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4294 Sunrise Rd CITY OF EAGAN 14~ 9350 • 3830 Pilnt Knab Road, P.O. Box 21-199, Eagan. MN 55121 ` BUILDING PERMIT PHONE: 454-8100 Receia # , " / _ SF DWG/GAR $64,000 JULY 30 84 Te be wW fer Est. Volue Date 19 SiteAd 6 4294 SUNRISE RD Erect It' Occupancy R 3 l.ot ~ Block Sec/sub. SUN CLIFF 1ST Remodel ? Zoning Parcel No. Repair ? Type of Conat. V Enlarge ? No. Stories eg Name OSLUND CONST CO Move ? Length 4 4 ' 4" i Add~S - 38TH AVE SO Damolish ? oepth 4 8' Grade ? Sq, Ft. CitY MPLS Phone 72 -2829 Name SAME Apo?ovols Fees Q Zu Address Assessr»ent Permit ' s ~ City Phone Water a Sew. Surchorpe 32.00 Polica Plon check 162.50 ~a BOB PuTE:SON 525.00 W W Name Firo 511C x~ Addr g Enp. Water Conn. 47 0. 0 0 ~W City ` Phone Planner Woter Meter 63 . 00 Cout?cil Road Unit 260.00 I hereby ockrawledye that I hava reod fhis applicotion ond state that gldg. Off. Parks the inlormotion is correct ond ogree to comply with all applicable APC Total ' 83 Stote of Minnesoto Statutes and City of Eagon Ordjcances. . • Var. Date Sipnaturc of Permiftee ` A Building Permlt Is issued to: OSLUND CONST CO ~~expmu condiHon that ol) work shall be done in acoorQance with oll applimble State of Minnesota Statutes ond Gty of Eapcn Ordinances. Buildinp Official = D.) _ _ ~ . i ~ c O w Z J ~ ~ ~A O = v d '1 J y ~ - r • ~ ~ d rC~ ~ ~ ~ ~ A \ t~ c o ~ Q ~ Q C v ~ '~.'r p w p d = O 6 = ~ C C L Q ~ ~ I LL LL a LL IL L p ~ Receipt PLUMBING PERMIT • Permit No. CITY OF EAGAN Fee • Fill in numbered spaces S/C Type or Piin[ legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner ' ~ t -f • ' ~ ' ' ~•r ' ~ ' Phone 5. Contractor 0 ~ 6. Address ~ 7. City ..fcState Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New Z Add O Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner / 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping autlets 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 r Rpugh . Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ` ~ Receipt MECHANICAL PERMIT Permit No. , ~ U CITYOF EAGAN Fee 20.00 Fill in numbered spaces S/C .50 Type or Print legibly Tot. 20. 5b 1. Date 10-f'-04 2. Installation Cost <000.0!% " :>U1'].Y'19@ T'.C 3. Job Address 1.ot / I Blk. ~ Tract 4. Owner ?LUP?D COI~`~T::L'i:":I- 5. Contractor R`'Y '1• ''~ELT .R HE':, iI'; ~j phone 825'6867 6. Address /+E'37 Ch1c':; o'vo. o. 7. City ~~Z~• State ~'L°• Zip 55407 8. Building Type: Residential E Commercial O Institutional O 9. Work Description: New Add O Alter O Repair ? 10. Describelnstcl7_ furced -,ft Fuel Type n':t r,,"3 11. No, Equipment BTU • M. Ea. No. Equiament CFM Forced Air %j~ OOC Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mf9• Other Air Cond. Mfg. 7 Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordiAances anO c des governing this type of work. Signed : s--T for Rough Finel Inspections: Date Insp. Date Insp. ~I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 1NSYLC;`11UN KLUUKl) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , , . . SITE ADDRESS: r. APPLICANT: 1 t nt~11sH1~ PERMIT SUBTYPE: TYPE OF WORK: ' ~ ,a c, t ~ . , ~ INSPECTION D• . F L ~ Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ~ J/.~1~~ ~ ROOFING _ 7 ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOti1ESTiC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TE$T HYDROSI"ATIC TEST 65MT R.I. ~ @SMT FItVAL . DECK FTG DECK FINAL CITY OF EAGAN Remarks LiJ ` )'6't Addition SUN CLIFP 1ST Lot 9 R1k 4 Parcel 10-72975-090-04 owner screec 4294 J.UNRTSE ROAD state EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 955 ~P ~ • CTDI S,~ I~ 3I" gS STREET RESTOR. GRADING SAN SEW TRUNK 25 O/~~ * SEWER LATERAL 3547,94 09.59 / lI-,3/-tS~ WATERMAIN WATER LATERAL 1999 WATER AREA STORM SEW TRK 05 Aa I g- S~ I - ~ STORM SEW LAT 1985 ~ CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 2( 7-30-84 WATER CONN. 470.00 11 it BUILDING PER. 9350 ~r ~T SAC 525.00 11 PARK CITY 4F EAGAN 1NATER SERVICE PERMIT 3830 Pilat Knob Rosd 5735 P. O. Box 211~19 ' PERMIT Np.: 4_25-84 Eagan, MN 55121 DATE: Z iny: Rl No. of Units: 1 Oslund Const 'I Addreu: 4294 Sunrise Road L9 B4 Sun Cliff lst ber. Peine Flbg No.: 2 U 7.3 Connection Chorge: 470.00 pd Siu: ~~S3' Acoount Depostt: 15 . OQ pd Reader No.: n~ L 911 g a~ permit Fee: 10.00 pd 1e'm to osmply witM HN Citg ef Eayaw Surcharge: .50 pd ordieasan. Misc. Ctarges: 63.00 pd mete Tutcl: By ~ate Poid: Date of 1 nsp.. ~fnsp.. CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 27199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: lZl No. of Units: Z Owner. 0 s].un<i Const _ Address: Site Address: 429 Suntise Road L9 B4 Sun Cliff let Ptumber. Peine P2bg Meter No.: Connection Charge: ~'~0.4Q pd 15.00 Sixe: Account Deposit: ~ Reader Na.: Permit Fee: • P 1a9rM to eomply whh !ke Citq of Eagan 5urohnrge: ..Jv ~~1 Orunenoa. Miac. Chorpes: 63. 00 pd meter Total: gy Dote Paid: Date of (nsp.: Irap.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road =,~2 3, P. O. Box 21199 PERMIT NO.: ? Eagan, MN 55121 DATE: Zoninp: R1 No. of Unlts: 1 pwner. Oslund :.onat Address: S;te Address: 4294 5unrise Road L9 li4 Sun Cliff lst Plumber: Pgine ]'1bQ 7--:lt)-84 45012 . p`` I pree te oon~py witU !~e Cihr of Eagua Connectlon CF+aroe: 425 .~0 pd Ordieaaan. Aaourit Deposit: 15. AU pd ^ Pennit Fee; 10.00 pd Surthorpe: • ~0 pd By Mlsc. Chorges: Dcte of Insp.: Totol: Insp.: Dote Paid: , CITY OF EAGAN N? 9350 • 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # 4 5 SF DWG/GAR $64,000 JULY 30 84 Te ba wad fer Est. Value Date 19_ 'SireAddresa 4294 SUNRISE RD Erect NZ occupancy R3 Lot 9 elock 4 SeclSub. SUN CLIFF 1ST Remodel ? Zonin9 -Rl Percel No. Repair ? Type of Const. V ' Enlarge ? No.Stories W nlame OSLUND CONST CO Move ? Length 444 , Z Address 3512 - 38TH AVE SO Demolish ? Depth 48 ? ~ citv MPLS phone 724-2829 Grede Sq. Ft. G Name SAME Approrals Faes Z Assessment Permit • 0 $ Address . 32.~0 Water 8 Sew. Surchorge ~ cicy rnooa 162.50 Police Plan check ~w Name BOB PETERSON F~ro SAC 525.00 i0 Address 6650 POWERS BLVD Eng Wa~~rCann 470.00 ~W CityCHANHASSEN phone 474-8510 plonner WoterMeter 63.00 Council Road Unit 260.O0 'I hereby ockrrowiedge }hut 1 have read this applicotion ond stota that gldg. Off. Parks the inlormotion is torrect and ogree to wmply with all opplicoble APC Total $1, 837.50 Stafe of MinnesoW $tatute ity of Eaga rdinonces. . . / Var. Date Sipnature of Permittee ~~'•'~~L A BuildingPermit Is issued to: OSLUND CONST CO on tha expmw conditlon that oll work sholl be done in. accor once it nll oppli ble aro of Minnewta Stotutes and City of Eapon Ordinances. BuilJinQ Offlcfol J N-2 so CITY OF EAGAN Include 7 sets of planl, (T / 1 Gertificate of Skcvey4& ~ .e~ BUILDING PERMIT APPLICATION 1 set cf energy calculations. 7/4v/A Valuation Date To Be Used For Site Address ~~c~ l~ S Un'~~i OFFTCE USE ONLY r-N Lot~-Block ~ Sec./Sub. Erect D~ Occupancy 3 parcel Oy Alter Zoning ~ / Repair Fire Zone Ormer: Enlar9e _ TYAe of Const. Move # Stories Address: 3-~e-~ x --s/~ f`^ t. ~a- Demlish Front y ft. City/Zip Code: Grade Depth y~y ft. Phone 3- 7-3- ~S APPROVALS Contractor: Assessnents Perntit ?aater/Sewer Surcharge d~ = Address: poll~ Plan Check j ~ City/Zip Cocle: Fire SAC S~5' ~ gnq. Water Conn. y 70 Phone planner Water Nleter (03 Council 1 Road Unit ;Z G.- o~ PsCh./En9•: Bldg. Off. ~ ~ . ~ . AC~ClT'SS: .5 ~a w^ r r t City/Zip Cocle: TOTAL~37~ ~ Phone # : ~Y:z 7' - 5- 5 / n , Thisrequeslvoid 18 rtwnths fmm A 098134 r L- equeAt Date ' Frte No. Rouph-in Insuec ib Required? E]Ready Now Will Nolifq InsVec- ~ / es ~.N. - ror When Ready Licensed Elec ical Contrectm 1 heroby requaet insoection of above Ownet ~q eleclrical work iristalled at SVeet Address, Box or floute No. CitY /-Of - ~ e/ ' / si~d~ L~ ecuon o. Township Name or No. ~ ange No. Coun C ~l Q Occupan[IPpINTI Phone No. Powe/r ^Suppli/er / Address L Elecvi aI C ntrdctor PCompany me) r CaMractor's License No. -or fi~ 7 rl 3 Mailfng Qddress (Coniractor or Owner Making n tailation) Authoriz S~g^ature ConVact~o /Ownje Making Installation) P ne umber MINNESOTq STATE BIKARO OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT Grie9s-MidweY 81dg. - Noom N-791 BE ACCEPTED BV THE STqTE 60ARD 1821 University Ave., St. Paul, MN 56104 UNlES$ PqOPEN INSPECTION FEE IS Phone (612) 297-2177 ENClO3ED. REQUEST FOR ELECTRICAL INSPECTION es-ooomo.osy/ y ~ Sae instmc[ions fo, campletirq tRir'~ rm on back ot Vellow copy. A~l "X" Be,oW WorK Caiered by This Request Add Reo. TVpa ot euiltling APPliancee wi.aa Equipmant Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Siio Unloader Industrial Bldg. Air Conditioner Bulk Miik Tenk Fdfm ther Oec~ ther (Snecify) [ r Speci y thor Other ompu[e lnspection Fee Below tl Foe ServiceEMrenmSize W Fea Faetlers/Subfeeders t! Fee Circuits U to 200 qm s 0 to 30 qm s 2' 'Z 0 to 30 Am Above 200 qm )s 31 to 100 Amps G 31 to 100 qm Swinmiing Pool Above 700-Am s Above 700_Am ' Transformers Irrigation Booms , Q Partial ~O Signs Special Inspecuon S ertwrks TOT FE,~~k'~ ( ~ qouph-in Date I, the ElecVicel ~ Iosoactoq he.aby itify thet the qbove Final 0H1e impection has baen mada. Tlils request vold 18 monlFU from i i City of Eapn JO ~ Pertnit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Fecelved ~ Phone: (651) 675-5675 Fax: (651) 675-5694 1 StaH: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATI ADGT8-8 08 Date: '0 Slte Address: fy- Tenant: Suite RESIDENTlOWNER Name: Phone: IpSI' 4SR' LDFI ~ Address / City f Zip: ' Applicant is: _ Owner XContractor .T- TYPE OF WORK Description ot work: u ° n nUO Construction CosY. Multi-Family Building: (Yes NoY CONTRACTOR Name: M ~ ~Stc Fc Ta-f+ Gdc.ri orS License IM 1 K0 Address: City: IU h 1~_ l7c lr 1.1~ LAC_ Stat :Jjj~,L Zip: Phone: 102) -,3{ c ~ Uontact Persan: I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residantial Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submined submined (4 SUbm193iOn typB) • Energy Envelope Calculalions Submitted In the last 12 months, has the City ot Eagan issued a permit for a similar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: u . . s: go, A I hereby acknowledge that this infortnation is complete and accurete; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan; thal I understand this is not a permit, but only an application for a pertni6 and work is not to start without a permit; that the work will be In accordance with Ihe approved plan in the casa ot work which requires a review and approval of plans. x~. Lcz.W EP n e, XGKoI~tQ~~.o ApplicanYs Printed Nam`e Applicant's Signature Page 1 of 3 5 ~3o sD RESIDENTIAL MECHANICAL ~ 591' Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit Date)I_/.141 /_0 Site Address LW4 5LLn6Se_~_~CI • unit # Property Owner Kazyv1~L-~ ( Lrq u.hax't- Telephone # ( (yrjj ) A'~Ja-Co I 93 Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146t' St., #106 Street Addres I Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) Bond OSu -7Q8 Expires: ~SQ_S_~ The Applicant is _ Owner ~ Contracror _ Other Add-on, modification or alteration to existing dwelting unit $ 30.00 X furnace replacement airexchanger ~ air conditioner _ New Replacement other i State Surcharge $ 50 Total v I herehy apply for a Residenrial 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 pemut, but only an applicauon for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1~)C~n i P l (_~-il_ p ~ 1 j"~-~- Applicant's Printed Name ApplicanYs Signature COMMERCIAL MECHAIVICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when sepazate permits aze not required £or each dwelling unit Date Site Street Address Uni[ # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Sheet Address City State Zip Telephone # ( ) Bond Eapires: The Applicant is _ Owner _ Contractor Other Work Type _ Newconstruction _Install _RemoveUndergroundTank _ Interior Improvement Schedule inspection during Installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Mintmum Fce (includes State Sumharge) Contract Value x 1% Permit Fee • If pernut fee is $1,000 or less, add $.50 $ State Surchazge If pemut fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclmowledge that the informarion is complete and accurate; that ffie work will be in confoimance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a permit, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work whicL requires a review and approval of plans. ApplicanPs Printed Name Applicant's Signahue Approved By: , Inspector Date: 4 0 325•0 0 i5 2•0C + 162•SG* 525•G0+ 47C•0.^,+ 63•OG+ 2 b 0 a 0 0+ I 9 3 7-` 0* C. R. WINDEN d ASSOCIATES, INC. LAND SuRVErORS T*L i46•3646 O 138I EUSTIS SL. ST. ?AUL, MINN. 6610g For: BOB OSLUND NOTE: N o Denotes Wooden Stake 4b 1 Proposed Garage Floor E1.901.63 ( AO/.3 ) Denotes Proposed O g°'~/ Finished Ground E1. !7. ; Q -rt- Denotes Direction ` O~ p, Of Surface Drainage ^ Vertical Datum - N.G.V.D. 1929 ~O~ry~ "J ° J~ Q' •~~0~ 3 p ry r~ ?~s \ J• ~i o ~ ~Scale: 1" = 30' i~~•~ 'y O Denotes Iron , ~s Jr `j' P4onument 1~ ~ ?S \ 29"' F .s> 0qby/ ~ Nr" s ,y < o~gd l.. ~M1 a.Q~J ~ ~ 'S.. . \ 3 SS 4s , / ` 8 894~ Lot 9, B1oCk 4, SUN CLI°F °IRST ADDITION, Dakota County, Minnesota. WE NERElY CEIITIFI' THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY Of TNE SOUNDARIES Oi TNE tAND A6pVE DESCIIIEO AND OF TME IOCATION Of All 6UIlDINGS, If ANr, TMERFON, ANO All VISISIE ENCROACMMENTS. IF ANY, fROM OR ON SAID lANO. Dotod rh~s 5t-A dor oF AP~j I A.D. I984 C. R. WINDEN d ASSOGtATES, INC. `Y er~ Sur.qor, Miej%ewto lpist.etien Ne.7726 w~ssiv . _ . , ~ _ _ . . i E XI`EIRIOR ENVELOPL: SPACI'•: "l7" COMPUTAIION , ~ ..I (Tol be,submi[Ced with building.perinit aPy1i~.~tion) i z b e One ori two family dwelling ~~W~"'r S""" r ,I ~ u ~i i All,othei I J yitx Address ~ T'-i~ f F 7? ~~i4W~r ni ' ~ f L k'honc> ~ Contractor LINEAL FT. OF + X I~} fc. above"Brade= ~~2Z s3,. FT• EXPOSED WALL ' - I ~ TOTAI. EXP,OSED WALL: AREA SQ. FT. (o-4(c-E 11.`~31i~~K9z 315 i~t5 ~:,X3.5_y! i 14 , ; UPAQUE WALL, CONSTRUGT[ION: ~ U~ alue 'H a~rea ~ ~ K sy. ft. (U) (A I I i ~ I ( u) (A g sq. It. (2„~ R sq. ft. ~Detail reference% 01) (t Crom I X sq. ft. ' x s y. L c. (u) 0 - - attaciied sheets ii- - X sq. Ft. I (U~ l~ _.X sq. Lt. - - / ' ~ ~ - ~ WINDOWS: "U" VALUE X AREA ; I4I,Al~6~ ~ I ~ 3 @ 3t~X Z4 ?lo; f t. f t . bX l~_-- Z 3q sq• t t. • ~ @ 34-.X ~2 @ ~ZC~ 1a.D sq. ft. f t. +(lEr) sq. tt. sq f t ~ = . Pgk'K 3S~' ~ t,~,~~ . '~S ~U~ ~ ~Make;& type .aq. ft. _~-y~ (U).~ n u W ' p" ~~X s q. f t. _.~4-~-"r-'~--^~' ~pl', ~ X sq. ft. u) ~ a u ~ ~1h61a~~"'~ nuu~ ~ X SG. ft. ' . DOORS: { "U° value X' iarea Make 6 Type ..U., X sq. fc. ~i i I=.- ---~ll) ! 1C'6~ ~ I'„U„X sq. ft. I37:0 ° 2. (U) ~r . ~ . - , Ui~ ~ 2J R sq. ft. 1"Z'^7 Z~''~J kU) (U) Sq-fC. Tornt.cu> (A) VALUES I zA4.o tu~ ~ • n-rnt, wn[.~'Ain • TO'1'Ai.S sq. ft. urvtu.~o n~ i "q nvr,. "ii" AVEItAGF. "U" .17 ur' less foi 1 fi 2 fnmily Jwel l ings ; .22 or less foC a11 othir bui:LdLngS " CUNS'CRUCTION FRAMING II I ~ R-Value ~ ~ 1• ~0~2Ty'-~.,~,p~.a. t?~~li 0 . 4.._ ~ ; 2. A ~ ~3~.~.~ - . ' i ~ ~ ~ 3. ~a~.1.~SS~S~_ l'~rC2f~-. ( ~ 4! ~ 5 (~~({'~Jt~. i ~ 5 . ~ f l~ t O ~ I CG , _ • ~ ~ , . I I l~ ~ ~ ~ , i r ~I xooFlcEitiiNC ~ T04'Aa<ARtA ,i Sq(A) . t, O q Deta£r mefetencPF~ Xls; i ~,l ~1 UX 8q;' ~ft 1 ;i . = I ' I ,'~-(U) (A) . attached eheets II l "G! I ~ ~ i X s f t~' , 1 I I' I I I° ~~(U:) ~A) 'I Descropenin~ s U~r' ---1 (U, (A) , Un. i ~XI aq.l Ift . I .(U) to,of i', TOTA~S ~ 0 Sq.If(A) TOTAL N) (A)~; °{+I ESF p ~I DEVIDEA BY, 1'OTI~ CETLIN G AREA AVERAGE uUn; I i.~ ~.05~ for vAntielAted ~ruofe i~~.10 for all other, construction A ' xu g ~value ROOF/CEILING }',.II ' ~ _ ~i'~.I ~ . . ~ 1 • j '7 ~ » I. ~ ' s Code If a v'erage "U"; va lues ss ca u l a t e d a b o v e do n 6 i; m e e t thei jEnmagxbe l used84~Nd d 1t 1ona l,; ,1 the 'i lpernate Envelope' De,slgn" as; ;outlined in, SBC' b006 I 1 (g) Y eheet~ mey~ 6e usgd tal show 'calcul~tions. i ~ i , I I I I I , , i I ` I l I ili CITY OF EAGAN FERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 092562 0 7 J 16 / 9 8 (612) 681-4675 Date Issued: SITE ADDRESS: 4294 SUNRISE RD , LpT~ 9 BLOCKc 4 SU LIFF 1ST P.I.N.: 10-72975-090-04 - DESCRIPTION: REROOF Ewi1d1`hr%' Permit 7ype STORM DAMA6E .8u33ding'l~lprk Type REPATR ~ ~C~~r~~~ Cad~ ~ 434 ALT. RESIpENTTAL r S:aF 0,,e = ^j +,~,..s °ro~3g r"+s = ~ a ne a*9 w`t p Ai:Y~u" ~nT ~ W C YI x e ~ v° u l°"_t* FG REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. L I C pWNER: NAGENGAS7, LEONARD 18844633 2014153 KUKLIS RU7H 3000 W 86TH S7 4294 SUNRISE RD BLOOMIN-G70N MN 55431 EAGAN hIN (612) 884-4633 ei^aby ackrlo`w~ledge: thrst~T haue i^ead tha.s, app1icaCiafi and sCat-e that the infat~natiszneisr 0011rect aitld 6'gree tn_aoinPl„y:.with a3.l app13c,ab1a 9;-tate of Mn.,-.°Statut:es,and;City trf Eagart,Drdinancos.`- APPLICANT/PERMITEE SIGNATURE I UEDBY: G U E BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4G75 New Construction Reauirements RemodeVRecair Reauirements ? 3 registered site survaya • 2 copies of plan ? 2 copies of Dlans (inGude Deam 3 window sizes; poured fid. Gesign; ete.) ? 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations ? 1 energy calwlations for heated atlditions • 3 wpies of hee preservation Olan N IM plalted after 717193 . required: _ Yes _ No DATE: CONSTRUCTION COST; S~ DESCRIPTION OF WORK: ~l a a~'~ S`Ivr^^ D-4 wia STREET ADDRESS: ~ 2 S'~ 'L~ `C I S Q LOT: ~ BLOCK: - 1 SUBD./P.I.D. , e Name: Y ~ ss ~ V ! -f- Phone PROPERTY Fni ~ h OwNER S v 1n Y } .~-t (Y Street Address: City a Y1 State: ~~11 Zip: Company: J4 Y 01S Phane 6 CONTRACTOR w i-- / cStreet Address: TA-'Fj p License # ~ 6 S I City ~46~ 9 h Rfb v1 State: Zip: ~Ij ARCHITECT/ ENGINEER Company: Phone It: Name: Registration Street Address: City State: Sewer 8 water licensed plumber (new construction ony): . Penaity applies when ddress chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the infortnation is correct and agree ro compy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required s~'\ Xn- BUILDING c + ~ OFFICE USE ONLY PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mutti Repair/Rem. ? 17 Swim Pooi ? 03 SF Addition ? 08 8-piex O 13 Garage/Accessory ? 20 Pubiic Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Afterations ? 36 Move ? 32 Addition ? 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zonin9 sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. DPpth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Suroharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units I - ~ CITY OF EAGAN ~ APPLICATIGN FOR PERMIT ~ SEWER AND/OR WATER CONNECTION ~ , . (PLEASE PNIHi) -1) PROPER'PY ADDRESS: 4~ LDCAL DFSCRIPTION: Ze 61 t. (IAt/Bl StWivislon or Tax Parcel_S D -Nimiber)-__, IF EXIS"n:G STKJC=-, QATE 0F ORIGINAI. BUILDING PE-':,1IT ISSJAP+'G^s: ~r PRE$~^1'P -7s: `TZbY:/P!~POSED L1SE: Q" R-1 SINQE FAMILY c!: ~ R-2 DUPLEC ('I4dJ UNI?5) - 0 R-3 'fC~diF1'Ir7 f'07T + ,.Rt*"!St ~ TI*"'g. ~ R-4 APAF2ISS+IFSfP/CamainIILII+1 . ( UNIR51 . p CC134E2kCIA1./RErAII,1OFF'ICE D IIIDUSTfTAL p INSTINfICNAL/GWFMMTP 2) APPI;ICwr PLEASE VNIMI) 'u - NAM: ADDRESS: 3 CITY, STATE, ZIP: 4;2 _nX Ylr! SS',/1~ ' PmOtE: 3) PuU43M . ' PIEASE PPINi FO& CITY USE NAME. ~e 1 n ¢ . P/u: m1 . n h 'f- ~e...