788 Sunset DrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128844
Date Issued:12/10/2014
Permit Category:ePermit
Site Address: 788 Sunset Dr
Lot:6 Block: 1 Addition: Sunset 4th
PID:10-72988-01-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kirk A Walztoni
788 Sunset Dr
Eagan MN 55123
(612) 329-1919
The Fireplace Guys LLC
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
^ ~ CITY OF EAGAN n~ ~
, • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 110" 12784
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor SF DWG~/G11f~ Est. va~ue S 10 7~~ V u oate ~~'~~~~x ~ V , ~ 9~~
Site Address SU~~~T Erect ~ Occupancy ~3
Lot b Block 1 Sec/Sub. SUNSET 4TH Remodel ? Zoning R1
Parcel No. Repair ? Type of Const y
Addition ? No. Stories
a Mame •~t>SFPtt I~tILLER CUNST ?u~ove ? ~ength
z CE:i7AR AVE SO Oemolish ? Depth
o Address Int. Impr. ? Sq. Ft
City FARI1iCS~~ 892-lOlU Insta~l ?
o Name S~~~l~ Approvab Fses
~ t Address Assessment Permit ~ 4 5 n. 50
City Phone Water & Sew. Surcharge 53 . 50
~ Q Police Plan Review Z15.25
F W rvame Fire SAC 575. 04
,00
Address Eng. Water Conn. 6~ s~
z
< W City Phone Planner Water Meter~~04
Council Road Unit '
I hereby acknowledge that I have read this application and state that the gldg. Off.~~~$ Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordin~nces. APC Pafks
Var. Date Copies
Signature of Permittee ~ ~ - ~ ' _ ~ • 7 5
Total
/ JO5EPH ~`9ILLF'R CONST
A 8uilding Permit is issued to: ~ on the express condition that
all work shall be done in accordance with all applicable State of Minnksota Statutes and City of Eagan Ordinances.
J
Building OBicial - ~ '
PermH No. P~rmit Holder Date TM~phone It
;
PIum61~~y " ' ~ z 1, ~ ~ ~
M.V.A.C. ~ 1.T~ `"~'v ~ O 6 b
~ ~ ,;,~'i,~ 6'~,, t ; ,-~/,>/~'G ~ ~ / G,
Inspactfon Def~ Insp. Commsnh
Foonng.~ ~
aj
Footinps U
Foundation
Freminq ~'~~S L1~
Roafiny
RouQh Plby. - -S ia--~--~L /J. / -G
iiouqh Htp. ~~~j~~r ~ ~
Imul. . ~ vC~~
~ ~ . ~
Fireplace ~ pP
Finsl Hty. ~
Ffnal Plbp. - ~ ~
&dp. Final ~ ~d
Cart.Occ. ,1 ~ ~
~i~/
D~ck Fty.
D~ek Frmy.
w.u
Pr. DisD•
?'f~`~~'~~~1'~~~.1,,,; t . : ;~y; . , , . _
q . ~ PERMIT #
. • MECHANICAL PERMIT ~o~
qTY OF EAGAN RECEIPT # ~ ~,Z-
3830 PILOT KNOB ROAD, EAGAN, MN S51Z1 DATE ~
CONTRACT PRICE PHONE: 454-8100
Site Address ~ g~,pC, TypE WORK DESCRIPTION
Lot Block ~ Sec/Sub
Res. New
m Name Mult Add-on
Address
~ Comm. Repair
c City Phone Other
Name FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciiy Phone ADDJTIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 8.00
TYPE OF WORK O GAS OUTLETS - 1.50 EA.
Forced Air - ~ M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unk Heater M BTU MINIMUM - COMM/INO FEE - 20.U0
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~ BEYOND $1,000.00)
Gas Piping OuUefs #
Other
FEE - -
1
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
t~- . . , _ . .
• . PERMIT # "f ~
~ PLUMBING PERMIT RECEIPT ~i ~ ~ ~
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: ~
CONTRACT PHICE: PHONE: a5a-8~00
Site Address ' " LDG. TYPE WORK DESCRIPTION
Lot Block ~ Sec/Su - Res. ~ ~ New ~%'l ~
Mult. Add-on
m Name = ~ ~ Comm. Repair
~v Address > ' r Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N~. FIXTURES T A~
Name -~Nater Gloset - $3.d0 ~
~Bath Tubs - $3.00
3 Address ^ ' _~Lavatory - $3.00 `
O CitY Phone ~+f • % ~ D ~Shower - $3.00
% ~Kitchen Sink - $3.00 ~ -
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 19io OF CONTRACT FEE -~~aundry Tray -$3.00 -
APT. BLDGS - COMM RATE APPLIES -~Floor Drains -$1.50 / s ~
TOWNHOUSE 8~ CONDO - RES. RATE APPLIES ~Water Heater -$1.50 / S 0
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ..~Gas Piping Outlets -$1.50 / S- U
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
~~~1~1 -3Rough Openings - $1.50 ~/~S U
SIGIVATURE OF PERMITTEE FEE: ~ G'~
STATE S/C: `5 U'
c ~
FOR: CITY OF EAGAN GRAND TOTAL• -
CITY OF EAGAN Remarks 'J' /SG -
s~~~~~~~
Addition SUAISET 4th Lot 6 Blk 1 Parcel 10 72988 060 O1
oWr,e~ st~eet 788 Sunset Drive 5tate Ea an, MN 55123
Improvement Date Amount Annual Years Payment Receipt Qate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK S r 1981 193.2(]
SEWER LATERAL S'~ ]9H1 $ 2
Sewer Lateral 1 81 2
WATERMAIN j981 32.56 2.1 2
WATER LATERAL 1(~H1 21 ~4
WATER AREA ' 1981 1 3 (
Water Lateral 1981 34.40
STORM SEW TRK 1985 544.78 36. 32 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
AUILDING PER,
SAC
PAR K
.'CITY OF EAGAN WATER SERVICE PERMIT
3800 Puo1 Knob'Road PERMIT NO.:
P.O. Box 21199 DATE-
Ea9an, MN 55121 No. of Units:
Zoning:
Owner.
Address: set 4th
SiteAddess: 78S S~tnset Dr
Plumber. ~Iiltner l~~b ~ 500 OOvd
~ " ~ 15 OOvd
Meter No.: ~ e ~ ~~(j'
Size; " ~ i 10.00 d
/9867Z~t .50 d
Reader No~ ~~h~
1 ayro~ to comp~Y w11h Ma Cllp~,~~ ~ s 6 oDa ~
R~~' Misc• Charges:
Ordlne ~ Tctal: -
~ Date Pa~d:
BY Insp.:
Date ot Insp : / ~ - .3 - ~ ~ _ _ _ _ . _ - -
C~n( pp EAGAN WATER SERVICE PERMIT
3830 Pi1oS Kn~ ~°8d PERMIT NO.: ~
, p,p, Box 21199 DATE:
Eayan, MN 55121 ~
No. ot Units:
Zoning:
Owner. -~g•
Address: 7as Sunset T7riVe 7.5 B1 Suns~t '+th
Site Addess:
Piumber. '~~tner Flumbins 5~4 app~
Connection Charge: 15 ~~pd
Meter No.: Account ~epos?t: 10 Ct7pd
Size: permit Fee: SUpd
Reader No.: a~ Surcharge:
I agros to compl~l wlth the CNy of Ea9 156 OOp~ TQ -
Misc. Charges: SA Qf r'
Ordinancas. T~I:
Date Paid:
~ Insp.'
Dete of Insp•:
CITY OF EA~AN SEINER SERVlCE PERMIT
3830 Pilot Knab Road pE~µIT NO.: _
P. O. Box 21199 ~ fi
Eagan, MN 55121 ,
, No. of Units: 1
Zoninp: .Tc• :i~i«~r t:or: _ _
Qwrnr: ~
Address: ~r L ~
S~re Address: ~~`y~:= Su;~~ei: ?n'iv~ L5 Li Suaset
i3tn~r P1+zT;.b tn , ; _ ,
Plumber. • . ' t
1!.1_.2]._.Pi(~ Fil f_i~:~` ri7~~~~
~ ~N'M f0 MM~1 r1~ !M ~ ~ ~i/0A ~O~MM~~011 ~1CfQ~~
0.~t~ LS (1''1nc'
~ f.fRAa ~ ~ 1 (~~~~y~ _
C..y~ 1.. S
7~~~ 1f~•
Miic. Ctiorpa:
By Totai:
Date of In~p.: ~
Irap.:
4.., _ ,-:a.,__r.°_--
/,~`/~j~~Cr REQUEST FOR ELECTRICAL INSPECTION `E~B-00007-0'/5
~ ~ Sea inatruclio~s lor comoletirg this form on bnek af vellow copy. (y 37
r6 ~ 4 '"X'" Below Wo~k Cove~ed by 7his Request
AAd Reo. iVpe oi Building Applioncee Wired Equiument Wired
Home Range Temporary $ervice
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HezLn
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm tner oeo y .tnn~ ISneutv~
t,r Suecr y Ner Oth~:r
ompute Inspection fee Below
p Fee Serviee EntraneeSixe~ p Fee Feeders~Subleadera b Fea Circuits
0 to 200 qm s 0 to 30 Am s 0 m 30 Am s
Above 200 qm~~s 31 to 100 qmps 31 to 100 A
Swimming Pool Above 10~_Am s Above 100_/>m s
Transformers Irngation Booms~ .50 Partial•-0ther Fee
Si~s SVecial Inspection 5 O~~
TOTAL FE ~
Nemarks
~ O~~
flouBh-in -o~J I, the Electrice
v~ ~~epa[1oq heraby
cartify thet ihe aEOVa
Fina~ ( ~H r~ nspecfion has been
mode.
mis requml voiE 18 montlm irom -
ihis reques~ void/~~C~/~(~ ' ~ ~,~j /
18 rtqnths fmm '
~ 64849 ~i~,~~«f ~f~ ~ ~',~o.~~c~~
Naquest Date ' Fire No. RouOh-in Insoection
(y/ Re uiretl~ ~Beaay Now~Will No~ity Inspec-
b~ p1p ~Yes ?NO lor When qeadv
LiCensed Electrical Contrflctor I harebv raquest insDac~ion oi above
? Owner elacirical work instelled at:
$treet Address, Box or Route No. Cify
vnS ~ ~G1~ Q n
ec~ion o. Township Neme or No. Ranee No. Cou~ y~ /
~Q-F~T
OccupnntlPHINTI Phone Nn.
Jo ~ /Yl ~ l l er
Pow r SupD~~er Atldress
1Sa,~o-Fct.. ~jee~ ~ar~vr/v~ ~~'1
Elecvical Convactor IComDanV Name) Contracto~'s License No.
/Y~~dlancd Elec~r~ c~ ~16~0 - ~
Mailing Address IConvactor or Owner MakinB Ins<ailation~
~5'0o W Co ,E~d 4~a ~ur~sv~ !(e
A nzed Signamr onv c~or Owne~ MakiaB ~~~slallatinnl Phone Num~er
~ ~fJ-9(ol~
MINNESOTA STATE BOARU OF ELE ICITV TNIS INSPECTION flEQUEST WILL NOT
6riyge-Midwev B~dB• - Noom N-191 BE ACCEPTED BV THE STATE BOAND
MN 5610Y UNLESS PPOPER INSPECTION FEE IS
1827 Univeraitv Ave.. S<. Peul, ENCLOSED.
Phonef6121642~0800
~
, CITY OF EAGAN • r~ p
0
~
3830 PiIW Knob Road, P.O. Box 21-199, Eagan, MN 55721 ' ~ G~ o~
~ PHONE: 454-8100
BUILDING PERMIT Receip[#
Tobeusedlor SF DWG/GAR Est.Value $107~000 Date OCTOBER 2 19~86
SiteAddress 788 SUNSET DR Erect Occupancy R3
6 1 SUNSET 4TH Remodel ? Zoning R1
Lot Block Sec/Sub.
Parcel No. Repair ? Type W Const v
Addition ? No. Stories
w Name JOSEPH MILLER CONST Move ? Length 58
18133 CEDAR AVE SO Demolish ? Depth?~
o Address Int. Impr. ~ Sq. Fr
City FARMING~j~ 892-1010 mstau ?
o Name SAME APProvals Fees
Address Assessment Permit $ 450.50
~ Ciry Phone Water & Sew. Surcharge 53 . 50
Police PlanReview 225-25
a
h W Name Fire SAC 575 _ 00
~ Address 500.00
~ o Eng. Water Conn.
a W Ciry ahone Planner Water Meter_ 63 .50
Council Road Unit 290.00
Iherebyacknbwledgethatlhavereadthisapplicationandstatethatthe B~d9 pK 10 1~ H Tr.PI. 1S6.OO
information is coriect and agree to comply with all applicable State of
Minnesota Statutes and ' of Eagan anc s. APC Parks
9 ~j~y~ Var. Date Copies~~~ 5
Si nature ot Permittee Total ~
A Building Permit is issued to~ ~ JOSEPH MILLER CONST on the express contlition that
all work shall be done in accordance with all applicabte Sta i ~ sota Statutes an ty oi Eagan Ordinances.
Building Oflicial ~
r
~ _ _ _ _ _ _ _ - _ - _ _ ` ' _ - i
„ ~ ~ ~ - ~-y
~1~~~~ I . I
City of Ea~~~ G~~ ~ Permit # O~O / g r ~
~ 08 ' J~7 ~
SEp 2 4 2~ i Pertnit Fee: / J~~ ~
3830 Pilot Knob Road 7 / i
Eagan MN 55122 ~ Date Received: F~ i
Phone:(657)675-5675 ~ e ~ ~
F2x: (657) 6755684 i Staff: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~"ZJ SiteAddress: Su~S e~ ~'n V~
Tenant: Suite
RESIDENTlOWNER iJame: ~~I V~ ~l1)Q ~ z I UYl ~ Phone: y3 a"~PO~~/
naa~e~5 r c;ry i z~p: `l .Si.iS ~G~ c~. l~ 5 5! Z.3
Applicant is: _ Owner _ Contractor ~
TYPE OF WORK Descnption of work: 6~~ ~ ° w{ rl ~i~~U I~? Y~~~C« ~ t
Construction Cost: ~ 51. ~lU - Multi-Family Building~ (Yes No
CONTRACTOR Name: I~ I N~ IJ ~ f XT( l~) ~ yj License ~U S S~~S ~
Address: / ~/lD ~ ~v(/-~~ (,f' Dv.
City: K-~~~~.lJ((~~-P, State:l~~l/LJ Zip: ~S~/3
Phone: 1~ S 1"~"! ~ J~i' d~ Contact Person: ~~d'^^~~`ti
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Min~esota Rules 7672
Energy Code . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet
CBtBgOry Submitted ~ Submitted ~
submissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master pian?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
'~~7f}TE~-Plans antl su~sporbrig
tlo~menfs fha~yo~~s~rbm~t a~!,e coos~de`red`t~
.~~~6~C~n~eTmatrnn `Portions o~=~
-~ttre informaUon.may be class~ed as non publrc if you prou~bTe $p~c'riic t~dsonsAfhat woufd }serriiff-the C.~t)+fo, y-
A~,. , `cdnC~!' e;that:the are:trade's~retss,.. . ~ ,
I~hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to start wRhout a permit; that [he work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
jZ ~ A i/'~ Gl-~~C~ x~,~~r ~e ~l~ UGc~W~~~~~e
X
Ap canYs Printed Name Applicant's Signature
Page t of 3
RESIDENTIAL
1~ c~ BUILDINC PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EACAIV MN 55'122
651-68'I-9675 /L..f-a ~
New Constn~ctlon ReauiremeMa RemodellRewir Reauirements
• 3 regisfered sile surveys shmving sq. ft. W lot, sq. ft. of house; aiM all roofed areas • 2 copies W plan
(2~%ma~cimum lot covemge allowed) . i set of Ene~gy Calculations for heated adddions
• 2 copies oF plan showing 6eam & windovr saes; poured fou~M desgn, etc.) 1 site survey for exlerior additions & decks
• 1 set of Energy Cakulalions . Indicale'rf hame served 6y uptic system for addNons
• 3 copies of Tree Preservatian Poan if lot platted afler 7l1193
• Rim Joist Detail Oplions selection sheet (bldgs wifh 3 or less uni4s)
DATE VALUATION ~ ~/~Z~~~v
SITE ADDRESS D~ ld?~~ MULTI-FAMILY BLDG _Y ~ N
TYPE OF WORK ~I 1` ah FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~~YPI~,S
STREETADDRESS' ~ i ~ ~ ~~CITY LJUXlYVIr STATE~ZIP~
TELEPHONE # ~ gl-Z ~ CELL PHONE # FAX # Q~-~~~'S~~i~
PROPERTY OWNER ~ r Y\ ~.u~Y1~Q [N(,(,~C.L~OYI,( TELEPHONE# ~~d" ZZ(O
COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULI:S 7672
(J submission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUOns Submitted
Plumbing Contraetor. Phone # _
Plumbing system includes: _ Water Softener Iawn Sprinkler Pee $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanicol Contractor: P
Mechanical system includes: Air Conditioning D_ ~e 70.00
Heat Recovery System I I II 1`J 20~2
Sewer/Water Contractor. Ph #
BY
------""""'-"""•""""--'-""""""""'----------"""""""-------..r"""-""'
I hereby aCknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan es.~/]
Signature of Applica~ YN9 ~~/(l. u/1tJ~ 1.
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex O 13 1Gplex ? 20 Pool ? 30 AccessoryBldg
? D2 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 38 MuRi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 08 04plex ? 12 12-plex Plbg_Yar_N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repeir
? 33 Alteration ? 37 ~emolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement *Demolition (ErNire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System'
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED IN5PECTIONS
_ Footings (new bldp~ _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
:
~ ~ ~ / Z-
1986 BOILDING PEBlIIT APPLICATION - CITY OF EAG9~
NOTE: ALL CANTRACTOES MOSi BE LICENSSD iiITH THE CITY OF EAGAB
SIIiGLE FAFIILY DWEI.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MfILTIPLS Di1SLLINGS - HESIDENTIAL RENT9L i1dITS F08 SAI.S QNITS
INCLUDE 2 SETS OF PLANS~ CEETIFICATE OF SORVSY - CHECg f~ITH BLDG. DEPT.~
1 SET OF BNERGY CALCIILATIONS
COI~RCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2~000 LANDSCAPE BOND
~O'1, Doc~
To Be Used For: µ~-J~L~ Valuation: ~ Date: 7' a(~
Site Address /Op ,(j(,//yJ,O~~ ~(/J(, OFFICS US6 ONLY
Lot ~ Bloek ~ Erect ? Oceupancy R,3
Remodel Zoning {2~1
Pareel/Sub ~f Repair _ Type of Const Y
Addition ll of Stories
Owner Move _ Length 5~
Demolish Depth 3Cn
address Int.Impr. _ Sq Ft
Install
City/Zip Code -
Phone APPROVAIS FSES
Contractor 1 ~ . / ~~Ce(.(/Z Assessments Permit ~
A,,,/ ~ ` Water/Sewer Sureharge ~
Address (.~CRi cJ Police Plan Review Z25. ~
Fire SAC S"75.
City/Zip Code C~~a~~,~~ Engr Water Conn
Planner Water Meter co3.$O
Phone ~4~ -~Q~~ Council Road Unit 2R0,
Bldg Off~O•1786 Treatment Pl I S(fl,
Arch./Engr. APC Parks
Variance Copies
Address ~ ~
City/Zip Code
Phone l~
NOTE: 9DDHESSES FON CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DSSIGNAT& NHICH 9DDRESS
IS DESIRED. NO CHANGES i1ILL SE 9LLOHED ONCE BOILDING PERMIT IS ISSQED.
Z~x3z,=-~~x 4~~ . .
. ~
[ 8 x ( Q-~~ ~2~2x ~ ` ~4~ ~c~ -
~ I~(2_ x ~ ` 153~
~x 3Z -
Z~x2Z' S"l2 x c2 " ~~~4
2j(~X.~ ~~2 X4-'i~ y ~~P~U
~QfpC~2 ~
,
CITY OF BUILDIN(i DEPARTMENT ,
. i ~ ' ~:XTERIOR ENVII,OPE AVERA(iE ~~U~~ COMPUTATION
(To be submitted with building permit applica'tion)
One or Twn Family Dwelling Owner
All Other Site Address
~ontractor So~iEpf~ ~~j~(.E,~ C:pNS-f. Date -l(o' Phone
~8~4= I13
LINSAL .EET OF
E3C'i~OSED WALL ! ~oR-K, ~~eT rt, abo~e grade = 2,9 ~3.48
'1~DTAL nX.°OSED WALL ARrJt SQ. FT.
0.'„QUE '.YRLL CONSTRUCTION: ~~U" Value x Area
Detail ~'"~RME "U~~ .D9~3 x SQ. FT. !S •70 ~ 94.r5 (0)(A)
reference ~~m "U" •04o x SQ. FT. ZSS•9 = 16.35 (U)(A)
C.on~~, ~~U~~ , o7Co x SQ. FT. Zo • L=__ LS~.$~~ U)(A)
from r~U~' x SQ. E'T. _ (U)(Q)
attached
sheets "U~~ x SQ. FT. _ (U)(A)
nUn x SQ. FT. - (U)(A)
~~INDOSYS: ~~U" Value x Area
Make & Type GUSrX.. CSN~+T "Uu . SZ x SQ. FT. Z~$•3o =//l.9S (U)(A)
" " ~~U~~ x SQ. FT. _ (U) (A)
n n nII~~ x SQ. FT. - (U)(A)
n n npn Y SQ. FT.-~-~- (t1)(A)
DOORS: ~~U~~ Value x Area ,
:•ia:.e & Tyae ~R • l~~~c.. ~~U~~ l4 x s@. F~r. 9.00 = ti.8(o (u) (a)
u Pa-T)n nUu .47 x SQ. FT. Z.oo = 19•7~ (U)(A)
n n npn x SQ. FT. _ (U)(A)
" " ~~U~~ x S@. FT. - (U) (A)
~TAI,S 2%3.~8 sq, r•T. Z58•91 (u)(p)
AVERA(3E ~~U~~
TUTAL (U)(A) Vl.LUES 2Sg,q~ _
DIVIDED BY TOTAL F1pLL AREA z`I~i•4B '~$7
AVERAGE ~~U~~ ,~~5 or less for 1&2 farcd.ly dwellinge
ROOF/CEILING:
'POTAL AREA: O I
Detail reference ~~U~~ •~Z~ x SQ. FT. /QS/ = ZZ-07(U)(p)
from ~~Ur~ x S@. FT. . (U) (A}
attached sheets. ~~U~~ x SQ. FT. - (U)(p)
Describe onenings ~~U~~ x SQ. FT. - (U)(A)
in roof. ~~U~' x SQ. FT. - (U)(A)
TOTAL (U)(A) VALIJES DIVIDED BY ZZ,O' _ TT~L~j I~SI 22•~7lVy~~
L ~
'I'0';AL R00:'/CEILIiiG :
4~a /a5/ • ~Z ~
AVERAGIi '~U" .025 for ventilc:ted roofa, ~
. /
~ . ' --WALL SECTION--
~ r~ Determining ~~U~~ valuea at Roof, Wall, Rim~ and Conc. Hlock •
ROOF/CEII,IN4 R VALUE
S ~
1.) Interior Air r'ilm 0.61
2.) 5/8~~ ayP. sa. .56
3.> Insulatioa q¢,oo
4.)
5.) Exterior Air Film
~ 2 3 (STILL)
~ opu _ 1/R_ .OZ~ 'iOTAL (R)=¢S.7$
l ~
$ WALL R VALIIE
q 6.) Interior Air Film 0,68
7.) Gyp. Bd. ~ .45
8.) Insulation Iq.oo
9. ) ~/3z $~,w-r- T:~rE z.
10.) Masonite Siding
l0 11.) Exterior Air Film ,17
l
~ nUu ~ t/R= .ppg3 TOTAI. ~R)=Z3.p~
~
RIM R VALUE
~ ~3 12.) Interior Air l+ilm 0,6$
13. ) Insulation Jq . o0
~ 14 1~.) 2" Fir Rim Joiat 1,$$
IS 15. ) ~/3y' Bv~~T-~~1~ 2 • ~4
16.) Maeonite Siding .67
17.) Exterior Air Film .17
. o
, o • . . nIIn = 1/B= .Q¢p TOTAL ~R)=Z¢,~
O~
, • O° , `
~ FOUNDATION R VALUE
18.) Iaterior Air Film 0.68
z~ o, • ~g zo. > >~~xATion~ !1. o0
n 9 21,) 12~~ Concrete Block 1.28
' e ~ Z~ 22. )
zj '17 23.) Exterior Air Film .17
n
L~" ; s, , ~~pn = 1/R= .O~(O TOTAI, cR~=13.l3
-
. ~
, } ' $
, •
II ~OI~.K ~~T ~l
6z~~s E_x~~D W~u--
~$•33 X ~5Z+5Z+Z~+Z~~ = z,~p.~
11•0 ~C 4.0 = gB.~
l4,o x 4.0 = S(o.oo
z,9 ~3•48 ~
~~-so,s
•83 X~?o4+lo4i5Zt5L~ = Z5f3.9(v ~
Cor1C,
•c~~x(sztst+zr~?-~~ = lo¢,5L
lZ,oX4 = ~t8•ot~ ~
14, o x 4 = S(o• vo
Zo8 SZ ~
~F~Aows
1(ox3fo= 4.o X Z = g.oo
Zo X3lo = 5.o X 4= 20. o 0
Zo x4$ = fo•7 X 3= Zo. r o
n
Z4 x48 = 8-~ X lz = 9(v. o0
Zo xloo = S,g- X 8= (o7.Zo
L4 X z4 = q. o x(_ o0
Z! ~
00
Z$ ~T1-• SeRYkE = Z/•oo
3~'~-rc. w~~~. = zS.oo
Pn-nc b~. _ ,~.oo
~F 9/.00
Zlcx 30 = 7go
2.3~x ZZ = 271
t~ 5 I ~
~ U1~u_ Ecz~a~s
~nRvSS wAt.L Z 9 63.`~ 8
~iW1 ZS$, 9(p
Go~(C. Z~8•5Z
" WAwS 2is.3o - 773.78 ~
Doo~t.s 9/. o0
Z,189•70~-
~ ~ ~ . , ~ ~
~ ~'RI-LAND C0.
SURVEYING
SERVICES SITE PLAN FOR:
4655 NICOLS ROAD JOSEPH MILLER
EAGAN, MINNESOTA 55122
~9
~
~
~a~ ' J / ~
,
~ i ~ ~ !4 /
c~ ~ ~~T~~~ H~,s~ /
NU SGALE J`a_ ~
SUNSET DRIVE~
~ \ ~-29i° 34' oo" /
! ~i~ ~~i~ ~ 6262 ~
~ a~
/ S~K
v ,Lp; °~vE// I
Op,~ ~ ~ ~li
~~2y6
j ~ LOT % 2 7
I G~ ._I87.21- - -J ~ ~
I ~--N87°54~21'E-~
~
3 r ~ N
a
I
Q ~ OU T LO T E ( cc;~ i i!~
i
=N
I Z t')
Z
~syAS o2~.~4 N Hac~c oRivE
s es 4s a~ w
PROPERTY DESCRIPTION
~or_, BLOCK_, TLOT E, N
sUNSET ~nU~'t~K SCALE . ~'=60'
xeordnp to the reearded plor tMreof
DAKOTA caory. AAinnssora
LEGEND
o pENOTES IRON MONUUENT PROPOSED GARAGE FLOOR ELEVATION=~
o DENOTES dY00D t1U8 SET PiiOPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PR~POSEDBASEMENT F~OOR °
ELEVATION ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH
FINAL H WlSE PIANS
1 Mnbp e~rtify thaf this aurvsy,plon or ~~w
r~port was prepond pr ms or unAsr my
dir~ct suparvi~im and that I om o duly 8radley J, nsan~ Mn. R~p. No. IJQ38
~ R~qist~r~d Land Swv~yw und~r tM
. Lans of tM State of Mimtsotn Oatt ~
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 996
DATE: 03/27/00 TIME: 09:46:35
ID:
NAME: RW OR NANCY HENNEBRY
3210 9001 788 SUNSET DR 60.00
2155 9001 788 SUNSET DR 0.50
3430 9001 788 SUNSET DR 0.25
3210 9001 4662 STONCLIF D 60.00
2155 9001 4662 STONCLIF D 0.50
3430 9001 4662 STONCLIF D 0.25
3210 9001 3920 WESTBURY D 60.00
'2155 9001 3920 WESTBURY D 0.50
3430 9001 3920 WESTBURY D 0.25
~Total Receipt Amount: 182.25
CR125115
USER ID: JAN
~******~,r**~**********~~*****~*********
~ ~b~.~b 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
i 3830 PILOT KNOB RD - 55122
651-681-4875 ~ (op ,-J 5 ^ ~y~'~~
New Can:hueMon Reaulremenh Remodel/Recalr ReaWremenh l~d JI
l~ ~
? 9 repbfereC ~Ite wrveys ~howlnp eq. fl. d bt. fq. rt. ol houae 2 coplea ot plan
antl gp rooled areas 120X mmclmum bf covemae allowatll 1 sel o( energy calcWaHona lor heated addifbns
> 2 caples of plarn (ahow beam & wintlow stzes; poured Md. design; etc.) 1 site wrvey for euledor addlMons R decks
? 1 aef ol energy calculatlans
? 3 eoplea of hee pre~enaflon plan H lot platted afler 7/1/93
DATE: .3 - y/- Ov CONSTRUCTION C05f: ~~D~'D ~
DESCRIPTION OF WORK: G~ A/J/J/T/r..i
STREETADDRESS: 7.~~ Sc~.v sdi /:7i¢/d2
LOT: .~i~CK: ~ SUBD./P.I.D. li: Su~l S2~ ~
Name: W AL 2~ jvnii /!i,e,r' ~ flnh</ Phone G~ - v 776
PROPERfY Fl~
OWNER
Sh6et Address: S+~N S.4T ~7/L i d/y
City fl ~~r~ State: Ivir~ Zip: ~.~/L ~
Company: Ti~,~ ~ Diz c~C ~r~ .t7o~~t Co . ~.v~ Phone ~l L~~ ~~as'/s (~i~
~ c~
(area code)
CONiRACTOR
Sheet Address: 3~ ~Re~/ Hdfi , llcenae il 5~ ~ Exp3~J ~ u u
CNy l~/r/f o~~ h'ii ec~rf State: /~'ii~/ Zip: Sr ~ 7~
ARCHITECT/
ENGINEER Company: Name:
Telephone t: ( )
Sheet Address: ReglshaHon tl:
Clty Stafe: Zip:
Sewerlwater licensed plumber (ii Installina sawar/waterl: P~e ~.I
I herebY acknowledge Mal I have read this applicafion. sfate thaF Ihe infortnatbn is cortect, and agree to comply wMh an apPlkable State
of Minnesota Stalules and Ciy of Eagan Ordinances.
! Signature of Applicant
/ ~A-7' HiS.civ.i.~d.z~'
, OFFICE USE ONLY
Certiflcates of Survey Received _ Yes ~ No '
Tree Preservation Plan Received _ Yes _ No ~ Not Requlred )
/
OFFICE USE ONLY
f ~ ~
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 1&plex ? 21 Porch(3-sea.) ? 31 Ext.Alt-Multi
? 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 03 01 of _ plex ? 09 07-piex ~ 18 Deck ? 23 Porch (screened) ? 36 Muid
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 5torm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg.
WORK TYPE
~ 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code v( # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buildings f Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code 4_~
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee s~ 6CtS~ Valuation: $~.2
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI. '
Park Ded.
Trails Ded.
Other ~
Copies o 75
Total: ~G'b . ~ S
SAC Units ~
% SAC
-
, ,
~1-LAN0 C0.
SURVEYING
SERVICES S IT E PLAN F~R~
4655 NICOLS ROAD JOSEPH MILLER
EA~AN~ MINNESOTA 55122
~r ~ ° ~
, ~
/ ~6A !4 / ''f ~(Y
~ ~ H~s~ /
q ~~t~1 ,
NU SGAI.E ~
SUNS~EppTGw /D~/R~IVE~/
~ / \ ~~G7 ..7'?~ W /
; ~z,~ \ 6262 ~
~
s~~
~ 2a ~ / ~,e. D~"v~/~~~~ i
~
.
~~,Lg6
j ~ ~.OT ~ % , ~N ?
I /
L _ _I87.21---~
( ~--N87°5~21'E-~
~
~ I W
3 ~ N
_
Q ~ OUTLOT E I c~;~ i~ i
O~ I -N
GO - ~ Z
2 - -
75y^s 22~.~4 p HACK ~RE DRIVE
S 89 46 05 W
PROPERTY DESCRIPTION
~or_, BLOCK_, TLOT E, N
sLNsET ~urrrH aoDn~ SCALE . ~'e 6O'
aecordiny to tM rseorded plot iMraoi
DAKOTA caritr, Minnssota
LEGEND
o DENOTES IRON MONUtrENT PROPOSED GARAGE FLOOR ELEVATION=~2,
o DENOTES 6YOOD HUB SET PROPOSED FIRST F100R ELEVATION =
DENOTES EXISTING SPOT PIiOPOSED BASEMENT FLOOR =
QEVATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE OIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH
fINAL HOUSE PI.~INS
1 h~nbsr c~rtiiy thof tAis survaY.Plon or I
r~port ww prepand py ms or unCer mr
dir~ct sup~rvision and thal 1 om o dulr Bradl~y J. nsan, Mn. R~p. Mo. ~f23J
~ R~yisf~rsd Lord Swv~rw wW~r tM
. Laws of tM Stote of Mim~sota. Dat~ ~
' ~*********************f***f##*#**i##
• .
~ ~ C i T Y O F E A G A fV PA~ ~F k~E AT TI~ p~ *
* ArP~.xc~oN ~s r~ar wrsTT~ *
* APPROVAI, OF PERNIIT. *
~ APPLICATION FOR PERMIT ;
. * INSPFXTZON oF SEF~R ADID/OR 4~'~t *
*y ~ T.7ATTON$ S4IIId~ IVO'P BE $CfgD- *
SEWER AND/OR WATER CONNECTION P~T *
~ . . ~ ~pxovm. *
* »
4 ~
rt *
*t * **,e* * *r*,t,t. *x*:t:**x,r*,t,r:***
P ease Print
~ ~1) PROPERTY ADDRESS: "7 ~8 f- ~~M ~L~t- ~
LEGAL DESCRIPTION: L ~ ~ /
Lot Block Subdivision or Tax Parce ID
IF EXISTING SPRCCiVRE, DATE OF ORIGINAL BOILDING PERMIT ISSi'ANCE: ' .
i
PRFSENP 7ANING/PROPOSID CSE: (Mon ear .
? CO~Y~RCIAL/RETFIIL/OFFICE ~ R-1 SINGLE FAMILY .
~ IAIDL'STRIAL Q R-2 DL'PLEX (ltvp C~nitS)
? INST~~T-'TI~NAL~Gp~t~r ~ R-3 ~WPIIiIX!SE (Three + Units) ( C~nits)
. ~ R-4 APARTr4S]T/CODIDOMINIC~Nl ( Units )
2 )
/~~v.~ P
~ ~ox~ss:_ i~iay r~~~o ~:v
CITY. STATE. ZIP•_ ,~~{Pro ~i~o~iP /Yln/
PHOi~: ~~Y- C~SCX
• 31 • u~: - NAME: Ss4rlE ~ S For City Use .
- Plumbers License:
ADDRESS: Active
CITY. STATE. ZIP: . FScPited
i ~ Not recorded
PHOI~: MASTIIt I.ICgISE#
Sta~Initial
4) • • i~- ~ /
NAME: UU't f~I/ ~~P~ `a.rc~sT^ `
_ ADDRESS: •
CITY, STATE, 2IP: ~i4.?iry~ /Yfy
Pxor~:_ ~9~ - io~a
•5) ~ v ~ r• • : o • aa -
~ OON[gC.TION T0 CITY SEWII2 ~ Cp~[,TION Tl~ CITY WATII2 ~ p~g~t .
6~ ' ~ PLF.Fl.iE HOLD APPROVID PERNffT FOR PICK-LtP BY ONE OF ABOVE
PLEASE APPROVID PIItMIT TO 1, 2, 3, 4, ABOVE .
(Circle one) ' ' '
7~ r,. u- l~ i/- ~1-
• y' • Y' 'I' M t ~ ~ I' P Ip• i~ Y7~'
~ 1•
• I. , •~IJI}~ n' ~ Y•e . STw~wr~.
' _ ~ • a 1~'if 7V • .
. FOR CITY USE ONLY
PERMIT # ISSL~ED -
.P~~3 7 .
Pd w/Bldg. Permit FEES:
$ S /D•Sv SEWER PERMIT (INCLL~DE SURCHARGE)
S $ /p,~/Q WATER PERMIT (INCLC~DE SORCHARGE)
S ~p~%~O S WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
S $ ~5.~`~~ ACCOLNT DEPOSIT - SEWER
$ $ /,j, ACCODNT DEPOSIT - WATER
$ ,7~Z~. ~7~ S WAC
$ ~IS. ~ $ SAC
S $ TRLNK WATER ASSESSMENT
S $ TRLNK SEWER ASSESSMENT
S S " LATERAL BENEFIT/TRL~NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ ~~j~,~ O $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ~~5 / 7' S~ $ J~~ D~~~ TOTAL
~o7~v~/ 807/
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISIO[V. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CONDITIONS:
APPROVED BY: r~~~~~Z~~~
TITLE:
DATE: j~ ~ ~-b
_
BLDG., ~ERMIT ti0.
~ `i.J ^ I .:,,(f-7`O~ ~i - (Jr
~ l~ T I r r ` 1
01-3210 B1dg.~Permi ~ , c
01-3422 ` ~ Plan Check _ t ; , ~
01-3445 Surch./hdm. ~ir ;
01-3446 SAC/Adm. ~ ~
01-2155 Surcharge ~,t ~,i~
17-3860 Road Unit ~f ~
20-2275 SAC
20-3865 Water Conn.
~ -
20-3868 Water Trmt. ~
20-3716 Water Meter
20-2252 Acct. Dep. ~
2D-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TaTAL 'i . I 7 , ~
, ,
i~ CASH RECEIPT t
. ' _
CITY OF EAGAN
3830 PILOT KNOB ROAD
~ EAGAN, MINNESOTA 55122
• DATE ~ i 9
RECEIVED ~ ~
FROM t ~
AMOUNT ~
l' J
& DOLLAR•
+oo
~ CASH ~ CHECK
FOR ' `
FUNG CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pi~k-File Copy
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
2012 RESIDENTIAL BUILDING PERI
Use BLUE or BLACK I
For Office Use
Permit #:
Permit Fee: r
Date Received: ` l `5 / �a
Staff: 35.
CG
IT APPLICATION COfi 2S 4' 0' 1S
Date: Site Address:
Name: r t Phone:
Address 1 City / Zip:
7t€?
Applicant is: _ Owner Contractor
Description of work: 1.19/Ae°,
Construction Cost: .3
Company: 12— c2 12'.-?,
Address: /42 73 e`
Contact: J, +_
City: /f U.ed7�'
State: /)'1 1/ Zip: Phone:
Licens
ead Certificate #:
fithe project is exempt from lead certification, please explain why: (see Page 3 for additional information)
L 1 � �� v` /� � 3 f 'jw —k f tu/ g -Es'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City' of
Eagan; that 1 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.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be comp)
days of permit Issuance.
Applicant's Printed Name
Applicant's Srgnatu.
D <
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of __ Plex
Accessory Building
WORK TYPES
New
Addition
jr Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
vt Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
ll oo,
5.134
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
/12
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy ✓7G —i
Code Edition
Zoning
Stories
Square Feet
Length --
Width
.Z Gb'7
Framing
Fireplace: ,,-Rough In ALAir Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Bas3 Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
341'1'1
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
9.0 to ato"
18 58n
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105391
Date Issued: 07/12/2012
Permit Category: ePermit
Site Address: 788 Sunset Dr
Lot: 6 Block: 1 Addition: Sunset 4th
PID: 10-72988-01-060
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Lofgren Heating & Air Kirk A Walztoni
5708 Upper 147th St W 788 Sunset Dr
Suite 102 Eagan MN 55123
Apple Valley MN 55124
(952) 431-5811
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.
Applicant/Permitee: Signature Issued By: Signature
Date:
City of Eapft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 666'
Date Received: �' Z 1Z -
Staff: ✓7(.7
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
-12—Site Address:
Tenant:
Suite #:
RESIDENT / OWNER -
Name: ��� `%l/i b--74) Ali Phone:
Address / City / Zip: 1 YR 54, A4 5 I ��
CONTRACTOR
Name: g z_ "4Avi 6 , ,vL-2_._ C License #:
? 5r
Address: 3 / e 67 6 S'J -// �" . City: ) /1 A-, , t
State: wiA) Zip: 6-607 / Phone: ‘,/Z – 3 "70 P
Contact: ke-V mail: k..., Phti44k3.-L 0 4v/f°17/i4! _GCt.c -
TYPE OF WORK
— New — Replacement Repair Rebuild Modify Space Work in R.O.W.
_
j
Description of work: J45e-01 in -c/!/3» -77 -/Room R00711 74 .. K i
PERMIT TYPE
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures (_ Main / Lower Level)
_
Septic System
_
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Healer
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County', fee
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of undergrourpd utilities. www.copherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plags
x
Applicant's Printed Name
x
Applicant' Signature
FOR OFFICE USE
Required Inspections:
RevieWed By:
Date:
Under Ground _Rough -In Air Test _Gas Test Final
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105595
Date Issued: 07/20/2012
Permit Category: ePermit
Site Address: 788 Sunset Dr
Lot: 6 Block: 1 Addition: Sunset 4th
PID: 10-72988-01-060
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Lofgren Heating & Air Kirk A Walztoni
5708 Upper 147th St W 788 Sunset Dr
Suite 102 Eagan MN 55123
Apple Valley MN 55124
(952) 431-5811
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124668
Date Issued:07/08/2014
Permit Category:ePermit
Site Address: 788 Sunset Dr
Lot:6 Block: 1 Addition: Sunset 4th
PID:10-72988-01-060
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 -
Kirk A Walztoni
788 Sunset Dr
Eagan MN 55123
(612) 819-1493
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature