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790 Sunset DrCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 4' 1'r% Permit Pee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (47/ 20 /0 Site Address: 790 (4/%45E7' bAl Vl_) r AL A -Ai MN 557? 3 Tenant: Pe -TER. ZIA'D'( M Suite #: RESIDENT / OWNER Name: PETER BLti/'n!'rlEle- Ph (o5i"45(0"07$1 Address/City/Zip: 79C ,s4 4.4/00 bRiVt E &/+N 5Sla� Applicant is: X Owner C6ntractor .., _ 11441 W &kV.* t5a TYPE OF WORK EL Description of work: 1(' X 2 ' • Dk Construction Cost: 0®C% Multi -Family Building: (Yes / No )(' ) i CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: � Phone: NOTE: Plans ander uppo ng documents that iotr submit are cons d re be public format on . the info matron may beiclassffied assn pu is f ou owde specific tea on that wog/a ®enitn I; � . < , .. riconclud that they are.trade secrets �.t o f n o 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,gooherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x •PETE.K -P)L®MM Applicant's Printed Name 1.1)ECE JUN 7 2010 Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 77oo Plan Review (25% 100%_/r Census Code 4l39 # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) 0 Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final ik Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window 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 ZG,c��. .4 .427 PD /G MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC 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 RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Pr? " Page 2 of 2 11.117 „01..LA ISD INC. SURVEYING SERVICES Eagan, Minnesota 55121 Certificate of Survey for : rT/7Z/ COIVS.f 1we. 7qo Sousem- SCALE 1 : 30 LEGAL DESCRIPT/ON: LOTS,BLoCK 1, SUNSET FOURTH ADD. BY: EAGAN R EV I EED IONS DIVISION I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. B rad Ie/d. Swenson Mn. Reg No. 15235 Date: y/9;.. INSPECTION REC~RD ~ Control No. :J _J CITY OF EAGAN PERMIT TYPE: ~~yz L° rNe 3830 Pilot ICnob Road Permit Number. a* i~~' ~ Eagan, Minnesota 55123 Date Issued: ~ r/~~/'~ 7 (612) 681-4675 SITE ADDRESS: ~~~r t, , t APPLICANT: )9i :.UM~l7 Ok I~IMIINAER CQNS7 SUi13ET ~TN C61?) 66~--~823 - PERN~I~T ~~~~PE: TYPE OF WORK: N~u 1-~iEi I l N~3 FRAl1I.N~ ~MitiU1 ATIdN FtNRL ~ _ ~ _ prrmlt No. PertnM Hoider D~te 7~bptwne ~1 S1VY PLUMBlNG HVAC ELECTRfC O cl ~7 ~'>r .c.t, ~r~ c. / 7 j~i ~=r~ ELECTFiFC inepsctbo~ oale u~sp. comrne~ta F~m~ i ~ 9~~ Foundetion F~ • ~'9z ~S ~ Ro~~, ~ ~7 O Fi?eplace r7 ~ ! CG~ t~~"~T ~ Final Htg. Or~etTeat Final P~g. PI6q. InspeCtor-Notily Plumber Const. Meter ErgrJPlan e~a~- F~ j- z~-93 Dedc F~. Dedc Flnal weu o~. CITY OF EAGAN . 9t~"•~,`~ - ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ~~~~J~, ~ QUILDtN6 PERMIT R«<+~ # SF` DWG/GAR $95, 000 AUGL:ST 30 84 Ts 6~ rad 10? Est. Value Dote 19 790 SUNSET DR ,~C R3 Site Ad~sa E Erect LT Occupancy Lot Block s~/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. Enlarge ? No. Stories W N~e FEATURE BLDRS Move ? ~enqth A~r j~] Dsmolish ? Depth ~T ~ City ~UR p~~e - Grade ? Sq, Ft. FEATURE BLDRS APOrovols F~a, Name 0 ~ A~~~S O AR 0 ~,N Assessment Permit ' u~ C~tY BURNb I LEPhone - Woter b Sew. Surchcrfle 47.5~ Police Plon checic 2 ~ 9• ~ ~ ~W Name Fire SAC 525.00 W 470.00 x~ Address Enp. Water Conn. " 63s00 ~W City Phone Pl~ner Woter Meter Council~ Road Unit ~ 6 0. Q ~ I hereby acknowledpe thot I have read this opplicotion and state that g~d9, pff, ~1 ° parks the intormation is correct ond ogree to comply with all applicable APC Total ~ Stote of Minnesoto Stotutef ond City ,of Eogon Ordirwnces. ' _ Var.Oate Sipnoturo of Pertnittea ~ , c`••~~''~"• _ -~i~ - . A 8uilding Permir is issued to: FEATU E BLDRS on th~ express conditfon thar all work shall be done in accorQ6nce rritlP oll oppficable Stote 9f Minnesoto Stotutes ond Cicy of Eopon Ordinances. --~7 ~ ~ , - ~A Buildirg Officiol Permh No. Permk Holde? Dtn Plumbing ~ l1 L~-.l-l L1 ~ L ~l'r H.vr?.c. s' 0 SJ~ 3 y-0 9s s e~.~m~ a S I 4! 3~$`~ ~o. ooe?~`~ `i~f 4 ~l l S~a~_ r~'1'Z~~Y y 'y`j.~~ Sohsn~r Inspectio~ Date Insp. Other Footingt ~ Foundation Framinp / R yh Pibg. o -r~-S~~ Rouyh HVAC /I 3~ 9 ~~l ~ Insulation Final Pib¢ Final HVAC ,(f~/ Final ~ / ~ c.rvo~. i al- ,~C Water Dascribe Location: . MYell S~wsr • Pr. D'~sp. Receipt '~i' i MECHANICAL PFRMIT Permit No. i ! , , _ , CITY OF EAGAN F~ fill in numbered spaces S/C Type or Print legibly Tot. ~ 1. Date /O~o.~~7/~2. Installation Cost ~a. , ~ 3. Job Address 5u~~~T Lot ~ Blk. ~ Tract~~ 4. Owner f- EN 7 uR ~~L B~S 5. Contractor U~~ON~~/~5 ~~G Phone ~l ~~/'U9~~' 6. Address ~'g9'O Cx'E'TGVQ7r, "rE/t 7. Citv E(~Eit/ /~<J:I2i~_ State /~7.~ Zip SS-~S~y Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New 4J Add ? Alter ? Repair ? • 6 ~ir 10. Descri~-~~ ~`~/77 ~I~'~//!~ Fuel Type 11. No. ~uioment BTU - M. Ea. No. EQUipment CFM Forced Air 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~Il ordinances and codes governing this type of work. Signed : ~-~i( a ~ ~4-7.2rrr~ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ ' ~ Receipt f PLUMBING PERMIT Permit No. ~>~'1 ~ ; / Y~~ CITY OF EAGAN F~ r Fill in numbered spaces S/C Type or Print /egiWy Tot ~ 1. Date 2. Installation Cost 79v Si~.~, U r~ i- ~ l~-.<-,~-~`_ 3. Job Address Lot ~ Blk. ~ Tract ~ i J~ ~ 4. Owner r~'(~i' ~G( Y /S /r~/Q 5. Contractor r fi f / ~1 ` f~J Phone / - ~ ~ _ ~ 6. Address ~ ~1 ~ 7. City !'~P u 1~/ t~ 5tate Zip r.`(~ 8. Building Type: Residential ~ Commercial ~ Institutional O 9. Work Description: New C7 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield _L Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Qutleu + 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 Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks- ~/Ui1~~!~ ~~5~--'y ~uq Addition SUNSET 4th ~ot 5 eik 1 Parcel 10 72988 C~0 O1 Owner Street 790 Sunset Drive 5tate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK S~S 1981 193.26 SEWER LATERAL 1981 18.52 5 13.92 Sewer Lateral -'7 1981 25. 7 17.32 " " WATERMAIN 1981 32 . 56 2 1 28 • 22 WATER LATERAL S7 19$1 21. 1 1Lf.5lF n n WATER AREA S j9$1 1 3 2 144.96 25.80 " " Water Lateral .S". 1981 34.40 STORM SEW TRK 9OZ.OH 1985 965.44 64 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER C~NN. ~ O rr t~ BUILDING PER. rr SAC rr ts PRRK CITY O~ WATER SERVICE PERMIT 383~ P' • •O~ pERMIT NO.: P. O. Box ~ . . 99 D/1TE: - ? _ ; ; ~ Eagan, MN 55121 I Zoniny: ~ ` - No. of Units: I'eature ~~idrs \~\JIN~flQ . l Jk~ddross: ~ ,un e~ ve B2 SenSet ~+th Site ~~~~~ie~ c~i>~lu~~' ~~li~ I~25 47 .00 Pd ~ umber. ~ ` t ` ~ - GAS `G{,onnection Char9e: er N:- ' 15 QG Dd 51ze: " - ~Ncoount ~ea~t~ 1U ~4 nd _ - ~ • permit Fee: Reoder No~. - : 50 1~~ to eo..Ph? ~ H~ Cihr of E~• SurcF+orye: 63. QO pd :;eter Or~iw~noN. Misc. Chorpes: Total: Dote Paid: By Dote of Insp.: y Inap.: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road ~ , PERMIT NO.: 1., j_ y P. O. Box 21199 DATE: Eagan, MN 55121 No. of Units: Zaninp: ~ z E • r~ pwner: ~m~ ansP .l uneet 1 r ve a' Site Mdrcss: T.al.~:'~ i e Y s.b ~ Plunber: • P C°""ecti°" CI'°r9e: 15.00 pd AAeter No.: Size: ~ODt~t ~~t~ 10 , 00 pd Permit Fee: .50 pd Render No.: 1~yeM to ownPh? ~ IM ~7' Surcharye: , p nc• er Misc. Chor9es: ~~M~~ Totnl: pate Paid: By Irqp.: Date of Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pg~~T NO.: P. O. Box 21199 D^~: Eagan, MN 551,i1 No. of Units: Z~~9' ; ~.:r~ture ~ldrs pwner: Address: Site Address: ~g~ Su~~t ~1ve LS B1 Sut?s~t t Plumber. T~a};eville F1b, p 8_3~_gu 459~?9 Q25.00 pd 1 e~ te eewFh? whh !h' Cil~t °f E~0°" Connectlon Chorpe. I S. 00 d Ordiw~na~. ~GO1~ ~~f ~ 10 . 00 pd Pem,it F.e: pd 5urcharps: By Misc. Chorpes: , Date of In~.: Tatal: . pote Paid: ' - - - _ _ ~ ~ . . ` , CITY OF EAGAN N~ 94~I2 3830 Pilot Knob Road, P,O. Box 27-199, Eagan, MN 55121 _/~~0~ PHONE: 454-8100 `~o BUILDING PERMIT Rece~v~ # Te he wad fer SF DWG/GAR Est. Volue $95~D00 pa~e AUGUST 30 ~y 84 790 SUNSET DR R3 Site Address ~ Erect ~ Occupancy Lot 5 Biock 1 Sec/Sub. SUNSET 4 Remodel Zoning Pg~cel No. Repair ? Type ot Const. V ' Enlarge ? No. Stories FEATURE BLDRS Mo~e ? ~ength W Name ~ 15513 LOGARTO LN oemo~ish ? ~epth ~ Address Grede ? Sq. Ft. city BURNSVILLEpnona 435-8443 FEATURE BLDRS Apo~ovola Fee~ ~ Name Address ~55~-3 L~GARTO LN Assessment Permif • ~ ~ C~ty $URNSVILLEpho~e 435-8443 V?nterBSew. Surchorge 47.50 Police Plan check 2~9~.~~ ~W Name Fire SAC S2-r'-n0 Address Eng. Water Conn. 470 _ n0 ~ W City Phone Planner Woter Meter ~ ~ Councfl Rood Unit ~~n . nn I hereby acknowiedge thot I hove read rhis application ond stote that g~dg. Off. 8I29I $ Parks the inlormation is correct and ogree to wmply wifh oll opplicab~e APC Total $1, 992.50 State o4 Minnewta Statute d City of Eagan Ordi nces. ~ Var. Date Signature of Permittee 0"~'~~`"~ A~Bullding Permit is issued ro: F~ BLDRS on the ezpreu condition IFw~ all work shall be done in accor e- ~ oll oppliwble a e f Minnewta Statutes ond City of Eagan Ordinancez. Buildinp OffiNoi , : . - . . ~ ~ . ~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN i., , INCLUDE ~ SETS OF PLANS, ~ ~ Q CERTIFICATES OF SURVEY e,~•pwU. Up,2, Q SET OF ENERGY CALCULATIONS To Be Used For: ~ Valuation: ~Ya~ Date:~~q~$t~ ~ site Address: 7 q~~ ,~1 ~ ~5~~ • • Lot: ,S B1ock:~Sect/Sub:,$~.~.-,~n~:~ y~~_ Erect: x Occupancy: (z-3 Parcel Remodel: Zoning: R-I Repair: Type Of Const: ~ Owner: yi7 ~+.~~,~,qy~, Enlarg~: # Stories: Move: Length: ~ Address: Demolish: Depth: City/Zip Code: '",},~,~t.~a , Grade: Sq. Ft.: Phone n i~ ' Contractor: ~~+,c~l,,i Q ~.c_ ~lcw~ Address: jSSy3- . Assessments: Permit: ~S.`- City/Zip Code: ~wwwa,;~Qp SS.;37 Water/Sewer: Surcharge: Q.~.~ Police: Plan Rev.: ZOq, Phone ~}',3~ - ~Q~~~ ` Fire: SAC: 525 ~ Engr.: Water Conn: ~p.` Arch./Eng: Planner: Water Meter (~~j.° Address: Council: Road Unit: 7_(~O.° Bldg. Off.: Y/sp/G6 Parks: City/Zip Code: APC: •7~-r• ph~nP~ - Variance: ~ l~ 9~ a~ . . . ~ ~ ~ ~NSI .-P, ~ ~ ~ ~ N ~ ~ I! d i~ ~ ~ ~ ~ ~ ~ G X ~ X x ~ ~ ` ~ ~ 1~ U ~ N ~ ~ ~ ~ d 0 C ~ T~;= a4~es o;d ` ~ulz~ Q~y 16 mon[hs Imm ~ ) a, " ~ A fl94435 ~ 5~-I . 7` :~~1.5'a Rnquest Uaie Fire No. ~ouHh•in InsPection /O Sj~ ey retl? ? ~qeady Now~W~lt Nutifv Inspec- ~f es Nu ~ur When Ready ~icensed Elecuicai Contrnctor I hereCy revuast insaeetion of above ? Owqer electrical work imtelleE et: ~ Sv¢ec AAdress, Bux or Roule No. Citv `7~o Sv,c>S~`i- .~J ecwon o. Townsnip Name or No. anpe o. County Occupnnt IPRINT) Phone No. ~v.PV•`~' . ~,~.s- ~/3S-~`/`/~ Power SupDlier Add.ess .r^ Elactrical Convacm~ Company Namal Contractoi s License No. ~C .Z'/v~ _ ~y ~ ~'7 C~i S~ $ Mai in - AdJress IContractor or Owner MakinO ~~stailationl /5.~~ ~/mur , G, .u 5~ 3 ~ Authorized Sienamre (COniractodOwner Mak~ nsiallation) Phone Number ~ ~ ~v~-6s3o MINNESOTA STATE eOAflD OF ElEC71tICITV THIS INSPECTION REQUEST WILLaNOT GrigBS•Midwey Bltlg. - Xoom N-797 BE ACCEPTED BY THE STATE BOARU ~821 UnivarsitY Ave., St. Peul, MN 55704 UNIESS PROPER INSPECTION FEE IS ~q~_27t1 ENCLOSED. c~ ~y REQUEST POR ELECTRICAL INSPECTION EB-4~~/1-04 ' See insnuctim% for comoletirg this form on back of yellow eoov +O(2~o A 0 9 4 4 35 ~~X-~ Be,oW Work Covered by This Request Atld ReD~ Type oi Builtlina pVO~~ances Wired Equipment ired Home Fiange Temporary Service ' Duplex Water Heater Lighti~ Fixtures Apt. BuilAing Dryer Electric Heatfn Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm ffier pec~ v ~her (SUecityl t r S4ecily Ot er Othe~ Compute lnspection Fee Below k Fea Ser~iceEntrenee5iza q Fee Faeders~S~bieeders p Fee Circuits (1 to 200 Am s 0 to 30 Am s ~0 .50 0 to 30 Am Above 200 Am ~s 31 to 100 Amps S• 31 to 700 A Swinaning Poo~ Above 700_Am s A6ove 100_Am ' Transiormers Irrigation Booms ~ Partial%Other Fee Signs SUeciallnspection S Aemnrks ~ I T ~ ~Q'~ Roueh-ia ~ ) Date C~`L-s Ll~~ •~/1~7.~~ ectrical V InapecTOq hereby CBr~ifY ~b1 ~hB abOVe Final ~ q Oale ' p~tion has been i ) 1.~, _ moda. t0lnrequestvoiAlBmonihairom ' ~ T~;s .e4~as ,~,a ~l l~ 2,'~ `~~O 6~k C y a~ 9- ~ 3-~5° 18 months Imm A o 35~.1. ~s Bc R ues[ Date ~ . Fire No. RouA~-~n Inspection ~ Heauuetl? ? ~ReatlV Now Wil inSPec- '~Y,ps No r eady Licensed Electrical Contr.~cto~ 1 heraby reOUesl insOection ol above Owner ~ elecbical wark installed at: - SVeet Atldress, Box ute No. CifY ~o ~°vz~a' e, ecUOn o. TownshiD Name or No. N»nge No. County OccupantlPRINT) ,Q~ P o~e No. ~ ?'Uec~s !rxl~le.S' .~'Sl,~~/~ r Suppli~er/~~ Address ~ 7'~"'f..~ ? EI ical Conttactor (COmpany Name) Conv ct ~s ~i nse No ~ ~~~rc ..Z~- ~~`~~s~3 Mai in AdJress (COnlract or O ner Makinp Instaila I ~ Ss£~/ ~~ihv~-' ~`G . /~,c.,~ ~ ~a- AuMoriz SiB~~ure ( ontra wner Ma m0 Installationl Ph. one Number ry 7-GS~.s'~7 MINNE60TA STATE BOAflD OF ELECTRICITV ~ TNIS INSPECTION qEUUEST WILL NOT Gripps-Midway Bldg. - Raom N-797 gE ACCEPTED BY THE STATE BOARD IINLE55 PqOPER INSPECTION FEE IS 7821 UniversitY A~e., St. iaul, MN 66104 PMM ~q~2~ Zy~.2~~~ ENCLOSED. i1a~~D~ a/ R~fdUEST FOR ELECTRICAL INSPECTION C~ y v~7ea ~ns~ruct~ona ior eoma~etiag.this torm on back ot yellow coov. 1..~ ~ A i '"X" Below Work Covered by 7his Request ACd ReO• TVPe ol Builtling Aoo~~e~Cm Wiretl Equipment WireA Home Range Temporary Service Duplex Water Heater lightiny Fixtures Apt. Buildinc~ Dryer Etectric Hefltin Commercial Bldg. Furnace Silo Unlouder Indusirial BIAg. Air Conditioner Bulk Milk Tank Farm Ot er vec~ y ~her ISUer,ifyl t r uecifv iher O~her ompute-,nspection Fee Below p Fea ServiceEMreneeSi:a q Fee Faedars~5ubfeeders k Fee Circui[s ~ Oto200Am s- Oto30Am 5 Oio30Am s Above 2_Am ~ 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Am s Above 700_Amt~ T.ansformers Irti tion Boorr~s ~T~ Partia~-'Ot ee Sigis Special Inspection S Ne~rks ~ TOTAI F E~~~ la • no~n-~o o,~e 1. the Elactrical Inspector, hereby Finel D'~~ ca i iha above / ion has been ~ med' ~1~y ~epue6l rolG 18TOnMS irom ~ ~D ~05~ K 0~ 9 4 8r ~ 9~-- r,~,~ ~ ~ ~o Aequest Date' Fire No. FlougRin Inspectbn RequireGT ~ ReaOy Now Q.Will Notiry Inspector g-/ - C~ Z y_ r ry~ When flaetly? I~~„licensed comractor 7 owner hereby request inspection of above electiical work at: Job M~ress ~SlreeL Box or RoNe No.~ City s 6L Sxtion No. Towns~ip Neme or No. Range No. Couny OccuOantIPRINT~ Phone No. ~cti Cbn 5~, 7S F PowerSvop~ier Aoeress Eleciri[al Convacror ~Company Name~ Comractor's Licanse No. ~ 0 Cff / 42 ~cC ~F-~ Mailing AOOress fGanVactor or Owner aking Ingelia~bn~ ~ya ~ o~oo,~--ti Nut~or¢etl S~~gnaNre ICOnlractoupwner Making Inslalla~i ~ PM1One Number ~ oo-say MINNESOT4 STATE BOPRD OF ELECTPICITY THIS INSPEGTION FEOUEST WILL NOT Grigpa-MWway B~tlg. - Poom SI?3 BE ACGEPTED BY THE STATE BOARD /B21 UnivereHy Ave_ St. Paul, MN 55100 UNLESS PROPER MSPECTION FEE IS Phona~61P)60Y~U9U0 ENCLOSED. ~`J/1~'~- REQUEST FOR ELECTRICAL INSPECTION ~ ~E7~e7-o~oom ? See inshunions ror mmpeting ihis form on back oi yellow mpy `~~~~~'n(/p((/ ~ K 0 9 9 5 4 ~ p~^ Below Work Covered by This Request °a~~`y~ e Atltl Rep.+ TypeotBuilding AppliancesWiretl EquipmentWired Home Range 7emporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) • Comm./Indusirial furnace Farm Air Conditioner g Omer(syeciryl Convacbr's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders fee Swimming Pool 0(0 200 Amps o to 100 Amps Transtormers Above 200 _ Amps Above 100 _ AmOs Signs InsPacmrS Use OmY \ TOTAL ~ - Irrigation BoomS 2.t•~l ~ Special Inspection ~v Alarm/Communication THIS INSTALLAT~ON MAY BE ORDE CONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 ONTHS. I, the Electrical Inspector, hereby Roug~-in oe~e ~ y~~ certify that the above inspection has F;nai ~ a~e i Q been made. ~ OFFICE USE ON~Y " This reques~ voiE t8 moni~s irom ~ 8ysv r ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase complete foc single family dwellings & townhomes/condos when permits are required for each unit Date / / ~ s Site Address '790 ~Lrn7S~~7" 17(Z f}/~ yYl ~ .r~'S/2-~i Unit # . PropertyOwcer ~~'7~~ ~j[.pyy~~~z Telephone#((nSJ ) ~{~-07$J ~H) 9 - a s- 6 w Contractor [g-(~J~'(l P~L Street Address City State Zip Telephone k ( ) Bond Expires: The Applicant is ~ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional _Replacement ' air exchanger ~ airconditioner ~New _Replacement . other DISP~r~NKL7 S R.fkbil+NT ~e~-T2ic }I&hT ClRCL1iT5CCPc~iiNCa~. D~MfJ qg MU4i 145 ?~55~ (jl.~ ~ 1rV 57fKC- Cn/~5 f'oRl$D 14'f~ ~~'/G WrTLI DNC.T WO'R.K-'~(-1/~-Ot.~GI-~ ~T 1-1OU51'z., Cor.l~.1~L'7 fyC. 7D ~tp~.p~~h ~o c D G r- State Surcharge $ .50 To~e~ $ 3~.5"ZJ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 pla a. ~~1Z_ `~L-~n~M Applicant's Printed Name ApplicanYs Si nahue 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complcte for. commercial/industrial buildings _ mulli-family buildings when separate permits are not required fur each dwelling unit Date ` / / Site Street Address Unit # Tenan[ Name (if applicable) Previous Tenant Name Propecty Owner Telephone # ( ) Contractor Street Address City State Zip Telephone k ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below interior Improvement _ Install Piping _Processed _Gas Nature of Work: *`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rmit Fe¢S: $70.50 Underground tank installation/removal 550.50 Minimum (includes Sta~e Surcharge) or Contract Value $ x 1% Permit Fee • [f ep rmit fee is $1,000 or less, add $.50 ~ $ State Surchazge If ep rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I here6y apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 he in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Prin[ed Name Applicant's Signature Approved By: , Inspector Date: S~~°~ r RESIDEPITIAL BUILDING ~ Permit Application ~ ~ " City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~3 ~ Telephone # 651-675-5675 FAX # 651-675-5674 ~ ~ New ConsWCtion Reauirements RemodeVReoairReauirements OHice Use OnN 3 registered stte surveys shaxirg sq. ft ot l04 sq. ft W house; antl ~II roofed areas 2 copies of plan _ Cert of Survey Recd ~ (20% maximum lat cover~e allaved) 1 set of Energy Cakulations tor heated addidons Tree Pres Plan Recd 2 copies of plan showing beam S window sizes; poured found design, etc. 1 sde suney for additions & decks Tree Pres Not ReqG 1 set af Ene~gy CakuWtions AddNOn -uMicete il on-sRe septlc syslem _ On-site Septic System 3 wpies of Tree P2servation Plan rf bt platted after 7/1/93 Rim Joist Defeil Optior~s selectlon sheet (bldgs wiN 3 or less unRs Date Op3 Construction Cost 00 D Site Address 79~ ~U/11 SET DK I VE i EAG~}r~l M1t) SSI ~3 UnidSte ~ Description of Work llo X o24 ~ GARR(~E f~iNt1'~147GH~.D Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PrapertyOwner PETER ~J1.tDY 3LomME~ Telephone#(651 )}56-o~g/ (H~ 45a- ~y-SOI W Contrac[or PRoPE~TY OWn)£'~ Address C~ty State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J suGmission rype) Submitted Submitted . Energy Envelope CalculaGOns Submitted Lice~sed Plumber ~(I~ ~ ~ r~ n Telephone ) Mechanical Contractor Il~ l~~" i S 7(l~ 1 i I Telephone J Sewer/Water Contractor LI V~t~ ~ Telephone ) By 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 oniy 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. pETE P. 3LOYV1 M E~ / ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types , . ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ~ 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Eut. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Mulfi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (FOUndadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement ~ •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Gl7~ ~ Occupancy MC/ESSystem - Census Code Zoning ~ City Water SAC Units ~ Stories ~ Booster Pump Nbr. of Units - Sq. Ft. ~ PRV - Nbr. of Bldgs Length ~ Fire Sprinklered - Type of Const ~ Width J~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ~ FinaUNo C.O. ~ Footings(addition) w/3~9~ _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ~ , Building Inspector Base Fee j,~ ~ 1--------------------- ~ Surcharge ~ ~ ~ /y ~ ~ 7C ` Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Lice~se Search ~ Copies ~ Other Total ~I-LAND INC. Ce~tificate of Survey for : ~ ~URVEYING ~-F~TU~2E CONSf. SNc. r ' SERVICES Eagan, Minnesota 55121 7~'D S~d~~ aQ-, d /Sy.67 d N9'f= vB= 24'E , ; 4-. ; - - - - ~o ~~Z 5;~ rN~~.~' W GARAG~ \ 3cT ~ ` ~~~d `~r~ . . ~ ~ . 4Fc> ,21 .T ~ a4 r~ \ ~v ry a ~F 3'° ~ ~@_ . I J~,y j n ~ ,S a~y~ ' ' . ~e. ~ ~ 16.Sr • rxoe~ a,. ~ 4N v ' ~ . 1994 ~'~~8 - \ . I = Am,m~l e . ~y ~ N~ i I s 175. ` i N ~ N ~ ' i ~ u. ~ ~ ~ \ ~ rlo , ••o! vo i I2 I ~ 5 ~ ~ ~ + ; Zy ~ , ow. j d~"56 i3 - 2 i , ~ SCaI.E t~: 30 ~ ~ .i. i ?°'S, LE6AL DESCRIpTlaN: LOTS,BLOGIC 1, SUNSET FpURTN ADD. i 1 ~ f ~t 1k ! ~ ~ E i ! ~ I hereby ceriify that this survey, plan 1 or report was prepared by me or under ~Oi~~ ~ ~'P"'~ ! my direct supervision and that I am a Bradl . Swenson Mn. Reg No. 15235 ( duly Registered Land Surveyor under ihe Date: ~s-/8y t.aws of ihe State of Minnesota. ~~sg RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3--~ 5 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReouiremeMa RemodeVReoafr Reauiremanb • 3 registered sile surveys shawirg sq. N. of lot, sq. ft of house; and all roofed a2as • 2 copies af plan (20% maximum IW coverage allowed) . 1 set of Energy Cakailatians for healed additions . 2 copies af plan showing beam & window s¢es; paured found desgn, etc.) • 1 sile survey for ezteAor addiGons & decks • 1 set of Energy Calculations . Indicate'rf hane served by septic system for additions • 3 copies of Tree Presenatbn Plan'rf lot plafled after 7/1193 • Rim Jo'st Detail Optlons selecfion sheet (Mdgs with 3 or less uniGs) DATE VALUATION ZZ~~4•4Z SITE ADDRESS ~~U SU`i~~ ~r MUlil-FAMILY BLDG _ Y ~,N TYPE OF WORK~ Y1°~(Z~~ ~`~'eS\C~ Q_ FIREPLACE(S) ~-6 _ 1_ 2 APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 CITY Roseville STATE MN ZIP55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219 PROPERTYOWNER~- ~ t, o ~ -~v~c~ ~ TELEPHONE# ~S\"~-I~~r~ [~~F~I COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~I;VNLSOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J submission type) • Residentlal Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaGons Submitted Plumbing Contractor: _ _ Phone # Plumbing system includes _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Condiuoning Fee: $70.00 Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge ihat 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 Ordinances. C . ~ ~ Slgnature of Applican . . _ ir-•-ttn---g-4--~~- OFFICE USE ONLY ~~,u ~ Certificates of Survey Received Tree Preservation Plan Received _ Not Requi[e~---- -i Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8~ Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ~icense Search Copies Other Total ,~'RI-LAND INC. Certificate of Survey for : ~ ~URVEYING ~~~~u~C coNSf 1Nc. SERVICES Eagan, Minnesota 55121 d lSY.67 d N 6y= NB= 2Y "E 't ~ . i - - _ - \ LT'6 ~o S s ; _~~~~~.d cT if~' ~r , ~ pR . ~ Q~1 y`~i A ~ ~~ir9~ 3p ~-e . • ` Yaee . - ~ ~o Y ~8 ~ ~r ~u N ~ b q . / ~7Se 8 -y N r ~i ~ ~ ~ ~ .25.0~. ~1 ~ O I ~ ~O OI N~ ~ 21 ~5 ~ ~ !gN ; oa • 5~,3 ~ ~ " ~ ScRLE ~ 30 ~ il LE6AL DESCRIpT/ON: LOTS,,BLo~KI, SUNSfT FDURTN ADp. I hereby certify ihat ihis survey, plan or report was prepared by me or under ~7O"S~ iiPid°~'- my direct supervision and ihat I am a Bradl . Swenson Mn. Reg No. 15235 duly Regisfered Land Surveyor under ihe Date: ~zs./8y m Laws of ihe State of Minnesota. ~ ~ , . a . ~ / ' Y EXTERIOR ENVEI'OPE AYERAGE "U".COMIPUTATION ¢S„2 ~S.~S.v ~c) ONNER /p'f• f R@'l ~olCl;~'t al~s~. S^t/~ (N) SITE ADDRESS ~jgD fvNJe~- ~~IVe- • CONTRACTOR ~_~~.~vQ~ ~4~ca~.ei21 _ DA7E PHONE ~/3S- d'~/y3 Determine working square footage of each, i. Tota1 exposed wa11 area ....,.11~'f._o6 sq. ft. x,~~ ~ z4/.Gi~ ? 2. total root'/ceitiny area .,,..,1L,sr?.Zd sa. ft. x~• .~29.-12~ ,02.~ Total exposed v:all area above floor • 2GS/.~ a. Total wali window area 2;4•$Q b. Total door area ~ c. Total si-i,d.iPg ylass door area I~ZC~/4d~'?.......... ftD~04 d. Total fireplace wall area,,.,,,, e, Total wall frami~g area (average 10~)...,,.,,,.,. _'~1~ µ•„n f, Tolal net wall area above floor g. Totat rim joist area f'b,~ Tota1 exposed foundation azea ~ ~ h. Tota) foundation window area.. Z~G z i, Toal net foundation area above 9r~:{e Determine "U" value of each s°:all segment. a. Z~q~____ z„~~~ T• S~- f zQ~_ b. ]7_$/ , % "U° a 4.~9~ c,_ 0~04 z"u^ ~ S~l 44~0$, d. X nUu ~ e ~ e. ~G S•/0 z "U° .bA • 2_~_ t. 1~34.e~, x °u^ •04 • 73~3.6 9•_ lal(o•~~ X .04 • '7-.st°~ n. ~z,~z z ^u° •ss • ~.4d t . z ^u•-~- ~ ~ 3. . . .?G S/: . . . . . . . . . . . . . . . . . . . .Tota t • 2 ,a ~S ~ . . If item f3 1s the sam~ as, or less than ltem It, you have net the tntent of SBC 6006(c)2, ~ w • - • ' ?otal exposed roof/ceiling area = ( fa3-Z- 4-. j. Total skyliqht area • k. Total roof/ceiling framing area (average lOS)... 1. Total net~insutated roof/ceiling area........... ! 14 ?.z d-" Determine "U" value for each roof/ceillnq segment, - j. X . k. X "U" ¦ 1. Q( V3. 24 X°U° • .D2co ,.2: . 2 4 2`I.12 4........... 1/.43: ~ 4 .............Tota1 . q a 29.72 ? (f total of 44 Ss the same as, or less than 12, you have met the inten~ of SBC 6006(c)l. Alternate Building Envelope Design To uttl{ze the total envelope system method, the values established by the sum of items A3 and P4 shall not be greater than the sum of item6 /1 end i2. z~t~•ci _ + z. 29~ 2a = SSg. a 3. 2 Qj 4• S'Z- + q, 2 e 7_ z 4 = SS/. ~ WEPJA CO. PLAN SERVICE ED ANDERSON /1FLMIT6GTUR~L OCSIGNIN6 ~ND PLI.NNINO sa9~ uooer ium snsn apaie vaney, Minnesota ResiOence: 0/1i~e: 423-5658 423•3775 PERMIT ~ °°~t ° o s ~ 4 ~ CIfY OF EAGAN 3830PilotKnobRoad PERMITTYPE: eui~pxH~ Eagan, Minnesota 55123 Permit Number: 0 01161 (612) 681-4675 Date Issued: 8 7/ 2 8/ 9 2 SITE ADDRESS: 790 SUNSET DR LOT: 5 BLOCK: 1 SUNSET 4TH DESCRIPTION: -Building Permit Type SF PORCH Build3ng~Work Type NEW i , , j % ~ , _.=.-~l.~i / ~ _ 'ii-,'"-i__. •t L. / 1 , ~ ~ ' iJ~ r ~i Ilr ~ 1 / J ~ c l A' ~ ' ~ ~ 1 ~ ~U~ t...~ i .-t ~ \'7l J '.1 ~ C REMARKS: ~ ~ZotZ~ FEE SUMMARY: VALUATION $13,000 Base Fee $144.00 Plan Review $93.60 Surcharge $6.50 Lic. Search Fee 55.00 Total Fee $249.10 CONTRACTOR: - APPlicant - s7. LICpWNER: KIMLINGER CONST 156@1823 @004926 BLOMMER PETER 6950 BROOKLYN BLVD 790 SUNSET DR BROOKLYN BLVD MN 55429 EA~AN MN (612) 560-1823 (612)456-0781 I hereby acknowledge that I have read Chis appl3cation artd state that the information is correct and agree to comply with all applicable StaCe of Mn. I Statutes and City oY Eagan Ordinances. I L ~~~vti~ ~Cwn `fi I m~1 APPLICANT/PERMI EE SIGNATUF ISSUE B: SIGN TU INSPECTION RECORD ~°n'~°' ~ ~ ~ 4 CITYOFEAGAN PERMITTYPE: Bui~ozNe 3830 Pilot Knob Road Permit Number: 001161 Eagan, Minnesota 55123 Date Issued: 0 7 J 2 8/ 9 2 (612)681-4675 SITEADDRESS: ~oT: 5 BLOCK: 1 APPLICANT: 790 SUNSET pR KIMLINGER CONST SUNSET 4TH (612) 560-1823 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW . . FOOTZNG FRAMING IN3ULATION FINAL ~ ~ - - , PERMIT # . CITY OF EAGAN REIICTIYATE 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificatians, 1 copy of energy calcs. Penalty applies.when typin~ of permit is requested,.but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Zj~j Valuation af work _1 7~~~ fd 0 Site Address:_ ~9~ Sun SEi .D~li~v z~'~f-i? STREEi SUITE Tenant Name; (comnercial only) 1AT S BIACR ~ SUBD.~u~ S~~ P.I.D. M Descri tion of work: . o(~~~ ~ The applicant is: ? Owner Contractor ? Other (Deseribe) Name ~~t~11?I'yIEL ~P~l-e~-- Phone_ 5~-'67g ? Praperty ~~s, F,RS, Owner Address 7~6 .SCl~1 SET J.~j~ii~ STREET . SiE M ~ City ~L)~7? State _~/V Zip Company vv. ~ ~,14~6L (~~P/?1.f~% ~ Phone .~(5 -lgZ3 C011t~8CtOf Address 6~yS~ fbbk[~ _ ~ +~~icense # `t9oZ~ Exp. ,~2% /yf" ~ t ~-T-r City ~I'~nl(fw~ C2~~~4't~ ~ State N Zip ~~',~a-~ i Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer 8 water licensed plumber Processing time for sewer 8 water permits is two days once area as been approved. 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. Signature of Applicant: `7 ~~C.l.l~ ~j~/~~ OFFICE USE ONLY . «e sr , BUILDING PERMIT TYPE ~ ~ ~ ~ ? O1 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 5F Dwg. ~ 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? IS Comm./Ind. ~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,~l 31 New, ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Boaster Pump N of Stories Footprint Sq..ft. Fire 5prinkler Length On-site well Census Code Y1 ~ Depth On-site sewage SAC Code APPROVALS Planninq Building Assessments Engineering Yariance RE~UIRED INSPECTIONS ? Site ~r] footing I~ Framing L~J Insulatian ? Wallboard p Final O Draintile ? Fireplace Permit Fee v.t~ct~: $ 3 p o0 Surcharge Plan Review License i/°-r/~,.t' ~p - IZJ~~o MWCC SAC City SAC Water Conn. Mater Meter . Acct. Deposit 5/N Permit 5/W Surcharge Treatment Pl. Road Unit Park Ded. , Trails Ded. Copies Other 7ota1: SAC % SAC Units CUC~UII~ I~IIIIIItJ~I.~....~.-~ ~ ~ ^I ! SY.67 4~ NB7= 4@= 2Y'E n' ~o S~ ` - - - \ ~'d 5 ; ~~~~'s' \ ~T O '~s~ e P 0 J~ ~~i ~ M ~ 3p \ a,+'.ry ~ ~i~ ~ ~ ~ 'F Q ` 4a.oe a,. . ~ 9W~ , a ~ ~ g~ o ~:~o ~ ~ ~15~~ o N ~ I7t. I . Yc~C`~ - / 3~ ~W~ ' " / ~ ' ~ . sx ~ ~ ~ 3 U ~ ~ ~-ss . ~ o I F `r ~ o 5 ~ ~ ~ ~ P ~ ~P ~ ~ ~ ~Z`~ I ~Se'S6~3 I ~ ~ . SCqI.E 30 ~I LEGAL OEScRiPT~oN: torS,.Blou~~, SUNSE7 FOURTN ADP. I here6y certify ihaT this survey, plan or report was prepared by me or undar gradl Swenson Mn. Req No. 15235 my direct supervision and fhat I am a. duly Regisfered Land Surveyor under the Date' p~zy~~s- - 3 Laws of the Sfate of Minnesota. A ~Y ~ ' ~ , ; . ; . N. t~toe arvaaE, rnaa~ tiuhsMnrMCC PAGE 1 t ` . ; ` ~ iTAN0i1R0~IIOIUSnEE'T , ~ ~ ~ : , - la a~~j~ . , S1t! AQd..~~~- ~9Q su~ sEr~'~~i~~ ~t~ ~ r . . ' . . ~ , ~ c~ r.erir=~nil~k.4~~".n,~~'_.. rnoMSbD~8L3 au :~7,c~~_ Z~ n , ~ , f . r ~utTainq Type (ehedc anel ~ One and Tw Fi~tly OreTlfap ' jJ, OtASr ~~.1'' A[sreDiY (pescrlba tYDC ffvn Ta01e 3 or Ares (A1 ° II-Y~1re U r A 3~ fhcrr ultulatlons on i~ 2 Ft c l~r ' P lw+~ . . _ . Tntutsied Aree Z O.D Z ~ar;.:~ ~ . . ~ Y Frrnir Are~ ~i G.a3 c~ ~ a ~ ° ' ~ Sk lt hts T g _ OtAer~descrlbe ~ S' Qther descrlbt , Tct.,s z s 3 Arer~rK U-;'~luc, U?A / l~ irein llne 1 O DZ 3 f4 uinE U-Ye1ue fran te:t C, O2 Ins Lsed l.ren 25 G~s~ ~D Frnnin Aret 3 d " Wnaws, T.• - r v~- Z CJ, 2 O~~ ' OpOrf T w ~ ~r a Rs~ Jotst 11ree D O v3 /~1 F1rs latt Wll i ~ ~ = Found~tion ~all ~a~ove rade ~ r ~ S Foundetia: Yl~ws. T.roe ' OLAer (describe OUtr desc*i~e Otner Oescribe) s roe., s 4 3 Z 9 0, n 5 Aver~ e U-Y~lue U:A / A femi L1ne 1 0 M4~~ 6 Ae u/rod U-Yslue f?v~ text **;"*~'k d *'~t** If Line 2 is 9nat~r th~n Line or Line S qn~ter LAan L1ne 6, eamplet~ Lha tollartn to dttefsine ~iternetive U-Y~tue for toc~l ~:tertor ~nvelope. ~ 7 An~ (Lt?a 1~ • Aw (UM 1). + • ~r ! IW (ltne 11 + UxA(Line ~1.. ? • **~*1e~ 9 Are~ (line 1) : U-v~tYe Iltne 31 x • ~ ~ 10 Iln~ (11nc q c lFYalw (L1ne 61 • ~ 11 'DudQet'. Lin~ f+ L1~u 10 ~ ii Altern~tire t!-Yalu~. L1n~ 11/L1nr ~ If L4na E 1~ yn~t~r lA~n L1ae 71, ahK ittee011ei at ?squtnd to Line ! does not tite~d llee 11. :;i . . . ~ nr w~ . •NJQIIYI ~ . _ ~ . ~W~CUW~ ~ s . . . ~ t]'.;.'. s= ~descr e c ness a ue a a;- escr Th~c ness f~• ue ~ _ ~r ; . rr F ~ ~a~ : _ . . , rt 9 : x , - / ~I r:''.-r.. ~ ~I ~ o D/ . ~i3Gt~ ~ S ~ ~ nter or -Value see Table 2 o nter or f-Va1ue see Tab1e 2 Exterior f-Value see abl~ 2 Exter or f-Value see Table 2 0 Total Assembl Tbermal Resistance Total Assembl Thermal Resistance Ass~nbly U-Value see Table 4 Assembly U-Value see Table 4 Enter on Pa e 1 O.OZ Enter on Pa e 1 ~~a3 ssembl < ssem6 Material descri er Thickness R-Va ue aterial descr~be Th~cknes R-Va ue ~ ~ ~r ~IZ~ D, ~ ~ S,- rl / ,OU ~ ~ ,r ~ r ~ 2 ^ ~f ~ O,GZ ~ ~ ~ ~ ~ , . r2 ~ r; nte'rio f-Yaiue see Tabie 2 O nterior f-Value see Table 2 Exterior f-Value see Table 2 Exterior f-Value see Table 2 ~ Total Assemhl Thermal Resistance 2, Total Assembl Thermal Resistance ~Assembly U-Vatue see Table 4 Assembly lJ-Value see Table 4 Enter on Pa e 1 Enter on Pa e 1 a./~ , ssembl i _ ' ~ ssembi aterial describe Thickness R-Ua ue aterial descr~be Thic ness -Va ue /O ~ ~ Ca~ ~ . ~ . ~ - as lZ ^ U ~ O ~ nterior f-Value see Table 2 o nterior f-Value see Table 2 Exter ar f-Value see Table 2 Exterior f-Value see Table 2 'Total. Assembl Thermal Resistance 7.7 Total Assembl Thermal Resistance j ssembly U-Value see Table 4 Assembly U-llalue see Tahle 4 ' Enter an Pa e 1 d~~ J~ Enter on Pa e 1 ssembl , ssembl aterial~ descr be ckness R- a ue atertal descri e Thickness R-Value ~ nteriar f-Value see_Table 2 nterior f-Value see Ta61e 2 I 2/84 ~ lI CITY OF EAGAN / ~ % APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) i) ProPIIrrr Aon~ss: ~~U Su~.v ~ P7~- ,C7 •r ~ u f~ 9 ~ LEGAL DESCRIPTION: ~--x'~~ ~ f ~.t_-._c. ~ -~~.~-.c~ (Lot/Block/Subdivision or Tax Parcel I.D. Niunber) ~ iF ~{I~:' i~ ,~',TFd;CP'~.t~, DAi.~. O_° ORIGI~I. nliI.T_,.^.L`G F~?~ST ISj~A~iG: ~ 'or. =-.j ~ e~' i P:tES~;T `IP]r;/pROFOSr.`"Ji L~S_: R-1 SiIGLE Fp?~r:.~' ? R-2 DUP?~:: (Z:t'O LNITS) O R-3 TOWi~IpUSE (THP,EE + U[VITS) { UNITS) ? R-4 APAR7SIII~TS/CODIDCIKINIUNI ( UNITS) 0 CON~MERCIAL/REPAI7i/OFFICE ? .7ii~L'STRTAi, ? INSTITUTIONAL/GOVEFt~A~PP z~ AppLZC~NT (PLEASE PRINT) NAME: t~f~/_3' fZ/ Y P Ly"~ S ADDRESS: l rV CITY, STATE, ZIP: r?//~' ~ ~t ~/c~/ ` PHO~: ~ C 5 3? P~.,~~ N~• ~ PLEASE ~P NT) FOR CIiY USE ONLY l ` ~ PLUMBERS LICENSE: r~o~ss: G ~ ~ 3 - ~-y~, . C~`1 Active CITY~ STATE~ ZIP: ~1~~[`)Ji~ Q Expired 3TF' Q Not of Hecard ~ PHONE: ~Z~2~ -f' pf.UMBER LICEASE # ~ ~j _ ~C' t'J a ni ia 4~ ~P~~~~~ (PLEASE PRINIJ I~F1ME: ADDRESS: CITY, STATE, ZIP: ` ~--'---'"°`~y ' PHONE: 5) 1NpICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION 'IC~ CITY SEL9g2R ~ CONNFX.TION TO CITY WATER ~ (7PI~t (PLEASE DESCRIBE) 6) INDIG.TE ONE: ~ PLEASE HOLD APPR(7VEp PERNLLT FOR PICK-UP BY ONE OF ABC~VE ~ PLEF~SE MAiL APPROVEp PERMIT ~ 1, 2,~ 4 ABCI~IE (Circle one) 7) SI~IAIL'RE: ~V`~~~~1Y2~.~Dj~~~5 DATE: / GF~ ~ / •a ~w:w,ag.s~i~,~r ~er:w:~a+!lirl~+e~r.r~~~+~ . . . . . : . - ~i IrF~'~sas:~ a~a r~ a~~,~ ~-fr a~ adk ~s7`' ~ w FOR C ITY USE ONLY , PERMIT " ISSUED ~ FEES: $ d SETAER ?'ERMIT (I~ICL~DE SUP.CHARG^c) $ in. ~ WATER PERP4IT (INCLUDE SURCHARGE) $ [~`~<<-c~ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATZON STOP) S S~;JER TAP $ ~ `-~-~---e AC~OUNT DEPOSIT - S~T,VER ~ ~ r-.•>-~~ ACCOUNT DEPOSIT - WATER S ~Cy o. Er--~ WAC S ~-G SAC ~ TRUNK WATER ASSESSMENT $ TRUNK SETn7HR ASSES5MENT S LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ` OTHER ~ $ TOTAL $ ~ ` AMOUNT PAID/RECEIPT # ~ ~ 7 ~ ~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi~T OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TD THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: . G., ~ ~ ~L" DATE : ~ p _ - e' ~ ~ s~ w~ E~~r ~~t~ w~ wa~ ~ s~t w~ ~a ~ st ~~I ~ at~ ne~ ~e ~ ata rrc~ ~e w~ ~F, ~ . ~ . CASH RECEIPT d . •CiT'~ OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 ,'I ~ 7 Yc, DATE ~ ~ g RiC6iVED ' - • - f PROM ~.1~~; L'C <`.<_{ ~ /.E~~~--s-'7~ti~ AMOUNT $ , ~ ~ ~ A~ DOLLARS ~oo ? CASH [~(CHECK FOR . . . - ~ Y~-~~ . 1'L ~ ~ l.~ ~ / . FUMO COOE AMOUNT i ' . . ~ ' ; ~ ~ J - ~ J - ) -s % . Thank Yau ~ ~ ~ ~ ~ - B~ , I _ ~ ~ White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN P. o. sox 2~-~ss EAGAN, MINNESOTA 55121 DATE ~9 RHCEIV~D - FRpM AMOUNT $ ~ i & DOLLARS ~oo ~ CASH ~ CHECK FaR . ~ - FUNO CODE AMOUNT ~ Thank u - BY White-Payers CopY Yellow-Pasting Copy Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA110129 Date Issued:04/24/2013 Permit Category:ePermit Site Address: 790 Sunset Dr Lot:5 Block: 1 Addition: Sunset 4th PID:10-72988-01-050 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, 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 - Peter D Blommer 790 Sunset Dr Eagan MN 55123 (651) 456-0781 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170896 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 790 Sunset Dr Lot:5 Block: 1 Addition: Sunset 4th PID:10-72988-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Peter D & Judy M Blommer 790 Sunset Dr Saint Paul MN 55123--208 (651) 456-0781 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature