4271 Sun Cliff Rd
CrTV ur i~.-WaN 1Kw1'iER S&WECf PERM:r
3630 Pilot Knob Road
P. G. B9x 21199 : PERMIT Nd.:
Eegan, MN 55,121 DATE: ~
Zonirkp: - No. of Units: ~
Owner: FIOt1C.9 1~!_? .
~ Md1E55:
Site Addreas: 4271 ~~,iCi,1:Ef Roau 111 B1.5 u Cliff 2
r
yPlumber 't T~t: r , .
~
~Neter No.: L3 i-19 62J`4 ;?.3 Connecfion Chorge: ~
stze: S/fs Ro~J ' Acoounr Deposir:
Reoder No.: Permit Fee: '
1agrw to eanpy 1M Ciryr of Eagae SurcFwrge: Oidineeam Miac. CFwrfles: 132.00 pd
TotaL• 63,011 T) m&~ rc_ r
i
' By Derte Paid:
Date of Insp.; Inap.:
GI ~ 1 Or sr1v:.N WA?N-IZ bC1[WU PERMY
3830 Pilot Knob Road pERMIT NO.:
P. O. Bax 21199 , . , ^
Esgai'. MN7 55f21 ' DI?TE:
No, of Units:
toninq: lion~s
.w._
Owner.
Addn°om 1,271 Sun Cliff iZoaci I.Z1 31 ~un Cli~f
SRe Nddress:
Plumber:
AAeter No.: Connedion Charge: _ ; .
A=uM Deposit: ,
Size: .
der No.: Pemtit Fee:
Rea , . . ,
1 Nr" to ooiaoh? Wkb the Cky Of fA°M Surcharge: t 32 . t~0 pd
Misc' Ch°rges' ' ~eter
OnA"a'°u' Totot: 63.0r) r. ~i
Data Paid:
By Insp.:
pcte of Insp.:
ciTY oF EA~Aw SEWER SERYlCE PF.RMIT
3830 Pilo*. Knnb Road pEPMIT NO.: ,
P. O. Box 27199 D^TE:
Eagan, MN 55121 ]
No. of Units:
Zoning:
4 Owner: .
IAddress: ~ t_ Sun C 1 i f
Site Add~s~ ~i271 Sun Cliff ??08d Lil ~
r,. n:l
CS7.r.C'
Pltlrtlber: r !i '
! ~
I 3-C.-;;> 41 ~ ,2 5.00
i ~ a~ to ~suv~ft wi~ !be ~°F Cannac~t'lon Charqe: 7
t?coouM Deposit: . .
Permit Fee: , -
~ Surdhorye:
H1isc. Choroes:
' By TotoL•
pcte of Ir?sp.: Dah Paid:
~ ~^sp•s _ - - - - - - - - - -
~ CASH RECEIPT ~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
eeesrveo ~
FROM
AMOUNT $ I ;
& DOLLARS
+oo
CASH E]CHECK
w
i
~ ~ y
FVNO CODE AIAOUNT
( l.; .
. .
I
• C: ~ ti i
_ - ~
. ,i
. , ~
Thank ~u
~ ~ ~D E• c.ti ` ~/J' ? Uf~
8Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Raceipt MECHANICAL PERMIT Permit No. ,
CITY OF EAOAN FN
fill Jn numbered spscss S/C
Type or Frini /spiblY TOL
1. Data 4" 1 2. Installation C.ost
3. Job Address4%71 S uriclif f-.c1.ot Blk. ' Trect
4. Ownsr
5. Conuactor ' -~~7 ' Phone 7 ~
8. Address ' ~ i? ?::~c:_:`.•
7. CitY :~•i='• SUte . Zip ; ;.i..'.
8. Building Type: Residential ~ Commercial O Institutional ?
9. Work Desaiption: New 0 Add ? Alter O Repair 0
10. Desa'ibe •~ry,bc~'urftueI TYPe ~ .
11. No. EquiRmept BTU - M. Ea. No. Eauiament CFM
1 Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg,
Unit Fleater
Mf9• Other
Air Cond.
Mf9•
' Gac, Piping Outleta
12. I heroby certify tfiat the above information is true and wrnect, and I agree to
comply with allprdinances and oodes governing this type of work.
Siyned : i for
Rouph ' Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt PLUMBING PERMIT Permit No. ;
CITY OF EAGAN FN '
1 fill in numbered spaces S/C
Type or Prinr /egibly Tot ~1. Date 2, Installation Cost
~
3. Job Address Lot Bik. Tract ~
4. Owner
5. Contractor Phone
6. Address "
7. CitY State Zip
8. Building Type: Residential 0Commercial O Institutional ?
9. Work Description: New B"'~ Add O Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs
Septic Tank
' Lavatory Softner
Shower Well
~ Kitchen Sink
i
Urinal/Bidet Other
~ Laundry Tray . ~
i 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 ordinanoes and codes governing this type of work.
Signed :
. for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
-
r
CITY OF EAGAN
3930 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100 ~
SUILDING rERMIT Recefpt ~
Te M rw/ fN Est. Vciue . Date . 1_9-. -
Site Addreu . 7 i i• Erect ~ Occupancy
Lot Block ` Sec/Sub. ' X Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlerge ? No. Stories
Name Move ? Length
i _ , - Demotish ? Depth
Address Grade ? Sq. Ft.
City Phone Inatell ?
- Approvols ioes
Name
Addrest 1lssessment Permit , . U
City Phone Woter b Sew. Surchorge dPolice Plan Review
W
P°L Narr,e Ff?e ~C ~ J• G O
W n
Addresa Enp. Water C.onn. t i .(3 0
CW City Phor?e Plonner Wotar MetK E~ 3•00
Countil Rood Unit = * 0 0
I hereby acknowfedye that I how reod fhis opplicotion and stare that Bldg. Off. ' /1 Q Psrks !j Z. 30
tFw informafion is corred ond ogree to tomply wifh all opplicoble APC Total • ~n
Stoto of Minnesoto Stotutea ond City of Eagon Ordinances.
Var. Date
Signotun of Pemnifte* .
A Buildinp Pennif Is Issued to: on tM expreu tondition thal
all work sholl be done in accordarxa wlth oll appliooble State of Mlnneaota Stotute: ond Ciry of Eapon Ordinances.
Buildinp Offitiol
Plumbinp Permit No. Pwmk HoMer Dm Tsle hone #
'5
I H.VA.C.
ENcMc
Softenwr
Inspaetion Data Insp. Other
Footinyt F
Foundation
Framinp ^ ^
Rooflny
Rouah Pibp. [Q
~i
Rou¢+ HVA /
I nwlation
Final Plbg r O,
Final HVAC ~
Final ,
Grt/Oec.
Wmr Dfta?i6e Loeation:
YINII
Sewrr
P,r. D'ap.
`
INSPECTIUN RECORD C°"tr°' 0859
CITY OF EAGAN PERMIT TYPE: IL IOG
3830 Pilot Knab Road Permit Number. 9011+1%
•a/2~~4~ ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t, OT ; 7I I APPLICANT:
4RJ1 51lN CLIFi RU RIAZI HflMAYt1UN
5UN CI.IFF (612) 452--2369
PER114I~ ~l~RTYPE: TYPE OF WORK: M~w
nE;,rRrPrroN YMCtu13Es bEcK
INSPECTiON . .A
r, c10 1 ltie FRAM1NO ~
TNSUl. AYION 1`IMAL
Flk.MARY':- I+ECi'IPY • `;t f'AJPATE PERM11' NfOUIitFQ f'OR EI ECT1PICA1. 140f10'
~~,ii
r c ..rt~ . . a~`~ wt.~ .d ~J• - *4»~ . i-L .r
,..x f 1'v ' frs rY.a . _il • SaM" J3 . t.
iwl_.7n__+~..! 5:~ l+F~-?.~~<J?d?'w siud'~lr~'~+~ _ ' ~ u:iS~_ _ - _ - _
~
I Pormic Wo. w.mk Hower o.e. TNepl,orN a
Sl1N
PLUMBIMG
~
i Hvac
I' ELECTRI C50
ELECTRIC I
Impection Dab insp. Canmants I
i FooMp 1 ~
I
I Fourbetion I
Ftam~?g Z
P.ooft9 I
I
ROUph PIb9• I
RouDh Ht9• I
I
laul. I
Flreplaoe I
Final Htg. I
OMM Test I
~ ~rieA F4bg. Plbg. Inspector -NotNy PkmTdm
I CormL Motor
I
Engr?Plan
' Bldg.Final p2g.
Dodc Pig.
Deck Finel
YYell
Pr. Drep.
7 2
Fequest Date Fae No Po Inspecbon
g,~ 11 ~(r~ R ed~ 7ReatlyNav VKII'Nly ~P~mr
~ ~ G Yes ? No WhenReatly
I r Iicensed contractor EVowner hereby request inspection of above electrical work at:
Jo0 Atltlress (Street Box or Rome No I Cay
4aAll, suvD c.ii-tiFF Rot{co f.^GrcrJ
Sedion No Townshi0 Name or N. Range No Counfy y~
Occupant(PRMT) N Phone N.
~?otrp'youtJ VA-M'~( R~PCZI q~a-a~9
Powersuppher PAaress
D/t~oTA EL:6LTR.ICr
Elecincal Gomraqor (COmpany Name) Convaclor5 License No
MaiLng Atloress ICOnVactor o~, Own_er LMaking InstallaLOn) G
Q~~- "W ~ ~QvG
AuthWize Si nalure IConl~aclor~0 e~ Ma4in Ins\allavon~ Phone Number
. .~a _
r `
MI SOTA STATE BOAPD OF ElECTRICITY THIS INSPEGTION FEQUEST WILL NOT
Grlggs-MiEway Bltlg. - Roam S-173 BE ACCEPTED BV THE STHTE BOARD
1821 Umversity Ave., St. Peul. MN 55104 UNLESS PROPEF MSPECTION FEE IS
Phane(612) 662-1I800 ENGLOSED
J g~9~ REQUEST FOR ELECTRICAL INSPECTION '"""~a es-0ooo,oa
P, See insimclions tor rompleunc thy5 brm on back of yellow copy ~$I
3~ Co aa~293
1imv~
"X" Below Work Covered by This Request
ew ntla Rep TypeofBUildin9 AppiiancesWiretl EquipmenlWVed
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Bwldmg Dryer Other (Specify)
Comm/Industnal Furnace
Farm Av Conditioner
01net (syenry) Convac[or5 Remarks
Campute Inspechon Fee Below:
n OtOer Fee # Service Entrance S¢e Fee # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps A 10 _ Amps
5~9~5 InspecmrS Use Only 0 TOTAL
trngation Booms O• O
Speaal Inspec6on
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rouyn-io aie VI/I
certi that the above ins edion has ~
~ P Final r Da~e
6een made. [J
OFFICE USE ONLY
This request voitl 18 monlhs irom
~OrC~,
ihis request void •I a SU
18 rtqn[hs fwm
A 096922
Request Date" Fire No. flouPh-in Insuection
~ % ~ Requrted~ ~ReadY Nuw [~]aVfTrolify InsPec-
~ ? N. ~or When Ready
icensed Elecvical Contrecmr I Aereby request insoection of above
? dwner elacirical work installad ar
S}[reet Address, Box or Noure No. City A)C
c.;F RD. 4~5lf4'l0qA)
ecLOn o. Townshi0 Nyme or No. Range No. Coumy
or,q-
Occup.nt (PflINT) Phune Nn.
M r~ES .Ln1~ . ~
Power $upplier Adtlress
Ele [ncal Conttac r ICOmpany Namal Conlrar.lors License No.
ff1C.E G 7' G
Mailing AdJress IContract or Owner Moking Instail ionl
LZ De, G~ GCL MAI 5-5-/~
Auffioriz SiBnatur IContr r~ w Makind InstallaLOn) Phone Numbar
~ ~d V
MI ESOTq STqTE BOAP F ELECTHI ITY THIS I SPECTION REQUEST WILL NOT
GriBBe•Midwey Bldg. - H om N•191 BE ACCEPTEO BY THE STATE BOAPD
1821 Universitv Ave., St. Peul. MN 55104 UNLE55 PNOPEN INSPECTION iEE IS
Ph....e 16121 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-OOWI-OA
0 9 69 J2_,ea instructions lor completing this farm on beck of vellow copy.
A G '"X" Below Work Coveied by Thrs Request 5~3f-v~
Add Rep. Type ol Bmltling Appliuncas Wired EquiUment Wirad
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building , Dryer Electric Heatin
y Commercial Bldg. Fumace ' Silo Unloader
Industnal BIAg. Air Condrtioner Bulk Milk Tank
Farm oihe. oau v iher ISOemfyl
t r uoci y Other Other
ompute nspection Fee Below
# Fee ServiceEnvanca5ae k Fee Feeders/SUEfeetlars N Fee Cvcmtn
00 0 [0 200 qm s 0 to 30 Am s ~ 0 tn 30 Am
A6ove 200 qmps 31 to 100 Amps 31 to 100 A
Swinuning Pool Above 10Am s Above 7()0_Am s
Transiormers Irrigation Booms Partial-'Other Fee
Signs $pecial Inspection S emarks TOTAL EE
3 ) ~-(J ,
Nflough-in Date I e Elecvicnl
, nsoactor, hereby
cerLfy thet the above
final D'dte in
gpeetion hae Ceen
mede.
Thle request roltl 10 montlw from
.
CITY OF EAC;AIV
s
454-8100
DEPT. OF BlD9LD9iVG 7NSPECT9ONS
Cormction Notece
Located at 4/-'Z7 4
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
When corrections have been made, please
call 454-8100 for inspection.
Date-9as/rrs ~ . _
7- I spe tor C' y of Eagan
DO OT REMOVE THIS TAG
CITY OF EAGAN No 9941
3830 PiIM Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIN(i PERMIT PHONE: 4548100 Recelpf # /7y U„w&_
Te M wad fer SF DWG/GAR Esf. Volue $$7 0 0 0 Dcte MAR!`H F Iq.$,,-
Site Addren 4271 SUN CLIFF RD erect %l Ocwpency R3 Lot 21 61«k 1 Seclsub. SUN CLIFF 2 Remodel ? 2oning R1
Percel No. Repeir ? Type of Const. y
Enlerge ? No. Stories
RSM HOMES Move ? Len9tn 36
~ Neme Demvlish ? Depth 4 6
Address 14486 UPPER GUTHRIE CT Grade ? Sq.Ft.
C;ty EAGAN Pho„a 435-8868 i„sten ?
Name SAME Approrols Faes
o .0
ZG Assesunent Permit 0
o Address
u6- City Phone Wuter 8 Sew. Surchorga 28 • 50
PoNce Plan Review 152.00
tW Neme Fire SAC 525.00
~W
x-~ , Address Erp. Water Conn. 500.00
~W City Phone Vlanner WoferMefer63-00
Council Rood Unit 280-00
1 hereby ackrrowledgs tFwt I hava read th' plication und sto ihat Bidg. Off. 2/14/8 5 pgr~t T. P.132 . 00
fhe inlormotion is torrecf and oqre mpl i oll a ~COb~e APC Totel $1, 984.50
$tats of Minnewta $totutes ond E r inance
~ ar. Dete
$ipnofure of Pem.ittee
A 8uilding Permit Is Issued to: RSM HOMES on tha azpreu cwdiflon tMt
oll vrork sholl be done in xcordance with pplicable St of o Stotutes ond Ciry ot Eapan Ordironcet.
Buildfnq Officfal
CITY OF EAGAN Remarks "J)#/~ ljlO-3 5p
Addition SUN CLIFF 2nd Lot Zl sik I Parcel 10 72976 210 dl
Owner Street_1+271 Sun Cll£f RoHd State Fagan- MN S5S»9
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. q
STREET RESTOR, 4g~/679' 1986 2=!-5~--531 431.51 5 I e -/Q/0' 74S
GRADING "R i75.s3
SANSEWTRUNK 1970 48.64 1.9$ 25 17.6o SEWER LATERAL * n ii
SEWER LATERAL 999 1986 829.62 165.92 5
WATERMAIN
WATERLATERAL 1000 1986 942.60 188.52 5 ~j, p -/0/"-~
WATEFi AFEA sw 147 62.34 4.16 15 8-39 " "
,sy /o-,F-,ys
wez LAT BEN 4ee-2j~an 1986 57.88 11.58 5 7,,?P C-/v(
STOFMSEWTRK u~ 1971 11 11
STORM SEW LAT *
S/W SERVICE 1005 1986 808.77 161.75 5 7 -/0 5 /0
- -~5
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5
119
280.00 4 945 3 6 85
WATER CONN. 500.00 11 11
BUILDING PER. 9941 n n
sac 525.00 " "
PARK
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pennits are required for each unit
Date9 /
Site Address d--7 u vi 01 Unit #
Property Owner Telephone #((oSt
Contractor
Street Address CiTy
410 WEST LAKE STREET
State MINNEAPOI 'p Telephone # ( )
612-8242856
Bond Expires:
The Applicant is _ Owner x Contractor _ Other
Add-on or alteration to ezisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ airconditioner _New XReplacement
other
r~
vi~ 1 ~
Sta[e Surcharge $ .50
Total 30.
I Lereby apply for a Residential Mechanical Perntit and acknowledge that the information is complete and accuxate; that the woxk will
be in conformance with the ordinances and codes of t e City of Eagan and with the Mechanical Codes; that understand this is not a
pemut, but only an application fo ermit, and work 's not to start witht the work ~ ~ accordance withthe
approv d lan in the case opw c requirs a revand approval oApp icanYs Printed Name na
2004 COMMERCIAL MECHANICAL 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 whcn separate pennits are not required for cach dwelling unit
Date
Site Street Address Unit #
Tenant Name (itapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephane # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *"see below
Interior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
**When installing/removing underground tank, call forinspection by Fire Marshal and Plumbing Inspector
P¢r1n1[ F¢¢S: $70.50 Undcrground tank ins:allation!remevsl
$50.50 Mlnimum (includcs S[ate Surcharge)
ar
Contract Value $ x 1% Permit Fee
• If ep rmi[ fee is $1,000 ar less, add $50 ~ $ State Surcharge
Tf ea rmit fee is over $],000, add $.50 for
every $ 1,000 permit fee $ Total Fee
1 hereby apply for a Commercial 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 Ciry 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 permir, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Applicant's Signature
Approved By: , Inspector Date:
1987BUILDING PERNIT APPLZCATION - CZTY OF EAGAN
NO'fE: ALL CONI'RACTORS MUST BE LICENSED NITH 'IHE CITY OE EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For; nJ~d_ Valuation: 51,bOCO. Date:
Site Address: ~w4i'X4 p
''p pFFICE USE ONLY
Lot:Block ~ Sect/Sub 5 6 Erect X Oecupaney
2 Nb Remodel Zoning R-I
Parcel 0 Repair _ Type of Const TL
Enlarge l1 of Stories
Owner Move _ Length '3ro
r ~ Demolish Depth (
Address ~ Grade Sq Ft
T-- -
City/Zip Code
=~Contractor APPROYALS
Address Assessments Permit
'_1 }pL -
Water/Sewer Surcharge 2 p so
City/Zip Code Police Plan Review 1 52.~
Fire SAC
Phone 0 Engr Water Conn 1500
Planner Water Meter (03.
Arch./Engr Council ad Unit 280• 19
Bldg 0£fR Parks
Address APC Treatment P1
'1pVariance
Phone # TOipy
14
C.R. WINQElV 6 ASSOCIATES, INC.
Q/~~G~lYG[L LAND SURVEYORS T*l 615-3648
V 1381 EUSFtS ST., Si. PAUI, MINN. •5100
FOR: R.S.M. HOMES
Scale: 1" = 30' t ~
O Denotes Iren
Mcnument
~ . `
/y~~~~ `
% V % ~•7 tS
w`
i o5
~
,Yr~' J . ~ ~p.b
)p
/ r W N N }Z 'D j J `
p
\
ol
S ~n
69, '
U
zr;
Lco ::oiE:
r Der.otes Woodea Stake
Qco ?roposed Carage Fleor E1.=90663
(906.5 ) DEnoces Proposed
Finished Ground E1.
~ r- Denotes Directicn
Cf Surface Drainage
Veztical Dacum - N.G.V.D. 1929
' Lot 21, Block 1, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
WE MERE6Y CERi1fY TMAT TMIS IS A TRUE AND CORRECi RE?RESENTATION OF A SURVEY Of ThIE
6OUNDARIES OF TNE IAND ASOVE CESCR16fD ANA OF TME IOCATION OF ALL 6UILDINGS, If ANY,
THEREON, AND ALl VISIlLE ENClOACMMENIS, IF ANY, FROM OR ON SAID IAND
Dotad th~s -4-t dor el ebr%; r A D. IV 8r, C. R. WtNDEN d ASSOCIATES, IrIC
5~' .Gro , Minnowto Ropavohon No /6G79
N>J:'o
PERMIT Control No. 0859
ACITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: euiLoiNs
Eagan, Minnesota 55123 Permit Number: 001145
(612) 681-4675 Date Issued: 0 7/ 2 3/ 9 2
SITE ADDRESS:
4271 3UN CIIFF RO
LOT: 21 BLOCK: 1
SUN CLIFF 2
DESCRIPTION:
INCLUOES DECK
Building Permit Type SF PORCH
Bu3ldin4'~Work Type NEW
Building Length 14
' Building Width 10
.
s r
Lf~ ~~.~:~_rL~t_,~.~,'.'~!~1:
. . ~ ? ~ C..s
REMARKS:
RECEIPT $~`u SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK
FEE SUMMARY:
VALUATION E5,000
Base Fee $72.00
Surcharge $2.50
Tptal Fee $74.50
CONTRACTOR: OWNER: - APPlicant -
RIAZI HOMAYOUN
4271 SUN CLIFF RD
EAGAN MN
(612)452-2369
I hereby acknowledge that I have read this application end state that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and City of Eagan Ordinances.
L -
APPLICANT/PERMITEE SIGNATURE ° ISSUED BY: I NATURE
INSPECTION RECORD C°n 0859
CITY OF EAGAN PERMITTYPE: euxGOiNe
3830 Pilot Knob Road Permit Number: 001145
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 3/ 9 2
(612) 681-4675
SITEADDRESS: LoT: 21 BLOCK: 1 APPLICANT:
4271 SUN CIIFF RD RIAZI HOMAYOUN
SUN CLZFF 2 (612) 452-2369
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DESCRIPTION INCLUDES DECK
INSPECTION D. .
FOOTING FRAMING
INSULATION FINAL
REMARKS: RECEIPT M SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK.
F
L
~
PERMIT N ~ I I~ S CITY OF EAGAN
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
681-4675
J U N 2 4 RECo
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lat chan e is re uested once ermit is issued.
Date ZYU1JF- /CI5 / l°19Z Yaluation of work _ 44-5
Site Address: -A,'I1 Suts GLiFF RZ^D ER(0PrQ M1--) , 55k ak
STREEi SUITE M
~Tenant Name: (commercial only) _
LOT a` BIACK SIIBD. ~1J GLoFF Y P.I.D. #
Oescri tion of work: 1K -5GVC=6~3 PoRGt-k A-t-ao
The applicant is: Owner ? Contractor p Other (Describe)
Name R«Z.1 U~,1 ~ ~4Ti.lY Phone q~.-3.3bq
Property LAsr F,RST ~
Owner pddress A.V11 sue.~ CL?F'F VJO&fl
STREET STE M
City e!i~ P43 5tate MN, Zip _BS1a.~
Company Phone
Contractor Address license # Exp.
City State Zip
Architect/ Company Phane
Englneer Name Registration N
Address
City State Zip
Sewer 3 water licensed plumber WA, Processing time for
sewer 6 water permits is two days once area has been approved.
I hereby acknowledge thaL 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: ,r~/
OFFICE USE ONLY p ,
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
04 SF Porch~-cPeck ? 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
lg 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 31 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1Towable) . Ist Fl. sq. ft. City Water
UBC Occupancy e__3 2nd Fl. sq. ft. PRV Required
Zoning 5q. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fi;re Sprinkler
Length fy I On-site well Census Code ~
Depth roOn-site sewage SAC Code
APPROVAlS
Planning Building Assessments
Engineering Variance 7-2
REQUIRED INSPECTIONS 5c-+ee-E-x PoQcH~ At.s c t0 x/ y a~c.k
? Site f2'1 Footing Pr Framing ? Insulation
O Mallboard ~ final ? Draintile ? Fireplace
Permi t Fee '720"~' v.iuatip,: g
Surcharge -4, Sz~
Plan Review
license !o -X/ q _ l v v >t ,75 = 3~p
MWCC SAC
City SAC
Water Cann. -
Nater Meter . /boa
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC %
SAC Units
77~/~~./~/~ C. R. <'y~R4DFR1 b4 l14~i(~CtA'Rl~ a, n(k~C.
ra, <,nq-lRan
~ ~:~n~ rus~~5 4;.o yv. rnuGF M~rdri. an~~0
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60USyDA^ICS O.T iNE IAND nDCiVC' DESCM6ED ANp Of iNF. ~ L~C'h7iON (JF All. 6UItRItvG5,, If ANV i$
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14 1-7-
APPLICANT: HOMAYOUN & KATHLEEN WAZI ,
LOCATION: LOT 21, BLOCK 1, SUN CLIFF 2ND ADDITION
ERISTING ZONING: R-1 (SINGLE FAMILl)
DATE OF PiJBLIC HEARING: JULY 289 1992 DATE OF REPORT: JiJLY 13, 1992
COMPILED BY: COMMUNITY DEVELOPMENT DEPARTAiEN'P
APPLICATION SUMMARY: An application has been submitted requesting a 4' Variance
to the requ'ued lo' side yard setback located at 4271 Sun Qiff Road.
COMMENTS: The applicants are requesting the Variance of 4' to the property line as they
do not have another e)dt from their home where a porch could be built. They feel because
there is 25' 9" between the neighbor's home (4277 Sun Cliff Road) and their home, there
is adequate space to accommodate the proposed 10' wide porch. The neighbor's home does
not have any access to the side facing the applicant's home, nor are there any windows on
the side facing the Riazi's.
Attached is a letter from the neighbors at 4277 Sun Cliff Road aclmowledging they have no
objections to the proposal.
1f approved, this Variance shall be subject to the following: r
1. A building permit shall be applied for and approved by the protective inspections
division.
2. All other applicable City Codes and requirements shall be met.
4fi ~~OI~+ i1TNK'/N
~ ? TERA
A I No ~ 44
1 ~ I IMPER ~:C~Rt~"~
R LWAY
f b~ AOQR ~(f~ I
DF
~y ~
~VAq~ ~ E (
\ ~T1J =Q/ ~ n `6 4J x I a , m aN seanc
-m PopF A ga p
ME~1I a// 11 a L
{
July 3, t992
To The Eagan Council Members,
We understand that our neighbors Homayonn and Kathleen Riazi at 4271 Sun
Cliff Road want to build a screened porch that would come to 6' of our .
common property line. This is to inform you that we have no ob,7ections to
their construction.
; . f .
Dan and Jean Sracly
4277 Sun Cliff Road
Eagan, Minnesota 55129
~
F777
- _ -
t .Y S£'~ ':!~Y*`.
' Y~- t~' a~$."~~' , - : ; W~=.~
~4a't9 SuN c~.~fF RQ+'+4 9an1
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T+g. sAK Wttabow.
r~~~'~,~°~,~' ~w'B /~'"~q~1 ~ c. R: HrINaEN d, ASSOClA'tES, tNc.
/J` N~C:'"~ l'e~( LANp SURVEYOltS TeL lSAfl• 36afi
1381 EUSTIS ST„ $1. FAUI, M1HN. 55109
rJR: R.S.DS. HOMS
Scale: 1" = 30'
O-,Denotes Iren
Di^nument ~ = \
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~ c. rr: pese9 G2rac.e Ficcr E1.= 90.~, F~i
~ ~ (~~(•.i) Penotes Fropcse3
Finis`,ed Gr.uad El.
Denotes Pirec:icn
~ Cf Sur'ace Dra`_nahe
Certical Da:;un - N.G.V.D. 19_'9
ipqp ,rJ
~ I,ot _21, Rlock 1, SLTN CLIFF SECOND
1 ADD7TION, DaY,ota County, Aiinnesota
~
WE MERESr CERTlfY TFIAT TMlS IS A TRUE AND CORRECT REVRESENTATION Of A SURVE'I Of tME
DOUNDARIES OF THE tAfVO ASOVE nESCRIBED ANp OF THE tOCATION OP ALL lIUItPINGS,,If ANV,
TMEREON, AND All VitllSLE ENCRpAC}iMFMTS, IF ANY, FROM OR ON SAID LAND
Dotod Mqs -dor ef `e~~r;.crv A D 10 P~ C. R WIN;IFN a ASSOCIATES, INC.
_ br
" . S~•.o;o•. Mnn~~o~o Rop•~~•eeron No /:•::^c.
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2/84
i
CITY Or EAGAN
14~ APPLiCATIOiV FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHT) ~
1) PROPER'I^I ApDRESSc ~ -7
LEGr1L DESGrtLPTZCV: ~ 1 f
(Lot/Block/Sl:bclivisicn or Tax Parcel I.D. ULan[er)
' I"r S'I'P.L'CP'RE, DAit. 0_° ORIGi IAi., u,ILDL:G ISS~?~;C.:
PDE-S= .~.nNIN(;/?D?OPpSZJ IIS: ~j, R-1 SZ;GLr FPMSLY -
? R-2 DUPL...z'`{ ('IS;~ LTIITS)
? R-3 'ICr,.-,,U-?CrTCg + L^IITS) ( LNZTS)
p P.-4 AP?aRT1ENT/CC~~tiS:]P,JM ( Wi ITS)
p Cav,%ERCL~L/REI'AII,/OFPICc
? Ii'DUST'.-2LAL
? INSTI':'[,'TIO:IAL/Cxj=:'T
Z) AppI.ICmV"I• (PLEASE PR1NT)
ADDRESS: y ~
CTTY, STATE, ZIP: _ r\-) 2 ~
PHaiNE: ~qy- J4 00
3) PLL7_1BER ` PLEA~ PINTJ FOR CITY USE ONLY
NAME: PLl1X8ERS IICEVSE:
ADDRESS:
Actiye
CITY, STATE, ZIP: (~'-~L Q Expired
aicn Q Not of Retord
PHOiNE: PLUMBER LICENSE HQ~~~~7fJ)~ ~l~~
a nitia
4) OCCL.p=/Or.,R,FR NA[IE: ff\ (PLEASE PNINi)
ADDRESS: VY'F 6 ~ ~
CITY, STA'IE, ZIP:
\1 A- - ~ft
PHOIVE : 7 ~D
5) IIVDIG'1TE [VHICEt PERMIT IS SEINC; REQUESTID:
~ CONNECPION 'I`J CITY SES9EE2
co:vnEcrzoN zn czT^r caATEz
~ Cli'[IER (PLL'ASE DESCRIBE)
6) L^:DIG, ~M C:IE:
? 1'LEaSE HOILI APPRWID PERMIT FOR PICIC-UP SY ONE OF ABdVE
~ PLFASE I%*AIL APPR= P`• TM 1,2, 3, 4 ABOVE
~ (CiY`c~e one)
7) siczAM-RE: ~ "oazE: a --J g-~ ~
4-~a~ro wr s ~~sa~:aa a~ f~ar.~a~~~r a Ys~s~scaiaa FOR C ITY USE ON:,Y Y
PERMIT ° ISSUE?
FEES: $ ~ DS°;iER TJDR~1r; (I`ICLD~ SUP.C?i?RCE)
$ ih ~Sc WATER PERD1ZT (INCLUDE SURCIIARGE)
$ G _6 °"4 WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE;vER TAP
$ _._..Oi:::?' =_=GSI= -
$ ACC.OUNT D.F.pOSIT - PIATER
$ WAC
$ SPC
$ TRliVK WATER ASSESSidENT
$ TRGNK SE[JER aSSESSME.iT
$ LATERAL BENEFIT/TRUNK SE;•lER
$ LATERAL BENEFIT/TRUNK WAT°R
$ 73~- ~ OTHER '
$ TOTAL
$ s a o7- v-d ArfOU:;T PAID/RECEIPT ~ ~ o a 6 O
DOES UTILITY CONNECTION REQUIRE EXCAVATZON ZN PUBLIC RIGi-IT OF WAY?
C, YES IF YES, THEN A"PERMIT FOR Tr70RK WITHIN
~ PUBLZC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CDNDI-
TION.
SUBJECT TO THE FOLLOL4ING CONDITIONS: •
APPROVED BY:
TI:LE:
DATE :
me s"M mw,~w we w~ rtw EMma ~aw.-.Mwie m w~~ wM w.a wUMie W-NO WP-w w.a 0%10sa Wj%@ w.a RiM ia 0?" W
~
iROPEHTYSUR
VEYS ~
DESIGN
TOBYOGRAPXICMAPS C.R. WINDEN & ASSOCIATES, INC.
J /
LANDSUHVEVORS
1381 EUSTIS STREET, ST. PAUL, MINNESOTA 55108 Lj
645-3646
March 26,1985
R.S.M. Homes
14486 Upper Guthrie Court
Apple Valley, tdinnesota 55124
Deaz Sir:
e d the foundation under construction on Lot 21,
Zlock 1, SUNCLIFF SECOND ADDTIO"nd found that the top of the
nion is constructea-r:"3 feet below the elevation that was
planned and field staked. This condition wi'_1 not permit final
lot grading that will conform to the overali drainage plan.
We recommend that two courses of concrete block be added to the
top of the foundation so that after final grading is complete8,
both on-site and overall storm drainage can function properly.
Very truly yours,
C. R. WINDEN & ASSOC., INC.
Dean Dusheck
DD/hp
cc: Advance Developers, Inc.
City of Eagan z
~ U-2 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New Construc6on ReauiremeMS RemodeVRenan Reauirenents Offrcs Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20%mazimum lotcroverage allowed) 1 set of Energy Calwlatians for heated additions Tree Pres Pian ReW _Y _ N,
2 copies ot plan showing beam & windax sizes; poured fouiM design, etc. 1 sRe survey for additions 8 decks Tree Pres Required Y_ N
7setotEnergyCalculations Add'rtion•indicateifon-sdesepticsysfem On-siteSepticSyslem _ Y _N
3 copies of Tree Preserra6on Plan'rf lot platted afier 711/93
Rim Joist Defeil Options selectlon sheet (bmidings wM 3 or less un@s)
Date Construction C-os,t
SiteAddress <~j11 Unit/Ste #
Description of Work
Multi-Famity Bldg _ Y y~ Fireplace(s) ~ 1 _ 2
Property Owner 1.,p ~ 1{tti' t~ e, ~~~Telephone #
Contractor
Address City
State Zip Telephooe # ( )
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilahon Category 1 Worksheet • New Energy Code Workshaet
(Jsubmissiontype) Submitted Submilted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has The City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone J
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 applicarion for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs 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 0 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 Ot of_ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-piex ? 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 ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100°h or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireptace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWc6on ReauiremenGs RemodeVReuair Reauirements Office Use Onlv
3 registered site surveys showing sq R of lot, sq. ft. of house; and all mofed areas 2 copies of plan Cert of Survey Recd YN
(200h maximum lot coverage albwed) 1 setof Energy Calculations for heated addrtions Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for addilions & decks Ttee Pres Required Y_ N
isetofEneigyCalculations qdddiwr-indicatei(on-58esepticsystem OnsileSep4cSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Ophons selection sheel (bwldings with 3 or less units)
Date / ~~o-5- /`/'yr- f I Construction Cost
Site Address y,~ ` J~tA UniUSte #
r?I Itl ss/a a
Description of Work ~ /,g(/U S
Multi-Family Bldg _ Y k N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #
\ \ ~
Contractor
Address r City I/V /
State Zip Telephone #
COMPLETE THtS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilation Catagory 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
. Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 far a perniit, 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.
. e i~ ~O
M"-
Applicant's Printed Name App icant's Signature
OFFICE USE ONLY
Suh Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool CI 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 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 Buitding` ? 43 Reroof ? 46 WindowsJDoors
? 34 ReplaCemOnt •Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code 2oning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprirtklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footmgs (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
' Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Fina]
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retainmg Wall
Approved By: , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
l,icense Search
Copies
Other
Total
.a~
712
2006 RESLDENTIAL BUILDING PERM[T APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651fi75-5694
NewCarntruqqn ReouiemeMS PkemodeVRman Reaueemenis OI(xe Use Onlr
3 regsteretl sie mrueys showingsq ft. M bL Sq. fl. af house: ana a6 raofed areas 2 capres ol pfan shaxirg foo"s, 6eams, psls Cerl o/ Survey Recd _Y _ N
(20%mmcmumbtwveragealbu.eo) 15etofEnagyCalculaWnsfnhealedaddilbre TreePresPlanRecd Y _N,
2txpiasNplenshowingbearn8vnntlows¢es,pptredfamddesgn,elc. isdesurveytaradcNfionsBdecks TreeResReqwed Y N
lselofEnegYratulatiots AddiUoo - hd'fceteff ansitesepGcsystem On-siteSeplmSyslem _Y _N
3 wpm of Trea Preservation Plan t Id plaMed ader 717093
Rm,bislDeW OptimsseleclionsAeel (OuildngswM3alessurrils)
Minnegesco mechunicd veotilation fo+m
Date U/ / ) / 0~ onatrv ionCast /DOr'~~70
site naaress /1 -0 1 If/ uo;trste a
DescripNon of Worlc
Multi-Famfly Bldg ~ Y x N Fireplace(s) ! 0 _ 1 ^ 2
\
l I
Property Owaer Tclephoue
\ ~
Cootraclor raA-&I l
Address City
/
State Zip Telephone # )
COMPLETE THIS AREA ONLY tF CONSTRUCTING A NEIAf BUILDING ~
Energy Coda Category - Minnesota Rules 7670 Cateeorv i _ Minnesota Rules 7672
(J wMrcssion rype) ' Resklentiaf Verrtlla0on Catagory 7 Worksheat • New Energy Code Warksheet
Submitted Suhrmtted
• EfreFgy Emelope Celwlstions Submitted
In fhe last 12 months, has the City of Eagan issued a permit for a similar plan basetl on a master plan2
_ Y ^ N If yes, dote and address of masier plan:
Licensed Plumber Telephone # ( )
Mechonical Contractor Telephone # { ]
Sewer/Water Conhactor Telephone # ( )
I hereby apply for a Residential Btilding Perrmt and aclnowledge that the infortnation is complete and accurate;
that the work wilt be in conformance -%vith the orclinances and codes of the City of Eagan and the State of MN
Statutes; I imdecstand this is not a pernrit, but only an application for a peanit, and work is not to start wnthout a
pemuY, that the wadc will be in accordance wiffi the approved plan in the case of work which requires a review and
approval of plans.
~ *0/~~
ApplicanPs Printed Name Appli 's Sign e
Z'd 0I266LSTS9 ajooW ,}faC e9Z:80 90 TO u^C
RESIDENT OWNER
4 PP ii 1
�'1 CA
Name: P Qt1,t t S Phone: 10 a C� I t 15° (t
Address City Zip: L, t 51A, v C I. 44
tU
CONTRACTOR
Name: ra r i■ i Inc` 11,0 vi Pi
License
Address: l0 L i d C. k v Q pevt B ate Ave
t
City: City: O TI i h 1 (O v` State: rvi V Zip: 550 a `I'
pQ
Phone: (S t '-t C7ontact Person: �J YVt V)Ct. t1
TYPE OF WORK
New K Replacement Additional Alteration Demolition
I m o Dim* 411 c a C e., rt lace.. mc- y\
NO groin mou ►t a asy f City
de. ct tJ hanical ctor f �►rm
PERMIT TYPE
a/ RESIDENTIAL
I!► Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under Above ground Tank Install Remove)
Other
When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) CO -6 6 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value x 1%
Permit Fee
If Permit Fee is Tess than $1,000,
Surcharge
If Permit Fee is $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
TOTAL FEE
4 0 1 Oily of Eagan
2009 MECHANICAL PERMIT APPLICATION
Date:
f v wa O c t Site Address: 4 u0 A. 9-o Tenant: Q 1m t t. 1� cc. cp Vt,i
x
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
x
Applicant's Signature
Suite
ann:wQ Lcni
Use BLUE or BLACK Ink
Permit C 7r 7
Permit Fee: V
Date Received: /l /r 2 7
Staff:
J
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
1heen
RESIDENT OWNER N
Name: Ph; 1
1
CONTRACTOR N
l
�I! j t
City: 1r M l V` State: Zip: 5 1"
5
Phone: (Ds q 3.- Contact Person: 31 IV\ Dan
TYPE OF WORK
New 1 Replacement
R
PERMIT TYPE R
RESIDENTIAL
X Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ
P
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
(includes $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
C!tyofEaaail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: b-a3 -dq Site Address: `"t a I 3 L.vt C r tfT Ra
Applicant's Signature
Use BLUE or BLACK Ink
Permit 7
Permit Fee: C r
Date Received: 27
Tenant: Suite
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
av\ `Th PAP VI
Applicant's Printed Name
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117978
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 4271 Sun Cliff Rd
Lot:21 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-210
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 .
Lisa Nyberg
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 -
Cheryl K Rohrbach
4271 Sun Cliff Rd
Eagan MN 55122--225
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118848
Date Issued:11/08/2013
Permit Category:ePermit
Site Address: 4271 Sun Cliff Rd
Lot:21 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-210
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 .
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 -
Cheryl K Rohrbach
4271 Sun Cliff Rd
Eagan MN 55122--225
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature