4301 Sun Cliff RdCity of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
M Ay 0 1 n�
Use BLUE or BLACK Ink
Permit Fee: /4'5, (o
Date Received: 4
Staff:
2011 MECHANICAL PERMIT
APPLICATION
Date: -' Zeo 1/ Site Address: 1/.39/1/.39/5(.0 41 C/i tF-d` fid �='✓R
Tenant: r-Prx W i1 o Lc.
Suite #:
RESIDENT / OWNER
Phone: C'5/ 308• Z1'?K
Name: Gc1,Ufl4e I (Act
Address/City/Zip: 1-/3®/ .3u tet (/& 7C.--' 557ZZ
CONTRACTORName:
/�1-44.' r 4 44__ License #;
1
Address: gi y`) 5•Ve. morTa ( 11-1 City: CC--,G4CI
State: r" t d Zip: 557 2..7._ Phone: 7 / egg. - c(/
/(O
Contact: (—>14.(t-1 �1 Email:Gt q/ �,u 4 k [Ri" Cl.��rid A�� Co-"(
TYPE OF WORK
New x Replacement Additional Alteration Demolition
Description of work:
TE: Roof mate ` s d ground mounted mechanic �k � t is,required to bescreened by C
Code. Please c • r t the Mechanical Inspector for an • ° n tin permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
New Construction Interior Improvement
`,4 Air Conditioner
Install Piping Processed
Air Exchanger
_
Gas Exterior HVAC Unit
Heat Pump
_ Under / Above ground Tank ( Install/ _ Remove)
Other
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ 5""5 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 a VI
Applicant's Printed Name
Applicant s Signature
Reviewed I
lit r>, Air Test Gas Se
ier•ior HVAC Screening Inspec
iTY aF EAGAN WATER SERVICE PERMIT
3830 Pilot Knnb Roxd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551 Z1 DATE-
No. of Units: ~
Zonirg:
Owner. C'• art~; C~tiE~t;
AddnlSS:
Site /lddrcss: : iin
Plumber: , 1 i
Mot.. No.: 5 b ~ a cannecri«, charge:
Stze: zvff•( ~,lU Accounr Depostr:
Reoder No.: (0 3 m._.0 31 Permit Fee:
~
1 yn~ h omVlf? wNh Nr Citq oF EaOvp urdhwrge: i
Oeri~a~. kl'te c. Charpes:
~ al: ~ • 1;,c• C ex' !
Paid:
Date of Insp.: - Inap.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot K nob, Read pERµIT NO.:
P. O. Box 21199
Eagan, MN .551?11 DAT~~ ~
~ing: ~ No. of Units: ~
Owner. 8111ie Constru~ri~_ _ +
Addross: '
4301 Sun Cliff Rd. L14 nl Sun Cliff 2 ;
Ptumwr Nruckmcueller Plbg
Connection Choroes ~ , . 0Ond
Meter No.: ,qc~unt Deposit: I S. 0(1 ;~c: ~
Siu: 1~.n0 r•~; i
Recder No.: Pemtit Fee:
1.'ne te ao.Phr wh6 Nm Gh of lava Su?charoe: . ~ d S C
Misc. Charpes:
Oedieewa.. 'roca~. 63.00"0 i'?eter
By Dote Pofd: ~
Dote af Insp.: I^sp" i
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.: 7407
P. O. Box 27199
Eagan, MN 55121 DATE:
Za+inp: ~ No. of Units: 1
pwne,: Bliiie Constructior
Addresx
Site Address• '13i)1 Sun Clitf Rd L14 31 Surr Clif f 2
Plumber. "ruc !^ueller lb-.
, S ~ 1`
1 pe« te oss/1? wib !M CRf of uNm C,ar+sction Charge: , r
OrdlMeeas. Aooowvt Deposit: '
~
PermM FN:
Surchorpe:
gy Mim Cl+orpies:
Date of Insp.: Totol:
Insp.; Dah Pbid:
~
-
• • CASH RECEIPT .
C1TY OF EAGAN
P. O. BOX 21•199
EAGAN, MINNESOTA 55121
DATE 19
.
R6CEIViD ~
FR
AMOUNT $ I
8 OOLLARS
I ao
? GASH ? CHECK
r'OR
FUND COOH qMOUNT
Thank You ,N
BY ~
White-PaYgn CoPY
Yellow-Posting Copy
Pink-File Copy
~ CtTY OF EAGAN '
3830 Pilct Knob Road, P.O. Box 21-199, Esgsn. MN 55121
PHONE: 4548100
BUILDING 'ERMIT Receipt #
Te ?e wd few ' . Est. Volue Date 19 '
- ~ !
Site Address Erect Occupancy
Lot Bixk ' Sec/Sub. ' ' • Remodel ? 2oning
Percel No. RePair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
z Na^° { 4 -Demotiah ? Depth
~ Address Grade ? 5q. Ft.
City Phone Install O
Appova Is Eees
Name
A~~~ Assessment Permit
up- City phone Water & Sew. Surchargs
Police Pian Review
G" Neme Firo SAC ~
~ o
Addresa Enp. Water Conn. ~
~ W City Phone Plonner Woter Meter
Council Rood Unit
I heroby ocknowtedqe that I haw read this epplicotion ond stete that gldg. Off. Parks
tM inlormotion is concct and ogree to comply with all applicable APC Total
Stote of Minnesoto Stotutes and City of Eagan Ordiewnees.
Var. Date , . - .
Siprature of Pern+ittee
A Buildiny Pem+if is issued to: ~1" ' . on the expresf tondition thot
di work shoH be done in accordonce with all oppliw6lt State of Minnesoto Stotutes aM City of Eaqon Ordinonces.
I~ Buildinp OfflNot
PKmit No. Pumit Holdsr Do" Tals hone ~
Plum6in9 a2 c, h1 1-1 Ti~•~•Y i -~S
H.VA.C. 11 y/e
E~.~~ !ol DAkT.~ 5 ~ b.
~3 ( t y-r cl~ 'S ~2 c c.rU
sonw.r
Inspsctian Dsta Insp. Otha
Footinqs
Foundation
Fnminq
Roofing
FiouyA Plbp.
Rou¢+ HVAC
Inwlation 3
F1nsi Plbp.
Final HVAC
Finsl
Grt/OCe.
Wahr Dftaibe Loeation:
YYsll
Sewer
Pr. Disp.
Reaipt U-)~ MECHANICAL PERMIT Permit No. D/
CITY OF EAGAN
F..
FIlI in numbend spaces S/C
Type or Prin[ lepibJY TolL ~I
/ . ~
1. Date 2. Installation Cost
3. Job Addreaa lnt_TBIk. ' Tract
4. Owner ~ • . ~ ' ~
~
5. Contractor Phone
B. Addreu ' ' -
7. City - ~41ate = Zip
8. Building Type: Resider?tial El 6:ommercial 13 Institutional ?
9. Work Description: New ? Adhr ? Aher ? Repair ?
10. Dsscribe 1fuel TYDQ '
11. N~o Enuig=IIL STU - M_ ffa. No_ Enuiament CFM
Forced Air Air Handling:
Mfg.
Boilen `
Mfg,
Mech. Exhaust Unit Heater
Mfg. : Other
Air Cond
Mfg,
Gas, Piping Outlets
12. I herehy cartify that the above information is true and correct, and I agree to
wmply with all ordinanoes and codes governing this type of work.
Signed' for
Ra+Yf+ Final
Inspections: Oate Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. ?
CITY OF EAGAN
i FM • 1
Fill in numbered spaces S/C
Type or Prini /egibly Tot ,
1. Date 2. Installatjon Cost
3. Job Address' Lot Blk. Tract '
4. Owner
5. Contractor Phone
6. Address 7. City " State J Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New 0 Add O Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Orainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
' Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : ; ~ , ` for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
, . . . . . , . . . . . . . , . .t . . . ~
CITY OF EAGAN 4016318
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHONE: 454-8100
BUILDING PERMIT Receipt # C 3017
To be used for DECK Est. Value $1,000 Date .1Ul.Y 18 ,19-fig
Site Address 4301 81T1y CLIFIr gD
LOI 14 BIOCk A Sec/Sub. SUN CT.Z" ZND OFFICE USE ONLY
PafC81 NO. Occupancy - FEES
Zoning -
W Name bYC~M 8 WRI ii00D (Actual) Const - Blag.rermit 26•O~
~ Address 4301 S11I~1 CLIBI RD (AlloWaae) - Surcharge
City ~N Phone 4~09" # ot stones
Length 229 Plan Review
O U Name ~ Dapth SAC. City
vC Address S.F. Total - SAC, MCWCC
~ Clty PhOn2 S.F. Footprints -
F On Site Sewage _ Water Conn
~ W Name On Site Weu - Water Meter
~ ; Address Mwcc sysier„
Mz Acct. Deposic
< W City Phone city water -
PRV Required _ SM/ Permit
I I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
'i information is correct and agree to comply with all applicable 51ate of
Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI
- Signature of Permitee APPROYALS Road Unit
A Building Permit is issued to: N2CRUl' ~~RI W= Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council _ 160C)
~ applicaWe State of Minnesota Statutes and City of Eagan Ordinances. eldg. Off. _ Copies
Variance - TOTAL 27.50
Buitding Otticial
WATER Permit No. Permit Holder Date Telephone #
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date Insp. Comments
Foolings I
I
Foundation
Framing
Rooling
Rough Plbg.
ROUgh Htg.
Isul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
peck Fty. / p
DeckFinal 1?414 tap4 o
Well
Pr. 0isp.
II
I
~
This request wid , I Q
A n0 9.3621 D h L l`~ r C¢,, z s o 0.
Aequest Oate Fire ao. ibuplFin I~pection
~ d? dy Nwr iil outY InsPeo
iiI@a
- -z`~ 5 ?ao wNn~n ~av
~censed Elecvicai Comranor
1 herdw raquesi impectim of a6m~e
? 0'~r alechiwl wvk insTalled at_
Street Address, Boz or Route No. ~j Gitv
30 ~l) IJ ~F Ic ~ &rc13fJ
ecl.on o. Tow~hip Name a Na Hao,e No_ Goulrty
nt IPRINTI Phone No.
l.. L - -csq~- l38
ro.e, suoaiier aaa
1 Convactw (CwaoamNBme/ [ ~ CmtracMr's L`icense No.
oa ~ .-\Li Q-
Mails p AAdress ICwttract Owner Making Inspila " 1
v1 L- - ~'33
Au rzed Signa re (COnvactar/ Maki Ins Ilationl Phnn¢ N
° wul~- 12~
MIMNESOTp 7E 9pppp OF ELECTRICfry TNI$ INSPECTIOM REQUEST WILL NOT
Griggs-YidweY Bldg. - Mdn N-191 M ACCEPTED B1' iNE $TA7E BOARD
1827 UniwrsiTy Ave„ Si. Peul, MN WIa UNLFSS iROPER INSIECTION FEE IS
PM~w I612) 2972/11 ENCLOSEO_
y! REQUEST FON HECTFNGLL INSPECTION Ee-ooooi-a
See imtnc[ims far eompbfng tFis /um m heck of relbs copY.
A- ""X"" Be/av Wnrk Co'vered by This Request s 0~
aa 11ep. Typp ot HuiWim Awliaaas pired EaWuammek wi.ea
Hpne Tenqnrary Service
Duplex a[er Heater Lighting Fixwres
Api Buildirg Dryer Electric Heatin
Cammercial Bidg. Fumace Silo UnloaAer
Irxh55trial Bldg. Air Conditiaeer Bulk Milk Tank
Farm oener occl v tne. lsoec;rvl
Other r ec~ y pthe,
ompute lnspection Fee 8elow
k Fee ServiceEmmneaSize rt iss Feedcra/5ubseede.s Y Fee Circuits
U to 200 0 tu 30 Anws 0 0 ui 30 Anxis
A6ove 200 q~ 37 [0 700 Amps 31 w 100 Aox~
Swimmi Pool Above 100 _ Above 100_A
Transfomiers IRlfptlWl B001fE 1~ PartiaVOther Fee
$Ig1S $~Cid11f1~SpQC[IO(l S ISV TOTAL /FEE
Remarks ~ ~~_~r'
V
nie Ebca"
I~pector. herabY
• cerllfy tlut Lq above
Final - ~ D~~ i~pecGm Ms baen
f. J~ oade'
Thisnpuoetraid 78madMbom
18~mpnths Trom id 5N { p / ~
A"D93618 L?~~I ` z- 0.b°
fleques'c Date Fire No. Rowh -in I~pecti
namn.ea? pPram No.. pwiIIwoutr lnso~.:-
.J ~ Q~"es ?No Im When fleadY
L censetl Elecincal Contrector
4 1 Iwabp reqmat i~pectim of abave
? Owner alaetrical work imralled at-
Street Address. Box o ute No. - Cilv
ec ion o. 7 nshiD Name or N Range No_ Caunty Occu t( 1 1 ' Phwie No_
$u ~er AAd~esa
Electncal ntracM• j^4^^-ny amel C tracro s License No.
~ 3 3
Mailinp Ad ress (Co actoF or Owmer Maki,p Insq{laTionl
[ ss_:33
3
Autho etl SiB~ ICont w~ r np Ioedllatim Phone Nunber
~g o -3
MINNESOTA STqTE BppiW OF ELE ICIT' 1 TNIS IIL4PECTION NEOUEST 111LL NOT
Griqgs.Midwev BId9. -Room N-791 " BE AGCEPIED BT 7HE STA1E BOARD
1827 University Ave., St Paul, MN 55704 UMlESS PROPFJt INSIECTION FEE IS
oIv...e 1812f 29].211f E~LOSED-
REQUEST FOR ELECTWCpL INSPECTION EB'OOODtA-0
5~~~0 , See i~tructions Ea canqlotinp Nis fum on paek pf nlla~ capY- C'~ It~
A "'X"" Below Wnalr Coyered by This Requesr ~o
Add Rep. Typ¢ ot BuiMing Applis~cea Oind Equipmen~ 1~ired
Home Range ~ Temporary Service
~ Duplex Waeer Heater Li}~ting Fixiures
Apt.Building ~ryer ElectricHeati
Cwrmercial Bidg. Furnace Silo Unloader
Industrial Bldg. Air Cpdiiimer Bulk Milk Tank
Farm otner [her 45oeciry!
t r pcr/Y O~her
Compute lnspection Fee Below
N Fee Se~viceE~rtnmaSize k Fse Feeders/5~leeders A Fae Circuita
0 to Z00 0 b 30 A O to 30 Am
Above 200 Amps 37 to 100 AnQs 37 to 100 A
Swimmin Pool A6ove lOD_ Above 100_AmVs
nstormers Irtigation ~oarc artial.'Other~.ee
~ Sig~s Special Irspec[ion 5 /
~ ~ TO7AL FEp U
Rertmrks ~j'J ,
flough-in Oato ~ ryq Elec ~cel
'wOeetor, he.eby
wrti(p t0at the above
Final Date .~y~ i.opeetim hns treen
~ ~ mde_
Thie ~a9ueatvoltl 18md~Mreham
CITY OF EAGAN N2 16818
1 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT Receipt x C 3017
To be used for DECK Est Value $1, 000 Date JIILY 18 ,19119-
Site Address 4301 SUN CLIFF RD
LOI 1~+ BIOCk 1 SOGSUb. S IN CLIFF ND OFFICE USE ONLY
PetC01 NO. Occupancy - FEFS
Zoning -
W Name MICHAEL & DR WOOD (AClual) Const - 81dg Permit 76 _ 00
~ Address 4301 SIJN CI.IFF Rn (Allowable) - Surcharge • SO
City EAGAN Phone 456-0959 xoisiones
Length 221 Plan Review
iF Name SAME Depth 11' SAC,Cny
~Q Address - S.F. Toiai - SnC, MCwCC
~ City Phone S.f Footprints -
On Site Sewage Water Conn
~ W Name On Sde Well - Water Meler
Addfess MWCCSystem
aw City Phone QIy Water _ Acc~. Deposit
PRV Requued _ S/W Parmit
I hereby acknowlege [hat I have read ihis application and stata that the Booster Pump - SAN Surcharga
miormation is correct and agree to comply with all applicable Slate of
Minnesota Statules and City of Eagan Ordinances. 7reatment PI
Signalure ol Pefmiiee APPROVALS Road Unit
A 8wlding Permit is issued to: MICHAEL OR LORI WOOD Pianner - park oed
on the ezpress condihon ihal all work shall be done in accordance with all Councii 1.00
applicable State ol./M~in~n~e~~sot~a Slatu/tes antl C1i,~ty of Eagan Ordinances. Bidg. plf _ Copies
Buildmg Oflicial ;J 1 ~W I ~ 41 1~ II Vanance - TOTAL 27 . 50
CITY OF EAGAN RJ~ 10159
. 3830 Pilot Knob Road P.O. Box 27-199, Eagan, MN 55121
' PHONE: 4548100 ~
BUILDING PERMIT Receipt #
T. M wW fer SF DWG/GAR Est. Value $63,000 pam APRIL 29 1985
SIMAddrew 4301 SUN CLIFF RD erect C}~ occuPancy ~
Lat 14 Bloek 1 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning Rl
Parcel No. Repair ? Type af Const. V
Enlarge ? No. Stories
BLILIE CONSTRUCTION CO Move ? tsngth 44
1 Name 644 SUPERIOR CT Demolish ? Dapth Addreu Grade ? Sq. Ft. 44
Citv EAGAN phone 454-1438 Install ?
g Name SAME AvOrovols F"r
Addrees Assessment Permit 322.00
u~ City Phone Wuter 8$ew. Surchorga 31 _ 50
Polica Plan Review 1 61 _ 00
GW Neme Firo SAC 595 _ OQ
i~ Addre~s Erq. Water Conn. 9nn ~ Q
~W City Phone Plonnar WoterMeter - 6 390
Councll Road Unit980-n0
1 hercEy acknowladge that I Fww read this application ond state that eldg. Off. 4/22 /85 1ao7acT. P. 132 . 00
the inlormotion i$ Corrett an agree to comply with oll ovolicabla A~ ~jqQ~CODV .5~
Storo of Minrrototc Srotu o d City of Ea9an Ordina s. v
Slpnaturo of Parmittea ar. Date TotHl $2,015.01
A Buildinq Permit is issuad ro: RLILIE CONS'1'R[ICMTGIN 69 a+ the axprca cardinon tMi
all work shall be done in accordanea with a pplim e Sj6~a'efjM'~~ tutn and Clry of Eapan Ordlmnce:.
Buildirq Offitlal
CITY OF EAGAN Remarks Dluil%a?#GrG3y CGU-- /~5l
Addition SUN CLIFF 2nd Lot 14 sik 1 Parcei 10 72976 140 0
Owner Street 4301 Sun Cliff Road state Eagan, MN 5517
Improvement Date k2i57.5 ount Annual Years Payment Receipt Date
STREETSURF, a 1985 69.37 24.62 15
STREETRESTOR. ~4IC7y 1986 431.51 5 GRADING S .3
SAN SEW TRUNK J 197Q 8.64 1.9$ 25 /a J
SEWER LATERAI *
SEWER LATERAL 999 1986 829.62 165.92 5 , rJJ
WATERMAIN
WATER LATERAL 1000 1986 942.60 1$$.52 $ 60 ( J
WATER AREA 197$ 62.34 1--T Gd G /i la B
140
-149467? 1986 57.88 11.58 5 "7 8' /
~
STORMSEWTRK totj- 1971 161.72 8.~9 Z~
STORM SEW LAT 9,5 j , ~ G0 /C? 4
S/W SERVICE 1005 1986 808.77 161.75 5 Iff, D CO
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5 /f
WA ER CONN.
u n
BUILDING PER.
SAC
PARK
()D ~saa3
~ ~
~ PemiitS: 0 75 I I
I ~
~ Oi Eatai I Petmit Fee: /r~ v r 00
~
3830 Ptlot Knob Road j Dace aecetved: /0 ~
Eagan NfN 55122
Phone: (651) 6754675 ~ s'tatt: • ~
1 ~
Fex: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMtT APPLICATfON
nate: 9 an vg sne adaress: 3b 1 SU n LA t2 D
suft
TenaM:
RESIDENT! OWNER Name: bkV I iJ R•R1 " Phone: _ (05I'3(-8 Address ! City / Zip:
Applicant iS: _ Owner __iConl2GCr
TYPE OF WORK DescriPtion of work: 01~+- ` ~~'_~o
Construction Cost: Multl-Family 8uilding: (Yes_I No,~L
C9NTRACTOR Narne: License#:
~
Address:
Aer - state:
cm. _%W1sxv
Phone: &61 ' 4A9 - q 3X ContactPersan:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ I,+i' nesota Rules 7670 Cateaorv 1 ^ Minnesota Rufes 7672
EIIBrgy COdB . Residerroel verrtletion CategorY 1 Worlshee[ • New Ener9Y Code WoAaheK
Su6miUed
(J subm'u~ssia+ type) • Energy Envabpe CaleWarims Submittod .
In ths last 72 moMhs, has the Cky of Eagan issued a permii ter a Slmller plan besed on a maSter plan?
_Yes _No if yes, date ard address of master plan:
Licensed Plumber: PhOne:
Moehanleal Conhactor: PhQne'
Sewa & Water ConVactor. Phone:
-a, -M
~~Y =m0wied86 Mmt tltis Mmatlort's canple[e arW ao;vrae; Cm tIK xalc vm be in corAamanCe witlf 11K ordinances entl cotles of Vie Ciry a
Eagam that t untletStaiW this is not a pertnit, 6u[ ony an appicedon tor a pamh, aM work is not to start w7tlwut a permit: that tho woiic W9 be in
acwMar= vritth ihe approved Pim in the teae at wak wturh reqWres a review antl approm ot plans.
x M- l~Rn'1 YYqkf A x~~ .
APPllcant's Printed Name APPficmM's SgrBWre Pag81 of 3
mJ6-
CITY USE ONLY
I PERMIT RECEIPT DATE:
PXSIDEVTLAL MECHi4NICAI. PERMiT lEPPL1CATTON , - - -
crrYoFEAsax
3830 Pn.ar xxos gn
$A6AA M1V 551 YY
651-6$1-4675 - I ' ~ - ~ a - -
S~
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ~Usk,
SITE ADDRESS: aix 1 Cl l~
OWNER NAME: L~av 'CL I TELEPHONE
(AREA CODE)
INSTALLER NAME: Wohlers 3outhside Htg. & Air., Inc. HONE 6950 W. 146h St., #IOG (AREA CODE)
STREET ADDRESS: Apple Va11ey, MN 55124
(952) 431-7099
CITY: ZIP:
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
~ Add-on, modification or alteration to existinq dweiling unit $ 5886"
• furnace replacement 3 0 _ 0a
• air exchanger
• air conditioner
• other
Nature of work: RP P~CJ.CC_^R-~-r n0c el_~
-7`~JiCk_`s.7 25T(t U&PK O~7
State Surchar e $ 50
Tota I $
Reminder: Ca11 for inspections.
SIGNATURE F PERMITTEE
Updated 1/O]
J
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
GOMMWACIAI. MECR4NIClkI. PSitM1T i4i'PLICATION
Cft'Y oF £EksA1v
3$30 PLOT KROB i2D
EAt&M, b1N 551 ES
651-6$1-4675
Please complete for: all commercialfindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE) '
TENANT NAME (IIv1PROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New conshuction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of W ork:
.When ins!al!ing/rsrnoving urdergrour.d tenk, rall 651-681-4675 fnr inspeciion by Fire Marshaf and
Plumbing Iinspector.
Fees: 1°/a of contract price OR $50.00 minimum fee, wlrichever is greater.
Underground tank removaUinsrallation = minimum fee
Contract price$ x 1°/a (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF EAcaH
3830 PI851-881-48 5- 55122 ~ ~ ~
New conenucna, Reauirements Remoael/Renatr Reaulremann U U
> 3 reglatered alte wrveys alwwinq aq. 8. of lot, aq. f1. of houae 2 copiea of plan
and go rooled areaa 120X maxlmum lot coveraae albweN 1 sef ol energy calculallau tor heated additlons
D 2 coples o1 plans (ahow beam & wintlow sizes; poured fnd. design; elc.) i alfe wrvey lor extedor addltlom & decka
y 1 sef of energY cdculaMOns
3o 9 caplea ol h99 DreaervaMOn plan It lof plaRetl Nftr 7/1 /93
DAiE: 10-ii° 00 CONSTRUCTION COST: D b O.pO
DESCRIPTION OF WORK: kC,FiACF_ ROcf
STREETADDRESS: q30) .S"N GhffF R~A13
LOT: BLOCK: SUBD.lP.1.D. q: &ti ti
Name: ~INf} PAvio Phone#: CoS1~~~5-'~f~2
PROPERTY trnt Flrst
OWNER ~f,~U ( SuN t~1 ~~F KOAQ
Street Address:
City FAGAoj Stafe: M&) Zip: 1 Z 2
Company: Phone
(area code)
COFrtRACTOR
Sheet Address: LlCense M F.7tp.
qty State: tip:
ARCHITECT/
ENGINEER Comparry: Name:
Telephone A: ( )
Sheef Address: RegishaHon
Cly State: ZiP:
Sewer/water licensed plumher (if installina sawerhvalerl: Phone (
I hereby acknowledge Ihat I hcrve read ihls applkaNon, slate Mwt ihe infortnalbn Is correcf, and agree to comply wNh a0 appifcable Stotc
of Minnesota Stahitas and CNy of Eagan OMinances. k
Signature o( Applieanh 1Z^"vle-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No Tree Preservation Plan ReCeived _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE3
0 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch(3-sea.) ? 31 ExtAlt-MuRi
? 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alc - SF
p 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 38 Mufti
? 04 02-plex ? 10 08-piex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _V or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq• ft•
No. of Units Length sq. ft.
No. of Buiidings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(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 9Z a Valuation: $
Surcharge 'a--~
Plan Review
License MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
o• *
322 • 00 +
31•50+
161•00+
525 • 00 +
500•00+
63•0O+
280 • 00 +
132•00+
2) 014•50*
2Y014•50+
0•50+
2,015•00*
r
1985 BUILDING PERNIT 9PPLICATION - CITY OF EAGAN
NOTE: ALL CONYRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CA[.CULATIONS
To Be Used For: L Valuation: ~93.C60- Date:
Site Address: 4:'~, S~V k6 . OFFICE USE ONLY
Lot: ~ Block ~ Sect/Sub Erect k Occupancy P-3
Remodel Zoning 42-I
Parcel # Repair _ Type of Const -KL:
Enlarge # of Stories
Owner Oili e, rV ~ C ~ Move _ Length 4A-
Demolish Depth 4-4-
Address Grade _ Sq Ft
City/Zip Code 0 ~-J
Phone z} Z`y - I 4~6 APPROVALS
Contractor Assessments Permit 322 0O
Water/Sewer Surcharge 3~ 5=
Address Police Plan Review I~oI.O°
Fire SAC 525.°%
City/Zip Code Engr Water Conn 700.
Planner Water Meter (.3. m
Phone Council Road Unit
Bldg Offf Parks
Arch./Engr. APC Treatment P1 43 Z'
Variance 1 Lof'Y ~
Address TOTAL o~Ollg- (f'~
City/Zip Code
Phone A
4-o = 1 bU x 5 4- = S i~ 40
2~ x zo = 400 400
~
(o22P~S
C. R, WINpEN & ASSOCIATES, 1NC.
LAND SURVEYORS Td. 645•3646
1381 EUSiiS ST., ST. PAUIi MINN. 66108
FOR: BLILZE CONSTRUCTiON
NOIE:
e Denotes Wnoden Stake
Proposed Garage Floor E1.' 910.3
Denotes Proposed Scale: 1" 30'
~ Denotes Iron
Finished Gzound E1. ~ Monument
1-- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
~
Ea.seir,er: ~ Q
\(b ot0.) r.r &7~3cIZ9 w ~o 0
° ~Z5 00 ° ~ rn
L ; 24 v 20 3g
~ t-
O ~ ~ ~/'oPosed 30
N Q LL
a pp O
p 3 m Nouse _
N
' J
32 ~3 ~ m
~ IIG
~ c9oe 3~~- ln
O G ~
~ N
0 a, o ~
~
Lot 14, Block 1, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
E
M'E MERE6Y CERTIFY TMAT TMIS IS A TRUE AND CORRECi ftEPRESENTATION DF A SURVEY Of TME
60UNDARIES OF TNE IAND AeDVE OESCRI6ED AND Of iNE IOCATION OF All 6UIlDINGS, IF ANY,
TMEREON, AND ALL V15161E ENCROACMMEN?S, IF ANY, FROM OR ON SAID tAND
~ 7' / Q~C R. w(INDEN 8 ASSOCIATFS, INC.
Ooiad rhi+Ldor o~ f~ A D 14 ;
br
SunaYOr, Minnwaoto Rop,Urohon NO 7 7 Z(r_
~nso
EJCTE~F4~ ~t~t,DPE ~-AVEPAGf
OWNER -SITE kL1Di'tESS coruriIAcI'oR DaaE PtioNE
DeteYmi ne' worl:i ng ~sqnare'°faotage of, each. _
1. Total, -,ex5osed, {vall `area , : . : . . , :2252= 33 . sq. ft. x .349 2. Total raof/ceiling. 0"rea 5q. _fE: x fid.A r
~i'~~• " ~ . .
Total ex~3osedwal`}--areaabnve fioor
a. Total yra'il rrttidowarea.4
b. Total daor erea ,
c. Total sl;iding`glass door area
- d. Total f,ireplace wall area........................ 12p -
e. 7ota1wall framin9 are.a (avera9e 70h) .7031Z
f, Total net wali area abov2 floor 0.3
9. Total rim joist'area_
~ •
= Total ezposed foundaticn area = 96,33
; h. Total founddtion window arej,.. „
Toa7"net foundatiqn. area abcve grade
~ . •
Detcrnine "U" value of eaeh wall segment_ ,
a, X ilull
h V7 X „U„ , 12.3
c. ya 1 X „U„
d. 1;V x „u„
. e. .01/J.3,2 x~~U" r p 9 = /~'-=29
f. /SDS.'D3 g ,~U" Io6,Z9
9. f.3D x„u„ 2 g
r~. X „u„
x „U„
d'. 3.
- - .Tolal 2?,
, If item 0 is the same as, or less than item Pl, you hsve met the inY~nt
of SBC 6006(c)2.
c. . . n f,.... . 1r}~
t1CC
, ~fiA ~ ~ Pr ~
~ Erame coit,.t~~~~1on. ~s Co~atYtxctt~n FI~ _ud „a
~
~~/~~y.,'~t.l(1 _ ~Lr f:1fnT ~ ~ L~
3. -_.r ~ci'~+t s' 'r,E 'a 'i_
4. ~4L__~
~42
s: ~
BASIC . ~ 6. Exterie.f- a;r :ilm ~'~:17 ~
WALL -.'iocal.
. ~
FIG. Rl TC?PVIEF9 ~9F~.
FRAtSF elAI.L , 1'L-`~ InCCr,ior air E~i7_, 0.68
ow
•
3
~ ~ , ~ . • 4: z. ,li~~~_~~_~ .3.lAG ~
M(e~~
~xtecior air Eilr~ ~"0.77
FZG. R2
_
` • 1. Interioz air film A.6$
.r..? R~`~~ ~ . ~ 2.
3.
.,~:~G ? q,
.al '71~~'/Z
6. Exterior air film 0.17
CZ~'' ~'.~I' . • . Total
, X: p ~ . U~= •0~/
InCerioz air film 0.68 c=
~
, ,t ~ 3. ;WAIY . . 2L
LN 3. 12' riVlT, 8i_PC+`L
~'cl'•'0~ . ' 4.
•,rY 41A
c 5~
P, -•~~j~`~ ' 6. Exterior air film 0.17
• a , •
~t~ . ~ . Total
SI.AS ON GRADE ~
. . ~ • ~ ~
~ / • ~c
iirii ~ ~ , , • . ~ ~ _
, = /r/ iri . • • • = l
~ v ' ~ (f(~. • . • ~ ~ rtr
t, F2G. 44 k d• ~ ' o y~'/Il
'FG'. N3 "y-
~
. ? i '
NOTE: Indicate tyoo, value, de'nth and
placenent of insulation., „
h`i9 n . . ..a . a i ' ~f ~1. • . n~~}i . . ~ .I.
. . xoorjceiLZiac
~s. ~ ConstrucY._ i _on V ~v _ R-value '
2: Intcri' x~ air film 0.61
1 59
61
4. Extexior ctir film {still) 0.
vttYr TotAl ,39,8
'~1J,.
z.
• •
Venced `B.Ght £low
up , •
~
FIC, MS
1. Interior ai film r. 0.61
2.
f6. s++.!r.•J~~+_-:.,=°,t+1;ti^•f~.~~_n_.,l.o.c./, ~Ep1 . . .
3.
4. Er.terior air.. lm sti l'l-_--~~r
. . Tutal
}t /
J' - - . --9--•~ . .
~Y / •
~}!eat flow up ;vented
FIG. M6
J ~ ~ 1. Snniclc air tilm % O.G1
2.
~ ~~~'-'l.•,y%. 3. .
4'
i~•~i'l.r=i ~ .
' °-%`'r.`*`"~•~Y.''." • 5. Outsid , ir. film 0,17
t~: ' -
Tota
;
1 2 ~
~ . ' ~ ~ ~ • ' ~
ppp:pENTp,p ' Notc:~ Usc ndditional shects if more spacq is
' ' neoded for details and calculations. ,
fiav up _ ' ~ ' •
2
F,r.r.. 07
;h`: , . ' . . . - . ~ ~
•
s
. ~ . Iy
s.~ . c<.-~.R~•x ~ ~ ~ r .
- . _ . . _ . ',n, n.... . SL"4... s.w.e.....:if=...<, S:'.:.•~•, . . . _ . _ J.. _ . .id", .'^tfita,:-Y.
..+.~z., . , . . . . ,
'fotO exposed ronf/ceiling area = _ /3p
.e~. . . .
T9La]_Skylight area - ~
k. ' Total riipf/ce.Tling, framing area (average tOq},,, ~~~p;y
l. Total net insulated raof/ceit-ing area............. ZZ7_ '
Uetermine "iJ" valu'e for ea(!b,roof%coi;9irig segmnt.
~ _ .
X liU.,
.
k. x „u„ 3 3~
1.!~.3-~` . x „u , a.2S' _ ; ~9.37!
4 ~ . . . . . . . . . . . . . . . : . . . Tot~1.
If total of ~R'4 i-s the same as, ar less tFianyou fiave met the intent of
SBC':6006,(c)l: _
Al.fiernate Building Emyslope Design
7o utilize the total enve]opa~system retAod, the values estabTished by ttie„
surn of ibams ,3 and ,'4 shall not be greater than the sum of_items ,1 and #2~.
+ z.
r,
3. t q. ~3.7, r.,~ _ .~2G,~0~ O,~?
7
~i»'L~r+C;` ~~PG L C~o~fc'•~, ~
J
s.
S.
C
a'.
-.r,"
' 1989 BOILDIAG PERMIT 1PPLICiTION
CTfI OF EAGAN
11~r~1g
SINGLE FAMILY DiIELLIRGS MDL2IPLE DflELLINGS COlB'lEACIAL
2 SETS OF YLANS 2 88TS OF PLlH3 2 SETS OF IRCHISECTURN.
3REGISTERED SITE SIIli9EYS HEGISTSAED SI?E SOAVE2S - i 3SHDCfQRAL PLANS
1 SET OF ENERCY CILCS. (CHECH iTITfl SLDG DIV.) 1 SSf OF $PECIFIC9TIONS
1 SEf OF EIiEACT CALCS. 1 SET CF FdiEAGI CALC3.
lUTLTIPLB D1iELLINGS HENTAL ONITS F08 33LE D6TTS f OF 09TfS
- iOTEt kDDRFSSES FOA COANEA LOTS - CORtRACfOR/80ME0iiNEA M03T DESIGNATE i1HICH iDDRESS
IS DFSIRED. 80 CSANGFS AII.L BE lLL0i1ED OPCE BOII.DIAG PERMIT I3 ISSQED..
3EiiER 6 iiITER PERMIT F'EFS lAD ACCOUNT DEP0.4IT 1?EE9 WII.L Bfi INCLIIDBD VITH iHE HOILDINO
PERMIT FEE. PROCFSSIHG TIIM FOR SEWER !AD ifltER PERMITS I3 Ti10 DAYS OPCE l PERMIT H!3
HEEB CONIPLETED INDIClTIAG l LICENSED FLSkBER.
PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQ[TESTED.
LOT CHANGE IS REQUE3TED ONCE PERMIT IS ISSUED.
To Be Used For: DFcK Yaluation: 1000 ~ Date: 7 8 87 _
Site Address y30 ) SHN OFFICE OSS ONLT
Lot Block ~ Oceupancy FEFS
l 4 Idc~lZoning
Pareel/Sub -Sv~ CZ~-{~ SccoNC~ ~rroN Aetual Const Bldg. Permit .ZL. 00
Allowable Surcharge ~
OFmer ~oa: Wco~ i of atoriea Ylan Aeview
Length ~ SACO City
Address 1430 l -SN C'/;~ Bo, Depth SAC, MWCC
S.F. ToLal liater Conn
City/Zip Code ti~, 1'Y)nJ -SS/22 Footprint S.F. Water Meter
Acct. Deposit
Phone '1{S6 - 6959 On aite aexage S/W Permit
On aite well S/il Sureharge
Contractor MNCC System _ Treatment P1.
City vater _ Road Onit
Address PRV required Park Ded.
Booster Pump _ Copies ~
City/Zip Code sUBTOTAL
lPPR0VAL3 Penalty
Yhone Planner _ TOTAL Th
Council
Arch./Engr. Bldg. Off.
Variance
Address
Citq/Zip Code
Phone I
C.R. WINDEN & ASSOt1ATES, lNG.
i~~ ~ v~~'~~~i•UTJL~. LANO SURVEYORS tal 646•3646
~ a 1381 EUSTIS SL. ST, /AUI$ MINN. 6610•
FOR: SLILZE CONSTRUCTION
NO'LE :
e Denotes Wooden Stake
Proposed Garage Floor E1.-9lo.3 Scale: 1" = 30'
(Ql°•D ) Denntes Propesed
Ffn3shed Gzound E1. C Denotes Iron
Denotee Direction Monument
Cf Surface Drainage
Vertlcal Datum - N.G.V.D. 1929
~ -
~ 0
67° 3C' 29' W
9oI30 L
LL
p~ o
o, ra;
v
~9n9 3)~: L!1 L
^N ~
o~ I v
`
Lot 14, Block 1, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
,
M'E NERElY CERTIFY TNAT TMIS IS A TRUE AND CORqECT YEiRESENTAiION OF A SURVEY OF TME
60UNDARIES OF TME IAND ASOvE DESCRI6ED AND OF TME IOCATiON Of All 6UIlDiNGS, IF ANY,
1NEREON, AND AlL V151l1E ENCROACNMENTS. If ANY, fROM OR ON SAID tAND
~F
Darod thb. dor ei- <a^%~ ~ A.D loRr-. C fi WINOEN 6 ASSOCIATES, INC
e,
Svrv*yer, Miqnowto Rapiurotion No
H^J: `c
1 '
~ •1~ 2/84
CITY OF EAGAN
~lN~l APPLZCATION FOR PERMIT
l' SEWER AND/OR WATER CONNECTION
- (PLEASE PRINT)
i) Pr-.eD= ADDPEss: li,'al TW17 rl/
(Lot/Blcck/Si;,:.divisicn or Tati ?arcel I.D. N=zer)
S?^?i;C^'!,r2E, DaT' OF CZGi'.AI, rUIi.DI:`:G
1 .f
P~=SLT ::.^.:IIiF:/P?OPOS=-D C'~': C~ R-1 S~:C~'L ::PtiffLY .
? R-2 CUFLE"{ ('?Sip UNITS)
? R-3 'IY'i.ti~Frvrcg ('?'[R= + L^7IT5) ( LN=':'S)
? R-4 [;PA:2T'?"^:T/cc_ZCi-S`Ir~~l
? CCi^, 1&~?CZAI.,/RE^.'~'~I,/Oi'F'I~:-.
? ~'S_7~L
? NSTI'TLTZC.~L~L/GGV~-L~n~;T
2) APp77=- (PLEASE PRllii)
rrA•E:
r.cREss:
C=, 5; "T°, ZIP:
PHGNE:
3) FumE? ' (PLEASE~~fNi) FOR CITY USE OALY
rrpl~.E:
PLU!!BER C.YSE:
PDD:2c55:
Attiv
CITY, ST?.lr., ZIP: Exp' ed
MA~it t of Necord
NE:
PHO PLUMBER LILENSE H_ 3~
ar :ni[ia
4) OCl`_.'„'?piNPP/C!yiTER NA (PLEASE PRIN()
A'IE:
A[JDF2ESS:
CI?^L, STATE, ZIP:
PHO^1E:
S) It1DI= SVHICH PERtiLLT IS BEING RECLJESTED:
[g COi1NECI'I0:1 TO CITY SEr1ER
[iJJ COfTv'FYTICN 'IU CZTY WP,TER
? 0`71ER (PIT<'1SE DFSCRIIIE)
6) L:Cl= C:.c: .
? PI: `SE I?OID APPP.OVID PER.'VLIT FbR PICi:-UP BY QIvE OF AFGVE
~
PLF.+Sc: ;•*ATL APP?tOVEp PEF.•IIT T`'J 1, 2, 3__4 AFc7E J`
- (Circl~'one)
7) szc7=,R:.: nATe:
QalillwlJO:l~ lr !S l~:g~FJ~ ! i I~ ~:iiFi#I~ i i~ iiii:~ 1~ 1t !2l1F}qy~'~l~ f~ S!~ IItI~K~a/ FOR C I T Y U S E ON;.Y
PERMIT ISSUED
P°ES: $ /D.~v SE:•:E,°, n~R:.1IT (I:?CL::DE SU?C`.i?RGE)
WATER PEI2f1rT (INCiuDE SliRC.IA:'~Gc)
WATER METER/COPPERHOR[V/OUTSIDE READER
$ WATE.°. TAP (INCLUDE CORPORATZON STOP)
$ 5E:•iEB TAP
ACCOUNT DFPOSIT - S•iAT°R
$ ]~~b. ~^cJ WAC
$ d5. SP.C
$ TRliNK SVATSR ASSESS:^.E:IT
$ TRli:QK SESvER r1SSE55:lz'.iT
$ LAT%RAL BENEFIT/TRUNK SES•i:4
$ LATERAL BENEFIT/TRUNK [VAT°R
$ OT::ER '
$ TOTAL
+S AI".7LT.:T PAI'J; 4ECEIPT n _~j~
DOES UTZLITY COVNECT20N REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES ZF YES, THEN n"PE3h1IT FOR WORK WITHZN
PUBI.IC ROP.DWAY" MUST EE ISSUED BY THE ;
NO ,ENGINEERING DIVISION. LIST AS A CONDI- t
TION.
SGBJECT TO THE FOLLOt4ING CONDITIONS: '
APPROVED BY:
TI:LE: '
DAT° :
am,s .e m~m~a .t~ rt ~cw w~ w~ w s~ ws~ w~~ w~i~ si~ R++4 ~ se ~i~ Ra wt~ w sr w~
53a8(40
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
~ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete For: Single Family Dwellings
Townhomes and Condos when perxnits are required For each unit
nace 9 i l/ i4&
Site Address Unit #
Property Owner Telephone # (/p,57)
Cont;actoe l/ D, c~O4~eL/N //?G.
Address 0~D1,q i40 '4~' .j City ///~~~~~D~?~'
State Zip 7 Telephone #e~aA 7~1- VeAQ
The Applicant is _ Owner -J~ Contractor _ Other
Septic System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additional consuitant fees may apply.
Alterafions To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
RPZ _ new installation repair , rebuild $ 30.00
_ Lawn irrigation system
- ,
_ Water softener L Water heater $ 75.00
_ replacemer.t _ additional
i
9 ~
StateSurcharge SEP 1 9 2003 ~ $ .50
Total $ 4J 5d
~
y- -
I hereby apply for a Residential Plumbing Permit and aclaowledge that the information is wmplete and accurate; tbat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
perrnit, but only an application for a permit, and work is not to start without a p ; that the work wil ;em accordance with the
approved plan in the case of work which requires a review and approval of'plans.
,
Applicant's Printed Name ApplicanYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115434
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4301 Sun Cliff Rd
Lot:13 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-140
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 .
Ryan Mcgree
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 -
Dawne M Albertsen
4301 Sun Cliff Rd
Eagan MN 55122
Iq Construction Llc
19574 Oxley Ave
Hastings MN 55033
(651) 226-7328
Applicant/Permitee: Signature Issued By: Signature