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4201 Yorktown DrCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 V r Use BLUE or BLACK Ink Permit #: `\ \\� Permit Fee: t �'0 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: // ` a? ;110 Site Address: 4 ? 2/ yor Y A,--vI Tenant: L) cvA /( L r_ �tirtrJi Suite #: RESIDENT / OWNER Name:1:S6Y leaa( (t 4.,01' c4/,.,,n) Phone: (;<7 `45.--4/ -019-C- Address / City / Zip: 7 jd % york:'1 Applicant is: Owner k( Contractor TYPE OF WORKF Description of work: � (4.--,..1--- Construction Cost: CL51--% Multi -Family Building: (Yes /d v ) CONTRACTOR R - Name: G , ♦ 5 �" i QA C License #: calk -S1-4---(061 Address: (ST-'1t.%�.6W\ • ` ( City: State: J_ L d" Zip: SS 1 61 Phone:?Icy Contact:e(../C'Z-_ Email: '%1/`Lc.//e13'1Use\ ir 4 /111/1 £ % 1 , COMPLETE In the last 12 months, has Yes No 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: 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 flat would permit the City,to conclude that.they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.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 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 appro -I of -ns. xAC-kA.2 Applicant's Printed Name Applnt's gnature Page 1 of 3 ôíô ÿ þ þýý üû÷üùû øýýúùûäêîþ ýü âååâ þýô ýüûúùøîüö öúùøôó öøîüö Þüöÿ öÿö øöìöïüöìüûöã ööþý ö øöþ ý å ññ ñ ýõÿö âøøöñâýÙ ã ç êêñ òø ýüö öÿîéç êåêå ñð ôïî øø õÿö ÿßöÚ ü âøøöñâýñ×öóö ýü ÿ ãô øøè ùãô ñ áå àñ öûù óÿ äö øø õöì öö ÿöìøùó øø ûý õã ý ü òùõ ÿ íö ê øø ë üùýÿ üö CITY OF EAGAN WATER SERVICE PERMR 3830 Pi1ot Knob Rosd , P.,O: Box 21199 • PERMIT NO.: 1'i- I`' ; Epan, MN 55121 DATE: 1 Zoninp: _ T~ ~ T,~ j er ion s t. No. of Unlh: Owner: Addeeta: 42 Yorktown Dri~c~e 7.11 R Sunset 1 L. Iii tn. r P um ir.g AAMftr No.: ofig ~17G . 70pd $IZe: l • A~~ } ~ . ()t)~~t Reode? P10.: Q n0 ta I.ow. «wb WM eM Zj"pt 1- . 0 pd p~M,~ . 15 b. OOnci TP ~ ~ otal: 53.5(?pd mer_er ~ By Dat. Poid: , Dab of Irup.: Irop,: ~ CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21999 PERMIT NO.: Eogm, MN 55121 DATE: Zonirg: No. of Untts: OwMr. Addmm _ Sih Addras: 'i Yos~zosia '~'.1 ,~n~-eZ llth Plunber. 7:i1Cner Mew No.: Connecttan Chorqe: Stz.: Aooount Deposit: Reoder NO.. Ptltnit Fee: 1 aem h Mnly via 11N Cihr of ""w SuKhonpec prah"Nows. Mlu. Chows: Totol: BY Dote Paid: Doft of Imp.: ln*6: CITY OF EAGAN SEWN 5WCE PWW 3830 Pilot Knob Rwd P. O. Box 27199 PERMIT Np.: Eagan. MN 55121 p,,TE: Zonlnp: - r3 Na of Units: - 7 OWfwr _ Tna 1111 i .-.r Clnnat' l+ddllit: Srte /lddros. 4?01 Yorktown - .>e ~l 5;:nsc: j_itt: ~ plu„bw: Hiltner r li4'-', . pC~ 1 Mw0 b ws* wft 1V C4fr of y"n Connwctlon pape; 5. Oun~, w. 1looounf p,epodt; P+emdt Fw: 1 , Suiehorpe: BY hlisc. CFargm Doh of Irnp.: Torol: Insp" Dots Piold: I'I BLDG . . PERM~T NO., , : . ~ - < 01-3210 "BiIg..~ft# - 01-3422 P1a~Check 01-3445 Surch./Adm. " 01-3446 SAC/Adm. c7 01-2155 Surcharge 17-3860 Road Unit 20-2275 3AC c,' 20-3865 Water Conn. f 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. ! 20-3713 Water Permit I 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. I t --T ~I f TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHON E: 454-8100 ~ BUILDING PERMIT Receipt ~ 0384 To be used for pECK Est. Value $is0W Date sZ1' 14 ,1g $=j_ Site Address 4201 YORFZ'OiJld 0R OFFICE USE ONLY Lot ~ i Block I SBC/Sub. 'gUNC-Er I iTU On Site Sewaqe Occupancy MWCC System Zoning Parcel No. On Site Well (Actual)Const P/1TRICIA RWZICICA City Water (Allowebie) a Name ; AddreSS 4201 ~~~OW D~ PRV Required * of Stories 0 City RAG" PhOne 6$1-9505 Booster Pump Length Depth a Name ~ S.F. Total .o ~ i Address Footprint S.F. ~ City Phone APPROVAIS FEES ~a Engr./Assess. Permit 24•00 W Name ~ W U n AddreSS Planner 5urcharge • { W City Phone Council Plan Review Bldg. Off. SAC. City I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City ot Eagan Ordinances. • ~ Water Meter 5ignature of Permittee _ _ _ v•.___ _ _ ~ _ Road Unit A euilding Permit is issued to: _ Y'A'IT?IGIA AifZICiG Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL _ 1`~• s BuildingOfficial Psrmit No. Permlt Holder Dmto TNlphone it Plumbing H.V.A.C. Electric Softener Inspoction Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Ht¢ Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck.Ftg. Deck Flnal Well Pr. Disp. CITY OF EAGAN . 1249$ _ • -.,Y,,,, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 BUILDING PERMIT PHONE: 454-8100 Receipt # ; I ` ~ r- ~ ` T,be,,,edkr SF DWGIGAR Escvaiue S64,000 Date At)vUST 25, 19 86 SiteAddress 4201 YORKTOWN DR Erect It Occupancy R3 Lot 11 Block 1 secisun. SUNSET 11TH Remodel ? Zoning pp Parcel No. Repair ? Type of Const jZI- Addition ? No.Stories W Name J03EPH MILLER CONST Move ? Length ' ; Addreas 1 3 CEDAl2 AVE SO Demolish ~ Depm 37 o Int Impr. ? Sq. Ft Ciry FARMINq;94 892-1010 Install ? o Name SAME APProvs~s Fmo 00 Q Address Assessment Permit 32-5 .00 32: Oa ~ Ciry Phone Water & Sew. Surcharge Police Plan Review~' Oa Name Fire SAC ' n Address 500. OQ ~ = Eng. Water Conn. ~ W City Phone Planner Water Meter~ ' OQ Council Road Unit • Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B~dg. Off. S~lg~B T~. PI. 0 iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdinanFes.. APC PBrks Signature of Permittee Var. Date Copi ~ '~'-'U'~-r`'~--~ , . Q ,60SEPH MII.LER CONST Total A Building Permit is Issued to: on the express conditlon that all work shall be done in accordance with all applicabl State o} Minneso~k S.t, atutes and City oi Eagan Ordinances. Building ONicial P@mdH No. VMnYI Mold~r OaN TNophan N Plum" 5.3 -rc /o%Z /916 H.Y.A.C. '774I `i - IO ElocbiC son«w I~sp~eYon oab Inmp. Conrouft F"*w I / cvB FooYnqs n Foundallon Fn"nq ~ Rooln~ Ra+Yh PIbY• Rouah Fllp. Imul. Flr""M FrW it/ FMM Plbg. I-~9- sao. Fl+.i f " c.n. occ. o.ek F1q. Doelc Fmnp. IAfN Pr. Wmp. PERMITIkM 77~~ MECNANICAL PERMIT RECEIPT 1i dTY OF EA(iAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' CONTRACT PRICE PHONE: 4s44100 - i Site Address ' . , gL.pC. T1rpE - WORK DESCRIPTION Lot ~ Block ~ Sec/Sub , < < Res. New ~ Name ' m Mult Add-on a Addr~,ss Comm. Repair c Gty f { > Phone Other Name FEES ~ Addr@Ss RES. HVAC 0-100 M BTU - a24.00 ~ C~ pha~e 77 ADDITIONAL 50 M BTU - 8.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 = GAS OUTLETS - 1.50 EA Forced Air KBTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM _ BEYOND $1,000•00) Gas Piping Outlets # Other FEE SIGNATURE OF PERMITTEE ; TOTAL• FOR: CITY OF EAGAN ;Lot ~ PERMIT ~k '7'75PLUMBING PERMR RECEIPT # CRY OF EAGAN 3830 PiLQT KNOB ROAD, EAOAN, MN 55121 DATE: TRACT PRICE PHONE: 4S4-e100 Address" BLO~i. TYPE WORK DESCRIPTION Block ' Sec/SubS . Res. `J New m Name , ' -ti r ~ 1 ~ • Mult Add-on a Address ~ ~ • -7 Comm. Repair c City Phone Other NO. FIXTURES TOTAL ~ Name ~ ~ " ~ Weter Closet - $3.00 ~ - c Addre$sr ELavatory Bath Tubs - $3.00 p City ~ Phon@ r - $3.00 - Shower - $3.00 FEES _TKitchen Sink - $3.00 ~ COMM/IND FEE - 1% OF CONTRACT FEE -~Urinal/Bidet -$3.00 MINIMUM - RESiDENTIAL FEE _ a10.0p ~-~undry Tray - a3.00 - MINIMUM - COMM/IND FEE _ 20,00 ; F~oor Drains - $1.50 Water Hester - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00 (ADD $.50 S/C IF PERMIT PRICE GOES _7Gas Piping OuUets - $1.50 BEYONO $1.000.00) SoRener - $5.00 weli - $10.00 ---,--Private oisP. - $10.00 Rough Openings - $1.50 31GNATURE OF PERMITTEE FEE ' 7STATE S/C: FOFt CITY OF EAGAN GRANO TOTAL: RESIDENTIAL ~ H`168N BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstructionReauirements RemodeUReoarReauirertimts - • 3 registered site surveys shcwirg sq. Rof bt sq. R W hause; and all roofed areas • 2 capies of plan (2096 macimum lotcoverage albxed) . 1 set af Energy Cakulations for heated additions • 2 copies d plan shoMrg beam 8 w(indow sizes; poured (ouM design, etc.) . 1 site survey fa exlerior additions & decks • 11 setofEnergyCalc~a6ons . 3 cepies of Tree Preservation Plan if tot ptatted after 719/93 . RimJoistDetailOptionsselectionsheet(bldgswith3alEss unit5) DATE -3/l rVALUATION (EXCLUDING LAND) I S S~~ GP~ .iJB SITE ADDRESS__~>Zp I ~OrK •7-vt,irn D~ ~ C~ V`2.'l ~ CL,i„~ IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ° v', vla~BrS TYPE OF WORK - u h~ FIREPLACE(S) _0 _1 _2 _3 APPLICANT PHONE # 7(~ 97?- ADDRESS Gt~r-Q SS~rj ZIPCODE PAGER# CELLPHONE# CslaL-6, Y /-o-7 FAX# _~e~- 337- 3 d NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhoctor: Phone Plumbing System Includes: _ vVater Softener _ L.ai+n Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanieal Controctor: Phone # blechanical System Licludes: _ :Air Condiboning Fee: $70.40 Heat Recovery System Sewer/Woter Contractor: Phone # ~ ~ . All above information must be submitted prior to processing of application. oOU I hereby acknowiedge that I have read this appiication, state ihat the information is cone and ogreemply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. y Signature of Appltcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 3830 Pilot Knob Ro dl P.O. Box 2G-A1 9, Eagan, MN 55121 N°- 12498 BU)LDINfi PERMIT PHONE: 454-8100 Receipt R p ~ Tobeuaedlor SF DWG/GAR Est.Value $64,000 Date AUGUST 25, 1986 SiteAddress 4201 YORKTOWN DR Erect Occupancy R3 ~.1 1 SUNSET 11TH Remodel ? Zonin pn Lot Block Sec/Sub. Repair ? Type of Const. jt.p Parcel No. Addition ? No. Stones a Name JOSEPH MILLER CONST Move ? Length 50 3 Address 1$133 CEDAR AVE SO Demolish ? Depth Int Impr. ? Sq. Ft. 0 Ciry FARMINGNAL 892-1010 Install ? i o Name Sp'ME Approvals Fees $Q Address Assessment Permit $ 325.0 ~ City Phone Water R Sew. Surcharge 32 . 0 ~ Q Police Plan Review 162 . 5 F w Name Fire SAC 5 7 5. 0 Address Eng. Water Conn. 500.0 a w Gry Phone Planner Water Meter 63 . 5 Council Road Unit 290.0 Iherebyacknowledgethatlhavereadthisapplicetionandstatethatthe gldg.Off. 8/19/$ Tr.PI. 156.0 informahon is correct and agree to comply with all applicable State of Minnesota Statutes antl "ry oi Sagan CYdr ees APC Parks Var. Date Copies 0 SignaNre of Permitlee Tolal A Building Permit is issued toOSEPH MILLER CONST on the ezpress condition that all work shall be done in accordan e with all applicab State of Mi esota tatutes and City of Eagan Ordinances. ~ ~ Building Onicial z-.,o , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15603 PH O N E: 454-8100 BUILDING PERMIT Receiptn 87384 Tobeusedfor DECK Est.Value $1,000 Date SEPT 14 ,1988 Site Atldress 4201 YORKTOWN DR OFFICE USE ONLY Lot 11 Block 1 Sec/SubSUNSET 11TH on Site Sewage - Occupancy . MWCCSystem _ Zoning ParcelNo. OnSiteWell _ (ACtuapConst z Name PATRICIA RUZICKA Cirywater _ (Allowable) w PRV Required # of Stories z Address 4201 YORKTOWN DR - o Booster Pump _ Lengih City EAGAN phone 681-9505 Depih ~ Name SAME S.F.TOtal .o ~ Q Address Footprint S.F. ~ City Phone qppROVALS FEES ~ En r./ASSess. Permrt 24.00 uw Name 9 ~Z Planner Surcharge .50 i -Address u= City Phone Council PlanReview 'w a BItlg.Olf SAC, Ciry 1 hereby acknowletlge Ihat I have reatl this apPlication antl state that the Variance SAC, MWCC inbrmaUOn is correct and agree to comply wilh all applicable State of Water Conn. Mmnesota Statutes antl C' o Ea9an OrdinanKc~j ~~y, ~-/-L - .J I.Lr~= Waler Meter Signature of Permittee Roatl Unit A Building Permit is issuetl to: PATRICIA_R((A_ Treatment P1 on the ecpress condrtion ihat allworkshall be tlone in accortlancewith all appticable State of Minnesota Statules and Ciry of Eagan Ortlinances Parks Building Olficial -fim.t1A~ np1t707AL 24.50 ~ This re4uest vaid ~}'.c rJ ~ 18 nwnths Irom , ?4173't- L Henuest Da1e ' Fire No. Rwph-in Insuectian 8 f Re wretl? ~Peatly Now ~W,II Nouty InsPeo ~7 Yes ?NO tor When Readv LicenseA Elecvicai Contractor I hereby reuuast insoeclion ot abova ? Owner electricol wark installeE et: Street Address, Boa or Houte No. City ~{a0/ fo .C~ w„ l~Yr ve-, - Ea 12 n ectron o. Township Namo or Na Nanee No. County L1u.,L'o`f Occapant (PflINT) Phone No. oe il~eY' Power Supplier Address & ~51ec- -~tirrn ) h ta dl El al Convactor ICompany Namel Conuar,mr's License No. Rdlavrd EleG40-1c._. 1610 -a- Mading AtlJress IConVactor or Owner Makine Instatlationl .;t~ !•u Go 'ecl 44- 84liry6v' l lc-- Au1hor¢ed Sipnature (C ract Ownm Making Inst(fllaLnn) Phon~ Number --G ~ya - 96 ~ r MINNESOTA STpTE BOAflD OF ELE IGITY TNIS INSPECTION NEOUEST WILL NOT Griaes-Mitlway Bltle. - Room N-79 BE ACCEPTED BY THE S7ATE BOAHD UNLESS PROPER INSPECTION FEE IS 1827Un,versityAve.,St.Paul,M 5104 Phone 16121 297-2111 ENCIOSED. NEQUEST FOR ELECTRICAL INSPECTIDN Soe insvumiens br comoIetinq thls brm on back oi vellow coov. .~jCf~ 7h fl 41~ 3 X-Below Work Covered by 7his Reg ~f~f AdJ Reo. rvoe ol emlaine aaolioncea wi.ee men~ wired nge y Service Home Ra Duplex Water Heater Fiztures Apt.'uwlAinc~ Dryei eatui Commercial Bldy. fumace ader Indus[rial Bldg. Air Conditioner Tenk F2roihe~ oeci v .r.ityl ~ ~r ucoi v ~ c~ omUute lnspeciion Fee Belaw p Fee Serv,ce EnbenceSixe n Fee Fexde,s/Sublexdels K Fne G,cuPts J'., pO 0 to 200 Am ps 0 to 30 qm s 1• c° 0 tn 30 Am ) Above 200 Amps 37 to 100 AmpS / . CD 31 to 100 Am s Swimming Pool Above 100-P,m s Above 100_Am)s Transrormers Irrigation BooMs .50 Pdrtia6'Other Fee_ 5ign5 Special Inspection $ ~ TOTAL F.EE Pertia rks ~ ~ n Rough-in ~~O 1. the Ele=tncaP ? ~ nspector. heraby ce tiiV thet the above -10 Findl e pec~ion M1as been ee. Thb mpuesl voltl 1B montha Irom , , ~ / ~ i . ~ / 1986 HOILDING PERlQT APPLICATZON - CITY OF EAGAN 90TB: ALL CANTRACIORS MQST BE LICE6SED iiIT9 T6E CITY OF E6G9N SIAGLE FAlQLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - RFSIDENTIAL RENTAL i1NITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVEY - CHECH iiITH BLDG. DEPT., 1 SET OF ENERGY-CALCULATIONS C019iERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~ 09 To Be Used For: Valuation:Date: / /-~C.~ Site Address ~~D~ 4'Y~• OPFICE USE ONLY Lot Block ~ Erect ~ Occupancy j Remodel Zoning 'PL-11 Parcel/Sub Repair _ Type of Const -UL Addition _ ll of Stories Owner Move _ Length Demolish _ Depth Address Int.Impr. _ Sq Ft Install City/Zip Code Phone APPROVAIS FEES Contractoro~0_,(f,~j Assessments Permit ~ (T Water/Sewer Surcharge lz7 ~ Address /8/33 C~ C1u<• s- Police Plan Review Fire SAC ~ 75 City/Zip Code Engr Water Conn' ~ Planner Water Meter Phone%-'~1607 $9A - /O~ ~ Council Road Unit ~9v Bldg Off Treatment P1 r Arch./Engr. APC Parks Varianee Copies Address TOTAL z d 6~G City/Zip Code Phone ll NOTE: ADDRESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOKNER HUST DESIGN9TE NHICH ADDRESS IS DESIRED. NO CH6NGFS WILL BE ALLOHED ONCE BOILDING PERMIY IS ISSQED. } X i8 =~U X S/~'= 39~ . z,o 37 . „ ~ TRI`-LAND C0. SITE PLAN FOR : SURVEYING SERVIC:ES JpSEPH MII.LER , , CONSTRUCTlON 4655 NICOLS ROAD J EAGAN, MINNESOTA 55122 : ~-..R..,.,..... ~ . ~ _ .:.a ~ . .j DIFFLEY R0/#Q . .i ~ s?.l~~-~ ~ . , o N 89050' 44" E Q . ~ yha' 65.00 y0- 'r i~eMat?rottY~ =,v ; , ~,,r; ¢I ~.Qr 11 ~ . U.~:•,x w . I . _ , .~3'~~~,... . , • .•rv ,y ,''*f~. a ,~;ti In I'~ . In ~ •~;~t~'{~ ~!i,.~: . ~M~-t 1 ~ tr O , QN . F~N ~ . ~ ,£E.a'~~; i, , ~ ~ . ~ • 7R, ~ i:,2~ - :..sr , ~ ,~..~c 5U p ~ ~ r~ : ~ " vs • ~ / . :'d•~~.fj.' . . .f,:~ . .y Iss.oo S 89048 24A W . YORKTOWN DRlyiE . - -----"•nr.**1. ,y~~?' . . "a~;~ PRQPERTY DESCRIPTION , . , , . LOT BLOCK - " ~ SUNSET .~I.gYgNTH- acorNno tp tlo ntardsd pbt tboyqf DAKOU,,, T, caUntx Minnesota LEG o DENOTES IRON MONUMENT PRQPOSEp (iIWAGE FLOOR ELZMATIOM¦~11~4+',1?.~ o DENOTES WOOD F~JB SET pRQPQ$ED FIRST FLOOR EL~',VAT)QN • G DENOTES EXISTINO SPOT P(~POSED BAS~MT FLOOR ~ • G ELEVATION g1,XyAT10N OENOTES PROPOSED SPOT DENOTES ELEVATIpN~T'~ pJpTE' VERIFY {IL,L FLOOR l11jIRHTB WITM FINAL HQNflL P(.ANS " I hre0y certitr tAot thts arwYl Plan a r~port wo~ p?~pand by ar or unda my diract wpKVbion and that I om a dulY Brodliy~ ~esan, Mn. Reo. No. IQ@3~' ~ Replste?ed Land Survhror u~ tM ; Lows of tM Stat~ of MUruwtn Datt ~ 7~2 8~~~ w~w ~ ~ ~ V ' CITY OF 13U1LDINO llF.Pl.H12-1t:VT . . ' L'XTERIOR ENVELOPE AVERACiE "U ll CAHPUTATION (7b be aubmiLted dth bulldiag permit apPlicstioa) Oae or Two Famlly Dwelling Oxaar All Other Site Addreae T , Contractor o~ YAUAE:2 t~OIJrr_ Dete Phoae $~'1dZ LINEAL FEET OF . ^ Q EXPOSED 17ALL _6~~ ~~Wop~' ~/~ET ft. abave grsda a ~7~/JS Oa TOTAL aX.°OSED WALL AR2A SQ. FT. 0?AQUE lv/tL CONSTRU:TIOI:: "U" Value x Area netgii FRA,,~E_ "uit .043 x s4. F2, 1470.Zo. 6_z1 (u)(a) reference /;ok/C, "U" .O7(A z Sq. F"f, f37•10=t,{e1(U)(p) from lout$ •1?40 x Sq. FT. 107,40= 9•S[ U) (A) . attached "U14 x SQ. FT. = U)(q) sheeta "Uto x SQ. FT. _ (U)(A) IIpII s SQ. FT. _ (II)(A) 'NI2tDp'xS: "U" Value x Area rsake & Type fnlSx._Cs~r x sQ. Fr. 1Z9,Q1D= S.&Q(u)(a) x SQ. FT. - (11)(A) ilIIff x 5@. FT. _ (U)(A) u n • irpn z SQ. F`r. _ (U)(A) DJORS: "U" Value x area :•late & Tyoe fa TL. oC.. uIIu z SQ. FT. .00 4 (Q)(A)• u u ~ a U u 113,Z4 =L4-(U ) (-k). ........c: ,a: ,__.s-.._ w.n...,..._. npu x S@. FT. _ (Q)(A) n o _ npu x SQ. FT. - (Q) (4) ToTar,s /SjaS.oo sQ. r2. I6(a.44 (u)(a) AVERA4E "U" 'IOTAL (U)(A) VALUES DIVIDED BY TOTAL 1'lALL ARFJ1 ~~jgS.00 ~ AVt:RAGE IIU~l e5 r leea for 1&2 tamlly dwellinge ROOF/CEILINU: TOTAL AREA: ~IS4 Detail reference IVUlt -OL/ x SQ. FT. 9Sg = ZO.dS(U)(p) from olUff x SQ. FT. (U)(A) attached aheete. "Uto 7c SQ. FT. . (U)(A) Daecribe onenlage ff0lt z SQ. FT. e (D)(A) ln raof. s SQ. FT. _ (II)(A) ToTAL (U)(A) VALUES DSVIDED BY 20~03 a ~~AL17 95-~,fr 711.03CVpd> C^ TO: AL ROO?/CEII.Ii70 AHEA AV2:RqGE "Use e for ventllc.ted roote. . ~ .,Detarmlalag 4-Ul' veluee at Roof. Nall, Rim. ead Coae. Block RoOF/CEII,INa (R) VALQE S t.) Iaterior Air r'ilm 0.61 Z.) 5/81o ayp. sa. .56 3.) Ineulntlon 44,00 4.1 5.) Exterlor Air Film .61 ( STII.L ) 4/2\ ~~0~~ a 1IRa i'OTAl. (FZ)= 7S7g WALL (R) VALU £ £ 9 6.) Intarior Alr Film 0,6$ 7.) ayp. sa. .45 s.) Ineulation 19.00 9•) L51''d`Lr $vlc7-~rTE 2•0¢ 10.) Masonite Slding 6~ ~p 11.) Exterior Alr Fllo .17 11 ,fUll = i/R= , 043 ToTa.i, ca)= Z3.o/ - ~ - RIH (R) VALUE j3 12.) Interior Air Yilm 0.68 (0 , , . • . ' 13.)'Inaulation 19140_. . , 14 iy.) 2" Flr Rim'Joiat 1.88 15 15.) ZS/-iL" Dour- irE Z.O¢ 16.) Maeonite Sidng .67 17.) Exterior A1r Fllm .17 . o . . . ~lUll ~ 1/R= TOTAL (R)= x~j po ~ FOUNDATION (R) VALD~ 18.) Interior Air Film 0,6$ ~g 19.) 21 ' zo. ) K-il fieF~ ~x~SS ll•oo n g°' • 9 21.) 12" Concrete Block 1.28 ' ? ~ 22.) zj 'n 23.) Exteriar Alr Fllm .17 e 11`R~ pJ(p MTAL (R)=13.~~ ~ ~i~v E~D 1.JAcL f¢.SoX (27fZ9+ 36 t3G~ ° 1885•a~-~ C'o.uc. .lv)~C ~Z9~-z9t 3(ot3lv~ = 87. ID~' • 83 X ~ZYtZ9t~3~36~ - I0~- 90 W~r~.DowS IlnX7--~o= ~}.o_ X~~= l~O.aa 7oY3fo= S.o- x G= 30•00 Z4Xiv= (v,o X 9 = L~l,oo La x48 = 61,7 x 4= z(a,so L9x48a 8.o x 4= 3L.cy-? IZS, So ~ 3" 5TL- ~s.C - 28.00 Z¢5T[. 21.00 ~lr EVL~ w4u- Et? s C~5 cJwL ~gss.oo s~id = 90 GESS ~v~ 87./0 9~"0Q~ ii ~n /07•90 w.bwS Czg, ~o - 4!1. go 'i Lboe'S 4/, oo 1,47o zok 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS Jje ~ O3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS !i OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRJCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: 1-~Z Site Address H?OI OFFICE USE ONLY Lot _lu_ Block _L On site sewage_ Occupancy J MWCC system Zoning Parcel/Sub i A 1 S-l' f~ ~eV ~ On site well Actual Const City water Allowable Owner C~a VN x 7\c-, PRV required _ 1F of stories Booster Pump Length AddressH7nI~/~K~ xYl n'r Depth S.F. Total City/Zip Code Z Footprint S.F. Phone C 5i~ APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge Address SG-r.•.,Q Council Plan Review Eldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone - Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address - Copies I TOTAL City/Zip Code ` Phone !i - ' ~ C I T Y O F E A A N ~F~ .~ME NMOF * ,*t APPROVAL OF PEOIIT. * C APPLICATION FOR PERMIT * * ~ ; . • INSPDCfION oF SEF]FR ArID/OR FATER y*, 221SPAT.TATTOIV$ WbL NoP $E $(~ja>- • SEWER AND/OR WATER CONNECTION *MM UNTIL PMbnT HAS BEEN * . . ; ArrROVm. • * . . * * * * P ease Prin~ 1) PROPERTY ADDRESS: LEGAI, DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) g' EXI6TING SlRC'CIL'RE, DATE OF ORZGINAL BLILDING PERMLT ISSCRNCE: ~ PRFSEDlP 7ANING/PROPOSID CSE: _ (N7on Year} . Q COt"Y`'IERCZAL/REI'AIL/OFFICE ~ R-1 SINGLE FAMILY . ~ INIDCSTRIAL Q R-2 DL'PLEX (7t.A Cfiits) n INSTI'IL'T'IONAL/GOVF.RDAg,'NT ~ R-3 MWNHOLSE (Three + Units ) ( C~nits ) ~ R-4 APARTTgSPI'/COPIDOMINIC'M Units) ~ NF1ME: ADDRFSS: (1~ CITY. STATE, ZIP: Q • -77 PHONE: U p • 3) • u~: NAhE. For City Use . ~ Plumbers License: ADDRFSS: .7 -f Active ~ CITSt. STATE, 2IP: ExPired /~7 1 YS~ Not recorded PHONE:_Q ? Gi _ O~'i C/ r, M4STEFt LICENSE# 'j Sa c) r7 e- St In1t1a1 4) • . i~- NAME: _ ADDRESS: , . CZTY, STATE, 2IP: PHONE: • 5) ' 1.~ v ~ a• ~ • oi o~ y- -yYai . CONNEC.`rION 'IO CITY SEWF]t ~ CpN[VEKZION ZU CITY WATER ~ p'1'FM . 7- 6) PIEASE HOLD APPROVFD PERMZT FC)R PICK-UP BY ONE OF P.BOVE PLEASE MAIL APPROVED PERMIT 1O 1, 2, 3, q, pWVE : (Circle one) 7) In . • a7: 6 ~ : &:r a • n - r •~r ~ rr~ Y]1• ]I•1 IU • •:A• • J• Y a 1' ffmb 1 ,`r. •~I• I:n II : M•I.•.f1D~ 1 ' 1 I : :n: ~ •1' 1 11 Y' . M. . . FOR CITY USE ONLY PERMIT # ISSCED . 7% Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLCDE SC'RCHARGE) $ $ ' SWATER PERMIT (INCLUDE SORCHARGE) $ S~$ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) - $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER S $ WAC $ J JS < < $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEL9ER ASSESSMENT $ $ ` LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFZT/TRUNK WATER $ IS c $ WATER TREATMENT PLANT SURCHARGE $ $ ' OTHER: S~a $ G TOTAL ~.S'r°z / 71y~1 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PI]BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MC'ST BE ISSUED SY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: f1 - ' ' • > % TITLE: . DATE: 4 -70s;~o 2006 RE.SIDENTIEII. BUII.DING PERMIT APPLICATION City OtEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reouiremen5 Office Use Onlv 3 registered site surveys showmg sq. ft of lot, sq. fl of house; and all roofed areas 2 copies of plan showinq tootinqs, beams, jdsts Cert of Survey Reod Y'_ N (20 % maximum lot coverage allowed) 1 set of Energy Calwlations for heated additions ~Trce P2s Plan Recd _Y _N. 2 copies of plan showing beam 8 window sizes; poured found design, elc 1 ata survey fw adddions & decks Trce Pres RequireA Y N 1 sel of Energy Calala6ons Addfifion - indicate i/ on-site septic system Oo-sle Septic System Y_ N 3 copies ol Tree Preservation Plan if bt platted after 711FJ3 Rim Joist Delail Options selection sheet (buldngs wth 3 or less uni5) Minnegasw mechanical ventilation form Date V ConstructionCost NA twV Site Address 4ao~ 1~C ^~aW'n O r UniUSte # Description of Work Mul[i-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2 Proper[yOwner Telephone#(~os~ ) 4 cJ9 "30as Contrector naares5 city State Zip Telephone #(~1) cJ~ J~v ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy COde Category . Resitlential Ventilahon Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submittetl • Energy Envelope Calculations Submiried In ihe last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contracior Telephone ) Sewer/WaterContractor Telephone#( ) 1 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; 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit tha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applica ' Signature ~ . ._.._,...,.~...,,~,......~.,....~....v,...._ s ~ , e r T~ v~: € v.aw. , s 4 .J ~ w.m.n_ . - S.. t ~ ~((i f ~ „ ~ 1 ~ ~ ~ ~ ~ ~ i i f 3 ~ ~ 1 , ~ ~ ~ : , ; I ~ - 1 ; ; i { , ~ _ ~ ~ ~ ~ ~ , ~ a ~ ~ ~'t~ ~ ~ ' , ; ~ w~, ; ? ``r ~ ' ~.~,...~~...~~.,~.N~.p..~.A.~.~...~ ab~~,~~~...~.~...~..Y.r.~.~_ o~.~~.~~_..~ ~ ~ # .,g i # ~ ; i ~ I ~ '~4\. ~ ) t ~ ~ ~ 't f , i ~ ~ { , , , ; i~ ' ' ~ ~ ~ ~ i~ ~ a ..w.~ ~.l..~._ ~ ~.~,.._.r.~~...~...,~~..,._~. ~ ~ ~f ~ _ ~ ~ =f ~ ~ ; ~ ~ ~ ; i ; ~ : ~ , ; s~~~~ , t ~ . . ` ~ r ~ ~ ~ f 4 ~ ~ i ~ ~ _ . . _ ~ = ~ j = ~ ~ ~ ~~°.g l . . ~ ~ . ~ ~~m ; I ~ , ~ : ~ ~ ~ p ~ ~ f , i ~ ! ~ € ~ ~ # . . . . . . . ~ 1 s y ~ s ~ ~ ; ~ ,~,~-........~,~.~.u..~.. . j _ ~ ~ . ? ~ . ~ ? ~ i ~ i ' j~ j ~ ~ ~ ~ _ ~ ~ ~ i ~ ~ y~: ~ ~ d aq ~ ~ ~,%`~~,n^~."'""~ ~ ~ . ~ Y . ..«.w......~..W..a $ B n j `E ~ ; e.~..~s~ ~ # . ~ 5 ~ ~ k ; ~ n ~ ~ ~ ~ ~ k ~ t ~ ' ~ ~ ! y'~r ) ~ ~9 Si ~ ~ r~:r ~ i I ;~4 ~ ~ ~ - ~ ~ ~.....m~ ~~~~t.p _ . _ PERMIT City of Eagan Permit Type:Building Permit Number:EA118568 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 4201 Yorktown Dr Lot:11 Block: 1 Addition: Sunset 11th PID:10-72997-01-110 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Jason A Wicklund 4201 Yorktown Dr Eagan MN 55123 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119328 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 4201 Yorktown Dr Lot:11 Block: 1 Addition: Sunset 11th PID:10-72997-01-110 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:pressure reducing valve Josh Mcguire 1424 3rd St N Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason A Wicklund 4201 Yorktown Dr Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156952 Date Issued:07/26/2019 Permit Category:ePermit Site Address: 4201 Yorktown Dr Lot:11 Block: 1 Addition: Sunset 11th PID:10-72997-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua D Countryman 4201 Yorktown Dr Eagan MN 55123 (612) 387-1269 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165082 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 4201 Yorktown Dr Lot:11 Block: 1 Addition: Sunset 11th PID:10-72997-01-110 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Joshua D & Amy M Countryman 4201 Yorktown Dr Eagan MN 55123 (612) 387-1269 Elite Restoration Pro 1120 E 80th St, Suite 201 Bloomington MN 55420 (952) 322-7773 Applicant/Permitee: Signature Issued By: Signature