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4240 Yorktown DrJul. b. 2010 10:07AM C!ty of Eaaa 3830 Pilot Knob Road Ragan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No. 3539 P, 2 Use BLUE or BLACK Ink I( (t 9/5 Permit Fee: r d Date Received: /G)P �Z) Staff 1 For Office use Permit #: 4-1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Le4-1— 1c Date: 1 Lit 10 Site Address: _„L `iC.44)4'41 0t f Qlk-VC`� �� /3--/O Tenant: Suite 11: RESIDENT 1 OWNER Name: A&\1•1{ T - "1 i`NQ \ i `% Phone; i ci t`” 15L0 X1,95 Address 1City 1Zip: 4-i[ `1�� Y (�tk..vC-lift's N.:vor.,Eos1M4 Applicant is; Owner /Contractor .7'/(Q3 TYPE OP WORK Description of work: Q`VY1I C) i1 — r4ee, k t Construction Cosi 31 1'S 3 Multi -Family Building: (Yes 1 No ) T _ CONTRACTOR Name:r� jJ r ..-._i Q.. License #: I 1 3, `) Address: ►+.Jtiy�2�f1¢S`'tc .. At' City: 1`-'Il1l1.�l eG Q(iS Yllo. State; f'' -/ILL zip; ,5.5 0 [A Phone; (j2 I Q -cD 1 isi-` 1 1.51,x ` D Contact riic1(ldke- 1 )t.i�,, Email: LN'110kitt • uirr►'5n P , /cc2f' ,e -0, - COMPLETE In the last 12 months, has Yes if yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 gall without a p,it; that the work will be in accordance with the approved plan In the case of work which requires a review and approvor plans, I`Me l to o5 Applicant's Printed Name Applicant's Sig Page 1 of 2 Jul, 6, 2010 10:07AM SUB TYPES Foundation 4 Single Family Multi 01 of _ Plea Accessory Building WORK TYPES New Addition Aiteratio Replace Retaining Wail DESCRIPTION Valuation Plan Review (25%_ 100% y) Census Code #of Units # of Buildings Type of Construction )W6�1 I— DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) _ Porch (Screen!GazebolPergola) Pool _ Interior Improvement Move Building Fire Repair Repair O V') Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final ?C, Insulation Meter Size: Reviewed By: Siding Reroof �w. Windows _ Egress Window No, 3539 P. 3 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final /C.O. Required Final l No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control ZErosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Ilan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Cff TOTAL 6/”1 ✓I0i&' {9 0 /, 9-0-D 9( 0 90 Page 2 of 2 AGAN ~ JEr~ilotKnob Road wATER SERVICE rPERMIT r. . J. Box 2119" PERMIT NO.: Espsn, MN 55127 F DATE: Za+trw: - I'1 Na of unirs: Owrw: Joe Miller Canst. llddnm B Sunset t Sift 4240 YorktQipis mic PILP. r P ymou t P Mehr No.: 3- CBll P 14.Oclpd Size• AVR Raoder No.: t~\4/ 10. U(TpcI I @We t~ ~1~ ~riM ~orp~: . 50 d Mlse. Chorpes: 13 pd TP T~; 63.00pd meter t Dat. Fbtd: DoM of Irap.: Imp.: a- a24-~6 CITY OF EAGAN ryA~ ~ICS PERM 3830 Pilot Knob Road P. O. Box,?1199 PERMIT NO.: Eapan, Mrt 551.21 D^TE: Ioninp: _ No. of UMts: OMifNr aT C;DI]St. Addrom Sft llddrm: 4240 Yark.tooa Driye Piy~sout Plwnben Mftr No.: Corneetian G?~a~pr; - ' - • ' ! ~ nc~ Slu: Acwurit p,eposit; Reoder No.: Prrmit Fee: ~ Nm howMb wNM !Iw Cihr of iops SuRhorpr. Oa1NNw. IWsc. Chorpm - • :)~Ycj TP Total: 8Y OoM Rold: DoM af Irnp.: (nep,; CITY OF EAGAN 3830 Pitot Krwb Road P. O. Box 21189 PERMIT Np.: ~ EaWo. M!V 55121 Zonie~p: Na of Unih: i Ownwr. Addross: Slte Mdnss: ~tlr,o e'_t t; - Plurr~b~r. , 4, , . h«mNJr wm IM CUT of yM. ` CaxeCtlon aorq' ' Aooount apo.,r: ' Prnnif Fw: By Suedwrpe' NAI~c. O~ar~ DoM of Irrp,: Torol: ~~'DoM Pald: • ~ CITY OF EAGAN , 1t260 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE:454-8100 eU1LDING rERMIT tteceiot ~ To wmw fer Est. Volue ~ 6 l, Datt ` 19 Erect 13 Occupaney Site Addreu Remodet ? Zonirtg Lot e- 81ock Sec/Sub. Repair ? Type of Conrt. Parcel No. Addition ? No. Stories F, p , • j ; ~ , Move ? Lenqth ~ Nsme _ Demolish ? Depth . . Address Int Impr. ? Sq. Ft. City Phone Inatall O Aoororah ft~~ Name ~ Addren /?ssessment Permit ~ City Phone Water & Sew. Surcharpe Poliu Plan Review 1 6? • ` ' ~W Name Fin gqC . 1(1 Address Enp. water Conn. 500.00 ~rzi City Phone Plonner Water Meter ` 3. U 0 Council Road Unit ' ~ • 00 I hercby ocknowledpe thot I hove road fhis cpplication and stote that Bldg. Off. ~ S Tr. PL •1) 0 fht infwmation Is conect and ogree to comply with oll applicoble A~ Stoh of Minnesato Stotutes ond Gty of Ecyan Ordinontes. Parks Var. Oste Copiea Sipnature of PermittN . , , . . . TOt81 : A Buildiny Permif Is isswd M: on the exprcn CordiHon Iho+ oll work sholl be dons in ocoo?donce with all applfaoble State of Minnesoto Statuta ond City of Eopon Ordinonces. Buildirp Official , . ' " ` Ps mit No. Pwmk Holdw Den TNephone ~It PIumB(np ir ~ G-l, ' ~ `1~,+ n • ~ T - r- H.VA.C. ' ~ • i~ r, -t-,,~ I~ y?~ r~ Fbctria ~ ~ Sottwmw Irapection Do" Insp. Othw Foodnqs I Footlnysll Foundatlon Framinp Roofiny Rou9h Plbp. _ . 12 - G G Gj `A Rough Hty. ~ Inwl. Firoplace Flnal Nty. Flnsl Plby. ~ I• ~ Fin.l G- C c«voa. vr.t.r o..c.ie. La,cia,: wNi Sewer Pr. Dlsp. PERMIT # CITY OF EAGAN FEE MECHANICAL PERMIT RECEIPT 454-8100 S/C , - MINIMUM RESiDENTIAL FEE -$10.00 + $.50 TOTAL OATE ( ~ MINIMUM COMMERCIAL FEE - $20.00 + $.SO 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address t h ~ I' Lot ~ I~Iock~Sec S. Owner,,jL 1 ~ ~ ' ~ 1 1 c-,•-. r t ' ~ ~ • - ~ 6. Contractor (Name) (Streery (Cify) (Zip) 7. Contractor Phone # RESIDENTIAL HERTIN(3 01-100,000 BTU's -$24.00. Each additional 50,000 8TU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING c'VENTILATING HOT WATER STEAM AIR COND, -AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPINd OUTLETS - $1.50 TANKS: LP. UNDERGRQUND OTHER COMM,/IND. RATE -1% OF TOTAL BID PRICE PLUS =.50 STATE SURCHARCaE FOR EACH ~~,000 OF FEE. Signed:- - • for Approved Inspections: Date Rough Insp. Date Final Insp. Roaeipt PLUMBING PERMIT Permit No. CITY OF EAGAN FN ~ ~ ~ • ~ , Fill in numbered spaces S/C ~ Type or Print /egib/y Tot. ~ ~ 1. Date ~ 2. Installation Cost . ! a 3. Job Address Lot Blk. Tract ~ ~ 3 4. Owner 5. Contractor Phone 6. Address • 1 , 7. City , State ZiP ; 6. Building Type: Residential O Commercial ? Institutional O ~ a 9. Work Description: New O Add ? Alter 0 Repair ? ? " 10. Describe ~ i 11. No. Fixtures No. Fixtures i - - ~ Water Closet Cesspool/Drainfield ; Bath tubs Septic Tank j Lavatory Softner ; Shower Well ~ Kitchen Sink ~ l 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 ordinpnces and codes governing this type af work. Signed : for ; Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks D i v i s i o n # 16222 9 f 3 0/ 8 5 Addition S u n s e t 6 t h Lot -9 Bdk ~ Parcel 10- Owner street 4240 Yorktown Drive state Ea an IYiN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREE7 RESTOR. GRAOING SAN SEW TRUNK 575 1 8 1 . .68 20 SEWER LATERAL 5 7 4 1 Tg-l- .88 20 Sewer Lateral 577 1 81 4.5 1. 9- 63 1 WATERMAIN 847 1 84 1 7. 9.87 WATER LATERAL 573 1 • 75 • WATER AREA 576 1991 153. 62 7 . Water Lateral 578 1982 20.70 1.38 15 STORMSEW7RK 106 1986 527. 1 105.43 5 STORM SEW LAT CUR6 & GUTTER ' SIDEWALK STREET LIGHT Rc,ad Unit 250.00 57403 1 12/85 WATER CONN. 500.00 11 BUILDING PER. 1I (O SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION cIrr oF enGari I r,l 3830 PILOT KNOB RD - 55122 % ? U / ~ 651-681-4675 Now Conswelica Rwuinrmnb RemodWRewir Reauinmonts . 3 isgieleed aite suwYs sMwig eQ. R of la6 eQ. R W Mux; and II roote0 areas . 2 copias d dan (20% mauimun bt oovxage aAaxed) . 1 set of Emigy CakWaliau for healed addiGons • 2 copies of plan showing 6eam 6 w'vdow s¢es; paured found desiqn, etc.) • 1 sNe survey tor exteriw add'dias 6 decks . 1 set d Endgy Cakulalbns . Indicate it hane xrved hy septlc syriem for addiioro • 3 copbs M Tree Prasorvatbn Plan d bt patted aM1er 71153 • Rim ddst Dalai Opfbna selecfWn sheet (hldgs wAh 3 ar lesa unds) DATE 9G CrCJw E c ( VnALUATION 51 7~0r '0 JOB SITE ADDRESS 1~2 YO .~2 vK,tO uJV` IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER LVL TYPE OF WORK PIREPLACE(S) _ 0_ 1_ 2 APPLICANT ' PHONE# TE~-3rZ3'TYDO ADDRESS 49 IIPCODE5-5:?o PAGER # CELL PHONE # E I o~ ~ 770' MI FAX 9M NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatans Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbiny Conlractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No, of Baths Mechanical Conhactor: Phone N Mechanical System Includes _ Air Conditioning Fee: $70.00 Sewer/Water Confractor: Heat Recovery System Pho 24, All above informaYion must be submitted prior to processirg of application. B Y I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signoture of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated t/ot 6 s°v~ f 55~ 5~ a. i 61 Requesi Date Fire No, Fough-in InspecLOn When Reatly? 1,n n GFeqmretl7 Featly Now ? Will NoLry inspector ry~-y8- p Yes X-7 No bt] hcensetl con[ractor rJ owner hereby request inspection of above elecirical work at: Job Atltlress (SlreeL Box or Route No I QTy 421+0 Yorktown Dr. ffigan Section No Township Name or No Range No. Coun~ e O~ U3K OccuDant (PRINT) Phone No. John Rawlins Power Suoolier qtldress Dakota IIectric Fartnington Elecmcal Contraqor ~GOmpany Name) ConVactors L¢ense No Naber Electric A-40591 Mailinq Address (COnVactor or Owner Mexing Installaoon) 12ure 6 Falk Txail Northfield Amhonzee 5~9n Comracton~er g In auation) Phone NumDer 507-645-976o MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOl1E5T WILL NOT Griggs-MiEway BIEg - Room 5-173 BE ACCEPTED 6Y THE STATE 90AP0 1821 Unrvpr6lty Ave, St. Paul, MN 55100 UNLES$ PROPER WSPEC110N FEE I$ Vnone(6t2) 644-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION -~=~a Es-ooomoe J,~ ? See msimctmns for mmpleung Nrs lorm on back ol yellow copy </O 5~3 ~ ~ J "X:' 8elow°Work Covered by This Request ew Atltl Rep. ' TypeoButltling AppliancesWued EqwpmentWired X Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Budding Dryer Other (Specdy) Comm./Industrial Furnace Farm Air Condihoner Other(sVecity) GonvactorS Remarkr DEA - AC Control Compute Inspechon Fee Below # Other Fee F SerwceEntranceSize Fee # Circmts/Peetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps jVaVU Transiormers Above 200 _ Amps Above 100 _ Amps Sic7n5 Inspeqar5USe0nly Surcharge TOTAL -50 Irrigauon Booms ( 15 • 50 Special lnspechon Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS--J I, ihe Electncal Inspeclor, hereby Rough-in oaie certify ihat Ihe above inspechon has p,nai oate been made. OFFICE USE ONLY Tms requesi wia 10 momns Irom This reouest voitl (p/~/~~ 78 nnnihs 1rom . a,c E-' 4 4 2 91 Henuest Dale fire No. Nouph-i Insner,tion y{~D yj Fepmretl, OHeady NuwN Will Nntrtv Insoec- U'l4 ~ / 2kVe+ ?NO [orWhenHeadY 1~~ ? b~censed EIecV,cal ConVactor I heraby reQUest inspecLOn of above N Owner eleetrieal work installed et Streel AdOress, Bov or Poute No. Cii a 'bY' 843N nG ecLOn o. Township Name or No. Range No. Cou y OccuGantIPPINTI Phone No. JoP, r,l P, Rill WLi rJs Power suooiier Address Eleqncal C~ont/racmr IComDany Namel Contrar,tor's Lmen~NO. ' e~OJ~JY P ~c./l~ r1S se MailinB AdJress ICOn[ractor oi Owner akiny Ins[ailavonl Y240 ar~?z~) - DR '5A-6-91-1 nanl ~~~3 Authoitzed iy at r (C cl wner ~king bistnllaliond Phone Number 3~7S~ MINNE50T S ATE BOAPD OF E ECTNICITV TMIS INSPECTION REQUEST WILL NpT GruB9s-Mi Bldg. - Noam N•191 8E ACCEPTED BY THE STqTE BOAHD 1821 UnirerSitV Ave., St. Paul, MN SStOC UNLE55 PflOPEN INSPECTION FEE IS in.....o Me1171 '97_7111 ENCLOSEO. L1f'/JJ% REQUEST FOR ELECTRICAL INSPECTION ~ ee-ou0at.aa ~ Sea instracbens tor com0hefinp this form on peck of Vellow copy. ~ ~ys~aa l 4291 ~ "k" Below Work Covered by This Requesf NswfAddl noo. rvne of auimine aoottunons wrtee eauiuc,ent wvan Home Ranye Tempoiary Service Duplex Water Henter Liyhliny Fixtures Apt. Building Dryer Electric Heatin CommerCial Bldy. Fumace Silo Unluader Industrial BIAy. Ait Condrtioner Bulk Milk Tank Farm Oihr-i oea v ihcr ISncriivl t m SucciN Ot ei pthor ompute lnspecuon Fee Below t1 Fae ServiceEntrence5ize n Fee Feedats/Subleeders N Fee Cucuits U to 200 qm s 0 to 30 qm s 0 tn 30 Am s Above 200 qinps 31 to 100 Amps 31 to 700 Am s Swimming ol Above 100_Ams Above 100_Amps TransiormersPo Irngation 13oortis Partial.'Other Fee Signs SpeCial Inspection 5 e~y PerrNrks Q(.~ TOTAL E d Igo Rouph-in ~ Qnp ihe al Insoectar, he,eby certily that the abova Final f 1".3-~ insoection nes eeen neaa. Thbrepueslvoldl8montMlrom . , This 4~ ~ mnih: V`t~ ~ Reques[ a~e Fire No. flouph-in Insuer,tion Ren ~red~ DHeadv Nuw Will Nolily. Inspec- ' ~ Yes ? No ~~r When Ready licensed ElecVir,al ConVictor I hewby request mspection ut ebove Owner elechical work mstalled et - S y tree AtlAress, Box or flou e No. ti Cii ~6 4ection o. Township N,me or No. qangc No. Co G~ Occuymt IPqINTI ^O~~ Phone Nu. 3 -ZG~ ~l SuuuLer r AAdress er ~c EI trical Con a tor (COmoany me) C nUacror' Lmense No. i ~CC C~ ~ ~J Z MaJinp Adi ess (Con ctor or Ownnr Mnkfnu Installatmi / I l ? • l Aothon ed iPnawne (CO ract d0 ner Mnkiny I stallatfopi Phone NvmberC ~ MINNESOTq STATE eOAND OF ELECTRIC V THIS INSPECTION qEQUEST WILL NOT Griggs•Mitlwny Bidg. - Hoom N.191 BE ACCEPTED Bv TME STATE BOAND 1821 University Avn., SL Paul, MN 55104 UNLESS PROPEF INSiECTION FEE IS Phone (812) 2972111 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ee-uuuui ua V l Soe ins4actions tor compleling this torm on bock of yellow copy. .8~ p r 452 "'X" Below Work Coverei7 by This Request AAd Fep. Type ol BmlEing AOCliances Wirad Equipment Wired Home Range Temporary Service Duplex Water Heater X Liqhtiny Fiztures Apt. Building Dryer Electric HeaUn Commercial 01dg Z( Fumnce Silo Unloader Induscnal Bldg. Air Conditioner Bulk Milk Tank Farm Oth, peci y Oihcr ISner,if,l tunr Su.ci V Ot er Othee ompute /nspecuon Fee Below p Fea ServiceEnVOnceSize p Fea Fenders/Sub(enJers tt Fee Grcwte 0 to 200 qm ps 0 to 30 Am s d_ S 0 to 30 Am s Above 200 qmpy 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_An' s Transiormers Irrigation Boonis -.go Partial.'Othei Fee ~ Signs Specialinspec[ion ~ 5 TOTAL IFEE/ ~O ~ ~ NerrN.ks RouOh-in e Electr`cal ~ /7a Inspector, henoby cerbfy that ehe abava Final insoection has been medo. Tlile reQUesl voitl 18 montlu Irom CITY OF EAGAN N°_ 'I 'I 2 6 O 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721 / PHONE: 454-8100 ~h~/'D3 BUILDING P~RMIT Rece~pt ~ ~ ~ Te M wed {or SF DWG/GAR Est. Volue $67,000 pOfe NOVEMBER 8 19 85 SiteAddress 4240 YORKTOWN DR Erect IN Occupancy R3 Lot 2 Block I Sec/Sub. SUNSET 6TH Remodel ? Zoning Rl Repair ? Type of Const. \j Parcel No. Addition ? No. Stories m JOSEPH M. MILLER CONST Move ? Lenqtn 52 Name Z 18133 CEDAR AVE SO Demolish ? Depch 41 ~ Address Int Impr. ? Sq. Ft. c;ty FARMINGTON phone 431-2001 insceu ? o Name $AME Approrab Fee~ ~u Address Assessmeni Permit ' O u~ Ciry Phone Water 6 Sew. Surcharge 33 . 50 Police PlanReview 167.00 GW Name Fire SAG 525.00 Address Eny. Water Gonn 500. ~ 0 a W city Phone Plonner watertiteter 63.00 Councii Road Unit 280.00 I hereby ocknowledge thot I hove reod this aDDlicotion and stote fhaf gldg. Off.11/4/SS Tc PI. 132. 00 Ihe inlormotion is torrect and ogree to comply with oll opplicnble APC State of Minnewta $totu s and City of Eogan Ordirwnces. Perks Var. Date COpies Sipnature of Permittee akl C' 2,034.50 JOSEPH M. MILLER CO T 7ota~ A Building Pertnil Is Issue o: on the express condition Ihat oll work zhail be done in aCCOrdance with all opDlicable tate of Minnes to St ,tyte,~ ^nd City of Eoqan Ordirwnces. e, Bufldino Of4lcial Lr~ V~~0 70, 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Reovirements RemodeVReoair Requiremenls OKCe Use Onlv 3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all moted a2as 2 copies ot plan Cert of Survey Recd Y N (20%maximum lot coverage alfowed) 7 set of Enertgy Calculations for heated additions Tree Pres Plan ReW Y_ N, 2 copies ot plan showing beam d window s¢es; poured found desgn, etc 1 srte survey toraddNons 8 decks Tree P2s Required _Y _ N 1 set of Eneyy Calculations Adddion - indicete ilar-srte septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan il lot platted after 711193 Rim Joist Defal Ophons seledion sheet (buildings with 3 or less units) Date I Lg T~ / C) C'D Construction Cost 1~~ J Site Address y ay 0 t~ 0 r~Tbw~ ~~~~J~Q~ UniUSte # Description ot Work~~~b ~Y~L).I S ~ ` ca I n Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2~~ S,~• l Property Owner Telephone #(("g L) RMA HOME SERVICES, INC. Contractor flome Depot Installed Sales 3200 Cobb Galleria Pk%Yy., Ste. 4200 Address Atlanta, GA 30339 City 763-542-8826 Telephone # ( ) State BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan2 Y__ N If so, 25io plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ Sewer/Water Contractor Telephone # ( ) 1 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 reyle-w- approval of plans. n, ' S 4_'0r,f CA :?DmeknSG0 8 2005 pplicant's Printed Name pplicanYs Signature Iij ' J i _ . ; Installed ja„ne Siding and Windows • ' LIMITED POWER.OF ATTbRNEY ~ a COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania _ ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sales located at 660 MendelSsohn Avenue North, Go!den Valley, MNT 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attarriey are limi[ed solely to the express powers delineated herein and apply solely to the Work. This Limi*ed Power of Attomey shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution liereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. I?1 WITNESS WHBREOF this Limited Power of A±tomey is eseciir,ed this 21st day ofMay, 2003 i David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. ~o Notary eP ic in for the State o eorgia h1y Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atianta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT v • y ~ ~ ~ / 1985 BUILDING PERMIT APPLZCATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED ifITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (:-7, L,00 To Be Used For: Valuation: ~9- Date: Site Address: OFFICE USE ONLY Lot: C~- Block L Sect/Subada/iuLZC i~Erect Y, Occupancy R3 Remodel Zoning 2•I Parcel ll Repair _ Type of Const Addition l1 of Stories Owner Move Length SZ Demolish Depth 41 Address Int.Impr. ^ Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor ~i~t . Y V`•~~J~, Assessments Permit 33 ,O Water/Sewer ~ Surcharge 31?). Address 1g133 Lz~ ew.Q Police P1an Review t (o-? , Fire SAC S2S, City/Zip Code Engr Water Conn Soo. SSop,lA Planner Water Meter (,3, Phone 14'31' ~(~01 Council Road Unit 280 . Bldg Offll-k Bf Treatment Pl 132, Arch./Engr. APC Parks ' Variance Copies Address TOTAL C/ `_J City/Zip Code Phone # IF2~45~- 4(,~'80 ~ ~09 C~, 2 r. . Y _ S 4 x 4- 4'- = z 3'1 (~5' 22- x 22 - - b Co 1 2 (o ~ . M-LAND C0. SURVEYING 9'M PLAN FOR: SERVICES JOE MILLER CONSTRUCTION CO. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 ~ YORKTOWN pR1VE ~ t~- ~ I`~ SCALE. I"330' I ZZ , I :o Ga.n9` .I . «var w+9'-6'• , v ~ W N Hou3e ' ~ 4 I W • ~~I r I N e N 13• ~ T j$ z ..,-r• I I , , _t' I ( ~ I I -J -raoo i.° Noo°a'vs. w PROPERTY DESCRIPTION LOTZ, BLOCKJ_, Sl1NSET SIYTH ADDITIDN aceordinq to the reeorded plof ihereof DAKOTA CouMy, Minnesota LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= io%.so o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = iot.oo DENOTES EXISTING SPOT PHOPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION ~ OENOTES DRAINAGE DIRECTION NOTE * VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hxsby cert(fy thaf fAls swvey,plan or ~2 ap n ~`1 report wus preparsd by me or under my direct superviaion and that I am a duly Bradley J. enson. Mn. Req. No. 15235 ^ Repistered Land Surveyor undsr fhe Date laws of the Stote of Minnesota ~ /o~z~ I SS . ~ 4 I z/aa CITY OF EAGr\N APPLICATION FOR PERP4IT SEWER AND/OR WATER CONNECTIODI (PIEASE PRIHi) 1) PP.OP'._.fY?'!' ADDF2ESS: O v'Hi u/.r/ v- r FraI. D°SG4I°'PZCN: oZ I ca~, - (Lot/Block/Su:ciivisicn or Tax ?arcel I.D. Nls^ner) , I'" F;Z:='=:G ST712CT!,*:2E, BAT?' 0F CiZTGi^.P.L LtiIIDI_:G , pprcL•r ,•.TrvF;/1DDOFOS=-D L'S: ? R-1 S=- F"-MffLY . ? R-2 DU??= ('?„'0 G^:ZTS) ? rZ-3 'IC7.,:i~FC:Jcg (muc^, + (.^TITc) ( Wi ITC) ? :?-4 [JNITS) ? CCMfifE.°.=/RE.^'~II?OF'FICF ? 7"1'CliSiZLU ? LVSTIT,TIONAL/GGVEp,~n=^r 2) AP??.IC=.~T (PLEASc PR17if) NAt•1E: oe M; AwoREss: /8 / 33 CcQ.ah ~'1,,. CTT'_', S'?'=E, ZIP: ~dr~n;?<-fo.) /YIi) S~doZS! PI:GNE: 5131 -~7Ebl 3) (PLEAJE PFINi) FOR CITY USE 09LY rArE: ~/-e rhouf~ P/~~ 6:..~ , P~~J18~ I ADDRESS: I7.Z~~P ?3Q~ yric.. p Acti e CITY, STATE, 2IP; rya u ~J C:,' E: ,3' ired PHOVE: PLIINBER IICENSE N H af ecord aB(o~ /~f'~ ' ~ntcia 4) OCC[Jppr]'P/Cr.wER DIFNIE: (PLEASE PRlNI) ADoREss: ~s Sa~ ~ CI:"l, STA'Ir-, ZZP: PFiO;IE: S~ INDICATE :dIiICH PE~Rf+L/IT IS SEING RFQUESTID: ,u_., ~CYJ:INECTIO~I 'IO CZTI SETn'ER L~ GbNNFCPIO;I 'IO CZT1' SqA'I'EF2 ? 07'.ER (P1.1E'15E DFSCRIBE) , 6) L^1DZG,::. • ~I= ~SE 2?OLD APPE?WED pg2,+12T FOR PICF:-L'c BY ONE OF AEO7E ? PZEaSE 1-1AIL APPROVID PEF.-LIT 'PJ 1, 2, 3. 4 ABqtIE (C.ircle one) 7) SIG.-%TL'RE: DAT'E: ,t'/duIS, 93 ~ w a1:Ra~fsJS:s~ r o~~:aauu s s r.~ ~a s~a r~ s~s~'a a s r~c.~:r ~~y~ ~ ra acsaa~ F 0 R C I T Y U S E O N L Y ` PE~}tIT " ISSUED rrES: _-_r.-. SU.o,r^_..r:.,n) $ ~dsU WAT°R P?RttIT (Ii:CiuDE Si.iRC:::,RGL) $ [ti?.T°R METER/COPPE4HORiv/CL'TSi'J' RE„D:Z $ WATER TAP (IyCLUDE C02?ORATION STOP) $ 5E:•ic'R TAP S~G AC^Ou?:T DEPOSIT - (•ir-E- $ {4nC $ ~~u o SAC $ TBG?:K S•7AT°_R nSS=-SS::-7:;m $ TRli:dS SE:iER ASSESS}e°:•iT $ L'nT:R=+L Bc.:•iEt^ZT/Tnli`IK S=i^E= $ L.,^.ERAL Br,Nr.FIT/TRU::K :•:AT°_R $ WpTER TREATifEi3T PLANT SURCf?ARGE $ OTHER: $ TOTaL $ A:".OCi:•:T PAI'JjRECEi?T ,S7,S~G DOES UTZLITY CONNECTION REQUIRE EYCaVaTION I,I PUBLIC RIGriT OF WAY? ~ YES ZF YES, THEN H"PERMIT FOR :PORti WZT?-?I,1 PU6LIC ROADWAY" MUST BE ZSSUED BY TEE ~ NO ENGI:IEERIPlG DZVISION. LIST AS A C0NDI- TION. SUEJECT TO TEfE FOLL0:4ING COPIDITIO^?S: • APPROVED BY: TI':TL: ' DAT°_: ~ ~ ~ ss~ ~c~ ~a ~t~ w ~ w w~ w.+~ ~t~ w ~i~ w~ w..~ ~ ~ s~ ~s~ w~ ~c~ w sr ~ ` 2006 RE.SIDENZ'UI. BUII.DINGPERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reouirements RemotleVReoair Reauirements Offce Use On 3 registered site surveys showmg sq ft of lol, sq. R of house; and all roofed areas 2 copies of pian showing footings, heams, joists Ced a( Survey Recd Y_ (20 % macimum lot cwerege aliowed) 1 set of Energy CalculaUons for heated addiGOns Jree Pres Plan Recd _ Y_ 2 copies of plan showing beam 8 vnndow sizes; pared found desgn, etc 7 site survey for addiGons 8 decks Tree Pres Reqwred _ Y_ I~ isetofEnergyCalculaGOns AddN'on-intlicaterfoo-siteseph'csysfem Oo-siteSetic Svstem Y t~ 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Ophans selecGOn sheet (builCings vnth 3 or less uniLS) Minnegasco mechanical ventilation fonn Da[eI_/ itp / 0~9 Construcfion Cost p(55II~ov Si[e Address _ 9,29 V L(~~Q Unit/Ste # Description ot Work 'kU\,acp Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #4S 1) Z J~y - Qp~S At-Home Services, Inc. Dba The Home Depot At-Home Services Contractor 3200 Cobb Galleria, Suite 200 Address Atlanta, GA 30339 citY State License #20268257 - 763-542-8826 Telephoue # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Cotle Worksheet (d submissian type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monThs, has The City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/WaterContractor 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 a ovalofplans. Sa ~X1SOvA Applicant's Printed Name Applicant's Signa ure . (%ServInstalled ~ Siding and Windows ~ LIMITED POWER OF ATTORNEY . . , , 0 COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sa1es loca±ed at 660 Mendelssehn Avenue North, Gnlden Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the."Work"). The powers conveyed to the Agent by this Limited Power`of Attomey are limited solely to the express powers delineated herein and apply solely to the Work. This Limi?ed Power of Attoiney shall expire and automatically be revoked on the 21 st day of Ivtay, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI'?NFSS WF-IEREOF this Limited Power of qrtorney is eseci.rtcd this 21 st day of May, 2003 David . Katz • SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this Z l st day of May, 2003. Q~ S~C1 0 Notary 1`6hYic in for the State o eorgia A4y Commission Expires: January 21, 2006 396616.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4240 Yorktown Dr Lot: 2 Block: 1 Addition: Sunset 6th PID:10- 72991 - 020 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: John P Rawlins 4240 Yorktown Dr Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 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 h all applicable State Issued By: Signature Mechanical EA078032 05/31/2007 ePermit ÷ÿï ÿþ ýüü ûúúûúþ ùüüúëíðý ýü ß ýüõ ýüûúùøêü ÷úùãé ùåø åýÙåúùåüëüýãüïûÞïãüïûýÙ ü ê ðê õþåã ç í íô ß ôù ýüÿøêçí í èü ß í ó÷÷ò õñð ùù ýé â Þé ôô Ûé õåã ÿåãó áßóàôôô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132313 Date Issued:08/05/2015 Permit Category:ePermit Site Address: 4240 Yorktown Dr Lot:2 Block: 1 Addition: Sunset 6th PID:10-72991-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cartus Financial Corp 4240 Yorktown Dr Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138758 Date Issued:09/20/2016 Permit Category:ePermit Site Address: 4240 Yorktown Dr Lot:2 Block: 1 Addition: Sunset 6th PID:10-72991-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 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 - Cartus Financial Corp 4240 Yorktown Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164876 Date Issued:10/09/2020 Permit Category:ePermit Site Address: 4240 Yorktown Dr Lot:2 Block: 1 Addition: Sunset 6th PID:10-72991-01-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jeffrey Bahrke 4240 Yorktown Dr Eagan MN 55123 (651) 955-8027 Crest Exteriors 22382 Chippendale Farmington MN 55024 (651) 460-6181 Applicant/Permitee: Signature Issued By: Signature