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4246 Yorktown Dr cinr oF EaaAN ' 3830 Pilot Knob Road WqTER SERVICE pERIWT j P. O. f3ox 21499 PERMIT NO.: EeM. MN 5§121 DATE: , Zwdno' ' y Na of Unitt: ` pwn.r: ..ogep , _ er _aas . i Addesa: SNr Addna:4246 Xorktown Dr. ?.1 : 1 Sune~t 6th ~ Plur6er P. ;acn: t'n s- MMer No.: ConrwcHon Chw~: ~ ~ SIze: Ac+caxnt teposlt. ~ ~ • ~ ; , : . Reoder No.: Penmit Fee: . "Qra I @/m b My1r wm !w CJ!p of /"on $vrdurgo; 7171 Miac. Chorpm _ 132.00 Torol: ey h3.;J~~i me`~r i Dot. Pow: ' Date of Insp.: Irnp.• CITY OF EAGAN s~~ P~R 3830 Pilot K.lob Road P. O. Box 21199 PERMIT NO.: ' Eagm, MN 55121 DATE- 71 Own~r.. No. oi tlnits: /lddrrss: SiM Mdrose.f2b6 Yorktmrn i.`r. Plun1ber. I otith Plw:-tti::. ' _ ~ ~ am* +.a No ph, N yon Ca+nKNon Chom.; 4 25. 00 p,i I Ilcoocmr Mpodt: PrnMt Fw: gY Surtihorge: Dote of Inmp.: AiUsc. Chorpm Totol: Irhp,: ~ oat. Pab: F cirY or AaAN WATER SERVICE PERMR 3~i0~ilot Kf4ob Road ~ P. O. pox 27199 PERMIT NO.: 6900 E"m. MN Rl121 DI?TE: Zon'ng: 08 No. of Unih: Owrnr; P . I Addnw. . Sur ~r~s: ~ Yorktown unse Number Plymout 11, P M~t~r No.: • 8'3 ; s+u: ' r ~ ' in c~'~~°~b'. . P~ , R.od.? Pto.: - EL t~ • P ~GMM h Mwr,y, Wft M» Cihr P ~ o` 1REt ~~rom , 8 Tofal: me t e r ~ y Doh F'+old: z7- 8s Irqp.: 1 • ' CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Epsn, MN 55121 PHONE: 454-8100 eU1LDtNG 'ERMIT Re«ipt # To M wod fer Est. Volue pate , 19 Sfte Addrem Erect 0 Occupancy Lot I Block Sec/Sub. Remodel ? Zoning Repair ? Type of Const, Parcel No. Addnipn ? No. Stories , r Move ? LenQth , ~ Name . . Demoliah ? Depth Addras Int Impc ? Sq. Ft. City Phone Install El Aopovoh Foes Name u~ A~~ Assesunent Permit ~ City Phone Woter & Sew. Surcharpe Police Plan Review ~ Neme Fin SAC - ~ ~Z ~ Address Enp. waterConn. ~W City Phone Plonner Water Meter Countil Roed Unit I hercby ackr?owltdpe thot I haw road this opplication ond state thot Bidg. Off. Tc PL the in(ormotion is oorrect ond oyree to comply with oll opplicuble Stoto of Minntsoto Stotutes and City of Ea9on Ordinonces. APC Parks Ver. Oete C~~ Siqnofun of PemuftN Total Buildiny Pernit Is iuwd to: on the expess taditlon thor all work sholl be dorn in ataordonce with cll opplicoble State of Minnesoto Statutes ond Cify of Eoqon Ordinonces, Buildnp Officiol PKmk No. Pwnk Holdo Doa TeIphone s Plumbfnp U ' / 0 I U - H.VA.C. EMea+o foftwwr ~ Impeetioo Qs" Insp. OMw Footinps 1 I FootlnOs 11 FoundatlOn ~S ttJ.a Framiny Akv ~j Rooflny Rouph Plby. . 3- Rouph Htp. %"1 ,34S ~ ~ lnsuL ~a,_~ Finplaee Flnsl Ntp. flnal Plb¢ Flnal C~et/Oca %'s 40~ WatK Daaibe location: WNI Swwor Pr. DisP• ~ .i Raceipt ~ PLUMBING PERIIVIIT Psrmit No. CITV OF EAGAN Fee Fr1J in numbered spaces 5/C Type or Prini legiWy Tot. 1. Date ' - 2. Installation Cost 3. Job Addreu- Lot Blk. . Tract 4. Owner 5. Contractor Phone • ~ ~ - i 6. Address , 7. Cit< ' - State Zip 8. Building Type: Residential G7 Commercial ? Institutional ? 8. Work Description: New O Add ? Alter ? Repair 0 ~ 10. Describe i• ~ No, Fixtures No. Fixtures Water Closet Cesspoal/Drainfield ' Bath tubs Septic Tank Lavatory Softner i Shower Well Kitchen Sink Urinal/Bidet ather Laundry Tray Floor Drains Drinking Ftn. Slop Sink , Gas Piping Outlets ' 12. I hereby cectify that the above information is true and correct, and I agree to s comply wi'th all orc~a ces and~odes,g~verning this type of work. ~ i ~ c.....__ - Signed : for Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 4 Ruwipt ' MECHANICAL PERMIT Permit No. ClTY OF EAGAN i , FM + Flll in nwnbensd Wscer S/C ~,TT Type ar Prlnt leylbly Tot t. Date 2. Installation Cost , . ~ 3. Job +4ddre~s Lot~Blk. ~ 7ract \ 4. Owner ~ s. c~u.cc~i_ (.l Phone e. Addran 7. City~ Stste Zip 8. Buiiding Type: Residential 6' Commercial [3 Institutional 13 ~ 9. Work Descxiption: New -c~ Add ? Alter O Repair ? ~ ? 1 10. Describe Fuel Type: i 11. No• Equipmenit 8TU - M. Ea. No. Eouiament CFM ~I Foroed Air Air Handling: li AAfg. Boilers Mach. Exhaust Mfg. Unit Heater ~ , Mfg. Other .~j Air Cond. ~ Mfy. 'i Gas, Piping Outlets i ~ i I~ 12. I hereby oertify that the above information is true and correct, and I agree to I camply with ail ordinances and codes governing this type of work. I Signed : - - ' - for ~ Rouyh Find , frtspeetions: Date Insp. Date Insp. ~ This is your permit when numbered and aPProved. Approved CITY OF EAGAN 464,8100 PERMIT # PLUMBlNG PERMR RECEIPT 1k GTY OF EAGAN 3E30 PILOT KNOB ROAD, EAGAN, MN 65121 DATE: CONTRACT PRICE PHONE 454-8100 Site Add ess . F- '1-A BLDCi. TYPE WORK DESCRIPTION Lot iG Block ~ ~ Sec/Sub Ckes. New ~ Name Muft Add-on m Address; ~ • ' ' Comm. Repair ~ c City Phone Other NO. FlXTURES TOTAL Name ~ • ~ ' ~ " Water Closet - $3.00 s c Address L Bath Tubs - $3.00 p City ' Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Slnk - $3.00 COMM/INO FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMJM - RESIDENTIAI FEE - 510.00 Leundry Tray - $3.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 Water Heater - $1 •50 STATE SURCHARGE PER PERMIT - .50 Whi~~~ (ADO $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) =SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN ORAND TOTAL• s CITY OF EAGAN Remarks Di3l.gisf9n-# 16222 9T3018-5 addicion_S11nset 6th Lot 1 Blk i rarcel 10-72991-010-01 A owner screet 4246 Yorktown Drive gtate Eagan MN 55123 787 Yorktown Place Improvemant Oate Amount Annual Years Payment Receipt Oate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 153.62 7.68 2 O SEWER LATERAL . . ~ / Sewer Latera 7 1981- . .63 15 WATERMAIN 779- 9.87 1 ~ Ad2ZA WATER LATERAL • 7.5 1 • ~ 64it- 7-0 WATER AREA • 7.68 2 O Water Lateral 578 1 8 0.70 1.38 15 STORM SEW TRK 1 0 6 1986 5 2 7• 14 0 • STORM SEW LAT ~ CURB & GUTTER ' SIDEWALK 1066 1986 274.91 54.98 5 a~ 9 /Zff STREET LIGHT ROdd LTIllt 2 .0 WATER CONN. 500.00 BUILDING PER. JLJL185 SAC 525.00 PARK 3~an RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 45722 5 ~ y 7a 651-681-4675 ~Condmction Fteouw~ RannodelfR.joaaReaukew~ . amybrereesoewms snowV sq.naIa,sy.rtanase;mN moreaarees . zcoqesaWan (2016 maxfmum Id cuveraye elbwed) . 1 xt W Energy Cakulatlonslor heated addiGOns . 2 mpies d plen ehoriip heam 8 widow siaes: Pmed faM deeipn, etc.) . 1 site survey ia eKterior etlditions 8 Aak.a . 1 setd Eriayy Cdpiefois . In6ceie tl home aened by xp6csysbm br addilbro • 3oopiesdTreePreservetbn%enMbtpYlleaaAer711l93 • RtnJdstDeNilOptionseekctionshaet(bldgswiCi3orbuwft) DATE lot VAW/[ION :t 0~ 49~a•0D JOB SITE ADDRESS '4A41,0 a(1K (,vble S Z 3 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~ PROPERTYOWNER6Q.rQf'1 ~~QY)c1-ISQ_'1 TYPE OF WORK FiReFUiC"e(S) _ 0_ i_ 2 APPLICANT ~ PHONE# 3- 4615'1? ADDRESS - U IL ZIPCODE PAGER # CELL PHONE ~ FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residentiai Ventilation Category 1 Worksheet Submitted - Energy Envelope CalculaUons Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbiny Confractor: Phone Ik: Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone Ik Mechanical System Includes: _ Air Condiboning Fee: $70.00 _ Heat Recovery System Sewer/WaFer Contractor. Phone # All above infortnation must be submitled prior W processirg of application. I hereby acknowledge that I have read this application, stale ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaganr nce E Slynalure of Applleant ~ CeAificates o f Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1ro1 4 OV ~ V;~~ I CITY OF EAGAN _ 11185 . (v 383 0 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-8100 RecdPt ~ ~f~~ I LDING PERMIT ~ CUY60t Te M awd !or SF DWG/GAR Est. Value $%6,000 Date OCTOBER 29 19 85 SlteAddress 4246 YORKTOWN DR Eract ~ Occupancy R3 1 1 SUNSET 6TH Remodel ? Zoning Rl Lot Block Sec/Sub. Repair ? Type of Const. V Percel No. Addition ? No. Stories ~ Name JOSEPH M. MILLER CONST Move ? Length 39 w Demolish ? Depch nddres 46 z 18133 CEDAR AVE SO Int.lmpr. ? Sa. Ft. ~ FARMINGTO'PN - City hone Install ? c Name $AME AvV•orab Feet o 0U Address Assessment Permit • 0 V~ City Phone V?ater 8$ew. Surcharge 33 . 00 Ga Police Plan Review 165. 50 1~Z Name Fire SAC 525.~0 ~0 Address Enp. WeterConrt ~~0 ~W City Phone Plonner WeterMeter 63,90 Council RoedUnit 280.00 I hereby ocknowladga thot I have read this ap0lication and store that Bidy. o+r.10/23/85 Tr. pl, 132 . 00 fhe inlormofion iz CorreCt ond ogree fo tomply wifh all applicoble AP~ Stale of Minnewto Stotutes and Gry of Eogan Ordinonces. Parks Var. Date Copies Sipnoture of Permittee Total $2 029. S~ A Building Permir Is issued to: JOSEPH MILLER CONST on the express condition thoi all work shall be done in acwrdance with al~pliwble $F6Tf~i~Ain~ta 5latures ond City of Eoyan Ordinonces. J / Buildirq Of/icial n t~ g}'k- ~ ' - - This reques voiA 18 nwnths Itmm o Ll(~-1 ~o ~i /1 Request Date Fire No. Rou -i InsUecbon R• ueA~ ~Ready Now Will Nolity InsPec- ~s Y,s ?NO tar When RenAY L - I Licensed Eleclncal Convac[on 1 hereby request inspection of above ? Owner electrical work installed et' Street Address, Box ar Rovte No. Cny y~ XC~ Dr' ecuon o. Townshio Name or No. RanBa No. Counry OTAOccupant (PRWT) Phone No. .~pJsT ~3/- Zoo / -Uo- jeF i l LV, 4, Power $uppiier Atldmss AAA Eloctri~al Contractor IComVany Name1 ~ ConU,ir,mrs License No. e' G~ G /G rv D- ~ Mailin0~ Atldress (Contractor or O ner MakinB Instailationl ? ^ Authonz d$ig^ature (Cn acI r/O ner Makmy In tallationl ~ Phone Num-b7er ~/y 5<~j~LV MINNESOTA STATE 60ARD OF ELECTflICITV iM15 INSPECTION REQUEST WILL NOT Grigys-Midwey Bldg. - poom N•191 BE ACCEPTED BV TME STATE BOAHD 1821 UniverSitV Ave.. $t. Paul, MN 55104 UN~E55 PHOPEfl INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi.oa w: ' See instruc4ons for comDlBting lhis form on Ceck ol vellow capy. ~ ~ "X" Be/ow WorkCavercd by 7his Request ~FM Type of Builtl ing AOGlioncas WireE EquiV~~ent Wired Home Ranye Temporary Service Duplez Water Heater Lightiny Fixtures Apt. Bwlding Dryer Electric HeaUn Commercial Bldg. Fumace Silo Unlunder InAustrial Bldg. Air Conditioncr-, Bulk Milk Tank Farm otner oeu ~ .ther 15ner,fivl H1er Sueu v Offim Oiher pection Fee Below N Fee Servica EnVenceSixe p Fee Faedars/5ubtexders N Fee Circuits / i U 0 to 200 qm s 0 to 30 Am s Sb 0 co 30 Am ps Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimining Pool Above 100_Amps Above 700_Amps Transtormers Irriyation Booms . So PTrtial: Other Fee Signs SpeCial InspeCUOn S ~ Remarks TOTAL FEE 0 ~ l i'~ FovBh-in ,~te' I, the Elacvical Inspectoq ho,oby n cei~dy that ihe above Final inspec4on has baen ThiB fBQUB91 Wit 18 lf101111b il0111 . RESIDENTIAL BUILDING PERMIT APPLICATION 6E. 0 10, 3 20oZ 3830 PILOT KNOB RDEEAGAN MN 55122 651-681-4675 New Construction Reauirements RemadellRaoair Reouiremenls • 3 registered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas. • 2 copies ol plan (20°6 maximum lot coverage allowed) . 7 set of Energy Calculafions for heated additions • 2 copies of plan showing beam & mndax sizes; poured found design, etc ) • 1 site survey for extenor additions & decks • 1 set o( Energy Calculations . Indicate if frome served by septic system for addihons • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist DetaJ Options seledion sheet (bldgs with 3 or less units) ' DATE 12k VALUATION 4 L! SS~j06 j SITE ADDRESS Ur~LI~n VOf K-i'AW `b6 Ve MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK~~cn o~vll~ncl~i~t `k~ ~[la~ia L~aor FIREPLACE(S) _ 0_ 1_ 2 APPLICANTWinAhul STREETADDRESS94OD -gq6k Qtf?- N Sl.u`IL LA60 CITYBroAk 4&3,rYSTATE4YILZIP SC~15 TELEPHONE#7l~-~5•~l PHONE#7(.3-391-g313 FAX# 1~6 -AB l-b3(p0 ros1 -454 a335 PROPERTYOWNER KO,ri~rT~e[xS~SeY~ TELEPHONE#'358- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[NNF-SO"CA RULES 7670 CATLGORY 1 \1INNrSO"I'A RUL.ES 7672 (d submission type) . Residential Ventilation Category 1 Worksheel Submdled • New Energy Code Worksheel Submitted • Energy Envelope Calculations Submitted ~ Plumbing Contractor: 1 honc # Plumbing system includes: _ Water Softcncr I.mvn Sprinklcr ree: $90.00 bVatcr Hcatcr No. of R.I. Batlis No. of I3alhs Mechanical Contractor: Phone # Mcchanical syslcm includcs: Air CondiUoning , Pce: $70.00 Heat Recovcry Syslcm r Sewer/Water Contractor: Phone # -----------------°I-------- I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan ^Ordinances. Signature of Applicant N=Wi1 ~&Lfj_A~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 y . . . ~ es 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED NITH THE CITY OF EAGAN COl01ERCIAL SINGLE FAMILY DifELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS - $2,000 LANDSCAPE BOND To ee Used For: valuation: ~6t9 Date: Site Address k2Gj ,4,71- ZA. OFFZCE USE ONLY Lot L Block Erect ~ Occupancy R•3 Remodel Zoning (Z• ~ Parcel/Sub Repair ~ Type of Const Addition 11 of Stories Owner Move , Length 31 Demolish Depth 4(0 Address Int.Impr. , Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor~a& 6/ZCLI`' Assessments Permit 33I. Water/Sewer ' Surcharge 3. Address I-f' '5'0. Police Plan Review 75.5° Fire SAC S) z5• City/Zip Code Engr Water Conn Soo. Phone ~`3/ Planner Water Meter 63. Council Road Unit lzp. Bldg Off,b•&a-0-7reatment Pl (32, Arch./Engr. APC Parks Variance Copies Address TOTAL a Uk O City/Zip Code Phone II " ~ol . _ TRI LAND C0. S1TE PLAN : SURVEYING SERVICES JOE YILLER CON8T.. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 y YoqKTOW N DRIVE w 5° . 0°01' 4 " ! '1g.00 . g IY w ~ , ~ 30 T ~ f SLALE: I"= 30' st T6 10 ao r? W I 5 HOUSE I ~ 21.7 ( W Z W ~ r ti 3 Tp p F~" q~ o I q80 o" . i~•' Y ? ~ m I = L I I ~ : 4 - -_J ID ,e.oo ~ 46 4 Noo•oi'ys•W 4~e PROPERTY DESCRIPTION LOT-L., BLOCKI , SLINSET SIX7H AMITIDN aceordinp to fho ncarEed plat tMraof DAKOTA County, AAinneswo LECaEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = l01.so o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION ~ toooDENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ¦ ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL H WSE PLANS 1 henby oertify tAaf this survey,plon or n report was prsponA by ms or under my Y~: ~ direct suprvision and fhat I am a duly Bradlsy ~ wenson, Mn. Rep. No. 15235 Rspistered Land Swveror unMr ih• Laws of fM State of M(nnesota Date- 16llc l8S 1 z/aa ~ CITY OF EAGAN ? ~1~~~ APPLICATI^vN FOR PE~'~IIT SES•7ER AND/OR WATER CONNECTIOri (PIEASE PRINi) PP.OPE2T!' ADDRESS: ~ `I~ \ID4Ic_le~~ Oh- rFraI. Dr..~tSprZCV: 6~'I (IotBlock/Su..dLVision or Tat ?arcel I.D. Nun,.~er) ~ I"r ^iSPP,tiC^':'v.. DaTE 0F d2ZGuAL `u;I?.L`L`:G !=_Si TSJ~c~.NC: c~ P•°`_'SL~'-' ::^`]Tr,/?.?OPO= C'S: ? R-1 SL= ~ltitlTY ? R-2 DIIPI.= (T.iO LS?ITS ) ? R-3 'IC7.~;nJcE + L-]ZTS) ( IINI^_S) ? ..-4 fiecti:_T'=:`r/..C.';rZ11-.1Ty]n.1'1 ~ Ulil_: j ? CCi1%E?CZiL/ cu.:Fiii?/OF' ICz- ? iNCliSTRT.U Q Z`.:STI':2,TI0:1AL/Gv^J~'~:E:~;T 2) pppjTC.~jr (PLEASi PRItII) NPi•~: Se! T~Itl~t~^ ACDRZSS: CIT'!. SI'r1T_-, ZIP: ~`4rrx`Jc ~o.~ /Yl~ .~3b1c1 PFo`E: ~F3f - 3so1 ~ 3) pi,j,^.BE,n (PLE;.SE PHINT) FOF CITY USE OBLY NPl: ~~vrheu.`lL ~1~ v..6'?t T;+tr PDDRc.SS: ~-3(lp PLUHBERS LIC:~4SE: . --C-,f -At t i v e CITY, STATE, ZIP: \ p ma SS-y~ ~ Expired PHOVE: ' N~i". [ Record s PLUeBER LICENSE N aoGS M3 ~ ~ _ ~ ~ nici~ 4) OCL[JPAVT/C!.zL iE'Zj NAME (PLEASE PR1NT) / : ADDRESS: CITY, STATG, ZIP: LS'a,,,. ~ P. ~ PfiC.`IE: 5) INDICATE :4IIICH PERi-LIT IS HEIr:G RDQUES'I'Gp; [Ef'CC:NECTION 'IO CZTY SES^JER dCmm=Z~~ ~ ~~TY WATER ? dif'.ER (PI.CASE DESCFtIBE) 6) P,:DIG~ C::r.: • H/PLr'~SE f'.OLD r1PPP.OVm PER.+IIT FOR PICI:-G'r BY ONE OF ABC'VE ? °IE'+SE ~`'.aIL APP?ZOVID P&°.•LiT T`'J 1, 2. 3, 4 AFCJJE (Circle one) 7) SIc.ATLRE: DATE: d :Sr w A:Rawt?.a i~ r n~ t~:afca f~ ~ r.+'t.~ saa r~ s~saa a~[ r~t~r~~sf~ ~t ~ a ssa.r , FOR C I T Y U S E ON:,'f P°_RMIT " 2SSUED F CC^S: $ l~,U SL'.'!LD nE7\7T'1 (TNCL..i: SURC'.'.^GZ) S /U'_)~U j'IATER PE:ZMT_T (I1:CL'JDL JURCHAtZGL) S ~3~u WATER METER/COPPERHORN/OUTSIDE RE:,DER $ WAT°R TAP (IPICLUDE CORPORnTIO:I STO?) $ 5°i•+'cR TAp $ /~t't' _ _...r.'l._. ~•c1_ - : $ AC^Oii?:T DE?OSZT - Plr`,T°B $ Wi~C f $ 5=_C $ TRG?]{ I4,aT°R ASS?SS2iE:iT S TRli:•IK Si.:'iE:t ~SSESS:eE`iT S LATER',L BE:;cc IT/TRUNK SEi:EF $ L;i'cRAL BENEFZT/TP.U;1K '.•:ATz'?? $ fdATER TREAT2tE\T PLA:\T SURCHARGE $ OTHER: $ TOT:,L $ AlttOli.`:T PAZ'J;'Rrr: i?^ i'r -S7eL~~ DOES UTZLITY CONNECTION REQUIP.E EXC?.VATZON I;7 ?UBLIC RIGcIT OF WAY? YES IF YES, THEf! n"PERhIZT FOR :40RK WITHIN PUBLIC ROADWAY" MUST BE ZSSUED BY THE NO ENGINEERID]G DIVZSION. LIST AS A CONDI- TION. SC:BJECT TO TEfE FOLLOWING CONDITIOTIS: APPROVED BY: TI':LE: I ~ . DATr: ~s~~.a..~s~f.~~.~~a~?r~w~w~-rwr~w.aR~w~~~f~w.a~t~sa~~w~~c~~a~.w~~ Date: City otEkall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: log Permit Fee: Date Received: Staff: Q$ 215113 2013 RESIDENTIAL BUILDING PERMIT APPLICATIONIfol Site Address: Unit #: v Resident/ Owner Type of Work Name: .Arr-f-1 Ae4.)r6TrSe4J Phone: taSl- �� Il -75/ Address / City / Zip: 93Yr. y3rk ry di` Vi74.-\/ P-wsi .5:C /a 3 Applicant is: Owner !r ---Contractor Description of work: Ai rer r43� Are E,�j�� w� �( c / 2 Construction Cost: "700 s� Multi -Family Building: (Yes / No Company: 6e- SS _(1 Contact: 71)44k,.. Address: 1-1-11,1,,,01 ICJ N rJ City: &-/K State: (irJ Zip: s`C-330 Phone: (old s' 6 -moo License #: ,-.0-154-P-/ 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Al (0r -e- /7 ) �s� : �� , � Ba(i., . r i, PS- COMPLETE 5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may 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. Call 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x (dirk (,e -s Se_,i( -Applicants-Printed-Nam pplicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace A Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building ,ji Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% X Census Code , 7 1/341 #of Units # of Buildings / Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 L/7 Siding Reroof Windows /01113 L/z`(c c - Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant .t/e1G -1 MCES System lag SAC Units PD City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test 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 Page 2 of 3 Feb 25 13 09:44a NORTH ANOKA PLUMBING 763-213-1390 p.2 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use lV 8P Permit #: Permit Fee: O cp Date Received: '1 2013 RESIDENTIAL` PLUMBING PERMIT APPLICATION Date: < '2 5 - J 3 Site Address: 4-2_ I: ii >'�" ► C'V�i ;�1 v �! Tenant: I`O v Yl 5+2.tr1SCY1 Name: �:Lv r_an S -- Phone: Address 1 City / Zip: c&. o •-f — Resident/Owner J Suite #: Contractor Name: E� e \vs.j License #: PC2- /014z -1 Address: 22-510 Rivt-11 131.41 NI, ' City: SA-. State: .‘1't IV Zip: 5 S—U`0 Phone: 1 C- S --1 `S- -g - —72) Contact: VL'�✓e r-. L4ti »s r y Email: tomv^ ` Type of Work _ New i� Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Permit Type RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ 1 _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) Water Turnaround (add $200.00 if a 518' meter is required) $105.00 Septic System New ($10.00 per as buil:) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.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 perm; , ork of 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 approv plans. x 1� CA_v fit Sc_-'s..+r. Applicant's Printed Name x i Applicant's S gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-ln Air Test _Gas Test _Final City of Eagan PERMIT 411' CityofEaan Permit Type: Plumbing Permit Number: EA134875 Date Issued: 01/28/2016 Permit Category: ePermit Site Address: 4246 Yorktown Dr Lot: 1 Block: 1 Addition: Sunset 6th PID: 10-72991-01-010 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 - Applicant - Owner: Karen M Bendtsen 4246 Yorktown Dr Eagan MN 55123 (651) 307-1174 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157630 Date Issued:08/30/2019 Permit Category:ePermit Site Address: 4246 Yorktown Dr Lot:1 Block: 1 Addition: Sunset 6th PID:10-72991-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Karen M Bendtsen 4246 Yorktown Dr Eagan MN 55123 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164257 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 4246 Yorktown Dr Lot:1 Block: 1 Addition: Sunset 6th PID:10-72991-01-010 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 - Karen M Bendtsen 4246 Yorktown Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature