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4234 Yorktown Dr ìì ÿ ÿþþýüìüúû ùýýþþïúîïãíòÿ ãþý ìò ïïã ÿþ þýüûúùëý Ü ø ûúù÷ö ùëý Ü ø õý ù ô óý ô òýü ñ ÿþ ù ÿðïî þ ñ ôëðíùô îêéé öù þý ò ëèêéïéï õô óò ùù â Ü ø Ûææ ú ò çýþýòã× ö ñ÷ã ñ÷ã ðïîã ò üúö ò òç ò ùù òòæ ô ôùúöòùùüþ æñ þý øúæ å é ùùá ôþ ý ýúþ ý CITY OF EAGAN WATBt SERVICE PERMIT ~ 3830 Pilot Knob RoW 7 2 F'~ ~ PERMIT NO.: Eapni, MN 55121 pA~: Zo^i^o: Y1 Na of Units: i Jo e-~ti er Con s t. I /4ddnm 1 Sft Addrom 423 Yorktown Dr ive B Sunset t i I ~ plumber. Hiltner Coust. ~ ~ MoW No.: P SI fr o( F i R+rodfr No. ~ &I5" • ~ . oi p,, I wm te...yly wieh o. . 50pd p 'F o„~....... Y E~ Q~`R 63. SOpd meter er vaw: ~ , ' ocft of insp.: t?,*.; CITY OF EAGAN ~ 3830 Pilot Knob Rwid M~ATER SERVICE PERMR ~ P. O. Box 21199 PERMIT NO.: : Eapau, MN 55121 D^TE: Zanlnp: _ • No. of UMts: 1 p~~; Juc. '!iller Consi. 114dna: ~ Sft /lddrea: 47.34 Yorictoa-:t iltive L' r,! Sunfiet 5t',z . Plurr"r, I' 11 t a er COnS t. Meftr No.: Conrwction Charo; 50{) . OOpd ~ Size: Aooo,x,t poposit. I S. OOpci ' Raoder No.: permn Fee; _ 10.00pd ' I Nwo h w44 wllM fw Cly of ioMw Suahorpe: - Sdvd OF01104101400. Mlsc. Chonpn: 1 S 6. O0pd ~ Toto1: 63 5 pd mater By DoM Poid: Date of Insp.: Insp.. CITY OF EAGAM SlWER SERVECE PERMIT 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: Eaqau, MN 55121 DATE: . x Za+h+O: No. of Unfes: ' Owrnr. 3ae :•:il: er :'.onvt. Addrom ~ Sin Addrom 4?34 Yor'.:town L`rive L3 B1 Suns-:~t 6,t': pl„mber I? i.Ztner Mnr,ibiug 1ofm bon.rip wilM er. d!p .I i.p¦ Conn=Non c]wr0.: 4 7 5. 0Q-od aA...N. Aooount apoat: ~ 5.401)d Prrmlt Fw: , C"~ ~ Surcharge; . SUps~ By Mbc. (]nrpm Date of trop.: Totol: Imp.: DoM Poid: CITY OF EAGAN ~ r 11 ~J ~ 0 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used ror SF DWG/GAR Est value $73,000 Date MARCH 110 19 86 SiteAddress 4234 YORKTOWN DR Erect ff Occupancy R3 Lot 3 Block I Sec/Sub. SIJNSET 61'H Remodel ? Zoning R1 Parcel No. Repair ? Type of Const V r Addition ? No. Stories Name JOS$PH MILLER CONST Move ? Length 40 3 Address 18133 CEDAR AVE 30 Demolish ? Deplfi 46 ° 431-20~1 lnt Impr. ? sq. Ft City F~MI~a~ Install ? i F Name S~F APP?ovab Fees 0 ~ Address Assessment Permit S 352 .00 ~ City Phone Water & Sew. Surcharge 346 _ 50 ~ a Police Plan Review-176.00 ~ ~ Name Fire SAC 575.00 ~x a Address Eng. Water Conn. 500 _ 00 W i City Phone Planner Water Meter 63- 50 Council Road Unit 29 00 I hereby acknowledge that I have read this application and state that the gldg. Off. 3 6 9 6 Tr. PI. I C;fi- 00 information is correct antl agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinancpa APC Parks Var. Date Copies Signature oi Permittee Tota, $ 2,14 9. 0 0 A Building Permit is issued to: 03EPA MiLLEx coNSrr on the express condition that all work shall be done in accordence with all applicable Stat~of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ ~ i - 2" - - , I ' PKndt PMmM NoWW WN Tomphor» N i 'PkieWbing M.Y:AA. Electi a33 3 r, 8G 39 - I ~ sollenew ~I 1' 11~ o.u I.P. cornmoft I FooflnW 1 0 ~ Footlnp~ N I Foundation I Fnndny ~ Iloowq R«igh Plbg. "q. lm R« O 4.7~fz, uL L')N ; Fk"lwo I nnd HIW Frui olhMI. , • ~ siao. crW cwc oa. I D4elt Flq. D=k Fmq. YUdI Pr. DNp. ~ • . • ` ~ F ` . PERMIT # r La CITY OF EAGAN FEE L~ 7 7 MECHANICAL PERMIT - RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE -;10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - =20.00 + $.50 1. Bldg. Type: Res V! Comm Inst 2. New L--' Add Alter Repair 1., 3. Total Bid Price 4. Job Address Lot~ ock ec • ~ 5. Owner ""l 1 ~ ,~i,•1t' e S ~ 6. Contractor` (weme) 2. (SheeU (Ci1Y) RiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additlonal 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 = 'MODiFICAT10N5/I4LTERATIONS -$10.00 minimum tee HEATING `VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. ReFRIG. L- RES. GAS PIPINCi OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER ~ COMM./1ND.;flATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SUR~CHARGE FOR CH =1.000 OF FEE. Signed: for ~ Approved' Inspections: Oate Rough Insp. Date Final Insp. , . . . _ ~ PERMfT # ~ j PLUMBING PEAMfT RECEIPT # y / 7 GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ CONTRACT PRICE PHONE 454-8100 Site Address - " BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Muft Add-on ~ Address Comm. Repair c City Phone ' Other NO. FIXTURES TOTAL ~ Name Water Closet - $3.00 ~ Address Bath Tubs - $3.00 - A p City Phone Lavatory -$3.00 Shower - $3.00 ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray - $3.00 ~ MINIMUM - RESIDENTIAL FEE - S1U•00 r Floor Drains -$1.50 ~ MINIMUM - COMM/IND FEE - 20•00 1 yyater Heater - $1.50 ~ • ~ STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ,/_Gas Pipfng Outleb -$1.50 BEYOND $1,000.00) Softener - $5.00 wen - $10.00 i Private Disp. - $10.00 ~ Rou9h OPenn9s-$1.50 ~ i ' SIGNATURE OF PERMITTEE FEE STATE 8/C: L FOR CITY OF EAGAN tiRAND TOTAL: CITY OF EAGAN Remarks DiyisiA ts.~A-_16 2 2 2 9.110.185 Addir.ion Sunset 6th Lot 3 eik i Parce, 10-72991-030-01 -i1- owner sveec 4234 Yorktown Drive scate Eagan MN 55123 I Improvement Oate Amount Annuel Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING - I - d SANSEWTRUNK 575 1981 153.62 7.68 20 SEWERLATERAL 574 1981 17.63 .S$ 20 Sewer Lateral 577 1981 24.52 1.63 15 WATERMAIN 847 1984 147.99 9.87 15 WATER LATERAL 573 1981 32. 75 1.64 20 WATERAREA 576 198 153.62 7.68 20 Water Lateral 578 1982 20.70 1.38 15 STORMSEWTRK 106 1.986 527.14 105.43 5 STORM SEW LAT CURB & GUTTER SIDEWALK 1066 986 274.91 54.98 5 STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11590 ~ PHONE:454-8100 3~j~ BUILDING PERMIT Receiptu 607o be uaed tor SF DWG/GAR Est. value $ 73,000 Date MARCH 10 1986 SrteAddress 4234 YORKTOWN DR Erect ,y R3 L"J Occupancy Lot 3 Block 1 Sec/Sub. SUNSET TH Remodel ? 2oning R Parcel No. Repair ? Type of Const. V Addition ? No. Stories a Name JOSEPH MILLER CONST Move ? Length ~ z 18133 CEDAR AVE SO Demolish ? Depth 4fi o Address Int Impr. ? Sq Ft. Ciry FARMINCpWAN 431-2001 Install ? i o Name SAME Approvals Fees nddress Assessment Permit $ 352.00 - Ciry phone Water 8 Sew. Surcharge 36.50 13 m Police PlanReview 176.00 _i Name Fire SAC 575.00 Address Qi Eng. WaterConn. 500.00 aw Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.OH. 5/6786 Tr.PI. 156.00 iMOrmation is correct and agree to compry with all applicable State of Minnesota Statutes and Qlty of Eqgan Ordi es, APC Parks ~ Var. Date Copies SignatureofPermittee~ TOtel $2.149.00 'A ewlding Permit is issued to: SOS "PH MILLER CONST on the express condition that all work shall be done in accord nce with all applicab t of Minnesot Statutes nd Ci ol Eaqan Ordinances. Building Official Thi<reqaesivmd ,a pC ths ,2332 9/1 Requ2-f dtd~ Fire No. Rouph, Inspecbon p~Y.sa' ?NO ?Aeadv Now ~YJ Will No~ilv InSPec- T'tor When Feadv ~licensed Eleclrical Cmrtrac[or •I hereCy reQUest mspecbon oi ebova Owner elec[rical work installed et: Street AdA,ess, 90x or Route No. Grv L1,934 Or -fo h r E a~ edmn o. Township Namo or No. Ranye No. Co ny 1 i L.~UV~ ~ LL Occuuaot IPflINTI Phone No. Joe iller P SupDlier ' Atltl,r~ s LRd-/Ci ElECtrie ~ccrm~n ~h ElecUical Convacmr ICOmua/~y Namei Convac~m's Licinnse No. /Vliciland .lE(--IYrG 610-a-- Mallmg AAJress ICOntrac[or or Owner Maktnp Instailonl /367 Berr e. d Eul-, h Au[h zed SiBnalure Con ractor Owner akine Ins[allabunl Phone Number Sd - S6a0 MINNESOTq STATE BOAHD OF L CTPICITY THIS INSPECTION REQUEST WILL NOT GnB9s-Mitlwey 91de. - Aoom N491 BE ACCEPTED Bv THE STATE BOAHD 1821 University Ave . St. Pnul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS on....e iein vo~?nl ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-ouooi.oo r 11' See instructions lor completinp this lorm on beck ot yellow copy. ~ 2-/~ - 3 3 2 "X" " Below Work Covered by 7his Request io nnd xeo. Tvoe of euimine Aooliances wiree Epufunient Wired Home Range Temporary Servic¢ Duplex Water Heater Liqhtiny Fixtures Api. Bwlding Dryer EleClric Heann Commercial Bldy. Fumace Siio Unloader InAusirial Bldg. Air Condinoner Bulk Milk Tank Farm Omer oec. v omo~ iSncuWl t r,r ucc, Y t er Othe. ompute lnspection Fee Selow k Fee ServiceEntmnca5,ze h Fee ienders~5ubieetlars b Fev Circu,Is ~ 0 ro 200 qm s 0 to 30 Am~s 0 m 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amr Transtormers Irrigatwn Booms Partial•'Olher Fee Signs Special Inspection $ Remarks SD TOT 5 ~ Roogh-in I. th Elec xl tnspectar, heFaby CB,IIfy 111q( (h@ IoOVB Final ~ U'J{~ b3 .insDection hes been Tnla redueat vo1018 montM trom ~ RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EAGAN s 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conshuctbn Heauhememe HemodeVReoeir Neauirements • 3 registered sHe suneys slrowing sq. tt. of bt, sq. It. ol house; an0 all rooled areas • 2 copies ot plan (20M> mazimum bt coverage albwed) • 1 set ol Energy Cakulatbns lor heatetl adtlAbns . 2 copies of plan showing beam 8 wintlow sizes; pouretl found aesign, etc.) • 1 stte survey for eberbr atlOtlions & decks • 1 set ol Enargy Cabulatbns • Intlirate tl home served by septic system lor addAions • 3 copies ol Tree Preservetion Plan tt bt Dlatled atter 7/1193 • RIm,bI5lDetailOptbnsselectionsheet(bldgswiN3orlessuniGS) DATE VALUATION ~ ~ • SITE~j R~E~S-S ~a`3y \~orl<~Wn ~Le MULTI-FAMILYBLDG _Y XN NPE OF1NOR FIREPLACE(S) 0_ 1_ 2 APPLICANT Cullj',- c"cfor STREETADDRESS 12Z47 Ni(ollef Av. S. CIiY L )Cnsv;Ilr STATEAJ ZIP55 332 TELEPHONE # 0152, 302 • 6V°I CELL PHONE # FAX # °I~a 909 93041~ PROPERN OWNER J~* E_ f I L'S TELEPHONE #~6E' y5-6 " 6 y_g N COMPLETE THIS SECTION FOR ••NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J submission type) . Residential VenGlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled • Energy Envelope Calculations Submittetl Plumbing Contracfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanlcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Wafer Conhactor: Phone ri I hereby acknowledge that I have read this application, state that The information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinances. Signafure of Applicant \9-4 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 . . • ~'7~ ~ r ~ 1985 BUILDING PERMIT APPLICAiION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LZCENSED MITH THE CITY OF EACAN MDDEL- ,~;1505-7 (Duch css IL' C0141ERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND -7 3 Cz-'o To Be Used For: ~ W~ //Im Valuation: PONO Date: Site Address v_3~ OFFICE USE ONLY Lot ? Block ~ Erect ~ Occupancy (Z3 Remodel Zoning Parcel/Sub Repair , Type of Const ~ Addition II of Stories Owner Move ~ Length 4 0 Demolish _ Depth q ~ Address Int.Impr, Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor / ~ Assessments Permit L, Water/Sewer ^ Surcharge 3( e Address Police ~ Plan Review Fire SAC 5,75 City/Zip Code Engr Water Conn SoD. Planner Water Meter 3-S° Phone 15'~J~ Council Road Unit 290. Bldg Off-i R Treatment P1 ISro. Arch./Engr. APC ' Parks Variance Copies Address TOTAL a~ ,pa City/Zip Code Phone ~ ~ a ~ TRI-LAND C0. SURVEYING SITE PLAN FOR: SERVICES JOSEPH MILLER 4655 NICOLS ROAD CONSTRUCTION ~ INC. EAGAN, MINNESOTA 55122 9 YORKTOWN DRI~VE- b N 0(Y 01' 45" W 4~\ ~ ,00 0 ` ~ ~~!.ifCl!!Lr--I ~ I :.il I tI . `~~~p - ' s s~ SCALE: I" - 30' I 7) I C.ARAGF ~ I W y'y' I L ~ : _CTN g hl 14OL6E w , ` ~ o~ Vd to WI O OD 4 ' Z to° ~I . ~ . co a Z LOT 3 a rl I I -l ~a+S i 9J3+0 EA 70.00 LE N00°OI'45`W PROPERTY DESCRIPTION LOT_, BLOCK_, SUNSET SIXTH ADDITION xcordinp to the reeorded plat thereof DAKOTA County, Minnesota LEGEND o DENOTES IRON MONUIrENT PROPOSED GARAGE FLOOR ELEVATION = o DENOTES WOOD HUB S E T PROPOSED FIRST FLOOR ELEVATION = ,7I. DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELE VATION E LE VATI ON DENOTES PROPOSED SPOT ELEVATION ,e,- DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby wrtify fAat thfs turvey, plan or ~~n~?~ _~~rl.~,o,m rsport ww prepared by me or under my Eirect supervision and ihat I om a duly Bradley J. enaon, Mn. Req. No. 15235 ^ Reqistered Land Surveyor under the . Laws oi ihe State af Minnesota. Date ilp.I8K L BL CITY USE ONLY RECEIPT SUBD. RECEIPT DATE: 1998 PLiJNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT IINOB RD EAGAN, hA1 55122 (612) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when pertnits are required for each unit D 6ackFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x 1Nater Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener ' forexisting dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G.Spflnkler "forexistingdwelling ' 20.00 = Altefetlon5 ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' nbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 S~ ~ TOTAL ~ I hereby acknowledge that I have read this application, state thet the information is correct, and agree to compry with all applicable CRy of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the Ciry during its normal operational and maintenance activities to the facilities construcled under this pertnit within City propertylright-of-way/easement. SITE ADDRESS: ~OQ,(~TD~?~t/ OWNER NAME: ZYJ~~Py ~ ~/t r,e?' INSTALLERNAME: /y161 /T<JOTF/2 /<u„-~~~.?G TELEPHONE#: STREET ADDRESS: yD CITY: 4STATE: SIGNATURE F PERMI CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 _ ~ _ ***#**##**#*+***#*~*!#f****###**#i** , . • CITY OF EAGAN * ~ ~o m~F~, ~ Tim °F ; ,*t APPROVAL OF PIItNffT. ~ APPLICATION FOR PERMIT * . » ixsrDCizota oF sDM Arro/ox vAMM - TTR'TAT.TATTONS WIIS. Nl7P BE SCIIID- : SEWER AND/OR WATER CONNECTION ~~M UNML PERMIT AAS BFIN , w APPRaVED. ; • rt ' . ~~~**+,t,r,t#,t*+***w*,t*xxt,tx***,tie,t,t,t~± P ease Print) 1) PROPERTY ADDRESS: a y - LEGAI, DESCRIPTION: [ 3 Lot Block Subdivision r Tax Parcel ID ) IF EXISTING STRCCZL.'RE, DATE OF ORIGINAL BPZLDING pERMIT ISSL'ANCE: ' ~ (Mon Year) PRFSE[1P ZpNING/PROPOSID L'SE: Cl C0bP7ECtCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY ~ IDIDOSTRIAL Q R-2 DL'PLEX (4t.o Units) INSTI7-ITIONAL/GOVERNMENf ~ R-3 'IUWDII-IOC~SE (Three + Units) ( Units) Q R-4 APARTTENT/CONIDOMINIUM ( Units ) 2) NA`E: ADDRESS: . CITY. STATE, ZIP: PHONE: • 3) u NAME- For C1ty Use ~ Plwbers License: ADDRFSS: ~ p j•~ y ~ Active ~r FScpired ~ i CITY, STATE, ZIP' S? J~„ ~~/,'~r/ Not recorded PHONE: 5- ~ b MASTER LICETISE# ~ ~ Sv gt~f Inltldl 4) • • I~' NAME: ADDRFSS: • CITY, STATE, ZZP: PHONE: • .5) n ~8 r: - A : a • o. a~ p CONPIDCTION 'N CITY SEWII2 ~ CpNNE(,TION ZU CITY WRTER a p1'HER ' 6) IFir.) v r 11 PLEASE $OLD APPROVID PII2MIT FOR PICK-UP BY ONE OF ABOVE ~ PLEASE MAIL APPROVID PEF2MIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r u• • ~ j[ ~ • w: • r 7~ ia• ~ r ~ 'a• ~ •a~ r t+ • u~• ~ r. ur s r.r. ~ ~ i • a- a• ~ r. . FOR CITY USE ONLY PERMIT # ISSL'ED 7~10 ~ rt!- 2~5',6 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT ( INCLODE SURCHARGE ) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ C, Z' ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER S $ WAC $ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRC'NK SEWER $ LATERAL BENEFIT/TRUNK WATER $ C' t! $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S $ J~ c t~ TOTAL G:G 3 e RECEIPT RECEIPT DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 4-,... TZTLE: DATE: `J/ ~/S 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruchon Reauirements RemodellReoair ReqwremeNS Office Use Onl9 7 registered ste surveys shavring sq ft of lot, sq ft ot hause; and all mofed areas 2 copies of plan showing fooGngs, beams, joists Certof Survey RerA Y N (20% manmum lot coverage allowed) 1 set of Energy Calculalsons far heated additions SoAs Report Y_ N 1 Soils Repotl d proposed building n to 6e placed on disWrbetl soil 1 site survey for addiUons 8 decks Tree Pres Plan Recd Y N 2 copies of plan shavnng beam & window srzes, poured found design, etc Addmon - mdicateA on-sae sepfic sysfem Tree Pres Reqmred Y N 1 set of Energy Calculahons On-site SepNc System _Y _ N 3 copies of Tree Preservahon Plan d lot platled afler 711193 Rim Joist DeUii Ophons selection sheet (bwldings with 3 or less unds) Minnegasco mechanicalven6lation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date~/ / 21,1 / 0-? Construction Cost Si[e Address yz3 y /!J? UniUSte # Description of Work Mul[i-Family Bldg _ YK'_ N Fireplace(s) 0 _ 1 _ 2 Property Owner Y {x Er lelS Telephone # ~ cl ) yS~ , 07 Contrac[or SDr" 1"){ Address l 3 a ~ C~'L~' 1~3 J-+! t r ~ City State i~"J Zip SS 33'_" Telephone #(95Z ) 9`l Y-%YYZ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv I _ Minnesota Rules 7672 Energy COde Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submdted Su6milted • Energy Envelope Calculations Submitled In the lasi 12 months, has fhe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Piumber Telephone ~ Mechanical Contractor Telephone J Sewer/WaterConfractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature òû ÿþþýüñüû úýýþþ ûñ êøóÿ áÿþò ßðá ÿþ ÿþýüûú øî ø øüûú÷ö øú øî ø ñøÿÞñøüûúñ þå þøøÿø ÷þôýøêô÷þôýøÿÞ íøã þ áßê ôðá ááï èççïß ÷ú ÿþøò øùæèççð öõõô ùó úú äò ôú Ûååøûø áßêç ÚïðáïÙøöø ñ÷ðá ñ÷ðá ëéááï òøýû öò ò ìø ò úú ò òåøô øø øôúûöò úú ýÿ åñ ÿ þ äûå ãø ç úú à þûÿ þø PERMIT City of Eagan Permit Type:Building Permit Number:EA170413 Date Issued:06/30/2021 Permit Category:ePermit Site Address: 4234 Yorktown Dr Lot:3 Block: 1 Addition: Sunset 6th PID:10-72991-01-030 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Kristy M Lenartz 4234 Yorktown Dr Eagan MN 55123 Pure Home Restoration Llc 20384 Hampton Ave Lakeville MN 55044 (952) 955-9011 Applicant/Permitee: Signature Issued By: Signature