.
SUBJECT TO THE FOLLOWING CONDZTIONS: APPROVED BY:
TITLE: _~v4e_ ~L.
DATE: 47
, % PERMIT
~ CITY OF EAGAN PERMITTYPE: gurLozNe
3830 Pilot Knob Road 033553
Eagan, Minnesota 55122-1897 Permit Number:
Date Issued: 10/9 Z/9$
(612)681-4675
SITE ADDRESS:
4291 SUNRTSE RD
LOT: 3 BLOCK: 2
SUN CLIFF 1ST
P.I.N.: 16-72975-030-02
DESCRIPTION:
T.O. & RERODF Buildil7g,;,,Permit Type S70RM DAMAGE
~`uilding Wea`rk Type REPAIR
{,C.anrus.Code434 ALT. RESIDENTIAL
r ~F
'q f• i ~
y: 11
. pE C..1 ff i' ~ Y~ C"t f•- ( r_
~ / ~ ~ f w..... ! 4 . . t .
l
REMARKS:
FEE SUMMARY:
I CONTRACTOR: - Applicant - sT. Lzc. OWNER:
A#1 ROOFING 15465939 20127056 WOOD SHANE
I 5261 EDINA IND'L BLVD. 4291 SUNRISE RO
EDINA MN 55439 EAGAN MN 55123
(612) 546-5939 (651)454-9529
I hereby acknowledge that I have read tfiis application and state that the
informati.on S,s corrsct antl a:gree ta c-omply with all applicable SCate of Inn.
Statutes and City of Eagan Ordinances.
~ -
~1`~Q 4 A
APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
e81-4e75 New Construction Reauiraments RemoOeUReoair Reauirements
? 3 registered site suiveys • 2 copies of plan
? 2 copies of plans (inGUde beam & window sizes; pouretl fnd. design; etc.) • 2 sRe suneys (exterior adtlitions & 0ecks)
? 1 energy alwlations ? 1 energy calculations for heated addRions
? 3 copies of tree presenation plan if fot pWtted after 7J1/93
required: _ Yes No
ION COST; ~
T
DATE: 2C~~ 7STRUC
DESCRIPTION-OF WORK:
STRE ADDRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Name: Phone#: W~;~'~
PROPERTY 1-asc Fvst
OWNER Street Address:
c,ry Sffiu: Z,p:
Company: Phone
CONTRACTOR
Street Address: L ense #
Ciry ~ Stare: Zip:
ARCHITEC'f/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the infortnation is co and r e to compry with all applicabl
State of Minnesota SWtutes and Ciry of Eagan Ordinances. ~
Signature of Applicant:
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not R quved
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation D 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
D 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq, ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS 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
SAC Units
c
2007 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete fm: single family dwellings& townhomes/cor.dos when permits are required for each wit
Date~/C)?~ / 0_7
Site Address - I aC~ 1 ~.f,f i S Uoit #
Property Owner Telephone # (L,;~) I )445L4-04 5~)--
y
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146h St., #106
StreetAddress Apple Valley, MN 55124 - c'ty
State (952) 431-7099 Telephone # ( )
Bond#: ~LZ~cJ~~qB~ Expires:
The Applicant is _ Owner X Contractor _ O[her
Fire repair (replace bumed out appliances, ducrivork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace _Additional _.~Replacement _ New
air exchanger
~ air conditioner
heat pump
otFier
State Surcharge $ .50
Total $ ~
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 oFthe CiTy of Eagan and with the Mechanical Codes; Iµa~ [~}i~y~ ~i
permit, but only an application for a permit, and work is not to start without a pevnii; that the work w~e
approved plan in the case of work which requires a review and approval of pl ~~c11~SrS ' iL, 4 G(, 6~-„ JUN 1 2 2007
Applicant's Printed Name Applicant's Signature
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE / f 9 r
REGlIV<D
FROM
~
AMOUNT F-
&_DOLLARS
~oo
? CASH Q-QNECK
. ~ .
roR ' ~ , ,
e , .
FUND CODE AMOUNT
Than You - - ~ -
~ r)I
BY
White-Payers Copy
Yellow-Posting Copy ~
Pink-File CoPY '
CASH RECEIPT -L J
. ~ ~ CITY OF EAGAN
P. d. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
R<C [I V riD ' .
FROM
AMOUNT $ l
Q DOLLARS
~oo
? CASH -Q CHECK
FOR 4
FUNG CODE AIAOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126139
Date Issued:08/14/2014
Permit Category:ePermit
Site Address: 4291 Sunrise Rd
Lot:3 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-030
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 .
Aaron Barnhouse
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 -
Shane M Wood
4291 Sunrise Rd
Eagan MN 55122
Barnhouse Exteriors Llc
7308 Aspen Lane
Suite 154
Brooklyn Park MN 55428
(763) 670-8729
Applicant/Permitee: Signature Issued By: Signature