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4295 Sunrise Rd • ` CITY OF EAGAN 9$ O 9 3630 Pilot Knrob Rosd, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 4548100 aUILDING rERMIT Reteipt ~ To M wd 1or / Est. Volue Dote . 19 L Site Addreat 5`' NI~ Erect ~ Occupancy h ; Remodel ? Zoning Lot Block ^ec/Sub. Repair ? Type of Conn. Parcel No. Enlarge ? No. Stories , V, 'o' Move ? Length W Name - Demolish ? Depth ~ Address Grsde ? Sq. Ft. r' ;f City Phone Install O Pil" /<'/l A~eovek i~a ~ Name Addmt Assesunent Pennit • ' ~ City Phone Woter L Sew. Surcharqe PoUce Plan Review. - ~w Nsme Firo S/1C • ~ Addresa Enp. warer Conn. 4 7 C~ . 0 G Z. City Phone Wonner Woter Mehr ~-3-'~ Council Rood Unit - ~ I he?eby acknowledqe thot 1 haw reod this application and storo that Bldg. Off. l 4.' Perks the intormotion is correct ond a9ree to comply wlth all opplicabl• APC Total Stote of Minnesota Stotutes and City of Eo9an Ordinonces. Var. Date Sipnoture of Pem+itteo , . " , A Buildlny Pennif Is Iuued M: on tM exprca oondiNon that all wark sholl be donw in acoordanta with oll oppliaobl• Stote of Minnesota Stotutes ond City of Eepan Ordirwnces. Bufldlvq Offitiul ' PKmit No. Pwmk Holder Oste Tete hone ~t Plumbinq ~ f-NU H.V A.C. S_Q G CU 1 S I~ S~ (o - 1 3 eaetoic A 93~o i4 K T.e ~ ~-I Softwor Infpsction Dats jnsp Other Footinqt i Foundation Fnmina Roofing Rou~ ol~ Rou¢+ HVA Inwlation Final Plba .s•y~ Final HVAC Finsl -3pf6 dx CM't/OCC. Wator DKeribe Loution: MWII S~rvsr Pr. Ditp. Receipt MECNANICAL PERMIT Permit No. , ; , - CITY OF EAGAN _ - ; Fee J fill rn numbered spaces S/C Type or Prinr legibty Tot. 1. Date ` 2. Installation Cost r~,L Q~ r;r'~_,r',i~"-x• ~ , 3. Job Address ~ Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address ~ 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Eauioment 8TU - M. Ea. No. Equipment CFM F ~ Forced Air Air Handling: Mfg. y . , .4%-?L Boilers' Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinancep and Codes governing this type of work. ~ Signed : . . r for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. ~ ~ ? CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tat 1. Date • 2. Installation Cost - 3. Job Address Lot Blk. Tract 4, Owner ~ 5. Contractor Phone 6. Address 't.i. 7. City ' State ' Zip 8. Building Type: Residential f~ Commercial ? Institutional ? 9. Work Description: New (3 Add O Alter ? Repair ? 10. Describe 1'1. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outtets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # `~EBFFANF~ PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 121-1 BLDG. TYPE WORK DESCRIPTION Lot r-' Block ~ Sec/Sub Res. x New x Name _ • ~ ~ ~ Mult ~ ddAddress 702 Excelsior Ave. E. Comm. R_on ~ Ciry Napkins. N~~~ta 55343 ~ 938-1880 Other Name +'c`' • l ' ,J.. - : ~ FEES ~ c Address RES. HVAC 0-100 M BTU -$24.00 p City _y -e1 t T~ Phone ADDITIONAL 50 M BTU - 6.00 ADQ-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MiNIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # ocner ~ FEE S G I, I S/C: SIGNA RE OF ERMITTEE TOTAL• r . -~U FOR CITY OF EAGAN ~ r oF EAGAN Remarks 1 Addition SUN CLIFF 1ST Loc 5 aik Z Parcel 10-72975-050-02 owner . ~'t E.. .~n1. c Street 4295 : SUNRI'SE ROAD State EAGAN MV 55122 , Improvement Date Amount Annual Years Peyment Receipt Date STREET SURF. Cf, STREET RESTOR. GRADING SAN SEW TRUNK C?q 197 5 3.06 ZS 9e SEWER LATERAL 347. 94 709. 5q WATERMAIN * WATER LATERAL - WATER AREA STORM SEW TRK 0 * S70RM SEW LAT 1985 - ~e - CURB & GUTTER SIDEWALK STREET LIGHT Roa Unit 260.00 #484 2 12-18-84 WATER CONN. 470.00 « BUILDING PER. #9809 11 rr n SAC 2- -5 PARK CITY OF EAGAN WpTER SERVICE PERMR 383/` Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 5512t D^TE: Zoninp: No. of Unih: Owner: ; ~s1ev COns ~S~ /lddresc: Plumber: AAefar T No.: ~ 7~• ~ 9~ 5 Canr~qct 470.00 pd , ~ ~ ~ire: Slg ~Ra-c.~~ ' AtoourN `#J^ e~ iV: 15.00 pd Reoder No.: -0~~/J Permlt Fee: 10.00 n<: ~~t~ te oowPyr wlri elw Cffq ef [.vo¦ Surcl,arge: .50 OerlwesoM. Misc. Cho roes: 63.0r) p d m e t e r ~ ` •Total: ' By te Paid: of Insp.: Insp.: ' ~~~or4S5 CITY OF EAGAN SEyyER SERVICE PERMIT ~ 3830 Pilot Knob Road , P. O. Box 21199 PERMIT NO.: 7119 Eagan, MN 55121 DATE: - - Zontnp: 1 No. of Unlts: _ I ~ Owner: WeBIe COnBt Address: Siro Add'°m 4245 Sunrise Road L5 B2 Sun Clif Plumber. Brucka?ueller Plti I2- t8--84 48452 ! ~'v'90 to "a* wi1h tr. Cily oi i.le¦ Ca,nsctton Oarp.: 425.00 pd oraa..4.., ,/lcoount Depoaft: P . Permit FN: • F7 Bv .lY~~: . ~ NA1st. Chprppx Dote of Insp.: Totol: Insp.: DoI Peld: CITY OF EAGAN ~3830 P'lot Knob Road WATER SERVICE PERIVIIT P. O. Box 21199 ~ Eagan, MN 55121'. PERMIT NO.: 59 3 0 Z°^in9: F 1 DATE: - ~ - . Owner: We le Const NO• °f U^irs: 1 i'lddross: ; Sr» Address: 4295 Suarise Road LS g2 Sun Cliff 1 ~wr~ber: i~p'~• BTu C tm n~ r, P. ~ s Meter No.. Stze: Connection paroe; 4 . 0 p ReaAer No.: Account Deposlr: 15. pd 1 Perm;t Fee: 10. d ~°°"°h el,. caer oi E.~.¦ 5urd,a.ge; , 5~~d Ono Mrsc. Clwr~pe~; 63.OD pd meter 8y Total: Date Paid: Dote of Insp.: ~?qD.: This reque5t witl 18 mon(hs /rom A 093606 Repuest Date Fire No. fbugh-in Itr>pecli 1- Rep ¢A? ? ~fleady Now. b ill Noufy 1nsDer ~ ~ 5 No or WMn R¢atlY icensed Electricai Convacmr I hwebY repuast inspxtim of above ? Owner electrical wark inartelMd at: Street A drass,~y Box ,r Rou No. ^ n Citv XJ ecUOn o. Townsh p Name m No. IN'ge No. Counq Occupa PRINT) Pfione N u)-- dr ~~~-7o9i Pow Sup0lier Atldress . E nwl Contractor ompa Namel Cmvactoi s LiccRSe No7 a.~ ~-c._ O 3 9~ 3 Mailing AOdress (COnt tw or Owrer Makinp I.~stailan ~sss 3 AuMoriz Siem n ontracmd Maki~q Vestallati on) Phm ~ c 1713 NLa~ MINNESpTA STqTE BOARD OF EIECiii1CIT' THI$ IMSPECTION qEUUFST WILL NOT GN09s-Midwey Bidg. - Room N-091 BE ACCEP'IED BY iNE STA7E BOARD 56/06 UNIES4 PqOPEq INSPEGTION FEE IS 1827 Univerai[v A.ve.. St Paul, YN . ENCLOSEO_ Plpre (812) 297-1111 WHITE and P~Ny~.r 9nard Copies - File with 51ate BoarA Otfice wilh Fec. a1lHilisu.- ~ REQUEST FOR ELECTRICAI 1NSPECTION EB-00001'04 See insvuctimu for eo~la[i1; this }am m hnek ot yello~ eapY. ~G ~ A ""X"" Be/ow Work, ' ~ed b This R y equest ea aeo. rraa ot auila,.o aoaremas ai.ed eauivatent wi.ed Home Range Temporary Service Duplex Water Heater - LigAtirg Fixtures Apt.Building Dryer ElectricHeatin CommerCial Bidg. Furnace Silo Unloader Industrial Bldg. Air Caditioner Bulk Milk Tank Farm tne. cac, - ne. (suer.;ri) t.r Spen y ther Other ompute lnspection Fee Below # Fee ServieaEntrame5iza Y Fea Faeden/SubFeeders # Pee Cueuits b E70 0 l0 200 Am 0 to 30 Anys Sa 0 tn 30 Am A6ove 200 ~Am s 37 to 100 Arrips / 31 io 100 A Swinming Pool Above 70D_ Above 100_A Transtortners Irti tion Boars SD Partial: OTher ee Signs Special Inspection ~ Remarks TOTA K ~ 1 flou0h-in tDjatet t M , etor.mIWeb~r h tit tM abore Finel e ~~p«tim has Uaen , z. ~de. M.~~R ; CITY OF EAGAN nJ? 9 8 0 9 ~ 3830 Pilot Kmb Road, P.O. Bax 21-799, Eagan, MN 55127 PHONE: 4548700 BUILDING PERMIT Rece+w # -Q Te 6e wud fw SF DWG/GAR Esr. Volue $55,000 Dafe DECEMBER 18 1 y 84 Site Address 4295 SUNRISE RD Erect Ck occupsney R Lot 5 elock Z Sec/Sub. SUN CLIFF 1 Remodel ? Zoning RI Repair ? Type of Const. V Parcel No. Enlarge ? No. Stories~_ WESLEY CONSTRUCTION MOVe ~ ~n9tn ~ Name Demolish ? Depth = Address g O1 XYLON AVE SO Grede ? Sy. Ft. 9 City BLMTN Phone 944-7092 Install ? $AME Approrala fses o Name p Z~ Assessment Permit 298.0 ou Address V~ CitY Phone Woter 8 Sew. Surchorge 27 . 50 Police Plan Review 14 9 . 0 0 GW Name fire SAC 525.00 i~ nddress Enp. WoterConn. 470.00 ZW City Phone Glanner WaterMetar_L3~Qo CouncU Rood Unit 260__00 I hereby ocknowledga that I Mve read this npplication ond state thnf Bldg. Off. 12 /17 Parks the intormofion is cOrre[f ond agree fo comply with oll opplicoble APC Total $1 ,]92.rj0 Stote o4 Minnewto $tatutes d Ciry o4 Eagon Ordirwnces. - ~ ~ Var. Date Sipneture af Permittee ~ A Buildinq Permir Is issued ro: SLEY CONSTRUCTION on tha express conditlon thai all work sholl be done in accordonce wlth all li Stote of rrew S tutes and Clty o4 Eopan Ordinances. Bulldinp Officiol n *182 D . . ~ ~ ALL CONTRACTORS UST BE LICENSED WITH THE CITY OF EAGAN ~ INCLUDE ~ SETS OF PLANS,~ Q CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: ~f. 0~.,!(a. Ca~fL. valuation: 55,C00. Date: Site Address: (V95" ~ • Lot: ~ Slock: 2~Sect/Sub:~141- Erecta X Occupancy: (z-3 Parcel Remodel: Zoning: L-I Repair: Type Of Const: Owner~~~~ _ Enlarge: # Stories: Move: Length: ~ Address: Demolish: Depth: 46, City/Zip Code: Grade: Sq. Ft.: Phone e9W Contractor: Address: Assessments: Permit: City/Zip Code: Water/Sewer: Surcharge: Z?,p Police: Plan Rev.: 149, Phone Fire: SAC: 525.'L Engr.: Water Conn: 4-7 v. Arch./Eng: Planner: Water Meter (o3.p0 Address: Council: Road Onit: 2(,O-=` Bldg. Off.: Parks: City/Zip Code: APC: Variance: ~ A )a-56 RESIDENTIAI. BUILDING Permit Application City Of Eagan - 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 New ConstruIXion Reauiremenfs RemodeVReoair Reauirements Off~ce Use Onlv 3 regate2d site surveys showing sq. R of lot, sq. ft of house; and all ruofed areas 2 copea o( plan Cert of Survey Recd (20% maximum lot coverage allowed) i setof Energy Calculations for heated addifions Tree Pres PWn Recd 2 copies of plan showing beam & windax sizes; poured found design, etc. 7 site survey for addNons & decks Tree Pres Not Reqd 1 set of Energy Calculations Add'dion - indicak ff on-site sepfk system _ On-site Septic System 3 copies of Trce Preservatlon Plan if lat platted aRer 717/93 ~ Rim Joist Dehail Options selection sheet (bldgs wAh 3 or less units va. 7s. / a Date a_U l. 3_ . Construction Cost G C9 Site Address ~aa S UniUSte # ( Description of Work 1~~ Jv~n~n~~ivv~A~?~ ~i!1 _ -v-, . Multi-Family Bldg _ Y?'N Flreplace(s) _ 0 _ 1 _ 2 ~c Property Owner n Telephone #((o!5-h & 87 C)~- S~ Contractor 1'rUBTOM RE7AODELEM 8i~`w Address _ LINO LAKES, MN 55014 City ~~2648 OR (800) ~ ' 9tate ~ Z:p Telephone # { ) ~ I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted Licensed Plumber { J ~ ~eiephone ) U Mechanical Contractor nl MAR 2 4 1003 lephone ~ I I Sewer/Water Contractor ~ T lephone ) 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 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. ~ Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt • Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width :..D - RE QiTIRED INSPECTIaIvS I I _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review IfII./CS JF1C City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f~,r ~ ~ . o• * 298• DO + 27•50+ 149•00+ 525 • 00 + 470 • 00 + 63•q0+ 260 • 00 + 1 092 • 50 * ~Q~~~~ C. R. WINDEN 3 ASSOCIATES, INC. ur• lANO SURVEYORS Tal 446•7646 176I EUSTIS SL. $i. ?AUIN MINN. 66100 FOR: WESLEY CONSTRUCTION, INC. - t , o~ O Scale: 1" = 30' •A~ /o ~ Denotes Iron oOb ~ i ~X Monument C,, //0 q ~ \ ~ oQ~ v 1 o~• \ QC p h 4 ~1~0 qb' e~ ~ •L,' `1, ' \ :OTE: o Denotes Wooden Stake ` Proposed Garage Floor E1.898.33 (8980) Denotes Proposed ~"Nx1 CYFinished Ground E1. qV ~ nenotes Direc[ion in Of Surface Drainage Vertical Datum - N.G.V.D. 1929 Lot 5, Block 2, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. WE hIfRElY CEATIi1' THAT THIS IS A TRUE AND COARECT REiRESENTATION Of A SURVEY OF THE LOUNDARIES Of THE IAND AlOVE DESCIIlED AND OF THE IOCATION OF All 6UIlDINGS, If ANY, iMEREON, AND All VISMIE ENCROACHMENTS. If ANY, fROM OR ON SAID IAND rh R DEN i ASSOCIATES, INC. Dotad thisdor of A.D. 19g'y ~ ~ ~ VY Sur.~ro, Minnewro Rovuroiien Ne 77ZCo ~ r~ F r y- " Tli: Z~ Y , , > a ~XTERIOR fNY.EkOPE aVEf#At3E" "L1" CQM!TfITI4N . , , 041NER 5I7E ADDRESS . . ,p a UNTRRCTOR DATE PtIpNE.:,~~.~-?O ~ ` Determine wgrking square foatage of each. ' 4.-1. Total exPosed Gvatl area ~T sq. ft. x 2. Total raof ceilin area - / 9 ~ sq, ft. x iotal exposed•wall area above floor = ~ --~-4-~'- a. Total wall window area b. Total iioor area . , 37, Z~ e. TpEal•sliding glass door area d. Total fireplace wali area.... - e: TotaT`wall framing area (average 10%) f. Total net wall area'above floar . . ~g. Total rim joist area j. . . . . . . , . Total Ezposzd foundation area , h. Total foundation window arca................ - i: Toa7 net foundation area abcve grade ; Oetermine "U" value cf each sva71 segment. y r,,, . , . . . . . d. e~ . g HUI, -e..52_ ; e 3.7.X „U„ C. X llu,i d. X 1.0 - ~ ' - t r, e X „u„ ,49 = / ~~Gpy ~ , . g ifult 9,X h _ x „u„ _ F i X ,f(iii ~ / _ ° ~/•.5':~ , 3. . Total ~ ~ w« If item p3 is the s.dme as, 4r less than item #l, you havetnet Lhinterit th, ° of SBC 6006(c)2. wz 9.Y.e. '8.~aiY 4~d ; , y v.q i p ~ n•rp4 i~ . astl~a.:Sa3q , Rrama~ cos~~s''~?otiaiit- ~ t" E'~ c 5~ ~r ~R V+,r ayue : . . ~ .R..~' . . ' . , • . .YlCi}~E4 SOPt w00d< " . ` . t ~ y'. 9ASIC WALL Tbtdl ~ FI6; 81 PYIkYt,vr Pit11ME F17l~L l, ~ Q aiX ;$„ilm 0.68 IT, 5. . . t 5 . R . ~rior'"~~;~ liYr_;~.,• r .17 . , u , : F-ICi. #2 g , GS'. interior Air ilm 0.68 . D Y. 3. r ~ vi ~ cc JsC ticird~ i: ~ s. sip,,era2 ~ ' E'; „ "-'4• 6.. 8x"ri6r ai-r Pilai 0.17 'Total • ' ' i, ntcrior air_f~lm ! 0.68 + ~ • 4 • . O+r.;DaxxcN ~A • ti s. i,z,~r 3. F w~~er',~e~P/11 4. .2G 'O+ C ~ • 5. ' ! ' r"' • ~ q G. Extariar qi,r, 'Ptlipi ` 0.17 _ oCa ` ?4/ SLAH'ON GRADE . . . . ' ~ ~ . l' 6 . . ~ . e.. ~.r u . , ~ _ . r _ i . , ? } - • ~ r. . . . . . . 1 ' . . 4 ` ~a ~~l , . • ~ ° 4, p, • !l y~ y, . e~ . . " I11 - FIG. A+3 ~ . .t,' ~ ~ /f/ VYG. , M3 ` • ~ F /cr ' = 1~~ , ~ ~ l~l ~ .?r : ~,r = ~ NOTE: IndlcAte t'X,pe. vakue.~ ¢o,pth and x 3 ` ~ placeraent oE insulation:... a • . d . r , ~ . " r . , a b ~ ~Total exposeii roofi/Ceil'tng ared,"='" . . . . ~ ` - ~ 3.. Total skyNght area.................. k. ,-Tota1 roof/ceifitng framtng area (average { 1. Totat net insulated r, oof/ceilfng area. . Oetertpine "U" value' for eaeh roof/ceg segmer+t. ~ J. x clubs a ~ X d....................... .Iota1` _ ' ta~a}~efN4 is the same as, ar lesS than #2, you hav~ met the i'ntent of SBG 6 ` Alxernate Bui]_ding Envelope Design To utilize the total enve7ape system method, the values'established by the sum of items #3 and N4 sha11 not be gneater than the sum af ifems lll and #2. 1. ,:/J.:+ • D/' + 2: ; + a. /.3 = s~ Y:~_`.. . . . . , . . ' . ~ . . . . . . . . 'f.'~ . ry . . . . ' ' . . . ' . . ' . , . . . . ~ w~ . iY X ` ~ ~ . . ~ ~ . ' . ~ . . I . . i ~j'~ . . ( . . . ~ ".AC . . ' ~ . . - ~ F. t~d. . . . n . . . . . ...m.1., x. e.E,:;A,oO~S iA:h :ti+.HrSYA I. ....w I ~ ~~•~t 2/84 ~ CITY OF EAGAN aPPLICATION FOR PER~IIT " - SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHT) 1) PPOPt.."T~'TY ADDR:SS: ~ut~Id'I dri7c/!il T ~r=w DESCi2I°TIC:I: / i - /S z (Iot/Biocic/Subciivision or Ta:c Parcel I.D. Nur:,er) i: S':".;L'CT".Z?., DA'I„ G? ORIGl~+AL, BU2i..^,i:G :=ST ZSSU:.NC=.• ! P°,=S-~. ~ ...,`Ii:X:/P.--4).°Csz:) U5:: KR-i SuiGIE Fk= , ? R-2 DUP=. ('IRU UNITS) ? R-3 'ICiv'1=-5E ('I':= + LNITS) ( [7D,`I'_^S) ? R~4 ApP.P.T.c.m/CC_`MCi•LIIL:I ( IIiTI ? CU^j ERCIFw/REI'.7II?0F'F'ICE ? mL'CSiR= ,M~T Q NSTI'ILTIGNAL/GC4'E'u~T 2) APPrrC,?;P (PLEA6E 'rR19r) anDRESS: 9/O/ ~ )(1110H '4dr 14 CITY, STn?:', ZIP: ~}IoeNr~h'~ JH /9~0/7 J7 ~~3a ~7 PxeHE: ei-' 1 - 3) P~~,,l ~j LASE PRItI~ FOR CITY USE ONLY NAi'~tE: l~l/`2'v'CK/yr v l/P/~ PLUM ERS LICEYSE: ADDRESS: ~7,y ~~v.P I Aetive CZTY, STATE, ZIP: Ezpired ~~iuaic~ Q Not ai Record PHONE: ~/S'7 /S-~Y~ PLUMBER LILENSE N 3~ 5C~ arr ;n~cia Q) p[C[Jpn_.~/C',.,7C;rR NAME• (PLEASE PRINT) ADnREss: CITY, STFTE, ZIP: PH(}:IE: - 5) INDIC'.'I'E WHIGi PEP,`•lIT IS BEItiG RDQUESTETJ; ~ CC:"JECI'ION 'IO CI2"t SE:•IEE2 CC*::IECTICV 'LO CITI LPATER ? d-T~"...i2 (YLEASE DESCRIBE) 6) E:DIG,-l" C:W: ? P=E F?OLD APPR= pERbLLT FOR PICi:-UP BY ONE OF r'1BC7.'E ~PLEySL ~*PSL r1PPR= PPs'•tIT TO 1, 2.U, 4 ABG"lE (Circle one) 7) SICZATLRE: DATE: ~ _ FOR CIT'f U S E ONLY ~ PERMIT ISSUED F°ES: $ SF*.:LD nrotijrT (='.;C=.....~ $ WATER PERf1IT (INCLL'DE SURCI:ARGE) $ WAT°R METER/COPPERHORN/OUTSIC.; Rr.~IvE3 $ WATER TaP (INCLUDE COR?ORATIO:i STCP) $ SE:dER .A° . $ ACCCUNT ^uEPOSIT - SEidER $ ACCOUNT DE?OSIT - WATER $ WAC $ SAC $ TRUDIE: WATE:? ASS?'SS,-?E:IT $ TFliN:; SE*.dER ASSESSi•IENT $ LATE°AL BE:IEFIT/TRUNK SE:•:ER $ LATERAL BENE:'IT/TRU:Iii WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT 4 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGiiT OF [+IAY? L YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THc NIO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLOS•]IiIG CO:dDIT20NSc APPROVED BY: TI'^LE: DAT£ : _ ~ /.cG> ~.~I I ~~r~w.s~~s~.t~nc~+efrwt~w~ws~w~wa~c~w~~~~wa~~s~frw~rwc~~a~ww~ . 1 CASH RECEIPT A CITY OF EAGAN ~ P. O. BOX 21-199 EAGAN, MINNESOTA 55121 - ~ DATE wccerveu RROM ' AMOUNT $ - f :i^ Ee DOLLAftS +oo ~ CASH 9~5 HECK .oR - ~ ( d ~ ' f y~'•_~ FUNO CODE AfAOUNT 7 / 27 v mZ y b 'j - i 5 . 2-6 - 34•~. t. ~ - Thank . ; - ev White-Payers Copy Yellow-Posting CopY Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA113568 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 4295 Sunrise Rd Lot:5 Block: 2 Addition: Sun Cliff 1st PID:10-72975-02-050 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 . Vladislav Fogel 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 - Darya Gorivodsky 4295 Sunrise Rd Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115843 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 4295 Sunrise Rd Lot:5 Block: 2 Addition: Sun Cliff 1st PID:10-72975-02-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Vladislav Fogel 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 - Darya Gorivodsky 4295 Sunrise Rd Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149002 Date Issued:05/02/2018 Permit Category:ePermit Site Address: 4295 Sunrise Rd Lot:5 Block: 2 Addition: Sun Cliff 1st PID:10-72975-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & 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 - Breanna Henk 4295 Sunrise Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149263 Date Issued:05/15/2018 Permit Category:ePermit Site Address: 4295 Sunrise Rd Lot:5 Block: 2 Addition: Sun Cliff 1st PID:10-72975-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Breanna Henk 4295 Sunrise Rd Eagan MN 55122 Freedom Heating & Air Conditioning Inc 724A Harding Street NE Minneapolis MN 55413 (612) 306-6400 Applicant/Permitee: Signature Issued By: Signature