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4243 Yorktown DrAlb° City of Eaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 5 2011 Use BLUE or BLACK Ink Permit #: Permit Fee: P-17.53 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C (ta<l Site Address: Unit #: g RESIDENT / OWNER Name: .IC&L k(V( a" Vow CZ Phone: (9/ 2 ! 70 05W, �/' / �� Address / City / Zip: 4Z-43 l ov LdDz 41 Dr lam-, Applicant is: Owner X Contractor TYPE OF WORK ,� / Description of work: Ri � &c/47 garde Construction Cost: %"ZJtD Multi -Family Building: (Yes / No ) CONTRACTOR Company: D iii kt>vlr Contact: pea Z i%e*- Address: 36743 W0vei 1 7-1-4.t City: Q,GLState: 70,(4.— State:Mil Zip: 55/Z3 Phone: 6/2 S'75 3,73 License #: 35 998 Lead Certificate #: Does this project require Lead Remediation? ElYes A No (see Page 3 for additional information) If no, please explain: rim if jQT©/S In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE; Plans and supporting documents that you submit are considered to be public informationPortions of the information maybe classified as non-public �f youprov/de specific reon ass`tht iwv aould{permit the City to conclude that„they are trade, secrets: 'w„, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. i 141 u -C ie4, - Applicant's Printed Name x Applicant's Signature Page 1 of 3 okkAou2)0 bn�. DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace "�( Single Family _ Garage /_` Multi _ Deck 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition _ Interior Improvement _ Move Building )( Alteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review 91q 90 (25% 100% X ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Porch (3 -Season)_ Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test Final _C Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System Os) ?.'SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / 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 Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 61111-i (hryttio II/ yl(()20 Page 2 of 3 4/1' City of kap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION X41/3 skoz-rnk ft -6 Ai / 1M k) SS123 Site Address: Tenant: Suite #: 1 RESIDENT/OWNER Name: �'VIIC L ', \�1VI-� Phone: �SI'L(SZ-��Z7 Address / City / Zip: L( 2'l y D12 (C --1'a W n) 0V' r e4-6if J M vu,_I Z 3 CONTRACTOR Name: `(r' \g License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK New Replacement xAdditional Alteration Demolition Description of work: -Ctect all' €1,, f ilia c- ` , 9c11 U' a Ve NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by Cl• ty,. Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Gr4kAlkEt J a tF N Lz Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Rough In Air Test TGas Service 1 =,Exterior HVAC Screening`Inspectior CITY OF FAGAN WqTM SERVICE PERIMR 3830 Pilot~Knob Road P.0.8oz-21189 pERMIT Np.: 6771 EpaR; MN 55121 pATE: 10-fi-F, i ~ i ZoMng: . ' No. of Units: ~ Sft Add?as: 4243 Yorr:`;z; .1 1 Plumbmr: P1. OU :~t~1~xY1 - ' Metrr No.: .36/ ,3~ / ~1 ?r Corn»ctfan Chorpc `i00 . ^0}.~ ' Sir.e: Aooour,t p„ 25 . QO ~ R.ade, No.:Q-~-~/II Pem,it F.e:~r. lO.OJpd ~ 1som 10 somph vMi liw Clryr oi 4Nw Surchorpa: . SOpc.' ' MISC, 132.00rd ";'F ~ Tofab 63.0 C;_~1 rc•r~.- i By Z. c ~ Date Paid: ; Daft of Irqp.: ~ i Insp,: CITY OF EAOAN WATER SERVICE PERIyItT 3830 Pilot K nob Road P. O. Box 27195 - PERMIT NO.: 67 71 Eayan, MN 55121 DATE: 1(1-8-85 Zordng' ' - No. of Unita: ~ Own.r: - --•7osn;:ih "ti Iler C';x~~. t Addrom - Sih /lddrm: 4243 Yorktow:n :)1-. Plur"r. Pl uth PI?rn3bi.n~ M.ftr Na.: Ca,n,dion Charm. 50~. !?tl17x 3 SIze: /koount Deposit: `Q0j1e Reoda No.: Peemit Fee: 1~J fl~ ~a ~ Mwe to w* wm 1y City oi fo"" Surdwrpr 5(1~ AAlsc. CMrgos: 132.~(Y Totol: F3.(}t?::x? j-- By Daito Patd: Dote of Irop.: Irnp.: ~ CITY OF EACaAN ' ~ 3830 Pilot Knob Road Rw~ ~Va P~1T ~ I P. O. Be:. 2199l1 PERMIT NO.: ! Ea9an. MN 55121 QAl'E: ~ Zanlnp: ~ i. No. of UMts: i. ~ Qwrw; i Add?ofS: ~ 't I ' sih Addr.ss: 4243 lbrktapHr, plumi"r P ymout P i~n~c: ±s.rr I ~ wMli !y O/ 4Me CarvMCtion Gar~; Aoc«u+r 0.poalr, 15. 00 r...; Pe?rr+It FN: r) By Surdwr"; ~ ' AAisc. C1q~x Dolr of leuW: Total: Insp ' Dab Piald: I C1TY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 eU1LDING PERMIT Reuipr # To w ww fm Est. Value i:.. 0C)C - Dote AT.J(iUi`E 26 19 Site Addrest `F j Y Erect [j Occupancy ~ Remodel ? Zoning Lot ~ Block Sec/Sub. Parcel No. Repair ? Type of Const. AddRiqn ? No, Stories Move ? LerMth Q 9 Name ~ , Demolish ? Depth r ~ ~ Address ' Int Impr. ? ~ Sq. Ft. Gity 'Phone 3 ` Install ? Approvals F~~s ~ Nxrre A~~ Assessment Permit ~ City Phone Woter 3 Sew. Surcharpe Police Plan Review3' W ~z Name Firs 3AC a~~ Eny. WaterConn. Z. City Phone Plonrwr WaterMeter ___TT Council Roed Unit ` a . 1 here6y ocknowled9e thot I how read this applicotion ond stote lfiat gldy, pff, Tr. PL I3- the inlormotion is torrect ond ogree to comply with ell opplicable Stote of M;nnesoto Slatutes ond City of Eogun Ordinances. APC perks Var. Date Copies Sipnoturc of PermiftN - ~ . Total A Buildin Permit Is issued fo: 9 on tM express condifion tiwi oU work shall be done in occordonce with oll applicoble Srote of Minnesota Statute: ond City of Eapon Ordinonces. Builder+Q pifitlo! - ~ r Pnmit No. Pvmk Holdw DrM Tslophons ~k Plum" ~ C' ~ e G` H.vA.c. ~ 9~ ~~~I (c ~114Ig7S' e"c 50 0 0 d 9/ 3 35, sofw.. (rap~etion Date Insp. Othe? Footings 1 Footings 11 Foundatbn Fnminy Roofinq Rouph Plbp. O Rou~h Mtp. U Inwl Finpl~q Flnal Htp. Flnal Plbp. Final _ y cf) CiNf/OCC. / v ~ - c, Wat~ Omse~ibe 4ocation: WNI Sewer Pr. ~Isp. ~ ~ NIECHANICAL PERMIT Pernnit No. . CITY OF EACAN FM Fl1J in numhsrod wocer S/C Type or Prlnr /egfWy ToL t. Orn 2. Insnllation Cost' - 3. Job AddreuL; L+ot Bik. Tract- T 4. Owrer 6. Conuscoor Phone ` ~ 8. Addnn r ' 7. C'ity State Zip & Building Type: Flesidential 'E} - Commercial ? Institutionsl O 9. Work Desaiption: New 0- Add ? Alter 0 Repair ? j 10. Describe Fuel Typa ; ~ 11. No• EQuipIDiepi STU - M. Ea. No• Equfament CPM ~ ; Foroed Air Air Handliny: ~ Mfg. 8oilen Mech. Exhaust ~ Mfg, ~i Unit Haater ' Mfg. Other Air Cond. Mfg. Ges, Pipiny Outlets ~ ~ I 12. I hereby certify that the abova information is true and wrroct, and I apree to oomply with all ordinances and codes goveminy this type of work. Signed : - - - - « f'or Rouph Final Inspections: Date Insp. Dete Insp. This ia your permlt when numbered and approved. Approved CITY OF EAGAN 46"100 _ Racsipt PLUMBING PERMIT Permit No. CITY OF EAGAN FN V ? fill in numbered spacea S/C Type or Prini legib/y Tot. 1. Date il" J- 2. Installation Cost ' 3. Job Address `j - ' i' { i , 'Lot Tract r 4. Owner a 5. Contractor i .1 Phone ,1; • ~ :r 6. Address tz, ' . 7. City in t -State 2ip ' . i 8. Building Type: Residential 0: Commercial O Institutional 9. Work Description: New'0 Add ? Alter O Repair ? ' 10. Describe ~ 11. No. Fixtures No. Fixtures - - ; Water Closet i Cesspool/Drainfield ~ ~ Bath tubs Septic Tank ~ Lavatory Softner ~ Showcr i ) Well ~ _L Kitchen Sink ; Urinal/Bidet Other ~ ~ Laundry Tray ~ , Floor Drains IDrinking Ftn. Slop Sink Gas Piping Outlets ; ~ 12. I hereby certify that the above information is true and correct, and I agree to ~ oomply with all ordinanceg and codes governing this type of work. ~ ~ Signed : for ~ i Rough Final i Inspections: Date Insp. Date Insp. ' This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ; ~ - ~ ReceiPt PWMBING PERMIT Permit No. CITY OF EAGAN Fee Frl1 in numbered spaces S/C Type or Prini /egib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. ' Tract 4. Owner f 5. Contractor Phone 6, Address 7. City State Zip 4%,.,.Building Type: Residential ? Cammercial ? Institutional ? 9, Work Description: New O Add O Alter O Repair ? 10. Describe 11. No. Fixtures • No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well 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 oomply with all ordinances and codes governing this type of work. Signed : for R ough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 f~ ,~_n _ CITY OF EAGAN Remarks--r1 ~ v-1-O ri AV 16222 9 ' 00 T.95 Addition $UIISEt 6th Lot 2 alk 2 Parcel 10-77991-020-09 Owner Street State E a g a n MN 55123 Improvement Dete Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 5 1 -53 . 62 . SEWERLATERAL . . 5ewer L a t e r a . . A ~ WATERMAIN • 9 9 • ~ WATER LATERAL • • D / WATER AREA • Water Lateral 57 1 20.70 1. STORM SEW TRK O . . 79 STORM SEW LAT CURB & GUTTER ' SIDEWALK 1066 1986 274.91 / 9• / ! STREET LIGHT Road Unit $ 0.00 5 897 8 26 85 WATER CONN. 500.00 BUILDING PER. 10857 't el sAC 525.00 " PARK ~ IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I I. ADDRESS: ~ ;;lt APPLICANT: ~ e?uN ali ~ 0, PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION .A . ~ ~ ~ I I ; L~ •f.. ~ Permit Holder Date Telephone ii PLUM8ING I HVAC I InspecHon Data Insp. Comments ~ FOOTINGS I ~ FOUND I I FRAMING ROOFING ~ ROUGH I PLUM&NG PLBG I AIR TEST ROUGH HEATING I GAS SVC I TEST I INSUL I GYP BOARD i FIREPIACE I ~ FIREPLACE AIR TEST FINAL PLBG I FINAL HTG I I ORSAT I TEST I BLDG FINAL I DOMESTIC I METER I IRRIGATION I METER I FLUSH MAINS I corroucnvm ~ TEST I HYDROSTATIC I TEST I BSMT R.I. I ~ BSMT FINAL I OECK FTG I DECK FINAL INSPECTION RECURD ~ontrol No: ~ i CITY OF EAGAN PERMIT TYPE: D~ l. LDI X`' I 3830 Pilot Knob Road Permit Number: eot t st 1 Eagan, Minnesota 55123 Date lssued: ( (612) 681-4675 I ~ SITE ADDRESS: I ii r: tit 0 c x, r APPLICANT: 4.`4:3 Yp K 1 1401 nR K.ivttr MrcHAIEI. ~ 3UM'4F~ b1N (6ii} 33H-hl77 I ~ ~ PERqT. TYPE OF WORK: ! M 1',fi Ai Tf ftAV(E1M ~ l t"AMlNa FfHAL G ' EIREPtACE ` .-•T - I ~ f ~ t~ _ - - ~ - . - - ParmN No. Pun11t F1nidw Qow TNwplqrN i S11M1I PLUMBIN(i i HrAR/ ELWTRK ~ r ~e:;~~~,~-~ .i ~~t' .F• _ , ~j ~ i. _ .i 4 . gECTRIC Y~p~oYon two tup. Cowmorft IFoaYNDsI Fauldtlion ~ Fmvft . RoolYp . O- Ra+pr+ Nlp. f~. fi~~prof . ' C7"Tiet FiW Pft. Pd¢ Inlpaler - t+iOtlly PliMnbw Loqf. A11i4r o.ok Fw1 Yra1 . Pr. L1bp. CITY OF EAGAN N°_ 'I O E 5 7 . i1 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 d BUILDING PERMIT Receipt # T. b. wd ler SF DWG/GAR Est. Value $71,000 pate AUGUST 26 19 85 SiteAddresa 4243 YORKTOWN DR Erect 0 Occupancy R3 Lot Z Black Z Sec/Sub. SUNSET 6TH Remodel ? Zoning RI Percel No. Repair ? Type of Const. V AAtlition ? No.Stories m JOE MILLER CONST Move ? Length 49 Nema Demolish ? De th Q'J Z Address 18133 CEDAR AVE Intlmpc ? SqpFt. ~ City FARMINGTOP$hone Instail ? s $jl~[v]E ApOrovaH has o Neme ~u q~r~ys sxssment Permit J4b. 00 ~ City Phone Woter 6 Sew. Surcharge 35.50 Police Plan Raview 173.00 Name Firo SAC SZS.~~ ~Z Address Erq. waterGona 500.00 ~W City Phone Plcnner WaterMeler 63.00 Council RoadUnit 2 80 .O0 I hereby ockrowledge rhot I have reod this aODlicotion ond state thof Bldg. Off. $ 26 85 Tr. PL 132.00 the inlormotion is correct ond o9ree to comvly with all opplicoble State of Minnewta $tatutes nd City of Eagan Ordinonus. '4PC Parks Var. Date Sipnoture of PertniMee lu~"~T~ ~l'+-r~/ 7oalleS 2.05 .50 A Buildin Permir Is issued ro: JOE MILLER CONST 9 on the ezpross condiHon thot oll work shcll be done in occordonte wilh all opplicoble $ ate o innewfa Statufes and Ci1y of Eapcn Ordinances. Buildinp Offlciol ~4 49~ ~t Thisreques~void 16 nwnths fmm J-) °f P 0 o 090700 , J Fen++-~ t Uat Fire No. I Rouph-in InsuecHon Hepu red> ~Ready Now Nill Nntity Inspec- 'r/ es ? No ,WhAn Rcatly L_ppcensed Electrical Contr;actor I hereby repuest msoection otabove ? Owrer electrical wark instolled at Sveet AdAress, 9oz or Poute No. . Ciiv ecuon o. Township Name or No. Rane~ No. G N OccuGanl IPRWTI Phonc No. ;:;ro'6~7 % l1'~;-iP CO-vS7`- _ o0 Po Supplier Atldress Electrical ConVact r ICOmp ny N~ e) C~~n[racmr's License No. ~ar~c~ MailmH .4dJress ICOntractor or Dwner MakmB InstallaUOnl 36/7 ~cr AuNori ~d S~Busture (Co ac1or Ownor Mabn Installalion) Phone Number. Z15 zo 52 - MINNESOTA STATE BOAFlD OF ELECTflICITY THIS INSPECTION pEQUEST WILL NOT Griggs-Midwey BIdB. - poom N-191 0E ACCEPTED BV THE STATE 90AflD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPE0. INSPECTION FEE IS Phone 16121 297-2111 ENCLOSED. Q REQUES7 FOR ELECTRICAL INSPECTION Wo If, ooooi .oa See instrvctions lor comple4ng this fortm~ ~on,yack of yellow co e e- py. Y / ° ~ "K" 8elow Wr.rk Coveretl Dy 7his Requesl pl G ,.3 Hdtl He0. Type ot 9mleing Apphancea Wired Equiument Wired sv~ Home Range Temporary Service Duplex Water HeTter Liyhtiny Fixtures Apt. Bwldinc~ Dryer EleCtric HeTLn Commercial Bldy. Fumace Silo Unlo.+der InAustrial Bldg. Air Conditioner Bulk Milk Tank Fa~m Othar oeci y thm (Snemfv) t er Succily Othe. Othor ompute Inspectron Fee Below p Fee Service Entranee5iza• tt Fea Fexders/SUbfeaders N Foe Ciwuits l 0 0 m 200 qm ps 0 to 30 qm s 0 tn 30 An+>s [lbove 200 qirpy 37 to 100 qmps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Tranyiormers Irrigation fboms , O'L1 Partial-'Other Fee Signs $peCial InspeCtion Rerrurks 70TA j •o flouBh-in (Arll 1e / a Electri ~ ~I~~~j InsD . erebV certify [het tM1e above Final 1e mspection has been 1( - mede. Thia repuesl volE 18 months Irom ~ r rd- eoaoi& -7 767 a d v:~ .`c=~10 °v Peauest Date Fre No Rough -in Inspeclion S//q ~ Re rzetll ? PeaEy Now /QV(Jl nen Nobly Reatly7~~or ~ ~ Ves ? Np ~ A I p hcensed contractor ~4wner hereby request inspection of above electrical work at: Job Aatl(e~rBet Box or Ro le No Ciry 3 orl~c r. Secuon Nq Townslup e or No Range No Counly OccupanllPfllNT~ r n Phone No. 'c~,Qed 9GvIeJ Jor~n l!0 2 Powee Suppher T Atltliess Elei Oonvaclor (Com any Name) Cqnlractor's L~censa Na 1/NU( IV [ Mailing Atl0~es51CONrpdw or Own¢t Mdkmg Ins allalron) o~~ Aut iqnaiure IConira r Aaking Installati0nl PhonO Number / ~ 3k-57 MINN 5 R STATE BOAND OF ELEC HI T THIS INSPECTION REOUEST WILL NO Gn '-MlEway BIEg - Hoom 5473 8E ACCEPTED BY THE STATE BOARO 1e21 UnlversBy Ave., SL Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phane(611) 6<Y-O800 ENGLOSED REQUEST FOR ELECTRICAL INSPECTION "s EB-00001-OB nO/~II~~ 0- See mslmctions lor cOmpleling IM1is lorm on pack ol yellow cOpy ~£1 ~~1o~ ~ ~ ;1 42 767~ by This Request "X" Below Work Covered ew Adel, Rep TypeolBwlding AppliancesWired EqmpmentWiretl Home ~ Hange Temporary Service Duplez Water Heater Elecinc Heahng Apt Building Dryer Other (Specity) Comm.llndusinal Furnace Farm Air Conddioner ~ Olner Ispeaty) Conttactor5 Remarkr ! 1 :J'_t Compute Inspection Fee Befow i~~ # . Otber Fee # SermceEntranceSze F¢e # QrwitslFeeders Fee Swimming Poal 0 to 200 Amps 0 ta 100 Amps 7ransformers Above200_Amps 100,_Amps S19rIS Inspecmrs Use Only: TOTAL SO Irrigation Booms 3Q"0 20 Special Inspecnon AlarmlCommunicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPLETED WITHIN 18 MO I, the Elecirical Inspector, hereby Aouqn-in Date• 7_G ~ L certify that the above inspection has Finai • been made Da, L+- OFFICE USE ONLY T11i5 I9,¢5t VO.O 18 mOnII151lOm RESIDENTIAL ~ ~ ~ ~ ~ BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657•687-4675 New Constructlon Reaulrements RemodeUReoalr Heauhemems • 3 reqistered she surveys showing sq. lt. ol bt, sq. ft. of house; and ~II roofed areas • 2 copies ol plan (20%maximumbtcoveregealbwed) • 15etofEnergyCalculatbnsforheatedaddAions • 2 copies of plan showing beam 8 window sizes; poured fountl tlesgn, etc.) • 1 sNe survey lor eMerior add'Abns 8 decks • 1 set of Energy Cakulations • Inaipte d homa sened by seDtic system lor aGAApns • 3 copies of Tree Preservatbn Plan A lot platted elter 7/1l93 • Rim Joist Detail Options seledbn sheet (bldgs wiN 3 oi less unMS) DATE 7I l U / O'2 VALUATION ~/6000 6d SITE ADDRESS YZZ/3 PO ~~TIZ~tlvt AV-1. MULTI-FAMILY BLDG _ Y _ N NPE OF WORK 4L -Sk GI.Q . FIREPLACE(S) _ 0_ 1_ 2 APPLICANT TOP GUNg INC~__ STREETADDRESSi~25 C t CITY STATE ZIP , - TELEPHONE # v ta~,rMAEl6$8T{I80W FAX # '~4 3- 4~-fr-~I5S5' 7fo3 ~12.8- ~BzCo PROPERNOWNER YvL~JG2 I.Guv.:C,e,ti_ TELEPHONE#o61) 462 - 42.34 COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (+1 suEmission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Wo Sub_mitted . Energy Envelope Calculations Submitted D LC ~ .IUL 12 2002 U Plumbing Conhacfor. Phone # ~ Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths BY No, of Baths Mechanlcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone N I hereby acknowledge that I have read ihis application, state maT ihe informatlon is correct, and agree To comply with all applicable STate of MinnesoTa StatuTes and City of Eagan Ordin es. Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 . o ~s . 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED ifIiH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF Sl1RVEY 7 SET OF ENERGY CALCULATIONS - 7 I , ODO. - To Be Used For: `~.P.l.v rtDynQ Valuation: - Date: ~7 /'A -d~ Site Address: 11M ~OFFICE USE ONLY Lot: ~ Block a Sect/Sub Erect X Occupancy 2-3 Remodel Zoning ~-I Parcel # Repair _ Type of Const ~ Enlarge /I of Stories Owner Move _ Length 49 Demolish Depth 41 Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor a{)Q /~'f,~Q Q? l N71.11 " Assessments Permit Water/Sewer Surcharge 35,5= Address /PI33 C'e,cLcA Police Plan Review Fire SAC 525, City/Zip Code 40nim1mU1-,rm 550o?c( Engr Water Conn e,~7,>o Planner Water Meter 6 Phone q3I-a6ol Council Road Unit 2Sp= Bldg Off Parks Arch./Engr. APC Treatment P1 Variance Address TOTAL Q S(./ ~~U City/Zip Code Phone ll . T% A co. - dTgs SITE PLnH FOR JOE f•1ILLER COWS~iitUC7TJN . . , - • • : i ~_',i~ i 1 } i)1ri~>~ . s° o' " I N 70,oo F- i ~S S C A L E: 1" = 30' . , , . T ~ LEGAL DESCRIPTION ~ LOT 2, BI.OCK 2, I I SUNSET SIXTH ADDITION W : W ~ , N KEY: a gI I O? IOOxpO OENOTES EAl3TIN6 SpOT ELEVATION T yp'~I ~ n M~ (!OPOO) DENOTlS P~toPOSEO $Ppt ELEVA7ION N~ I Z w~ DENOTQS ORFINA{i DiAlCTiON I 97Z.6b PR0903ED 6ARA6E FLOOR ELEVATION I ~~I 97-3.oc PROPOSlO fIRST FLOOR EIEYAt10N r6 o PRoPo6u 6ASEMENr fLooR EL-fVArION NOTE: Ver;fy ull ;looe hctgKts with finnl ha+se Plcns ~ o , p, 'jo YORKTOW N DR1vE I tiereby certify that this survey, plan n or report was prepared by me or under ~g ~fi„n..~~ • . ny direct supervision and that I am a Bradley J. ~~enson P•1n. Reg. No. 15235 du ly Regis tere d Lan d S ur v e y o r u n der the • _L C t~ CITY OF EAGAN CITY USE ONLY PLi1MBING PERMIT SUBD. (X~ (612) 681-4675 RECEIPT # DATE 3 REBIDENTIAL PLEP,SE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST _ REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CIASET 3.00 BATH TUB 3.00 nT IAVATORY 3.00 OWNER NAME: ,li~e ~'u~c~ ~ V 0~4•J ~y~F~4~S _ KITCHEN SINK 3.00 ~ LAUNDRY TRAY 3.00 SITE ADDRESS: q2-4-13 +02/c7aw.v (d/21[7F _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FIAOR DRAIN 3.00 ` GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFfENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE 0C_F E IT EE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIM[TM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP; TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN 1 2/84 CITY OF EAGAN mvtq AP°LICATION FOR PERiyIIT SEWER AND/OR WATER CONNECTIODI (PIEASE PRINi) 1) PP.OPF_FYI'Y ApDP.ESS: y ~ Lf rFrar DESCRI°T'ICN: .2 (IqtBlock/Subciivision or T~- rar el I.D. Nu:r--)er) ~ ic ST^CCTLlRE. Dr1T 0F Oi2iG21Ai, uiILDI`:G ISS~.i'i.G: -car; P°IISLT -.^'7T7:/1)ROPOS7D IIS: ? R-1 Si;GL. FPN.ILY - ? R-2 DL1P= (2ri0 U:IITS) ? R-3 'IC?v-LqF!Y,'SE ('L= + [,^IITS) f Wi I"_'S) ? R-a U,;z_s; ? CCMnSE°CLAL,/R._.~PiL,/CF?'Z= Q 1"'CliST~S.a.I, Q LVST=IO:LnI,/GGVM?:`:,jL%T Z) APPLICV^r (PIEA$E PRifiij S~ ~Il/eh AnDRESS: /gf 3 3 Ge~,si• .Yrrc cIT'!, ST,-,T~.', zIP: /Co9rw„ire{vA) N7.+.1 SfiO~S~ PHO~: ~a00/ 3) piO.TE? (PLE~SE PR1YT) FOR CITY USE ONLY NPI"IE: ~IY /st0ls~ PIM/w44 t ADDRESS: /c 8 ~3 ~1? ~1UC ~ PL~JHBERS L'ICEASE: ` Y 4%Ac,,ve CITY , ST?.TE, ZIP: mjt) rd "L''~ t af Ncord PHQ~: PLIINBER LICENSE N ~t,- ntCi~ 4) OCC[JppD]'P/('J,vi7E';j NAfIE• (PLEASE PRINT) + ADDRFSS: CITY, STATE, ZIP: P[i0^TE: 5) INDIG+TE WfiZCH PERMIT IS BEING REQLJESTID: C•~~ccrr,~crrov Tn cz~ s~.reR [y'/corsmcrro;v TO cZTr WATER ? 0-17IS2 (PLE'115E DF_SCRIBE) - . U PI= -ISE f?OLD r1PPR= PER+IIT FOR PICi:-G'P BY ONE OF ABCUE ? PLEySE .*'.7LiL APPRM-M PEF:•tIT TJ 1. 2, 3, 4 ABpVE (Circle one) 7) SIcATL'RE: __uy,wtj,,,Q DATE: Sa SS R O~:~l.MleA i~ l1 e~ la:Ofta ! s'! o saa ~ s s~ss:a :a a~l r!ls:a~+~f~ 1slL a3saa~ • FOR C I T Y U S E ON:,Y PE=.`1IT TSSUED F rrr.s: $ S L DrD\iTT (I~I(`T ~D? JUP.CHl.P.GL) r IJ.` Y:L.D $ (/vSv WaTz'R PERItIT (Ii:CLUD: SliRC??Ai2Gi.) S Fi3.v-~ WetTER ti1ETER/COPPERHOP.N/pUTSZD : REn6E3 $ WATEP, TAP (ZNCLUDE CORPOR„TZO:] STO?) $ S :WcR TA? $ _ IScU AC^OliA1T DEPpSIT - FTrT_°R $ ~G(i. Uo WAC $ S.ZC . SAC $ TBu?:K [4AT°R ASSc,55'r+.E::T S T?2U:dK SE?•;ER 7SS`SS}:E?iT $ L;,:EP,;,L BE:iEc IT/T3U`)IK 5E:9E; $ LATERaL BENE:IT/TP.U::K ?•IAT°?? $ WATER TREATMENT PLAA'T SURCHARGE $ OTHER: $ TOT?.L $ ~l. uC/ AMOLNT PAZD; REC°IPT DOES UTILZTY CONNECTZON REQUIRE EXCaVATION IN PU6LIC RIGHT OF WAY? L, YES IF YES, THEN r, "PERi1IT FOR :90R4 WITHIi1 PUBLIC ROAD'AAY" MUST BE ISSUED BY THE ~ NO ENGINEERIPIG DIVZSION, LIST AS A CONDI- TION. SliBJECT TO THE FOLLOWING CONDZTIONS: • APPROVED BY: , TI.LE: ' DAT°_: _ V Ad ~ i m sON .EAN VAcUE sa NOLrN ow-lo w m w Is,-fflo wM NtAN MAN r~ ~me Wq wa wq m s~ wO, w, Rim 2% sw m m i PERMIT Co" o"o 0889 CITY OF EAGAN °3830 Pilot Knob Road PERMIT TYPE: aui LoiNs Eagan, Minnesota 55123 Permit Number: 001181 (612) 681-4675 Date Issued: 0 7/ 31 / 9 2 SITE ADDRESS: 4243 YORKTOWN OR LOT: 2 BLOCK: 2 SUNSET 6TH DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION _ REMARKS: COaD/0 FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - APPlicant - KIVIEY MICHAEL 4243 YORKTOWN OR EAGAN MN 55123 (612)338-5777 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 Mn. Statutes and City of Eagan Ordinances. (~3_m 5__ 4*tiC r , APPLICANTlPERMITEE SI fiE ISSUED Y: SIGN E INSPECTION RECORD I Control No. 0889 CITYOFEAGAN PERMITTYPE: euiLoiNG 3830 Pilot Knob Road Permit Number: 001181 Eagan, Minnesota 55123 Date Issued: 0 7/ 31 / 9 2 (612) 681-4675 SITEADDRESS: Lor: z BLOCK: 2 APPLICANT: 4243 YORKTOWN OR KIVLEY MICHAEL SUNSET 6TH (612) 338-5777 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION . D• FRAMING FZNA4 FIREPLACE F- L PERMIT M~ CITY OF EAGAN REacTtvaTE _ 1992 BUILDING PERMIT APPLICATION I I I ss, ~675 JVL 2 ~,-7R 0 SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date yaluatian of work Site Address:_`/d y3 ~7acc1N E) _L JI/F_ ' STREET SUI7E # Tenant Name: (commercial only) IAT ~ SIACK SUBD. P.I.D. M 1J. Descri tion of work: The applicant is: MlOwner ? Contractor ? Other (Deacrlbe) Name _~~u It vi f~~ ~e l~a e/ ~:~,-i n? >r~~ Phone 46-7` ~/Z.3 51 Property L.ST F,RS, ~ owner Address ~"'~~/JE_ ~~REET STE 0 City State i'YI/i) Zip 5~ /Z. Company Phone Contractor Address License. # Exp. City State Zip ArchltecU Company Phone Englneer Name Registration If Address City State Zip Sewer 8 water licensed plumber Processing time for sewer 8 water permits is two days ance area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Ste of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: ~ ~ PERMITCITYAF EAGAN 3630 Pilot Knob Road PERMITTYPE: auzLorNc Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 0 9 4 (612) 681-4675 Date Issued: 0 9/ 01 / 9 S SITE ADDRESS: 4243 YORKTOWN DR LOT: 2 BLOCK: 2 SUNSET 6TW P.I.N.: 10-72991-020-02 DESCRIPTION: T.O. & REROOF/STORM Building'Permit Type S70RM DAMAGE BUilding Work Type REPAIR .CensuS Code , 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: A~9NTRACTOR: - Applicant - ST. LIC. OWNER: ION'S MASTER ROOFTNG 17817228 0005141 COFFEY JOAN 3841 HAYES ST 4243 YORKTOWN DR MINNEAPOLIS MN 55421 EAGAN MN 55122 (612) 781-7228 (651)452-4234 Z hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all epplicable State of Mn. 5tetutes and City of Eagan Ordinances. L J ~ D t-W~9)f~ APPLICANTlPERMITEE SIGNATUFE SUED BY: SIGN UR 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 ~ e81-4e75 New Construction Reauirements RemodeVReoav Raquirements ? 3 rogistered site surveys ? 2 eopies of plan • 2 copies of plans (inGude beam 3 window s¢es; pouretl fid. Cesign; etc.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy caleulations ? 1 energy ealwlations for heatad additions ? 3 copies of tree preservation plan d bt ptatted aRer 711193 requiied: _ es _ No S-~t~ f wt Cx~x, DATE: Q ~ ONSTRUCTIO i vST; DESCRI T N OF WORK: -P- _~"Z~r~ • STREET ADDRESS: ~ `P r- ! Y ~~-1--~ LOT: a BLOCK: SUBD./P.I.D. Name: Phone PROPERTY 1-ast first OWNER Street Address: -S ~ wl F Ciry State: Zip: Company: lrpPhone7Q~' CONTRACTOR ~ , Licqen)e # Street Address: ' City ~ - State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: - City State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and !ot change is requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the infortnat~ correct and agree to comply with ail applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No J Not Required City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4243 Yorktown Dr Lot: 002 Block: 002 Addition: Sunset 6th PID:10- 72991 - 020 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA075193 09/19/2006 ePermit Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature - Applicant - $0.50 $30.00 $30.50 Owner: Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 9001 0801 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA108494 Date Issued:12/11/2012 Permit Category:ePermit Site Address: 4243 Yorktown Dr Lot:2 Block: 2 Addition: Sunset 6th PID:10-72991-02-020 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - 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 by law in ALL single family homes . 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 - Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112115 Date Issued:07/29/2013 Permit Category:ePermit Site Address: 4243 Yorktown Dr Lot:2 Block: 2 Addition: Sunset 6th PID:10-72991-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jason Ball 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 - Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 (651) 503-0436 Action Roofing & Siding LLC 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127221 Date Issued:09/24/2014 Permit Category:ePermit Site Address: 4243 Yorktown Dr Lot:2 Block: 2 Addition: Sunset 6th PID:10-72991-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154591 Date Issued:04/02/2019 Permit Category:ePermit Site Address: 4243 Yorktown Dr Lot:2 Block: 2 Addition: Sunset 6th PID:10-72991-02-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 (763) 242-7657 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160515 Date Issued:03/16/2020 Permit Category:ePermit Site Address: 4243 Yorktown Dr Lot:2 Block: 2 Addition: Sunset 6th PID:10-72991-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Joan R Coffey 4243 Yorktown Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature