4237 Yorktown Dr
; CITY,IPF E,4?GAN SERVICE PERMIT
i 3830i1ot Knob Road ~ 9~~i
, P.4. dax 211~65;' PERMIT NO.:
~ Eligan, INN 55121 DATE; t Q-R_P 5 _
I Zontnp: Na of UMts: ~ -
~ OwrNr. aas=h
, Address: ~ -
Sitg Addrem 4?7 tlnr- t-~p8fpR=ur
i Plumber. PIVMQI
I 1 ~ ~ 7 a - . Q~
I~EE~ U FR'ED
Acco"'e :
Prnnlt Fee: 10 - QQFd
' Surliarp: -
By Mtac. Chnrp.:
~
~ Dote -df, jntp.: ToRol:
Insp.: Dotr Pbid:
CITY fSF EAGAN WATER SERVICE PERMIT
383o Pilot Koob Road 6770
, P. Box 21199 PERAAIT NO.:
~ Epan, MN 55121 p!,TE: 1
.
~ing; ? 1 No. of Unitv
Owro,: _Tos h'~1i 1 ler 5" , l .
•
~ /1ddrew
~ .17~7 iC)X''.
sK. Aee~..: i . .
Plumber. Pl
. ' S00. ~!0~.
rp
~ AMftr No.: Co~w~setion Ghorp~:
~ „ jqji-It Aaoo~xrt Devait: 15.OOp~1
Sisr 10. 122pd
R~ 1~.: P.rr+~tt Fae: .50
pd
II I.~r.. n«.rh wo th• Cit7' of Io'¦ Surctwrort 132 . (')Otxi ='P
` Mlsc. CFaroes: T G . 0 v~
aol:
BY Dote Pbid:
k Daft of Insp.: - Insp.:
CITY Of EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
~ P. O. Bex 21188 PERMIT NO.: i 'a2 4
Eagan, MN 55121 DATE: " ' ' -
ZorAr,p; No. of Untts: 1
Owrnr. f&^s+ ~+i v Z : s: t . -
/lddross: - -
Si» Addna 4237 ,.bry`,~-'s,+n Qr. 13 Pl1lItlbRf: r q0 r. ~ .i'•1r.'.
~ ~ 7 .
165rM h Mn* wab 1w C*y of yWw COflfNdl0n d10rof: S~5 .
/~1DODNflt aQOWM 7 3 • ~ '.'t.i':
a~1~M1~M.
~IRIK FN: 1 1). l)C Ex:
SYRh01'Qe: -
ey W11ic. Gfer'0m
Dote of Insp.: Tarol:
, Insp.: Dab Pald:
CITY OF EAGAN WATER SERVICE PERl1A1T
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Epsn. MN 55127 oAl'E:
Zonino: - No. of Unlts:
Owner:
/1ddnm
Sih Mdreu: 4237 Inz kt own 0,- ; ,.3 , .
Plurnb.r. - I' iymu: jY't P Zamb i.-ir-
MeUr No.: Connactian O+arpe:
Sire: Aoooiwit Deposlt;
Reoder No.: Permit FN: - '
IGNm bonwh? wMr ly C11p oi Laww Surchorgr
Orllswom AAisc. Chorpm
Totoi:
BY Qote POW:
Doro of Irop.: fmp,.
. ' CITY OF EAGAN IL
3630 Pilot Knob Rosd, P.O. Box 21-199. Eaqan, MN 55121
PHONE: 454-8100
eU1LDING PERMIT aeuipt #
T• be wd h. sV -r wR Est.voiue $t?~ . GU0 oare ,19 Sits Addreu 4237 YORKTO ',^J'1? iif : Erect ~ OccupancY -
Remodel ?
Lot Blxk 2 Sec/Sub. ~+iiidSF;?' f:IF! Zoning
Repair ? Type of Const.
Pwcel No. Addition ? No. Storiec
~ ,iTfLi;R Move O Lengtn 4
~ Neme Demolish ? pepth ~
~ Address AiJE Int Impr. ? .
Sq. Ft.
City F',' 110,.1 V i;T0Filhone 4 3 i- install ?
APy
Name rovab F~
~
A~~ Assessment Permit •OU
Woter 3 Sew. Suroharge 31.50
City Phone ~ ~ ~
Police Plan Revlew
~ Name Fin SAC
Addresa Enp. Water Cona L± G
,
tu+ City Phone Plonner Water Meter •
Council Roed Unit ' ' ~ • ~
I hercby ocknowledye thot I how read this opplicotion ond stote thot Bldg. Off. R/16/E5 Tc PL 1.i . I) U
the inlormotion is tonect and ogree to tomply with all opplicoble
Stah of Minnesoto Stotutes and City of Eagon Ordinonces. APC Parks
Ver. Dete C~~
Siqnoturc of Pe?miftn " _ T~"j .
~i
,:~_';•f:PE '~!}id~~i' Total ` ~
A Bulldiny Pennif Is issued to: on fM express cordition thai
oll work sholl be dork in acaordonce with oll opplimbpo
Ie Stote of Minneaota Sfatutes ond City of Ec~pon Ordincncet
6ufldinp OfflNol
~ Pwmk No. Pwmit Holdw Dots TeIephone s
[Ebatric u~a 7U rg S ~
vA.c. 14 Z
,
=i ttaner
Irapeetion 08b Intp. Othn
Fooang.1 3-{~S
Footlnqs 11
Foundetbn
Fnminq
Rooflng
Rou9h Plbp. ~
Rouph Hty. 9 b'
InwL
FlnPlmu
Final Htp.
Flnel Plbp.
.
vk5
Flml
Ce+t/Occ.
Dftcribe Location:
WdK
WNi
SrwL Pr.
C ITY O F EAGAN ,
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
r
~
? I have this day inspected this structure and
~ these premises and have found the following
~ violations of city codes governing same:
'
7 1
.
When corrections have been made, please
call 454-8100 for inspection.
~ -
Date/e - ~ ' -
Inspector City of Eapen
DO NOT REMOVE THIS TAG
ReceiPt • MECHANICAL PERMI7 PKmit No.
CITY OF EAGAN F« ~
~
Frll in ixrmborod 4um S/C
Type or Print /wlbly ~ . ~
Tot ~
1. Date 2. Installation Cost
3. Job Addren 4y Lot - Blk. Tract ~
;
4. Owner 1
i
5. Conusctw " Phone
8. Addross 7. C'ity - State ' Zip
8. Building Type: Residential ? Commercial ? Institutional D
9. Work Descripiion: New~Q Add ? Alter O Repair ?
; 10. Dasaiha Fual Type ;
s
, 11. No, Epujampi 8TU - M. Ea. No. Eauioment CFM
' Forced Air • Air Handliny:
Mf9,
Boilsrs Mach, Exhaust
Mfy,
Unit Heater
Mfg• Other
Air Cond.
Mfg.
Gat, Piping Outleta
12. I hereby certify thai the above information is true and oorrect, and 1 agree to
comply with all ordinanoes and codes gowernis?g this type of work.
Sign°d for
Rouph Final
Inapections: Date Inap. Date Insp.
~
This is your parmit when numbered and appraved.
Approved CITY OF EAGAN 464,8100
f.1 1 ,
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
<<, • FN
PiU in numbered spaces S/C
Type or Print /egibJy -
Tot
r^^
1. Date 2. Installation Cost
3. Job Address Lot Blk. ~ Tract
4. Owner
6. Contractor Phone
6. Address
7. City t_ State i rr`r..'. Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New-31Q Add ? Alter O Repair ?
io. ~~~~ibe 1 ; ; •
11. No. Fixtures No. Fixtures
Water Closei 1 Kc 4J Cesspool/Drainfield
~ ?
Bath tubs Septic Tank
Lavatory $oftner
i
Shower Wel I
Kitchen Sink
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_; II ordinances dnd ~codes governing this type of work.
Signed:
for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITYOF EAGAN Remarks Divizion # 16222 9130185
Addition R»ntpt 6th Lot 3 Rik 2 Parcel 10-72991-430--C2
owr,er sveet 4237 Yorktown Drive scate Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, I
STREET RESTOR.
GRADING
SAN SEW TRUNK 575 1981 153-62 7.68-- 20
~
.
SEWER LATERAL . .
Sewer Latera 57 1 81 . WATERMAIN 7 1 - • ~
i
573 1981 3 2 • •
WATER LATERAL
WATER AREA 7 . .68 O
Water Lateral 578 1 82 20.70 1.38 15 , I
543-- 5 4
STORM SEW TRK 1 O 1 H S . 1 O .
STOFiM SEW LAT
CURB & GUTTER '
SIOEWALK 1056 1986 274.91 54.98 5 . 73
STREET LIGHT
8/26/85
Roaa tmit aso.oo 4s5
WATER CONN. 5
OO.OO
SUILDING PER. lO
SAC
PAR K 525.00
L
- ' RESIDENTIAL
BUILDINC PERMIT APPLICATION ~ ayy,aS
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodelfReoair Reauirements
• 3 registered sAe surveys showing sq. ft, of lot, sq. k. ot house; and all roofed areas • 2 copies of plan
(20% maximum btcaverage allowed) . 1 set of Energy Cakulatans for heated additions
• 2 copres of plan shaxing beam 8woidow sizes; poured found desgn, etc.) . i sitesurveytorextena additbns 8 decks
• 1 set W Energy Cakulatans
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Jdst Detail Optbns selection sheet (Wdgs with 3 a less units)
DATE aa• ~0.'N ~~a- VALUATION (EXCLUDING LAND) 14, 000'3P
JOBSITEADDRESS'Ao15_+ l~e~cKkn~~"Dc;uA.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERmGC-I'PAtk
TYPE OF WORK FIREPLACE(S) _0 _7 _2 _3
APPLICANT'?yuve.i,.ioA _1u P++bWSa.+%~) ~ a0150qS3 PHONE # 1(03 •Saa•`I7i_+
~
ADDRESS 35b-~t3"d' Av,u.Ay.F. ~Y:d1tw , rthN 554 3a. ZIPCODE
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CA`I'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
~
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechantcal Contractor: Phone #
Niechanical System Includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contracior: Phone #
All above information must be submitled prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Sfgnature of AppBcant 40,010 je~j _
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
CITY OF EAGAN rJ° 10$ 5$
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT rte«ipr # ) ~ J
Ta M uwd fer SF DWG/GAR Est. Value $63,000 pate AUGUST 23 lq SS
SiteAddrese 4237 YORKTOWN DR Erect [Y,l Occupancy R3
3 2 SUNSET 6TH Remodel ? Zoninq Rl
Lot Block Sec/Sub. Repair ? Type of Const. V
Percel No.
Addition ? No. Stories
JOSEPH M MILLER CONST Move ? Lenyth 44
Name Demolish ? Depth 45
Z Address 18133 CEDAR AVE Int Impr. ? sy. Ft.
~ city FARMINGTONpnone 431-2001 ~nstau• ?
~ SAyE ADVrovnlf Fees
o Name +I+£ a 0
Address Asseument Permit
u~ City Phone ~'~'oter 8 Sew. Surcharpe 31.50
Police PlanRevlew 161.00
tW Name Fire SAC 525.00
~Z rJ~~.~~
Address Enp. WaterCOnn.
~W City Phone Plonner WaterMeter 63.00
Council RoedUnit 280 .U0
I hereby ackrrowledge fhof I hove reod this nD0lication ond stote fhal Bldg. Off. 8/16/85 T, pi 132.00
fhe inlormotion is correct and agree to comply with all opplicoble AP~
State of Minnewio $tatut on Ciry of Eogan Ordirwnc Parks
Var. Date Copies
Sipnoturo of Pertninee ~ 7ote~ $ 2 r 014 . 50
A Buildiny Permir Is issued to: JOSEPH. M MILLER CONST on the exvrcss wrd~tion tha~
oll work sholl be done in occordance wilh all ovoli Srme of innesot $latutes and Ciry of Eoqon Ordinonces.
Buildinq OfHdol
a 4'i'66s,~ ~
4;~ 'I,_ .
V*
Raquest a~e _ Icrte No floughan InSpecM1On
Rapwre0'+ atly N. ? WA1 Ndiy InsOeqor
es ? No Whan Reaay'+
1' icensed contractor E3 owner hereby request inspection of above electrical work at:
Job AOOress (SireeL Box or R vle No ~ City
317 Z~14<'?c Zi+6 /-1 ..v
SeMion No Townshi0 Name a No Range N. County /
PA /L07"/}
Occupam (PRINi) Pnone No.
E7 rc
Powar Su00lier Atltlress
, A/Co
Eleclr¢al Com' <mr (COmpany Name) Gomracror5 License No
a P "-C Pc71QrC- 1.JC. 6Q.6a3
Madhng A/atlress /on/Vactor or Owner MaWng Installatmn) SS337
7~ 6 G All S(7. a~'r~/.sUil~t MN
Avthonaed $ignatme (COnlratl IOwner aWn nstall i I Phone umber
~3.L ~3~?
MINNESOTA STATE BOANOOF ELECTHI ITY THIS INSPECTION REQUEST WILL NOT
Grigga-MlUway BIGg. - Poom S173 BE ACGEPTED BY THE STFTE BOAqD
1821 Unlvenlty Ave., Sl Paul, MN 55100 UNLESS PPOPER INSPECTION FEE IS
Plqrro (BII) 642-0800 ENCLOSED
Tp, requesl void
18 mon[hs Irom
0
Ai+q est Uate EFire No. Rnuph-in Inspection ~ ,y/
R qu retl~ ReaAY Now 1,1I Will Nnlity Inspec-
~ es ? No Tl [or When Readv
9Lice~sed Electrical Convactor I hereby request insoectmn ol ebove
Owny+f elec4ical work installed aL
Slreet Atldress. Box or Hou e No. Ury
~a3~ ~ o~~ ~ewn IL " ;L) t G
ectmn o. Township Neme or No. Range Nu. Couniy
i~ D7
Oceupdp/.1PPINT) - Pho e No.
J g..
Pow $u Plier e AtlA~ss ~
V IiLV T
loct ical Conpactor Company Name) ontrartm Liccns~i N
Mailfnq AdJress (Contm or or Owner Makinp iaHa[ion)
AuNonze SiBnawre ( ontra t d0 Ma ing Install ronl Ph.i e umber
~
MINNESOTA STATE BOAflD OF ELECTqICITY THIS INSPEGTION qEQUEST WILL NOT
Grie9s-Midway Bldg- - fioom N-191 BE ACCEPTED BV THE STATE BOAHD
1821 Universi[V Ave., St. Peul, MN 5510E UNLESS PPOPEH INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION-
5 r
See instractions (or completine lhis form on beck of veilow copy.
o'os8~5~ X"BelowWorkCoveredbyTfiisRequest r
.
MAAd Rep. Tyoa oi Bwitling pppliancns Wired Enuiument Wired.
Home Range Temporery Service
• Dupiex Wa[er Heater Lightiny Fiztures
Apt Bwlding Dryer EleCtnc Heatin
Commercial 81dg. Furnace Silo Unloader
indusiriai Bidg. Air Condrtioner Bulk Milk Tank
Farm OtnHr oac, v 0111er ISOer.ltyl
uecify Ot er O~h¢r
ompute Inspecuon fee Below
N Fee ServiceEntenceSize b Fee Fexdars/5ubfexders tl Fee Circuits
/ 0 ro 200 Am s 0 to 30 Am s 92. 6 0 to 30 Am os
Ahove 200 qmps 31 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 100_Amps Ahove 100_Amps
Transtormers Irrigation &oorcis SO Partial.'Olher Fee
Signs Speaai Inspection S /
nema.ks TOTAL FEE
( 3 ,z,So
PouBh-in Oate \
the•Electricxi~
Q Inspector, hereby
cerLfy that the above
F~nal qA~e
inspectio~ has been
mede.
Thia re0uest voitl 18 montPx trom
,~/~7/9~ REQUEST FOR ELECTRICAL INSPECTION ;y~ Ee-ooam-o8j/,~ I
~ See mstroctmns lor comptetmg thrs form on beck oi yellow coOX y~q~
a ~~1608 6 ' .
Below Work Covered by This Request ~•m•~ ew Atltl Rep TypeofBmlding AppliancesWved EqmpmenlWired
Home Range Temporary Service
Duplez Water Heater Elecinc Heating
Apt. 8udding Dryer Other (Specdy)
Commllndustrial 'Fumace ,eScrHC.a
Farm Air Cond~tioner
Ol~er ~speatyl Convactor§ Remarks
C pute Inspection Fee Below:
Other Fee N ServiceEntrance5¢e Fee # Qrcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
hansformers P.bove 200 _ Amps Above 700 _ Amps
Signs Inspecta5 Use Ony ~ TOTAL mfO
Irrigauon Booms
Speciai Inspection ~2 /
Alarm/Communication THIS INSTALLATION IdqrolSt ORB~N~pf~ISCONMECTED IF NOT
Other Fee COMPLETED WITHIN 1~ MbNTN$. f^-~?
I, the Electrical Inspector, hereby Rough m oa~g ~~t~ I/-~
6
certify that the above inspection has oeie
been made.
OFFICE USE ONLY J ~
iNS request wM 18 monlhs fmm
inis reouest voitl
18 rronths from
L- -1) l ) /
0
.1 ~~n~? - ~b ~ V
Henuest Uate ~ Fire No. Rouph-in InsVer.tion
P pu ~edl ~Ready Nuw 1,1f WIII Nobfy, Insoer.-
a~ ~ es ? No ~or Whun Reatly
Licen~setl Electncal Convac[or I hereby raquest insOe<<ion ol aEova
OwneY electncel work insislled aD
Slre~et/Adtliess, Bos or Rou}e No. Citv
7oK Fown luti:o c ~CiC ~r
7•a.3 7 r
ection o. TownShip Name or No. Ranye No. Cow~~y
/Y Q-T.
OccuVapy.IPFINT) - Pha • Nn.
J~ ~I~l- ~l
Pow Su phor~~ Atl~ss ~
E ece ical Con(ractor Comoany Namel on rartm Licunse N
///O -o~
Mailine Atldress (COnVa or or Owner Mabnp [aNatioN
Authonze $ignalure 1 n(m t?O r Ma iny Inscall' iunl Pho e umber
~
MINNESOTA STATE BOAflD OF ELECTNICITV THiS INSPECTION REQUEST WILL NOT
G,i99s-Midwey Bldg. - Noom N•191 8E ACCEPTED 9V 7HE STATE eOAPD
UNLESS PROPEfl INSPECTION FEE IS
1821 UnivarsiIy Ave.. St. Peul, MN 55104
Phone 1612) 297-2111 ENCLOSED.
. ,
f r-
2/84
i 1 CITY OF EAGAN
Iltll APPLICATION FOR PERiAIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINi)
i~ PT.?OP~'7?Y ADDRE55:
r cr ,i. DE.SCRIprTcV: 3 rt
(Ljot/Block/Su:aivisicn or Tat rarcel I.D. Nur--,pr)
~_:G ST^L'CI'!T;"cE, Dr1T° 0F OiZT.GiAi `u,II.DL:G
F?==-:^ ~^`TI;~:/P?OPOS~ L'S: ??-1 SL:GL: F?YSLY ? R-2 DUPT~{ (T:b [11\]ZTS)
? R-3 TGi,.=1cE ('?'F'_°W + L~IITS) ( TANI'?'S)
0 R-4 CIP+'IT_S)
? CC?°ntE:.°.CT_'.L/RE:'AIZ?OFFIC::
Q ~.'DliSTZLU
Q L1'STITC,TIO:l?~L,/GGVap,~nT~:T
2) APpT~-- ` IjT ~.p (PLEASc PRiNI)
NAh,'E: Je~ Mf/ICV"'
r,DOREss: /~/33 <<J•a~ q~
CI?"_', ST~IT:.', ZIP: f,,~ry~: ?a f'o~J m/Y d~g 0 o2 y
PFC211E:
3) PL:.,- W~? (PLEASE PRiNi) fOR CITY USE ONLY
rurE: TlyAxout~I, Plu..b r
PIUMBERS iZF;45E:
p.DnREss:
` A[tive
CZTY, ST.a?'E, ZIP: I 'ONmK )VA-P 0 it 4ffR card
PHOVE:' , f -3(o PIUMBER LFCENSE N Lid
4) Occ[.Tn~rr/a,~reR NAME (aLense PAiIJr)
:
ADDFtESS:
CITY, STA'IE, ZIP: C Sqyie /~J a~
PHO:IE:
5} IINpICATE ;9[-IICH PERf~ffT IS BEItiG REQLJESTID:
dCO.INECPION 'IO CITY SE7r]EF2
d~N=~N TO CzTftZ UATER
? U"it1ER (PLEASE DF_SCRIgE) 6) L'DIG,:.
. ErP*.----,SE E?OID APPP.WID PER.ILIT FOR PICF-Uc BY C,'IE 0£ ~i'E
?°L.EASE IMPLIL APP??Wm PFY,%liT 'P'J 1, 2. 3, 4 ABOVE
(Circle one)
7) SICr'i[.'R: : w,u..,f,t/ Ws,u~ DA'IE: See~ 3 8 S~
~RQ:~l.all/eJO:I~Y~dtl~aae.ls~Aa-aa-~.~~s~~ss:a.aa~eYefE~~si~ r • •
S Os ~ al [8~r
FOR C I T Y US E ON:,Y
Pc°MIT ISSITED
rcrS: O.Sti
$ S7 ::c.. _ -o n`.R~17T ~
(Z_ICL::D: SURC-;~R;c.)
$ ~~'S!1 WATER DFRt?T (I1:CLUDL Si;RCF:aRGc',)
$ Co3.uU WATER METER/COPPE4HOP,N/OUTSIDE R: nC: D
$ WATER TAP (INCLUDE COR?ORATIQN STOP)
$ S°iicH TAP
$ /5-J0 :_?r.cZ- - a=. =3
$ AC^Oi;::T DEPOSIT - 41AT°_3
wnC
SAC
$ TRG?IK WATER ASSESS%'E:;T
$ TRti27?C SE:iER :,SSESS?7ENT
$ L;=.TEP,ni BEivEe ZT/T??li`I:C S-?::
$ L:,:E:2AL BEVEFIT/TP,U`JK ;•]AT°_R
$ WATER TREATPIENT PLANT SURCHARGE
$ OTHER:
$ TOTaL
$ ~ ),u(• p,i110[i`:T PAIDjREC_-I?T
DOES UTZLITY CONNECTZON REQUIP.E EXCAVATIOiI IN PUBLZC RZGriT OF SQAY?
~ YES IF YES, THEN n"PERiIIT FOR :10RK WZTHIN
PUBLIC ROADLJAY" MUST BE ISSUED BY THE
0 NO ENGZNEERING DIVISION. LIST AS A CONDZ-
TION.
SUEJECT TO TkiE FOLLOWING CONDITIONS: •
/
APPROVED SY:
TITLc: '
DAT°:
' 1 lif=> LAND . C0. . ,CERTIFICATE OF_ SURVEY .
SURVEYING - far .
SERVICES JOE. MILLER CONSTRUCTION
EAGAN, MINNESOTA 55122
As rooo°u,, tis"w ao
"!O UO ~ M Qb .
s~- - - - - -I s N
I 3 ~ -Vppppp
SCA L E' I" = 30'
I ~
LEGAL DESCRlPTION:
LOT 3, OLOCK 2
N
SUNSET SIXTH ADDlTION
?
S QI I ~ ~
NoUSE y~ e
m \I ~ I ` m
Z ~y Z
r,nwAbe a I KEY:
~ to0x00 DENOTES EtISTiNG SPoT ELEVATION
ooo.oo) DEN0T45 pAoPO56G SPO7 ELBYATION
fl L, ~ Is.; .
pGNOTES ORNjNAG6 DIRECTkON
~I7/.SO PROPOSED CA0.n4E FLoOk ELP_VATION
PRO905FO FIRS'r fLOOR ELEVATiON
PROPoSEO BI.SEMGNr FLWA ELEVATIoN
° 70. p0 L~
NOTE VERIFY ALL FLOOR NEtGHTS WiTH
FINAI. NOUSE RAi`15
$ET CARA6E FLOOfl 18 p600f_ ToP
YORKTOWN DRtVE c„Q6 .
-
. . _ . . .p. a..w _,.4'~ycpJT: J~.e '..-l.Mt"..:t!il,.•.MFw^'1~"~L~MMa~+~r•'"rfr
I hereby:certify that this survey,, plan,,
or .report •was prepared~ by, me or.`under - ; 1 ~~n~~~~k ~7iLxarn? '
myect supervision and ;that I am
_ a duly Registered Land Surveyor under the' gradley~:.:r.SwensoReg,NO,~:15235,
. - . ,c _ nof'n
~~~~i iu~ i<.~v rm iVO all 490a t(EIVCIIAL riYA1VLC1(JC1V 1¢IUU'L/UiIL
re al
HYANDHASSN' '
7une 2001
City of Eagan
3836 Pilot Knob Road Eagan, MN 55122
To Whom It May Concern:
Elder Iones is authorized to pull building permits for Renewa] by Andersen_ Please allow
Elder Jones to piovide this service for us in Ea.gan. This authorization is valid for any
date beyond 6/6101; wntil a Renewal by Andersen manager expressly revokes it in writing
to the City.
I requcst this authorization be accepted expeditiously, as to not delay in the processing of
our building pcrmits any {urthcr. Plcasc call mc if thcrc azc any questiuus. I can be
contacted at 763-502-4706.
,
Your immcdiate attention to this maticr is appreciated.
Sincerely, '
}wond R. Rau
nstallation Manager
Renewai by A,ndersen Corporation
C'r.: Kara-F.irier.inne_c
MEGIHIADIA M. GqMAL
N~ary PubIIC
rss pm~,eSOffi
, GuE7,kM.71~2005
J,;i~, 2 4
. ,
Received Time Juo. 7. 1:01PM
Cm ~ ~ l~o
2004 RESIDENTIAL BUILDING PERMIT APPLICATION Gfdy&i
• ' " City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConslrucUon Reouiremenis RemodeUReoair Reouirements ce Use On
3 registered sde surveys shaxing sq. N of IoL sq. R of house: and all roofed areas 2 copies of plan Cert oi Survey Reoi _ Y_ N
(20%maximum lot mveraga allowed) 1 set of Energy Calculations for heated additions Tree Pres Pian Recd _Y _ N
2 copies of plan shaving beam 8 window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N
7 set of Energy Calculatlons Addifion - indicate ilon-sife sep6c system On-sAe Septic System Y_ N
3 copies of Tree Preservation PWn it bt platled afler 711193
Rim Joist Dehail Options selection sheet (bldgs with 3 or less units
Date Construction Cost ~ J D 00
Site Address y237 Y6.?KT0W.4) D 2 1 UE E964 n0 --3-5123 UnidSte #
Description of Work NEW DL'C K
Multi-Family Bldg _ YN Fireplace(s) _ 0 K 1 _ 2
Property Owner //WC145 ~ • 11111CCxG=4R Telephone # ( Gi 5/ ) FOS - 99 9 $
ConMactor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ~ ~ ~ ~ ~
JUN 0 8 2004
Mechanical Contractor Telephone
Sewer/Water Contractor 7elephone # (
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
approva] of plans.
f
~IARC~IS l.. MCGLL-f1R~/ ~
ApplicanYs Printed Name p licant's Sign ure
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New 0 35 Int Improvement ? 38 Demolish Interior O 44 Siding
~ 32 Addifion O 36 Move Building ? 42 Demolish Founda5on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplBCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Z4GYI Occupancy 'R ` ? MCES System -
Census Code J~y~ Zoning n/' City Water
SAC Units Stories ~ Booster Pump ,
# of Units ~ Sq. Ft. ~ PRV ,
# af Bldgs I Length ~ Fire Sprinklered ~
~
Type of Const Widih
REQUIRED INSPECTIONS
Foorings (new bldg) FinaUC.O.
~ Footings (deck) ~ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTes[ Final Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
~
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
TreaVnent Plant
License Search
Copies - ~S
Other
Total
TRI-:LAND C0. CERTIFICATE OF SURVEY .
' SORVEYING for
SERVICES JOE MILLER CONSTRUCTION
EAGAN, MINNESOTA 55122
a5 N000vl'45" W so
q~~ 'I0.00 -7 AV^
-wPi
SCA L E I" ° 30'
I ~ZZ I
i
~ W
LEGAL DESCRl4TI0N:
LOT 3, BLOCK 2
H -
ol Om SUNSET SIXTH ADDlTION
z
m 1
~ N . HouSE yo
I m
Z Z~N Z
I ?
I Y C~nnanse I KEY:
IooxoO DENOTES E=ISrING SpOT ELEVAttON
sl ~ L, ~ Is. (loo.oo) DeNOTES pRUPOSED SPbT EIEVATION
k- pGNO1E5 DRNiNAG6 DIftECT10N
„ 97450 PROPOSEO CA0.w4E FlooK FLF_VA7ioN
~ PROVOSF_O FIRST FLUOR ELEVASION
- PROPOSED BASEMeNr FLC~A ELEVA7IoN
v 7
0 70 ~U LL
NOTE: VERIFY ALL FLOOR NEkGNTS WITH
FiHp.L HOUSE Pi-Ar15
SET G'RftA6E Fl.ooR 18 P,600G TOP
YORKTOWN DRIVE c~Ra
- -
. . n.. . ' .r . ' . ~c ...V _ •s'V4p/ P. ~..Rb . -M1M'. ' .%r!S ~'.''Hw=is'• "ryi a i7~M1Iw<!~r'~^T~ '
I hereby_certify that this survey, plan;,
or report was prepared by me or'under
my direct supervision and that I.am a Br._adleyF_,7 ._S'wenson^`;Mn.:Reg No,„ t5235:t: µ
duly Registered Land Surveyor under the " -
;2-0 -~30.
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 permits are required for each uni[
Date 1 a- / L--Q / -0~
Site Address I~~~ 1lCJ ~~~f~ ~ Unit #
NV\)~- VA(' ~ 2QV`Lv / Telephone # ( )
Property Owner fy~)C
U
Contractor
O'Connor
Street Address Piumbing, HeaUing 6C Cooling I City
State 7904 Vermillion St. Telephone )
Hastings, MN 55033 '
Bond - - - ---Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit 30.00
~
furnace _Additional _Replacement
air exchanger
aircondit/io~ner _New _Replacement
other ("'1 Qr'GC7. Q 4 Al~~'lW~ '
State Surcharge $ .50
Total $ 30 .5v
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wil]
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernut, but only an application for a pezmit, and work is not [o 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 pla_ns. LJ
Applicant rinted Name Appli a Ys ignature
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan .5 ~ 0
3830 Pilot Knob Road, Eagan MN 55122 ~z
Telephone # 651-675-5675
NOV 1 7 2004
Please complete for smgle family dwellings & townhomes/condos when permrts are requved for each unrt
Date
Site Address a' ~ ~ ~ I ~ ~/1 • Unit #
Property Owner I_ l C,L LJZA/\ Telephone )
Contractor O'Connor
Plumbing, Heating 8i Cooling
Street Address City
1904 Vermillion St.
State Hastings, MN 55033 Telephone )
~ J
Bond Expires:
The Applicant is _ Owner X Contractor _ Other
Add-on or al[eration to exis[ing dwelling unit $ 30.00
X furnace Additional X Replacement
air exchanger
X airconditioner _New Replacement
other
State Surcharge $ 50
Total $ _32' "L
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tha[ [he work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a
permit, but only an applicahon for a permit, and work is not to start without a perrruY, that the work will be in accordance wi[h the
approved plan in the case of work which requires a review and approval of plans.
M~.. h f~ IJ V_nl flpp .inn i-)a
Applican s Printed Name Appli ant 'ignature
73 (~SD
~ ' • W RESIDENTIAL BUILDING PERMIT APPLICATION •
City OF Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmclion ReauiremenL RemodeVReoair Reomremenls Offi~e Usz Onfv
3 registered sile surveys showing sq fl of lol, sq f; o( house, and all roofed areas 2 copies of plan Cerl ot5urveyRecd
(2D% maximum lot cwerage allowed) 1 set of En_rgy Calculafions for heated addilions 7ree Pres Blan'Recd._ ; Y:!_N_
2 copies of plan showing beam E window sizes, poured iound design, elc 1 sile survey for zdddion: 8 decks Tree Przs Reqwred;: . Y N
1 setofEnergyCalculaUons _ Nddihon - indicat=don-sResephcsysfem Dri-sileSeplieSyslem-.~. _YIJ
3 copies of Tree Preservation Plan if lol platled after 7l1/93
Rim Joist Detail Ophons selectun sheet (bmldmgs wdh 3 or less unils)
Construction Cost I~, sr a 5~ O(J
Site Address Unit/Ste it
-T- -
Description af Worlc ~-;i-~
-(i
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone 6to) Qfj yj - eL
1
Contractor
Address City
State Zip ~ D ( Telephone # ( ~j
COMPLETE TMIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mmnesota Rules 7670 Categon 1 Minnesota Rules 7672
Energy Code Category , Residential VentdaLOn Category 1 Worksheet • New Energy Code Worksheet
(J submissian type) Submitted Submitted . Energy Envelope Calculations Suhmrtted
Have you previously construcfed a building ip_Eaganf S-Wfffi a simiiar plan? _ Y _ N If so, 2557a plan rzview
fee a lies.
U lV~
Licenped Plumber C 2 7006 I~ Telephone ~
Mechanical Contractor Telephone ~
~
Sewer/Water Contractor Telephone # ( )
I
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accuratf
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Ml
Statutes; I understand this is not a permit, but only an application for a permit; and work is not to staR without
permit; that the work will be in accordance with the approved plan in the case of work which•requires a review an
approval o ]ans.
alu
Applicant rinted ame Applicant's Sio a e
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154922
Date Issued:04/18/2019
Permit Category:ePermit
Site Address: 4237 Yorktown Dr
Lot:3 Block: 2 Addition: Sunset 6th
PID:10-72991-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 Rice
4237 Yorktown Dr
Eagan MN 55123
(651) 331-8377
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature