4222 Yorktown Dr ?'V. ..T . ~"t'T f_l . "S~~T~.~i~.TTi.1. -a+-. .?'~,7 „w4
-1 9, Eagan, MN 55121
3830 Pilot Knob Roadi P.O. Box 2G~
ti
; PHONE: 454-8100
BUILDING PERMIT Receipt M
To be usedtor SF DFIG/GAF Est value 475,000 Date APRiL 7 ,1986
Site Address 4222 YORKZ`aWN DR Erect ?X Occupancy R3
' Lot 5 Btock 1 Sec/Sub. SUNSi:T 6TH Remodel ? 2oning Ri
~ Parcel No. Aepair ? Type of Canst
! Addition ? No. Stories
~ Move ? Len th 42
W Name JOSEPH MILLER CUiVST Demolish ? Depth
~ Address 18133 CFDAR AVE SO
City FARMIPNXQN 431-2001 InstallPr. 0 Sq. Ft
o Name SAldE APprovah F~
$u Address Assessment Permit
~ Ciry Phone Water & Sew. Surcharge .
8 ¢ Police Plan Review179.00
~ W Ngme Fire SAC 575.00
= Address S O O.~ 0
~ v Eng. Water Co~nn.
i W Ciry Pnone Planner Water Meter 63 . SU
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. Ofl. 4/2186 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
~
Signature of Permittee Var. Date CopieS~[ ~ 1TJ9 0 U
JasEPx L-Izt.i..x co Z'?'
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with 811 applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
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. PERMIT # 0 3
' ~ • ' PLUMMNG PERMIT RECEIPT #
GTY OF EAGAN 311130 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ` Block ~ Sec/Su '
~ Res. a New
m Name Mult Add-on
~ Address Comm. Repair
c Ciry Phone `Y Z' - r' ~Other
N~ FIXTURES OTA~
~ Name Water Closet - $3•00 -
c Addres4 ~Bath Tubs - $3.00 ~
p City Phone 2-Lavatory - $3.00 ~
. ' Shower - $3.00
FEES _LKitchen Sink - $3.00
~
COMM/1ND FEE - 1% OF CONTRACT FEE Urinal/Bidet - a3•00
~undry Tray - $3.00 MINIMJM - RESIDENTIAL FEE - $10.00 Floor Drains - $1.SU ! ~ Ih MINIMUM - COMM/IND FEE - ~ Water H~ter - ~1.50 % • ~ ~
~ STATE SURCHARGE PER PERMIT - Whi~ipooi -$3.00
i(ADD $•50 S/C IF PERMIT PRICE GOES 1 Gas Piping Outlets - $1.50 BEYOND $1,000.00) SoRener - $5.00
Well - $10.00
-Private Disp. - $10.00
2 Rough Openings - $1.50 ~
; SICaNATURE OF PERMfTTEE FEE
STATE 8/0.
~ FOR: CITY OF EAGAN , GRAND TOTAL:
_ . ,
PERMIT # ' ~ .
. ' MECHANICAL PERMIT
T1f OF EACiAN RECEIPT #
q ,
3Q30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE !~'`1 ~
CONTRACT PRICE: PHONE 454-8100
Site Address v ' gLpp, npE WpqK DESCRIPTION
Lot Block Sec/Sub
Res. L" New
m Name } = ' Mult Add-on
Address Comm. Repair
c City L Phone - Other ~
L.
Name FEES
c Addreps RES. HVAC 0-100 M BTU - a24.00
p Ciry Phone`~ - ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR GOND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
Forced Air ~M BTU COMM/INO FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unk Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~ BEYOND $1,000.00)
Gas Pipinq Outlets #
Other
FEE
s/C, SIONATURE OF PERMITTOE
TOTAL:
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Add ss BLDG. TYPE WORK DESCRIPTION
Lot Bloc SeciSub Res. ~ New ~
Mult. Add-on
~ Name Comm. Repair
A?
oD/ /~1Alii E 4/E.
~ Address Other
_
c Ciry -1< • "14°r Phone r1 RES. PLBG. ONI.Y - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
G~Q,E N water Closet -$3.0o $
~ Name Bath Tubs - $3.00
c Addres1 ~ ~ yr• Lavatory - $3.00
O City Phone4s1"a~? Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - 5100
GOMM/IND FEE = 14'0 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TAWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIpENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outiets -$1.50
STATE SURCHARGE PER PERMIT - .50 ~(MINIMUM - 1 PER PERMIn
(ADD $.50 S/C tF PERMfT PRICE GOES ,Softener -$5.00
~
BEYOND $1,000.00) Well - $10.00
~ Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOA: CITY OF EAGAN GRAND TOTAL•
I"T O 3 J, PERMIT 0
~ PLUMBINQ'PERMfT RECEIPT~1
CITY OF EAGJIN
PILOT KNOB ROAD, EA(iAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ' eLDQ. TYPE WORK DESCRIPTION
Lot__fMlock
New
Name Muft Add-on
Res. 7- f-.7z
Address Comm. Repair
c Ciry Phone Other
AB:th RES TAL
~ Name E'~ ' Wter Closet - $3.00 `
c Address Tubs - $3.00
p City ~ Phone ~Lavatory - $3.00
--j-Shower - $3.00
FEES 1 Kitchen Sink - $3.00
Urinal/&det - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE dry Tray -$3.00 `-MINIMiJM - RESIDENTIAL FEE - $10.00 rglins _ $1 50
MINIMUM - COMM/IND FEE - 20.00 eater _ a~ 50
STATE SURCHARGE PER PERMIT - .50 l
(ADD $.50 S/C IF PERMIT PRIC GOES I-$3.00
Gas P - 51.50
BEYOND $1,000.00) ~ Soitener g Outlets
~55.00
Well - $10.00._ .
Private Disp. - $10.00
Rough Openings - $1.50
SIONATURE OF PERMITTEE FEE G~
STATE S/C: U
;
FOR CITY OF EAGAN GRAND TOTAL: -S 6-
CITY OF EAGAN Remarka ILi Ui s i o n # 1 6 9 9 9 9.1,10118 5 I
AdditionSunset bth Lot 5 Rik 1 Pefcel 10-72991-050-01
owner Street 4222 Yorktown Drive stace Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 57 5 1981 1 -5 3 . 7.68 20
SEWER LATERAL 5 7 . .
Sewer Latera 4.52 .
WATERMAIN 147.99 9.87 15
WATERLATERAL 5MJ 2 • • ---376 198 WATER AREA 153.62 8 20
•
Water Lateral 578 1$ 20.70 1.38 1
STORM SEW TRK O . 0.
STORM SEW LAT
CURB & GUTTER
siDewALK 1066 198 274.91 54.98 S
STREET LIGHT
WATER GONN.
BUILDING PER.
SAC
PARK
~ CITY OF EAGAN - WATBt SERVICE PERMR
3830 P{lot KAOb Rosd
P. D. acx"31199 PERMIT NQ.: 7 4 2 4
ew.n. MN 55121 DATE: s-~-~? r
~ zorti^o: Rl No. of Unffs: 1
; Owner: - - Joseph Miller Corst.
~ llddnw
Sft Add,ew 4222 Yorktown T?rive I.S tIl Sunset 6th
! pluw"r. Hiltner P
~ Moa No.: e Ifol 6 1on C]+orpe: 5 0 f) . G!:' 1
~ Size: 1r / W"ftwt. 1 ° . 00T
; R" No.: D3i? 7!~ l} r
l 1~Nw hwipb ~ of
~ . 5 n
~ O~rt~w..R U1KCd
Total: - f' . `On~ r~etax
i BY Dab Pnid:
i lrwp.-- ;
~ a
~ CITY OF EAGAN WATER SERVICE PHlMIT
' 3830 Pilo~ Kmp6 Rwd
P. o. Box tti99 ~~T ;
Eago. MN 55121 D/?TE: ' i
Zoninp: No. of Units: !
OwrMr. T~~:~rh ~ii I ~ er -
I
~ Mdnm:
` - Yarktuwn "r?ve 1.5 31 5un,in 6kti
`
Sih /lddraa:
' Plumb~r. ''•L2_tner Pl:u,'_ i:~: _ ,
' Matef HO.: C.OflfNCtiOfl C.h0fge: S rr ,~•f}~G
$Iza: /kopunt prpodt; ! . C!lac' ,
RAoder No.: Parmit F":
I.aN bonrh? +ril` er. Ckr oi s+M¦ SuerFwrow.
' S6 .(}Qpd ?I' '
' p~y~M, Mi~c. Choeyes: I
' Total: ' 3 - 1;
gy Doa Pbld: '
i
Date of Insp.: Irap.:
CITY OF EAGAN MVM PERMR'
3830 Pilot Knob Road
P. O. Box 24189 PERMIT NO.: '
Eapin, MN 55121 W1TE:
Zoninp: Na of Units:
!
Owrnr• TQFr~r~ ' t 1(''?' i.A11RC . +
AMfQSS: - ~
Si» Addrom 4722 Ynririr,Lm ^rive .S FZ :itiriSer F•L?1
plumber. Hi 1 tne `or -1h n$
' t, 7 -86 61227 140. (}0ra
, I NM hSWA* w11116 fir p1f Of MW¦ ConrNCtion Charp: 475 _ t?Qu",
0ra1moeM. Aooamt Dspodh 1
WernM FM: ,
SureFwrpe:
: 8y Misc. Chorpm
Dote of Irap.: Tatol:
Inp.: Date Pald:
i
This request void
~/'1
,s b s f,om 3
C 8.8 57 4.5, r~-
Re.queSl Date Fve No. Rouph-in Ins~er,tion
9/~/ Req rtetl~ ~Peatly Now Will Nniity InsPec-
Ves ?No ~or When Ready
m licensetl Elecvical Contractor I hereby repuest insOecUOn ol ebove
Owner electrical work installed ar
Street Atldress, Bov or Foute No. Citv
a vrk'-to ~v n l,ri ve Ea h
ecuon o. Townshi0 Name or No. Rande o. Cou it~~
OccaGant (PRINT) Phone No.
Jae- NIiI(er onsf
Po er SuoP~ier Add s
G~-~ 6-lec~rlc-
Elechncal_ConVacmr ICOmpany Namel ConVar.tor's License No.
lkl /Ular,d e-lec4rlid-
MailinB AdJress (COnvacmr or wn¢r Mabng stailauon)
1367 Berr e /~~o! Ea an
AuNoniz.ed Signature 1 n[racmr wner Mabng Installati 1 Phone Number
~ 4~'-g
TMIS INSPECTION HEQUEST WILL NOT
MINNESOTA STATE BOAHU OF ECTNIGITY 9E11CCEPTED BV THE STqTE BOAHD
GriBBS-Midway Rldg. - Room N•191 UNLESS PPOPEN INSPECTION FEE IS
1821 UniversitY Ava., St. Veul, MN 55104
ENCLOSED.
en....e ievl 797.2111
REQUEST FOR ELECTRICAL INSPECTION ~ ee-oacwi-oa
1 See inshuc4ons be comoleling thts form on back ot Vallow copy.
'"S-8 5 7 "X" Below Work Covered by Ihis Request
av4AHdj Fep. Typo ot Bu11Efn0 Applinncm WoroE Equiymeni Wired
Home Ranye , Temporery Service
Duplr.x Water Heater Liyhtiny Fixtuies
Apt. Building Dry¢i Eleciri.; Heabnc
CommerCial Bldy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk MiIk Tenk
Farm otn,•i neci v _in,:, Isucc,ivl
t rI SucuW ther Oth,?r
ompute Inspecuan Fee Below
p Fee ServiceEntrence5ixe n Fae Fexders/5abieetlors < Fae Circwts
CD U to 200 Am ps 0[0 30 Am s D tn 30 Am os
Above 200 qinps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Abave 100_Am s Above 100_Am{ri
Transiormers Irngation 8ooMs 4 ~ Partial.'O e
A Signs Speciallnspection S • ~ \
e~ ~ ks 8 TOT FEE ~
(
Nooph-in Da~e 1 ~he cal
~ SpBC10" hB,BCy
carLty that 1M1e ebove
Final ~nsoeeiion nas eeen
~ f inede.
? ~
Thn repuest voiE 18 montM trom
CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N°- 11739
PHONE: 454-8100 Receipt q 6(~j
BUILDING PERMIT
7obeusedlor SF DWG/GAR Est.value $75,000 Date APRIL 7 1986
Site Adtlress 4222 YORKTOWN DR Erect CX Occupancy R3
Lot 5 siock 1 Sec/Sub. SUNSET 6TH aemodei ? zoning u1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
a Name JOSEPH MILLER CONST Move ? Length 42
z CEDAR AVE SO oemolish ? Depth 40
o Atldress Int. Impr. ? Sq. Ft. 18133 Ci~, FARMIN~~T 431-2001 Install ?
i o Name SAME Approvals Feea
$ a Address Assessment Permit
~ City Phone Water & Sew. Surcharge J/.50
~a Police PlanReview 179.00
ww Name 575.00
l i Fire SqC
E
.U Address EnS0Q.00
M Z g. water Conn.
aw City pnone Planner WaterMeter 63.50
Council RoadUnit 290.00
. Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4/2/86 Tc PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies~~~Q
Signature of Permittee .
v JOSEPH MILLER CO yl'gtal
A Building Permit is issued ~ ~'V~-- on the express condition that
albwork shall be tlone m acc -d~ nce wtl II applic I State of Minnesot Statutes and City of Eagan Ordinances.
Building Official ~
, 5 BIOCK: ~ SUBD./P.I.D SunSe} L-~1
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN 4II5/ . z~
~ II n/ 3830 PILOT KNOB RD - 55122
651-681-4675
New Constructfon Reauirements Remodei/Repair Requirements
? 3 regiztered sNe surveys zhowing sq. tt. of lot, sq. R. af house 2 copies of plan
and all roofed areas (207, maximum lot coveraae allowed) 1 set of energy calculations for heated addltlons
D 2 coples of plans (show beam 3 window sfzes; poured fnd. design; etc.) 1 sRe survey for exlerior addfllons 3 decks
? 1 sef of energy calculatlons
D 3 coples of tree preservation plan N lot platted affer 7/1/93 ~
? Rim Joist Detail Op}lons selection sheet (bufldinqs wBh 3 or less unNsl ~ ,
DATE: ~Z^ CONSTRUCTION COST:
DESCRIPTIONOFWORK: #,multi•familybldg.,howmanyunits?
STREET ADDRESS: ~-~1.r11 61
Name: P h o n e
PROPERTY Last ' Flrsf '
OWNER Z
Street Address:
City State: Zip: 2f-,>
ComPanY: V ~ Phone
(area code)
CONTRACTOR
StreetAddress:~.~~ License# ~Exp.3
City State: Zip:
ARCHRECT/
ENGINEER Company:
Name:
Telephone W: ( )
Sfreet Adtlress: Reglstratlon M:
CMy State: Zip:
Sewerfwater licensed plumber (if installina sewer/water): Phone
I hereby acknowledge that I have read thfs appl(cation, sfate that the information is correct, and agree to
comply with all applicable State oi Mfnnesota Statutes and City gan Ordin es.
Signature of Appllcant: t----
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
, . . ' _ _ " . . Jv '•t i",. - : , ~
. • , t ' t . . ' -.``.C"::,":•?~~ :4':_' ' `
v . . . 1:. ~y" (i. ".I .f.L.'''.}. .r~,`.- : ' r 1 • .
. . .~'''••m `Y,~•'1:i:Jlr..i:~~''. i:'L'i'`
n~'. . " - . : Y"~ ~Y'. :.1+1..:~! i/ I•tlfY~. .,,Y.'( ~n... •p~ : ' 'r .J:.il':v ^y :r .'r•~}~e '}I'~• .
• ' . . , ~:s`, ' . , _ 1_985`BUIL6ING PERMIT'APPCICATION'CIIT`OF
• . : . , _ , ; 1;~.. : . . , ` .
• NO?E: ALL=CO11'fRACfOB3 MU3T-BE"LICENSED..WITH;iHE?CIiY'.OF.;EAGAN•,,,• . .
. . ; IHCiUDSt.2'~SET§ OF"PL'ANS
x;-I,CERTIFICATE8':OF:SURVEY:
`r 1~,SET. 0&,`SNERGY:`,CALCULATI0NS '
: ~ . • - ~
To Be Used For: Valuation: q..,Datee -027-~(p
Site Address: 7cT~a ~.~'(~t,~~,lr/J•Cl~ . OFFICE USE ONLY.
Lot: 15 Block Sect/Sub 3a!lVlJf'd.(~ Erect x Occupancy R 3
Remodel Zoning R1I
Parcel 4 Repair _ Type of Const -~Z
Enlarge 5 of'Stories
ONner ' Move Lerigth ~
Demolish Depth ~O
Address Grade Sq Ft
C i ty/ Z i p Cod e
Contractorl&A~. -M. %~,tQA .l. APPROVALS
Address 13733 CGdQ~i Q,t,(, cS• Assessments Permit 358,
Water/Sewer Surcharge 37.
City/2ip Code ~ar~ 5soa police Plan RevieN I19.
Fire SAC 515.
Phone I! Engr. Water. Conn Soo.
Planner Water Meter Co3.
Arch./Engr Council~ Road Unit 2q0.
Bldg Of£46~ Parks
Address APC Treatment P1 1=51(p,
Variance
Phone 6 . i07py
. _
.
.
' ~ . . . ' . ' . . . .
. .r•:.,; . .=v. . • . " ' . , .
J
I~~ 30 ' S¢~ n s~ = 3 I 3 zo ~
~2~..ZcS - 2Q° K 5B =(>9z~ : .
S8o8
22X22= q-g4K 12 -
x 44 23~~0
~q~o~
. 1
?
• •j /
~ ~TRI-LAND C0.
SURVEYING SITE PLAN FOR~
SERVICES JOSEPH MI LLER
4655 NICOLS ROAD CONSTRUCTION~ INC.
EAGAN, MINNESOTA 55122
NORTH
I
SCALE~~ I" = 30'
zs N 89° 48' 24" E.
~ 150.00 ~
T M~1~NNGE ~ UT~u>Y f~f MENT
/TV p ~
/0 ~ _ _~t _ _ _ _ _ _ - -
~ - Z
~ ~ I S
~ ` ~
O t- , ' 0
\ _~r r I ' 0
Z a~? ~ I~ ~ i.~ ~ ~ o
o (Ti - ~
' ` ~ O~O
i O - s I ~ ~
--I ~
~ z i~'F" ~ 1 I T
v _ u, ~
~ y ~ N ~
~ I ~1 '22~p„r
rn ~ ` - - -~s
I N N
S 150.00 9~
~ N89°48'24"E '
t
•
' •--'s
PROPERTY DESCRIPTION
LOT_, BLOCK_,
SUNSET SIXTH ADDITION
aeeordinq to the recaded plat ihereot
DAKOTA County, Minnesota
LEGEND
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 967.5~
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION=
DENOTES EXISTING SPOT PftOPOSED BASEMENT FLOOR =
ELEVATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION
FINAL HOUSE PLANS
I hxeby csrtify that this survey,plan or
rsporf was prepared by me or under my ~
direct supervision and that I am a duly Brcdley ~ wenson, Mn. Req. No. 15235
; Reqistered Land Surv~yor under tAe ,
. Laws oi the State of Minnesota. Date 3lzz~B~
k#********~*****#*f**1i**#*~#*#**t**
oF ;
• C I TY O F E A A iV *~~o E.°,F~ ~ TIM
*t APPROVAL OF PFI2NSIT. ~ APPLICATION FOR PERMIT *INSPBMON oF sEVM Arm/ax MxM >
*mgLAT.T.ATTONS WIIaI, b10T BE SaII'D- i
SEWER AND/OR WATER CONNECTION ~'JIID UNl'II, PIItMIT HAS B@I ;
. - • . * APPRUVID. ;
* » ,
r ,
. **w*+*w*k*xx*+,t*.*:,t+,t+r,ef+*~+t,t*r,t~*
P ease Print
1) PROPERTY ADDRESS: ~IR
l~-
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SIRCCILRtE, DATE OF ORIGZNAL B[JILDING PERMIT ISSL'ANCE:
1 PRFSIINr ZONING/PROPOSID C'SE: (j'bn Year)
? CO+ti,'ME[2CIAL/REI'AIL/OFFICE ~ R-1 SINGLE FAMILY
~ IMCSTRIAL ~ R-2 DCPLEX (Two Onits)
n INSTIT[,'TIONAL/GOVgtNMENp ~ R-3 717t+IDII30USE (Three + Units) ( Units)
. ~ R-4 APARTMEp7f/CO6IDOMINICTI ( •Units)
2)
ADDR£SS: 2-
.
CITY, SPATE, ZIP:_
PHONE: 90O ~
3) • u NAIvE. ~ For City Use .
Plucnbers License:
ADDRESS: Active
~ CZTY, STATE, ZIP. /h~2_ n q~J ~pired
-4"- f I`IOt r2COSC12d
PHONE: ~z i MASTII2 LICETISE#
- Sta f-Initial
4) •:.i ~,.,,i~:
_ ADDRESS: '
CITY. STATE, ZIP:
PAONE: •
i
•5) t v.:~ • • ~i • o~ u• tiuo~
D GONNECI'ION 'IO CITY SF.'WII2 ^ CpN[VEX.TION 'IO CITY WATER ~ pTFgR .
6) ~ r r• r ~ PLEASE HOLD APPROVID PEE2MIT FOR PZCK-OP BY ONE OF ABOVE
~ PLFIISE MAIL APPROVID PERMIT 1n 1, 2, 3, q, pBOVg
~ (Circle one) '
7) r r u• -
. • r ~a ~ ~ u • r • -fa ia• n r a~•
r. N1:J1:.~ 1 1 .i r•LT1 • 71'1 1 • 01• ' D• 1
' - .u 1~ Ii~~. Y7r/ .
I
. FOR CITY USE ONLY PERMIT # ISS[.'ED
Jy2 q 5" C- . . .
Pd w/Bldg. Permit FEES:
$ $ ie,. SC SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT ( INCLODE SL'RCHARGE )
$ L 3-S G $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / SG C ACCOONT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ f $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ S~• Z TOTAL
'-227 A
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F---j YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[)BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Ei NO DIVISION. LIST AS A CONDZTION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 3/l,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4222 Yorktown Dr
Lot: 5 Block: 1 Addition: Sunset 6th
PID:10- 72991 - 050 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Thomas M Dauw
4222 Yorktown Dr
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA084372
07/16/2008
ePermit
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ao
Use BLUE or BLACK Ink
Permit #: /Qi doe/
Permit Fee: Ger%. 00
Date Received: /1 -r} P-
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name:
Address / City / Zip:
Phone: tai
-yob -/5—Z
ats
CONTRACTOR
Name: MILBERT COMPANY NC.dba CULLIGAN WATER
Address: 1801 50TH ST EAST City INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651 .45.1.-2241
Contact: BILLMILBERT:;
Email:
TYPE OF WORK
PERMIT TYPE
New eplacement _ Repair _ Rebuild _ Modify Space _ Work in,R.O.W.
Description o}/work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
3ter Softener
( Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) /
TOTAL FEES $ 4,0 •06
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.aooherstateonecall.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 wi the approved plan Ini
e case of work which requires a review and app+• -1 -1 p1
i Q
wa N l .
Applicant's Printed Name
FOR'0,14
OFFI
R.equ1/1aspe,.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124327
Date Issued:06/27/2014
Permit Category:ePermit
Site Address: 4222 Yorktown Dr
Lot:5 Block: 1 Addition: Sunset 6th
PID:10-72991-01-050
Use:
Description:
Sub Type:Reroof & Windows/Doors
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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Thomas M Dauw
4222 Yorktown Dr
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
.. � Use BLUE or BLACK Ink
r-----------------�
• I For Office Use �
� � I
Permit#:_
Cit of �� �� � � �3 �
Y � � Permit Fee: � �
3830 Pilot Knob Road � �
Eagan MN 55122 �`'�'�%��ivf�€� � Date Received: ��" ��
Phone: (651)675-5675 j Staff: I
Fax: (651)675-5694 NQ� 2 0 20�5 �
�---------------GI��
2015 RESIDENTIAL BUILDING PERMIT APPLICATION C ��
ta�� '���-
Date: Site Address: Unit#: �
�a ,m, _��...a�, }.:.�Name:_ �-�._T1 e.C�- ```�i��,D c,�.�l.�.... ........ . ...�,Phone:�s� �U� ' �i I ,S-�o.�M�
Residen#/ ; '� �
OwnEr � Address/City/Zip: ����- �''��*��'"�'} '�-a'.
; J �� Apphcant is Owner _�Gontractor
�_ ,�_.�.,. �a ��,_..� � �...�,�..�.u. �.�,� �,�a.� .m.,.��..��,�,��.�.d. �..�.� z .a,.� �,y�vE�d.�,.���.�_ ���..w,a....��., ,..,e,m...�.�- �.,�.
� � � ;� 1 ,i-�' '
� T @ Of WOI"k „ Description of work \�A...���c.�� �,%� �.,}� ��'O " ���� ��~� �°'`'� � � �°�"'"`�
Yp u
� Construction Cost: �`���U Multi-Family Building: (Yes /No✓
�
�„�,�..,. ._.,._,.� 5 , ��.�,�..� �._.�.�,�._.,.�_..�..�.A,.�...n.���,.��,��__
_ -.� ,..�,� .�..�.,���...AW .� �-_ �
� � {� ,� (�
� � Company: ���.�...--p:�'S �L-c�. I���k�� � �.� Contact: �1-�.-.s�� \ � �� � �
t �
Contractor � Address: 3� � ���_ (a��'_ City: 1,�. �-'� �r�-.-�- f
, _ � �
; � State: �.,�JZip:�� Phone: ����lf�37�Email: �s.�vS.��zsc�c���ati.c<<�,Ci�
�C�f�3s �
�� � License# 3 1 Lead Certificate# �
; If the project is exempt from lead certification,`please explain why: � �eM�A4 ������ ^� � I
� � �
� �
�� �� COMPLETE THIS AREA ONLY�IF CONSTRUCTING A�NEW BUILDING�N�� ������������� � ''
i
� In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i `
Yes No If yes, date and address of master plan: �
�
� Licensed Plumber: Phone: j
� �
� Mechanical Contractor: Phone:
� Sewer&Water Contractor: Phone:
�� Fire Suppression Contractor: Phone:
�s.,v��,.,.,�. . ,.�
` NOTE: Plans and supporting documents that you�submit are considered to be public information. Po;rtions of €
a the information may be classified as non-puklic if you provide specific reasons that wou/d permit the City to E
; 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.qopherstateonecall.org
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 auth rized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
day of permi iss e.
���� �SZ-�.i �` I
X X L- ►..) l�
ApplicanYs Printe Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE i �`� � �' �
SUB TYPES ZZ2- ��'� kt°`�` '� �-��
Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi �U Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool 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
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �Z ���.oc� Occupancy ,��C_ ( MCES System
Plan Review Code Edition �,� 201� SAC Units
(25%_ 100%�) Zoning _�� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �J'� Width _
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
�J Footings (Deck) Final I C.O. Required
Footings (Addition) � Final I No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: ���''i /hJ �1c1� , Building Inspector
RESIDENTIAL FEES c
Base Fee �� � � Z� � L�C �--
`�2 fl. o'a �1, ��
Surcharge Gr--
Plan Review `�� J/ /�I lZ
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3 li
.";i V R V G T I ly V *a� ' '— ' '—^'• ' "• • '
' SERVICES � ��►$ I
JOSEP"H MI LLER
4655 N�co�s ROAD C4N�TRUCTION, INC.
EAGAN, MINNES4TA 55122
-1 ZZ.2" L(`',-����' �� `
N4RTH
SCA LE� i" = 3a'
25 N 89� 4�' 24" E
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PR4PERTY DESCRIPTION '
�oT , e�ocK , �'�,
SUNSET SIXTH ADQITtOM I
accardinq to the recorded plat thereof
QAKOTA Coun�y, Minnesota
LEGENQ
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152843
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 4222 Yorktown Dr
Lot:5 Block: 1 Addition: Sunset 6th
PID:10-72991-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M Dauw
4222 Yorktown Dr
Eagan MN 55123
(952) 686-4247
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature