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4213 Yorktown DrC!tyofEaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: df Date Received: 1 I' 3 - -- Staff: Staff: 2cri 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Site Address: qc3 f> `-tum (-rc7 Suite #: RESIDENT /OWNER Name: ✓R -1?-1-P4iNj Phone: I ' 6k 1 —1C/CQ Address / City / Zip: qa 13 '1012_,0i, i r`j r'\ Applicant is: Owner Contractor TYPE OF WORK Description of work: I E1 C"� OFP- 1;' O tt' Construction Cost: C>(%(?i.% , 00 Multi -Family Building: (Yes / No ) CONTRACTOR Name: (Hl (2OO & ,:c License #:04..„-s 41"7 Address: 7( O 1 Y sT F cwii i i O City: IPec- i1 State: Zip: a i i Phone: c) - U 47. t Z 7? - Contact s I C,NcS, L(ry L 5 Email: Cafl`3 f-CIAY C l@ itorkiN(...scovil COMPLETE In the last 12 months, has Yes 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: _No 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name x Applicant's S nat re Page 1 of 3 CITY OF EA(iAN wATFA SERVICE PERMIT 3830.00o;14ab Road P. Q. %x 21199 PERMIT NO.: -gpeo, MN 55121 p^TE: . ZO^i^o' - No. of Units: 1 OMRNr. 3 t ~1111c.'.I COli b t. Addrasf: Stte Addnm 4213 Yorktovn '1r v^ T :;unset 11 t~! pluw"r t? il tn er ?lumb Moor No.: .~7~.~0~ o~ S~ ~~~y 5^,:. 0 J p d sim: % e o 15.00. a rijum No.: E t L~ 10. 00d I h..o.~, ,.il.,V ci~E~IRE~ • sop`~ Tof AAlsc. Chorp~s: 15~ Totol: ~3.5i)p-' rieLcz Dah Paid: p.: Irap.: CITY OF EAGAN WATER SERVICE PERMIZ 3830 Pitot Knob Rosd P. O. Box 24199 PERMfT NO.: Espsn, MN 55121 D^TE: ..r Z°"hv' - No. of UnIts: - OwrNr, - r ; t.:. llddrom Site llddnas: t • , ~ , - y , : Plun*er. - Mehr No.: CAnnwnon Charge: Size: No.. ~Aa°"^t D°posit: Reader 1 NpN h- pbr wMh tM Gy of Eown Sureho?pr _ -?C'P~ •j Q~s 8-sm AMx, Choms; i 5E , Ot)c Totol: ey oar. veia: j oaft of Irxp.: trap,: CfTY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pERMIT NO.: 9031 P. O. Box 21199 9-10--8b Eagan, MN 55121 ~irig: R1 NO. of Units: ' Owror: 3oe Miller Const. llddross: ~ ~ B1 St,nset l~.th - ~ti 4t13 orktuwn Drive ~iumber. '3iltner Plumbin 7.. 15.. r> 6471f, 1~?~ . OQ~!? v46 lio CMf of MNO ConnKtlon GweW 47 S.0')vc3 ~ I I Aocaunt Depodt: 4~Jad Pemnlt FM: I0. oJt.I , Surd,ao: gY Misc. Choro" Doh of Inip.: Towl: Insp.: DoM PoW: ~ - ~ CASH RECEIPT ~ , CITY QF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 QATE 19 , RlCCI V [D FROM ~ C~ \ ~~?""YY'.~.f'~ ~ . F AMOUNT $ .2~ ~Lk DOLLARS ioe ? CASH ~ CHEGK .oR ~ ~ FVHG COD6 pMOUNT z5 a~U UJ 2,0 7/ 7~ o v 7 ~3 ~a 60 Thank You B Y_ 66368 ~ . White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 12273 •3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Nd % PHONE: 454-8100 BUILDING PERMIT Rece;pt # To be w*d for SF DWG/GAR Est. Value $ 65 P000 Date JULY 14 19 $6 SiteAddress 4213 YORKTOWN DR Erect CN Occupancy R3 Lot 13 Block 1 Sec/Sub. SUNSET 11TH Remodel ? Ioning PD Parcel No. Repair ? Type ot Const VA Addition ? No. Stories ~ Name JOSEPH MILLER CONST Move ? Length 52 = Demolish ? DepM `d o l+ddress 18133 CEDAR AVE SO Int. Impr. ? Sq. Ft ~ city FAl2MINGWA 431-2001 Install 0 _ ~ Name S~E Approvals ~ ~ a Address Assessment Permit ' o ~ Ciry Phone Water 8 Sew. Surcharge 32'30 Police Plan Review~'~0 , Name Fire SAC 500 n Address , Q 0 Eng. Water Conn. 15 City Phone Planner Water Meter~ 0 I hereby acknowledge that I have read this application and state that the Council Road Unft Bldg. Off, 7 4 Tr. PI. 0 information is correct and agree to comply wi(h all applicable State of Minnesata Statutes and Ciry oi Eagan Ordjnances. , APC Parks Signature of Permltte8 444 Var. Date Copie Tota' ~ 0.00 A Building Permit is issued to: J. EPH D4ILLER CONiST on the express condition that ~ all work shall be done in accordance with all applicab?e State of Minnesota Statutea and Ciry of Eagan Ordinances. Building Official . R- ' Pomlt Na PomN Mo1dN DsN TMplan~ N Plumbiny 75 H.Y.A.t. ~I `t~ D ~F~ O Ip ElecMt Solhnw ImpeeUon DoM Irup. Conwrma FooUngal Footings II Foundalbn Fnminp 1 ltJ RooHny Rou9h Plbp. b Rough F1W Insul. Finpbc~ Flnal H1y. ~ FMaI Plby. !{tlp. FInM CKt. Occ. D'eck Fty. p*ck Frmp. DMe~lb~ LocaYolK w.li n?. oP. . s . YM . . ' . i. ' , ~ , - • ~ PERMIT MECHANICAL PERMR RECEIPT # CITY OF EAGIIN 3630 P1LOT KNOB ROAD, EACiAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 7 , PE WORK DESCRIPTION LotBlxk ~ Sec/Sub ; n ii ~ L ~d'Otl New Name M Addr ~ c Ciy es.r r'~ J Phon ~'C Comm. Repalr _ Otfier Name FEES c Addrees C C RES: HVAC 0-100 M BTU - $24.U0 p Ciy Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK , ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - Fvrced Afr M BTU COMM/IND FEE - 196 OF CONTFiACT FEE 1,50 Eq, 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 (ADO $.50 S/C IF PERMIT PRICE GOES Vertt. CFM BEYOND $1.000.00) , Gas Piping Oudets M Other FEE ~ , ---c.~- - - - ! s/C. , _A SIGNATURE OF PERMITTEE TOTAL• J ~ ' FOR: CITY OF EAGAN ' PERMIT # PLUMBING PERMR RECEIPT # f ' CITY OF EAtiAN ,330 PILOT KNOB ROAD, EAGAN, MN lf,i' 1Zt DATE CONTRACT PRICE PHONE 4544100 Sfte Addresa BLD(i. TYPE WORK DESCRIPTION Lot Btxk Sec/Sub ' Res. ~ `f New . m Name ' " ' Mult Add-on ~ Address Comm. Repair c City Phorle r Other NO. FlXTURES TQTAL ~ Name ' Water Closet - $3.00 s 3 Address ' Bath Tubs - $3.00 ~ p City Phone. ^ Lavatory - $3.00 Shower - $3.00 ' Kftchen Sink - a3.00 FEES Urinai/Bidet - $3.40 COMM/IND FEE - 1% OF CONTRACT FEE ' Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE - $10.00 ~-Floor Qrains -$1.50 ' MINIMUM - COMM/IND FEE -20•00 =yyater Heater - $1.50 STATE SURCHARGE PER PERMfT - .50 Whih~l (ADD $.50 S/C IF PERMIT PRICE GOES ~Gas Piping OuUets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 - Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN ORANO TOTAI• 'j ~ INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ; Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ , . ~ ; r Ir~1~W i~t• ~.~,1 ~ ~ ,Enrnl •tit; . ~ 1 f t . ~ ~ . ~ { r PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . I f- ~ ~J PKmR No. Pwmh Molde? DaLs TiMphons M S/1N PLUMBING HVAC ELECTRIC I EIECTAIC I hnpwtion Dsw 1mp. ComrnN+b I Foofinge I Foundebon Framing Roolli^9 Ragh PIb9. Rmo Hi9• ' ISUI. ~ Fi"epkace 'b~Z qt/ l~fit, I'VI12-l9q Fnal Htg. , Orsat Test I Fne1 Plbg. PR1g. {nspector - Notify Plumber C,ofot. Meter EnyrJPla^ Bldg. Final Deck Ftg. peck Fuiel weli Pr. Disp. RESIDENTIAL q BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 651-6814675 !Nw Conpmction Rwuinrtwnb RxnodNfRewir Rwu4ements • 3 req'stered eNe surveye showirg sq. R d Id, eq. R of hoiee; and i roofed areas • 2 copies of plan (ZO% maxmum lot ooverage alowad) . 1 sel of Eneryy Calwlal'ans tor heafed aQd'ibns • 2copiesofpansMwingbeam3windows¢es;pouredtounddesign,etc.) . isKesurveyfaexterioradditions&decks • 1 sef W Enn9Y Cakdalbns • IMir,ale H homa served by seWic syslem for addflbns • 3 wpies d Tree Preaervation Plan if bt qaNed aller 71193 • Rin Jaist Detal Optlore seledion shaet (bldgs with 3 or lass units) DATE ~b (e) ( VALUATION ~ U v(lU. ~ JOB SITE ADDRESS ~I~(3 ~07,fn ~d7,cJ~'l 44. IF MULfl-FAMILY BUILDI G, HOW MANY UNITS? PROPERTY OWNER _a~ TYPE OF WORK 0 * FIREPLACE(S) _ 0_ 1_ 2 APPUCANT PHONE#76 3- 40-12607) ADDRESS 0?57Ro ZIP CODE 55-10' PAGER # CELL PHONE #FAX # 763- ~~-2dU3 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Eneryy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential Venlilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Coniractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contraetor. Phon Mechanical System Includes: Air Conditioning Vee: $701' Heat Recovery System I f~ j~ tl J~,~d Sewer/Water Contractor. Phon ~k L By------- All above information must be submitled prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wilh all applicable State of Minnesota Statutes and City of Eagan Or ' ances. Sl9nature of Applicanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated tro1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 1227 1 3 BUILDING PERMIT PHONE: 454-8100 Receipt n [//7 `~~/7/ ~ 7o be used lor SF DWG/GAR Est. Value $ 65 F000 Date JULY 14 ,1986 SiteAddress 4213 YORKTOWN DR Erect C~ Occupancy R3 Lot 13 Block 1 Sec/Sub. SUNSET 11TH Remodel ? Zoning pn Repair ? Type o1 Const._yFI- Parcel No. Addition ? No. Stories = nlame JOSEPH MILLER CONST Move ? Length SZ 3 nddress 18133 CEDAR AVE SO Demolish ? Depth Int, ° CityFARMING'$QJ}(e 431-2001 InstallPr. ? ? Sq.Ft a Approvals Feea o Name SAME o¢ nddress Assessment Permit $ 328.00 ~ Ciry Phone Water & Sew. Surcharge 32.50 Police PlanReview 164.00 Fw Name Fire SAC 575.00 = x Address Water Conn. 500. 00 c~ Eng. aw City Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bidg.off.7/14/86 Tr.PI. 156.00 intormation is correct and agree to comply w~h all applicable State ot , Minnesota StaWtes an ity of Eagan p6nces. APC Parks Var. Date Copies SignatureotPermitt Total $2.109.00 J SEPH MILLER CONST A Building Permit is issued toon the express condition that all work shall be done in accordan9 with all applica e State of Miqnenta,Statutes and Ciry ol Ea9an Ordinances. Building Official ThiS reouest vottl 18 months Irom C 16888 fl que~t Uate~ Ffre No. Fouph-in Insuer.t'on Requrtetlt ~Reatly Nuw IN Will Nnufy InsPec- Y ln- la-g~ ~Yes ?NU ~~..~tar When Reatly G3-1-1censed ElecUical Convactor I heraby raquest inspaction ot eEOVa ? Owner electncal work inslallad ec Street Address. Box or Houte No. Cnv L-I 1 6E5AG K--') ecLOn o. Township Nmne or No. RanBe No. Coonry OccoGant(PRINT) Phone Nn. T045- ~ L co r.~sT L4 31 aco ~ Power Supplier Address i 43 ) Tr sT sL10 Elecincal Con(ractor ICOmpany Nemel Convac1oi's Lmense No. Y"l IpLAA03 ELFLT. ZIl(~10-Z Mailin9 !+tlJress ICmvac[or or Owner Makine Instatlalionl 13cP7 (3,E;RR R)D66 ,POA4 Au[hor ed Sie~atwe ( nlractodOwner MakinB Installation) Phone Numbei ~,l~-~Co 2U MINNESOTA STATE BOAPD OF E TNICITY THIS INSPECTION flEQUEST WILI NOT Griggs-Midway RIdB. - poom N-191 BE ACGEPTED BV THE STpTE BOAND 1821 Universitv Ave., $t. Paul, MN 55104 UNLE55 PROVER INSVECTION FEE IS e.--- 1c111 oov o'll ENCLOSED. a~- 6f," , See mstructions lor comole~ine this•lorm'on pack ol yellow coDV. M88 8 '"X" Below Work Covered by 7his Requesl NiwAAddj&jjjFj TyOe ol 6uildin0 APOhancea Wirod Equiyment Wued Home Range Temporary Service Duplex Water H¢ater Liyhtiny Fixtuies Apt. Bwlding x Dry¢i Elettric HeaUn Cominercial Bldy. Fumace Silo Unloader. InAustrial Bldg. Air Condrtioner Bulk Milk Tank Farm oenrr neci v Otne,ISnecitvl u e uen y Othei Ot hcr ompute Inspection fee Below N Fae ServiceEnlmnca5iz¢ H Fea faxdees/Subieatlers N Fox Circuos 0 to 200 qm s 0 to 30 Am s 760 0 tn 30 Am s A6ove 240 qiiipy 31 to 100 Amps ve 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transrormers Irrigation Boonns 47e,) PartiaLbther Fee Signs Speciallnspection Aem~rks ri0 TOTAL ~ i Rough-m D: e , I, the E Insoecloq heroby cartily that the abpve Final alk~ Dnte inypection has been , '7iNj rtatle. I lrTis repuast vola 1B monlM Irom , l ~ ~ I • . ~ 1986 BIIII.DING PE[tlIIT APPLICATIOH - CITY OF EAG9N NOrE: 9LL CONTRACTORS MOST BE LICENSED iiITH THE CITY OF EAG9N SffiGLE F6MILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DAELLINGS - HESIDENTIAL RENTAL DNITS F09 SALB ONZTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BO To 8e Used Fo : Valuation:- Date: 11-0 n "7" '~Cv Site Address ( OFFICE OSE ONLY Lot 13 Block ~ Erect ~ Occupancy ~ Remodel Zoning ~ Pareel/Sub Repair _ Type of Const -:Z-A./ Addition ff of Stories Owner Move ~ Length ~ T" Demolish Depth Address Int.Impr. Sq Ft Install City/21p Code Phone 9PPROVALS FEFS Contractor Assessments Permit Water/Sewer Surcharge L7'N 6 Address tL~~~ bli6Jj 0 AV ":3 - Police Plan Review Fire SAC City/Zip Code p7LiJL(YL{J~1Q_rUl ~ s~o~ Engr Water Conn /I Planner Water Meter Phone pZdc I Council Road Unit 090 Bldg Off~~_ Treatment Pl !S(o Arch./Engr. APC Parks Variance Copies Address iOTAL City/Zip Code Phone Jl NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOi1NER MDST DESIGN9YS WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE AId,pAED ONCE BIIILDING PERMIT IS ISSOED. - > 00 TRI-LAND C0. SURVEYING SITE PLAN FOR: SERVICES 4655 NICOLS RoAO ~ JOSEPH MI LLE R CONST. EAGAN, MINNESOTA 55122 N 89°50' 44" E ~ 185. 50 n~l~~Y~c[ ? V.~~rtY QwsEk~ _ . a Ir LOT I 3 ~ ' ~ I; I~ 1 ~ ~ P sg90~ \ o I ~ . 2 C~ ' O - t i.~.. .T~, • , \ L ~~~0 w~ 1 / po*, 0 PROPERTY DESCRIPTION LOT , BLOCK SJNSET EI.EVENTH ADDITION aeeorcgn4 to fM ftl¢oMYQ Plof fMnqf ~MCSITA? • . ^~`irs'1'~'tt~ro:`; ~i~ . . Yy . ~ . . . . . ~j ~.R . ~j.,i~' . :,.z•~:iy:,7:;h:S+,U:,.: . , t,v~.f:!.. 'S~..h... , r • r. ' ~ i' , t.~, . ~ : ~ ' a'`,'~ . A'~ t ~~i.?,j .i~~•~~~i ~ . '~ii: ',(;f,.;1~~,t,~' • ~ MYY~S`a"~~'h1 •.NsS . ~`p. . _ . ~ t ir~.r.1 .t~°~~.. = ~.~L. '.X"--,~'i~. . ;~~~.'';~'i•~' ~ :n 'r ~lj~<j.t(t,Y.::ir,.ayi~~~ ~ ~ ''~~i:r'~. . ':w:.i, ~ • p::r':+G~"%b'~`*.`;yK!f•.;`rr:~o•^,Tl,'~?`~:' '1' m.z ~~~ii~!'cf!' ....Y..~~i ¢ ~~~~~F~~n . , . , ~'ry,~t 'y• ^ j~. ..j r, C t ~ ~ 1• } 4 ¢ ,P,G',~.,~. t:~}~,~.'u,1 : R~• i ' . ~ ,,,.~c~'air.t'i`, ~-~~4 rsf••.•,c. ,+.'la i. i"t..@~C1.,.'l2.rK~~'~ ,~'~''N'.'d y'?~~ ' ' ~ '~6',M.'ti r - ;fi..;. I'~f~p•". . .:.ve ~iv.~.~; ' ~,r' !.f': . . n°i ' '.`S~'~r. i•i., , " ~.4~ -`{~'i^'~'~ - ii.' ';'A S "s~~' _ ..F...1~ "..5i.,:.:.~;i~.;».-~ :Y ~/•.;".d...,c t F ~ e'd • i k:;i~f~'~: ~ .~::4.~;!~ ~s.:, . ~A ~~1 '{~,.~'">~•..'1,..•; ~ti ' `t: r,d~ ~ ::r , 'r:~~,,i,~'„'y't! t ' ~9lI;IMId. + L~s~ ~ W {n~ ~."j~[~ i~r~ ~ .i~`.; iri,i,•,n~; . . . , . e ~ i.•~ 1.h. : ! ' . . '.::'1'~~15. n~.4. P•t~' a" s: "1 ~.+~.~•f' :F t ~ ~!:a l~.r~+`a... : y.:\S: . ..r p < ~AlL~: ' .,1 rI . ~ ,t'.E~'~,.: •e,..i?~~' : `C`,~'r„1~'r.~^ ~y~.'•.' ~h,-'.'"•...y~;' '..Lly.'~'~!: ..i.,y~.i~:. ra :i}i~1' . t...?'~'`,%iI:Z~FF.` .r; . .~~'.t•::u~r_. iF'li .t:?Ri.~.~ ~1~;~;7;.,ij4;••s.t, : ~'~a.:.y • ` ~ ' , • /L4VL/IIVI~ ' BASED ON CNAPTER ~ GP THE MODTr . ERGY i:0DE - 19 EDiTLON 2 , ...-o AdupGiun EffctClvr. !/1/84 )wne r Phone ;ite Address , :ontr3Ctor , ~JI _ ~i• C(~1V • ?hone Suilding Llassification: 7ype A1 (Singie family S 0up1ex)_,z__7ype A2 (Residential (3 stories ar ess (Other) (Over 3 stor{es) i"cNERAL INFORMATION l. 8uilding Perimeter ft. Wall height (ground to eave) 15,04 ft. 2 3. 1. x 2. (above) gross wall ft: oui ioing dimensions (L)~79.F, //Ine(G~,yfc (N) ft.Z roof 3 flaor area i. Square fcat area of rim Joist - Floor jois: si:e (2 x/.~? 1l~? x Perimeter.~ Rim joist area ¦~_ft2 4.3 Doars - area S ~ ' ' Thic ness n~~ctor ~ 1y , 743 ype of Lonstruct on Perimeter --ft, - -Mamifacturer 7 . , . _ - . - . c ,u~-_ ne•°srn~+r., . ,Total,door's perimeter`. 8. Windows: Manufacturer 6S1U State approved U factor , 5Z TYPE SIZE AR£A (FC.2) "IUMBER OF TOiAL fE:T Z EACH UNITS 9. TotaT ft.z Glass 101- Fireplace area: Width x heiaht ¦ ;c ~ - Ft.2 11. Exposed foundation: Height x Perimeter -71 x_l4_Zi : ~b Z Ft.2 ')PIPLETION Of THIS FORM IS R:QUIRED FOR ALL t1EN COtISTRUCTI0-1. M.9JOR REMOO:LING AM1O BU[IOfNGS BEING 43V:D WyERE EAERGY, OTHER THAY TNE MINIMAL CODE ALLO:•IAHCE, IS 11SE0. _ ~y~~~a wati aree. 13. Gross wa]1 area_ ZDOfj ft.2 ~ Window area A ft.2 U windows U x A¦ ~(p! ; Rtm Joist area A ft.2 U rim Jo1st ¦ e b U x A¦ 4.8 f ~ Door rea A Z ; ~ - 5 ft. u door area • .14 U x A•_~ i trep}aoce area A ~ Z ft.2 F U flreplace U x A¦-~~ Exposed foundation A /D Z ft.2 U foundatian ¦ b U x A¦_ 7, ~5 Framing area A 7 D/ r,L ft.2 U framing area 09 U x A•~ ~ Net wall area A f 3'yC~ ft, U wall ,Dq°j U x A¦44 (138) T07A1 . . . . . . . . . . U x A 14. Gross wali area x 0.11 (A-1 single family 3 duplex • allowable U x A/Code ()3. above) x 0.23 A-2 other resldentlal) x .23 ~Other buildings) ~ x .28'(Over 3 stories) q Za~ BTUH Must be larger th - ~i x U ~de_ ¦ 0,~~. 138-above---- I5. - teittng ar,~f "ming area (Af) equals lOS-of ceiling area or the same as) ISA. Gross ce111ng area ~(L) ~jj,f f,uoO~ T (y) /OZ7 ft.2 158 JoisL area (Af) ¦ 10: ceiltng area -_p 3 • ft.2 ~ I5C Net cei].1 cea „ 2,.. c,_.,a n9 a (Ac)-'(15A•- 156)'`6I qM ft. U ceiling x A c¦ , bZZ x-_2L4_ , 70.3Z U framing x A f- .0Z'42 x /~j?j • Z. 37 150. T07AL U x A Z,lo 16. Ceiling area (15A) x 0.026 (A-1 single family S duplex - code allowable U x A . x 0.033 (A-2 other residential) x 0.06 (ather) ' A(15A) 8a11H Must be larger than 150 (above) X lL1SQdel= 7r(o.7D F (ar the same as ) . oz cv NOTE: Use U and A values abtained from nps 1, 3 and 4. ' ~ 3 ~ C • ~ a s 4 e e° e . . a ~ ~ 0 u 4,14 3 1 ~ Z t : Hill ~ - 4 ~ i ~ ~ u n Zilz s u . . _ - - - - . _ _.u . - - - - - - - - p I7 1" It n 20 . . ~ . ~ _ ~ " _ _ ' _ _ _ 1• ` : ' ~ i( . ~ il: w. -r•r:-.:n•„f ; - - 2 7: !7 2 b 2: _4 O i, Z :9 . 34 it 31 • 3, u 3- u 34 34 3s - 3s u 31 ~ » n u 447 -it-i _J It ~i 46 40 wliLL L~(J(L' KI7~=- u rrlUC I.MLWLMI lMi Sl-fe4T~AJ~Ca ALUE U VALllE Inatd• air Ellm .68 ' i WALL IiCterloe va1L 'K (17a11) U . $ . SECTION Lnsulatlon SheatRing Z14o ,Qt3 Stding ,(o1 ~ 1 Outstda air film .17 ~ R TOTAL 23.63 Inatda air film .68 STIJD Tnterior vall SECTION /R+ acud (6~) R' AwW(p, 50(Framtng) U. R . ~ Shea[hing ?.CKo I ~ Sidtng '07 •~9S Outaide air film I7 ' B TOTAL Inatda a1r-Ellm - R, :68' ~ ZDiD SJALL In[erior vall ' SECTIOH Insulatlon (uall ) U . $ . Sh~a 2 ' i . ' Exterlar vall, ring_-_ - Exterlor air f11m A E ?QTAL • Inteclor air f11m Rv .68 9IM Lnsulation . ~ JOIST Lh tnch soft wood R=1.88 (Rim _ u¦ ' JaiSt) Sheathing ~ Exterfar wall eovering G7 Exteriar air Ellm Ra .17 ~ R TOTAL -4-4, 9-40 Intertor air Ellm Ro .68 ~ Insulatton "Wk~ 0.40 , Founda[fon 1.ZB (Fdn.) U ~ ¦ ~ E:tarlor atr ftlm R' •17 p7 Co ~ R TO'CAL \ xposed 91uck i _ - • CEILItiG aI-H ~IEt1T2J :.TTIC SPACE ABOYE R :ALL't lUE fRMIt1G CEILING • 0.61 Atr film 0.61 3~i4D0 Insuiatian +AC.CO - 38 Jotst . Ceiling i~ . . 1 i : O.fil Atr Film . 0.61 +2.t& 7oul R 1 .0-2'5 U = A' . ,027.. . . ~ . FLAT RGOF OR C.ITNEDRAL CEILiNG , va ue R 9ALUE I fR;442HG CEILING , 0.61 Inslde air fflm o•61 Cei i ing Jaist-(stud - , Insulat{on , Air space Raaf decking • Insulatian - - - - _ - - 8uilt-up roaf - • _ - - 0,17~ Outside"air film 0*.-11-- . total R , . I a u R 4indow infiltration .5 cfm/lineal foot of crack tesidential door lnfiltratiQn 0.5 cfm/squsre foot ar door and minimum cade requirement scn-resldential door infiltratlon 11.0 cfm/Iineal faat of crack - !b 12" concrete block no lnsulatlan ¦:47•R 2.1 , 1b 12" concrete black insulated cores -.26 R 3.8 ~ Jb 12" ligliCNetaht black - .32 R 3.1 Jp 12" ligntweight hlock insulated cares ¦.12 R 8.3 1 sfngle glass • 1.13; with storm s+indaw .54 ' 1 dauble glass ¦ .55 1 triple qlass ¦ .41 ;11 exterior Na11s and ceflings must have a vapar 5arrier (0.10 perm msx.). ;apor barrier must he on Lhe lnside (heateA side) of Hall. rapor barrfers af the palyethelene thin film have no R value. . PERMIT ~ ~ CITY OF ~'AGAN /0111I 3830 Pilot Knob Road PERMITTYPE: auzLozNs Eagan, Minnesota 55123 Permit Number: 024698 (612) 681-4675 Date Issued: 10 / 10 / 9 4 SITE ADDRESS: 4213 VORKTOWN DR LOT: 13 BLOCK: 1 SUNSET 11TH P.I.N.: 10-72997-130-01 DESCRIPTION: ~ (sas) Building Permit Type FIREPLACE Building Work 7ype NEW . ~ . , ~ .Q- REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Lic. Search Fee _ $5.00 Total Fee $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: MEDALIST HOMES 17540241 0002461 SALZSIEDLER JOHN 1318 141ST LIV NW 4213 YORKTOWN DR ANDOVER MN 55304 EAGAN MN (612) 754-0241 (612)452-7169 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 Mn. Statutes and City of Eagan Ordinances. L ~ / APPLI A ~~4~MERMITE SIGNAft.)RE ISSUED BQ: SIGNATURE I INSPECTION RECORD CITYOFEAGAM PERMITTYPE: eurLozNs 3830 Pilot Knob Road Permit Number: @ 2 4 6 9 8 Eagan, Minnesota 55123 Date Issued: 10 J 10 / 9 4 (612) 681-4675 SITEADDRESS: Lor: ls BLOCK: 1 APPLICANT: 4213 YORKTOWN OR MEDALIST HOMES SUNSET 11TH (612) 754-0241 PERMIT SUBTYPE: TYPE OF WORK: FZREPLACE NEW DESCRIPTION (GAS) INSPECTION . D• ROUGH-IN FINAL I ~ L J CITY OF EAGAN 3.4cgi 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. FsPen awhi ch rlty applies: 1) when permit is typed, but not picked up by last working day of month equest is made, 2) address is changed or 3) lot change is requested once permit issued. Date iv 94, Valuation of work~ 600, o' Site Address:_ <J-2-1 23, yb, kTo11)1n ~)r. F,Arr u-V~ „ STREET SUITE N Tenant Name: (commercial only) LOT _J~_ BLOCK ~ SUBD. )wut I1 P,v, P.I.D. # Descri tion of work: 4_-_ ,4 ~r L c-•L : re (vk e The applicant is: ? Owner JD Contractor ? Other (Describe) Name Phone Z/5-:2-7/d9 Property LAST FIRST Owner Address 13 ar Klo~,n Qs. LA V, STREET STE # City State I40, Zip Company Alpd(4 (a 4wtgS Phone 7 5-I - 0-),9 1 Contractor Address f,3 ~S 141 s~ )-%n AW. License #Exp.~ City 41aL)L'7 State i/vl -n Zip 53-3LV Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: /%i%!y~~/Qi/ G?rb`~ . **1*f****f*******f~***~~**#**ft*#**# ClTY OF EAGAf~ PA~T aF Ff~ AT TIME OF * * APPLICATION DOFS NOrP CONS'1'IN1E * APPROVAL OF PET2bIIT. * ~ ' APPLICATION FOR PERMIT * . * INSPncrioiu oF sr. Arro/ox WAMM * . *f Tt1S'PAT.TATTONS FIIIS, IVdP BE SQm- * SEWER AND/OR WATER CONNECTION UNra. PEP01IT HAs BEM ~ . * r,rPROVID. * * * ~ . P ease Print 1) PROPERTY ADDRESS: y 2/ 3 LEGAL DESCRIPTZON: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING SIRCCZIIRE, DATE OF ORIGZNAL BL'ILDING PII2MST ISSL'ANCE: lMon Year) PRESENf ZONING/pROPOSID L'SE: ? M%gE2CIAI./REPAII./OFFICE M)< R-1 SINGLE FAMILY [7 IDIDCSTRIAL f-I R-2 DCPLEX (1WO Onits) n INSTI2CTIONAL/GOVERNNIENT ~ R-3 TOWNEiOL~SE (Three + Units) ( Dnits) ~ R-4 APARTMENT/CODIDOMINILTI ( Units) 2) 51v:~i~ - NAME: /f • ~ ADDRFSS: • CITY. STATE. ZIP: PHONE: ~ 3) • u NAME• For City Use Plumbers License: ADDRFSS: 0 Active i CITY, STATE, ZIP. , ~Pired ~ i~~ 1;'7" S S'45F ~L Not recorded PHONE: <S 29' - c> y o G_ MASTER LI(a15E# a - Staff Initiyl 4) ~a« ~.;ii~: NAME: ~ . ADDRFSS: CITY, ST'ATE. ZIP: PHONE: • '~J~ V• ' I 1 W' • ]I' ( :7 • 5~ • ry~ [r~ mNNEcrzorr TO ciTSC sEWM ~ corrNEcrioN zn ciTr waTEx d ozHER . . 6) ~ PLEASE HOLD ApPR0VF9 PERMIT FOR PICK-OP BY ONE OF ABWE ~ PLEASE MAIL APPROS/ID PEFtMIT TO 1. 2, 3. 4, AHOVE (Circle one) ' 7) 9: ~ Y' i7C ~ • I" • J Ip' . U P Y71' . D• ;79 ~P ~ . ' • ~i. 1 1 : S M'F •,(yJ~ I 1 1 : . • :A• • 1' 1 l~~ . . FOR CITY USE ONLY . : " PERMZT # ISSUED -7 77 Pd w/Bldg. Permit FEES: $ $ JL7' S~ SEWER PERMIT (INCLL'DE SC•RCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE ) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ /-SUD ACCOLNT DEPOSIT - SEWER $ $ /S•0--o ACCOONT DEPOSIT - WATER $ D d $ WAC $ ~ 0 d $ sAc $ $ TRUNK WATER ASSESSMENT " $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ SLATERAL BENEFIT/TRUNK WATER $ ~S G~-O 0 $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ $ c~• O- G TOTAL 3 P RECEIPT RECEIPT DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK SVITHIN P[)BLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permrts are reqwred for each um[ Date Site Address o` D, Unit # Property Owner -?-'Oy1 )(C, ! d ar~ Telephone # ( ) Contractor C O'Connor ~ Plumbing, Heating 8[ Cooling I Street Address _ 7904 Vermillion 54. I City State ~ Mastings, MN 55033 I Telephone #(Qt5( )`43-) F?~ Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 x furnace _Additional X Replacement air exchanger ~ air conditioner _New XReplacement other State Surcharge $ 50 ey _ 1 Total $ so • 5 O I hereby apply for a Residential Mechanical Pemri[ and aclmowledge that the information is complete and acwrate; that the work will be in confocmance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes; that I understand this is not a permit, bu[ only an application for a permit, and work is not to start without a pemut; tha[ the work will be in accordance with ihe approved plan in [he case of work which requires a review and approval of plans. V_t4aap ~ z an,, Applicant's Printed Name Appli Y igiature co g / ~ ~s S d ~rnoI „ PLUMBING (RESIDENTIAL) ~J~~~ Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date_~/ / 6(.Q Site Address ~Aai-S y 61kt6L~ ~Unit # Property Owner Telephone # (to:~I ) LDg1 - (RrJJ~ Contrar,tor ; O'CONNOR _ i %umbing, Heaang & Cooling Address 1904Vermillion St I City Hasungs, MN 55033 Sta[e - Jip Telephone # ((p51) 17 ~ The Applicant is _ Owner k Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations 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 _ iawn irrigation system x Water softener x Water hea[er $ 15.00 X- replacement _ addilional State Surcharge JQN E S 2006 $ 50 To[al $ • ~J V I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that [he work will be in conformance wi[h the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application for a pernvt, and work is not to staR wi[hout a permit that the work will be in accordance with Ihe approved plan in the case of work which requires a review and approval of plans. M • KnIHpD .~~".t1QIn Applicant's Printed amN e ApplicanYs atu e I I ar ~ 2007 RESIDENTIAL MECHANICAL rERMiT ArrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complele for. single (amily dwellings & townhomeslcondos when permi[s are required for each uni[ Date -7 ~Z_ Site Address Y~k -h~ Uni[ # Property Owner /C..{) ,t- \I Q"Kdcc,K_ Telephone #i ( O'Connor Plumbing Heating & Cooling Contractor dba: O'Connor's One Hour Heating & Air Conditioning Street Ai 1904 Vermillion Street City Hastings, MN 55033 State _.p Telephone#(~~~ ) 7,37-7/'77 Bond#: aT a ,Y`I( .7- Expires: O S" -7 The Applicant is _ Owner V Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to exis[ing dwelling uni[ $ 50.00 furnace _Additional ?Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $ S~ • I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; [hat [he work will be in conformance with the ordinances and codes of [he City of Eagan and wi[h the Mechanical Codes; that I understan th' i o permit, but only an applica[ion for a permit, and work is not to start without a permit; that the work will be p a~r c~v~hi~ D approved plan in the case of work which requires a review and approval of pla . 2007 Applicant' Printed Name Ap icant' ignature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110397 Date Issued:05/09/2013 Permit Category:ePermit Site Address: 4213 Yorktown Dr Lot:13 Block: 1 Addition: Sunset 11th PID:10-72997-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Amanda A Petprachan 4213 Yorktown Dr Eagan MN 55123 (651) 681-1955 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:Building Permit Number:EA156662 Date Issued:07/11/2019 Permit Category:ePermit Site Address: 4213 Yorktown Dr Lot:13 Block: 1 Addition: Sunset 11th PID:10-72997-01-130 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Amanda A Petprachan 4213 Yorktown Dr Eagan MN 55123 (651) 308-2792 American Building Contractors 2960 Judicial Rd Suite 100 Burnsville MN 55337 (952) 707-6959 Applicant/Permitee: Signature Issued By: Signature