4341 Yorktown Dr
CITY OF EA(iAN WA?ER SERVICE PEttMtT
3830 Pilot Knob Road 7 C, ;
R. O. BQx 21198 PEWuUT NO.:
Epan, MN 55121 DATE: ~ . ~ _ ~ :
2cninp:. No. of Unirs: 1
OWflfl:
Ntiditff:
Syt, Addrsm 4341 Yorktocgn '[)rire L1 B1 Sunset 1? ttt
Ptumbsr. +l lt.ner P l.rn-6in n
Mehr No.: roe; 500.00pd
Size: ~ t: i ; pr!
Reade? No.: " , 5 ; i !)d
nic Ciw
1~F:Cimuil
N~ 15 F. t?0 d 1T
Cho
~Ulf\C1~' ~,~_51;iyr mc+rPr
gy poft Paid:
Date of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rwd
P. O. Bqx 27198 PERMIT NO.:
Eagan, MN 55121 DATE: Iontap: No, of Units:
Owner,
Sft Addroo: ~ - [1 sti
Plun+ber. "i1tn;_.-
AAswr No.: Canndietian Cho?Qec
Sizs: AcoourN Dapomit:
n
Reoder No.: parmit Fee:
1a/rM h eeMly v?N6 tlw Cilp of Emew Surchorge:
pnipNwer, Misc. Cho?gs:
Total:
ey Dot. Poid: .
Date of I?aD.: Irap•:
CITY OF EAGAN
3830 Pitot Kno6 Raad sEWNt sFJtVICE pEWIT
,
P. O. Sox 21189 PERMIT NO.:
Eagsn, MN 55121 pATE:
z«ang; rs ~
No. of units:
Owrn.: Joe Mi.~.IF.r Co{zst.
Nddrrss:
$ftf Add?ef3: fi-3rF1 Y I'Y{tOld[I I3Tj~:[= 1,1 3.,i
Plumber. Ji].tnes Plumbisl ;
~ u!" tr ftmIr wA61ie Gg oi "om Con+wtion Ghorge: 47r,
;?(?pri
,Mneem /?cC0urlt DtpOSit:
PISmnit F«: t ~
surd+orpe:
By Misc. Cho?pp;
~ote of Irup.: Totd:
Doh Pald:
CASH RECEIPT ~
. - CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 r
wccovs ~rwoMn
. ?t 'k
AMOUNT $ V I -
`
~#_~DOLLAR~/l
S r
~oo
? CASH/ I~_~2t1ECK i
. 4~ ' . . ~ A`~•~ ~ ~V . J • i
i c'~S1~ ~I~~~• ~C. J J'%C % _1 ~ 446 RVND COD6 AMOUNT
I
~
Thank You =
65366 ~ ~ -
White-Payen CopY
Yellow-Posting Copy
Pink-File Copy
a..-r .
CITY OF EAGAN -
3830 Pilot Knpb Road, P.O. Box 21-198, Eayan, MN 55121 1~ 2 12192
PHONE 454-8100 - ,
BUILDING PERMIT Receipt N
To be used ror SF DWC'/GAR Est value $63,000 pate JUNE 27 19 $ 6
SiteAddresa 4341 YORKTOWN DR Erect C~ Occupancy R3
Lot I Block 1-Sec/Sub. SUNSET 11TH Remodel ? Zoning 213-RI
Parcel No. Repalr ? Type of Const_ Vn
Addition ? No. Stories
c Neme JOSEPH MILLER CONST Move O Length tr+
= 1813 3 CEDAR AVE SO Demolist? ? Depth 46
o Address int Impr. ? Sq. Ft
City FARMING~~ Insmll O
g Name SARIE O Appro+rNs
Address Assessment Permit $ 322 . 00
~ City Phone Water & Sew. Surcharge 31.50
Police Plan Review7-1-6Z • 00
Name Fire SAC 575.00
58 Address Eng. Water Conn. 500 . 00
city Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the gldg. Oif. 624 a Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan OrdinanCes. , APC Pafks
l ? 1- ,
Signature of Permittee Var. Date Copies ,099-404
Total
A Building Permit is issued to: ,`7~' rSII..$R CONST on the express condition that
all work shall be done fn accordance with all appli State ot Mfnnesota SWtutes and City of Eagan OrdinanCes.
•
Building Official - ' -
i
- wrnYl No. F.nen Moa.r oae. T.bnha» r
PNmlblny - -
N.va?.c. _30
Ekmtrlc
Betkww
k.p.clbn oNe lmp. conwn«w
F°°elnps I lt'
Foolkpt n
Foundalloe
Fr-rdnq
RooMq ~ c
Rouph PWq.
Rou9A FMp.
Inwl.
Pkeplaco .
Final MIO.
FNW Plby.
Bldp. Flnal
~
CMi. OCt.
Doek Flq-
Doek Fnnp.
Drerlbm lxMle~
IAIN
Pr. Dfsp.
•r, , . - ' ~ .r w; .vF:.~•~i. r ~y:. • :
. . . \ . t .
PERMIT #
MECHANICAL PERMR RECEIPT M ~
CITY Of EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE -7 Y L 'i-
CONTRACT PRICE PH E IS44100
Site Address " ~ ' BLpG, TYpE WORK DESCRIPTION
Lot.~- BIoCk SeC/Sub • ` ` ` I i
Res. New t~-_ -
i
m Name Mult Add-on
3 Address Comm. Repair
c Ciry Phone " pdw
Name - ~ ` • FEES
3 Addr RES. HVAC 0-100 M BTU - $24.00
~ p City ~ Phon~ ADDITIONAL 50 M BTU - 6.00
~ ADD-ON A1R COND. 0-24 BTU - 12.00 .
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
i Forced Afr ~{~-M 8TU ' COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unk Heater M BTU MINIMUM - COMM/IND FEE - 20.00
I Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
i Vent CFM BEYOND $1,000.00)
Gas Piping Outlets # }
Other • U C~
FEE
s/0. j~ SICiNATURE OF PERMf~TEE
~
TOTAL:
FOR: CITY OF EAGAN
L__
. . : o . . . y... . i . . 'r _ . , . . . . _ , •
PERMIT N
, PLUMBING PERMIT RECEIPT # GTY OF EACAN
3830 PILOT KNOB ROAD, EAGAN. MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100 . 1 :
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ' New
~ Name , Mult Add-on
.S Address - Comm. Repalr
c City Phone Other
NO. FlXTURES TOTAI
L Name Water Closet -$3.00 t -
c Address Beth Tubs - $3.00
~
p City Phone LavatorY '$3•00 Shovrer - $3.00 -
-
FEES Kitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE _$10,00 Laundry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20,00 -Floor Drains - $1.50
Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.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 pEE-
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAI: ' ~
, . . CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 ,
' •
" BiJILDING PERMIT PHONE:454-8100 Receipt ~
To be used for Est Value Date
Site Addresa OFFICE USE ONLY II
Lot Block ~ SeC/Sub. t'T 11 T`a On SRe 3swape Occupancy i
MWCC 3ystem ZoNnp I
Parcel No. On 8ke Wsll (,4ctuai) Const ~
a Neme • City Weter (Allowable)
W PRV Requfred * of Storles
= Address
~ City PhOn9 Booster Pump Length
- - Depth
~ Name S.F. Total
I 0~ Addre88 Footprint S.F.
~ City Phone APPROVALS FEES
, . . •
~ a Enqr./AaseaB. Permit
W Name
Address Planner Surcherge
= City PhOne Councll Plan Review
W Bldq. Off. SAC, Cfty
I hereby acknowlsdye that I have read this application and state thet the Varfance SAC, MWCC
Information is conect and aqree to comply with a11 applicable State of Weter Conn.
Minnesota Statutea and City of Eagan Ordinances. -
Water Meter
Siqnature of Permittee Road Unit
A Buildlnq Permk is issued to: Treatment P1
on the expreas condition that all work shall6e done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinancea. Parks
Buildiny Offlcial a ~ TOTAL
r
Ji
- Mrmft No. Po?mR Holder Dab TeNphone s
Plumbinp
H.VAC.
EIBCtriC N - G•/~ 7
0
Sottener
Inspectloe Dat. Insp• Commonts
Footings I 00 ^-5r,-
Footings II 11 OGA Foundation
Freming S
Roofing
Rough Plbg.
Rough Htg. L)S
Isul d-S ,
Fireplace
Final Htg.
Final Pibg,
Bldg. Final p- Z•`~~ s l'C'o dog, A-
I Cert Occ
~ Temp. LP
Deck Ftg.
Oeck Flnal
Well
Pr. DiW
• PLUMBING PERMIT For Offi U Onty
CITY OF EAGAN PERMIT #t
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#t
PRICE PHONE 454-8100 DATE:
Site AddSess ' 8~• IIPE WORK DESCRIPTION
Lot 1 ~Rkr* SeclSub Res. r't New
Muit. Add-0n
Comm. Repair
~ Name pther
~ Addres~
c City Phone RES. PLBG. ONLY - CAMPLETE THE FOLLOWING:
- N5( FIXTURES T L
Water Closet - $3.00 $ Name Bath Tubs - $3.00
~ Address ~ Ur4WO'y' $3•00
~ City Phone Sh°wer - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
FEES Laundry Tray - $3.00 ~
COMMAND. FEE - iX OF CONTRACT FEE Floor Drains -$1_50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE 3 CONDO - RES. RATE APLUES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12•00 Gas Piping OuUets - a1 •50
MINIMUM - COMM.INO.IFEE $20.00 (MINIMUM -1 PER PERMfn
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(A D.50 C P R EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. -$10.00 ,
Rough Openings - E1•50 I
w?TU OF MffTEE PERMIT FEE:
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL: '70
~
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE: 454-8100 g 1 0-7 ~ -
BUILDINGPERMITgF DWG Receiptu
To be used tor BASEMENT FINISH Est Value $1 , 500 Date FEBRGARY 5, ,1988
Site Address 4341 YORKTOWN DRIVE OFFICE USE ONLY
1
Lot Block 1 Sec/Sub SUNSET 11TH OnSiteSewage _ Occupancy R-3
.
MWCC System _ Zoning
Parcel No
On Site Well _ (Actual) Const
c Name JOHN RGPPERT Ciry Water _ (Allowable)
w PRV Required # of Stories
zAddress 4341 YORKTOWN DRIVE -
; Boo5ler Pump Length
° City A AN phone 681-1630 -
A96-7717 Depth
0 ¢ Name SAME S.F Total
~ Q Addr@55 Footprint S.F.
P City Phone AppROVALS FEES
Ww Engr/ASSess. Permit 34.00
Name 1.00
~ i Planner Surcharge
x- Address
u i Council PlanReview
aw CityPhone
Bld9 Otl SAG City
I hereby acknowled9e Ihat I have read Ihis apphcation and state that ihe Variance SAC, MWCC
inbrmation is correc[ and agree lo compl wrth ail apphcable State of Wa(er Conn.
Mmnesota Statutes antl ,C/iry f g Or]qan~c~es~.~ Water Meter
Signature of PermNee _j~Road Unit
l`
A Building Permit is issuAd HN_RGr
PEERT Treatment Pl
on the enpresscondition that allworkshall be tlone in accordancewdh all
applicable State of pMin.nesota Statutr,g and City of Eagan Ordinances Parks
BuilOingOfhcial_/?_OZ~~J TOTAL 35.00
0~
This rn9ues~ voitl
18 nwnths iwm ~Ge,1687 2 ,.,D ~ 1177~ ~ 3-7-
Heques, Date Fre No. Rouph-, n Insner.tion I ~
fla9uved~ ReadY Now aWII NouN InsPec-
?No H'hr;n Ready
Wicensed ElecVical Contractor I hereby repuest inspectlon ol above
? Owner elactncal work installad eL
$Ireet AtlAress, Box or Houte No. C'~y
L4:~W oR?C-rbi..>,Z ~C-~,qlv
ectwn o. Township Name or No. flnnye No. Counry
OccuGantIPRINTI Phane No.
eTz~r_
Power Supplier Ad~ress
/ i7-t 5'r S i.J
Elecvical Conlractor IComD~~v Name) Convactor's License No.
MI(~ttF~f~ EL.~G'r'2/G 1 Co I U- Z
Maihnp AdJiess IContractor or Owner Making Installationl
)3(.07 ' RaxhiD EfrC= fJ
Authon $iB^aWre 1 mractor~Owner M, kmB I istallabnn~ Phone Number
MINNESOTA STATE BOAflD OF El C FICITY TMIS INSVECTION REQUEST WILL NOT
GriBHS-Midwey fllde. - paom N•791 BE ACCEPTED Bv THE STATE BOAflD
1821 Univers,tV Ave., St. Paul, MN 55104 UNLESS PHOPEH INSVECTION FEE IS
Pl.n- 16121 297-2111 ENCLOSED.
ntUU1:51 hUN tLtGIRIGAL INSPECTION ~ Eeuuuoi.ua
Sae instructipns for complabn0 this form on back of yellow copy. ~
l!~ 353
• 1W72 '"X" Below Work Covered by lhis Reques!
HdJf RBO. Type ol BwlAing Appliancea Wiroe Equiumen, Wiretl
~
Hpme eange Temporary Service
1*p4x Water Heaier Lightiny Fixrines
Apt. Bmlding Dryer Etec(ric HeaLn
Commercial Bldy. Fumace Silo Unbrider
Inciustnal Bldg. qv COnditioner Bulk Milk Tank
Farm oN«, pen v inor 15prr.ily1
~ r,r ucvly 'hcr 01hor
ompute Inspection Fee Below
N Fee Service Entranee5ize b Fee Fexdars/Subfenders N Fee Gr ur~s
/U ,00 U to 200 qm ps 0 to 30 Am s 0 m 30 F.m ~s
Above 200 qmps 31 to 100 qmps 31 to 100 Am Swimming Pool qbove 100_Amps Above 100_P,mps
T11 nsiormer5 Irngabon Booms Partial'Other Fee
Signs SUeciallnspection S
Rer.v~rks TOTAL FEE
37
Fouph-in , p ~l
~ '1. the Electrical
~Q lnsoecloq M1¢'eby
cert~ly thnt the above
Final D'nte insoaction has been
~ . AR euaa.
mm repuasl volE 19 montlu Imm
7his request void
18 nwmhs from n~~/O~ ~/C~
0 d
DD , 6 616 4 i p/ ~,,aj-
Request Date Fire No. Rouph-in Insuection
Re~uired~ ~ReatlV Nuw Q Will Ninity Inspec-
' ?1'es ?NO Lor WhNn qeadY
? L'rcensed Elec[ncal Contracter I hereby raquest inspection oi above
K Owner elec[ncal work insialled at
SVeet Ftldress, 6ox or Aouie No. City
3yl y0116Mwn/ OR- 1<1~G-f}i?
ectmn o. 7ownshio Name or Nm Fanee No. Coumy
~'dTf1'
Occupam (PqINT) Phone Nn.
~o H-N Ru P~'27~ P/ l~ 3a ~-8y6 aa~
Power Supolier Atltlress
A-KarA-- Ec£& rc-
Elecencal Contracmr ICompany Namel Convector's License No,
Mailmg AdJress ~COntracior or Owner Makinq Instailauonl
A th ize Si ature IConvaclor/Owner Mnking Ins[allation) Phone Numbar
AWINNES& A STA BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gr199s-Midway Bldg. - floom N-191 BE ACCEPTED BV THE STATE 90APD
1821 Universitv Ava.. St. Pxul, MN 55104 UNLESS PPOPEP INSPECTION FEE IS
Phone(6121, 642-0800 ENCI.OSED
-~151$S REOUEST FOR ELECTRICAL INSPECTION ~4 Ee-oooMoi-os
\ ,
' See inslractions loycompfeting Ihis torm on back of vellow copy.
~ 66164 "1" Be/ow Woik Covered by 7his Request
Fdal Heo. Tvoe oi Builamq Aooliancna wvee Equiumam Wi.ed
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apl. Bwitlmg Dryei Electnc Heatun
ComnterCial Bld,y. FumaCe Silo Unloader
InAustnal Bldy. Air Conditioner Bulk Milk Tnnk
Farm Otho.i uecr v .iho, ISi~orityl
t.~ Sucu V Other Olho,
ompute lnspecUOn fee Below
N Fee ServicaEnLenceSize n Foe Faedors/SUbleeclers u Fen Gucwts
0 to 200 qmps 0 to 30 Am>s 0 ta 30 An )s
Above 200 Amps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Am>s
Transiormers I~ngation Buoms Pnrtial. Other Fee
,~Signs Special InspeCLOn ~
nerrwrks OT L FEE
ysH S~-s£m£NT e ~D ~Q,
Roua -,n Date v 'ecviexl
~ / InsoecIor, he,oby
<erlily mat tha abova
Final ~/,eii inspection nas been
meAe.
(hla repuest vol0 18 months Irom
C~ 95971/- - M
Request Date Fre No Rouglfin InspecLOn
~ n/ R ? VeSd7 , Na 0 Reedy No-x WII No4y IRSpeclor
en Rea ?
I p lic8nsed contractor ,Qtlowner hereby request inspection ol above electrical work at:
JoE Atldress (S1reel x or Route NoJ Clry
.~~Or
Secibn No. Township Name or No. Renga No. County
1 1
Occupanl ~PRINTJ'~ Phone No.
o I'S U er ~Jt~~- ~ io
Power Supplier AtlOrass
Eleclncal ConVactor (COmpeny Name) Conire[br§ Licensa No
M'a/ihng AtlOress (Contraclor oraking InStallaDOn)
'Y.~i~~ Dr k e.
ANhonzetl Si nature (COntraclor/Owner MeWng InsUlla4on) P~orre ~jNumDer
MINNESOTA STATE 60AHU OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Grigqs-MlOwey BIEB. - Aoom S173 BE ACCEPTED BV THE STATE BOARD
1821 Univernlty Ava., SL Paul, MN 55106 UNLESS PROPEfl INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSEO.
OC//o~p REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi-m
~ /
O~ D/ See instruc[ions lor completing Nis lorm on back ol yellow copy od?Ja(/
e~ T
~ 9 5 9 7 1 .`X" 8el0w Work Covered by This Request
ewAdd Rep: ~ Typeof8wlding AppliancesWiretl Eqmpmeniwired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm/Industrial Furnace
Farm Air Condnioner
Other(spepy) Contraclors Pemarks'
CompGte Mspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0[0 70o Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si9nS Inspector5 Use Only TOTAL l-/(
Irrigation Booms
Special Inspection ~J ~O J
AlarmlCommunicahon
Other Fee O
I, the Electrical inspector, hereby R°ugh-in oate
certity that the above mspection has pnal oat ,
been made.
OFFICE USE ONLY
11-<f..o Jwy~yr-.w.s..~
This requesl voitl 18 monlhs Irom
0'1~4 17
.
' CITY OF EAGAN - o
3630 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55121 N2 12192
BUILDING'PERMIT PHONE: 454-8100 Receipt q /w a G~
' SF DWG/GAR $63,000 JUNE 27 86
To be used lor Est Value Date
SrteAddress 4341 YORKTOWN DR Erect 121 Occupancy R3
Lot I elock 1 Sec/Sub. SUNSET 11TH Remodel ? Zoning pn-RI
Parcel No. Repair ? Type of Const yn
Addrtion ? No Stories
a Name JOSEPH MILLER CONST Ntove ? Length d S
; Address 1$133 CEDAR AVE SO Demolish ? Depth_46
o Int. Impr. ? Sq. Ft.
cityF RM7N .'P"e 431-2001 Instau ?
o Name SAME Approvals Fees
$ ¢ nddress Assessment Permit $ 322.00
~ Ciry phone Water & Sew. Surcharge 31 . 50
Police PlanReview 161.00
Fi Name Fire SAC 575.00
~a nddress Eng. WaterConn. 500.00
aw City phone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationantlsiatethatthe Bldg.off. 6/24/86 7r pi 156.00
information is correct and agree to comply wdh all applicable State of
Minnesota Stalutes and 'ty o( Eagan Ordin ricep APC Parks
Var. Date Copies
Signature of Permittee Total $ 2,099 . 00
A Building Permit is issued to. JOE MILLER CONST on the express condition ihat
all work shall be tlone in accortlance with all p i State f Minn sot S tutes and Ciry ol Eagan Ordinances
8uilding OKicial
~
RESIDENTIAL
" BUILDINC PERMIT APPLICATION
CITY OF EAGAN ~ 7~)~
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 n o~ Y\^ L~ e
New Construction Reauirementf RemodellReoair Reuuvements
• 3 registerea sr,e surveys snowmg sG. of 2t, sq. h. of hocse, and all roolea areas • 2:o0ies of plan
(201% marimum lot coverage allow?a) . t sel of Energy Calculations for healea acmucrs
• : copies of plan showing oeam 3.vinoow >izes; poured found aesgn, etc.) • 7 site survey for zxtenor adtlinons 3deas
• 1 sel cf En?ryy Calculauons • Intlicate d home serve0 Sy sepnc sys:em `or acamons
• 7 copizs of Tree Preservanon Plan d lol piatled afler 7i1193
• Rim Joat Ceiail Opuans selection sneet lbtegs with 3 or less umLS)
DATE VALUATION 49,Fl~00
SITEADDRESS S~c..3~~ loK~~w,?C~~2-"U~ MULTI-FAMILYBLDG _Y N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS ~y/ I'o.c~fsJ ,?i/~2- CITY ~l ~Ji? STATF/yl//ZIP SS/~2-~
TELEPHONE ~f17-..ZCELL PHONE # 9S~- /PJ~~ 4L °_ZFAX #
l.t~o ,c /c
PROPERTYOWNER TELEPHONE lzd~a'y'l
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MI\\1:5OT.\ RGLI•:5 7670 G\'CL(GUR1' I M[\\650T.\ R['LI:S 7672
(d submission type) . Residential Ventila6on Category 7 Worksheet Submittetl • New Energy CcCe Worksheel Submittetl
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phunc x
Plumbing systcm includcs: Watcr Soltcncr _[.:uvn Sprinl:lcr Fcc: $90.00
:Vatc: Hcatcr \o. of R.I. Badis
No. oF Dadis
Mechanical Contractor: Phone #
N[cclcmicsd systcm indudrs: Air Condiuonu,, I'cc: S70.00
F(cat 2ccoccrc Syslcm ~
l _ ~
Sewer/Water Contractor: Phone #fN
L' J u
I hereby acknowledge that I have read this application, state that the informafion, orrect, and agree to Imply
wrth all applicable State of Minnesota Slafutes and City of Eagan rdi c. .
Signature of Applicant
~p-...........................
OFFICE USE OvLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Reqwred _
Updaled J102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 73 16-plex ~ 20 Pool ~ ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliHan (Entire Bldg only) • Give PCA handout to applicant
Valuation ~ Occupancy MGES System
Census Code Zoning Ciry Water
SAC Units 8 U Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs =Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) aoO" FinaWo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final ~ Pool _!t Ftgs 1, Air/Gas Tests $Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage •
S8W Permit 8 Surcharge
Treatment Plant
Ptumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
952 997 6866
Sep 03 02 12:47p Watsons 952 997 6866 p.1
A
15450 CedarAvenue
~ Apple Valley, MN 55124 Watson's of Minneapo is
952-997-6000
952-997•6866 Fax
Fbx
To: From:
Fax: IDgI 1,,0 I ~ I Pages:
C mpany • Date:
uV~
Re: r's
? Urgent Koreview ? Please Commen! ? Please Reply ? Please Recycle
• Com nts:
.
6,Ax
\
~
a~o
( ct s.2-) q ci -1- (a
Sep 03 02 12:47p Watsons 952 997 6866 p.2
May717 02 U9:25a Watsons 952 997 6866 p.2
~ .
POOL IIVSTALLATION AGREEMENT . ~ NAME --.POOL SIZE -
ADDRESS- MODEL
CI.rr STATE ZIP -
HOME PHONE WORK PHONE- -
SITE SURVEY INFORMATION inches
1. Approximately how far out of level is the pool site? yes/no
2. Are there overhead power lines by pool slte? yes/no
3. Are utilities underground? yes/no
a. Ara there any trees or tree stumps within 10' of pool area7
yes/no
5. Do you have a septic system?
6. Approximately how far is the installation from Watson's9
yes/no
7. Is there easy accoss to installation location?
GENERAL AGREEMENT
1. COD shipments are to be paid prior to delivery. Customer will be responsible tor delivery
and installation charges should items purchased be returned. rmits, if
2. It is the customer's responsibility to obtain and pay ToF zoning and building pe
needed, and to check with local aulhorities for local`codes and designate exact location and
elevation of unit.
3. Installation work done by Watson's carries a 30 day limited warranty. Delivery and
installation warranties do not change the manufacturer's warranties. All manufacturer's
warranties can be handled by Watson's or through the manufacturor directly.
4. Watson's does noi do electrical wiring or hook-ups; electrlcal work is customers responsibiliiY initials
5. Watson's is not responslble for water loss or replacemant for any reason. _
INSTALLATION INCLUDES
t out of aevel; tpayalble to the excaoator at completion of excavations Over136p out of le el~s by
bid only. (see Extras)
2. Providing patio blocks and erecting the pool per manufacturer's specifications to withln 1"
out of level.
3. Setting the sand bottom and cove as a firm liner cushion. (see Customer's Responsibilities
4. Sealing the liner and mounting the skimmer and return jet.
5. Installing the pump and filter system without electrical hook-up. (see Customer's
Responsibilities)
6. Assembfing the deck ladder or safety ladder.
BUILDfNG PERMITS
Most counties end cities require a building permit for an above ground pool. It is lhe customer's
responsibility to obtain this permit prior to installation. The permit holder is responsible for
compliance with all zoning, fencing, and olecUical requirements, including final inspections. The
customer is aCtlng as contractor. Watson's is the pool subcontractor, and Watson's must instafl
pool exactly where located on Permit Plot Plan.
Sep 03 02 12:47p Watsons 952 997 6866 p.3
May,17 02 09:25a Watsons 952.9S7.6866 _ P•3
„ ~:i~. r;. . . . . .
- ._:'."4+.:~^'r."r'„~.
CUSTOMER'S RESPONSIBILITIES
1. Take delivery'bi'podl'or pick pool up within 7 days ot purchase.
2. Locate and flag power, pNone, cable lines, septic tanks or field lies where applicable
prior to excavation:.
3. Mark ihe pool site and filter, location Urior to excavation in compllance with all zoning
requirements.
4. Provide 10' access path where trucks and excavation equipment are needed.
Watson's cannot be'responsible:for damage done to.yards; driveways, sidewalks within
that access path or around the pool site.
5. Order and pay for fine mason sand; delivered to pool site. but not in the pool loca-
tion.
15' - 3 tons fine mason san$. 18,' - 4 tona,tine mason send
24'; 15x30' - 6 tons fina mason sand 27'; 18z33'; B.tons fine mason sand
30'; 21 x41' - 10 tons fine mason send ::33':r.:10.tqns,fine mason. sand •
6. Provide adequate electric supply, according to State.Codes (See Electrical
Requirements)
7. There will be excess:dirt.endJor,,sand after.,excavatlon. It is the customer's responsi-
biliry to backfill, spread, orremove excess dirt,efier the. pool is full of water. (see
Extras)
8. The pool musl be bdCkfilled approximately 4.inclies. Backfilling over B inches
requires a positiye drain, using "weep" pipe to direct ground weter.
9. Any additional excavation beyond what is required, or if additional work is requested
of the installer such as backfilfing, spreading or moving excess dirt or sand, must be
discussed with the excavator prior to installation._ 10. Check with your local coUnry and*sfale.oodes and,pfoJide any pormits or approvals
ngeded,to,insure complete compliance with all codes and ordinancos.
11. Teach pool safery to family and guests,- specitically NO DIVING.
12. Pay installer upon completion of work (or any mileage or excavatlon charges.
13. Maintain access to topseats and componenis,for service purposes.
,;,,ELECTRICAL REQUIREMENTS
This servieeshoultl be provltletl by aqualifiod eleeMcian In eccoNence wflh stete arM local codes. An extanswn wid does nul
meet elecidcal cotles and will voM manutactureYS warranty.
. . ' , .
EXTRAS
t.lnstallaiion beyond 40 mfles is $2 per mile, one wey, irom,Watson's, payaWeto installec
2. In tha event Ihat ihe sita is au4of-level Ey mora ttien 36". a reteining wall end edd¢ional site praparation will bo reywred, hoth of
whlch are nol available ihruugh Watwn's. "
3. Addrtimal excavetlon beyond wliat is required br leveling Is available by bfdonly. : . . .
4. In the cese where excavafion has been stertad and an obstruction Is encountered whlch renders ihe sile unsuitaUe, the folbw.
ing opuons rnay Ue suggested: a. The charge to move the excavaHan site is $75. There Isno additionat'eharge for rough gmdingback the inihal site.
b, In ihe event iho pool slle Is detarmined unsultable. Oie installer will tlll and rOUgh gr8tle ine Sde Dack lo the 2pproxi-
mate original contouc There is a$100 show,uqctiarge payabie,lo, the excavator et that Gme.
5. oin removal is NOT availabla througn Watson's and shall not be Watson's rasponsibility. .
6.Trea removal is NOT available through Welsonls and shall*not be cWere'd under Jierranty. Ask your salesperson for other
oplions. . . : ' ..L.'.:' . . . . ' .
7. Damaga to pool bottom or,linar_due toroo,ts or nulprgss is not covered undey}varranry. Ask your salesperson lor other options.
B. Saod hoqom washout due to improp0r 6adcfillirig or,failure to pasltive tlreiri 19"rroTc6vared under werrenty.
9. Watson's and Ils installers wlll qladly heip remove obstructiorus to access ('such as fence~; however, nelthar will essume any
responsibihty tor replacing such obstnictions. . • ; . ~ • ~ ' i have iead this installation agreament and lully understantl it antl agrae to its terms.
Customer Date
rc-. mn rorc ooGC fi1Z
~
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
v
m
~ GENERAL INFORMATION
V
O Z Q
Ol ' O? Applicant - name, address, phone & fax numbers, signature
f3/? ? Property owner name
? Legal description and address of property
Gd" North arrow, scale (1" = 30' or 40') and date
Location and name of all streets adjacent to pmperty
W" Site P]an drawn to sca]e showing location of house, pool and other existing or proposed
/ structures
O? Directional drainage azrou.x (existing and proposed)
ELEVATIONS
Existina
M/~-/O ? House comers
Ul" ? ? Property corners
CG}/ On property lines at point of ineasured dimension to pool (see below)
If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proqosed
? ~-X/ ? Finished pool deck corners
?{d ? Top of retauung walls (if any) and at each different elevation (if it changes)
Q` Pooi bottom (or max. depth)
DIMENSIONS
Existina '
M/ ? ? All property/lot lines
Prooosed
Ird" ? ? Pool
? ? Pool plus integrated deck/patio
? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name Date
G:?EC WJR 20021Pool Permit Chcckliu
. ~'39'~ yark-~ewn vriVe,
' YORKTOWN DRIVE ~ .
9.7~
~ ~SCALE: 1'v 30'
I ~
` fi
,'L.?
r~ .
~ • E W' '
By-~' - -i
~ I s.v Eta`+~r'AN ERTCxTNESER,INNGDEP7..'
9~Sa1 s`i'.
s
, I 9sr a t • f,4009e
:~7.;re y.,evooa
I ~ ~ sa y.C
l~lo?~ ~RovND
--RSif~ M •
ys~ D qa
S f L'T d YNGC 51
PROPERTY DE9CIIIPTION
LotL,
++r_- -
. ~N/~•~ Mcome-wiw 12
nlitti~T 9 /o ,..Z
~AlldL'A Cawy.Irinn~~~ .
~fitiTllQ • . . .
o OLMOTRf IRON YON1NiNT PItOl4SFD OARAGE il.OOR 9LEYATION. 4'
• oaeTaS wooo ~ se• n~o~o~so rIRS~r rtoae tLsv+~IoN - =lpo
OviO'TBO Lx~ ~O7 MOFO~O W~1ILIIT RLOOR •
dt~AT10M CLLVATIqU
O[MOTEi MIO~~pONSrOT RIFY ~ CEN07E8 DRAtNAO6 0111FMTION ?~T 'E~ M~F~sMR1tiNTE 1M1'M
~_1~~ wAN~r tliri rA1s surwy, pIsn a
RESIDENTIAL
i BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construetlon PeaulremeMe qemotleVpeoah Reaulrementa
• 3 registeretl sfte wrvays stwwing sq. fl. 01 bt, sq. tt. ol house; and II rooted areas • 2 copies of plan
(200/. maximum bl coverege allowed) . 1 set of Energy Cakulatlons for heatetl addttbns
• 2 coples of Dlan showing beam 8 window sizes; poured tound tlesign, etc.) • 7 sRe surveytor ekAerlor eddAwns 8 decks
• 1 set o1 Energy Cakulatbns . IrWicate il home served by septic system for adGitbns
• 3 copies of Tree Preservatbn Plan 9 bt platted aNer 7/1193
• Rim Jolst Detail Optbns seledian sheel (bltlgs with 3 or less untts)
DATE 5, ja6 - O Z VALUATION JZOD ~
SITE ADDRESS 9 J`TI `1ajcTalw K, MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~A2.04-F 5;5'`'~lct~.~,-~-?' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT I/1/t-E~L ZrS .
STREETADDRESS SfOq~L.-ee- F~.Q cmrJIMkA , STATEMq_ZIP7S.
TELEPHONE #q'SZ-930-d,Q4 CELL PHONE #6/Z- 275-14'51 FAX #
PROPERTYOWNER ,8-Yv1 7~~ TELEPHONE# <o . I Gf{7 ~9~~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINA'FSOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Workshaet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor: _ Phone #
Plumbuig system includes: Water Softener Lawn Sprinkler Fee: $90.00
\Vater Heater No. of R.I. Badis
No. of Baths
Mechanical Conhactor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Hea[ Recovery Sys[em D~~ 2
I~
Sewer/WaferConhacfor. Pho
e
= - - - -
I hereby acknowledge That I have read This appllcation, state that the informa isrect, an a to comply
with all applicable StaTe of Minnesota Statutes and City of Eagan Ordina
Signature of Appilcant N-~-- ~ .A ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
4/ `
- ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/AOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT ZS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOEi SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & S'1RUCIURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ~(}5~rn~,i~ FiNI51f Valuation: Date:
~~FI(.~ Fi?+ri~~-y W~.atlNfr
Site Address N341 YoRkro(014 0P- OFFICE USE ONLY
~500 `
Lot ' Block L_ On site sewage_ Occupancy R.3
MWCC system Zoning
Parcel/Sub On site well Actual Const
City water _ Allowable
Owner SO F}W RUPPFRT PRV required of stories
Booster Pump _ Length
Address q3q1 YoRernwa OQ- Depth
S.F. Total
City/Zip Code f.fkrl4~ ~ yNN/, SSla3 Footprint S.F.
Phone (pKl "A'~ C~v RK a~96-aaIa APPROVALS FEES
Contractor Engr/Assess Permit
~
Planner Surcharge
Address Council Plan Review
~ Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
I TOTAL 3$,DO
City/Zip Code
Phone fl
~ ~oolb 460.50
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: nr-,
Description of Work: ~ Construct new fireplace (ZGas _Masonry _ Aherations to existing
Install pas irrserf oitlv Install Qas /iue onlr
Other
Job address: _ 27134(~ 10, ~A41412
Lot: _I Block: suba;v;Siotirn.I.D. SUhSe} It.W,
Applicant (circle one only): Own ontractor Perntit Fee: $60.50
Name: Phone 651647-99 1Z
PROPERTY Last /Ftrst
O\'?NER
Street Address:
City
't- State: Zip: 51~
Company: e5y-nln2 4 rp Phone k: l ('2
(area code)
FIREPLACE ~
INSTALLER Saeet Address: 1Z~g ~
~ ~
Ciry 6A!'vt5 J,& State: /"4 Zip:,
Company:_ APhone#: - (,!Z !zsek O~
(area code)
GAS LINE ~
. II~'STALLER Street Address: ()~.LL 7$
~ City Stare: ~X11Z Zip: S S~Z
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 a u ~c City of Ta an Ordinances.
Signa e
***k***k#**Y#****Y#f*fi#****##}#**#b
. C i TY O F E G A f~ *•raTT~ ~F ~ Qp~I TIM OF *
,*t APPROVAL OF PERNIIT. *
~ APPLICATION FOR PERMIT :
itvsencrrorr oF sEwm nrro/ox wATm *
,*F Tusrar.ramrONS WIIS, Nl7r BE SC1HEi>-- *
SEWER AND/OR WATER CONNECTION ULID UNTIL PmMIIT HAS BEEN ~
* APPRWID. +
. * *
•
r "
r
• ****:tr*wr:e~**,r*r,t*,t+**+,t*s,r*:,tt+k,r*
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot Block Subdivis ion or Tax Parce ID )
IF EXISTING STRCCIVRE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE:
, PRFSEP7f 7ANING/PROPOSID CSE: (Abn Year) -
~ COP'PNERCZAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY
f-7 IAIDL~STRIAL ~ R-2 OL'PLEX (7tvo Onits)
C] INSTI7[)TIONAL/GOVEE2Nhg,'NT ~ R-3 ZUWDII-IOOSE (Three + Units) ( Units)
~ R-4 APARTMEN7`/COPIDOMIDII[,,y ( Units )
2)
~ ruAME:
• ADDRESS:
CITY, STATE. 2IP:
' PHONE: K J2 ^ ln / o
3) • u~:~'• NAP9E: For City Use .
Plumbers License:
ADDRFSS: /C/',- ~1' ~/I ° _ • ~ Active
~ CITY, STATE, ZIP: FScpired
Not recorded
PHONE: ~0 Sv C, MASTER LICENSE# '3 SG o~r_
Staf Initial
4) ~u • • i~•
NAME: . ADDrZFSS: •
CITY, STATE, ZIP:
PHONE: .
5) ~ v i~r: •a , •~~u--v~ _o-.
~ COi9MDCTION TO' CITY SEWII2 IZi CpNNEX,TZON 'm CITY WATIIt ~ pTi-IER .
6) n«• r ~ PLFA.SE HOLD APPROVfD PERMIT FOR PICK-OP BY ONE OF ABOVE
PASE MAIL APP ~ PERMLT ~ 1, 2, 3, 4, ABOVE
(Circle one)
7)
~
9C,131,I 1 1 ' il" ~ :A' • Y It • 11
FOR CITY USE ONLY ~ PERMIT # ISS[.'ED
ZL/O
Pd w/Bldg. Permit FEES:
$ $ /n„x~p SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~n.5o WATER PERMZT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ / S•C'U ACCOUNT DEPOSZT - WATER
$ SOD• ZSt= $ WAC
$ $75• Ov $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ oLATERAL BENEFIT/TRI)NK WATER
$ /J~G• d v $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ SCJ ,S/.Cc TOTAL
i 53&5
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[7BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: / GrLC.'~`-0
TITLE:
DATE:
<< .
1986 BOILDING PERlIIT APPLICATIOH - CITY OF EAG9N
NOT6: ALL COlTfR9CT0ES MOST BE LICENS6D ifITEi THE CITY OF EAGAN
SINGLE FAFIILY DiiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DTaELLINGS - RESIDENTIAL RENTAL OdITS FOH SALS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYfiY - CHECB WITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTQRAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
~ Q
To Be Used For: LQ4W B~2 Valuation: i UD Date:
Site Address q J yi0 OEFICE IISE ONLY
Lot J- Block ~ Erect ~ Occupancy
Remodel 2oning y/~ 2
Parcel/Sub ~ rq,M ~ Repair _ Type of Const .IG,(!
Addition 4 of Stories
Owner Move - Length ~/S'"
Demolish Depth y
Address Znt.Impr. _ Sq Ft
Install
City/Zip Code
Phone 6PPROVAIS FEFS
Contractor 4 yf]([ssessments Permit 3e
Z
tl >J` Water/Sewer Surcharge O
Address q(r Qf,~~p S Police Plan Review /o/
_)(J~ ~ Fire SAC S'7S"'
City/21p Code ~^yg;h4 T Engr Water Conn ~
a~(J7 Planner Water Meter
Phone 2-G7 D ~ Council Road Unit r`'tD
Bldg Off Treatment P1 15-
Arch./Engr. APC Parks
Variance Copies
Address ?pTA[,
City/Zip Code
Phone #
NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNAYE WHZCH ADDRESS
IS DESIHED. NO CHANGES HILL BE ALLOUiLED ONCE BQILDING PEHIMI2 IS ISSOED.
zyX
~Z~~. ~
T'RI-LAND C0. SITE PLAN FOR :
SURVEYING J O S E P H MI LLER'-
SERVICES CONSTRUCTION
4655 NICOLS ROAO • '
EAGAN, MINNESOTA 55122
- - -
" YORKTOWN DRIVE ~ j
, , qs?x B
s SO °
I R s
SCALE' I"•30'
N
W 3t , 'y q' (yP` N
`al
I I i
T n 1~~ " I g~
¢r pto ` p •
~ N ~ I t
04 F"' Z I 3 S ~ Z
Y .
~ I ~
lo
~I56Y5 N a1ys^w q~tC)
PROPERTY DESCRIPTION
LOT-L-, BLOCKJ
c;j 1WA r . c~[~~ -
aeeordfnq to the neadddplat t reof '
bKDTA CwAy, Minneaota
LEGEND I
o pENpTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION- ~GbD,
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION a9Ey~.b
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR ¦~j,Sa .n
0.E VATION ELE VATI ON
OENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PIANS
I hrWp eartlfy ihat thi: survey,plan or
rspwt ww prepored by me or under my
dirscf aupervision and ihat 1 am a duly Bradley J. S on, Mn. Rsp. No. 15233
Reqistsred Land Surveyor under ihe
R Laws of ihe Stote of Minnesota Date :
CITY OF BUILDING DEPART!•IENT
• , k:iCPk:RIOR EI4VFI,OPE AVERAGE "Ull COIdPUTATION
(To be submitted with bullding permit appllcation)
Ona or Tva Family Dv+elling Ovmer
All Other Site Addresa
:ontractor Date el~-I- JFPhone
LI[iEkL ?EET OF ~
EK~O:;cD t'lALL ~iffEr=j1' [t. above grzde - Z)Of'jg,00 ~
TOTAL i::G°OS:'J :'iALL AR;:A SQ. FT.
J?;,:.U~~ i7;.LL i,J,:SPF.O'CIJC: "U" Value x Area
' Getail rg AWE ilUes .O4 3 x :;Q. FT.1&5ZZo. 7~•O¢ M(A)
re;erence Ccfve "U"_ .07(o x 52. FT. 9!0•48= 7.33 (U)(A)
from °u" .040 x SQ. FT. 119•SZ= -1• 7n (U) (A)
attached lUll x SZ. FT. sheets loU'l x S^,,. FT. - (U)(A)
"U" x S Q. FT. - (U) (A)
',lII!DO';lS: "U" '/alue x f,rea
tia'.te & Type ~JJS~L• C!sM'T "U"
x sq. FT. l•oo = q3~8 (u>(a)
x S@. FT. - (U)(A)
"U" x s2. FT. - (U)(A)
n u ~iun x SQ. FT. - (U)(A)
n~oas: tr~ v,tlic , r.ro:,
:ia:ce & Type lAfSvL. nUn •x SQ. FT. 4 •oo = &-O(P (U)(A)
u u MF/ o u Uu
•47 x s:Z. FT. z.oo =17-74 (p)(p)
npu x S•Z. FT. - (U)(A)
n u uUu
_ x S2, FT. _ (U)(p)
TOTALS z6-l0g.oo SQ, rT. /S3•g3 (U)(p)
" AVERA(lE "Ut'
TOTAI, (U)(A) VJ.LUES _
DIVID:;D BY TOTAI, '~II.I,L I.Rt:A Zop^8_oo '073
AVF;ka(}I; liUl~ , ~ t5 r less for 1&2 family dwellinge
ROOF/CEILIN(3:
TOTAL AREA: lOOZ ~
Detail reference oZ1 x SQ. FT. fOOZ. = z/•oq- (U)(A)
from npn x SQ. FT. . (U)(A)
attached sheete. ~~u" x SQ. FT. _ (U)(A)
Describe onenings loUll
x SQ. FT. - (U)(A)
in roof. ~~U~~ x SQ. FT. - (p)(A)
TOTAI, (U)(p) VALUES DIVIDLD BY T7~L~j ~~~Z- Z1•~} CU~A~
ToTri R00?/CEI Ii;G „I;~A ~OOz. pp .OZr
AVER„GE "U ,025 for ventilrted roofs. -
k)oRK 5WcET
r4. so x( 38 t 38 + 34+34)= Z, os$•
Co~1e-
.~7K ~38*38t35Ft34~ = 9(0.~8 ~C-
~iin TorsT
• 83X C38t38+34+34~ = Ilq•SZ ~
1~(IrlDow S
Ibx3&= 4•o x 4= 1(o•cc>
lox3G = s,o X (o= 30.00
Z4x 3(~_(o•o x 4= Z4•oc~
zox40 - &.T x 4= z& . so
Z4x4g= $.o x g = 3z,oo ,
/ZB• So ~
S
ZS.oo
Z$ 57Z . SE)L = Zl.oo
(o" PA-rio = 4Z.oo
AreT ~c ~oSE~ tJr~~ ~'~z ~•~-S ~a~F
69o56-
wA~-~- Z,oaB. o0 24 x 3 s- q~z
LE55 ~o~lc . q6. g g 9 x!o = 9 ~
r, ,P,~y. ~?9•sz.
n wDw's 1~B.Bo -435: So l,ooz.oo
/ ~ Dc~o2' S 91 • oo
1) lvSZ. Zo
--WALL SECTZOH--
• . Determining "Ulf vnluea at Roof, Wall, Rim. nnd Conc. Block
ROOF/CEILIN(3 R VALU:
S
1.) Interior Air r'i1m 0.61
z.) 5/81, ayp. aa. .56
3.) Insulation
y,, Q¢.oo
5•) Exterior Air Film ,61
~ 2 3 ISTILL)
f 6 foUil _ 1/R= .OZ f iOTAL (R)= 45.7j
l -
O WALL (R VAI.U~
~ 6.) Interior Air Fila 0.68
7.! GYp. Bd. .45
8.) Insulation 1y.oo
9.) Surt-T- 917E Z,epj
10.) ltinsonite Siding .07
to 11.) Exterior Air rilm ,17
11
npu _ 1/R= TOTAL (R)=23.0f
~ 12 RIM (R) VALUE
~.S ~3 12. ) Interior Air k'ilia o.68
13.) Insulation 19.00
~ 14 14.) 2" Fir Rim Joist 1,88
15 15. ) ZS/3z' BuicJ- K,rc Z, 01
J 16.) Maeonite Siding ,67
170 Extorior Air Film ,17
_ o
. ~ nUn = 1/R= .040 TOTAL (R)=Z4.4¢
. Q o
~
' FOUNDATION R VALUE
180 Interior Air Film 0.6$
zl . . ~g 19.)
zo. ) R-ll 57,e/rPEA H. o0
22 21.) 12" Concrete Block 1.28
n ~ 7il 22.)
23.) Exterior Air Film ,17
e
. "pn _ 1/R= .O~~o TOTAL (R)= f ~.~3
• . 1 ~ i ~V'
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Construction Reauirements RemodellReoair ReouiremenLS Offrcz Use OnN
3 regatered sKe surveys showing sq. ft. of lot sq. R of house: and all roofed areas 2 copies of plan showing footirgs, beams, joisLS Cert of Survey Recd _ Y_ N
(20°h mazimum lot coverage allowed) 1 set of Eneruy Cakulalions for heated addNOns Soils RepoA _ Y_ N
1 Soils Report H proposed 6uilding is to be placed on daturbed soil 1 sRe survey for addifions & decks Tree Pres Plan Recd Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. Addffion - indicate if on-sRe sep6c system Tree Pres Required Y N
7 sel of Energy Calculations On-sife Sepfic System _ Y_ N
3 apies of Tree Preservation Plan A lot platted atter 717193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechaniml ventilation fortn
Date ~ l7-3 l QConstruction Cost ,Z'o ~i ~r]3
Site Address 43LI1 r)9,K,''~6L~Li,J 5)Q.(l/4E_ UniUSte #
Description of Work tj1~_ 1Lnie AAclt't'( ON a1?C°-K
~
Multi-Family Bldg _ Y_Y N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 9wry?~ Zej,y}L(_. Telephone#(~j ) 66,57^ 91 lZ-
Contractor {-r fbOIrr T1}A_ )}pUSie
Address Q -1 2-0 CV i^ y.~ fie-1R'LL City EAK~4-N
State N~ Zip '5-S1 2- -21 Telephone tt ((p(Z) ''Zf 0" L ~ e2.~
(o5) - St-o 11 r z v F. ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential Venhlation Ca[egory 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber TeI ~ one # ( )
Mechanical Contractor D ir, 4 2~~elephone ~
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
DOVC~~LWS P. (R I ~A.a'%,t.-J ,f~~ <
Applicant's Printed Nam ApplicanASignature ~
,
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 oT _ plex ? 09 07-plex ? 17 Garage -J-5~ 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex C ffsl ol, ? 25 Miscellaneous
Work TYPes Diq,(A r s%'h4U4-&6 &65t+
? 31 New ~ ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
D@SCflptlOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 1~~ Width
REQUIREDINSPECTIONS
Footings(new bidg) _ Sheetrock
Footings(deck) FinaVC.O.
~ Footings (addition) Z(, FinaUNo C.O.
_ Foundation _X HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final
$ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ AirTest _ Final _ Windows
~G Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee I J~ ( ~
Surcharge ~ J
Plan Review
MC/ES SAC ~
City SAC
/
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search .n
Copies ,1/&
Other Q/J
Total
• . _ 4'3~f/ yorkfio,.,i, DrivP,
~
= ~KTOUH oR~vE 7 ,
yS^`' ~ • 9s~, e
! e ~
~ ~ - N
~ ti ~
I ~ SCALE~ I'• 30'
~ ~~s'~ =
, s.
1-~, ~ ~ , ~'"3 ~ ~ ~ a t~ p ~ y~ '
~ y , ~'2,. s d rJ ~
! • ' y+,
~ ry y~'~~~ 1 ~ ,
8
~ ~ ' `_:~~^_:;t.z F:t:-.-~~~~~=.fi~t'xDE..~T =
~ s k' haaE~~ ~o, s.~ a sF ' . --t_` ` t
f , ~~~a~ - .,.lir/,g'so.?
, • ~
S
. p I !C ~ -
7~ i 9sC~~t fs~9°'
os.`t• . te . .
IB~ ~/,~'/0!
~ ~1~~ ' ~ sa ~,9,~
~ ~ ~ ~ ~vN D ~L..
~ ~ ~ / f ~-4~ ~
- _ ~-x,s ~ ~y 9~4 E
~ N
y'S/• a
S/LT `LrivGC
~ROPERTY DE9CR1 ION
LOT,L, ~1.Oq~.L„ l/~l.n VEavA/~
. ?i~ M~f ~ ~.e!~:rh~-~i~
CrMfy. W
, . • ~ ~ a., r.:. ~
~ ~ • - . - - . .
o~f10TL~ IRMI YdIN1ENT Ppp'p!~ pARAQE fLOQR tIiYATION• 4'
• OOIOTLN~ MI000 MY~ i[T /~R0y?0w0 ~/IM+~T ?t00R t1.t1MTlON
~H ~V~~YiR' ~L~ ~
OtMOTE: rll~p O~OT ~LYATIOI
r 0[KOTES ~/~NA06 ~II~CTION ' Ma~P~sMlI~FIT~ MNTM
I_1~_aNllfY tl~ tld~ u~wy.~l~n a
~ F_or O~ce Use
I
Pe
City of Ea~an ; rmit 2~ !
I Permit Fee: `hcJ- --5 C7 ~
3830 Pilot Knob Road i
Eagan MN 55122 ~ Date Received: j
Phone: (651) 675-5675 ~ I
Fax: (651) 675-5694 i staff: I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: R'UCJ SiteAddress: ~ VQrk-/wv f7 j)-i Ve
Tenant: Suite
RESIDENT 1 OWNER Name: PLLMoA a. [~L-N w Phone: 5'
Address ! City 1 Zip: sguryy- / CLn 5`57 a 3
CONTRACTOR Name: License IOI lIlp'1'./I
Champion
Add ress: 651-365-1340
3670 Dodd Rd. #100
City: €agap nnN 55193-1339 State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New -V-6eplacement _ Repair _ Rebuild _ Modi(y Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESJDENT/AL
~ Water Heater Water Softener
Lawn Irrigation Add Plumbing Fiutures
RPZ PVB) ~ Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RES/DENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (inciudes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 SeptiC SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) .
$90.50 Fire Repair (replace burned out appliances, ducrivork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ -S(~
I hereby acknowledge that this information is complete and accurete; that the work will be in confortnance Wrth the ordinances and codes of the City of
Eagan; ihal I understand this is nol a permit, but only an applica6on for a pertnit, and work is not to start without a permif;_Wet t~ wo will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
X G. X
AppTi-cant's nted Name Applican' , iynature 2008
FOR OFF.ICE.USE~.
Reviewed B`y,i B
- ~Date•~ - •
, Ll "c ~ .
Required'•Inspections: Under Ground>~ Rough In. _Air Test "A - Gas Test-° '-,Final
~~~1~ ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4341 Yorktown Dr
Lot: 1 Block: 1 Addition: Sunset 1 Ith
PID:10- 72997 - 010 -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:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
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:
Pamela Dewall
4341 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
EA078809
07/16/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4341 Yorktown Dr
Lot: 1 Block: 1 Addition: Sunset 1 Ith
PID:10- 72997 - 010 -01
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
Quesetions regarding elec
952- 445 -2840
Crystal Cochran
7501 Washington Ave S
PERMIT
City of Eaan
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Pamela Dewall
4341 Yorktown Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$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
EA091878
11/03/2009
ePermit
cal Inspector,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125165
Date Issued:07/18/2014
Permit Category:ePermit
Site Address: 4341 Yorktown Dr
Lot:1 Block: 1 Addition: Sunset 11th
PID:10-72997-01-010
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Pamela Dewall
4341 Yorktown Dr
Eagan MN 55123
(651) 796-6113
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133496
Date Issued:10/16/2015
Permit Category:ePermit
Site Address: 4341 Yorktown Dr
Lot:1 Block: 1 Addition: Sunset 11th
PID:10-72997-01-010
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Pamela Dewall
4341 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:EA165311
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 4341 Yorktown Dr
Lot:1 Block: 1 Addition: Sunset 11th
PID:10-72997-01-010
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 -
Joseph Daniel & Theresa Rose Rider
4341 Yorktown Dr
Eagan MN 55123
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176601
Date Issued:05/24/2022
Permit Category:ePermit
Site Address: 4341 Yorktown Dr
Lot:1 Block: 1 Addition: Sunset 11th
PID:10-72997-01-010
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Joseph Daniel & Theresa Rose Rider
4341 Yorktown Dr
Eagan MN 55123
(715) 529-3142
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature