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4225 Yorktown Dr
Date: `1 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: flE©Eqypi SEP 0.7 LuiJ f Use BLUE or BLACK Ink •rOf�ce S Permit#: (4 S "7 9 Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION J7 / Zv I b Site Address: 4712-7- 5 YU yly zi/ '.7),-; 41l! L c L14214 K. Ctivvkvskii Suite #: RESIDENT / OWNER Name p "tie 5-111N 85k, Phone: X0/2 q�b b[f c) Address / City / Zip: Lf -'2.-7 5. (J v k-/pw y (?)h/V . Applicant is: Owner Contractor TYPE OF WORK Description of work: -Ft ri/4/4 G-, NS' /it, Construction Cost: /5-4d, Oa 5�, Multi -Family Building: (Yes / N9>C ) CONTRACTOR Name: /VI7 s? j -Er License #: Address: City: State: Zip: Phone: Contact: Email: 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 that 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.org I hereby acknowledge that this information is complete and accurate; that the work wit b Eagan; that I understand this is not a permit, but only an application for rmit, an accordance with the approved plan in the case of work which requires a re tyro 2 . Applicant's Printed Name an e with t tart w odes of the City of the work will be in Page 1 of 2 BDV SERIES DIRECT VENT GAS FIREPLACE INSTALLATION AND OPERATING INSTRUCTIONS )6 s7 c1/25- york 40 IA) ''v-bv MODELS: BDV30:_ - 00 BDV500, BDV600 WARNINGS IF THE INFORMATION IN THESE INSTRUCTIONS ARE NOT FOLLOWED EXACTLY, A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. — Do not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. — WHAT TO DO IF YOU SMELL GAS • Do not try to Fight any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. — Installation and service must be performed by a qualified installer, service agency or the gas supplier. WARNING: Improper installation, adjustment, alteration, services or maintenance can cause injury or property damage. Refer to this manual. For assistance or additional information consult a qualified installer, service agency or the gas supplier. This appliance may be installed in an aftermarket*, permanently located, manufactured home (USA only) or mobile home, where not prohibited by local codes. This appliance is only for use with the type of gas indicated on the rating plate. This appliance is not convertible for use with other gases, unless a certified kit is used. * Aftermarket: Completion of sale. not for purpose of resale, from the manufacturer. DUE TO HIGH TEMPERATURES, THE APPLIANCE SHOULD BE LOCATED OUT OF TRAFFIC AND AWAY FROM FURNITURE AND DRAPERIES. CHILDREN AND ADULTS SHOULD BE ALERTED TO THE HAZARDS OF HIGH SURFACE TEMPERATURE AND SHOULD STAY AWAY TO AVOID BURNS OR CLOTHING IGNITION. YOUNG CHILDREN SHOULD BE SUPERVISED WHEN THEY ARE IN THE SAME ROOM AS THE APPLIANCE. CLOTHING OR OTHER FLAMMABLE MATERIAL SHOULD NOT BE PLACED ON OR NEAR THE APPLIANCE. KEEP THE ROOM AREA CLEAR AND FREE FROM COMBUSTIBLE MATERIALS, GASOLINE, AND OTHER FLAMMABLE VAPORS AND LIQUIDS. READ BEFORE INSTALLING. SAVE THESE INSTRUCTIONS PRE -INSTALLATION INFORMATION FIREPLACE LOCATION Plan for the installation of your appliance. This includes determining where the unit is to be installed, the vent configuration to be used, framing and finishing details, and whether any optional accessories (i.e. blower, wall switch, or remote control) are