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4284 Sun Cliff Rd CITY OF EAGAN 3830 Pilot Krwb Road WATER SERVICE PERMIT , . P. Q. Box 21?99 - PERMfT NO.: Eagan, MN 55121 DI4TE: 7--~ i Zoning: No. af Units: ` Owner: i eY Txin4 Address: . ~jsjte Awarem: r ~ IF, - 12 ,F,-Rq s U'n C7_ if f z z ? Plumber. •iAeter No.: ~ J~ _T. ,CogneGti9n, Chorge: ySize: - Aceouht `be~' sit: 1`. O O p d Reoder No.: permit Fee: - 10 1s9rN to oomohr wllh MN Cky of Ea"m Surchorge: _ 5f~n t OrJieenem ' Mtsc. Ctarges: 63.00 r('- r,ict er Totol: ] ? ~ , ~l ,)0 s C ' eY b Date Paid: Dote of Insp.: Insp ; i C1TY pF EAGAN 383. Pilot Knob Road WATER SERViCE PERMIT P, O. Box 21199 , Eagan, MN 55121 ~~IT NO.: . _ Zonirg: " T DATE: ' -e No. of Units: T,ar' "omes Address: SiM Address: Sun C'I1 ~'f r~r • tn r, l rt,r CI if f I I I Plumber: • . . ec. anc ~ Meter Na.. Connection Chorge: ~ ~ • d Sixe: n ~ /lccount Deposit: .77 Reoder No.: - ~ ; Pem,it Fee; 1 p"~ ~O °0"'ph' WHh !ie Ger of Eaom¦ Surchorge: . o1'l111OACm n ~ Mtsc. Cfwro,s: _ 63.00 Pd meter ey Torct: 13 2. 017 d s/ c Dote of Insp.: ~te Paid: i Insp.: CI T Y OF EAGAN SEyyER gERVICE pERM~T 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 D^TE- 2°^+n0: , T No. of Unitx: ~ Owner: r . Add?ess: S7te Address: 47F' 11 1' F d L j? r? c, L; n r;1 ~r r a T Plumber. ~ I T _ ~ 4 some tO (p111* 1Vkh so O~dinaeas. 4h ef 6e6ow Conneciion CAorpe: f~-~ •(`0 Aoaourrt DePpsit: I5.(?11 .d Permlf Fe.: S!~ . n G r. By 5urcharpe: Dofe af Insp,: Misc. CMrgm Totnl: Dat• Pald. ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# To be used for Est Value Date ,19 Site Address ' OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const m Name City Water , (Allowable) W PRV Require, - * of Stories 3 Address , ~ City Phone ' 8ooster Pump Length Depth , p Name S.F. Total ~Q Address FootprintS.F. P City Phone pppROVALS FEES ~ W Engr./Assess. Permit Name WW ~ Planner Surcharge z g Address ~ W Clty PhOne Council Plan Review Bidq. Off. SAC, City I hereby acknowiedge that I have read this application and state that the Variance SAC, MWCC information is cottect and agree to comply with all applicable State ot Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express cond ition that all work shal I be done in accordance with ail Parks applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building OfTicial I Permit No. Permit Holtlar Date Telephone # Plufmbing . H.u.A.C. L~ "211 E16CtfiC l/~ L? ~ ~.y.t Softener Inspectlon Date Inap. Comments Footings I Footings II Foundation Framing Roofing ~ Rough Plbg. A - Rough Htg. ' Isul. Fireplace Final Htg. Final Plbg. F- Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ' , - . • PERMIT q , PLUM8ING PERMIT CITY OF EAGAN RECEIPT ii 11117 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7-~ ~r CONTRACT PRICE PHONE: 454-6100 Site Address BIDG. TYPE WORK DESCRIPTION Lot Biock Sec/Sub ~ Res. 14 New ' ' - Mult. Add-on ~ Name ~.~+L - ' ~ Comm. Repair ~ Address Other c Gity n.j = 1 Phone - ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name c I I-Water Closet - $3.00 $ c ~ - Bath Tubs - $3.00 Address ; Lavatory - $3.00 O City E "A=. Phone •nz~~L ~Shower - $3.00 Kitchen Sink - $100 FEES Urinal/Bidet - S3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMin (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) - Well - S10.00 Private Disp. - $10.00 x Rough Openings - $1.50 SIGNATUF#E OFIKRMITTEE FEE: ' _ J STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ` • . • ' PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN N, MN 55122 DATE: PRICE ~Z,~5- 3830 PILOT KPHONE: 454e100 CONTRACT Site Address 4 SuA~J <<. 1 Fi = I i: BLDG. TYPE WORK DESCRIPTION Lot 1;'Block~ v ~S /Sub \ 1 • ~ Fies. New Mult Add-on Comm. Re ir Address /Z ~ c City Phone Other 5_y:. FEES Name RES, HVAC 0-100 M BTU -$24.00 c Addf@SS ADDITIONAL 50 M BTU - 6.00 O C~tY Phone (RES. HVAC INCLUDES A/C ON NEW , CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEfiiVllT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19/o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ':2 TeA) M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other , FEE ~ ~ . f' A_C. S/C: ATURE OF PERMITTEE TOTAL• ~ FOR: CITY OF EAGAN ~ CASH RECEIPT ~ CITY QF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ' 19 weceivcn FROM AMOUNT $ I & DOLLAHS ~oo ? CASH ? CHECK r 1I 4~ FUND CODE AIAOUNT ThankYou . B Y p White-Payers CopV Yellow-Posting Copy Pink-File CoPY CITY OF EAGAN ~ O O'I 5) . ` 3830 Pilot Knob Road. P.O. Box 21-199, Eapn, MN 55121 PHONE: 454-8100 dU1LDIN0 'ERMIT Rece+ot # T~ w w~d !er ' i::V(;/' :.1:t Est. Volue , i1 J U ~e :4r Ske Addren 4 2 8 4 U;.4 ! Erect (3 Occupency i,s ' '3 ;fit•: :i..` r F 1h;) Remodel ? Zoning Lot Block cec /Sub. Psrcel No. Repair ? Type of Const. Enla?ge ? , No. Stories KF?YL.":1'T; Move ? Length W Name . l: . Demolish ? Dspth 46 Addresa Grade ? Sq. Ft. 'r.l ~ . s•' 'E J City Phone 5 -1 2 3 Install ? , ~ -•.:"1 ' AoYrovals Eeet . Name , . A~~ Assessment Permit , Water b Sew. Surclwrye ~ • ) U City Phone ~ ;l . 50 Review . .0L'TSJ' Polica Plan Ci °C Name Fin SAC • IU ERQ. WCt!/ COtM. _T p uW City L~ Phone Plonner Wotsr N4tar Council Rood Unit I henby ocknowledpe thot I have rood this applicotion and stote that Bid . Off. s S' . ~~(J n the informotion is torrect and a9ree to com0IY with oll oDPlicabls 9 Stote of Minnesotu Statutes and City of Eoyon Ordlnanus. APC Total Var. Date Sipnotun of Pemnittes ' ` ~ ; A Bulldfr?g Permif Is luued to: on tFN exprass Conditlon Ihot oll work shall be done in accordwxe with nll oppHcable Stofs of Mlnnesota Statutes ond City of Eagon Ordinonoes. Bufldinp Offitial , I Porm(t No. Permk Ho1dK Date Telephone ik Plumbinq VV J- Sb D f H.v.A.c. e~~ .;2 7 Sa ~ 6 ~r' S~ ya ~ i Softwwr Irdp»etion Dste Insp. Othsr Footinyt ~ Foundation Framinp / Roofing Rouyh Plbp. Rouph HVA -s Inwlation Final Plbs ~ Final HVAC Final c.t/o«. Z ~ wm. wwib. l.ocscion: V"tl Sevwr Pr. D'ap. Raceipt PLUMBING PERMIT Pa?mit No. , ~ CITY OF EAGAN Fes Fill in numhered spacea S/C Type or Prin[ legibly Tot. 1. Date 2. Installation Cost j <ii , ~c,•,. L' i 3. Job Address / Lot Bik. Tract 4. Owner , 5. Contractor Phone 6. Address ~ f 7. City, / t . . ..r ' State Zip 8. Building Type: Residential U Commercial O Institutional O 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs ~ 5eptic Tank L Lavatory Softner ~ Shower Well ~L Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. E Slap 5ink 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 : _ - ~r ' '~f ~ for Rouqh Finsl Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt ~ MECHANICAL PERMIT Psrmit No, CITY OF EAGAN Fee fill in numbered speces S/C TyPe o-Print legibly Tot ~ 1. Date rT 2. Installation Cost r • 3. Job Address •F~ ~Y '~~~c 4Aot Blk. Tract • . 4. Owner I . j ~ • r. ~ 5. Contractor Phone ~ r ~ <f 8. Address 7. City ~ - State Zip = 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New 13 Add ? Alter O Repair O 10. Describe Fuel Type 11. No, Equi,Qmeni BTU - M. Ea. No. Eauiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mf9• Other Air Cond. Mfg. + Gas, Piping Outlets 12. I hereby certify that tfie above information is true and oorrect, and I agree to wmply witfi all orFtinances and codes governing this type of work. Signed : ! - _ . ' • , for Rouyh Finsl Inspections: Date Inap. Date Insp. This is your permit when numbered and approved. Approved CITY OF EA(3AN 464-6100 ~ RESIDENTIAL `f BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConsWction Reaulremenla RemodeUReoairReauirements • 3 2gistered site surveys showing sq. R af bt, sq. it of house; ancLfl mofed areas • 2 copies o( plan (ZO% maximum bt coverage aibwed) . 1 set at Enragy Calculations for heatad additions . 2 mpies ot plan showing heam 8 window sizes; poured found design, etc.) . 15fle survey for exlerior addPoOns & decks • 7 setof Energy Cakulations . Indicate'rf home served by septic system faradditions • 3 capies af Tree Preservation Plan If lot platted after 711193 . Rim Jost Defail Optlons selection sheet (bldgs w%h 3 or less unils) DATE , han/b I VALUI[ION 3qS1Z) •oo JOB SITE ADDRESS -AZ `d A gu r1G1 (N7 If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNERe-herti TYPE OF WORK-Te-Po~`-F' FIREPLACE(S) _ 0_ 1_ 2 APPUCANT PHONE# AIA-4 ~ 14k_o(_o ADDRESS A2S g ZIP CODE 56 1 1 `l PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.F.S 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submittad Plumbing Conhoctor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinlcler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Meclianical System Includes: _ Air Conditioning • Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor. Phone # All above information must be submitted prior to processing of applicafion. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Siate of Minnesota Statutes and City of Eagan Ordinanc/e; Slgnature of Appllcard - ( Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY . 0 Ot Foundation ? 07 OS-plex ? 13 1&plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt- SF O 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N O 25 Miscellaneous ? 31 New 0 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolftion (Entlre Bldg only) - Glve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City W ater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing ° _ Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Franvng _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By , Building Inspector Base Fee-- - - Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatrnent Plant Piumbing Permit Mechanical Permit License Search Copies Other Total ~ This requesl vofd/~~~o y7 18 months fmm ~ 6 613 8.c-1,2,,6-1 RequesI Uate ire No. Nnugh-i"Insuecuon 1An~/ p flepmretl~ ~~Ready Nuw ~'Will Npufy Insuec- 11 ~Yes ?NO tor When ReadY ? Lidensed Elactncal Convaclor I heraby request inspecHOn of above ~Ownar eleclricel work installad etStreet Address, Box or Rou[e No. Cily SUn; i:uFF RO FJilrqAJ ecfion o. Townshio Name or No. Range No. County Dr~Ysr~ Occupant IPPINTI Phane Nn. CNrRft /-IUFF y 51~ -7944 Power Supplier Address (a4KCiif EL.ELigIC Electnr,al ConVaclm ICompany Namel Conuuctur's Licanse No. MailinB AtlJress (Conhacmr or Owner Making Installauon) Authon ed Si naar IConhacrodOwna• Makiny Ins[allatiunl Phone Numbcr ~ 't54-?9VY MINNESOTq STATE BOARD OF ELECT0.1CIiV THIS INSPECTION HEQUEST WILL NOT Gr.09s-M.dwey Bltlg. - floom N•191 BE ACCEVTED BY THE STATE BOARD 1821 Univerxitv Ave.. St. Peul. MN 55104 UNLESS PNOPEfl INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED, ~A.-q~~17 REQUEST FOR ELECTRICAL INSPECTION hee-ooooi-os , See inmrucbeefis lor completing this farm on back of Yellow co0v. / 9.,s71yOv ~ b613 8 "k " Below Wak Covered by 7his Requesi AAd Rep. Type oi 6wld,ng Aoolancea Wved Equiuinenu Wved ~ Home Range Temporary Service Duplex Water Heater LiyhLny Fixtures Apt. Bmlding Oryer Electnc Heabn Commercial Bldg. Fumace Silo Unloader Industnal Bl(iy Au CondiUOner Bulk Milk Tank Farm otnrr oa, v Omrr Isucc00 t e, uec~(v Oihcr O'he, vmpute lnspecuon fee Below p Fee ServiceEnlrenee5ae k Fee Faxders/5ubleeders IX Fee Grcutts 0 to 200 qm>s 0 to 30 qm s 0 to 30 An )s Above 200 qfnpy 31 to 700 Amps 31 to 100'Am s Swimming Pool Above 100_Amps Above 700_AmPti Transiormers IrngaLOn Booms Partial- Olher Fee Signs Spec.ial Inspectiun Hemarks Sa(f`~1~0 TOTA ~ f P Roueh-in - 1 Dme I,the Electrical Inspec[or, hereby , 4 7 cerply ~hat tM1e abova Final ~.e p inspecnon has ~een 1.2 ,.7! made. this re4uest voiC 1B moniha irom This re4ues 18 mpn l void P ~'?.ar ths from / 4 ' E 27549 .3 Request pte Gire No. Roug ` Insuer.tion Reqy~~N? atly Now QWill NoGfy Inspec- / p ~yeS [or WM1en fleady ~censed ElecVical ConLac[or I herebY requast inspection of above E] Ownet elocvicel work msteiled at Stree[ AAdress, Box or Route No. CitV ~7l y SqN cIL&f- ICoi43 ~G4rJ •ection o. Township Name or No. Hangc No. Cou'dy Ql~KA ~ OccuOant (MINT) Phona Nn. Cl4fr: yL Z 't Power SuDVlter Address Electncal ConVactor ICompany Namel Convar.lor"s License No. (s;~1.~~1C~ %wC, ~`a~ Mailme AtlJfess (Con[raC~m or Owner Makmg Instailatwn) Y 3;? P/06f, wiao 7Q/;cL ~~kv rn.u s"s~la ~ gna AuMo~ze Siwr. 1 ~~p,nhac odOwner Making Ire[nllabon) Phone Number ~A~ ' LYc ~fsa~3j3 j MINNESOTA STATE BOARO OF ELEC77iIGITV 7MI5 INSPEGTION PEQUEST WILL NOT Gr~ggs-Midwey Bltly. - floom N-797 BE ACCEPTEO BY TME STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS Phone(612)642-OBOO ENCLOSED. REQUEST POR ELECTRICAL INSPECTION ea-ooo~o^i-os ~}7 , See instructians lar camolelinB this form on beck of yellow copy. E L 1 5 4:~ "X" Be/ow Work Covered by This Request Htld Nep. Type ot Bwlamg APOliancea Wtretl EqunVment Wired Home Range Temporary Service Duplex Water Heater lighUny Rxhures Apt. BwlAmg Dryer Bectnc Heatin Commercial Bldg. Fumace Silo UnloaAer - InAustrial BIAg. Au Conditioner Bulk Milk Tank Farm Oche, oeu y ther ISnodly) ----Ot .r Ucc~fy ther 01hcr nmputelnspecbon fee Below M Fee ServiceEnhence5ize tt Fae FeeAers/SUbleeders b Fee Cvcmts U to 200 qm s 0 to 30 Am s 0 TO 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 qm - Swmming Pool Above 100-Amps Above 100_F+mUS $Cl ParLal.'Other Fee Transiormers Irrigation Booms .4E Signs Specialinspecuon ^ T~ Remirks S~y,SQ E Rough-in Dnte ElecVicnl Inspectoq heroby wrtily Ihet cha above Final ( ~.1./~'j~e~/~ mspection has baen 1. !iW meda. Tlrie requeat vo1G 18 monllre Irom This reauest wid ,'4 S' f33 a11~ S-6 V flequest Date Fire No. Rough-in insceciion /N~r/ ilequ~r ~Rpady Now I No1ity, Insp¢c- ~ ! tJ ~ ?N~ lor When fleadY ~-GCe Elec cal Contractor 1 hereby request insoecUOn o1 above ? Owner eleetrieal work instelle0 a1: Street AdAress, Box ar flou[e No. CitY ecbon o. Township Name or N. Range o. Coun Occupant (PRINT) Phone Nn. Power u00h AEdress S C/LJ Electn Convaccor (CO ny amel. ~racto's Licensrle No. dine .4ddres , lConlracmr or Owner Making 1 tailationl • ~O` , /'C%L7 p.~ ~J Auffiorized i Nre ctor Owner irg InsTa tionl P+one Number _ ' ~ •-.-1%~ MINN p STAT ARD OF E LM~ ICITY Tt1I5 1 SPECTION REQUES WILL NOT Gri -MiArey Bldg. - Room N-191 BE ACCEPiED BY THE STAIE BOARD 182 University Ave., St Peul, MN 55104 UNLE55 P0.0PEP INSPECTION FEE IS Plqre (612) 2972ti1 ENCLOSEU. . alR ELECTRICAL INSPECTION EB-0,0001-0+ _ instructions for complatng this iwm on beck of Vetiow coOV. "X" Below Work Covered by This Request ep. Tvue o( BvilCing Apptiamas NireC EqufDoreM Wired Nome nge Temporery Service ~ Duplex Water Heater Lighting Fixtures Apt. Buildmg Dryer Electnc HeaLn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner 8ulk MtIk Tonk Fgrm Other peci 01her (Specify) t .r ISUCCrty Othe, Othei ompute lnspec[ron Fee Below # ServiceEnhanceSize N F¢¢ Feetlers/SUbteeders # ee Circuits , 0 to 200 qm s 0 to 30 Am s " 0 tn 30 Am s Above 200 Amps 31 to 100 qmps 31 to 700 Amp, Swimming Pool Above 700_Amps Above 700_Amµs Transiormer5 Irrigation Boorrs (J' Pattiai%Oth ee 1 Signs Special Inspec±ion TOTAL F/ ~ Remarks ,3 7' { J Rouah-in Date , , the Etncal Inspector,lechereby cer~iry [hat the abova Finai D~a7te ~~pection Iqs Geen 1d ~mae. C . (.T.2 (ryiy repuest voiE'I B mOmhs imm . ~ CITYOFEAGAN N_ 14465 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ~ 93 /~S' ~O~ ~0 Receipt # To be used tor BASEMENT Est. Value 41-'7011 Date DECEMBER 1 1987 Site Adtlress 4284 SUN CLIFF RD OFFICE USE ONLY Lot lZ Block 3 Sec/Sub. SliN CLIFF 2ND OnSlteSewage _ Occupancy MWCC Systam _ Zoning ParCelNo. OnSiteWell _ (Actual) Const a Name CHERYL HOFF Ciry Water _ (Allowable) = Address S~E PRV Required - # of Stories ~ City phone 454-7944 BoosterPUmp _ Lengih Depth ,o Name SAME S.F.rotal ~Q AddreSS FootprintS.F ~ City phone pppROVALS FEES u~ Engr./ASSess. Permit ~29.00 w W Name ! z Planner Surcharge 1.00 x . Address a W GtyPhone Council Plan Review Bldg. Off. SAC, City I hereby acknowletlge that I have reatl this apphcation and state that the Variance SAC, MWCC mformation is correct and agree to comply with all applicable State of Water Gonn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Buildmg Permi[ is issued to: CHERYL HOFF Treafinent P1 on ihe express condihon that all work shall be done in accordance with all Parks applica6le State of Minnesot~tStatutes and 'ty of Eagan Ordinances. 8wlding Official ~ r \ TOTAL $30.00 ~ , CITY OF EAGAN N! 10 015 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 BUILDING PERMIT RecelVt # Te M uwd fer SF DWG/GAR Est, yalue $52,000 pO1e APRIL 1 1985 SiteAddreaa 4284 SUN CLIFF RD Erect Ck occupency R3 Lot 12 Block 3 SM/Sub. SUN CLIFF 2ND Remodel ? Zoning Ri. Parcel No. Repair ? Type of Const V Enlarge ? No. Stories KEYLAND HOMES Move ? L.ength 38 ~ Neme Demolish ? Depth 48 pddrms 3471 W 173RD ST Grade ? Sy.Ft. c;ty JORDAN phone 435-3323 in,can ? c SAME AVO•ovab Fee. Name Address Asseument Permit 289.00 ~ Clty Phone Woter & Sew. SurcMrqe 26.00 Police Plan Review 144 - SQ GW Name DENNIS HALLQUIST Flre SAC 525.00 5001 W 80TH ST x~ Address Erq. Wahr Conn. 5 0 .O O ~W City BLMTN phone 831-1875 plarner WaterMeter63._00 Council Road Unit 29f) 00 I hereby ackrowledgs that I have read this applicorion and stote that Bldg. Off. 3 29 T. P_ 132. 00 the inlormafion iz correcf and ogree to comply with oll opPlicoble APC Total 1`959 _ S Q Stota of Minnewta Stotut and City o( g Ordi/~ncez. Var. Date ` 'tY1- Slpnaturo of Permittee A 8uilding Permit is issued W: KEY AND HOMES m tha expreo Corditlon Iha+ oli work shell be done in eccordance with all opplipoyle Stafe ~aato Stotutea and City of Eopan OrdinarKea Buildirp Official ~ CITY OF EAGAN Remarks 71 U i Sr cln 543Q ~~i Addition SUN CLIFF 2nd Lot 12 aik 3 parcel 10 72976 120 03 owner Street 4284 Sun Cliff Rnad State Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. 1 6 24.62 1 O STREETRESTOR. 1986 431.51 5 ~ - Ulo(o -cQ- GRADWG aI/JSS3 SAN SEW TRUNK 1-2 1 70 1.95 25 17.60 n n SEWER LATERAL * n n SEWER LATERAL 999 1986 829.62 165.92 5 a,6a. -IO G /L-8•j'S WATERMAIN WATERLATERAL 1000 1986 942.60 1$$.52 $ WATER AREA /p n u waT LaT BEN 1-ea$°~ W17 57.88 11.58 s 5•~~' C-io o -~-~s STORM SEW TRK 0.~' 161.72 8 STORM SEW LAT N* S/W SERVICE 1005 1986 808.77 161.75 5 bP,77 C-/0-4 CURB & GUTTER ' SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 / -/O(o(o9 -ZCLF-3~- WATER CONN. BUILDING PER. n n 10015 SAC PARK _________________I ~ FaC:41t'tCC IJsG City of Ea~an I Permit#: jt ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 i s~arr Fax: (651) 675-5694 ~ L I 2008 RESIDENTIAL BaUILDING PER(MIT APPLICATION Date: Site Address: Tenant: Su ite RESIDENTlOWNER Name: 1 Phone: ~Auy Address / City / Zip: ~ L &kr Y Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: C, Construction Cost: Muiti-Family Building: (Yes N06 CONTRACTOR Name: b License Z~C)207S5p, Address (1L 5 J~ City: V~C,V T V State: +M Zip.} S,X> ) Phone:-16 Contact Person: lit W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Cade . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a slmilar plan based on a master plan? _Yes _No If yes, da[e and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE~.Plans and supporting dobumeri;s tfiat ydu subm`it are considered to.be pubhc zrrf6rlriatfDn partrvns_ofi. ~ Ithe mformatlon inay Ge classrfied,as.rson public if Y ou poVid es peci fic reasdns that would pect#i~c iNe Crt to..;`:_ , ~ - FOr~dude that the :areJrade. s[eciets I here6y acknowledge that ihis information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; ihat I understand this is not a permit, but only an application for a permit, and wofrc is not to start without a perrnit; Ihat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. XbUsf1 M, r7l UbuA ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL CON?RACTORS NUST BE LICENSED MITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIDNS 52, o00 . To Be Used For: Valuation:.~M-OWe~ Date: Site Address; lr~w-clirG[ im OFFICE USE ONLY Lot: 2 Block ~ Sect/Sub s/- Q(~ ~E ct ~ k Occupancy Remodel Zoning R-I Parcel fl Repair _ Type of Const ~ Enlarge # of Stories Owner Move _ Length ~ Demolish Depth ~ Address J~i/ Grade Sq Ft City/Zip Code -na!allwJ ei.U4 5!:5'3--5-z - Phone -3-3? -3 APPROVALS Contractor Assessments Permit ~ Water/Sewer _ Surcharge Address C,1 j73/•-> Police Plan Review Fire SAC S~ S City/Zip Code f R10A 5~3"Z Engr Water Conn ~ Planner Water Meter Phone Council Road Unit ~P G Bldg OffJ Parks ArchJEngr, f~4~?-7 APC Treatment Pl 7:7 71- ~ Variance G Address S~Sp TOTpI, / • S C~ City/Zip Code B6w1~,,4AN )51)AJ SSt/n Phone # p31 - / US Z4 vGq . .i , a S~~ x,~•Y .l~/1 A ~e. 4(50 ~1 `1 34~ ~ ~ G. R. WINDEN 3 ASSOCIATES, tNC. IAND SURVEYORS Tfl 946•7916 1381 EUSTIS ST., Sf. ?AUL# MINN, 5510! For: Key-Land Homes Scale: 1" = 30' NOTE: O Denotes Iron a Denotes Ynoden Stake Monument ?roposed Garage Floor E. 906.93 J (906.6 ) Denotes Propose Finlshed Gzound E1. ,a*-- Denotes Direction Cf Surface Drainage Vertical Datum - N.G.V.D. 1929 .;~r~'/'70~e E V~i I (9Uv.G6~ _ i ~ ~ I C~ Z4.3 w 23.7 I w L I NOU ' ' PROPOSED Sf ^ I m (q f' lf 10.3 ~ w r. ~ q?a i , ~ m (o, ~ R' L) lA i~- N v`"' 24 I L' A~ = ~ I W G7 Ove.han9 7~ 1 I (Ti 4` J-.w F ~ ~ Lot 12, B1oCk 3, SUN CLIFF SECOND ADDITION, Dakota CountV, "linnesota WE MfRE6Y CERTIfY THAT TMIS IS A TRUE AND CONRECT RE?RESEwTATION Of A SURVEY Oi THE 60UNDARIES OF TME IAND AlOVE DFSC1116ED AND OF TME IOCATION OF All lUIIDINGS, IF ANY, TMEREON, AND All VI51llE ENCRpACMMENTS, If ANY, fROM OR ON SAID IAND Daiad M~&207-)) dor e('Ce6ru.ary AD 198~ C. R. WINDEN 8 ASSOCIATES, INC. T by 0'~A~ Sw.eyor. Minnowro Rapuirotran No 77 N15.o 1. raye 1 ot 4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 7,1 3,1Y/ OWNER; OATf: SITE ADDRESS: - PHONC : CON7RACTOR: - , Determine working squarc footaye of each 1. Total exposed wall area.,... sq, ft. x.11 7 DO. 889~~ 2. Total roof/ceiling area..... --&9~f1(, -sq. ft. x 026 Total exposed wa11 area above floor=__4_6~ a. Total wall window area.. b. Tota1 door area.... 1/ ~ c. Totat sliding g}ass door area 3'7•yb d. Total fireplace wa11 area.. .99 99~ e. Total wall framing area (average 10%). ~ * " " " " - *14- f. Total rim joist area............. ~ /74,Fs• 9• net wa11 area above floor.. " " " " / o ~ /I°s h. wall area above floor q,'^ 5~ i• wa11 area a6ove floor J. frame wall area at foundation Total exposed foundation area= k, Total foundation window area l. Total net foundation area above grade Determine "u" value of each wall segment (e•9. window, door, each separate wall section) X „v- -_.5/~•~~ . - X c. _39.194;e X u~~_~q ~ a.__1/a y „y„ _ yA e. iry&.,-45_ x hull 4-_ f. 1.37 t~~ X '-u- r 04 9• I.Z6,-15 •(,7 X U~~ ` 11 rt li i--- II _ If item q3 is the same as, or less than item 1• ~g X"U"_ A1, you have met the , intent of SBC 6006 (c)2; 3 . .................................Totat - . . . , , . . ' rior Envelope Average "U" Computation Pagc 2 of 4 . Total exyosed roof/cciling area 1o"d- GOnS~• L• 9bta1 skyliqht area . n. Total roof/cci2in~ f~~ ~ ariing arr.a (n:•cra~l'• 10 P.)... o. Total net ir,sulatc3 roof/ccilinq .uc:a..,.,,,,,,, Uotermine "U" value for cacli io()f/cciliny aegmetiL M. X n. rR7.B9 x ,'U„ o. x ,.U„ • Z~ _ - _15•f3z~ 4 . Zbtal _ /17,93 If total of #9 is the same as, or less than pZ,;you have met the intent of SfsC 6006 (r.) 1. Alternate Buildin Envel.opc Desi n + Zb utilize the total envelope system me.thod, the values established by tlie s:un of items #3 and #9 shall not be greater than the sum of items #1 and #2. i. . A~7,ao•~~~7 + z. zt.3.7~- 3. l71~.f342 + a. . - i ~ : ti,, ;~v;,.~ ~i ~ ! PLAki MF . ~ LfNS4L. FT, ExposED WALL BLOGk ~ ' , Z,z_ , FULLI'-~" T?tt"~~ ; az .37'~ r- ~c- ~ . - ~i ~i•f.~ t4 v~ _ ~~z,o ~ . ~ Sai . Ir-r, FKPoSED WA LL_ AR.EA aLac~t'~ ~ x , s = se 1CNE.E ; x S = .s8a W.O.; tiP- X8 T:uLL K S= IoS~. z¢ IP TOt741... mrJQpt, EKP05F.D GEILIUq ~ 646 .9`f/i~' Vlf DKrS I1 ~ DooRS L~3 (LO X C~D ) ~ „~,5 f7, 9%8 z f ~~Qr~:-~ ?AT I O DRS , ~ . ~a . EF35M4 Vur+S ' o . i ' ' . ~ ~ • . ~ Construction A-Valuc Intertor air rtim ~ ~ ~ . D sR I{~I~'I' I~~~ 4. £xtcr'r. ~ ir Li:~a {st-11) p, ~..~~q'IIT 3. To ~i~ « 2 45 80 . . % . ' U_ •D~ . . ~ . . „ ~ • ' - Fti~r+H ~ Zated Hea[ flo~ 1• Intcrinr r.ir filn ` 0.61 up - • Z' . 3• Z` ~~.(suL 38. 3:5- , • ~ • 4. 61 ' ~ ' . :'otat 2 ~S FZG. OS Y• ~ ~ ' . . . U=.oz4. ~ - - - C oA.-5,&_ ?[ri.r~__ • a~~~ry~~~.,~~_v~•w.~= .."l~M,~'A'~~a?~~ta~t. 1. 7n5lde iir film 0.61 - r------r ~ ~ . 2 . . 3_ • ~ 4- ~ MlilI ' S. Outsidc c:ir fi2m 0.17 n - otal t~~ z~ ---r . • { # ^ 3 LG ~ ~ , : ~.r•~••. E . . . , . . 1_ Insidc air tilin 0.61 2. Reat llov up .vsnted 3. - • • . . . . q_ S. Outsidc aiz filio 0.17 • , ,TIG. /6.' . _ . . • . . Total ~ - ' _'3 ~ . • : . . . . ~~-~(Sl n 1. Inside, air film 0.61 i 2. ~ .~i.~-.i_',SL:~". . . . . . . 3. • a. f~.',r'`'~~--~~i~~`?'~ •~L~~ Oucsivc air fil:n 0.17 Total 1//{ . : . . . . . ~:.J ~ L • . . . ~ . . . . • h'(,",j-`y'Q~•I".~• NJLL`C V-:C idditional shee[s i! more sFaco i: T Lecded for deG.ils and ealcn!aticros. . , • I~mt ~ • . i• • • ; • ilov up • ~ ~ • ; I ' PIr. !7 ~ . . . , : • , • . • ~ ' ~ • ~ . i. . -'~'=_-1- - _ . M)hi.t. r.c1, :nNs U rI,z uf Ppauuo wa11 eren Ipr frnma r,onr,tructlun tcnr:r„ml ir,n ~.r - TT~li.~1~ • . ~~"'.~.all ~~IIU~~IIS ~Y.- ~I ' ____L/? \:J 4, S.~ld"f1~e~_~.yht•MeyG~ q ~ ~ _5.t.oa?~cro . .loZ iIC - }:r.tcriiir nir 55, U, i7 ~LL -~5~ - ~ - r•ic. #1 7011VIf1•7 OF • kllAttE (PA~.L 1. Inlrrlnr ;~ir .'ilm O.GII 2. ~ ' _ . _ 3. ~ ? 4. ~df.~'tX... 7- N,E,I~J~11A"1'~_'~ '_`w~ -••--'-----ID ~ G. Extcrior, 7ir [ilm p,17 FIG. fl2 --:a q'ut.al ~ ~ p C~ ' ~ 5 1n2~~;~r~aic f ilm 0_G!1 ~a~ ' a. ~Xt~--------------------~•~9 1Sr:RL~ = 5~ u.-al ~ „ '_~~n 5. ---~lalNC~---° ._~(o_Z ~i F:-xkorloC nir fiJm +d 0.17 ,I r 11 J . . ~ ','ota i ZZ.O , ~xzcn , ~ A~ L • ~ . _ 12__-A%2N4 _Is22 ~ ,i • • o • ~ ----•------•-p • a . ,r n ~ ~ ' `~T^J~ 5. - r .i'%.• G. I:xlu~'i~~t nir 'ilri O.l~l y 'q . i U=. ,14 "r.ni, nri ~;iinue ~ ' ~,~~aT~?_F Iii~r ; . = , ~ - ~ ~~i • ' ~ T~ ll)rRAb~ ~~l.,r ~ . , • . ~ , ~ r ~ ; ' ~ 6 • ~ ' ~1 ~ ~ - y . • , ; /l/ ii~ y . / ~ . • ~ ~ ~ ' /(f • ' FiG. 84 , 13 - . /iir ~ • ~ ~ • r~r ~ , 0 . ~ ~i~_ 7JU1'E: Indlcata lync "R" valut!, Jcul•h nnd ~ 1987 BDILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLODE 2 SETS OF PLANS, 3 CfiRTIFIC9TBS OF SORVEY, 1 SET OF E6IERGY CALCQL6TIONS NOTE: ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOMEOWNER HQST DESIGiYATfi WHICH ADDRESS IS DESIRED. NO CH6NGSS WILL HE ALLOWED ONCE BDILDING PEAMIT IS ISSIJED. MOLTIPLE DWELLINGS - RESIDENTIAL RENTAL QNITS FOR SALE iTAiITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQEtHEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0.'IlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 5ET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: puqS~MEvT Valuation: A~e3,5'ec-• Date: 1112?1F7 Site Address f42gy ~u,?CcrFF 2~, OFFICS USfi ONLY Lot Block ~ ~ On Site Sewage_ Occupancy MWCC System Zonipg Parcel/Sub-/~ On Site Well ` Type of Const UCI City Water _ (Aetual) Owner _~'HE,PYc HoFr (Allowable) 16 of Stories Address y;Z8v Su,tccr~P Length Depth City/Zip Code ER67,#.J, M,[1 SSizz S.F. Total Footprint S.F. Phone (biz) Ys`Y- 74YY APPROYAI.S FEFS Contractor Assessments Permit an Water/Sewer Surcharge Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Couneil Water Meter Bldg Off Z ~ Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOT6L City/Zip Code Phone 4f ~ z/aa CITY Or EAGAN APPLICATION FOR PERP4ZT SEWER A.ID/OR WATER CONNECTIODi (PLEASE PRLNT) 1) P1YJPE2TY ADDRESS: rFral. DE..~t°TICV: A'~% (I.nt/Slcck/SL;,divisicn or Ta~t Parce /.D. Nuficc~r) ' I'r' Oain O_° Ci2?G^yAi, ciiI`DL`:G P°E5M:?' R-1 SitiGLF. FPMSLY ? R-2 DUPL...~Y ('IWO II^TITS) 0 c2-3 ~C'I.,7NOCUSE (`I= + L^TITS) ! UDII^_'S) CJ R--! A"r.:~22TZ'^:T/CC:ZCi•LrlrL~i ( LTiI:S) ? CC}n1E.:CL'~I./R~'AII,/OFFIC:: p mCL'S a RI.yL II 1NSTI'TUTIONAL/GGVEP~ TMTM,'T Z) APPI,IC=V'I' (PLEASE PRINi) ruu•1E: "5"o,.r7 ACeRESS: - , CITYr STnTy', ZIP: PFoM: Y~Z - ~ G s;C j) Pu:..pER 7~ (PLEAyE PR[Ni) FOR CITY IJSE ONLY ruh~Ec PLC4ESS: PIUHBERS LICEYSE: • ~r-+'~'~~// C Active CIT"t, STATE, ZIP; ~.y~ / ~z.~? Expired ~n Q Not af Record PHOVE: PLUMBER LILENSE 7FT 4) O=„TpiyT/CrvTm (PLEASE PH1NT) D1AME: ~ 17J tt ~ ~.~.d ADDRESS: CITY, STA'IE, ZZP: PfiOVE: 5) INDIGITE W[-IICH PER•lIT IS BEItG RFY)CTESTLD: ~ CL\',~IF_L.TIC:I 'ICJ CITY SmER ~p] CO\, .IC:1 TO CZTY SdATER ~ GTfFR (PIFi`,SE DFSCRILaE) 6) II.~iG.:. C.~: • - ? PT-='~-Sc. I?OID APPI?OVII] PER~tIT FOR PICi:-LP BY ONE OF AFiCVE ~°LE',Sc M AIL APPROt1EU PIIZ`lIT 'PJ 1, 2. C~ 4 A6WE 1 . (Circle one) - ~ 1-2 7) SI,.`.?.'IL'RE: DATE: 3 F 0 R C I T Y U 5 E O N L Y pEP-`nlT u rSSUED rr--S: SEi;E.°, PEBMrT (I`ICLi;D3 SURC_:'r.RGc,) WATER PEM4IT (INCL'uDE SiiRC::ARGc.) WATER METER/COPPERHORN/pUTSID : REi,DER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:dER T?? $ ~~-UO =rCCi::i'r :;._?rSI_ - $ ACCOUNT DEPpSIT - WATER $ .SlG~. vD WAC $ .S-~S cxa SP.C $ TRGNK WATER ASSESS;?E::T $ TRti:J?< SEWER ASSESSMF:iT $ LA;EIRAL BEAIEFIT/TRUNK SE:-R $ LATERAL BE^IEFIT/TRUtiK WATER WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ P.MOL'\T PAID/REC°I2T # rS'l ~ DOES UTILI;Y CONNECTION REQUZRE EXC2VATION IN PUBLIC RIGHT OF WAy? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY TAE ENGINEERING DIVISIO[V. LIST AS A CO.]DZ- TION. StiEJECT TO THE FOLLOLJING CONDITIONS: • APPROVED BY: ~ TI.LE: • DAT°: ~ as~ Ej~ w ~ iA ~ Nt mw =F~w !m me_ w fi! ae" MII.a 9t4Ww WiA WFiV 8%:4W9t =s! fift Et+w NtMg4 slU w ~ ~ ~ I For:D~ce;Use I Clty of ~ap j PermR# I , 3830 Pilot Knob Road ~ Permit Fee: 9p._ I I ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 ~ Fax: (651) 675-5694 i staff. j I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: Tenant: Suite RESIDENT / OWNER Name: Phone: 'Cl y l}. Address ! City / Zip: Applicant is: _ Owner ~QContractor TYPE OF WORK Description of work: r/o 12 D WO~q ~X ~ 3fit c~f Construction Cost: ulti- amily uilding: ( es ' a CONTRACTOR Name: License#: Address- ` Q City: State: p: a Phone: =17~ (d Contact Person:_, COMPLETE THIS AREA ONLY lF CONSTRUCTING A PIEW BUILDING _ Minnesota Rufes 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheei . New Energy Code Worksheet Category Submiqed Submitted (4 SubmissiOn type) • Energy Envelope Calculahons Submitted ...._..----In the last 12 months, has the City of Eagan issued a permit for a simiiar pian based on a master plan? _1'es _No If yes, date and address of masler plan Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: e~t~;.~atxyo~u~submidre;cr~~s~der`e~d,to b@ dfic;rn~foma~iisiNArtksn~~bE t~on m~y d~ c(aSsifre~f as r~o~ pu6lia if~y~ou~prov~~ specrfi;reistsns th~f~vo'~'il'~,per3rnf fhe~'Cr~y ftl ~p co~clLtle that`ihe ~CBEtf2(~~ SECf6tS s - a ~ y~ _ a ~ I hereby acknowledge ihat this mfprmation is complete and accurate, lliat the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is raot a permit, but onty an application for a permit, and work is not to start without a permit; that the wcrk will be in accordance wilh the approved plan in the case of work which requires a review and ap I ot plans. Applicant's Printed Name ic rt's ignature ; Page 1 of 3 RESIDENT OWNER Name: h C e t Phone: (a' 3a) -1°141 Address City Zip: _d M� ss i c)-a CONTRACTOR Name: BURNSVILLE HEATING A/C, INC License #:L (.(3S tZ -,Ti 3 3451 W. Burnsville Parkway Address: Suite-1-20 City: Burnsville, MN 55337 State: Zip: cc-� Phone: k "t�-t- )S Contact Person: GI V rt-- TYPE OF WORK PERMIT TYPE New 41 Replacement Additional Alteration Demolition Description of work: .d Y4s dap u RESIDENTIAL Furnace a t a p e y �"�W1- P E der s M�._ COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Conditioner Air Exchanger Gas Exterior HVAC Unit Heat Pump Under Above ground Tank Install Remove) Other **When installing/removing tank(s), cat for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace burned 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 less than $1,000, State Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001- SO -kS7 TOTAL FEE CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Q 0l 2009 MECHANICAL PERMIT APPLICATION (1 Date: "v Site Address: `--1 Sun c t i 1 d Tenant: C j x "1 a r e s (Yl. Applicant's Printed Name Suite Permit Fee: 66 Date Received: Staff: x E L .,ZO l( i Xc r Applicant's Signature I h ere b y acknowledge that this inf ormation 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. PERMIT City of Eagan Permit Type:Building Permit Number:EA114791 Date Issued:09/19/2013 Permit Category:ePermit Site Address: 4284 Sun Cliff Rd Lot:12 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-120 Use: Description: Sub Type:Reroof & Siding 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. 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 - Fred Goetz 4284 Sun Cliff Rd Eagan MN 55122 (612) 991-5095 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122275 Date Issued:05/01/2014 Permit Category:ePermit Site Address: 4284 Sun Cliff Rd Lot:12 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-120 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 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 - Fred Goetz 4284 Sun Cliff Rd Eagan MN 55122 Pride Home Solutions 2325 Endicott Street St Paul MN 55114 (763) 767-4444 Applicant/Permitee: Signature Issued By: Signature � 06/26/2615 20:04 N0.431 #001 � �crOffl�e U9e-----�—l— � 1 I Cit� af�aQa�. ��:��.�� . � P��,�: � ; � 3630 Pilot Knob Road �U� 2 g ��1y I Date Received: � Eagan MN 66122 ��_______________� PhQee:(651)675-5685 Fax:(661)676�6694 Emall:plannlnA�cityo.feagan.com ZONING PERMIT APPLICATION n Please identify improvements on a scaled slte plan drawing that shows lot lines, structures and existing conditions. , .....:......:..:.:..::....�: ' .:,.::.., .......... :::...�.;..,......;:,�,; ... ....:...::..:::..::...:.... . ,:.;::`.,; . . .. ..�:..:;:�,.;: ':...i . ..,.., ..... .. _ ............: . ...:.::................. . �,,,.�..... . .. ..... .... ' Site Address: U � 1 �(�V\ l_,. I � I{1 . ,,., � � � .� ...._.� ...,... .:p� � .. . .... _. .. . ��'!,('i`;:.":;;;� . �:�Infc��m�t�oR� ��,.C' c�GC',��--- Owner Neme: _ �� / ry ; -•��'�c-.� c L� Name; � •( .� � Phone: � !�� _ �C� � � � -- .I� e� � �'/Z'�" 1,� � �C c C.�l\t .� �j Z '� i'�k � terZi ; 1 Sta C �' 1 . Ci . , P� Address: -� � �Y . �„�•:,;,,•,,;,,,,,,,,,,;,,,�,,,,,,,:.,,,.,;,,•:,• � � _ ....:....:. ................ , .. :,,.:.,.:'�+�•CO�I��::}':;;:;;:;� . . �� A .,,,...,,,,. ,,,.:•,,.. ....... . , . ..,�:.; � ..... .: , _ .••.:•...:.•r:.,: .:....•....,• ,`�'i:. r -..,, x,;., ......:..:....... .�,�::�..,;.�:; ApplicantSignatUre: ' a . . .� . •� D te: y` '"" • .. .. 4 . .. . c� � � e� ` k�[��Ct��)t�'��C.��''1 • Ernail address: i� l�- � C:: � _ _ � � �;:,:;,;;;;�';' ❑Retaining Wall<4 feet �Drivewey .'�,':;�:: �;,,':� 0 Other. 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' � , CALL BEFORE YOU DIG. Call Gophe�8hate One Call at(651)a5s-0002 for proteation against under0round utility damage. Call , .�...:�:�:-- -�---�-�------��.. rt�II�iYI�VCiV1�0�I.IY�IILOI ll.i W VI� 1A%144�r• r �.vr��r ur��.rviHi�vr��r •�� - � � nn��nnr�A\IMNA��1nI1�� 1�n..�..H Aw..linwH....� � �7�1I?V�IVII�1�e'ICYfluiie11,L1U�111 I'N 1 1..r�lr��i�.�i��u�.�r�.� r�.r��qr�rriw��r��r 06/26/2015 20:05 N0.431 #002 � � ��Q �� . - The Twin Cifies Paver of Choice - �� ; � ESTI�VIATE By: ��'��' S� ~ �I _ c � t� � Date' ��—�-- P �-• � � c � � Name: �r��Q _ � L ,O ,� F ❑ �BBa, Address: P O • .- -,- .— -, — ,�� "'�r� Ciiy: �`��/R � /yl/� Zip:55,�..� � �� . �/.� /� _ 9 9'I J-- �c� 9 � � ��•_,.-❑ . � "� No Y2S u uic[o use doocai Replace as is . .... ,..�''� �,:��.:O...:. :.in•yard,°C;i�s�o�aer.::. �.• # Fiares � Q repsonsible for any ._... ... ... StumpslRoots � 0 yardllandscaping repair. Premium Concrete Services Watershutoff , � u . , New Cover ❑ .:..�.. . � Drainage Problem � O Initial � �� ' lJ Apron O Patio........—�riveway�.'.�. '�'-�-- ' idewalk„� 0 Steps 0 Garage Floor � Design on sepa�ate copy C! Garage Daor 7' Q�Sprinkler^�eads? ❑ Stoop 0 Curb_,__ ❑Other _, -� ❑ Footings ., ❑ Other , ir✓h......0/;r.....,.1...J1 .. � IfJ i VI�1111\�II Il�r�rVYV� � 1 . ' ' ( ', L��emove Asphalt(Extra charge if over a°) �� irYFtemove Concrete(�xtra charge if over 4") � � U Remove Grdvel,Dirt or Sod ��.�� Z�( I p�ddition to dnveway �,p� � �asework as needed up to 4° � � �' C�grade for proper drainage l� . � � � �3)8"Re��r 3'on center � /� � ��Signature Concrete Mix � (� �50U PSI . , �f��a � �VlNicro Fib ' ��,�0� � Q.�t;� � �1-Finish�i�mooth/Exposed/Stamped . t��,� ❑ Color . ..._.. . �� .,. .. . ,.: ,-.•. ..,..:.. ,,,�- •--�---, � � , � � 4y,�o'a u • ici i�ui juinis►�iN�u ip�o��c�u� �d�a� ?!o ure A ent/Sealer ' ' �^._ �t� � � ' � � � � � �` �L.�ackfill: or� ow � , , ZZ � � �,.6rass Repair: omeowne , �f�.� � � u--•.a rK vvarranry � �� , � � .;: ( �,ti�d�l �I � -I , Estimated Cost:_,.,,_ '� l !9�_ u I t Deposit � Balan ' �O C.� f.�.�� '�/� ' 1 X ,.' ' `"W.�� Cu�fnmerAppro DatQ I have read and agree with the rms�and conditions on the reverse side property Line? SIGN AND RETURN WHITE COPY • ... , D Compd ❑ Subpd 7745 2nd Avenue S•Richfield,MN 55423� Ph:612-866-6073• Fax:612-866�6078•www.r+chfieldconcrete.com � �Licensed • Bonded • Insured � PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153158 Date Issued:11/27/2018 Permit Category:ePermit Site Address: 4284 Sun Cliff Rd Lot:12 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-120 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 - Fred Goetz 4284 Sun Cliff Rd Eagan MN 55122 (612) 991-5095 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature