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4295 Sun Cliff RdPERMIT City of Eagan Permit Type:Building Permit Number:EA128174 Date Issued:10/28/2014 Permit Category:ePermit Site Address: 4295 Sun Cliff Rd Lot:16 Block: 1 Addition: Sun Cliff 2nd PID:10-72976-01-160 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 - Scott A Olson 4295 Sun Cliff Rd Eagan MN 55122 (651) 454-9652 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite B Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature CITY aF EAGAN WATER SERVICE PERMIT 3830 Pitat 16nob Road , P. O. etox 21199 PERMIT NO.: ~ Eagan, MN 55121 DATE: Zonirg: RI No, of Units: ~ Owner; {lie Acidress: 51te Ilddress• Plumber: A! ~ Nleter N ~ Conneaioa r~hTT: r . sine: 4 Aaa,nf'''poslr: R-li &"Wf et.jA,\44 i i pr» to sowiply W" !w Gry wLs"m Sund?arQe: OnAM.a.. Mtsc. CF,orfles: i-~' ~ 00 p~? Tatal: P« Will JL BY Onte Paid: vv- Dote of Insp.: Insp,; ~7a--,; -YJ ~ CITY OF EAGAN WATER SERVICE P I 3830 °ilot Knobi Road ~R I P. O, dox 21199 PERMIT NO.: Esgan, MN 55121 D1?TE: Zanirg: Na. of Units: i Owner. ' /1ddr+esa: 5ita Mdross: Plumbsr: IlAetsr No.: Connection Qxwfls: ~ Siu: 1lccourrt Deposit: li Reoder No.: Pertnit Fee: 1 Mm b aMplr wMU Iw Cihr oI Empw Surchnrgs: ordhMmese. IWsc. CFwrpe:: Total: i By Dor. Roid: Doh of Insp.: Imp.; ~ I~I CITY OF EAGAN SWER SERVICE PERMIT ~ 3830 Pilot ICnob Road PERMIT NO.: P. O. Box 21199 Eagan, MN 55121 OATE: ~^i~: No. of Unita: Owner i;l:tltv Add.eas: T Site Address: 9 5 pt , Plumber. i - . j .t ! r. 1 ,_ar • 1spw !o eonpir wilk !M C47 *f 11"aw Cormtction Qtarpe: ~ ~N~• Atoounf Deposit: Permit Fee: ~ Surcharpe: BY Misc. Qwrpes: Dote of Insp.: Totol: Insp.: Dote Pold: i i„ - - - - - ~ ~ , . CASH RECEIPT ~ CITY 4F EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ~ L; DATE 19 i RiCmVtD r ( 7 ~ AMOUNT $ ~ DOLLARS ~oo ? CASH aCHECK , ~ 4-r . ' iUND CODE AfAOUNT u y o a c f y 7 ti'- Thank You sv/';'.~,~~.G.~ 2.....- h f VYh11t@-PeY9ff ('iOpY Yellow-Poating Copy Pink-File Copy . ~ . CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE - "7 19 - R[Ct1Vtp ' . „j•~ FRWY'. a . AMOUNT $ I 3 DOLLARf ~ ~oo ? CASH 0 CHECK wOR r r ~ FVND COGE AMOUNT Thank You ! ~ BY - , . - White-Payep Copy i Yellow-Postinp Copy Pink-File Copy - CITY OF EAGAN . , . . . i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 dU1LDING PERMIT RKeipc ~ Te M ww fa ^ -Est. Volue Dote 19 Sfte Addrem Erect Q Occupancy i Lot 1 E. Block Sec/Sub. F'~'` 2!:, Aemodel ? Zoning ' Repair ? Type of Contt. i; Psrcel No. Additfon ? No.5tories Q a. T 09r~, Move ? Length . ~ N°me , 1 , Demolish ? Depth Addresi brlq ~ ~;.r. l~T Int Impc ? Sq. Ft. City "Phone ~ 1 1 - ~ ~ Install ? g,Apoeovab F~q O N8rt1@ - ~ ~ u~ A~~ Asseument Permit ; u ~ City Phone Woter 3 Sew. Surcharye Poliu Ptan Revfew -j d; Nsme Fin SAG t r; x~ Adrlresa Enq. Weter Conn. .o 0' tW City Phone Planner Water Meter _3_0 0; Council Road Unit ' v• V o. I hercby ocknowiedqe thot I how read fhis opplication and state thot Bldg. Off. Tr. PI. ..1 0~ t h e inlormotion is correct and o gree to com pl y with all a p p licable APC Parks ' SMte of Minnesoto Statutos and City of Eaqon ardinanc4s. Var. dste Copies 0' Sf9noturo of Pertnittea Total • ~ ~ ~ . A Buildinp Pennit ts iuwd ro: on tht express tonditlon ehoi oll work sholl be dorN in acoordonco with oll applioable StaTe of Minnesoto Stotutes ond City ot Eopon Ordlnonces. Buildinq Officicl • PKmit No. Pwmit HoMsr Don TiaIephone ~t Plumbinq f U t l..r CJIfl'~1,+. ~ l 7 1$~ C~ _ 5_ H.VA.C. ENetrie r'~Ll~`~6 7 1 ~ ~l ~ softw.. Irqpsetion Date Insp. Other Footingsl Footlnps 11 Foundsdon Framiny Rooflny Rou9h Plby. -~S Rouyh Htg. ~ Insul. Flroplacs Finsl Htg. Final Plby. _17 Final c.rvoco. q a ~ 5' Water Oncribe Loostion: WoII Sowsr Pr. Disp. Recsipt MECHANICAL PERMIt Permit Na. CITY OF EAGAN ' Fee - - a , fill in num,bered apaces S/C . Type ar Prini legib/y J , Tot, ~ _ J 1. Date 2. Installation Cust 3. Job Address. ciotfBIk. Tract 4. Owner 5. Contractor 'kone 6. Addreas 7. city ,4y„~,.~ state Slt ztp 8. Building Type: Rssidential Commercial Q Institutional ? 9. Work Descriptinn: New 0- - Add ? Alter ? Repair ? , 10. Describe ( : ~ i.• : ' ' Fuel Type ~i 1%; 11. No, Epuioment 9TU - M. Ea. No. Eauiament CFM Farced Air . Air Handling: Mfg. . ~ . . ~ . Boilers Mech. Exlia4t=~ ' Mfg. ' Unit Heater Mfg. : Other Air Cflnd. Mfg, Gas, P"iping 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 : far Rouph Final frtspect+orts: Date tnsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN ~ 6 6 5 (17 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DEC++ Est. Value ~ 1, G'no Date ~IM 16 SiteAddress A293 WilN GLIFF Rll Lot ~ s~ Block I Sec/Sub. S~+`N CLIF~' =?~f' O~F1CE USE ONLY PafC('•1 N0. Occupancy - FEES Zpning ~ W Name SCM A O~»iS~s4 (Actual) Const - Bldg. Permit o Address ~+24g SUW CLigF (Albwabie) - Surcharge • ~ City ~&GM4 Phone 43 7-7663 # Of Stories - 219 Plan Review Length , p Name SAHL Depth _iLQ SAC, City OV ~ ~Q Address S.F. Totai sa,c, nncwcc ~ City Phone S.F. Footprints ~ On Site Sewage - Water Conn l x W- W Name On Site Well - Water Metes ~ Address MWCC System - o= Acct. Depvsit ¢ w Clty PhOf1e City water - PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S.M! Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: xAyTT A QLSON Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. eidg. Off. ~ Copies • Building Official Variance - TOTAL 2rs. i Permit No. Permit Holder Dete Telephone # WATER SEWF-R PLUMBING H.V.A.C. ELECTRIC Inspectlon Date Insp. Comments Footings I Foundaeon Framing Roofing Rough Plbg. Rough Htg. Isui. Freplace Final Htg. Final Plbg. ' Const. Mefer Plbg. Inspector- Notily Plumber Engr./Plan Bldg. Final Deck Ftg. ( 2 L < Deck Final Well Pr. Disp. INSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: ~ ~ , „ . APPUCANT: , r , t~t • ~ r ~ ~ ~ . ; ~ : , , , . ~ . r ~ris r r. I PERMIT SUBTYPE: TYPE OF WORK: ~ ~ INSPECTION .A . i . . !i , „ . , • . , . ~ I I„P} ii r, ~ .I:! P ~ :i~ ii l s 1'c ~.M f~ . ~~,i~~ l 1~~I 1'? ~IPII? I N:, t~. , ~•p) I I 'l."!r~ r: i~ 1 . 1 i il:•~'. . : ~ . . . . ~ ~ ~ I Pertnit No. Permit Holder Dats Telephone k ELECTRIC PLUMBING HVAC InspecUon Date Insp. Comments I FOOTINGS I FOUND I 7 l /~/W I FRAMING ! ! ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATiNG GAS SVC TEST INSUL GYP BOARD FIREPLACE ~Z•l~'• . FIREPLACE - AIR TEST FINAL PLBG FINAL HTG J ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL j DECK FTG DECK FlNAL I i I tnis .eauest wie ,B hr~M3 c~ ~ . a o U es~ Uate Fre No. pough-in Inspec flepwred? EReady Nuw iII Nobfy InsPec- -lO ?Yes ?NO ~ r When fleady LLicensed leclrical Contractor 1 hereby request inspaction oT eM bove ne* elechical work installed aC SIreet-Address n r Route No. Ci 4tir.No. wns iD N&oRange No. Phone No. dJress s E ical C ntmctor (CO N ~ ~ C ntra or's Lie No. / Mail n~ ddress (Con ror or Owner MakinB I 'Iation) ~T-3 3 3 AuMoriz ignatu Contracmd0 ner ing Ins II io Phone er . O ~ YINNESOTp STATE BOARD OF ELECTIIICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldp. - Room N-191 BE ACCEPTED 6Y TNE STATE eOARD 1827 University Ave., St Paul, MN 55104 UNLESS PflOPER INSPECTION fEE IS ph. 1612) 297.2111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee•ooooi~ See i~vtructiens fw compleU'g ihis fam on baek of 6 rellow coov. C7 9-03 "X" Bel.,w Wor Covered by This Request ( AAd Reo. TYOe of Bwltline 4CPotiancea WirW Epwomeot Wired Home Range Temporary Service Ouplex Water Heater Ligh[iq Fixtures Apt. 8uflding Oryer ElecVic Heatin Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank fafm peci tv) iher ($Decify) L.r yealY 1 e Other ompute lnspecUOn Fee Below p Fee ServiceEnhanceSize p Fee Fe rs/Subfeeders N Fee C- rcui[s 0 to 200 qm s 0 to 30 Am s 0 tn 30 Ane Above 200 qmps 31 to 700 qmps 31 to 100 q mps Swimmin Pool Above 700-Mips Above 100_Am " Transformers Irtigation Boo~rs Partial%Other Fee Si~s Special Inspeclion S eirerks (f AL F/E£____,~ Nouph-in Date i, ~he leclcical/ InspacEtor, heraby c rUty thet thg above Final D~te y ~nqp~~i~ ryag been mede. T~q requmtwM 18 momM irom Th;= .ecIttes b,a ,8 r~. n i ~1 43 i 5&,.. C-e, ' a U s-u Hequest Uate Fire No. Rough-in ct~on ~1~^ity~~ pec' ,~j / fle9uired? []ReatlY N. ?No icensed Elec[rical Contractor 1 hereby request insoactfon of above ? Owne, elaetrical wak iasfalled eY Su¢et Atltlress, Box qyfloute No. Citv cLOn TowMhip Name oi No. Range o. CountY / Y Occupant INT) Pho ¢ No. 3 Pb r u0 ~~er Address Ebw,precal Contractor ICOmoarry Namel C ractor's Lic~ No. - O 3`7 _?Y 3 Maili AdJres (Convactw m Onner Ma ng Instailationl ' T3, ~ C;I Aufi ~z ' iB re (Conhactw king Ins Iation) • Phone Numb¢r YINNFSOTA STAiE BOAIID OF ELEC7111 ITY THIS INSPECTION qEQUFSf NILL NOT Grigps-YidweY Bldg. - Room N-797 BE ACCEP'fED 6Y 7HE S~ATE BOAM 55106 UNLESS PIIOPEN INSPEGTON FEE LS 1821 Univenip Ave.. St. Paul. YN ENCLOSED. om..... 1stz1z9]attt REQUEST FOR, ELECTRICAL INSPECTION EB'O00°'-04/ ' See i'rstrue[ions for eonletinp iAis tam on bnck of yallow copY- 'O 046907 ""X"" Be/ow Woc_~ ed by This Request Add ReP. TYDe ei BuiMinO APPIianCee WiIW E9uiomenl Wired Home nge 7emporary Service Duplex ater Heater 4ghting Fixmres Apt. Building . Dryer Elec:vic Heati Comnercial Bldg. urnace Silo Unloader Irdustrial Bldg. Air Corxiitioner 8ulk Milk Tank Faml Othe. pac~ r D~her ISOec:Fty) t r Succ.(v Oeher Other ompute lnspection Fee Below N Fea ServicaEMrdaeSize k Fea Faeders/Subfeedars # Fee Grcuits ~ owzoo ocoaoA 5 oT„so A6ove 200 Amps 31 m 100 Amps 31 to lOQ Arnlas Swinming Pool Above 100_Amps Above 100_A~s - TransPonners Irrigation Booms .L Partial,'Otlher Fee Sigis Special Inspection S _ rks ^ TOTALFEE eene ~ G-JU flouph-in ( Date ~ i. t Elactrical i~cx .eu. 15• ce~Uh thet ihe a6ova Final has 4san ~tim ( ~de vUNlapueetwMlBmmtOShmm ? Receipt PLUMBING PERRAIT Permit No. -55ffo CITY OF EAGAN Fee ~ Fi!l rn numbered soaces S/C ~ TYPe or Print /egiblY Ta. ~D . S U 1. Date 7 2. Installauon Cost 3. JobAddress /V C1.1~Gt !1K BIk.Tract,~~~ 4. Owner &r//P DLi~l, 5. ContraMOr XYIC761~'i L/o`/ia~ Phone 6. Address O /yX 314C.1-1 //X-P 7. City d'/fh6lo+/6 State /Tiia'y Zip 7y 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New Ze Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tu6s $eptic Tank ~ lavatory Softner ? Shower Well / Kitchen Sink Urinal/Bidet Other ~ Laundry Tray ~ Floor Orains Drinking Ftn. ~ Slop Sink e/ Gas Piping Outlets 12. I hereby certify that'the above information is true and correct, and I agree to comply with al ydi nces an odes governing this type of work. Signed: ~~ii for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN N~ 16658 y ~ 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for DECK EsL Value $1,000 Date JUNE 16 , 19 89 Site Address 4295 SIIN CLIFF RD Lot 16 Block 1 Sec/Sub. SUN CLIFF 2ND OFFICE USE ONLY Parcel No. occupaocy - Fees Zoning - w Name SCOTT A OLSON (ACtuap Const - Bldg. Permit 26.00 o Address 4295 SUN CLIFF RD (Aliowable) - Surcharge •SO City EAGAN Phane 937-7663 # of stories - Lengih 1' Plan Review io Name SAME Depth 10, SAQ Cny 0,04 AddreSS 5F 7otai - IIY Phone S F. Footpnnts _ SAC, MCWCC C On Srte Sawage _ `Nater Conn ~ w W Name On Site Well - Water Meter '0 Address MwCCSystem - a W City Phone city water _ Accf. Deposit PRV Reqmrad _ S/W Permrt I here6y acknowlege that I have read this applica[ion and sta[e ihat the eooster Pump - S'W Surcharge information is correct and agree to comply wrth all applicable State of Mmnesota Statutes and Ciry of gan Ordinances Treatment PI Signature of Permrtee ~~APPROVAlS Road Unrt A Bmldmg Permd is issuetl to: SCOTT A OLSON Planner - park Ded. on ihe express condiiion that all work shall be done in accordance with all Councd - 2.00 apphcable State oi Minnesota Statules and City of Eagan Ordinances gld9 pry, _ Copies Building Official 8nill j m Vanance - TOTAL 2$•$0 ~ CITY OF EAGAN N~ 104 H'I 3630 Pilot Km6 Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHONE: 4548100 RecerDt # -~'J7/ ~ ~ Te M m" fer SF DWG/GAR Et,yalYe $60,000 pate JUNE 28 ~y 85 SiteAddress 4295 SUN CLIFF RD Erece occuPeney R3 Lm 16 glock 1 ~ec/Sub. SUN CLIFF 2ND Remodel 0 Zoning Rl Percel No. Repeir ? Type of Conct. V Addition ? No. Stories BLILIE CONST Move O Lenqtn 38 ~ Name Demolieh ? Depth qddm$ 644 SUPERIOR CT 47 Int Impr. 0 sq, pt. ctty EAGAN Phone 454-1438 i„sten ? ~ Name SAME Anv"ah fep Address Assesunenr Permit $ 313.00 1- City Phone Water d Sew. Surcharge 30 _ 00 tPolica Plen Revlew 1 5 F - 50 gZ Name Flro SpC $25.00 Address Erp. weterConn 500.00 ft'W City Phone Plonner Waternneter 63.00 Counc7l Roed Unit 280.00 1 hereby aCkrrowledge thot I how read this opplicotian ond state fhaf Bldg. Off. 6I27/85 Tr. PL 132.00 tha inlormotion is correct and agree fo wmply with all opplicable AP~ Pa~ StaM of Minnesoto $tatute d Gry of Eoqan Ordi ce~ „ A n m ~ Var. Date Copies - rJ 0 57pnaturc of Perminas I/ t1~ $2~000.00 A Building Permit fs issued ro: BLILIE CONST rotal m the exprets conditlan thot oll work sholl ba done In ecco nce wit a imbla Sf of Mi ro totutes ond Ciry o} Ecpan Ordironcef. Bulldinp Offidal ~ - - CITY OF EAGAN Remarks 2)/ v%J/ a,' -/?,alc.~ , :PV Addition SUN CLIFF 2nd Loc 16 Blk 1 Parcel 10 72976 160 O1 Owner Street 4295 Sutt Clif Rnad StateRngnn~ MTT 55179 Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. C` 1$ 3s~Lf, 5 C-1O /c'I' U- STREETRESTOR. ~.iW7Q 1986 -^_r±=+?=r~ 431.51 5 oZ./ ,,5,3 ~-/l~~ab~/ /U'~-~5 GRADING SAN SEW TRUNK 1c~/ 1()~~ (~8 1-95 29 /,(00 C' /p'J/ r-/ U- A$ SEWERLATERAL ey 1$ 265.63 53.12 s a a, / C-/O /!J' -85 SEWER LATERAL 999 1986 829.62 165.92 5 F.~ ,~,;2, WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 ~2 p U" ,,~5 WATEftAREA ~ 1] i.39 C - /O/~/ IO'? -~5 WAT LAT BEN 1986 57.88 11.58 5 5.~J' t'-1665 / STORMSEWTRK ],9]1 161.72 8-09 20 ~•5~- C-/O 19 /U'`-kS STORM SEW LAT {f S W SERVICE 1005 1986 808.77 161.75 5 7 -7 CURB & GUTTEfl SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 /D• / C- ii .5/ f'-. WATER NN. u n 9UILDING PEF. SAC n n PARK qo co a~W3 ; I Clt~ 0f EaiaIl j Permit I Permit Fee: /r^ O( / i 3830 Pilot Knob Road Eag811 MN 55722 - i Date Received: j Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT AnPPnLICATION Date: *0 (P Site Address: 4Z 6 6- < )4n ( '/li T7 Tenant: Suite RESIDENT / OWNER Name. Phoneel-_~i~~'~ ~I1~52 Address ! City / Zip: Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Construction Cost: 5 Multi-Family Building: (Yes Noxi CONTRACTOR Name: U)2AX* d 0nsbg b License#: ~~QtqgLfaq Address: 5cn I I MPMor1C'Jl M I V• City: &H. I Ilk.i.Cll er State: fY11Y Zip: S 50C'0 Phone: GJI' N?!•`'1.~~J ContactPerson: KCICeO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category i Worksheel • New Energy Code Worksheel Category Submitted Su6mitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Coniractor: Phone: NOTE: Plans and supparting document; fhat you submTf are cortsidbi'ed to 6e pLbllc ln/orination P''ortions ol - the informahon miay be clas~slheel as ntl*pubifc ef y'b0 p0 vr~ sp~ci#Ic reasonx~that wot~ld ~iertr~ft flae Criy fd ° ~ :'~conclud~.that."[he ~arettrad~se~r,'ets. s~." ` I hereby acknowledge ihat ihis intormation is complete and accurate; that the work will be in contortnance with the ortlinances and codes oi the Ciry ot Eagan; that I understand this is not a permit, but only an application tor a permit, and work is not to start without a permit; that Ihe work will be in accordance with the approved plan in the case of work which requires a review and approval ot plans x /fiwu C~i X Applicant's Prin d Name ApplicanYS Signature Page 1 of 3 4SI 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: AGL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY , 1 SET OF ENERGY CALCULATIONS To Be Used For: ~ F~ ~ J kl C. Valuation: ~~,COO- - Date: Site Address: ~~.9`.~ 1~ ~F F 8 OFFICE USE ONLY c~ 4 Lat: j(p B1ock ~ Sect/Sub c~ect X Occupancy P- -j Remodel Zoning Q-~ Parcel I{ Repair ~ Type of Const Addition ~ I! og Stories Owner do Move Len th 36 ~ Demolish Depth 4Z Address L Int,Impr. _ Sq Ft Install City/Zip Code C Phone _ ysy^ (~~9 APPROVALS FEES Contractor pssessments Permit 313. ? Water/Sewer Surcharge Address Police + Plan RevieN I r-x, s-° Fire SAC 525. City/Zip Code Engr Water Conn S Planner Water Meter Phone Council Road Unit 2go•°° Bldg Off~ 1. Treatment P1 ( 32.°~ Arch,/Engr, APC Parks Variance Copies (1) Address TOTAL City/Zip Code Phane U Ico 2 I q- k 3 ~o " gO~ x 44b x \4S 5~ ~ s~ 1i2915- swz ch {f 11f'cx,0/ C. R. WINDEN b A530CIATfS, iNC. tJ'~~~` V IAND SURYfYORS Td. E45•3646 1361 EU5115 ST., ST. PAUIt MINN. 55106 Ft?P.: BLILIE COD:SE?iL'CTZO2d NOI'E : e Deno[es Wooden Stake - Proposed Garage Floor E1.= 9c9. ~ Scale: 1" = 30' (9000) Den~ites Propesed C' Denotes Iron FinisAed Ground E1. Monumenti t-- Denotes Direction Cf Surface Drai.^.age Vertical Dacum - N.G.V.D. 1929 Eoserr~~r~~ - ~ Q Lr N e"7~ao~25°w 0 i r 201 7~ ioY<,ho~, m ~ i ~ ~ ~ L~ i r LL ~ ~ , / v- ~ ! ~ ~ ~ PnoPoseA {9aP8' ) ~ ~ m LL ar ` f ~ Z ~ ° n~ Nouse i4 ~q Q-1J ° 47 Lz N U ~ L(1 ~-k--~- ~0 N ~ c? ~ Lot 16, Block 1, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE NEREBV CERTIFY TMA7 TMIS IS A TRUE AND CORRECT REPpESENTATION OF A SURVEY OF THE 60UND/,RtES Of THE IAND A60VE DFSCti16ED AND OF ThiE LOCAiION OF 1111 6UtlDINGS. IF ANY, TMEREON, AND ALL VISIpIE ENCRQACHMENTS. If ANY, fROM OA ON SAID IAND Ooiod r6n ~ dor of - A D 19" - C R w'i MDEN 8 ASSOC+AifS, INC. t S~r.oyo~, Mnn~~oto R~p~~rot~on No. r~ns~< ry„ 7Y y *c~ h ~ i ~°'Ya}N•1~^A,yp's"~cCC/ Z`~,F~ i~" ~°f ~.w `d,"~„',~' 'FFrC ~r ~ ' ENVELA~f96 ! y 3..4a `i..~ ~ ~ L~~ ~ ~ - j.4~~: ) ' . . • "OWNER . -"SITE AD4RESS ~~'s . •=a ~ . *A• - CONTRACTOR jL/£..; '~7 " OATE PtIONE , Determine workin4=square,.-176otageof each. fl~l;;'`' 1. .Tota1 ezposed wali area . ; il ~Q~O 99 : sq. ft. x °~.1:,. a. _ 2. 'fota'1raof/ceil~#n ~-area~ /~-~,~s,y-~ Q' s ft. r,~ . x :..az~ . . , 9. 5s ~ x M;"..., y~ Tatal e~posesl wal t aree° above f1ovr ~ a. Total wall wfpdow. area b. Total- 666rK aiea c. Tota9 sl4irt 9 91ass.door drea d: ;Total.firepl;dce~wall area,` . e.~ Tota} wall f~aming~'area'(ave~°age~tA%) f. Tota1 net wall ar.ea°`.abovei;floor Total rtm joist area • ~ . TotaT`ezposed fourtdation'area-= h. Tota.t founda=tion)4Adosv'At+ea..~. . X`:.... . ~ i. Toal. net foundati'oii'area abeve grade~......... ~Determine "U"~value of eacb-,~riall segment. ~ ~ • ~ . ~ ~ ~ 102.7z' b• 37 7 ? ~ .,x, itu,; ~ . 1,2 _ i~ C. F d. X Pull e. x ~~U" . « . - x itu., 7-7 - 77 _ y g • n. „u„ ~ , ~ ~ . , iN ^b*&= "„11 IL : J. A . . . . . : , . If item p3.is.the,same as,~ or'-1ess~than>fitein 61, you have,`met 'the-Intent ~ ,r ~f .58C 6006(c)2: f. p` ' a LL~tx ' 4r MALL UC:TiuNb ~ r „ ~ t~6: Use 15t oF apaquc wall.area tor, ' ~ - fremp"construction Wtt*trucrion .s- T ~ t: _ 1• r i film 3, • i.nches soft woocl • 4. ~lli~~ . as f/D/NG . L 7 T S. 8 ZC ~ ~~~~wRLL 6. 8xCerior air #ilm = 0.19 ~ ~s.. Total /a9t' P FIG. Nl TOPVIEfV OF FFAlSE WALL 1. Interior air film 0.68 i ~,.2. s1 .~f 9F . 3. • 4. "z r~'it~r~itf` . ~G g, Facterior a r f$lm 0-.17 . =:FIG. #2 Total P" ~ : .~-,p , o 1. Interfor air film 0.68 2, . ~ 3. ..~...r..~ 4 . fLirP1.~ ?ipYt~4er lrx ---.-----Q~~...~ 5. 2sr~~1~~6 .~-1`x.C i ~'-0 6. Exterior air Pilm 0:17 ~ ~•~c',.~, ~;~~1 .If~~ Ybtal f : •`.i ' I •'r ' c i Qy ' t~'; - . - :)j A P • . 1. Interior air film 0.68 . A p 2. AQIiils1TICN '~'SdRLL ~ ' d• • ~ 3. ~ 'il' • 'Q. • 4. ~ i1r 5•.26 "_~A*.nd C , 5 . ` f,ro/I c~ 131 G. Exterior air film 0.17 ` Total r,° . . . 9, ?G SLAH ON GRADE i; h( . ~ • ~,[.'Lp_~~7~.~?-~ ~ ~ '~t ' . ' a - : . ti -r. ~ q • A . . I e.'+ ~ . ~ • -116', . . n, . . ~ . ~ l!r . ~ Fic. na ~ r /r~ IG. $3 " - ~ ~ i . . • /Lf X X NOTE: Indicate tyQe, value, depth aiid tx r . • • ~placement of insulation. g . ~ Yx~' P _ • ` b • _ , ~ ax {W~' * " • . . _ , - F . _ ` .i. .i . . f.' ' . ' ~ ~ Totat ezpdsed roof/ceilinq.area Total skylight area.... k. Total roof/ceiting framing area (average 10%)...~77 F'6 - ~ 1. Total net insulated raaf/ceiling area:......... Oetermine "U" value for each roof/cei9ing seginent. 5. . n. J. - g ltusi k. z.."u^ .f~7G. ~ x liuil . 0.22 4 Totel~ ° ~,~w• • , ~ If total of N4 is the same as, or less than #29you have met the intent of ~ - _SBC 6006(c)1. Alternate Bu9lding Envelope Design ~ To utilize the total envelope 5ystem method, the values established by Lhe " sum of items N3 and #4 shall not 6e greater than the suin of items fl a-ld M; _ t 2: 3. + 4. /,99 S"0 4a, ~a . Pti rJ Pn. n Is. • , :4~':i.k:.'f.:'~'rc",?k;;'~Y::r'Yd'M5K)~:k:~FiY::ai~F:r'~vY;Y,,•.;;~s;Cf:~1yA;~;%~y;>~ ~~:P6Y,C~~ CI7Y oF r:AGAN rA;l-IIf'!ii J8 'f:;;M:lNAi... Idpu 693 1i,}-iE^ 05/06!98 7:1:MiC: :4:5031 CD• tiR,Mt_;; ~1It)Fil.FiND HI.tM+c. :i4i111.J?r::;:; 3210 9001 4295 SIIU C:1...1FF 271.05 3422 JOpt 4295 SIJ'J i'.I..!:f l-" 08.59 2155 90Ul 4295 Cil}N CL.I:i cr ?,,50 IL'F,;11. R:_oe:7.pi] PiR;rP.trih, 4602.5. f:1; 79' i,l;i:.i 'JSL":: 1% .7fih! MB:`4i'.°O}';Ciiy$"•~r;;i;'+F1,:m;~Cti:Y,:;i;Y,<':: i«`;..4>;:iY.~k'.i$".,:';;Y;;v;X.ii$'y,~C PERMIT , ~ ITY.OF EAGAN 383U Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031935 (612) 681-4675 Date Issued: 0 5/ 0 6/ 9 8 SITE AlhDRESS: 4295 SUN CLIFF RD LOT: 16 BLOCK: 1 SUN CLIFF 2ND P.I.N.: 10-72976-160-01 DESCRIPTION: Building,-permit Type SP ADDI7ION uilding, W`b,rk Type NEW t"Censws Cbde'.'434 pL7. RESIDENTIAL ~ s r » \•2 } ,,5* T' 1~ ~°_E~' t 4 p ~ ~t ~,~E REMARKS: PLAN REVIEWED BY MIKE BARCK. SEPARATE PERMIT REQUIRED FOR PIUMBING WORK. CALL 445J-2848 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: VALUATION $19,000 Base Fee $274.75 Plen Revisw $178.59 Surcharge $9.50 Tqtal Fee $462.84 .1 T CONTRACTOR: - Rpplicant - ST. LIC OWNER: HIGHLAND HOME BUILDERS INC 17536418 2012992 OLSON SCOTT 18519 ROANOKE ST NW 4295 SUN CLIFF RD OAK GROVE MN 55303 EAGAN MN (612) 753-6416 (612)454-9652 T hereby aeknowle8ge Chat I haus read'thYs,~appiieationf~and stat8 that tfi~e in1'qrmat$nn is correc~ anQ;agr~ee to_,campl~i-,uithal~,app~ ~ic#ble Stats of,Mn. ~r . . 't . Statues and City of Eagan Ordinan-tes. , ~ _ _ - _ _ . . L NT/PERMITEE SIGNHTURE ISSLIED BY: IGNAT E a. - a t<~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~~~r ~ 3830 PII.OT KNOB RD - 55122 ,y~/,5'~~ik'cSdit~A,E 681-4675 ~ New Construdian Reauirements RemodeVReoair Reauiremenls ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; paured fid, design; etc.) ? 2 site surveys (exterior addkions 8 decks) ? 1 energy wiculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted after 7/1/93 required: _ Yes No DATE: t hFS/7£S CONSTRUCTIONCOST; 7Q,OOa i DESCRIPTION OF WORK: STREET ADDRESS: S t, n I'4' BLOCK: I UBD./P.I.D. C /40 S'-cca k ~ Name: O [,sa+1 6'CC> 1T Phone#: CISY"!CS.Z PROPERTY Last First oWNER SlreetAddress: City EG 'u V\ State: m l~ Zip: 55-127 1.3 Company: i4 J Phone -753 - Ct{I 6 CON'I'RACTOR / ?a~, Street Address: O oat~c)K'r 57' NGv License # ZD (-:ZV7 / City LoL,~_ State: ~ N Zip: ~53o3 3I31 ~C 1 ARCHITECT/ ENGINEER Company: Phone Nazne:_' Cs PO s Registration Sheet Address: City State: Zip: Sewer 8 water licensed piumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requ re OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool )2'-03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New 0 33 Alterations ? 36 Move 'P32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System i (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. 43-/ Depth Footprint sq. ft. SAC Code ! Census Bldg ~ Census Unit o APPROVALS Planning Building M8 Engineering Variance Permit Fee Valuation: $ f9. Surcharge Plan Review "~4 -ssvwF !Jrr- License MC/WSSAC I v 17 = 2 -7 2-d3 !d is= LIO 3a,- City SAC Water Conn. ~ Water Meter "17 = 7- -7 Z,p j s y = 141, U~9, Acct. Deposit J_----'~ S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Urtits-- - - 14Exterlor Envelope Thermal Transmittance Worksheet SRE ADDRE93 qTY NAME OF PERSO COMPLETINO FORM pATE ti ~araS ~ . Assembly Area (Sq Ft) ll-Value U•Valua x Area Insulated Area 55,6 9 1 162, 1 S 37 Framing Area Skylighta p~e Olher ' a r 7 6. ~ Totals IAJ ' i r. .4 ~ ti ~ , ~ .DZ ~ Avera9e U•Velua: ~ 0 ~ +t~it_;:.{?~ , M v.. Raqufred U•Value (Irom Enorgy Coda) InsWetedArea 7 SK z•53 Freming Area L, (j SS7 wlndows Doors ' Rim Jolat /A~ Flraplaca Wall a' 3 Foundalion Wall (above grade) ~ Foundatlon Windows ~ Olher Tolals ~ to.2 j~s (E) Average U•Value: (D Requlred U-Value (from Enorgy Codo) t{~ ..i~~Fi!!4~~,F, IID i. . II (C) is greaiar IUan (D , or (D is greater than (E), complela the (ollowing lo determine Ihe desl9n necessary lo mael Ih ~ envelope crlterla ol the Energy Coda. , t As DealBned Tolal: ~ + f Q a CelllPg Budget: _ QD x A Q o ~ x v Wall Budget: ~ Total Envelope BudyoL 0 0 o Ae Dealgned - Budget: 0 (D r II ~ la greater Ihan zero, edJusl R•Values or ereas and recalculale so that QI is lese lhan or equal lo (D . . , . 1 i • ' . . , • I/ 1 • . • Form tor use witlt Mlnnesota liules put 7670.0415, Suop. 't 1& 2 Funily Residential "Cookbook" Method SRE AOpRE55 Cit C, A sUll ER ~y IU. Wl c ~d C 27/Y~ Mloimum Criteris: , Rim Jolst: R-19lnsulation Foundaton wndows: Intulated jlns, 112' dr ipue, rood w vlayl6eaw Enay doon: l% tnch aolid wood wlth storm or beuer ~ STEP 1 Wlndow dc Door Atea STEP 2 Glculate area as a oaat af waU r Totel Window & DoorAma ia Sq. Feet Hox A(window Qc doot uoa) dividcd by Ho: B(taal ± WI1dDOWS (including foundation windows): Wd1 ana) tfines 100 equals Ihe window md door u~et ; Dlmenslons Qnry. Area u a percent of wall ues (Hoz C). ~ . ~i;F 2 ~/8 BOXA XlIb• 67 ixp x ~ b Box B C x 2 S1'Ep 3 Dai`n Fealuta x ' x ASSEMBLY OPTION x FEtAME wALL: " srAt+n~na Fwv.iwa n AI6 7[ x AAVANCED FRMIWU : I x CAYf1Y WSULAT1oN R• V ! DOORS• ' SHEATIUib: lFSS 7}IAN R•S x R•3 OA M0RB ~ x WRMWS (exup fouadidoo wlndonn): . x U-PAGTOR U• 3D ~ ' I Total Area of Window dc Doors ~A Fmm the nble, determiae the mucimum peFuot wiadow 4 Total Wali Area in Sq. Ft. dc door uea for tho desigo opUons telectod and ealec ~he Wall Total Peslmeter Height Area value in boz D bilow: G • ~ ~ ~ fi; l. Totel Ate4 Box C must be las thaa or equo) lo BoY D ~ O~ I g lofwall 5 . • ZA'3~dd ~d101 1 N.. . DRAWlNG (P 24'' ' i . r` ce9i~ii:siu~ Uu14ERSr T1~1i' o 9~d4 Insumnce COMpaW (7HIS IS IV07' A SURVEY) ~I- f~ />vr>,GI~J flLH NO.LL'4 '~~LD OT INSP. DATE; INSP. 6Yg~~ f`...~r. STREEf ADDRF_S5: rC I .'rJ ~ LEf3AlpESCRIPTkON: Li~~-.-<`IN' 1-r F"F Gc~. ,1~ A f~f1N BuYER: OL501J y, a A EASEMEAiYS t.,,. .JY 10 CS' N ef I.S'r' L c,..rwy Ff d ~ « 71,29 ,e~-_-____~s , e peRy aosln'0e the fiaured thet IAa RlfOVe tliap,efn 7ndtcatB4 tl18 Qlm@neion: at fha larW and the IaCetiorrS af the mxmeMS end impravements on the land deacNbed in tha ineured MortgeBe. as ahOwn bY those Coimry raeords whfch untlcr tha recordinq tews irtpeK oonsWetlve nolb4• This diepram le baud on visual and teped inapection antl is cherte0 io apProsimate locatlon, and llvereforo Iit-ttOt 8 aurvey of any rypo. Z0'd ZSLj4LS6 01 £SiL Z£8 ZT9 'JNIQIVfI-i S3?J JA TZ-80 86. 0Z JdC a ~ 1989 BITILDIWG PERMIT APPLICATIOB CTTY OF EAGAN 14 4ff I SINGLE £AMILY DfiELLIBGS NULTIPLE DWELLINGS C0M@ERCIAL 2 SEfS OF PL9NS 2 SSTS 0F YL9A3 2 3ETS OF ARCHI2ECTURAL 3REGISTERED 3TTE SDB9EYS HEGIST£RSD SIT& 3Q89ET3 - 6 STfiUCfORAL PLANS 1 3ET OF ENEAGY CALCS. (CHECH iill'H HLDG DIV.) 1 3Ef OF SPECIFICATIONS 1 3Ef OF EBEAGY CILCS. 1 3ET O£ EIiERGT CALCS. MULTIYLE DiiELLINGS AENT9L QNITS FOA S6LE DNITS i OF DlfITS BOTEt iDDRFS3FS FOR CORNER LOTS - COATRACTOR/HOHEOWNER !lUST DESIGNATE ftHIC9 ADDAE45 IS DESIAED. 80 CH`HGFS AILL HE ALLOiTED ONCE BOILDING PERMIT L4 I33IIED.. SEi1ER d NITER PERMIT FEFS !ND ACCOUNT DEP03IT FEffi ffiLL Bfi INCLIIDED iRT6 THE HOILDIN(i PERMIT FEE. PAOCESSING TIME FOR SENER bAA AATEA PERHTIS IS TFiO DkYS ONCE ! PERMIT SAS BEEN COMPLETED INDIC9TING A LICENSED PLUlBEA. , PENALTY APPLIES 4lfiENt PERMIT IS NOT PAID FOR IN SAME MONTH IT 15 RN:QUESTt~ll. LOT C99NGE IS REAOESTED ONCE PERMIT IS ISSUED. ' n °j-Cn. j ~U To Be Used For: Valuation: Date: ~ Z Site Address V~-9~- ,QD, OFEICE 9Sfi OtJLI Lot ~ Block Oecupancy FEES 2oning Parcel/Sub Aetual Const Bldg. Permit G,oD ~ " Allowable Surcharge Owner _c,o tT OLSo~I +1 of stories Plan Reniew Length 21 I SAC, City Address i2g5 ~unJ CL~,af 24, Depth 2~' SAC, MWCC S.F. Total ilater Conn City/Zip Code gdl;44 SS/ A~L Footprint S.F. Water Meter wk-- d.oyl,mc ACet. Deposit Phone 9lpS1- 937--76( .a On site ag,+aBe S/N Permit On aite xell _ S/YI Surcharge Conbractor MWCC System _ Treatment P1. Citq water _ Aoad Unit Address PAV required _ Park Ded. Hooster Pump _ Copies ,2.v a City/Zip Code SIIBTOTAL lPPR0VAIS - Penalty ~ Phone Planner TOYAL Council Arch./Engr. Hldg. Off. Variance Address City/Zip Code Phone 11 •~295 Svn C1~{f ,~cr~~ C- R wtNDEN & ASSOCIATfS, INC. IAND SURVfYORS ie1 605•3646 1381 fUSTIS ST.. ST. fAULt MINk. 6310e Ff?P.: BLILIE C03ST°.UCTIO?7 NOiE: c Denotes Wooden 5[ake Proposed Garage Floor E1.=9c.y,i Scale: 1" = 30' (908 Q) penoces Propesed ~ Denotes Iron Finished Ground E1. MonumenC 1-- Denotes Direction Cf Surface Drainage Vertical Datum - N.G.V.D. 1929 0) qt~, N e~0 -E~ oIzg°W ~ 10 0 21i5 ~'ll5 f ~~v^ ` l l l L ~ J ' ' I ~ i / N LL 33 ' I - 1 (9n.R8') ~ ~ (y~ ~ Q J ~ v n, fio!!Sf /4 - 0 3 ~ 0 ~ ~d ~ I 4 c ~ 1 • , Lo -~j _ ~10 ~ , Ln -7 N' g~7 ~ 30' 2 S" Y? 01 Lot 16, Block 1, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota . WE HEQEBY CERIIFY TMAT THIS IS A iRUE AND CORRECi NEPpESEh+TATION OF A SURVEY OF TME lOUNDARIES Of iHE IAND AEOVE DfSCkIlED AND Of THE IOCAiION OF All lUIIDINGS, li ANY, THEREON, AND All VIStEIE ENCROACHMENTS. IF ANY, FROM ON ON SAID IAND Oolod ih„ ' do) cf A.D 19 C, R wi 1 MDEN 6 ASSOCIATES, INC - _ ! s ~r• 6r ' Sur~ro~, M.nnllsolo pvp,tlrolion Na ' , . 1 2/84 CITY OF EAGAN APPLICATZON FOR PERMIT SEWER AND/QR WATER CONNECTION (PLEASE PRIHT) i) PFOPERTY AeDRESs_ 4Z2 9 S' ;1~2 c%XI-I r_Fr,~L DE.SCR?tirTcV: 2- /6 /6 - / cwc/ (Lot/Block/Sutialvisicn or Tax Parcel I.D. NL:.Der) ~ .7'r 7-`iIS=:G STRC'CT!,M°.. DrITE 0~' d2T_Gu~i, ctiI:,Ul`:G IS ~.r, P-°F'SLT ~^`7I~~/?~??OFOS-~J' L'S' ARfR-L SINGL:. cPYSLl . ? R-2 CLTP:,^.{ (T.'O L":'ITS) ? R-3 TC'i~.%7!\L-u`vrcE ('rT'_°L= + LNI^.S) ( L' ? r-4 r',^r:,R'I`TL'~:T/CC_TiCi.+r`;I~~I ( U\I,5) ? CCY•nL~:.°.CL~L/RE:'AII,/Or^FIC:: Q :;ST-Zu Q L1;STI:L'i'IC:VFIL/G.'ti~~n+z-%7 Z) APPLIC="I' ~ (PLEASE PRINT) rAME: anouEss: , CI'I"I, ST1T-', zIP: PHONE: 3) pu,:iBEo (PLEA- - PRiNTy) FOR CITY USE 04LY NPiM: 4SE: , i PL~ P.L7DRES5: Ac t i v e CITY, STATE, ZIP; Expired N~ ~ Not Pecord PfiO~IE: 7 PLUM' LBEr R LICE45E N_ ~ rr :nicia 4) (X:C[,'PP.NP/CI,QCIER NANIE (PLEASE PRINT) ' ADDRESS: CTTY, STAT1-, Zip; PIU7E: 5} INpIC*„'E ;IHZCH PERMiT IS BEING REC.IUESTEp: wCO."RVECI'ION 'R7 CITY SETiIER CONNECi'IC:I 'Ih CITY h*ATEFt ? CI'iTEFt (PLG'SE DFSCRZSE) 6) -UdDIG,.:: C.;c: - . ~ PL°.ASE F?OID APPi?GVID PERm2T FOR PZCi:-L'r BY C.IE OF A5C'VE ~ PI£r'1Sr. :''~IL APPnWWm PEP.•LIT M 1. 2.30 4 AEUVE (Circle one) 7) SIa,7'IL,E: DATE: ~7 ~ 4*! AR+Afs.ss ~ n~ a~c ~:aaa.s f+ ~ r+[+aasaa s s s~saa :a a~~~-a~r~a a~ a~~ asKiaar F O R C I T Y U 5 E O N L Y PERMIT " ISSUED z'EE5: $ 12'-~G SE:'; PE,v,wrT (I`IC'::=_ S[i?CH?RCE) +S /ri• }'U WATE1 PEi21~1ZT (Ii:CL'uDE SuRCF.AZGc) $ l-3 urwATER METER/COPPERI30RN/OUTSZDE REP.DcR $ WATER TAP (ZNCLUDE,CORPORATION STOP) $ SEWEB TAP $ $ _ AlACCOUNT DFPOSIT - SdAT°_R $ S~~z wac $ ~SPC $ TRGVK WAT°R ASScSS:iE;;T $ TRli:'1K SES•IER :,SSE55:'sFNT +S Li,TEP,<.L BENEFIT/TRU.IK SE'r:ER - $ LA°'cRAL BEVEFIT/TP.UNK S•7ATER $ WATER TREATMENT PLANT SIIRCHARGE $ OTHER: $ TOTaL $ L-AMOU.`]T PAIDjREC°I2T R.S 3 71 ~ DOES UTILITY CONNECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF WAY? ' L YES IF YES, THEN A"PERMIT FOR P10R?i WITHILN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOSJING CQNDITIONS: ' APPROVED BY: ~-;p • - TITLL: DATE: . PERMIT City of Eagan Permit Type:Building Permit Number:EA115981 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4295 Sun Cliff Rd Lot:16 Block: 1 Addition: Sun Cliff 2nd PID:10-72976-01-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Heather Connell 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 - Scott A Olson 4295 Sun Cliff Rd Eagan MN 55122 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite B Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature