4309 Sunrise Rd
~ CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 56121 N~ 9128
. PHONE: 454-8100
BUILDING PERMIT Reuipt
5;7 l,c~~c/cfi..~ oc
Te b~ w~ for Est. Val ue o Dote J U N E 4 V 1 9 8 4
4-1
09 SUNRISE RD R
Site Addr Erect Occuponcy
Lot n Block 2 SeclSub. SLfI`lCLIi F /,Iter 0 Zoninfl
Parcel No. 1 O- 7 2975-11 O- O 2 Repair 0 Flm Zone
P ICh MnRAD IAN ~v~ O Type of Const.
oe Name
144$E~ UPPER GiJTAP.I~': CZ ? # Srories
Address
~ emolish p Length ~
City I' I T' ViIL phone 4 3 2- 218 7 DC,rode p Depth Sq. Ft.
RSf'? S;OI'rES Approval¦ Fsat
, O Name
TJP1JJR , . 0 0
o Address " ' Assessment Permit 27.50
U~ CitY a~e - Water b Sew. Surchorge
~W C.12. iVINl7F;N & I1S:.{1C INC Police Plon check 149.00
Name Fire 5AC 525.00
~ JJ
Address r. " Enp. Woter Conn. 470. 0 0
~ W City . Phone 6 4 5 - 33~~ s Plonner Water Mefer 63.00
Council Road Unit 260.00
I hereby acknowledge thot I have reod this application and state that gldp. Off.
the iniormotion is oorrect and ngree to comply with oll opplicnbls APC Totol , 792. 50
Stote of Minnesota Stotutes ond City of Eogon Ordinonces.
Sipnature of Permittea
A Building Permit Is issued to: RSP9 HOI•i^:: on the express condition thrn
oll work ahall be done in xc~rdnnte~lthI all opplioable State of Mlnnesotn Statutes ond City of Eo9on Ordinancet.
~
Buildinp Officfal ~'==i i3-~ t • ' ~
Mrtnit No. Permit Holdsr Misc. Psrmit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
5ewer
Ekctric f q Y ~
Impsction Data Insp. Other
.
Footinps ~
Foundation
Fnminp 6
c
Rouph PI6p. ~ .
Rouph HVA
Inwletion • Gi
Final Plb¢ ,~g (,l v •
Finel HVAC
Final
Watsr D~sc?ibe Loeation:
VNell -
Sewsr
.
Pr. Dirp.
I
c~ ~ ~
Receipt L ~ PLUMBING PERMIT Permit No.y
CITY OF EAGAN Fee
FiII in numbered spaces S/C
Type or Print legibly
~ Tot. ~~L
~
1. Date 2. Installation Cost
i
A` , c1 Lot Blk. ~ Trac
3. Job ddre
4. Owner
5. Contractorl ~ ~ ~.t sr ' , r ~a ~ ' i ~ `r Phone 9- 7
6. Address ~'~~i`r'~ ~ . ~~f <<. f
/
7. City State 2ip 72-
~
8. Building Type: Residential ED" Commercial ? Institutional ?
9. Work Description: New 2"- Add O Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet / I ~ Cesspool/Drainfield
~ Bath tubs Septic Tank
~ Lavatory Softner
~ Shower /Aj/ Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
~ 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 al'ardinances and es governing this type of work.
Signed : ' for
Rou Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Receipt MECHANICAL PERMIT Permit Na.
CITY OF EAGAN Fee
Fill in numbeied spaces S/C . 5U'
Type or Print legibly ~
Tot. 0.50
1. Date 7-V^-84 2. Installation Cosi -
3. JobAddress 009 SL113se-+,~'-3 LoiBlk. ~ Tract
4. Owner ~ ~ i' :i{)1°L":;
5. Contractor ~,1' 'Z• ::LTi:R f-M'TI'NG Phone 825-6867
6. Address 637 ChiC r'o v(11.
'~d' zi
7. citv : - IS• state p 55407
8. Building Type; Residential 10 Commercial O Institutional ?
9. Work Description: New C} Add O Alter El Repair ?
10. Describe Inst L1 forcerl ---ri tlc-tin ~uel Type F-r--s
11. No. EQu' ment 9TU - M. Ea. No. Equipment CFM
Forced Air b'0,000 Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
~ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
~
Signed : for
- Rough ' Final
Inspections: Date Insp. i Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks Ic"'LOL Aj
Addition SUN CLIPF 1ST ~ot li E:K 2 Parcel 10-72975-110-02
Owneri Street 430 9 SUNRISE RQAD State EACAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF, S5 1985 9779-79 999-16 9 2775.79 C009938 11-15-84
STREET RESTOR.
GRADING
SAN SEW TRUNK 19 1970 76.54 3.06 25 7- 1 '
SEWERLATERAL cS4 $ 11-15-84
WATERMAIN
WATER LATERAL y 1-1 -84
WATER AREA 20 1973 93.55 a 3 6:2`4- 15 12.56 C009991 1-4-85
STORM 5EW TRK 1971 322.29 16.11 20 80.64 C009991 1-4-85
STORMSEW LAT Y1985 789 7 157.94 5 789.70 009938 11-15-84
~ n n
CURB & GUTTER '
SIDEWALK
STREET LIGHT
R 260.00 #43793 6-4-84
WATER CONN. 470.00
BUILDING PER. #9128
sac 5 5.
PARK
CITY OF EAGAN WATER SERVICE PERNUT
3830 Pilot Knob Road 5546
P. O. Bsix 21199 PERMIT NO.: 6-21-84
Eagan, MN 55121 D11TE:
Z irg: 1t1 No. of Units: 1
r; RSM Homes
ro:s:
ta Address; 4302 SunseCRoad L11 B2 Suncliff lst
b.r; Lakeside Plbg & Htg
r No.: ?2 v Ca+nectlon Charye: 474.00 pd
px~b
L o c ~ Acco,nt oeposit: 15.00 pa
s~ :
Reo r No.. 2244/u NoP,z- Pem+it Fee: 10.00 pd
1eyeM to oempy whb tiw CiFy of Eo w Surcharoe: .50 pd
Misc. Chargm 63.00 pd meter
Totol:
By ` Date Pcid:
Data of Insp.: e I Irup.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road '34C
P. O. Box. 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Z~ing: R3 No. of Units:
OYVfMr: ~$~i 1:0~!~'•3
/SddrosS: £ t
5i~ 4 309 Sun~ Road L11 B2. 5unc i x
4& Htu
Plumber:
Meter No.: Connedlon Chorye: , P
5ize: Account Deposit: 711 7 t} pQ
Reader No.: Permit Fee: , 5 Pc
1 pne lo oawPhi wkb !IN Cih of G"¦ Surchorye: . p je eT
Misc. Charoes:
Total:
BY Dote Paid:
Date of Irup.: Inap.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199 ~
Eagan, MN 55121 DATE:
''l. 1 No. of Units: 1
Zoninp: '
Owner. 11S:4 Hvmes
/lddress:
Stte Addreu: 4309 Sun Road L1I B2 Suncliff lst
r„a;kegide Plbp & !.t4
Plumber: G 4-84 43793 100.00 pd
-
I egn. to eewnb wieh th. Clep eF Eow¦ Connectton Chorpe: 4 2 S. 00 d _
Acommc DePWt: p
Ordiwsnm. , p
Pem+it Fee: . • P
SurtFwrya:
BY Misc. Charpes:
Dote of I nsp.: Total:
Insp.: Dota Poid:
~ - -
CITY OF EAGAN
s ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~7 l~l ? 9128
PHONE:454-8100 ~ ~
BUILDING PERMIT Receipt #
To 6e.uwd far SF DWG/GAR Est. Volue $55,000 pate JUNE 4 19 84
Site Address 4309 SUNSET RD Erect ~C Occuponcy R3
Lot 11 slock 2 Sec/Sub. SUNCLIFF Alter
? Zoning
Percel No. 10-72975-110-02 Repoir ? Fire Zone N A
Enlaroe ? Type of Conat. V
c tdeme RICK MORADIAN µove ? # Stories
Z Address 14486 UPPER GUTHRIE CT Demolish ? Length 36
~ City APPLE VAL Phone 432-2187 Grade ? Depth 46 Sq. Ft.-
rc RSM HOMES Approrala Fees
ZF Name
14486 UPPER GUTHRIE CT Assessment Pe.rnrt 296.00
~g Address
sF City BURNSVI~~ 894-5907 Woter & Sew. Surcharga 27.50
Ci= C.R. WINDEN & ASSOC INC PoHce Plan check 149.00
9. Name Fire SAC 525.00
z d 1381 EUSTIS ST
`W CYress ST. PAUL phone 645-3646 Enp. WaterConn._~-~~
Pianner Water Meter 63.00
Council Road Unit 960 .00
I hereby ocknowledge thaf I have read this npplicotion ond state that Bldg. Off.
the inlormntion is mrrect and ogree to comply with oll opplicoble ~j0
$tote of Minnewta $totutes and City of Engan Ordirances. APC Total
Signoture of Pertnittes
A Building Permit Is issued to: RSM HOMES on tha ezpress conditlon thai
oll work sholl be done in oc rd nce wit oll ~b e State of Minnesoto Sfatufes and Ciry of Eogon Ordinances.
Bulldirp Officiol
~
PALC: /5.r~ `1~a8" CITY OF EAGAN Include 2 sets of plans,
•CI-fE" LOT CoVERAC~0 (,FICfj?~ &Y!t 1 Gertificate of Survey,'&
BUILDING PERMIT APPLICATION 1 set cf energy calculatiorSi
•~NCP(~ LXa~s.~FDWLi.
To Be% sed For valuation 55,000•C Date N1Ay zg, 11$LI
sir.e aaaress 43[A &~~CL OFFICE USE ONLY
Lot II siocx Z sec./sUv. Sune,li4- Erect X oCcupancy 2-3
Parcel Alter Zoning R-
_-1 Repair Fire zone N P,
O~mer: t'S1G. mDrc~p,t'an, Enlarc3e _Type of Const. Q
Address- # Stories se, ' Demlish Front 3(o ft.
City/Zip Cocle: 55 Z, Grade Depth q.(o ft. '
Phone
APPROVALS FEEg
Contractor: ~ Assessments Pexntit
?aater/Se,aer Surcharqe
Address: Police Plan Check
City/Zip Code: Fire SAC
Phone EnJ• Water Conn. 4"]D.°°
Planner Water Meter !03 , m
Council Road Unit 2(p0
Arch./~9-'C.12. i!1,n ~ ~ As~a T~v sldg. off. ~
Aaaress: 3 I usTis ~
City/Zip Code: '!;I. &4,J, rn,p. D~
Phone (o~ 'IC)TAL / L7 9a .5 0
N - - -
61~
x
ti
03
~ ~P Q Q
- x X
- -P -P Ul
~
° Qj)
e o
This request void i I(~ ~ ~1' a I p Y
78 nqnths 1rom
A'' 4 5 8 94 56
Request Date Fire No. RouOh-in Inspecti ?
E 4 - R~Vee ~ ?N~ rceanY Now? 1oIrlWhenl~R~ady e~
E] Licensed Electricai ConVactor I hereb
y request inSPeciion of ebava
? Owner electrical work instelled at:
Street Address, 6ox or Route No. ~ City 9
3 nJS~
ecuon o. I I Townshi0 Name m No. RanBe No. Coumv
Or,cupaat(PRINTI Phone No.
L
Pawer $u001i¢r AAtlress
~ Mn1.
lecvical ConVac or ICompany Name) Contrar,lor' License No.
04 a' ` ~ , o I570
Mai ine Address I ontract r or wner Makine Instai ation)
Ae, - M^J
s^S'/
Authorized ~gnature (COnhac r Ow Makiny Installa[io Phone Number
O
MINNESOTA STATE BDAR F ELECTNICI Y THIS IIVSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Hoom N•191 BE ACCEPTED 9Y THE STATE BOAFD
1821 UniversilY /1ve., Si. Paul, MN 55104 UNLE55 P0.0PEfl INSPECTION FEE IS Phone 1672) 297-2717 ENCLOSED.
REQUEST FOR ELECTRI~D_ INSPECTION y EB-00001-04
, Sea instmctians for comp~Vn9 thiik form on beck ot vellow copy.
A- Aq 4 X" Be/ow Work Covered by This Request
Ad Nep. Type of Bviltling Appliancea Wired Equiymeiil WireA
Home Fanye Tem{~orary Service
Duplex Waier Heater Lightiny Fixtures
Apt. BuilAin9 Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci v therl5nurifyl
t er peci5y Other Other
ompute Mspection fee Below
p Fee ServiceEntranceSiie p Foe Fentlers/Subfeeders N Feo Circults
in. p 0 to 200 Am s0 to 30 Am s A7. 0 to 30 Am s
Above 200 Ainps, 31 to 100 Amps .00 31 to 700 A s
Swimmin Pool Above 100-Amps Above 700_Amps
T~ansformers Irrigation Booms Partial:'Other Fee
Signs SUeciai Inspection
Remerks S 43. °iO T0 T /`~EE--O
SY
flouBh-in r D:[e heElacVical
. 7j~ spector, nereby
c rtity thet theabove
Final ~ J~ pection has baen
? ede.
Tnlarecuaeivaietamonmalrom ~
~
a 38416 ~9
Requesl Date Fre No. Roug ' speclion
~ l ReeOy Now ? Will Notity Inspeclor
~ Ves ? No Whan RBetlyT
10 licensed contractorKowner hereby request inspection of above elecuical work at: ,
Jol`AtlEress (Slreet, Box « Roule W.) CM
3 SunJ isE EAGAAJ
$eclion No. Tqmsldp Name or M. Rerge No. County
~A KOT
OccupantlPRlFfrl Plprie Na. .
7'aFFREY 'ZF TELTZ 8a65
Power Supplitt AGtlress
o+a leC ri
Elacincal CoMraclor (COmpany Name) Cnmract 9 Licenea No.
0
Mailiiq AtlOress Comracmr or Or.ner Making Inst Hon7 .
ti 30 ' 5-q N 55 Q ~
AuOa ize0 ' re ( ContreGtor/Owner Making In lallef n MOne NumEer .
Lis.) - 8a~
MINNBtWl A7E BOA OF ECTIIIGRY - THIS INSPECTION REOUEST WILL NOT GrlqgrMlEwry BItl9. S173 BE ACCEPTED BVTHE STATE BOARD
1Ef1 UMVenky Rva., , YN 55100 UNLE55 PROPER INSPECTION FEE IS
VMrr (812) 643Ll00 ' ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION z_°o ee-ooao,-os
? See insvuc[ions for completinq ihis form on back of yellow copy. i4
~
M3.8416 " X" Befow Work Covered by This Request
ew Adtl Rep. Typeot8uiltling AppliancesWired EquipmentWired
Home . Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial 'Furnace
Farm Air Conditioner
Other (speciy) ConVactor5 RemaMS: ~
Compute Inspection Fee Below:
8 Olher Fee # ServiceEntrance5iza Fee # CircuitsiFeaders Fee
SWimming Po01 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
SIgf15 Inspactor5 Use Onty: GU 7QL CO _
b~
Irri9ation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDEREDDISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rougn-in oe:e ? 7 y
certi that the above ins ection has ~
~Y P Final Data
been made.
OFFICE USE ONLY .
Tnis repuesl voi0 18 monNS from
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when perxnits aze requued foc each unit
Date / / -,V~
Site Address o~(j -15~ Unit #
Property Owner ~cs-'6: GY Telephone # (at-j '
Contractor
Address City
State ZipTelephone# 4CR'%-
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional eonsultaM fees may apply.
Alterations To Eaishng Dwelling Unit, Inc{uding $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softenar and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new inst211ation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
~ Water softe¢er _ Water heater $ 15.00
repl8cement _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residenrial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conforniance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application foi a pexmit, and work is not to start without a permit; that the woxk ' 1 be in accoxdance with the
approved plau in the case of work which requires a review and approval of plans.
Applicant's ame pplicant's Si e
I
<
C•A
296•Ou+
27•SC+
it.9•0^+
5 2 5° 0 0+
4 i G• C 0+
6g•oc+
2 6 C• U 0 r
I742•50*
~
r!,% » r ' ' •
EXTFRIOR EINELC?E AVFRAGE "U' COPS?TJTATIOi1
OWNER
SITE ADDRESS
CONTRACTOR DATY&P PHOPJE
Determine working square footage oP each. I ~10. Z.5 X
l. Total exposed wall area /Sf~~o sq. Pt. x~" ~
ov~
2. Total rooP/ceiling ares ..fle10.0 sq. fL. x,~
T~-
Total exposed wall area above floo'r
a. Total wall windoor area
.
b. Total door area G
c. Total sliding g2ass area . .
d. Total fireplace wall area p
e. Total wall fraeing area ('err~a•ge ~10%y... 3~.
P. Total net wa12 area above floor g. Total rim joist aree L?1•G
Total exposed foundation area ~~;Z?
h. Total foundation rrindow area O
I. Total net Poundation area above grade
Determine "U': value of each wall seErnent.
' a. ~ X ,iV ft.-fjr~ s r2l-
b, 7C nUt- ,e79/ a
C . ~,Z_ X "U" ..~s ~ '7 9
D. D X"U.` d ~ O
e , % '•U" ./.a _ Ilff-6
f•x vulr .d~9 ° .SBG
R. X °U-, .O.J'~ •
n. x :.u, o = ~
i.X Null •gLa
3 ............................................Total r 3, x
IP item N3 is the same as, or less than item dl, you have met the
Satent oP BBC 6046(c)2.
~~'i'r3 ~.'~3•8~ ~~'O'n ~/lB9Y~,f~e~.lxz.c
~Y~iDLr ~ ~ 3QG G oole~C) ~Z
,
Total exposed roof/ceiling area e 9G,~.~
Total akylight area .
k. Total roof/ceiling framing~area~(average 10•
1. ^aotal net insulated roof/ceiling area ff~~11
Determine "U' value.For each roof/ceiling aegment.
~ X rUcr ~ ~ ~
x. .lo x V* •o'y = .~2_.
1, 859fV X ,:U1. •O.~G ~ ~i'+•(o
~I .........................................Total
IP total of 04 is the same as, or less than #2, you have met the
intent oP SBC 6006(c)1.
~s,+ ~ y ~-x•s~ c ,C&n
Alternate Buiiding Envelope Design
To ut2112e the total envelope system method, the values established
by the sum oP items #3 and p4 shall :?ot be greater than the suae.of
items A1 and #2.
1. + 2.
3.~.8 + 4.
P, 09, C. R. WirlDEN & ASSOCIATES, INC.
LAND SURYEYOlS til 646•3944
136I EUSTIS ST.. SL I'AUI, MINN. 66100
FOR:
RSM HoMEs N
NOTE:
o Denotes Wooden Stake
Proposed Garage Floor E1.092.13
(_891.8) IIenotes Proposed
Finished Ground EL
Eq-- Denotes DirecCion
-1 Of Surface Drainage
N" ~i Vertical Da[um - N.G.V.D. 1929
0~h Q'4q Scale: 1" = 30'
9e O Denotes Iron
Monument
0 \ 60~ ~
Z57
d \
, ;
/0 40 . ~
/O Q
e3 / O O
0
2 /D 3p
Qt
~506
Op ~
Nv ~V
L
Lot 11, Block 2, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE NERE6Y CERTIfT tNAT TMIS IS A TRUE AND CORRECT REPRESENTAIION Of A SURVEY Of THE
BOUNDARIES OF THE IAND A6pVE DFSCRI{ED ANp OF THE IOCATlON Of All WIIDINGS, IF ANI',
TNERfON, AND All VIS16lE ENCROACMMENiS, If ANY, fROM OR ON SA10 lANO.
Dorod tA~~ IrMh dar el Ma A.D. 1V84 C. R. WINDEN 6 ASSOCIATES, INC.
Sur.~yer, Minn~we Rayn~ror~on No. /~67/
N7i1N `
~ox 125 ~ 7~c~ x , ~ _ ~d~
,
34 n2~~. J = ~ ~02. ' ~
(b ~C2o = 200
~O K C " 2p
~ ~ 22
2~~ = I v
(S IZ
~~u~ - t S ~ 2= 59 8~3
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 7 q
651-681-4675
New Conshuction Reauirements Remodel/Reo'alr Reaulremenis
? 3 reglsTered sNe surveys showing sq. M. of lof, sq. tf. ot house 2 copies of plan
and g rooled areas (20% maximum lot eoveraae allowed) 1 sei of energy calculafions for heated addkions
? 2 coplea ot plans (show beam 6 window fizes; poured ind. dealgm e1c.) 1 sife survey for exlerla addlHOns i decks
? t set W energy calculatfons
? 3 copies ot hee preservafbn plan M bt platted aNer 7/1/93
DATE: ,5 - Ici - !/j CONSTRUCTION COST:
DESCRIPTION OP WORK: -4' - SI j f
STREET ADDRESS: 2 75,10 11 ~
LOT: H BLOCK: SUBD./P.I.D. S vL V\-
Name: E-F Z-k~,e r24-5 ~1~1t 'K,41 Phone d~rf, 7
PROPERTY Last F+rst
OWNER
Street Address: ~ 3 (3~1 ~ ti vL ~1 S-P ec-C,
City r- '45'4, State: 9-1-11 ~ Zip:
Company: C cA-P (f-O k-61 f Phone l, r 3. 'E3 ~-j S ` 7 v=/D,
(area code)
CONTRACTOR
Sheet Address:J C) "7 5'c5 0 J76 AuP S ucense # d 3 31 Fxp.
City ~N Stote: n K Zip: -5- 5' `f a a
ARCHITECT/
ENGINEER Company: Name:
Telephone area eode ( )
Street Address: Registraffon
Cffy State: Zip:
Sewer 8 water Ifcensed plumber (reauired far new consirucHon onN):
PenalFy applies when address change and lof change is requested once permit Is issued.
I hereby acknowledge that I have read this appllcaHon, state thcf fhe Informatlon is cortect, and agree fo comply wtih all applicabl
State of Minnesota Statufes and City W Eagan Ordinances.
Slgnature of ApplltaM:
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 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
2/84
CITY OF EAGAN
~ APPLICATION FOR PE:L"4IT
~ SE[+iER AND/OR WATER CONNECT,IO.•t, ~
(aL s ~ - -
1) P??OP ~iZ^! AGDRFSS:
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(Irot/31ccx/Subd-ivislon or Tax Parcel I.D. Piisrter)
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ADDRESS: ~Cp ~ ~G / • . •
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3) PLL:ffiF"? fOR CITY USE QYLY
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C PLl1H8ERS LILEHSE:
ADD."tiESS: _S'<= - /I~ci C ~ ?~4i Active
' CITY, STATE, ZIP: Expired
NSi~. Q Hot o" Rcord
PHONE: ~-jc{'7 _ ~Gwo PLUMBER IICENSE N QGL3~~/jifp CE~e
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4) OCC~rp*_`+r/Cr..T,T7-R NAME: R(PLEASE PRINT)
ADDkE55:
CITY, STATE, ZIP:
PHC}NE:
5) INDI= WE3ZCI3 PEP.tiLIT IS BEIP:G REQUESTID:
0,CC:..ECTZGV 'IO CITY SE;•1&T2
~ CCNNFCITIG.I 'Ib CI'I^i SIATER
? d= (PI.LASE DESCRIBE)
6) 21DIG,.:: C::L:
? P=E f:OLD APP??CVID PIIZtiLiT FOR PICi:-UP BY OhTE OF F1&M7E
?°LaSE MAIL APPRPE?MIT TO 1, 2, 3, 4 r'1E0'E-
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~!lAii11~:A:f~il~l~et:afliR . . . . • .
F O R C I T Y U S E O N L Y ~
PERMIT u ISSUED
F°L'S: $ ~O. Sd S°_i•iER nrqMrm
$ WATER PEItC1IT (INCLIIDE SURCuARGE)
S G~ ~'-a WAT-R METE°/COPPERHORN/OUTSID° REA=
$ WATER Ta? ( I.ICi.uDE COR?ORATIOV STC? )
$ SEidE3 T.^.P
$ ACCOUNT uEPOSZT - SEi•:ER
$ ACCOUNT DEPOSIT - WA.°_?2
$ _t?'7 O, a~o WAC
$ sac
$ T4U:II; *.aaTER AssFss.:E.aT
$ TRUNF SEivER ASSESS~1ENT
$ LATERAL BENEFIT/TRUNK SES•IER
$ LATERP,L BENEFIT/TRU.IK WATER
$ ' OTHER
$ TOTAL
$ A:`40UJIT PAID/RECEIPT
DOES UTILZTY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUDJECT TO TFIE FOLiO:•7IDIG COCdDIT20NS:
APP20VED BY:
TITLE:._.G~~
DATE:
me fwuasw=irW09 U&M wWou W~+ww wqp-m wwwawc4W wIM_4q w+M ar.-M wtW se Wr" peaPt so NaM wwm
~/0 7~ 2007RESIDENTIAL BUILDING rExMrr arrLicaTiox
City Of Eagan
3830 Pilot Knob Road, Eagao MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ComWctlon Reauiremenls RemadeVReoair Reauiremenla
3 registered site surveys ahowiig sq, ft M lol, aq. R of hwse; and @ll raofed areas 2 apies M plan shaving tootlmp, beems, joists Ce~CotS1ly~y: _Y.~_ N
(20%marimumlolwverageallowed) lsetofEnagyCalalatlmafaheetedadditlaw SoIIsAAjiat -~-Y_p!
t Shcs Repal'h propased buil6ng is lo be placed m disWrbed soil 1 site wrvey la aAdilians & decks hee Pres Flah Redl +Y. 'iN.
2 apies of plen showin9 peam & windav e¢es: poured found decign, elc. Ad66m-iraY~cete il arsile sepSc sysfem Tre8 Prda'{{qqU7pd Y.-~`N
7 sel of Enagy Calailatiais Onalte Se~C'SjbCem _~N
3 copies d Tree Preservatian Plen'rf Id plaGed afler 7NA3
Rim Joist DMeA Optlms sNeWm sheet (buBchrgs wilh 3 a less unlls)
M'mnegmoo mechamCel vai6letlm 1pm
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date Constructioo Cost SC~ 3/
Site Address 4 3 h`'7 S l,i NF` i S~E- Unit/Ste It
Descripdon otwork 1 2_ W-iZ O C t-
Mu1N-Fsmily Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owoer V Ee. l,} Iv Telephone (oS'1 ) 330- -TO 3-S-
ContnMor 51-o fu`v\
Address _9 f'S 7(0 a SO~ c~ I+
-L L-1 City WDUC~!
State V Vl Iv , Zip S S 12 S` Telep6one b Sl ) 7 3 fi'- /(0 9~
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
EOBf9y COdB CetegOry • Reslderltial Vend18U0n Category 1 Wakeh¢2l • NBw Enetgy COdB Wa'kshCet
(Jsubmissiontype) Submitted Submilted
• Energy Envelope Calculations SuMnitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB
_ Y _ N If yas, 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 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 ofplans.
ApplicanYs Printed Name Applicant's Signature
City of Eapn j ?ermit# t~
I Pertnit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675
Fax: (657) 6755694 i Staff: ;
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:J-IZ'C) 07 SiteAddress: y~W9 SL, o R, S~_ Ra. E.'4~ N rt) M~j SS1ZZ
Tenant: Suite
RESIDENT/OWNER Name: LUitlil~ivh Q• S2_.uP +Z N tiCE- Phone: ~251-330-SO 3S
AddresslCity/Zip: Y309 S`-~"P_iS~ R&'. Mv- SSIZ2
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: LVrGL POo ~
Construction Cost: S G 9 S- 3 3 Multi-Family Building: (Yes No;~S'3
CONTRACTOR Name:SlDV_tnn License#: !a C73Fc~~ 6 O9-
Address:
5
City : W00A bU'L State: M u. Zip: SS~2
Cosi)
one: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mifled
submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, da[e and address of master pian:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NO1E °Plans antl supporting documen#s thaf you siibmft,aii4;'dbnsidered to be public InformatFon. Portians of .
m," fher~nformarion raay~be ciass~fied'as non pubiFesif you`provide spec`ifc reasons that,would permif the Crty to ;
cs~ncluile fh'af fiie ate trade secrets t g-=~_..r_.
1 hereby acknowledge that this infortnation is complete and accurate; that Ihe work will be in confortnance with the ordinances and cqdes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permd; that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
C~e qpw
'
X y t xD ~
ApplicanYs Pr' ed Name Applicant's Si ature
T~~ Page 1 of 3
o°i_ CASH RECEIPT ~
~ •
CITY OF 'EAGAN
P. O!BOX 21-199
EAGAN, MINNESOTA 55121
, DATE ~ 19
RiC61YCD
FROM
AMOUNT $
Ee DOLLARS
too
? CASH ? CHECK
ROR
e
FUNO GODE AIAOUNT
J
~
S ~
Thank You
BY
White-Payers Copy
Yellow-Posting CopY
Pink-File CopY
Pi~
• ' CASH RECEIPT V
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
S -
DATE 19~
RtC61VED ~ . r. /
FROM
AMOUNT Is
'17
' 7, Ao DOLLARS
~oo
? CASH Q~GK
~
FOR
- --~ti ii ~,J..T_
~
~ ..f. ' i
l. .
FUNO COUE AMOUNT
r
. ~ S
- ~
Than ou
' BY White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116755
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4309 Sunrise Rd
Lot:11 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-110
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 .
Audrey Flattum
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 -
William B Severance
4309 Sunrise Rd
Eagan MN 55122
(651) 330-5035
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118892
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 4309 Sunrise Rd
Lot:11 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-110
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 -
William B Severance
4309 Sunrise Rd
Eagan MN 55122
(651) 330-5035
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
-ForO~LceUse _--_-_--I
City of Ea p ; Permit a:
I
3830 Pilot Knob Road Permit Fee:
i ;
Eagan MN 55122 j Date Rece vee:
Phone: (651) 675-6676 ,
Fax: (651) 6766694 i stan:
I
- - - - - - - - - - - - - - - - - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `7 r f Site Address: 7 3U ,-[/N/1 I S t57 t~
Unit
Name: ' /fJi I i~h S'E
1 (/'tr~,r4~G
RESIDENT Phone:&S) ! map
/ -
OWNER Address Clry Zip:
Applicant Is: .Owner .Contractor
TYPE OF WORK Descriptlon of work: 1't ECG lam.- G~iL,
Construction Cost: f 16 96IP &O Multi-Family B ilding: (Yes _ No
Com Pan : '-7-b✓ d to ~ Q-A gAto:-5 ~ C o Y Contact: 516 I'l S'/~b 4q/QAc
CONTRACTOR Address: -_~P~/'Q~ C IQ~, City:
State: 4/U_ Zip:- ~5r 19 Phone: As- " Y~? Y ~~1 d
Ucense 4/,47-72,373-/
~J` Lead.Cettlflcate If the project is exempt.from lead certification, please explain "y: (see Page 3 for additional information)
COMPLETE THIS AREA QNLY IF C__ONSTRU_CTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit fora similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
4Jcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit ara. c9nsldered to be public informatlon. Portions of
the Information may be class(fied as-nol7 p4blic If you. provlde'spe~cl lC reasons that would permit the CIry to
corfcluda4hat,ftie .are tradesecrets:
CALL BEFORE YOU DIG, Call Gopher Stato Ono CaU a. (obi) 4Won for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of undergrourxl utUttl.es, Wm.002b$JetsQ,0gcallOro
I hereby acknowledge that this Information Is complete and accurate; that the work Will be in conformance with the ordinances and codes of the C:r; Di
Eagan; that I understand this is not a p8rmlt, but only an application for a permit, and„wprk Is not to start without a permit, that the worx m1i Gr in
accordance with the approved plan in the'case of worst which requires a review and approval of plans,
Exterior work authortzed by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x
Applicant's Printed Name X
Ap cant's Signature
Page , o