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4280 Sun Cliff Rd ciTY oF E-L,;aro 3830 Pilot Knob Road WATER 5f1iY1Ct PERMIT ' P. O._Bax 21199 PERMIT NO.: tegan, MN 55121 DATE: ~ ~ ZanlrtQ: 1 1 Rsr; No• of unirs: OWfiQ?: i~O7l1E' S AddnESS: SitA AddrlSS: fi n ~`clumber. i J e` ilr l i I r,( 2 MeMr No.: 35- lo y 6 O]] ~ ~'SiZE: " ~-T,"~~'°p Churge; 5'~'J . DO nr] ficoount Deposir. - . " Reoder Nc.: L~_L c°~i S 7,~ c( Permit Fee: 1osrw Fs aorerly wlli tiw pry eF le9ep Sur+charge: . ondiaa.ws. Mrsc. a,orpes: 32. 00 (i Total: i,'2 nn „ a 'nPf-er Dote of In Dae Pald: sp" insp.: 1• i. G_ f. ss s 3830 Pilot Knob Rosd wA19R bERVICE mmff P. O. Box 21199 < PERMIT NO.: Eagan, MN 55121 ~ ~ DAtE: -7 , ' Zbning: 1 Owrw r~, No, of Units: 1 Add1'lSS: SiM Adclrcss; 4280 SuII C f f 37 1 L~ c Plumber: r 'n-Pgi,.T~ F~ t.!•~. : ~ r Mster No.: ~ Slu: ned(on Chorge: 500,,x} =~v Reoder No.: ~~unt Deponit; - Penntt Fee: . " ~ w~ ~y vl1~ NM C1hr of Eeqa¦ 5urcharge: Mtsc. Ctwryes: Totcl: B Y Date Poid: r DaYe of Insp,: Inap„ { ~ CITY OF EAGAN SEWER SERVICE PERM 3830 Pilot KR~ b Road rj f P. O. Box 21199 PERMIT NO.: 7222 f Eagan, MN 55121 ~ Zoniny: R1 DrITE: - - ~~r ~M H~ae No. cf Unita: 1 f ! Address: ~ Site Addreu: 428Q Sut~ Cliff Road LI3 B3 Sun CZ1ff 2Ad i Plumber. ~ e.e i e F tmt p ! 3-25-85 503 4 eOn. t~e ee~py w1lA ehe cier,f 00• pd ~ O~diMnea. eisO" CO^ne~on Ohwpe: 425. On Ad ' Account oepostt; IS.00 d I Parmit Fee: 10 . 00 n d ~ B Surchorps: .50 pcl ~ Y Misc. Chargm ~ Dota of Insp.: Total: L '?sp.: Doh Paid: ~ CASH RECEIPT ~ CITY 4F EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ~ DATE ' ti 19 , RiCE1VLD . , FROM AMOUNT $ I $ DOLLARS 1 oo ? CASH ? CHECK : i •OR FUND COOE AtAOUNT . ~ - Than ou BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt • MECHANICAL PERMIT Permit No. CITY OF EAGAN ~ / . Fee ?0.0n Fill in numbered spaces S/C .511() Type or Print legibly Tot. 70. 50 1, Date 4-1-=-L5 2. Installation Cost 3. Job Address.! ~80 uncliff ",cLot 1 Blk. . Trac't 4. Owner , 5. Contractor ' . i ,T Phone i . 6. Address 7. City ;":~ls• ~ State .,1• zip 551 f`7 ~ 8. Building Type: Residential 13 Commercial ? Institutional ? 9. Work Description: New CR Add ? Alter O Repair ? 10. Describe In^t 11 fOTCet? <dr h('!Ain,Tuel Type Mn r, 11. No. Equinment 9TU - M. Ea. No. Equiqment CFM 1 Forced Air ~f) ,sCoo Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, 1 Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes govemipg 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 Reafipt PLUMBING PERMIT„ , Pepnit No. CITY OF EAGAN ' Fee ~ Fill in numbered spaces S/C Type or Print /egibly Tot. % ~ • 1. Date 2. Installation Cost 3. Job Address Z.) - Lot Blk. Tract 4. Owner sA 5. Contractor Phone 6. Address 7. CitY State Zip 8. Building Type: Residential ~ Commercial ? Institutiondl O 9. Work Description: New Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 8ath tubs Septic Tank i' Lavatory Softner ? Shower Well ' Kitchen 5ink Urinal/Bidet Other , J L.aundry Tray ~ , ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 Rouph f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 CITY OF EAGAN n 9 5 ~ 3830 Pilot Knob Road, P.O. Box 21-159, Eagan, MN 55121 PHONE: 4548100 QUILDING PERMIT Receia+ # To M wed fer Est. Vclue r~7 . f;r, Dote 51te Address Erect Q Occupency LOt BIOCk ~•/Sub. ~'r * . Remodel ? 2oning Repeir ? Type of Const. t~ Psrcel No. Enlerge ? No. Stories Move ? Length "s c ~ Name - Demolfah ? Depth ~ r ~ Addresa Grade ? Sq. Ft. City ' T. VAhone Inatell O App?orah Fea ~ Name c t Asseument Permit t 9~ Addresa Woter a Sew. Surtharfle U ~ City Phone - Po1iu Plan Review. tCie Name Fin SAC ' W z~ Address Erq. Woter Conn. tW City Phone Pionner Woter Meter Council Road Unir I hereby ocknowfedfla thot I haw rcod this applicotion and stote fhat gldg, pff. 3;~22i b~~ .4601; ~ the iniormntion is correct ond o9?ee to comply with oll applicublt A~ Total State of Minnesoto Stotutes ond Ciry of Ea9on Ordinonces. Var. Date Siynoture of Pennittee N Buildiny Permit is issued ta - on tFa exprcss corditlon lhoi olt work sholl be done in cooordance with all cpplicable State of Mfnnesoto Stotutes nnd City of Eopon Ordinonces. ~ Buildinp Offitiol Permit No. - Pamk Holdw Dato Telephone # Piumbinw L a_.k~ ' r-l c c HNA.C. 'l/ ' c ~ - B ~ ENctric 31- ~f D Softowr Iropection Data Insp. Other Footinys Foundation Framinp e f Roofinp Rouph Plbp. Rouph HVA Inwlstion Final Plb¢ . J Final HVAC / - ~pq 1 ~ Final cWt/oec. wanr Wscribe Location: YYsll SOvAr Pr. Dup. L INSPE TIDN RECORD - CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4676 SITE ADDRESS: APPLICANT: ~ • i , PERMIT SUOTYPE: TYPE OF WORK: INSPECTION DA . F ~ L Permit Holder Date Talephone N PLUMBING HVAC inspectlon Date Insp. Comments FOOTINGS ~ FOUND ~ FRAMING i ROOFING , I ROUGH I PLUMBING I PLf3G AIR TEST I ROUGH HEATING GAS SVC TEST INSUL GYPBOARD I FIREPLACE FIREPLACE AR TEST FINAL PLBG FINAL HTG I ORSAT I TEST I BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTA7IC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL This reques[ w,d 5-3-d•~( 16 months fmm HOAR L t 3, g 3 Ne.4uer,t Date ~ Fre No. Rough-in Inspection flepu r ~Ready Now - II Nulify Inspec- or When fleatly m~ J 'os ?NU 1,11 y~~censeA Eleclrical Contractor 1 hereb y reques[ inspection ot above ? Owner eleclrical wwk irmtalled a[: Sheet AdOress, 9oz ar Route No, City 6' 641' Ab C'AI6a,J cuon o. TewnshiD Name or No. Bange No. Comly DAK aT'A- Occv ~ nt (PflINT) Phon¢ No. ~ y Power Suppli¢r Atltlress ~~j. Ni AJ(a TZ1,,-) EI Vicel Contract r (ConVany Namel Co trar.tor"s License No. CE ,4 t~~T ~ NG. O 57a-S Mailing Address (COnhact or Owner Making Ins ilation) C LE ,*L(.C AuMoriz iBnature IConrcacm Ow r Making Iretalla[ionl 1 Phone Number nae ` 73 ( YINNFSOTA gTpTE BOA OF EIECTRIGITY THISCINSPECTION REQUEST WILI NOT Griggs-MidwaY Bldg. - lbom N-191 BE ACEPIED BY THE Sfq7E BOAPD 1827 University Ave.. S2. Paul, YN 55100 UNLESS PROPEB INSPECTION FEE IS Phom 1612129]2111 ENCLOSED. REQUEST FOR ELECTWCAL INSPECTION 'Ift Es-°°°°i'a ' ' See inshuctions for compieti'g this fpm on backof wllow copv. ('/~~f~ 525~$4 "'X"" Be/ow Work Covered by This Request Ada Rep. rype of Buileing Aoolianees Ni.eA EauiParent wired Hortie Range Temporary Service Duplex Water Heater Ligh[ing Fixtures Apt. Building Oryer ElecVic Heatfn Conmercial Bldy. Fumace Silo Unloader I~d~~strial Bldg. Air Corditioner Bulk Milk Tnnk Farm Ne, cec, h Oth"r ISUecilvl 1 r Suco(y ther Other, ompu[e lnspection Fee Be%w I N Pee ServiceEntranceSiza k Fae Feeders/Subfeetlers N Fee Circuits Q 0 to200 Affips 0 to30q S Q Z• 0 to30Am Above 200 A . 37 to 700 Amps , O 31 to 100 q Swimming Pool Above 100_Mips Above 1100_Affq~ Transfofiners Irrigation Boorr.s Partial'OMer Fee Signs Special Inspec!ion g TOTAL FEE Nemerks C~ Rouph-in Date 1. tha Eleetrical Inspactur. hereby cay ify that tM abpve Finul r D.I. -(~pactipn has been beer . ` CITY OF EAGAN N° 0 9 9 9 5 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Re«im # Te M wad fer cF nwr_ /r_an Est. Volue 57. 00 ~ Dore MnnCv 25 , 19_-" SiteAddrese 4280 SUN CLIFF ROAD Erect F.;l Occupency R-1 Remodel 2oning R,-j Block 3 Sec/Sub. G[TN r•r_Trr 2 rin ? Lot j:3 Repair ? Type of Conrt. V Parcel No. Enlerge ? No. Stories Move ? Length -46 y ~Z Name RSM HnMF.S Demolish 11 Depth 46 Z Address 14486 IIPPF.R (-,lj',[fj,jjj,E rT Grade ? Sq.Ft. b CityAPPT.F. VAT.T.F.{Jhone dZS-RRFA Install ? Name RSM HnMF.R Aoorwak Ftrea ~ Assessment Permit ~~d ~0 Address c~ WaMr & Sew. Surcharye 28_ S 0 • City Phone Police Plan Review 7 S7 f10 Gw Name Firo $AC 525. Q0 13 Address Enp. Water Conn. 500.00 ~ W City Phone Vlonner Water Meter 63, 0 Coundl Rood Unit 28f) - n 0 I hercby ackrwwtedpe thof 1 haw reod th aOVlicntion ond stote that Bidg. Off. 3 22 8S xsclmTP 132. 00 the inlormotion is torrett and ogr Yf ~o mpl ith naall o~icoble APC Total 7 qRA S!1 Srota of Minnewto Statutes a C' f E fn -----r~ Ver. Dete Sipnoture of Permittee A Buildin9 Permif Is iuued RSM F:nMF.4 m fhe expren cadifbn Ihat atl work sholl be done i co nee wiqrj oll applicoble State of Minneaota Statutes ond City o{ Eoqon Ordinorxea. 8uildin9 Official A.l CITYOFEAGAN Remarks Addition SUN CLIFF 2nd Lot 13 elk I Parcel 10 77976 14(1 f13v Owner Street 4280 S++n CjygF peyd. State EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF, 1985 369.37 24.62 15 344-75 C010 21 6-26-8 STREETRESTOR. }ggg/075' 1986 -235-7:-53> 431.51 5 02/ S, 5e -/O(a G lG-1-B$ GRADING ~75, S,3 SANSEWTRUNK ~a 1970 4$.64 1.95 ZS 17.60 if SEWER LATERAL * 212.51 it SEWER LATERAL 999 1986 829.62 165.92 5 a, a C- O O /U-F-F - WATERMAIN WATERLATERAL 1000 1986 942.60 1$$.$2 5 9 a.6o C-/U(o r'S WATER AREA 19 62.34 4.16 15 8.39 " " WAT L T BEN i-E~On 1986 57.88 11.58 5 .?P - lolo o -XJ STORMSEWTRK p F197 Lfj1.72 $.09 20 ~j,0.52 11 11 STORM SEW LAT * S/W SERVICE 1005 508.77 161.75 5 ZG. 7 a& o /0-d'-P5 CURB & GUTTER ' SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 /o,/ C-/()(, o /0-9-95 WATER CONN. it I, 900-00 BUILDINGPER. 9995 SAC u n PARK i City ot Eagan Cash Receipt Receipt Date 7/25/2006 Receiyt Muaber 112413 DpYCARE INSPECTION 1291.4216 5&.00 4280 Si1P7CLIFF FQ, ELiGNN Total R?ceipt Roount 52.410 1141249 9:17:39 RESIDENTIAL BUII,DING %2-73.,2 S Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reauirements RemodeVFteoaii Reauiremenls Otfice Use Onlv 3 regisfered site surveys shaving sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N (20°h mauimum lot coverage allaved) 7 set of Energy Calculafions for heated addNons Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & windax sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Reqd _Y _ N isetofEnefgyCalwlations Add'rtion-irMicateifonsitesep6csystem On-siteSepticSystem _Y _N 3 copies of Tree Preserva6on Plan if lot platted after 7l1193 Rim Joist DeTail Options selec6on shcet (bldgs with 3 or less units Date ` i2- l0 -3 Construction Cost Site Address ~~2 $O S c,„ CL1'.r Rd UniUSte # Description of Work e^ s iml Multi-Family Bldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 Property Owner c ~ t...9 u hone y- 63 (y Z rr7r? r U IS Contractor r- V,l.e Address ?r~ ! 0 (N J-I,.. G City v) Su State YU I ki L-Tel ae e#(gba ) S3 0- 5G3 a. 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 (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( J 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 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. Applicant's Printed Name Ap licanignature 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. Att - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Sdicco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Wmdows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total • /~o~ ri ~ 1985 BUILDING PERNIT APPLICATION - CIYIf OF EAGAN NO?E: ALL CONTRACiORS MUSi BE LICENSED ilITH TNE CIiY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY U 1 SET OF ENERGY CALCULATIONS To Be Used For; rValuation: 51,a-'~ ge~ Date; Site Address: d " OFFICE USE ONLY Lot: Zs_ Block ~ Sect/Sub a-Erect X Occupancy R-3 ~ Remodel Zoning ~ Parcel 0 ~ Repair Type of Const ~ Enlarge U of Stories Oxner Move _ Length 36 Ad~ ~ Demolish _ Depth 4 G , Grade Sq Ft City/Zip Code Contractor j A/Y9L?' APPROVALS Address Assessments Permit ~ O 4, Water/Sewer Surcharge 2g.so City/Zip Code police plan Review f 5 2'°° Fire SAC 525.°= Phone U EnBr Water Conn Planner Water Meter =0 Arch./Engr Council R9 ad Unit Bldg 0£f 3-ts-Y>~arks Address APC Treatment Pl ! 32.°` Phone 8 variance ~v ToTAL C. R. WINDEN 6 ASSOCIATES, INC. QC~G~ V ?ANO }URVEYORS Tol 640• 3i4{ 06I EUSTIS SL, Si. PAUI# MINN. 6810• For : V'r R. S. M. Homes ~i : r. NoIE: f~V t,. Scale: 1" = 30' c Denoces unoden Stake O Denotes Iron Propo.ed Garage Floor E1.=904.83 Monument (90G,S) Den.tes Proposed Finished Ground El. Denotes Direc[ion Cf Surface Drainage Certical Datum - N.G.V.D. 1929 `~5e~-!Er' ~~~•I 4 t ?a~~ / ? C L~'~ _ r ,~1, J I r' / I fgp~ I 4! ~ r N ),Jse r.. C1 30 ° P"oPoSed p y , 1 ~o I ~ I ` Lot 13, HloCk 3, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE MFiE6Y CERTIfY THA7 TMIS IS A tRUE AND CONRECi REiRESENTATiON Of A SURVEI' OF TNE 60Ur/DA4iE5 OF 1ME IAND A60vE OFSCRIlED AND OF iME IOCATION OF All 6UIlDiNGS, IF ANY, TMEREON, AND All V15161E ENCROACMMENTS, IF ANY, FROM OR ON SAID IAND Doiod rh„ :"14 day of A D IVaS C R wINDEN 3 ASSOCIATFS, INC. ( i bY ~-I'~~ i'-C•~ ~~'~Y-I`-F~l~ Svr.oror. h~,nn~~oro fcpisrroiten N. 772L FERMIT xITY OF EAGAN auzLozNG 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 033369 (612) 681-4675 Date Issued: 09/2 z/9$ SITEADDRESS: 428e suN CLIFF RD LOT: 13 BLUCK: 3 SUN CLIFF 2ND P.I.N.: 10-72976-130-03 DESCRIPTION: RERnoF & REPAINT Bu*id-frrg-~ Permit Type STORM CIAMAGE B,?aiktlingWq.rk Type REPAIR ensus Gad,e"434 ALT. RESIDENTIAL ' _awk~mr., _ - :~,~E't e: _ , .i . . . ` _ " REMARKS: FEE SUMMARY: PP SA'MPS'QN='LTTNDGREN ^ 117215546 0003129 PfA'RSFfAL'L MICHAEL 2228 E 35TW ST 4280 SUN CLIFF Rb MINNEAPOLSS MN 55407 EAGAN MN 55122 (612) 721-5546 (651)905-9221 I hereby acknowledge that I have read thi.s application and state that tho irtformation is correbt and egree to comply with all applicable State af Mn. 3tatutes and City ofi Eagan Ordinancss. L J APPLICANT/PERMITEE SIGNATURE SSUED BY. SIGNATURE . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) , CITY OF EAGAN L ^ 3830 PII.OT KN~O 7 RD - 55122 «I 6 New Construdion Requvements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window s¢es; poured fnd. design; etc.) ? 2 site surveys (erzterior additions 8 decks) ? 1 energy caleulatians ? 7 energy calwlations lor heated adddions ? 3 wpies of trea preservation plan if lat platted after 711193 required: _ Yes No DATE: ~ C [ LT CONSTR CTION COST; D E S C R I P T I O N O F W O R K: PZ) O ~Vt- rfi I V S E DDRESS: x~O J 5/.c/"tJ /,0* LOT: I~ BLOCK: ~ SUBD./P.I.D. S v~v~ Name:/ Phone#: PROPERTY OWNER oZ L t Street Address: City State: Zip: S-5/~'~ c V P Company~ Phone#: CONTRACTOR Street Addresso=~ License # City f~ 1~!Jd State: V~`~ Zip: SSY- 6 - ARCHITECT/ ENGINEER Company: Phone Name: Registration t#: Street Address: City State: Zip: Sewer & water licensed plumber (new consWction only): . Penalty applies when add2ss chan, and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortna on is rr a gree to m I w' I p'cat Siate of MinnesoW Statutes and Ciry of Eagan Ordinances. Signature of Applicant LS BV LS OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory 0 20 Public Faciliry ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 0 15 Deck WORK TYPE ? 31 New ? 33 Aiterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies ' Total: % SAC SAC Units ~ EEm z ./84 CITY OF EAGAN ~ APPLICATION FOR PERIMIT • SEWER AND/OR WATER CONNECTIODi (PLEASE PRIHT) 1) PROPER'I'Y ADDRESS: r.rrAr DESCRIPTICN: -Qv (Lrot/Bloclc St:txlivisicn or Tax Parcel I.D. Nurber) I'r' W:I::'=:G SZ1?LTCPTRE, DA'~' 0_° ORSGi IaL 'cuILD2:`:G P~:~1T ISSi;;4-~C: P.DWS= Z^`1IPF;/?'T?OPOSD US: R-1 SIJiGL: FA"~LiLY U R-2 GUPrE{ ('IStiID L'NITS) - ? R-3 'IGS,:i'v'f:C'i.`SE (7?R.7-- + L'VITS) ( WITS) ? R-S [Jiil?'j) Q CQti'ryIERCL~I,/RETAIL,/OFFICE ? I~i'DCS'I`-tLz~L Q NSTITI,TIO:IPS,/GGV~h~LME,.1'T Z) AppIS= (PLEASE ?RINi) NPME: A, ` twoREss: fayb 9 ~Z-Ur~ CITY, STATES, ZIP: ~ Yy~ yJ S'S 37 ~ PHOiNE: - &Q (D -29 3) pLUSER A n ~o~x \l ~ C~PLFN1$E~HT) , ~r' FOR CITY USE O4LY PLUNBERS LICEYSE: ADDRESS: L~( ~ 1 AMnfy ~ ~ Aetive CZTY, STATE, ZIP: ~23 Ezpired PFiONE: _ 6icn Q Not of Record 61) PLUMBER LICENSE N/J~Jp7,3~7 a nttta 4) Occ[JpprTl'/aVrIEF2 P ASE PRINT) rmrE: ,--~5 A/( ADDF2ESS = CITL, STATE, ZIP: PHOiVE: 5) INDICIITE S+iHICH PERhLIT IS BEING REQUESTID: a CONNF.CI'ION 'IO CITY Sa]ER ~ CONNFCT.ION 'Ib CITY SVATLR ? dMII2 (PI.L'A.SE DESCRIBE) 6) LNDZG,' r' C:E: ? PLEMSE HOLD APPRCIVID PER"1IT FOR PICF:-UP BY ONE OF ABWE ~ PI.EASE b*AII, ppPROVEp PERAIT 'ICJ 1.~ 3, 4 AHOVE (Ci`rcle one) 7) sZ~~am-RE: DATE: 3 o~~"~S ~R Ql:~.YlfeJS i~ i e~ lo:afeJ~ a s I.1f v.ss=iin~ F~ #s ~f ~ss~:1~ a a[ laaiJlFi~Yl~.~ S f~ 11t ~ i{I~s~r e FOR C I TY U S E ON;,Y ` PERMIT ISSUED FEES: ~ d. 5-0 SE;^iER PEB>'!rT (I_`ICL'uDE SU2.CF.?,RGc) +S /O_ ~ d 6VATEcZ PERMZT (INCiiJDE SliRCHARGr.) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE;dER TAP $ ..?nSI_ - ~_.._3 $ _ AC('OUNT D,F.ppSIT - 47ATER $ WAC $ SAC $ TRQVK [JATER ASSESSidE\T $ TR[iVK SEWER ASSESSyIE:IT $ I.ATEP.;L BENEFIT/TRUNK SE?dER $ I,ATEReIL BENEFIT/TRUNK 4VAT°R $ ~3a•~~ OTHER ' $ TOTAL A.tilOU:VT PAIDjqECEIPT # S o~~ 9 - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR *dORK WITHIN Prtar,TC RnnpwAv" MUST BE ISSUED BY TY,E NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDZTIONS: APPROVED BY: T I . LE : ~.~G.7 ~ , , - DATE: a- ~c•j iJ~ Rl= w no ia !m RM ro aF" ot-m1R m/! !i4 R!E iJ/ ~ ~ 2007 RESIDENTIAL BUILDING PExn-ttT nrrLIcnTtoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 NewConstruc6anReouiremmis RemodellReoalrReuuiremenls ".^3 registered slle surveys shovriig sq. ft. of bt sq. R of house; and II roofed areas 2 copies af plan shaving foo6ngs, 6eams, jasts i;,:-.'Y~:'r - N, (20%maximumlotcwerageaAOwed) 15etotEnergyCelcula4onsfaheatedaddilions ~,:f- 7 Soh Reportif proposed 6Wltlbg ~ to he p1aceU m disWr6ed sdl 1 sile suney fa atldi6ore 8 decks t,.~,~'Pf~'~ ry. 4yr'~=ria. 2 copies of pWn shwing bemn 8 vmidow sizes; poured found design, etc Add~ion - indicate flon, ite sep6c sysfem Tre~~ ~Ireda~;u"_=}?~;~4 ~`N 1 set W Ener9yCalalatims 3 copies of Tree Preservafion Plan if IW platted after 711193 Rim Jaat Odail Optians selecdon sheet (Wildirgs with 3 or less units) 65nnegasw medmical ven6YaGOn form Plans are considered ublic information unless ou state the are trade secret and the reason. Date~/ 1510,1 ConstructionCost SiteAddress y~~U S~NC~ p~ . Unit/Ste # Description of Work ?e( ~A(e- ~ Q `A ° Multi-Famity Bidg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner FNO L~ o~- ( PJiA..V t-- i/.) ( M1t~C Telephone 6 SI )~Y 3~/ ~ Cootractor l, ! PP--9 4 Address 7)4 • _ City R~~C State / V I(~ Zip ~9-f 2 ~ 1" Telephone # (JS' Z 3 q(.ll COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - MinnesoTa Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category . ResideMial Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submilted • Energy Envelope Calculations Submitled In The last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master planZ _ Y _ N If yes, daTe and address of masTer plan: Licensed Plumber Telephone # ( ~ Mechanical Contractor D~~ L ~ Telephone ) Sewer/WaterContractor M Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will 6e in accordance with the approv lan ' the c of work which requires a review and approval of plans. ~`~~~D~ ApplicanYs Printed Na e App ican ' Si t e DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Faundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt -Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 porch/Addn. (4-sea.) ? 33 Ext. Ak - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Adddion ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Buildin • ~ 43 Reroof 9 ? 46 Vlfindows/Doors ? 34 ReplBcemgM 'Demalkion (Errtire BItlg) - Give PCA handout to applicant DBSCrIqtlOtl: Wamr Damage _ Yes Valuation Occupancy MCES System Ptan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units S[ories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) REQUII2ED INSPECTIONS _ Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pooi Ftgs Air/Gas Tests Final _ Framing Siding _ Stucco La[h Stone Lath Brick _ Fireplace _ R.I. _ AirTest _ Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector --r___- - - - Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ï þ ý ÿ þ ÿÿ þýüûüûúú ùþþÿÿøûù þ îîýü ìâìíîî ÿõ ýüûú ù ñ ÷ ÷üú ù ø÷ú ù ñ ù ÷ùöü éÞ ÷ ÿ ü îïüù Ýÿ ýÜü ÷ ë ä ÷ ù÷ ù ù÷÷ þä ÷ ÷ ü ä ù ÷ôè ÷ û ÷å ÿ ü÷ ÷ ù û ü ù å ÷û ã ÷ ÷ ÷ Üü÷ û ô ÿ ä å ë æîðæåå ôù ýü÷ä ÷ÿ Û ü æîðæåâåâ Û ü îþå óò õñð ùù ý ÷ü îííñá ÷ñÿ áýüñ ü÷ á óõîîì ÿ óõ êíçíì ä ÷ û ô ÿ ä ä á ÷ ä ùù ä ä ÷ ÷÷ ÿ÷ ù ôä ùù û ý ó ý ü ÿ ï÷ å ùù è ÷ ü ýÿ ü÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA117938 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 4280 Sun Cliff Rd Lot:13 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-130 Use: Description: Sub Type:Reroof & Siding 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. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Biru Idie 4280 Sun Cliff Rd Eagan MN 55122 (612) 216-1186 Smart Construction 8432 Xerxes Ave N Brooklyn MN 55444 (612) 216-1186 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120130 Date Issued:01/21/2014 Permit Category:ePermit Site Address: 4280 Sun Cliff Rd Lot:13 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-130 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Biru Idie 4280 Sun Cliff Rd Eagan MN 55122 (612) 396-4112 Smart Construction 8432 Xerxes Ave N Brooklyn MN 55444 (612) 216-1186 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA135999 Date Issued:04/19/2016 Permit Category:ePermit Site Address: 4280 Sun Cliff Rd Lot:13 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Biru Idie 4280 Sun Cliff Rd Eagan MN 55122 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148952 Date Issued:04/30/2018 Permit Category:ePermit Site Address: 4280 Sun Cliff Rd Lot:13 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-130 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 - Biru Idie 4280 Sun Cliff Rd Eagan MN 55122 (612) 396-4112 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173648 Date Issued:11/23/2021 Permit Category:ePermit Site Address: 4280 Sun Cliff Rd Lot:13 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Biru Idie 4280 Sun Cliff Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature