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4383 Yorktown Dr CITY QF fAGAN WATU MVKZ petW 3830 Pibt Krqb qoW P. O. Box 2."89 PERMIT Np.: Engan; MN 55121 DATE: - Zon+ng: - No. of Units: ~ Ownwr, '~`i~ ~ ~ r ;nri L AAdrom slr. "res.: PL s r. ~ ~ ~ l L n Plumbar. ttle•, Meter No.l,RO O &Vinsctlon G+o?pg: 500. OQnd ~ Reo~d~r No.: ~P~t: - 15.00od ~ 1~ I M~ te ee.yy 4 11~1~ . ~70nd ~ O+~iMae~, .50 c) , SELEPNO~E - ELECT _ i 5 F. ao n a Tr ~ ey Dafe of Dote Pbid: Ir~sp.: 1~o . ~ CITY OF EAQAN WATER SERVICE PEIWIR 31330 Pilot Knob Rwd P. O. Box Z'1 -98 PERMIT NO.: Epan; MN 55121 DATE: Zoninp: _ No. of Urats: Ownw: ' /1ddnu: Sih Mdnar. Plun+btr. - " ' Meftr No.: Canrnctlon Chorpr. Sise: llooount Depostt: Rooder No.: Pe?mit Fee: - I Mm " emply wUU 60 Cky oi hM¦ Surclw?pr Ordhmwns. Mix. Chorpm TaoL• By oo» Paid: Dab of Irnp.: Irup.: CITY OF EAGAN srim surim 'DAR 3830 Pilot Krqb Road P. O. Box 1' 799 PERMIT NO.: Eagoi, MN 55121 pATE: , Zord"g' W. of Units; ~ Qwner; 1-1111 e2' C:r>n q t. /1dd?ess: Sicg Add,ns; 4383 YorkturrA D;:SYv su,1.:('_ lith ~ Plurribor. `:iIh1er Plus,bim I 8-13--85 f,cr-) 'Loo. cOP: ~"M* um IM my d fews Con~lon Chm": Y 7 S_:)0r..; ACOD1Rm apoelft j r nt'~rd: ~ `y~ PfR11! Fw. ~ B SNPC~IOI~~ Y MisC. G101'pq: Dah of Irpp,; Torol: Ir"P" Doh P1dd: -^~s+.+~.'{e•.nrn~~aS"a~.+~r-~R+7'T'r'w!'~'4 ~ws'~Q~T~L""''r'.~'+""""~' ' ° +~r^~-~-.--,--r_-~--^~,- r ~ 3830 Pilot Knob R d~ P.O. Box 2~-~t 9, 12 4~ 9 Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Receipt # ~ SF Ot~iG/GAR $64,000 • ~UGUST ~2 86 To be used 1or Est. Value Date , 19 Site Address 4383 YnRKZ'4WN DR Erect C~ Occupancy ~3 8 1 SUNSET 11TH Remodel ? Zoning p~ Lot Block Sec/Sub. Parcel No, Repair ? Type of Const- Addition ? No. Stories s JOSEPH MILLER CONST Move ? Length W Name Demolish ? Depth ; Address 1$133 CEDAR AVE _ SO Int Impr. ? Sq_ F ° City FARMING'~'~ Install ? . o Name SAME 8 9 Z'~ 1 ~ 1 d ApProrsis F~es Address Assessment Permit $ 3 2 5. a 0 ~ City Phone Water & Sew. Surcharge ~2 • 00 Police Plan Review 162. 50 ~ W Name Fire SAC 575 .00 Address Eng. Water Conn. 500 . 00 i W City Phone Planner Water Meter 63 .50 Council Road Unit 190.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 8~~ Tr. PI. 15 6 0 ~ information is correct and agree to com vyfth all applicable State of ~ Minnesota Statutes and fCily of Eagan Cyr manogs APC Parks i , ~ -~1~ Var. Date Copie Signature of Permittee ~ " `~r~ TOtal ~ ' ~ OSEPH MILLER CONST A Building Permit is issued to: on the express condition that all wark shall be done in accordan with all applicaBle State of I~~nnesota Statutes and City of Eagan Ordinances. Building Offlcial 1,/~~t( ~ ~ ; ~ L--- - ~ I ' PNmN No. Poond! Fia1dK Da1e TwNphong N Pxai,anq M.V.A.C. ' EWcW 3 ~ Intpectloa Deh Insp. CommwNs Fooa^p.I Foo8np 11 Foundation Fr.mmilno RooMip RouyA Plbp. Roayn Hoy. i~i. ~ Fkopi~co Ffnal Hty. jb 4J FinM Plbp. 0-IA Bldq. FinN CM't OoC. ~33 41 Deek Fty. Wek Fmq. W~M Pr. pNp. E . ~ ~.~-~i !{~~~~e~r.~~_.r~r,~~' ;t'.~, _ _ ~ • . ~ ~ s PERMIT # PLUMBING PERMIT RECEIPT qTY OF EAGAN ~ 3890 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Addr,ess~ BLDG. TYPE WORK DESCRIPTION LoE BIoCk Sec/Sub - Aes. New m Name hMult Add-on ~ Address ° " " ~ J Comm. Repair c City Phone - r l~ Other . NO FIXTURES 70TAL Name / ~ Water Closet - $3•00 s ~ Addr@~8 -T Beth Tubs - $3.00 0 Gity Phone # i'°' ~ Lavatory - $3.00 Shower - $3.00 FEES =Kitchen Sink - $3.00 COMM/IND FEE - t% OF COMTRRCT FEE Urinal/Bidet - $3.00 ~_Laundry Tray -$3.00 - MINIMUM - RESIDENTIAL FEE - a10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE -20.oo J Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 _~~yhirlpool - $3.00 (ADp $.50 S/C IF PERMIT PRICE GOES _,LGas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 We(f - $10.q0 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN CRAND TOTAL• - _ 7 7"F".~:`~"'R"~'° . - i., . , . . . ~y n, - . • , . , PERMIT # MECHANICAL PERMIT RECEIPT M ' C17Y OF EAQAN 3E30 PILOT KNOB ROAD, EAGAN, MN'.i5121 DATE: CONTRACT PRICE PHONE 454-8100 ~ Site Address - " " BLDG. TYPE WORK DESCRIPTION Lot " Block ~ Sec/Sub Res. ~ New . m Name Muli Add-on ~ Addrea`ss Comm. Repair c Ciy Phone pther Name FEE8 c Addregs 1 RES. HVAC 0-100 M BTU -$24.00 p Clty ' Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE aF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Alr M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent T CFM gF(OND $1,000.00) Gas Piping Outlets # Other f FEE: _ ~ . ' $/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN . r CITY OF EAGAN f~~G 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for i:AS.~~?F i :i>: Est. Value P15C'0, Date tLLRUUYiY LI 19 Site Address 4363 yVEXTOWN DRI VE LOt ' BIoCk I Sec/Sub. SumSE't ! 1? H OFFICE USE ONLY Parcel No. FEEs W Name +~I`:FlAk°? h Ftl,CttEL GRt;L'itDS 0 Address 43:53 Y(:ltit?ClWti !)F+iVE (Allowable) - Swcharge ~ • ~ City EACAN Phone 66I - l95b # of stories - Length - P~an Revie°' Name Depth - SAC. Ciry , ~OK Address S.F. Total _ ~ City Phone S.F. Footprints _ SAC, MCWCC ~ On 5ite Sewage - Water Conn W 1W Name On Site Well - Water Meter AddreSS MWCCSystem - Acct.Deposit t W City Phone ciry wacer - PRV Required - S/W Permit I hereby acknowiege that I have read this application and state that the Booster Pump - SNV Surcharge iMOrtnation is correct and agree to wmply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Treatment PI Signature of PermRee APPROVALS Road Unit A Building Permit is issued to: 'RALF.BL GROMS Pla""ef - Park Ded. on the express condition that all work shall be done in accordance with all Couricil - appticable State of Minnesota Statutes and City of Eagan Ordinances. gyy, pff, _ CoPies Building Official Variance - TOTAL ~ 3 ~ • ~ . ParmB No. Permit Holder Date Tsbphone # IAATER SEWER PLUMBING Ir.3,317 H.V.A.C. ELEcrRic In.v.ctla+ o.ce rap• conwn.rn Footings I Foundatan Frarrwng I r~ p Roofirg Rough Plbg. Rai9h tit9• &A" GLCs~ ' Isul. Fireplace Final Htg. FuW Plbg. Const. Meter . Inspector - Notify Plumber EngrJPlan eldg. F~nal wv T ~ Dedc Fig. oeck Final 3 2. 3 - wea Pr. oisp. , . ` . . . . . . . i . _ ,i-h . - . . PERMIT # PLUMBING PERMIT CITY OF EAC3AN RECEIPT # ' ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454•8100 Sile Address BLdG. TYPE WORK DESCRIPTION Lot Bloc Sec/Sub Res. ~ New / Mutt. Add-on Name ' T 1 Comm. Repair a~ a Address ~ Other c Ciy Phone / RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAL Name ~ ~Water Closet - $3 00 ~ Bath Tubs - $3.00 ~ Addres4 ~ ~ l.avatory - $3.00 p City : ~Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMtlM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Soitener -$5.00 eEYOND $1,000.00) Well - $10.00 ' - Private Disp. - $10.00 - ; Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CIN OF EAGAN GRANO TOTqL: ' c; ~ J C12-0 G . P_t~ ~.6 ~ 438o ~ PERI1ill'T # MECHANICAL PERMIT ~ CITY OF EAGAN RECEIPT # ,PD6 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE G CONTRACT PRICE PHONE: 454-8100 Site Address f/ ~ r rk-- BLOG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. ~ New ~ Mult Add-on i Name ` Comm. Repair ~o Address Other c City Phone l FEES Name RES. HVAC 0-100 M BTU - $24.OU c Address c"/t r ADDITIONAL 50 M BTU - 6.00 p City Phone~ - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OU7LETS (MINIMUM -1 PER PERMIn - 1.50 EA. ' TYPE OF WORK COMM/IND FEE - 1% OF CONTRdCT FEE ~ Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES ~ TpWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ` Unit Heater M BTU REMODELS - 12.00 ` Air Cond. M BTU t% ci,~: MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 ~ (ADD $.50 S/C IF PERMIT PRICE GOES ~rGas Piping Outlets # BEYOND $1,000) Other FEE A , S/C: - SI UR TOTAL• S-2 FOR: CI7Y OF EAGAN _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12439 BUILIMNG PERMIT PHON E: 454-8100 fteceipt a .1') 7o be used for SF DWG/GAR Est Value $ 64 , 000 Date AUGUST 12 9 86 SiteAddress 4383 YORKTOWN DR Erect C~ Occupancy R3 Loc 8 eiock 1 secisub. SUNSET 11TH Remodel ? Zoning PF) Repair ? Type of Const. lln Parcel No. Addition ? No. Stories a JOSEPH MILLER CONST nnove ? Length 45 W Name Demolish ? Depth 46 o Address 18133 CEDAR AVE SO Int Impc ? Sq. Ft Ciry FARMING`'Q~ _ Install ? o nlame SAI'9E 892-1010 APProvals Feea nddress Assessment Permit $ 325.00 ~ City Phone Water&Sew. Surcharge 32.00 Police PlanReview 162.50 F W Name Fire SAC 575. 00 Z Address 500.00 ~ i Eng. Water Conn. aw Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290. 00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. $/13/$ Tr.PI. 156.00 informatwn is correct and agree to comp ~yfth all applicable State of Minnesota Statutes and i ot Eagan br ances APC Parks Signature ot Permitt ee ~.1,6 ~ V: Date Copies Total 2~ 104 . 00 A euiiding Permit is issued to: OSEPH MILLER CONST on the express condition that all work shall be done in accordan with all applicable State ot nnesota St utes an Ci of Eagan Ordinances Building Oflicial ~ CITY OF EAGAN NQ 16138 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 BUILING ~ PERMIT PHONE: 454-8100 n t a . Receipt # `f Tobeusedfor RASEMENT FINISH Est.Value $1500 Date FFRRLIARY 17 ,19-8.9_ Site Address 4383 YORKTOWN DRIVE LOt 8 BIOCk 1 SeC/SUb. SUNSET 11TH OFFICE USE ONLY PefCBI N0. Oaupancy - FEES Zomng w Name RICHARD & RACHEL GROUNDS (ACtual)COnst _ 61dg Permit 36.00 o Address 4383 YORKTOWN DRIVE (qllowable) - 1.00 Surcharge City EAGAN Phone 681-1956 n m sioaes - Length _ Plan Review , o Name SAME Depth - SAQ Ciry 0,¢ AddfBSS SFTOtaI - SAC,MCWCC ¢ Clty Phone S F. Footprinls - On Sne Sewage _ Water Conn ~Q Fw Name OnSneWell - WaterMeter u= AddfBSS MWCC System - Acct. Depostl <w City Phone acy water - PFV Requiretl _ SrW Permit I hereby acknowlege that I have read this application and state ihat the gooster Pump - S/w Surcnarge information is correct and agree to compry with all applicable State of Minnesota Statutes and Ci oi Eagan Ordinances Treatment PI SignaWre ot Permitee ~r~. APPROVALS Roatl Unn A Building Permit is issued to: tRACHFL Planner - park Ded. on ihe express contlihon "t all work shall be done in accordance wtlh all Counnl apphcable State o( Minno StaWtes a ity of Eagan Ordinances Bldg. OH. _ Copies n Building OHicial Variance _ TOTAL 4,3 7• 00 8 5765 Reques[Oate ' Rre N. Rough-inlnspacUOn Z_ 2 8 9 ? Reatly Naw X7 wei Nooy io:wcror Ves ? No When fleaOY? I fz liCensed con[ractor ? owner hereby request inspection of above electrical work at: Job Atleress (Slreet, Box or Rovte No ) pty. 4383 Yorktown Drive Eagan SecOOn No. Township Nama or No Ryngo No Counry Dakota OccuPant(PRINT) Piwne No. AK3{iK Rachael Brown 681-1956 Power Suppber Atltlress n/a Elecincal Contrdclor (Campany Name) funVactwS Ll~nse No Ptidland Electric Inc. 041 1 MeiLng ptltlrass (COnUector or Owner Making Inslellation) 14055 Grand Ave So, Suite E, Burnsville, hIN 55337 Au1Mri ~Wre (COnVadw/Owrer Makrtq IrwtallaLOn) Phone Number ' 892-6688 MINNESOTA STATE BOAPD OF ELECTHICITY THIS INSPECTION REpUEST WILL NOT Grlgga-Mitlwey BICg. - Room &173 BE ACCEPTED BY THE STATE BOARD 1831 Univernily Ava., SL Paul, MN 5510i UNLESS PflOPER INSPECTION FEE IS Phone (812) 602-0800 ENCLOSED. ~/~~/p1a REQUEST FOR ELECTRICAL INSPECTION l ee-0oo01a7 It, Sea instmclions for mmplehng Nis lortn on back ol yellow copy 85--7 (65, "X" Below Work Covered by This Request # ewAdd Rep. 7ypeofBuilding AppliancesWired EqmpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner OIM1er (Specily) Contrector5 Remarks: Compufe Inspection Fee Below: ~AS~ /j! 6nT # Other Fee # ServiceEniranceSize Fee # Circui4s/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformer5 Above 200 _ Amps Above 700 _ Amps Si905 Inspeclar5 U. Onty. ~'C~ 7Q7p~ Irrigation Booms aO• Q Special Inspection Alarm/Communicahon Other Fee f I, ihe Electrical Inspector, hereby Rouqn.m aia certify Ihat the above inspection has F;nai ~ been made. - ~j /-S- OFFICE USE ONLV TM1is request witl 18 months Imm This reauest vohd ~r.~~ 18 momhs from YJ / L 169 8 L a, ~ l, 1 I~ ~ ~ ~ Request Uate Fire Na. ftouph-in InsVer.tion RequfreA' E]Reatly Nuw ~NJill Noufy, Inspec- ~ 3yes ?NO ~Zor When Peaay Lmensed Electrical ConVactor I hereby roquest insDection o1 sbova ? Owner elecbical work inatallad et Sireat Address. Box or Route No. y3g3 CItY YoRk~l - 2 1 g ecban a. Township Name or No. = County DA*z 4 OccuUant IPqINTI Phone No. r - rn~ 4;~-- y - 0001 Power SuuVlier AAtlress AKrsrP. ELEC..T L13at~ 'rH- sg- Electrical Convactor (Company Namel Contractor's Liwnse No. X' A~. ~t~ ~.c,TR 1 G +-11 ~o I- Z B AdJress IConvactor or Owner Makmg InstallatioN 1 L7 0EaRv RI Aa +v Auth %d Sipna[ure onUactoJOwner Making Installa[ionl Phone Number a-s(s>zc> MINNESOTA STATE BOAPD OF L CTflICITY THIS INSPECTION PEQUEST WILL NOT GrieBa-Midwav Blde. - poom N-191 BE qCCEPTED BY TME STqTE BOAHD 1821 University Ave.. St. Paul, MN 56100 UNlESS PNOVER INSPECTION FEE IS Phone 16121 297-2111 ENCLOSED. A(/~ REQUEST FOR ELECTRICAL INSPECTION ~ ee-ouibi:aa- ~ ~ vv L. / See instructwns for comDleting thrs form on Geck of yellow capy. 16908 'X" Below Woik Covered by 7his Request • 3~ Fdci flep• TYPe ot Bmltling Appliancea Wired Equiumeiv Wired Fiange Temporary Service Duplex Water Heater Liqhtinq Fiztures ApL Buildmg Dry¢r Eleclric Heatin Commercial Bldy. K Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tank Farm 11ir, oer.i v int" (Snecitvl t r,r uecl1Y ~Aer Oth, ompute lnspectlon Fee Below p Fee ServiceEntrenceSize h Fee Fexdars/SUbleatlers b Fno Grcwts 0,00 0 ro 200 qm s 0 to 30 Am s 0 in 30 Am s Above 200 qmps 31 to 100 Amps ro 31 to 100 Am y Swinming Pool Above 100-Ams Above 100_Amps Transiormers Irngation Booms , D ParLal.bther Fee . Signs Special Insp ction 5~.7~ TOTAL EE pegrks Nouph- i n :i i e I, the Ele r r/ Insoecbr, neraby certdV ~hel the above Final insoetion nas been ~'-~J'ftp fhb ropuest voia 10 montM trom eec h z aa r o d 7/~~/~8 ~~•n~,s7 18 rxu ms r,om E 43807 0-1 Henu~t D.I. Fire No. Rouuh-in InSUCr,%wn Ren iretl~ ~ryneatly Nuw Q W.II Nnlily Insoec- ?Yes No or When Neadv L,censed Elecvical ConVactnr I hareby reQUast insoeUmn ot ebove ? Ownei electrical work installed at: $veel Address, Box or floute No. Gty ecbon o. Towns ip Name or No. Range No. Cowiry D r~-~a T 1" Oecupanl (PqINT) Phone No. G 6 -U .j -e~s Power SuuoI'er Address Ele' nnvactnr (Company Name) Conv~ i's License No. G ~ . ) ~7`~. o ~o ~ y 3 Maili ddress IC n[rac[or or wner Makmg Instailauonl irlip / 2- -7 s A- 4 T /e Au etl SiOnawre nuacto ~Owner Makfng Inst:illationl Phoie N nb - -7 y MINNESO STqTE BOAPD OF ELECTNICITV TMIS INSVECTION REQUEST WILL NOT Griegs-Midwey Bldg. - Noom N•191 BE HCCEPTED BY THE STATE BOARD 1821 Univarsitv Ava.. St. Peul. MN 55104 UNLESS VNOPEP INSPECTION FEE IS Phone(612)662-0800 ENClOSED. ~ '~Vi7/8$ REQUEST FOR ELECTRICAL INSPECTION ~ Ea--onoooi.os ~ Sec instmc4ons laF completing tM1is iorm on back ol vellow caov. y /(f'L' J17 ~3 8 Q 7•~~'~' J(" Below Wnrk Covered by This Request qdd PeD. Tvoe ot BuJdmq AOaliance. Wll Equiunient Wve•1 Home Ranye Temporary $ervice Duplr.x Water Heater Liqhrtiny Ftxtwes ApL Building Dryei BeCtnc HeTtin Commercial Bldy. Fumace Silo Unlonder InAustnal Bldy. Au Conditioner Bulk Milk Tank Farm oN, pecT v einor Isnenivl t n.i Succily [hm ompute lnspection Fee Below p Fee SarviceEntrenceSizo u Fea Faxdars/Sublenders b fev Circuts 0 ro 200 qm s 0 to 30 qm s 0 to 30 Am> F~bove 200 Arnps 31 to 100 Amps 31 to 100 Am s $winming Pool Above 100_Amps Above 100-Am)s Transrormcrs Irrigation Boonis Pdmal' ee Signs Speciallnspectlon Perrv~~ks ~G .~C~ T FE Nou9h'm DatP I, t ectncel ~ Insoector, heieby certify thxt the above Final '~e p inspeetion hes been ~ made. T~i`oIC 18 monllu Irom ruov $0203 2006 RESIDENTIAL PLUMBING PeRnniT,aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ( 1_ 1 ) -4- /1_ QI o 1/ Site Street Address 1.~ =U f~~wo Dr Unit # Property Owner RG\ .i lN 6mUo6*!. ~ Telephone # ( ) H.P. PIPEWORKS Contractor 9670 DODD ROAD 'Telephone ) Address Cit State Zip S Contrector _Other The Applicant is: _ Owner Y Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfalling onlv a water softener and/or wafer heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 Sta[e Surcharge $ .50 ToWI $ ~S~O I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start witho t a permit and work will be in accordance with t approved plan in the event a plan is required be revi e and proved. Applicant's Printed Name Appli anYs tgnat RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~U U U.~ 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 q9 New Construction Reouiremenls RemodellRenalr Reauiremenls • 3 registered site surveys showing sq. tt. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan G (20%maximum bl coverage allowed) . 1 set of Energy Calculations for heated addiiions ~ • 2 copies of plan showirg heam 8 window sizes; poured found design, etcJ . 1 site survey for eatenor addiGons & decks • 1 set of Energy Calculalions • Indicate d home served by septic system for addihons . 3 copies of Tree Preservation Plan if lot platted after 711/93 . Rim Joist Detail Options seledion sheet (bldgs wdh 3 or less units) DATE 2` - lG VALUATION SITE ADDRESS 3 MULTI-FAMILY BLDG _ Y V N TYPE OF WORK -T!EAr-- oFG. '-T'" QDoS77 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ ,~5 STREET ADDRESS 10 ~j C=Qm CITY Y'~7fTkfG . STATE n/1 , ZIP 4653`IS' TELEPHONE # 9$7- 93J -n;e!~ CELL PHONE # G212f- 1-75-1461 FAX #2SZ - 9_30 -6 PROPERTYOWNER ~l C~41 a21:) ~ C~4~l.v~P~ TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ p4INNt;S0'CA NUI,FS 7670 CATL.GORY I MINNL•;ti0'CA 12U1.1?5 7672 . (dsubmission type) • Residential Venttlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phoiic # Phimbing syslcm includcs: _ VValcr Soflcncr lawn Sprinklcr Fcc: $90.00 Watcr Hcalcr No. of R.I. 13aths No. ol13allis Mechanical Coniractor: Phone # Mcchanic.il systcm includcs: _ tlir ComdiUoning ~7MAY c~ 1.00 _ Hcat Rccovcry Systcm Sewer/Water Contractor: Pho 1 0 2002 - I hereby acknowledge that I have read ihis application, state that the informati rrts correc , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant OFPICI? USli ONI,Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4/02 ~ 1986 BDILDING PEI~SIT APPLICATIOH - CITY OF EAGAN NOTE: ALL CONTRACTORS MOST BE LICENSED UIT9 THE CITY OF EAGAN SIAGLE F9lQLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DHEI.LINGS - RFSIDENTIAL REN'fAL ONITS FOE SALE IINITS • INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVEY - CHECB i1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COlRIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Ai.W PYa7kQ Valuation: Date: s-a a-7(9 Site Address 113673 V&Uai&Z~77 VA. OFFICE DSE ONLY Lot ~ Block ~ Erect ~ Occupancy g~ Remodel Zoning Parcel/Sub Repair _ Type oF Const Addition 0 of Stories Owner Move - Length ~ Demolish Depth Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVALS FEES Contractor 1 Assessments Permit 32 ~ ( c Water/Sewer Surcharge A d d r e s s .J . Police Plan Review City/Zip Code S~a Engr Water Conn ` Planner Water Meter Phone Council Aoad Unit Bldg Off Treatment Pl Areh./Engr. APC Parks Varianee Copies Address iOTAL City/Zip Code Phone 1i NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGN9TE AHICH 9DDRESS IS DESIRED. NO CHANGES TaILL BE ALLOHED ONCE BOILDING PERMIi IS ISSUED. IwI36 -Q5 -TRI-LAND C0. SITE PLAN FOR= SURVEYING JOE MILLER CONST. SERVICES 4655 NICOLS ROAO EAGAN, MINNESOTA 55122 r N6879°5~0'44"E 9~1~c p'u.,vwse . vrfcf iIJCMINt /O /a ~ GT LOT ~h L-OT ~ w t :l 38 t 3 N a ~ = o cO ON ~N "-'co SCALE : I = 3d d~ b$6 ?.d ~ - 43°07 ° YORKTOWNDRIVE y ~ PROPERTY DESCRIPTION LOT_B,_, BLOCKI , SUNSET ELEVENTH ADDITION aceordinq fo the recorded plat tMreof DiAKOTA cowry, Minns.ora EL GENQ o DENQTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION ¦ 9SY,~ o DENOTES WOOD HUB SET' PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR 0.EVATION ELE VATI ON OEHOTES PROPOSED SPOT ELEVATION DE?dOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITM FINAL HOUSE PLANS I hKeby certlfy tAat fhi: survsy,plan w report wvs prepared by tne or under mr aax ^ diroef supervision ond thol I am a duly Brodley . renson, Mn. Req. No. 15235 ~ Reyl:tsred Land Su?veyor unar fhe Laws of the State of Minnesota. Date , CITY OF BUILDING DEPARINENT • EiCTERIOR EIJV}3.OPE AVf:RAGE "U" C011PUTATION (To bo submltted with bullding pcrmit eppllcution) One or Two Famlly Dwalling Ovmcr All Other Sita Address Contructor (,CkJST. Date Phone gs - /,~o LI1iEkL ; t;ET OF E7C:''O!;ED 1':ALL Ct, abave grzde - ZiO;F9,00 U TOTAL c:C.°OSE:J '.7'1L,L AR::A SQ, cT. . J?;,•:_U'3 ;'7:tL CJi:SfcO:'!'IJI:: "U'l Value x AC'ca - r,ecaii -rA1 nE ~~u~~ •043 x:,~;. FT. 1(o52.Zo. 7/•04- (U)(A) ru, ;erence CcjvC "U" . 07(o x S2. FT. 9(0 48= (U)(A) Irom F-tArl "U" .040 x SQ. FT. I17-S7-= -1•i"n' (U)(A) attacned "ull x SZ. FT. _ (U)(q) sheets "U" x 5:;. 'r'T. _ (U)(A) "U'l x SQ. FT. - (U)(A) "U" '/alue x f.rea ;ia'ce & Type !~IWL• C5,01'T "U" . 4a X.sQ. r-r. l•oo = q3~8 M(A) nUn x SQ.. CT. - (U)(A) ~ "Uti x SQ. FT. - (U)(A) It u °pn x SQ. FT. - (U)(A) f»JRS: irVnlue ~ r.r,•a • :ia:ce & Ty.oe S7L J,VSuL. n(Jn .14 . . x SQ.' FT. 4 .oo (U)(A) . It. , 11 _~ATio liull - 47 x S.I. 'FT. Z- oo =17-74 (U)(A) I i n nUu x SQ. FT. - (U)(A) n n nun _ _ x S2, FT. _ (U)(A) TOTALS Z670F.oo sQ, rT. /S3•9-3 (U)(A) " AVERA6E "Ul' 'roTr.i. (U)(A) vr,r,uss - .073 DIVID:;D BY TOTAI, ';1kLL kRt:A Zo,58,oo = A4k;Ft,1pE IOU'( , ~ 15 r less for 1&2 family dwellinge ROOF/CEILIN6: TOTAL AREA: IOOz lb Detall reference "Uli •oZ~ x SQ. FT. I00Z - Zl•CtQ- M(A) from itUll x SQ. FT. . (U)(A) attached sheete. "Ull x SQ. FT. = (U)(p) Describe onenings "Uot x SQ. FT. - (U)(A) in roof. x SQ. F.T. - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY z/ og„ = TTA,L~j 1002- %~,ft 2/'a} CV1'~~ ~ 'CO'?LL ROO:'/CEI Ii;G ;,1;-EA lOOZ.pp -OZ~ AVk:F;,GE "U ,025 for ventilrted roofa. WoRK SWcET ~R~SS F-xR:;,r~ w4e-L 14.5o x(38t38+34*34)= Z~o88•~~ Cor1~ . .~7X C38*38t-34t34~ _ `I(o.~8.~ ~r~n To~ST . 83~C (38t38+34f3g~ ~ 119.SZ ~ 1R(trl Aow ~ Ibx~= 4•o x 4= l~o~ 1( (o = 30. o0 Zox 3l0 = 5,0 Z4x 3&_ (o-o x 4= zg.o~ ZoX48 - (v•7 X 4 = Z(o.8o • . ' 24x 48 = g•o X 4= 3L, oo , /28• So 3° SiL. w~5. c.= ZS, o0 Z g STC. 55E.2 = 21. ao (o" Psl-Tio - 4Z.oo co ~ET 619095. w~- Z,oBB. oo Z4 X 3 S= 41L ~e55 Codc. qb.¢g 9 x lo = 90 ~K~.?f• i?Qsz r, wDw's fzg.go -435, $O I)ooZ.oo i, Dao2~s 9!•00 1 ~ IvSZ. Zo . --WALL SECTIOB-- Determining "Ull valuea at Roof, Wall, Rim, nnd Conc. Block ROOF/CEILIN4 R VALU: S t.) Interior Rir r'ilm 0.61 z.) 5/81, ayp, sa. .56 3.) Insulation 44,o0 4.) 5.) Exterior Air Film .61 ~ 2 3 (STILL) ( 6 IIUII _ 1/R= .oZf aOTAL (R)= 457g . - O WALL (R VkI,Ue fl 6.) Interior Air Fila 0.68 7.1 GYY. Hd. .45 8.) Insulation f9•OO 9.) ~ Z'$ulL7- Rr7E Z,p4 10.) ]dasonite Sidino .07 to 11.) Exterior Air Film ,17 l I IIpn = 1/R= . O¢3 'POTAL M=23,p/ IG RIM (R) VALUE 13 12.) Interior Air P'ilm 0.68 13.) Insulation l9.av ~ ~g 14.) 2" Fir Rim Joist 1.88 IS 1`>.) ZSI3Zr So~LT-2~rE Z,pcf 16.) Masonite Siding .67 17.) Extorior Air Film ,17 . o . ~ ' • npn = 1/R= .04d TOTAL ~R)=Z~4¢ v~ = O~ - • ' FOUNDATION iR) VALUE 18.) Interior Air Film 0,68 21 TA 19. 20. ) ll. o0 21.) 12" Concrete Block 1.28 A 7.~ 22.) 19 .'b 23.) Exterior Air Film .77 ~ uUn _ 1/R= TOTAL (R)= J3.i3 . ~ i-' 1989 BDILDING PER1ITT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS / `-X' / ? ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATZONS NOTEs ADDRESSFS FOR CORNfiR LOTS - CONTRACTOR/HOMEOiiNSR MOST DESIGNATE iIflICH 9DDRFSS IS DESIAED. NO CHANGFS WILL BE ALLOWED ONCE BUII.DING PERMIT IS ISSQED. MfJI.TIPLE DWELLINGS RENT9L ONITS FOA SALE ONITS # OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM4MERCIAL INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: QS-F. ~IH;sG Valuation: 15-00 Dyte; Z-I9 ~f Site Address 4,3`1, 3 I.~o~J~wx" ,ly1U ~ OFFICE OSE ONLY Lot X Block Occupancy FESS Zoning Parcel/Sub Actual Const Hldg. Permit 3 G - Allowable Surcharge / (Owner~~(~1ry~oJ~~G( hP~ CSXO(,,p of stories Plan Aeview ~ 3~ 3 Length SAC, City ddress Ofk"LC)~%'1 Depth SAC, MWCC S.F. Total Water Conn City/Zip Code W~ ~GC QiL~Jy7 I N~j5 Footprint S.F. Water Meter Acet. Deposit Phone (-Q?-I I~ ~ V On site sewage_ S/W Permit , On site well S/W Surcharge Contractor ~~j~/~~ ~ MWCC System _ Treatment P1. City water _ Road Unit Address PRV required _ Park Ded. ~ Booster Pump _ Copies City/Zip Code TOTAL ~p p APPROVALS Phone Planner Mch./Engr. 6&,. S~' Council Bldg. Off. Variance Address Couneil City/Zip Code Phone 0 NOTE: Sexer & Water Permit Pees and aecount deposit fees xill be ineluded in the building permit fee. Processing time Por sewer and r+ater permits is tWO days onee a lic:enaed plumber has applied Por a permit at Citq Hall. , . ***#******!*****#****#t****f##**#}## C I TY O F E A A i~ *~~w' PAYMF'~TP OF FF.E AT TIME OF » ,*f APPLICATION DOFS NOT OOIISTINTE * s ,*t APPROVAL OF PEPMP. * C APPLICATION FOR PERMIT * * INSPFX.'rION oF SEF]FIt ADID/OR FII%TEt It1STAr.ramrONS 4TII.L NOT BE Sam- * SEWER AND/OR WATER CONNECTION 'r ULED UWM PERI"IIT HAS BEEN ~ • * APPRdVID. * * r 4 * M * ~ **f***x*******i*ff*fRalf*Y*f *!r*Y*!f!3 P ease Print) ~ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Sj ~ Lot B1 ck Subdivision or Tax Parce ID IF E}QSTING STRCCMM, DATE OF ORIGZNAL BL~ILDZNG PERDIIT ISSL'11NCE: ' l on Year) - PRESIIUf 7ANING/PROPOSID C!SE: (M ~ C0'A7ERCIAL/7ZETAII,/OFFICE ~ R-1 SINGLE FAMILY 0 IPIDC'STRIAL r-I R-2 DCPLEX (1twv Onits) n INSTITi'TZONAL/GOVERNNN~ENT ~ R-3 'IOWDIIHOC~SE (Three + Units) ( Units) ~ R-4 APARTMfS1T/CObIDOMINITIM ( Units) 2) ~ NAME: ADDRESS: ; . CITY, STATE, ZIP: ' PHONE: q r. V p • 3) • u NAME.- For City Use . Plimibers License: ADDRFSS: Active CITY. STATE. ZIP: NoExpi-red t recorded PHONE: R 2) 9 _ 0S-D G MASTER LI(ENSE# '3 S-6 d~J C Staff-Intial 4) i~NAnE: ~ _ ADDRESS: • CIT1'. $TATE, ZIP: PHONE: .5) u v ~ r• i : o • o~ - a. ~ CON[gX.TION TO CITY SE,WfTt ~ CpNNECrION TU CSTY WATII2 ~ (Y= . ' 6) ~ P7.EASE HOLD APPROVfa PERMIT fY)R PICK-UP BY ONE OF ABOVE PI.EASE MAIL APPROVID PERMIT TO 1, 2, g, 4, ABM (Circle one) 7) r n . ,?~L . /Y cL ~lo '•`f: ~ 1:1: N/ ~ U • I" ? I:+' q P Y71' ~ ':1• • J• • ~1 • r. • IA /I ::M:/. •.(y?1 1 I' : DI" • • 1 11 ? ' ~ . . FOR CITY USE ONLY PERMIT # ISSL'ED Wd~ ~ Pd w/Bldg. Permit FEES: $ $ S-71 SEWER PERMIT (ZNCLUDE SURCHARGE) $ $ S~ WATER PERMZT (INCLODE SC'RCHARGE) $ ID~ S~ $ WATER METER/COPPERHORN/0[:•TSZDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ XS'O d ACCOUNT DEPOSZT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ 5 G4 ~ $ wAc $ ~ 7S ~OC~ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ lj7 'O G $ WATER TREATMENT PLANT SURCHARGE $ $ ' OTHER: $ $ U C) TOTAL G5-6- z z 62 G= 3 C'~ ~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISS[iED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 66 ~63 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e foc single family dwellings & townhomes/condos when pertmts are required for each unit Date q / 03 / V 1-L Site Address y30 .3 Wr IL-ktE-y-) r • Unit # Property Owner Telephone # ( Jj5/ ) [9 ,V/' / 95zo Contractor Burnsville Heating & A/C, LLC S[reet Address 12491 pti,,do icinnri Ava Sn C'ity State Savage, MN 55378-1122 ZiP TelePhone # n c,r (%.So2) %U-CXX~S Bond#: wz o7lda- Expires: The Applicant is _ Owner -Y- Contractor _ Other Add-on or alteration to exis[ing dwelling unit 30.00 i ' ~ furnace _Additional Replacement 2 7 N04 _ air exchanger u ~`m airconditioner _New _Replacement other gy State Surcharge $ .50 Total $ s-o I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Codes; ihat I understand [his is not a permi[, but only an application for a permit, and work is no[ [o start wi[hout a permit, that [he work will be in accordance wi[h the approv d plan in the case of work which requires a review and approval of plans. ~ U7Q- ~nd K,C~~1CLn / i Applicant's Printed Name App ricant's Signature 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~O City Of Eagan LJ 3830 Pilot Knob Road, Eagan MN 55122 , Tclephone # 651-675-5675 Piease complete for. single family dwellings &[ownhomes/condos when permits are required for each unit Da[e J / / Oe SiteAddress G r leTocv Unit# Property Owner I` f,C ~1 ,p f U r" L) ~L In cY t Telephone Contractor BURNSVILLE, HEATING 8 A/C, INC. StreetAddress Slilte'IZO City umsw e, MN-SM State Zip Telephone #(~~Sy) ~ J</ UOL~ S' Bond #:_411 S L /2 -7 I Expires: 7,:3C C ~ The Applican[ is _ Owner ~ Contractor _ Other Fire repair (replace bumed out appliances, ductwork, e[c.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or al[eration [o existing dwelling unit $ 50.00 _ furnace _Additional _Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge n~7 $ .50 rMAY Total 2.3 2008 $ 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tha[ the work will be in con(omiance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a permil, 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. c~ r i;t S Cc.~l `rt Applicant's Printed Name Applicant's Signature