The URL can be used to link to this page

4304 Sun Cliff Rd CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. J. Box 21198 • PERMIT NO.: Eagan, MN 55121 DATE: - - Z fr+p: ' No. of Units: 1 , ~ner: resa: , Site Addrcss: t:~. F ZoaJ L7 s~~3 Sun Cliff 2c«I ~umber: ~ Meter No.: • Gonnedian Chorfls: 500.00 pd Size: JCceount Deposlt: 15. 00 n;. Reoder Ne.• _6 j .2!2 Pertnit Fee: i 0. 00 nc 1 pew !e 0e0y wilh tlw Cilq of fWye• Surcharge: • 5 0 Uc1 Oe~li~.a.s. M?sc. Charges: 132.00 n d Totol: 61.00 t, ; ...,,reY By Dote Poid: Dote of Irap.: Irnp.: CITY OF EAGAN WATER SERVICE PERMIT ' 3830 Pilot Knob Road P. O. Bux 21'1.99 PERMIT NO.: Eagan, MN 55127 DATE: Zonirp: No. of Units: pwrwr. KS' I:or.,es Addreas: 5ite Addmn: 4304 Sun Cliff Road L7 B3 Sun Cli_ 2n Plumber. ''r or ~ _e 1:_•.c ' „ ,Sj 500.00 Metar No.: Connection CFwrpa: p Sixe: Attount Deposit: 15.00 Pd Reader No.: Permit Fee: 1'1• 00 ad • ~l -~~I 1 qmo M asw* wft !w Qly oF Emwo Surcharye: ; O.iiw~sow Misc. CFwryes: 13 . pd I TotoP 63. 00 2d meter ~ By Dote Paid: Date of Insp.: lmp.: ~ ~ - - ' - - - - - ~ PERNIIT I~ CITY OF EAGAN SEWER SERViCE 3830 Pilot Knob Road pERM1T NO.: _ P. O. Box 21199 p/+T'E: , _ ~ Eagan, MN 55121 1 ':1 No. of Units: ;I Zaninp: 'r.',S~•I Homee pwner: i Address: , S 430 Sun Cli`f ! Road L7 Ei 5tLn C1~f f Znd i r or, ,a ea esi:1e P] _ t0 0 .0'k n' . ~ Plumbec ` Connedlon ChI ~ 00 na I ~ ~ yrM te esa* whh !iw CiM Of LM°" •J~~ I A°°°unt D°posit' ~ n p 1 4 P°^nit Foe' .7 0 ~ Surcherpe: j MIm Choroes: By 7otot: Date ot Insp.: pc" Paid: ~ Insp.: i ~ CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE I9 I RiC61VtD . FROM AMOUNT $ I ' * DOLLARB +oo ? CASH ? CHECK FpR FUND CODE AIAOUNT l' Than You BY YVhite-Payers Copy Yellow-Posting Copy Pirtk-File Copy . CITY OF EAGAN a3 r? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT ReceiPt # Te be w.a fo. 8lM/GAR Esc.value 457,000 Dore nARtiaRY ? .1q-&rb~ 430+ 8um cLIrr RD Erect ~ occupancy $3 Site Addresa Lot 7 Block 3 ~c/Sub. BUR CL=~.Q Remodel ? Zoning ~ Percel No. Repair ? Type of Const. ~ Enlarge ? No. Stories Move 0 Le"eth 36 ~c ame _ RSl~ RO!!ES IV = Dernolish ? Depth ~ Address 14486 UppER GOTHRiS Grade ? Sq. Ft. 46 City "lLN one 414-BA6A Instail O ~ Approra b Fass o IVame QO Asseument Permit ot Address u~ City Phone Water E~ Sew. 5urchurya - ZR~s 50 ±sad Poliu Plan Review 1+s ~ W Name - Firo SAC 525• 0d Address Enp. Woter Conn. t~e~AuQO ~ W City Phone Planner Woter Meter .~iQ0 Council Road Unit 21111- 00 1 hereby ocknowledge fhot I hove read this opplication ond stote thot gld9, pff. Z/S a5 T*p• 132.00 the inlormation is corrett and agree to tomply with oll applicnble APC Total $1.984 . Sa State of Minnesota Stofutes ond City of Ecgan Ordinonces. Var. Date Sipnature of Permittae ~v$ on the express condikion Iha+ h 8uilding Permit ?s issued to: oll work sholl be done in accordence with oll opplicoble Stote of Miruiesoto Statutes and City of EoQen Ordinoncei. Building Official Permk No. Parmit Holde? Dab Tolephona # Plumbiny 5637 1- Q k.t S rd a- 3 I I 1b 95- -7(0 H.VA.C. vS Ebcgic Sofxemr Irapection Date Insp. Oth*r Footioyt Foundation Fnminy Roofing Rauyh Plbp. ~ Rouph HVAC Inwlation Final Plbp. C~/S Final HVAC Final Clrt/OCC. Wrar Desanba Loeation: YYell Sewar Pr. D'aP. Receipt J J~ MECHANICAL PERMIT Permit No. ~ CITY OF EAGAN Fee -~)-00 - Fill in numbered spaces S/C .150 Type or Print legibly Tot. ~50_ 1. Date 2. Installation Cost ~1/100.00 - > , 3. Job Address 4304 unCliff Rd.ot ! Blk. ~ Tract J 4. Owner H')i IC. 5. Contractor PLAY 14. '.dLL.Tf'.R 111'.77 Q Phone 6. Address 4637 vh2Cr.Eo :_ve. 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 9 Add ? Alter ? Repair ? 10. DescribeIn..~ •:11 ~;"-s forced ~ir 'r~-tFuey--TVpe 11. No. E.quipment BTU - M. Ea. No. EQUipment CFM Forced Air T,jJU~`n Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. _1 Gas, Piping Outlets 12. I hereby certify that the above informatio is true and correct, and I agree to comply with all oydinan i cos and codes g erning this type of work. : Signed~ - l for - Rough Final InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Reasipt PLUMBING PERMIT Mrmit No. CITY OF EAGAN Fee fill in numbered spaces S/C j ~ TYpe or Prin[ IegibJy Tot 1. Date 2. Installatian Cost " 3. Job Addresa • Lot Blk. l Tract • ' 4. Owner ~ 5. Contractor % Phone ' 6. Address 7. City State Zip 8. Building Type: Residential C3" Commercial O Institutional O ~ 9. Work Description: New Q Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank ' l.avatory Softner ~ Shower Well ~ Kitchen Sink Urinal/Bidet Other Laundry Tray ~ Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply witfi all ordinances and codes governing this type of work. Signed . for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 This reQUest witl 18 months from ~ 7' S-D A 096923 Reg;1 D.te/q Fve No. RouNh-in Insuec[ion Nequ r 0 Reatly Now ~II NoUfy Insvec- 1es ?No ior When Feady icensad Electtical Con[recmr 1 hareby request insoection ol ebove ? Owner electricel work installed ac Street Address, 8ux or Raute No. City ~f-3o ~nGR,J ecuon o. 7ow"s~ip Name or No. HanBe o. CoumY Ako7'/+ O upantlPNINTI Phon~ No. cs!"i pom e~ "4En9 c, Power Supplier Address 07 ,v rJ ~N~ Elechical Con[rac r ICOmuany Namel^ Contrac or's License No. -ZF 4 toill-5170- Z-) G iling Address (Contrac r or Owmr Mekinp In tailanon) q ELwf ,2. PGE ti-fn1 SS~~-~ Aulhori Signatur ~COntractor/O er hl.ikmB InsWlla[ onl Phone Number 3 i/ MIN 60TA STATE BOA OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT Grippa-Midwey Bldg. - om N•191 BE ACCEPTED BV THE STqTE BOABD 1821 Univarsity Ave.. St. Paul, MN 55104 UNLESS PPOPEfl INSPECTIDN FEE IS ow..... laul 997_2111 ENCLOSED. , 5,3.gy REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa ~w~' ' See insiructions for comD~etirq ihis fwm on back of yellow copy. 0 K. % ee/ow Work Covered by This Request S/ 3ey Home Range Temporary Servwe Duplex Water Heater LighUny Pixtures Add RRompute'Ins-pection Type ol BmlGing ApPliances Wired Eqmpma.t Wirad Apt. Bwldinc~ Dryer Electnc HeaLn Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Co~itioner Bulk Milk Tunk Farm Other Veu v Olher ~Snenfyl ~ r Suecify Other Olh,r Fee Belnw M Fea SatvicaEnhanceSiie # Fee Fenders/5ubfeadera N Fea Circuits ~OO 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Amps Swinming Pool qbove 100_Amps Above 100_Am s Transiormers Irrigation Boorcis ' Partial: Other-Pee Signs SpeciallnspecLOn Remarks ~ $ pJ TOTA YFEE ~ / ~7r i Rough•in Date~7r 1, the E12 'ffiI • N'J ~ Inapectoi,~heroby Final Drle ertitv the11he nbova ^ L~ ins0ection has been 4 , TMarequeatvoWtBmonttufrom ' , b CITY OF EAGAN (vo 9$$ Q ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT R«iw # Te M wad fw SFD'/GAR Est. Value $57. 000 pme FEBRUARY 7 . 19 85 4304 SUN CLIFF RD Erect E occupency R3 Site Addrese Lot 7 BI«k 3 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoniog Rl Repair ? Type of Const. N7 Parcel No. Enlarge ? No. Stories RSM HOMES Move ? Lenytn 36 W Neme _ Demolish ? Depth 46 ~ Address 14486 UPPER CIITHRTF. Grade ? Sq. Ft. City APPLE VAlhone 43 5-RR6R Install ? Avvrorah Fass ~ Name i~ Assessmenr Permit 304 . 0( o~ Address u~ CitY Phone Woter S Sew. Surchorye 28.5( Polica Plan Review, 152.OL Name Firo SAC 525-0C ~w io Address Enp. Wofer Conn. 500 +0( i W City Phone Plonner Woror Meter 63--0 ( Council Rood Unit ?R f) 0( I hereby ocknowledpe ihot I hava reod this uDPliSation nd state thatBldg. Off. Z 5 8 5 T. P. 132, ~ C the inlormation iz torrecf and o9re~~t omg{q wi oll applicobAPC Total S1 .984 _ S( Sroto of M,nnesoro Storutes and 7fy ~E gan fd S. ~ Ver. D te Sipnaturc of Permiftee A Building Permie Is issued to: SM HOMES on tha axprcu carditlon lhai all work shall be done in acwrdance wlth~p,tt~Jp ,D~P~~~ble 5 ta Minnewta Statutea ond Ciry of Eapon Ordirwnces. ~ 8uildinp Offlclal pe l~ l CITY OF EAGAN Remarks Addition SUN CLIFF 2nd Lat 7 aI k 3 Pa,cei 10 72476 070 03~ Owner Street 4304 Sun Cliff RnaA State EaQan, MN 5$I2l Improvement Dete Amount Annual Years Payment fleceipt Date STREET Sl1RF. STREET RESTOR. 1/079 1986 431.51 5 lOiy JO -Y "0J~ GRADING cZ /~S.S3 SAN SEW TRUNK 1970 48.64 1.95 25 SEWER LATERAL ii 11 SEwER LATERAL 999 1986 829.62 165.92 5 a. C-/o - /o- $-b'5 WATERMAIN G WATERLATERAL 1000 1986 942.60 1$$.$2 5 9 a•(p0 WATER AREA 197 62.34 1 15 8 39 WAT LAT BEN -;982?~79 1986 57.88 11.58 5 .~8 Cv0(p /D-B-S' STORMSEWTRK 1971 161.72 8.09 20 STORM SEW LAT * S/W SERVICE 1005 1986 808.77 161.75 5 OP. 77 -/D /D - d'-5 CUFB & GUTTER SIDEWALK STREET LIGHT STORM SEW LAT 1006 1956 610.14 122.03 5 /U Road Unit 280.00 #49422 2-7-85 WATER CONN. 500.00 11 11 BUILDING PER. 11 1: SAC ? e: PARK ~ ~ Ci~y of Ealan ; Pemft cfZs-7 ~ i PermitFee:~ ~ I 3830 Pilot Knob Road ~ Eagan MN 55122 ' i Oase aeceived: i Phone: (651) 675-5675 i stan: ~ Fau: (651) 675-5694 i 2008 RESIDENTIAL BUILDING PERMtT APPLICATION oate: ~1 3 6'9 site Address: q 304 SUf 1 C'.U C-F 1~? D Tenarit: 5uite RESIDENT / OWNER Name: l~ I t'j p i TK Irj Phone: (o5 I-(4S~ -N)8 Address / Cdy / Lp: Applicant is: _ Uvner -%-Contrador TYPE OF WORK Oescription Mwark: Trz~~ F d`• ~`~2~F d`~ Consbuction Cost:Multi-Family Building: (Yes_/ No _)Lj ~ Llcense FigLisq CONTRACTOR Name: i Address: a Ciry: !~FW,C~,.,'Y'd-PS' _ State:. ZP: 55 Ptwne: L11.;1;`1~11 Contact Person: ka COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDfNG Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnerBy COdB . Restdential Ven5lation Category 1 Wwlvheet • New Energy Cede W oAksheet Category Sudnilted submiaed ;J submission type) • Energy Envelope Caialamais Subn+itted In the last 72 months, hes the Cky ot Eagen issued a pe+mM for a Similpr plan besed on a m99ter p18n1 _Yes _No If yes, date and address of msster plan: Licansetl Plumber: Phorre' Meelnnicai Coniractor. Phone: Sewer & Water ConVactor: Phone: t nereDY acknowledgs Nwt th[5 iMOrtnatlon is canplele arid eccurete; tlwt the wak vAli De in rnnfofmarwe wiM the oMinenoas antl cotles W IDe Giry ot Eagan: that 1 unMersrand Mis is rwt a permft, but onry an epplicadon tor a permi; aM woric is rwt M'sta+t vdWout a Pem+it: tluV be vuric wiU be in accordance with Ne approved pian in Me case W wvrk which requires a review an0 approval M plans. x x Applicant's Printed Name ApplicaM's Signature Page 1 of 3 2005 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion ReauiremenLS RemodeVReoair Reauirements Offce Use Onlv 3 registered sile surveys showing sq. ft. of lot, sq. R. of house; and afl roofed areas 2 copws of plan Cert of Suney Recd _ Y_ N (20% maximum lot coverage allowed) 7 set of Energy CalculaUons for heated additions Trea Pres Plan Recd _Y _ N. 2 copies of plan shawing beam 8 vrindow sizes; poured found desgn, etc. 1 s@e survey for addl6om 8 decks Tree Pres Required _ YN 1 sel of Energy Calculallons Add'Non - ind'rcate Narsde sepNc sysfem On-site Septic System _Y _ N 3 wpies of Tree PreseNation Plan if bt platted ailer 717193 Rim Joist Defail Op6ons selection sheet (buHdings with 3 or less units) Date ~ / Construction Cost SiteAddress "I U?'tLv.~~ K.l . UniuSte # Description of Work ~ Jf ca xO Sf\&-cLoS W/ _ux• 54i Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 QQQ/~(\~~~II/~ Property Owoer S~~- v\ J1 Telephone #(L"r d• o~ I U The Home Depot A.H.S. Inc. Contractor 3200 Cob6 Galleria Pkwy. Address Atlanta, GA 30339 City State 763-542-8826 Telephone # ( ) License #20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submilted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review tee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone J Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wh' r approva f plans. ' ~ ' . S ~ ~ _~S l zoo5 D r~.c o` 3lucss ah 42:)~4 u~ a i ~ ~ Applicant's Printed Name Appli nYs Signature , OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 ExR. AR- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ 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 _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Installed .T'•`' 'J .-~„neseN.~Siding and Windows LIMITED POWER OF ATTORNEY , m COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ('Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Ins±alled Sa1es loca±ed at 660 Mendelssehn Aver_ue North, Go':den Va11ey, MV 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenP') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, ar any other instrument(s) which may be necessary and appropriate, in order to ohtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Lisnited Power of Attcrriey 1re ]ir:tited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. N WIT"NESS WI-IEREOF this Limited Power ofA+.re!ney ic e.tec,rtc3 this 21 st day of May, 2003 . David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. Notary POic in for the State o eorgia My Commission Espires: January 21, 2006 i9G816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT o• * 304 • 00 + 28•50+ 152•00+ 525 • 00 + 500 • 00 + 63•00+ 280•00+ 132•00+ 1v984•50* 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED tlITH TFIE CITY OF EAGAN fZ • h. M , P~ ;g~ INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY t SET OF ENERGY CALCULATIONS To Be Used For; N~.~/ ~pMF Valuation: I Date: Site Address: 15vw., A-6~OFFICE USE ONLY Lot; -7 Block I Sect/Sub Erect u Occupancy 3 Remodel ~ Zoning ~-1 Parcel B Repair ` Type of Const ~ Enlarge # of Stories Daner \N\ Move ` Length _3 Address ~~Demolish ^ Depth e'(-_ Grade Sq Ft City/Zip Code - Contractor S a.-~.t,r APPROVALS Address ~ Assessments Permit 50)4,- Water/Sewer Surcharge 2 ,5° City/Zip Code Police Plan Review 15Z.4= 1~ Fire SAC ~z° Phone q J p EnBr Water Conn .Co°-° Arch./Engr G- Planner Water Meter (g3. ~ Council Road Unit Bldg OEf: Parks Address APC Treatment P1 132 Phone # ~ 5 Variance TOTAL ~ I~x 34 5~fi4x 5Q-= 2~i 3~~ , coo x 5q- -°o~ 40 1~ ~c 2Z " 352 ~~4 t" I 4432 2c~ K 20 =qco x I~ = 4 q o0 C. R. WINDEN 8 ASSOCIATES, iNC. LAND SURVEVORS ToL 646•3646 1381 EUSTIS ST., SI. PAUI$ MINN. 66100 For: R. S. M. Homes NOIE: Scale: 1" = 30' c-Denotes Wooden Stake O Denotes Iron Propo.ed Garage Flooz E1.=90G.B3 Monument (G706.5') Den. tes Yroyosed Finished Ground E1. fi- Denotes Direction Cf Surface Drainage , Certical Datum - N.G.V.D. 1929 ;~Sen^-"nj ~ 0~< ,~3' , 5•l iS. N p 3, b I r(1 7 ~ ` 2D,6? Ul ~ ~ N 1.5DYtrh>~ ~i 30 B~ proPpSed l c ~ ~ io No~sE r r. ) f i 7/ ~ I 'J G F.. ~-c 4 Lot 13, Block 3, SUN CLIFF SECOND ADDITZON, Dakota County, Minnesota WF MfRElY CERTIFY TMAT THlS IS A iRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME 60UNDARIES Of TME IAND A60VE DFSCR16E0 AND OF 7Mf LOCATION Of ALL lUILDiNGS, IF ANY, TMEREON, AND All V15161E ENCROACMMENTS, If ANY, FROM OR ON SAID IAND Darod thu ~~~_doy of 14'Ijnr4' _A D 1985 C. R WINOEN 6 ASSOCIATES, INC. r' ~ i r r ~~"f! ~ br ~.*"`--,x•~° tC-~'T CT'c ,'~'Ly.'~-z-C. Si,rraYOr, M,nnssolo Rayntrotion No 2726 nr~~ o CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # P;~tBZNy,',, P~~XIT DATE: 3 ItGS~AENT~AI.f: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON ~ SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: n~t`t _ KITCHEN SINK 3.00 C/j Fr AGf LAUNDRY TRAY 3.00 SITE ADDRESS: _ HOT TUB/SPA 3.00 ~7 WATER HEATER 3.00 LOT: / BLOCK f SUBD / _ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMiJM - 1) 3.00 Ot7 f ~AR~ ~ R(/'~ ROUGH OPENINGS 1.50 ADDRESS: ~ OTHER WATER SOFTENER 5.00 CITX: ~i dJ~~ PA 1 ZIP: PRIVATE DISP. 15.00 _ PHONE ' - U.G. SPRINKLER 3.00 SUBTOTAL S ST. SURCHARGE. .50 SIGNATURE OF ERMITTEE ~ TOTAL: $ ~OMMERCIALtINUUSTRIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS AND MULTI-FAMILY flUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 1 ~ 2/84 ~ i ~ ' CITY Or EAGAN APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTION (PIEASE PRINT) 1) PROPEF2'L'Y ADDRESS: LF.G<1L DPSCRIPTZC:V: i (Lot/Hlock/Subdivisicn or Tax Parce I.D. NLrrne ~ I"r W;IS"=:G 5'I'P,L'Ci'LTcE, DAT:,' 0_° ORIGuIr,' u,II.DL`:G PZ7:,jIT P~ESr'~._:?' Z.^.:IIi6;/p??OPOScTJ iiSE: ~ 2-1 Si~iGL: FP"+ffLY R-2 CJPL...~"{ ('IZti'0 liTIITS) CJ R-3 TC:v1iLFT.CrjcE ('?'I-R, + L^IITS) ( DNI^_'S) p R-4 APPR=T/CC~IDCt'LI`]P-~I ( W ITS) ? CC,1mi=CL),i,/FtEI`ASI,/OF':'IC3 ? L~.'DliST'2LAL [7 NSTST'C,'TZO:]AL/GGVE.R,`7~AE2'P 2) p,ppj,jc~,,,~ ~ (PLEASE PAINi) 1 ADDRESS: CITY, STAT:,', ZIP: ~ 11u PHOM: Ci 3} pj,j,;:tggt NA PLEASE PFINT) FOR CITY USE ONIY i~ : : , \ PLUHBERS lICE4SE: ADDRESS . C11w`-$ L r-I Active CZTY, STATE, ZIP: C= Expired N PF'+O~= PlUMBER LICENSE NQ ot of Record TFa-Ff nitta 4) OCCUp71N'j'/(7\ZIE1R A(PLEASE PRI;IT) . NArfE: ADDRESS: Cl"I"l. STATE, ZIP: PHONE: 5) IIVDICIITE S+IHICH PERMIT ZS BEIIvG REQUESTID: CONNGCI'ION 'IrJ CITY SETr7ER CONNEC:IQN 'IO CITY WATER ' dilIER (PLLASE DESCFtIBE) 6) INDIGYM- C~+E: ? PLEISE f?OID APPROVED PERMIT FOR PICI:-UP SY ONE OF AEaVE ~ PI.Fe+SE 1,71IL APPRWED PER:•LiT TJ 1, 2, 3, 4 ABC7/E (Circle one) 7) SICr"YILTE: < DATE: ~k R RJR~fs.a i i salogsia ae ~a ~ q~~:at~ ai ans s~a.~:a:~ a at fefa-a~r~~ a fe3mf rs nas[~i~ i ~ FOR C I T Y U S E ON;,Y PER^1IT !ISSUED F°LS: $ /SE;^iER n°BMrT (z_. I,`•'~=' SUnr,..~:aRr-. _ ~TC.; ~ .5 a WATER PEF224IT (Ii:CLIID: SURCHAc2Gn) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATZON STOP) $ SE:vER TAP $ / S e a - __:.-_3 $ _ LS-.00 ACCOCiNT DFPOSIT - PiATER $ s WAC e) SPC $ TRUVK WATER ASSESSi-IE:VT $ TRliVK SE6aER ASSESSMENT $ LATE°,AL BENEFIT/TRUNK SE:•:ER $ LATERtlL BENEFIT/TRUNK WATER $ / 3e7• ° 4 OTHER ' $ TOTAL A140L'NT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RZGiiT OF WAY? C~ YES IF YES, THEN A"PERMIT FOR 4dORK WITHIN PUBL2C ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY:C~jo4n.,e DAT=' : . i ~ 3~' ; City of Eapn ; Permit# I ~ I Permit Fee: 3830 Pilot Knob Road I ~ EBgan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 6755694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 26q Site Address: T 3 o`C S tyY1 cl! T-( Ra Tenant: Suite RESIDENT / OWNER Name: /S 2 V ir i'l k i N Phone: 651' 4 U,' 9110 Address/CitylZip t304- SIlHClilt ~~[!l /btj 4/1 ` ~-Sf/ Z2"' Applicant is: X Owner _ Contractor TYPE OF WORK Description ofwork: AJd SE'@OHC( 6a1h nao Ht Construdion Cost: Multi-Family Buiiding: (Yes No ~ CONTRACTOR Name: License Address: City: State: Zip: Phone. Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Calegory 1 Worksheet ^ • New Energy Code Worksheet Category Submiited Submitted (4 submission type) • Energy Envelope CalcWations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE P/_ans and supportmg'dneumebts,~tha# you submitare cons~dered to 6e publrc rnfornrafior~ Portron~~~of fhe ~Mbrmafron may be dassrirerl as non pirblic if you provide specifrc reasons~that Hiouid permff flie C~ty~to ' n, x~ ~ cuncldde that tbe -ai0 trarle secrefs. ~ IO _ (i',~=: x-~ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances antl codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva lans. ~ /1 f X kPvrn (fi%n J~ ~d~! L Applicant's Printed Name IicanYs Si natu~ I ~ Q~ PP g Page 1 of 3 Z1:30111 ~~c Ac{ ~ DO NOT WRITE BELOW THIS LINE SU8 TYPES ' Foundation _ Firepface _ Porch (3Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex ~ Lower Level _ Pool _ Miscellaneous Accessory Buiiding WORK TYPES 6 p-p 6ojrff New ~ Interior Improvement Siding Demolish Building' - Addition Move Building Reroof Demolish Interior X Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage 'Demolition of eMire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 1D0°lo_) Zoning City Water Census Code Stories Booster Pump # of Units Square.Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock _ Footings (Deck) _ Final / C.O. Required _ Footings (Addition) ~ Final / No C.O. Required _ Foundation ~ HVAC Orein Tile Other: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final ~ Freming _ Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test _Final Windows InsulationI _ Retaining Wall Meter Size: Erosion Control Reviewed By: ~ -2, , Building Inspector RESIDENTIAL FEES Base Fee Surcharge A00 Plan Review MCESSAC ' City SAC J ~I Utility Connection Charge L" S&W Permit & Surcharge Treatment Plant Copies TOTAL ~ Fo~;C~fice'i7~e ~ ~S~es~. ~ Pe ~ rmit _P City of Ea~a~ ~ I Permit Fee3830 Pilot Knob Road I LI ~ Eagan MN 55122 ~ Date Received: ~ I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION CaA&d 4 Date: SiteAddress: 430l" SG11C rl T f iSDKd Tenant: Suite RESIDENT/OWNER Name: k2v i,n Pi1k1 ?i Phone: t05-1' TS'Z- 8f j g Address f City f Zip: ao 5 lif R CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE R~E/S/DENTlAL Water Heater _ Water Softener _Lawn Irrigation ~Add Plumb~ing Fixtures RPZ _ PVB) Main X Lower Levei) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $ 50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5!8" meter is reqwred) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duchvork, etc ) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknovAedge that this information is complete and accurete; 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 oNy an application for a permit, and work is not to start without a permR; that the work will be in accorda ce with the a/pprp~ved p n in the case of work which reqwres a review and approv I of plans. x..fv x / ' ~ ApplicanYs Printed Name ApplicanPS Signature FOR OFFICE USE Reviewed By : Date:' v Required Inspections: < Under Ground' r Rough-In=`._. =Air Test Gas Test _Final - - - - - - - - - - - - - - - - - For Office Use Permit City of Ea al I Permit Fee: 136),00 I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I c(p I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f 1 fr t 2/ u( Site Address: 4 3 o 4 S µ h c` i T* lec( Tenant: Suite RESIDENT / OWNER Name: Ale vin P 1 4 k_ N Phone: 65-1- 152- 9#16 Address/City/Zip: t3o4 S4ic l icc P /E QA / c5-/Zz-- Applicant is: j Owner Contractor TYPE OF WORK Description of work: Add se eonc( U a14,to hi Construction Cost: ! 1 "QLJ Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. I kiy,a P1& h Applicant's Printed Name t, Gpplicant's Signature 8 0 21 2609 Page 1 of 3 Z%~/r 1c DO NOT WRITE BELOW THIS LINE C? SUB TYPES Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: 7- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC f 7 /:.r City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL For Office Use 1 1 Permit City of a S~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: = Phone: (651) 675-5675 I Fax: (651) 675-5694 L Staff - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION GCd 4 -3 Date: Site Address: 430+ Sc unI I F T R04 Tenant: Suite d RESIDENT / OWNER Name: i1~e Y a, i + , 1 , ` 1 el Phone: 1i51- 4i T, Address / City /Zip: 30S R 44.4, 5 c/ z'Z CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK -New _Replacement - Repair _Rebuild _ Modify Space -_Work i R.O.W. Description of work: PERMIT TYPE RESIDENTIAL K Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) (_Main X Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 accords ce with the ap ved p n in the case of work which requires a review and approv I of plans. J. 1~ 1-4 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test -Final Use BLUE or BLACK Ink For Office Use ~j j Permit My of Eatall I I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 67545694 1 Staff: - - - - - - - - - - - - - - - - - J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ! 3of J inc I i 7 f PG Unit F f► Name: ke y in A"~km Phone: 66-1 15-2, Resident/ _430 Owner Address 1 City! Zip: 4 Sun C1 W# T )V E- gm a n', A4 gL I L -L _ I Applicant is: -S~_Owner" Contractor Type of Worktl Description of work: N Ko d 7 p Construction Cost: o Multi-Family Building: (Yes / No X-) A P r Roo Company: i v41 VaviJer {l Contact: Contractor Address: r U Cej4k- City: let chf - I c~ (0 1 i 3 State: Zip: Phone: _ Email: Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 XNo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor:_ Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to _conclude that they are trade secrets.- km,~~l 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.aopherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ke 1 r7, fk) x.14,W Applicant's Printed Name Applicant's Signature Page 1 of 3