desired. Consult your local building code agency to ensure compliance with local codes, including permits and inspec- tions. The following factors should be taken into consideration: • Clearance to side-wall, ceiling, woodwork, and windows. Minimum clearances to combustibles must be maintained. • This fireplace may be installed along a wall, across a corner, or use an exterior chase. See Figure 4 for suggested loca- tions. • Location should be out of high traffic areas and away from furniture and draperies due to heat from appliance. • Never obstruct the front opening of the fireplace. • Do not install in the vicinity where gasoline or other flammable liquids may be stored. • Vent pipe routing. See Venting section found in this manual for allowable venting configurations. • These units can be installed in a bedroom. See National Fuel Gas Code ANSI Z233.1/NFPA 54 — (current edition), the Uniform Mechanical Code — (current edition), and •.«i • u . ing Codes for specific installation requirements. A B C D E F Y Flat on Wall Cross Comer Island** Room Divider* Flat on Wali Comer* Chase installation 4" Minimum Figure 4 - Locating Gas Fireplace ** Island (C) and room divider (D) installation is possible as long as the horizontal portion of vent system (X) does not exceed 20'. See Installing Horizontal Termination Configuration on pages 18 and 19. • When you install your fireplace in (D) room divider or (E) flat on wall corner positions (Y), a minimum of 6" clearance must be maintained from perpendicular wall and front of fireplace. 54D0700 VENTING INSTALLATION REAR (THROUGH THE WALL).APPLICATIONS When installed as a rear vent unit this appliance may be vented directly to a termination located on the rear wall behind the appliance • The maximum horizontal distance between the rear of the appliance and the outside of termination is 20" (508 m). See Figure 14. • Only one 45° elbow is allowed in these installations. Maximum 20" f _ I Top View Flat Installation Figure 14 - Rear Vent Application, Maximum Horizontal Distance 1. Rigid vent pipes and fittings have special twist -lock connections. Assemble the desired combination of pipe and elbows to the appli- ance adaptor. Twist -lock Procedure: The female ends of the pipes and fittings have three locking lugs (indentations). These lugs will slide straight into matching slots on the male end of adjacent pipes and fittings. Push the pipe sec- tions together and twist one section clockwise approximately one-quarter tum until the sec- tions are fully locked. See Figure 15. 2. Locate and cut the vent opening in the wall. For combustible walls first frame in opening. Combustible Interior Walls: Cut a 111/"H x 91/2" W hole through the interior wall. Combustible Exterior Walls: Cut a 91/2"H x 91/2"W square hole through the exterior wall frame. SeeFigure 16. Noncombustible Walls: Hole opening should be 71/2" (190mm) in diameter. 3. The center of the hole should line up with the center line of the horizontal rigid' vent pipe end. Allow 1/4" minimum rise per foot. See Figure 16. 1 91/2" (241 mm) 1 Female Locking Lugs Note: Horizontal runs of vent must be supported every three feet (914mm). Use wall straps for this purpose. Male Slots Figure 15 Rigid Vent Pipe Connections 4( 91/f >. (241 mm) 44 —1---- 33/4 (92mm) Figure 16 - Exterior Wall Framing Dimensions 18 54D0700 REAR WALL VENT INSTALLATION (continued) 4. Apply a bead of non -hardening mastic around the outside edge of vent cap. Position the vent cap in the center of hole on the exterior wall with the word "UP" on the vent cap facing up. Insure proper clearance of 1" to combustibles is maintained to the flue. Attach the vent cap with four wood screws supplied. See Figure 17. Do not recess vent termination into any wall. This will cause a fire hazard. NOTE: Replace the wood screws with appropriate fasteners for stucco, brick, concrete, or other types of siding. VENT INSTALLATION Apply Mastic to All Four Sides Figure 17 - Installing Horizontal Termination A vinyl siding .standoff %rust be used with the Simpson/Selkirk Horizontal Termination on vinyl, stucco or wood -clad exterior walls. Apply non -hardening mastic around outside edge of the standoff instead of the vent cap assembly. See Figure 18. 5. Slide the firesiop over the vent pipe before connecting the horizontal run to the vent cap. See Figure 19. 6. The terminati Fasten termin 7. Slide the fires r61.'k ( `c n should overlap the flue a minimum of 11/4" Apply silicone to the outer pipe/termination connection. tion with screws provided. p against the interior wall surface and attach with screws. See Figure 19. a 00 Cut Vinyl Siding Awayto Fit Standoff �q' Apply Mastic to All Four Sides Interior Wall Surface g,..7 Vent Cap (Horizontal Termination) Figure 18 - Installing Simpson/Selkirk Vinyl Siding Standoff and Termination Scre Horizontal Vent Figure 19 - Installing Firestop on Horizontal Vent Pipe 19 ~ CITY OF EqGAN ~ 3M Pifot ltnob Road WATER SERVICE PERMIT , P. O. Box 21199 PERMIT Ng,- E+pn. MN 55121 D^TE: ~ zanlnp: _ F? 1 ! Own.r: .Tas`2h er Con Addhm- S+re /lddress: `~?25 Yorkt _ ~r,,~ , y PIumFer. ='1 ,utl7 Pl I. , , . Mfbf/ Np,! (O 0 LX. Size: ~ coou~t Ce I • 7 Reoder No.: 6 Qm 9/ST ~4 v'sit: Penmit Fea I0.00 : ~~~w h aw~, wM61w Cth ~~0 Surchonps: Mbc. Cho.yes: 132.00,x3 TP ~ i BY Total: b .00,. r:,It I Date of Irqp.: ~ Doh Aotd: , Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilat Knob Road P. O.. Box•21'F99 PERMIT NO.: - Eaaan, MN 55127 DATE: 1 Zorti^D: - ' =1 No. of Untr:: O1Mtlfr: CO'1 1- ' - Addf!n: sit. Aaarom 4225 Yarktotan 7x. Plumber. glym:1} `i F'll.."!tiA3 31,-• MeM? No.: Connection Chorps: 500•0(rl^, Slze: Acoount Deposit: 15. 00,r:Xi Rsader No.: Permit Fee: 10. 00>.x= 1mNw Io ooM* wM6 fw pry oi fn"s SurrFwrpe: •59"x-` Ml:c. Chorgs: 132, t)f?;:>.~ _ TotoL• t~- BY Doft Pold: oate of rnsp.: i,AIo,,; , - - - - - I ~ j CITY OF EAGAN 3830 Pilot iCnob Road SRM SERVKE PgMT P. O. Box 21199 PERMIT NO.• - ; Eagan, MN 55121 ' ~ ~ ; _ ~ ' Owner.• - Na of Units: Add?ess: " - Sits /lddrias: Y . 25 Pluntber, , ~~Nw Ir ~~N! wlll~ W Gyr d 1"Mm OdIMnaL Conrnction Ohoege: - - Acaoux+t Depwit: POrtMf FN; . By Surriweg. . Date of Irup,; Miac. Clqrpp; Total; InW Qah Paid: CITY OF EAGAN ~ 4 Q Z t~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt i ' - To be uaed for i'~c K Est. Value 1.100 Date ~~~GUS1 11 ,19 b° Site Addreas 4Z25 YUi:.:'I'_}'"N E; OFFICE USE ONLY Lot 4 BIOCk ~ 39C/Sub. SUNS E:"T fiTkl On Site Sewepe _ Occupancy MWCC System _ Zoninq Parcel Na on site weu _ rype a const Ciry Water _ (Actuaq a Name ~~'-.l:l~i Bt;K_OVEC (Allowable) W ~ Address 'i A:tt: * of Storles 452-2174 Lenytn City Phone Depth S.F. Total j . g Name 5A`;E b96-49cF7 Footprlnt SF. ' Address APPROVALS FEES ' u ~ P City PhOne Assessments Permit }13''~' I Water/Sewer Surcharqe , ~ c ~ W Name Police _ Plan Review ~ n Address Fire = SAC, City j Engr. SAC, MWCC ~ W City Phone Planner _ Water Conn. Council _ Water Meter 1 hereby aCknowledfle that I have read this application and state Bldy. Off. _ Road Unit thattheinformationlscorrectandagreetoCOmplywkhalleppilCable APC _ TreahnentPl State of Minnesota Statutes and Gity of Eagan OMinancea Variance _ Parka Coples Signature of Permittee TOTAL - A Building Permit is issued ta on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eaqan Ordinancea Buiidiny Official Permit No. Pennit Holder Dab TeIephone s Plumbing H.V.A.C. E lectric Sottener Inspsction Date Insp. Comments Footings t Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN 11099 3830 Pilot Knob Road, P.O. Box 21-199, Eagso, MN 55121 PHONE:4548100 ~ ~f~ eUILDING PERMIT Re«i~ ~ To w wwd 1a. Sf c'wcj/gdz Est. Value $62, OU(., pme 19~1L SiteAddrets 42 25 YOitKTOWh Di? Erect a: occ-pe.-v ~I p SUNSc:T 61',P Remodel ? 2oning ? t~l Lot Block 2 s,./Sub. Parcel No. Rapair ? Type of Const. 10 Addition ? No. Stories K Name '10SEPH MIMiLLER L,. Move ? Lenytn c~U ~ - DemoN 18113 Ci'.';Ak ~~L'f~: ` ah ? pepth A~~ Int Impr. ? Sq. Ft. Ciiy t' Phone Instsll ? Name ~ A h 1 i: ApProvals Eet~ A~~ Assessment Permit $ 1.00 City Phone 4 31- 2 G U! Woter a Sew. Surcherpe ~ 31.00 ~ Police Plan Review 159.50 ~'W N~e Fin sAC 525.00 ~,z-, A~ Enp. water Conn 5 0 0. 0 0 ~ W City Phone Picnner Water Meter 63.00 Council Road Unit 260.00 I hereby ocknowledpe thot 1 haw rcad this applicotion and state that gld9 pffI 0/8,'85 Tr. PI. 132 . 00 the inlormotion is oorrect ond ogree to tonply with o1t opplicoble $rote of Minnesota Stotutes ond City of Eoqon Ordinonces. APC Perks Var. Dete C~~~ Sl~oturc of Permiftee .-c-r>0 A Buildiny Permit Is iuued ro: on the etexprem oonditbn thoi oll work sholt be done in acaordance with all oppliaoble Stota of Minnesoto Statutea ond Gty of Eopon Ordinances. Buildinp Offkiol ~ _ f r ' , Pwmk No. Pwmk Holdw Dob TNePhone ~ Plumbieq (p b ~ / ~ ~ ' Q $~j ~ H.VA.c. Co U I C~ A; / ` Y~ o t~ z z E»ctj+c Sahwwr liapeetion oaa lnsp. oen« Footinps I FooNflip 11 Foundatlon Fnmtnq pL ROOflnp ~ Rough Plbp. Rouph Fltp. Inw6 ~ Filoplaa ? Flml Mtp. 1S ~ FlMI Plbp. Final Ci/t/Occ. ~ W~ DMCribe Loution: w.li s.w•r Py. cIW Reoeipt PLUMBING PERMIT Pormit No. CITY OF EAGAN FN ~ , Fill in numbered spaces S/C ~ Type or Wini legiWy Tot ~ 1. Date ' 2. Installation Cost r' 3. Job Address - ~ Lot Blk. Tract 4. Owner , ,,--r - - ~ 5. Contractor - ~ Phone • ' a 6. Address • L . ~ i ~ 7. City State ~ 'Zip ~ 8. Building T ~ ~ ype: Residential ~ Commercial O Institutional O 9. Work Description: New O Add O Alter O Repair ? ~ 10. Describe ~ 11. No. Fixtures No. Fixtures ~ ~ - - 1 ~ Water Closet Cesspool/Drainfield Bath tubs $eptic Tank . Lavatory Softner Shower Well - • Kitchen 5ink ~ Urinal/Bidet Other ~ Laundry Tray Floor Drains ~ Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ord)~arjaes antl codes governing this type of work. , 1 Signed: ,saI( / 1 . for Rough F inal InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 p` RftWpt MECHANICAL PERMIIT Pennit No. CITY OF EAGAN FM I fill in numbsmd *aca S/C - TyPe or Print /eylb/y To` 1; 1. Dste 2. Installation Cost ' 3. Job Address' Lot Blk. ' Trect ` 4. Ownet I 6. Contractor Phone 6. Addna i ~ ; j 7. City ~ Sute ~ 2ip ` • ~ ~ 8. Buildiny Type: Residsntial O" Commercial ? in:titutional ? I I 9. Work Description: New O Add 13 Altsr O Repsir ? ~ 10. Ducribe Fuel TYPe 11.. No• EQW2m= BTU - M. Ea. No• Eouiament CFM Foroed Air Air Handlirp: Mf9. Boiler: Mech. Exhaust Mfq. Unit Heater Mfg. Other Air Cond. ~I Mfy. Gas, P'ipinq Outlets 12. I hereby oertify that the above information is true and oorrect, and I ayree to comply with alt ordlnances and codes governiny this type of work. 5igned : for RoupN Final Inspections: Date Insp. Date Insp. This is your permit whsn numbered and approved. Approved CITY OF EAGAN 464-8100 .::.s.;a.MOy+M a - CITYOFEAGAN Remarks Division # 16222 9/30/85 j Addition Sunset 6th Lot ri Bik 2 Percei 10-72991-050-02 ~ Owner Streetll?9 5-ti'oiktown llt;•+P State F.aean Mn 55123 improvemant Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEWTRUNK 575 19s1 153.62 72-0 42_y_ ~ SEWER LATERAL 574 1981 17 .63 .88 ZO 4 , S 14a lv 20 /e?- .S~ Sewer Lateral 577 1981 ' 24.52 1.63 15 /67Z,., ~F WATERMAIN 847 1984 147.99 9.87 15 , 6 Zp / - ~ WATER LATERAL 573 1981 3 . 75 1.64 20 d _ Lp - WATERAREA 576 198 153.62 7.6$ 20 61 16 2 ~p Z Water Lateral 578 1982 20.70 1.38 15 /e?.Sla, p/(p-72-0 1-2 --~5- STORMSEWTRK 106 1986 527. 14 105.43 5 a/, 7,~, -7Zo STORM SEW LAT CURB & GUTTER siDEwaLK 10 6 1 8 7. . 9 8 p2 STREET LIGHT WATER CONN. 500.00 n „ n " BUILDING PER. 33099 SAC 525.00 PARK ~ CITY OF EAGAN (vo 110g g 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipr # S/~" / .J 0 Y Te bs u"d fer sf dwg/gar Est.Value $62,000 Date OCTOBER 8 19 85 SiteAddress 4225 YORKTOWN DR Erect Occupancy R3 Lot 5 81ock 2 Sec/Sub. SUNSET 6TH Remodel ? Zoning R1 Parcel No. Repair 0 Type of Const. ~7 Addition ? No. Stories p Name JOSEPH M MILLER CONST M0"e El Length 50 z 18133 CEDAR AVE SO Demolish ? Depth 35 Address Int Impc ? Sq. Ft. City FARMINGTONphone 431-2001 Install ? O Name SAM~,' '~DPrOVOls Fees Zu Assessmenf Permit •QQ o Address u~ 1- City Phone 431-2001 Woter 8 5ew. Surcharge 31.00 Police Plan Review 159 . 50 GW Name Fire SAC 525.00 1 ,Z-~ Address Enfl, WaterCOnn. 500.00 ~Z W City Phone Planner WaterMeter 63.00 < Council RoadUnit 280.00 I hereby atknowledge thot I have reod fhis aOVlication ond stote thaf Bldg. Off, lO/H/HS Tr. PI. 132, 00 the inlormafion i5 correct ond ogree fo camply with oll opplicable Slate of Minnewto Stotutes d City of Eagan Ordinan/tes. APC Parks ~CJI Var. Date CoOies ~Q9-5 0 Sipnature of PertniHee j Total 'R Building ?esmil Is issued to: JOE MILLER CONST on tha express conditlon ihai oll work sholl be done in accordonce with all licable Sfat of Mi n_e-s~qJt_a~Sfatutes ond Gity oi Eoyon Ordinonces. Buildinp Official CITY OF EAGAN nJa 14039 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 IT 3?~ BUILDING PERMIT PHONE:454•8100 Receipt # ` Ll To be used tor DECK Est. Value $1 , 200 Date AUGUST 12 19 87 Site Address 4225 YORKTOWN DR OFFICE USE ONIY Lot 5 Block z SeC/Sub. SUNSET 6TH OnSileSewage _ Occupancy MWCCSystem _ Zoning ParCel NO. On Site Well _ Type of Const Ciry Water _ (Actual) a Name WILLIAM BGKOVEC (Allowable) w # of Stones ; AddreSS SAME Lengin ° City Phone 452-2174 Depth S.F. Total ,o Name SAME 696-4947 (W) Footprinis.F. ~a Address APPROVALS FEES i- Ciry Phone Assessments _ Permit $23.90 r- Water/Sewer _ Surcharge O ~ . nn W w Name Police _ Plan Review ~ x- z Address Fire - SAC, City 10 Engr. _ SAC,MWCC aw City PhOne Planner _ WaterConn. Council _ WaterMeter I hereby acknowledge that I have read this application and state Bldg Off. _ Road Unit thattheintormationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statu s and City of Eag~~nn Oftlinances. Variance _ Parks Copies Signature oi Permittee jyla~m TOTnL _$24_ 90 A Building Permit is issued to: WILLIAM BUKOVEC on the express condition that all work shall be done in accordance with all appl' Sta e of Minne a Statu es nd City of Eagan Ordinances Building Official _ i This request void 963 18 nnnths Imm '1 ( Q o 068691 L f5 J-u-. 'i,P- ~ 5a Fequest Date Fne No. RouGh. in InsVection Re? retl~ OReatly No Will Nnuly Inspec- es ?Na ior When Reatly ~ Licebed EleCtncol ConVactor I hereby request insDaction ol ebove ? Owncr eleclrical work instelled eC Street ~>tldress. Boa or Roure No. Citv a 5 0 4ow eclion o. iownsh,p Name or No. Rane, No. u'om!qv \ ~ Oc uuant (PRINTI ~ Pnone No. 3 Po r SupPber Ads ~ Eleevical Cnnvar.tor ICompany N 1 ~ Co ~ts Licens~o. ~V- Mai ne Address 1 on c1or or Owner .kine Instailationl 3& Au[~ori d$iBnawre ICO ra (od0 ner Makiny stallation) Phone Vumber ~ ` MINNESOTq STATE HOAPD OF ELECTRICITV TMIS INSPECTION REQUEST WILL NOT Grig9s-Midwny Blde. - Room N.191 BE ACCEPTED 8Y THE STATE BOARD I821 UniversitV Ave.. SL Pnul, MN 55104 UNLESS PflOPEP INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. 5(~ q 6 3 REQUEST FOR ELECTRICAL INSPECTION N. Ee-oowi oa ' See instrvctions jor complgting this fotm on Eeck ol vollow copy. p o 0 6.8 v"X" Below Woik-Covered by 7his Request w ~~iwi0< ei4Agdj Aap. • Tyoe ol BmlEing ApPlmnces Wired Eqwpment Wired ~ Home Range Temporary Service Duplex Water Heater y, Lighiiny Fixtures ApL Bwldmg Dryer Elec[ric HcaLn Commercial Bldg. Fumace Silo Unloeider InduStrial Bldg. Air Condi[ioner Bulk Milk Tenk farm ISpe11fyl t er Veu y Other Othe, ompute lnspection Fee Below M Fee SorviceEnbenceSue hFee Fnedars/Subiaeders p Fcu Cvcvts lO 0 to 200 Am 5 0 to 30 qmps r( ~05 0 tn 30 Am A6ove 200 Amps 31 to 100 Amps 31 to 100 qm Swimmin Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Boon~,s .5 Partial -'OtherFee Signs Special Inspection S ~,3 TOTA1,~FEE ~N fle marks i ~ ~Sa°'.~ RouOh-in r Dme ? / ~he Electnenl 4. D ~ ~ / G•d Inspectaq heroby e~tily thnt the nbove Final mspeciion has bean made. Tluarepueslvoidl8monlRafrom , ~ i //0 ~ 1985 BUILDING PERXIT APPLICATION - CITY OF EACAN NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Co2,OGb ^ To Be Used For: -fipbj NC17_D Valuation: ~ Date: 'I Site Address: yJJ6 uUM~UJW7'L OFFICE USE ONLY Lot: J Block o? Sect/Sub5LUl2Qd cp Erect X Occupancy R 3 Remodel _ Zoning Q•I Parcel I/ Repair _ Type of Const -37 Enlarge 11 of Stories Owner Move Length 50 Demolish Depth 3S Address Grade Sq Ft City/Zip Code Phone APPROYALS Contractor Assessments Permit 3 r' Water/Sewer Surcharge 31 A d d r e s s I gt4c0 (J,1C• S.O, Police Plan Review $O 159.- Fire SAC 525. City/Zip Code jaAM~-01Q, ,,5sg9~ Engr Water Conn 500_ Planner Water Meter (q3. Phone -~Qo ~ Council Road Unit Zp~. Bldg Off /D_/b_95Parks Arch./Engr. APC Treatment P1 132. Variance Address TOTAL 11~ 0~ ~ S Q City/Zip Code Phone n~ ~ TRI-LAND CO. 81TE PLAN FOR: SURVEYING SERVICES JOE MILLER CON8TRUCTION INC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 0~°DI' 45" E o a` M 70.00 S~ 5 j= N ~ I i SCALE. I"=30' W I r4 N °I ~ o m r ~ ~ 14 T Z Z I z~~ I GARA6E HoUSE in I 9 e s' zV a 24 I s I ~Q'\v~ ~i R /3~34'1 u s 39.97 11 NOO Oi'95" W Ap " YORKTOWN DRIVE CE PROPERTY DESCRIPTION LOT5 , BLOCK Z- , SIINSET SIXTN ADDIT?eN cceordinq to ihe recorded plat ihereof DAKOTA CouMy, Minnesota LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 966.1/o o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 94-7.oo DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELE VATION E LE VATI ON DENOTES PROPOSED SPOT' ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE * VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certity ihat tAis survey,plan or report was prepared by me or under my 127az- ~ direct eupervision and ihat I am a duly Bradley enson, Mn. Req. No. 15235 o Repistered Land Surveyor under ihe : Laws of the Stote of Minnesota. Date - 9/2 il,6?5- - A-0 3 , 1987 ILD NG PERMIT APPLIC ION - CITY OF TAG9N ~f` SINGLE FAMILY DWELLINGS INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF S[TItVEY, 1 SET OF ENERGY CALCQLATIOHS NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOYiNER MQST DESIGAATE WBICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMTT IS ISSIIED. MQLTIPLE DHELLINGS - RFSIDIIVTIAL RENTAL ONITS FOR SALE Om?ITS I`ICLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0LM4MRCIAL ~ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL LANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE SOND To Be Used For: Cg Valuation: -1/200 Date: 7-69"87 a;S o Krciw-j D k • Site Address OFFICE USE ONLY Lot ~ Block ~ On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub S G/US L 7 S~ X T!-/ On Site Well Type of Const City Water (Actual) Owner WILL/AM 13UK0VL C - (Allowable) 01 of Stories Address 4 3-aS YoRK rownV Length Depth City/Zip Code G.QN .SS/ 0 3 S.F. Total Foatprint S.F. Phone 45-2 - 9.17't APPROYALS FEES Contractor S~L Assessments Permit 23. - WaterlSewer Surcharge 1, Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL ~ City/Zip Code Phone fl ~2/84 CITY OF EAGAN i ~~APPLICATION FOR PEYMIT OF SES4ER AND/OR WATER CONNECTIODI (PLEASE PAINi) 1) PP.CP£f7?1' ADDRESS: 42,) I T.F1,=S, Dy..SC,2I°TICV: (I,ot/Block/Su:aivisicn-ar Tax Parcel I.D. NurLcer) S'?'RC=ZE, DAT' O" dRT_GuI,aL cUI?.LL':C', ISSu:-~C.• _ , PD~CLT .~.^:~II:r'/P"OPOSM L'S: ? R-1 S.i= F?tiffLY . ? R-2 DCJP:,...: ('?;i0 L^]ZTS) ? i2-3 ZC7.,7,\FCZJcg ('?'F?D= + L'~]ITS) ( TNI^_S) ? a-a AP:,: T,=-•;T/cc:.U:)cz.,,,1r~i c wz_s) p CCL'•THN1MCIAL/RE^.'i'1IZ,/Or:'IC': ? INCUSTIRL~.L ? L`1STITUTIOJ]AL/GGV=~: 2) APPISG.~iP (PLEASc PRlfli) DuV•T'_= Sor- Y+9: ((th ADCRESS: I1Q)l CccDA~ Arc. CIT`_', STAT"', ZIP: Fdr'x:vrl.aJ r?! SSb„I PFo`m: `(3f- 1m01 j) pj,j,-.mEo ~j (PLEASE PRINi) FOR CITY IJSE 08LY NAME' Ph4M AGDRESS: ,ya,2~ ~3" ~ PL~JNBEfl~~CEYSE: Active CI'I'Y, STA'I'E, ZIP: ExP' ed i of Record PHOVE: .SSQ-3`7S PLUHBEF IICENSE N~O(o6 /H~ ' r ni[ia 4) OCC?;ppN'P/Cr„~.Tm NAME: (PLEASE PH111{) ADDRFSS: CI'I"L, STATE, ZIP: A,r Z~ PFiO^IE: 5) II`1DZCATE .'1HICH PEFUdIT IS BEINC REC!UESTID: 2rCG.INECCIOV 'In CITY SES9ER COVNECPION 'IO CITY G7ATER ? OTIMR (PLI'A.SE DFSCFtIBE) 6) II:DIG,:. C:<r.: . . PI: aSE E?OID APPRQVED PER?1IT FOR PICi:-L'r BY ONE OF ABGVE ? PMnSE :•TAIL APPRWm PEF.•1IT TJ 1, 2, 3. 4 ABOVE (Circle one) 7) SIC.^„TG'RE: DATE: ~ 6)o ~ w a~:w.awfe.,a i~ r sa ~c~:aae.u: ~ rx+ra FOR C I T Y U SE ON:,Y PcRMIT ISSUED E rrrS: $ /~J•S~C> SEi:c.°, °ERt1TT (I~lCLc.:)_= SUP.C-1[<GL! $ /U~-V WAT°R PEi2MIT (Ii:CiuDE -SiiRCHARGc) $ ~o~i.c,U WATER METER/COPPERHORN/OUTSIDE RE;,DER $ WATE.°, TAP ( INCLL'DE CORPORATIQV STOP ) $ SE:•icR T.A? $ -=i::i': :._.=Gc_- - c=..=3 $ ACCOii?IT DF.POSIT - S•I:1T_°3 $ wac +S Sc? V•uU C $ TRU?IK f•7AT°R ASSESS::°_:iT $ TRG:d?{ SEPiER ySSESS:iEt•iT $ LATERnL BEi•iEFIT/TRliVri Sci•iER $ L;Tc:2AL BEiVEFZT/TP.U::K ;'7AT°_p $ `dATER TREATMENT PLANT SIIRCEIARGE $ OTHER: 5 TOT:,L $ ,-~lCfiCi f il AIMOU.`:T PAIDi"RECrI?_' R '•S 4S DOES UTZLITY CONNECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF WAY? ~ YES ZF YES, THEN n"PERMIT FOR *rlORS WIT?IIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERZPIG DIVISZON. LIST AS A CONDI- TZON. SUEJEC: TO THE FOLLO«ING CONDITIONS: • ` - . 0 ~ APPROVED BY: ~ TI.Lc: DAT°_: ss~ ~s r~~ Es .c ~ ri s~ w s w~ w sst wr~ ~c+ w~ w~~ ~as~ ~ca R~ sa ~i+ w~~c~ w ~r~ ~ CITY USE ONLY PFRMIT RECEIPT DATE: '~~-0I PXSIDENTIAL M£CHkN1CAL PEtMIT APPI1CATION crrY oF Ewsnx 3830 PaoT icivos Rn EA6RN MN 55l YE 651-661-4675 Please complete for: : single family dwellings townhomes and condos when permits are required for each unit Date: C) I SITE ADDRESS: VrxIG-ftvvn 1)r. OWNERNAME: _KeV II'1 LGtrson TELEPHONE(051,liqV&_l6957 (AREA CODE) INSTALLERNAME: WDhIff's SDuk ILlPI T l~l. TELEPHONE#: q5a' ?I~'7D-! % (AREA CODE) STREET ADDRESS: _tQq50 I,) . ly1~J ~ St ~ ID(~j cirv ~nb ~/Gi IIC~/ STATE. ML~~ ziP: 551d~`I Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not owner/occupied $ 70.00 _X Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conddioner • other Nature of work: )zVfI/~~ fl,f ~-ft~n ~ ~ ~WICA" State Surchar e $ 50 Total $5Q- FJtI UN 11 [UU1 ~ n nn f-'4elGINATITRE Rerniiider: Call far inspectians. li _MfTT T B UpdoteC U01 '1up:-,5 415.5(3 2006 RESIDENTIAL PLUMBING PeRnmT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date [J 1 JL~ I 0 SO Site Street Address Unit # Property Owner Telephone # (~jo Contractor~2 -7~~-1~ YII~U D~~t4~/1 Telephone# ((~t) Address~1I 1 CU - City iFAQqin, State_AJ-L( Zip `95Q3 The Appiicant is: _ Owner L:~ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. /f you are installing onlv a water sottener and/or water heater, do not complete this section; move to the neM section and check the appliance(s) you are installing. ' _Septic System Abandonment , JL _Water Turnaround (add $130.00 if a 518" meter is required) Other: lx~ ~ Water Softener -Water Heater $ 15.00 _ new ~eplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 LT021- I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the ' f-Eagan-and-the-glumhin codes; that I understand this is not a permit, but only an application for a ork is not to start without a permit and rk will be in accordance with the approved plan in the event a plan ' quired to b reviewed.and approved. ApplicanYs Printed Na Appli nY Sign re ~ ffp