-T . p~~RS LICENSE; 'ADDRESS: ~LuV ~ ~t~ ~7.4t'M i it9 rori Aetive CITY, STATE, 2IP• ~z[rmi n y~0.. V1~, nr, S s`o,~ y 0 Expired -~'-'AA$'~F' Q Not. Record ' PIME: I/ 63- Ar:3t7 PlUMBEH LICENSE p Zitatt ni ia 4) CCCZ,°PI1IvT/CWIVE[2 (PLEASE PR1jI,T) . . NAF1E:: ~ C~;C oS~u.i e~~ C'o.~tT AwDCU:ss: A- l~S; CITY, STATE, 2IP: pxoxE: 7a s~- a~--~ v S) trmrcATE WfIICN PF~7IT s sEiNC; RD[xJ£SPEp_ ' ` CYHVNFX.TSON TO CITY SES^TM ' ` EF-60NNEX.TIC01 'IO CI11' WATER E] C7I'EIEft (PLF1aSE DESCE2IIIE) 1 6) I?lD:C:_ ? PI° E f[OTD APP?2UVED F'£R^1IT I'Oft PICI:-C1P BY ONE OF r1601r7, PLS~'LSE P'1AIL APPRCn'L'n PER,%11T 'PD 1, 2, 3,4iBC7JE ' (Circle one) F , .7)~ ..'jSilt Y~.-L~ : • . t/ATE: :.~bi~ . ~ . . . : 1.~" ~ f . _ . . . . . . . . . . . . ........a . _ . . . _ ~ z/a4 ~ ~ CITY Or EAGAV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) 1) PROPF4TY ADDRESS: r,Frnr. DE5C2IPTICN: (Lot/Block/Subdivision or Tax Parcel I.D. Ntrnber) 27 W:IE=:G S'S':.LTCT[T:2E, DATE OF 0211=IAL niiILLP:G P;r-~IIT ! PpFS= --"•IIiy:/P??OPOSL.'T1 L'S': 0 R-1 SZdGiE FPIMILY ? R-2 DCTPT~{ (Z1r0 LTIITS) p 2 3'IG{w~FCLIGE (TF_p.F"!,- + li:1IT5) ! TiNI'^s) ? ic-4 APAic'S"YE:VT/CGNSJCi•SII[,til ( Wi ITS) ? CQTTMERCLU/RETAIL,/OFFICc: ? 'DUSTRSAL ? P.VSTI'Pt,'PI0:7AL/GGVE.Ri".~'~IE'I' 2) APPZ.Icn~w (PLEASE PRINi) NFME: ADDRESS: CZTY, STATE, ZIP: - PHOLNE: 3) PLOIBER NPME PLEASE PRI4T) FOR CITY USE ONLY : PLUHBERS LICEYSE: ADDRESS: ~ Active CITY, STATE, ZIP_ 0 Expired MA~iER Q Not of Record PHOiVE: PLUMBER LICENSE Jf a nitia 4) 0C=AN•r/aq[,IEE2 NAh1E: (PLEASE PRINT) ADDRE55: CITY, STATE, ZIP: PHONE: 5} INpICI1TE iVHICH PERMIT IS BEING REQUESTI:D: ? CONNECTION T'J CITY SE7i1ER ? CONNECTIQN 'Iq CITY Z4ATEK ~ diEIER (PLEASE DFSCRIBE) 6) IrJDICNIT: C:E: C] PLE.7,SE HOID APPRCNID PIIRMST FOR PICIC-UP BY ONE OF APAVE ? PLFASE p'AIL APPR~JVED PERi•LiT TJ 1, 2, 3, 4 ABWE ~ (Circle one) 7) SIG,~AT[TRE: DATE: ~ FOR C I T Y U SE ONi,Y ,i PERMIT u ISSUED r ..ES: $ /o.--""c' SEpiER?'i4MrT (I`ICLUD: SU°CH?RGc) $ /D. r5 6 WATER PERN[iT (INCL"JDE SURCHARGc.) $ !v ~ WATER PIETER/COPPERHORN/OUTSIDE REAOER $ WATER TAP (INCLUDE CORPORATIODI STOP) $ • 5£;vER T.AP ACCOUNT D.F,POSIT - 47AT°R WAC SF.C $ TRtiNK 4VATER ASSESSi^.ENT $ TRiiDIK SEWER ASSESS.?E.7T $ LA;ERAL SENEFIT/TRUNK SE:TER $ LATERAL BENEFIT/TRUNK WATER $ OTHER • $ TOTAL S a~~ AIIlOU:QT PAID/RECEIPT $ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLZC RIGcIT OF WAY? 7_7 YES IF YES, THEN ;y "PERMIT FOR 'rIORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED $Y THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfiE FOLLOWING CONDITIONS: • APPROVED BY: TITLE: DATE: j wseR+VU=wW:W WM w&-= wWsaw" RancWrasrw~ ~ PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts aze required for each unit Date /I / 5 / o 3 Site Address y Z 4V .sUN R! S E RoR P Unit # Property Owner KA "rll L Ec- /J V/Z 0 01.1 Al2 T Telephone ds y f z• 7.~ Contractar ST (z t.I/,Klt A Ut pL. dN} (j, /N 6 Address _It 7- E S~^h S/ e S fc /o/ CiTy C/-~ ~ 1/C l! state Zip S 31$ Teiepnone q52) 3 G 1- 0 1 Z. $ The Applicant is _ Owner ~ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consulWnt fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener I Water heater - $ 15.00 X replacement _ additional StateSurcharge NOV Q 7 20-03 $ '50 Total By g ~S•S~ I hereby apply for a Residenrial Plumbing 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 with the Plumbing Codes; that I understand dris is not a permit, but only an applicarion for a perntit, and work is not to start without a pernut; that the woxk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Lv Crr,t~,,r J Fui E ApplicanYs Printed Name Applicant's Signature I 2006 RESIDENTIAL BUILDING rExMrr arrLicaTiorr ~ 2 4~~ ~ 2 S City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirementa RemodellReoair Reaui2menis ~71Ce` ~ji 3 registe2d site surveys showing sq. ft. of l04 sq. ft of house; and all roofed areas 2 copies ot plan showing footings, beams, joisfs (20%maximum lol wverage allowed) 7 setoF Energy Calculafions for heafed additions ~ ecd~~~ 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 si[e survey for addNOns & decks TreeT `:l~wr~ H :~`-r~-A iselofEnergyCa~ulatbns Addifion - indicafeilon-sHasepficsystem Oqde_SeM 3 copies of Tree Preservation Plan if lol platted after 7l1193 Rim Joist Dehail Options seledion sheet (buildings wifh 3 or less uniLS) . Minnegasco mechanical ventilation form Date (o / Z /(o Construction Cost /"/060 Site Address 4294 s/emri ~L Unit/Ste # Description of Work /11 -lyfcw,tid Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # Contractor ~uer,i 1'60 ~ ~ Address y/ ~5~O!~/ Cih' State Zip r5 a~i 7 Telephone yf 2)~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota les 7672 Energy Code Category . Residential Venfilation Category 1 Worksheet • New E 6~i~o~heet (J su6mission type) ~ ~ ~ Su6mitted Submi ~ • Energy Envelope Calculations Submitted ~ In the last 12 monifis, has the City of Eagan issued a permit for a similar plan based on a master plan2 JUN 142995 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( J I hereby apply for a Residential Building Permit and aclaiowledge 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 of lans. A'cant's P nted Nam Applicant s Sigia e DO NOT WRITE BELOW THIS LINE Sub Tvpes , ? 01 Foundation ? 07 05-plex ? 13 16-plex 20 Pool ? 30 Accessory Bldg ~ ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (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 ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Uemolltion (Entire 81dg) - Give PCA handout to applicant D05G1'iDYlOfi: WaterDamage_Yes Valuation Alz Occupancy MCES System Plan Review 100% or 25% Census Code ~ Zoning City Water SAC Units Stories Booster Pump . # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings(deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. _ Foundarion HVAC _ Drain Tile Other Roof Ice & Water Final ~ Pool ~ Ftgs < Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath Stone L~ Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insularion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge (2 Plan Review ~ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total • POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Sc~, Gn - Applicant Name: A\ ~E, ~ ~ GENERAL INFORMATION U d ~ o 'z .a 0? Applicant - narne, address, phone & fax numhers, signature d ? ? Property owner name -,~j I.egai descripdon and address of properry 0 North arrow, scale (1" = 30' or 40') and date ,0 Location and name of all streets adjacent to property .EJ Site Plan drawn to scale showing location o£house, pool and other existing or pmposed strudures Directional drainage arrows (existing and proposed) ELEVATIONS Existina ~ ? ? House comers p ? Properry comers ?,Pj 0 On property lines at point of ineasured dimension to pool (see below) ?@ ? If applicable, ground elevation at each end of retaining walls and at wa1P s greaxest height Proaosed );J ? ? Finished pool deck comers ?21 ? Top of retaining walls (if any) and at each different elevation (if it changes) 21 ? ? Pool bottom (or max. depth) DIMENSIONS Existina ,211 ? O All property/lot lines Proaosed Ja ? ? Pool ,9 O? Pool plus integrated deck/patio Shortest distance from outside edge of pool deck to lot lines and house Reviewed: ~ Name ~ 6:FORMSlPool Pecmit CheddisU0602-04 I C. R. WINDEN S ASSOCIATES, INC. IAND SURYEYOtS Tal 945•3649 v 1781 EUSTIS Si., ST. ?AUL, MINN. 35108 or: BOB OSLUND aUN 2 REC'o ~ NOTE: o Denotes Wooden Siake h~ Proposed Garage Floor E1.901.63 (901.3 ) Denotes Proposed Finished Ground E1. P Q -y-- Denotes Direction p , Qf Surface Drainage Vertical Datum - N.G.V.D. 1929 ~ `O°"~`q / ,h \ ..,.i~'•'~/ ~,r, p 30 rY~ ?s>\ Scale: 1" = 30' S O Denotes Iron P4onument 6> eqb' h~ M. 6' o s, t i \ L. ~ ~~,h1 q ~ q O g•~ \ 26 \ \ 3 1 "SoS, h 9. ~i ~ D ~V lgg~ Y Oate 6?~ ~O EA6'aAt+! ENO G DEP'i; Lot 9, Block 4, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. wE tiFRElY CERTIfY TNAT THIS IS A TRUE AND CORRECT AFPRESENTA11014 Of A SURVEY Of TNE 60UNDRRIES OF iME LAND AlOVE DfSCRItED AND OF iME LOCATION Of All /UIlD1NG5, IF AMY, TMEREON, AND Alt VIS16lE ENCfOACMMENTS. IF AMY, fROM Ow ON SA10 IAND. Dafad thit 5t-A dey *f Ap,il A C. 1984 C R. WINOEN 6 ASSOCtATES, INC. 1,Y L Sur.oyor. Minns.elo Raqjurmion Na 7726 10' Easement - - - ~ I I ntei II I Garage I I,I I5' 5I il I Urquhart House I Equpmen I I I ~89ss) ~ ~ I 15'0 I g ~ 4 C 9~9 I ~ [Ste ao a( - I I [Concrete= 639 Sq._Ft.~ _ 18x36 ~In Wall Laddeq' ~i - I Valley Poois & Spas KIT I D :a et 5/8/06 Motoi Revised:5/26/06 ~ ~ Scale: 1"=20' ~ _ uto Cover-Pr O ly SAM Li9h~ I \ 1 ~ ~ - ~::x_l,t.~.,e~,'~:v'-i~ i•_ ~ats", . CASH RECEIPT ~ CITY OF EAGAN P. o. Box 21-199 EAGAN, MINNESOTA 55121 DATE 19 R£CEIVED FROM AMOUNT $ • - & DOLLARS 7oo ? CASH D.EHECK FoR'J-~~ ~ FUND CODE AtdOUNT ~ , `l z S c: dLj "-d-S 75- . , . 7, Thank Yoir B Y- ~ White-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA118136 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 4294 Sunrise Rd Lot:9 Block: 4 Addition: Sun Cliff 1st PID:10-72975-04-090 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 . Matt Pudas Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kathleen Urquhart 4294 Sunrise Rd Eagan MN 55122 Pudas Landscape And Construction Llc 19150 Pheasant Cir Eden Prairie MN 55346 (612) 423-2227 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()'*+*, -./$%'"&0-1 -GN*,$G*4 -./$%'63/7-.189:;<9C >*%-'!??3-5199@9A@B<9C -./$%'#*%-+(.&1--./$% D$%-'855.-??1'';BL;''D3,.$?-'5'' 7#$%& ''F)**++, ''-.,'/$+00'!9 123 !456"76W54F5474' 89: >-?G.$0%$(,1 -.;'<=>: C:9+*:,+D$ ?B&'<=>: C:>$D%: 3:9%B+>+, K.B,D%: b.:9+,9'B:IDB*+,I':$:%B+%D$'>:BM+'B:J.+B:M:,9'9O.$*';:'*+B:%:*''-D:'Y$:%B+%D$'2,9>:%BQ'EDB&'),*:B9,'D'S7W"\\' #(//-,%?1 FFW5"XF4P /DB;,'M,R+*:'*::%B9'DB:'B:J.+B:*'@+O+,'!4'0::'0'D$$'9$::>+,I'BM'>:,+,I9'+,'B:9+*:,+D$'OM:9'SE+,,:9D'-D:' EY'5'1:BM+'K::'SC:>$D%:M:,9\\UW7P44'4X4!PF4XX E--'D3//*.&1 -.B%ODBI:5K+R:*U!P44'744!P"!7W "(%*41H=<I<<' #(,%.*G%(.1JK,-.1 5'')>>$+%D,''5 \]00MD,'C:0B+I:BD+,'_'\]:D+,I3.9+,'E+9:,:B W((4'E:MB+D$')N:P'\[F"7F'-.,B+9:'C* -+$$@D:B'E\[''WW4X"YDID,'E\[''WW!"" 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Ca1148 h�our�b.eiart�yotf:in�.�nd l�.tlig to r��eiv�locat.es e�F und�rground utiliti��. ;�,�w°ww;,��r3��r�t�Cc�nc�,�li�ar'� i fi�ereby aeknowl�sig;e th�d 41��s.inforrri�tion�s:ccarr�plete..€�nd:accurate;.th�t.:ths.work w�N.�.irt.�anfo��nce�vilh.lh�:.or�iirs�rrce.�.�nd.cc�.des afihe City of ��2+n: th�t I un:�ea��nd tf�is Es �49:� ��m�it, l��it�tr�ly.�t�,appCi�a.tiooa for a permit, and wa�s,is nol Eo stRrq wifhia��t e� pi�rmit;th,�it iti�work wili be in ar�drdtanr.e wi6fs ttlye��}�rt�a�ect�l�n irt:fl�r�c��e�c3f wark atil�ictr rc�quires�.review��ci a��praaa�l aS�1��ns,. .. x. , �, , x A�?pl�ca.. s�rint..d Name. 14pp a.� .t's�ignatur$ ; r , �-:. �+��'�1��: �e�'i�tir��r. ' C7Maie:��:�:.'��: � , � � ��'� s :;. l�,�qu�r+e��n��r��c�io�r�� } �nder��i€3 :��augi�„Ir� ,��ir�}I"�e�t � G�s'f`�s� Flr�al > , Me�srRe�at��lt�� r_I��t�r�i�� ',�.� '.R��a t�e�tl�... ��r��rrwei��„ S�a��r PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150066 Date Issued:06/19/2018 Permit Category:ePermit Site Address: 4294 Sunrise Rd Lot:9 Block: 4 Addition: Sun Cliff 1st PID:10-72975-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nirjhar Dutta 4294 Sunrise Rd Eagan MN 55122 (612) 986-1426 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature