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4389 Yorktown DrPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127969 Date Issued:10/21/2014 Permit Category:ePermit Site Address: 4389 Yorktown Dr Lot:9 Block: 1 Addition: Sunset 11th PID:10-72997-01-090 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. Thomas Joshua Peine 780 Iglehart Ave St. Paul, MN 55104 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Geoffrey W Groskreutz 4389 Yorktown Dr St Paul MN 55123 Urban Pine Plumbing & Mechanical 780 Igelhart Ave St Paul MN 55104 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature ñ þ í ÿþýþü ÿÿ þýý üþþÿÿíûúçéò ëû æ íìëëíë ÿø û ú ùð î ú ù ðùþ ß Ýäþ þý î îïùþ âý ûáþ òæ ù ùù òþüæ þ ñ ñæ ù õãþþ þòþ þ ç ÿ þ þùþ ò ù ç îþ ñ÷ þ á þõ ýòþñ æñ ç þ øèÞèçç ÷ü û æþ èçëçìë àþþüç öúô øóò ùùþ Þþòñþûæôþðòýäòò ä ó ìììæåûëÖ õ ôþù ôöûþôöì êìéíììë æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ CITY OF EAGAN ' SlWm SRVIO PERMR 3830 PiFot Knob Rwd ' - : P. O. Box 21189 PERMIT NO.: Eagan, MN 55121 DATE: ZoninO: 11 No. of Units: ' Owm ?'i11er Const. Address: ~ Stte llddro~: 4389 Y kToGm. tS~ c,, r Plunber. 'rj.1C*.er 1'luml),n~- . ~?1b fM C11p d MMe Ca+rnctta+ ChorOr. ; S ^.r~..~ ~ MrM h M~! /~ooD~I~t DlpONf, i=~ - ' - ~ PemnR Fw. SurdarOr BY Mlse. Gorom Uatf of Irnp.: Totol: InI po% Pold: ~ I I I CITY OF EAGA(14 Knob Mtwd wATO SERVIO PLVW ; 3= PilOi ' P. Q Box 21199 PERMlT NO.: ? E~Wn. MN 55121 D11TE: Z~~: _ Owmr: No. of Unih: ' ~ Addness: Slh 11ddros; +-``j') 2.1P: ~ • 4 • ~LfNblC t `.i--~~•r Tril[r?i?jr~r,'.. MOW NO.: ~ - Size: Rsoder No.: Am"nt D°posit' A.m,rt r•..: D~ww.~ wMl~ liM CIy Surdwrpr AoUX. \.?IDrus: by Tofal: - DaW Pbid: Doft of Intp.: IrI CITY OF4qGAN 30a1 Knob Ao.d WATER SERVICE PERI P. O. 8ox 21199 E"an, MN 55121 PERMIT Np.: Zoninp; !11 Di1TE: Ownwr; Jo e tfi11 e r Ca n s t. NO' °f Unirs; ' Addrem , Slte Ndd,m 4389 Yorktown Drive LJ ^ Plurrter !filtner Plumbir. et Ilt;, Morr No.: / 5 ~ $lzA: h e ~ Iq . r+icN 77 Rs°d" No.: 'to "'m 0, C's ~ •~~60iRQ'G • d a REQUIR',o,`^..~ . ,~~d . 15 F~ . 00 Tp By _R I. „~y.~ Total: 6 3 5 e t e Darte of Irqp.: 00ts Pold: Insi" 3830 Pibt Knob R a! P o. sox zG-Ai s, Eagan, MN 55121 N2 12194 ~ PNONE: 454-8100 BUILDING PERMIT Receipt # To be u"d ror SF DW(;/GAR Esc value S59, 000 pate JUNE 27 ,19 86 Site Address 4389 YORKTOWiv OR Erect IF Occupancy R3 LotC)_ Block 1 Sec/Sub. SUNSLT 11TH Remodel O Zoning R'pD Repair ? Type o( Const Vs! Parcel No_ qddition ? No. Stories 50 ae Name JdSEPH MILLER CONST Move ? Length Z oemaign ?DePa, 3 5 o Address 18133 CSDAR AV E SO Int Impr. ? Sq. F? Ci1y FARMIBiCggv 43i` 3$91 Instell ? o Name SAME lw~`f a- Y6 16 Approvals Fess Q Address Assessment Permit ' 0 + ~ Ciiy Phone Water 8 Sew. Surcharge ' ~ Police Plan Review~ad ~W Name Fire SAC 575•OD !E a Address Eng. Water Conn. 500.00 g~ City Phone Planner Water Meter 63.50 Council Road Unit 290. 00 Iherebyacknowledgethatlhavereadthisappliqationandstatethatthe Bldg. off. 6/24/86 Tr. Pi. 156.00 information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan OrdlneAos. APC PBrks ~ ~ Signeture of Permittee Var. Date Copie ' - T~~~ . 0 d J . MILLER CONST A Building Permit is issued to: ~ on the express condition that all work shall be done In accordanCe wfth all applicable S of Minnesota Stat tes dpb of Eagan Ordinances. Building Official PwmN No. P~rmN I~oldn Wb TMephont N Pkm" fl.t~V. ~ / ~rV • V, ~~~~V ~ r! ek.euft -i/- So11w- Imp~c/oe DaM Inep. ComawiMs FootlnW 11 Foundtlion Frsminy ' IpoolYq NouOA Plbq. Rouyh Hty. Inwl. a - (NE'7 Czj~uezejrr Fkopk" F~al HtW D- sG 14. FkW Plbg. ~ FWW iu c.n. o«. -q4& 0 Ooek Flp. Dock Fmg. Ducrlb~ LocaliorK rlNil Pr. DNp. I I . . , .~'F .1.. , it. . . . . . 1 U ' PERMIT 1k PLUMBING PERMIT l I' CIT1l OF EAQ/W RECEIPT # v J3d30 PILOT KN08 ROAD, EAt3AN, MN 55121;t DATE T•-~~_-`~~ CONTRACT PRICE PHONE 454-t100 Site ress - OrT ~ ~ /~LDG. TYPE WORK DESCRIPTION _ Lot~ Block ~ Sec/Su " Res.. y 'i- New m Name Mult Add-on Address Comm. Repair ~c City~ -r Phon Other NQ. FiXTURE3 TGTAL Name weter cioset - $3.00 s-~q ; Addr / 161 7~" J Bath Tubs - $3.00 p City Phone -~Lavatory - a3.00 Shower - $3.00 FEES ZKitchen Sink - $3.00 ~ Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 ~ MINIMUM - RESIDENTIAL FEE - $10.00 Floor Drains -$t.50 MINIMUM - COMM/IND FEE - 20.00 We~. Heste~. 50 , STATE SURCHARGE PER PERMIT - Whirlpool -~3.00 ~(ADD $.50 S/C IF PERMIT PRICE GOES ZGas Piping Outleis -$1.50 / 1 s BEYONO $1,000.00) Softener - $5.00 ' Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR CRY OF EAGAN GRAND TOTAL• ~ ~ , , . , , . .'t°~.r~s.'7"`T'r~'~'1F :2 , i~PERMIT # 5 j* MECHANICAL PERMIT RECEIPT # S1? 7 S CITY OF EAGiAN 3830 PILOT KNOB ROAD, EAGAN. MN 56121 DATE: CONTRACT PRICE PHONE 45"100 Site Addp~ss gLpG, TypE WORK DESCRIPTION Lot _V- Block ~ Sec/Sub ti Tl, ~ Res. ~ New m Name c<~ ~ Mult Add-on ~ Address Comm. Repair c City ~ Phone ` pther Name r f r ~ FEES c Address ^RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WOiiK _ ADDITIONAI 6 M BTU - 6.00 GAS OUTLET& - 4.50 EA Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 UnR Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Veni CFM (ADD a50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Oudets # ' : Other ; FEE S/C: • SIGNATURE OF PERMITTEE TOTAL• FOR CITY OF EAGAN CITY OF EAGAN ~ - . ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12194 BUILDING PERMIT PHONE: 454-8100 aeceipt a ~ ya a le Tobeusedlor SF DWG/GAR Est.value $59,000 Date JUNE 27 iy 86 SiteAddress 4389 YORKTOWN DR Erect C~ Occupancy R3 Lot-9 Block 1 Sec/Sub.SUNSET 11TH Remodel ? Zoning R1-PD Parcel No. Repair ? Type of Const. VIl Adtlition ? No. Stories W JOSEPH MILLER CONST Move ? Length 50 Name Demolish ? Depth 39 3 nddress 18133 CEDAR AVE SO InL Impr. ? Sa. Ft ° ciy FARMINGWL% 431-2001 Install ? a SAME Approvals Feea a Name Address Assessment Permit 310.00 ~ Ciry Phone Water & Sew. Surcharge 29 - SO t Police Plan Review 155.00 Fw Name Fire SAC 575.00 ~i Address Eng. WaterConn. 500.00 iW City Phone Planner WaterMeter 63.50 Council RoadUnit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.6/24/86 Tr.PI. 156.00 information is correct and agree to comply with all applicable State ot Minnesota Stawtes and ~ry of Eagan Orsk APC Parks Si nalure ol Permine Var. Dete Copies z 9 Total .079.00 A Bwlding Permit is issued to: J MILLER CONST on the express condition that all work shall be done in accordance with all applica e S of Minnesota S utes n~a/r~n", ol Eagan Ordinances. Building Official Thisreaues; void ~j~_//~i/ ~i.~~,3~/ 18 nnn~hs Irom ~v `F~ ~ C 16865 r- Reofvest Oate Fire No. flouph-i Insocc~mn Re4uireA~ ~ReatlY Nuw~Will Nnuty Inspec- 6-9- ~10 ~1"es ?NO ~or When Reatly Ucensed Electncal Convactor I hereb y requesl ins0ection ot above Owner elactrical work installed ar. Siree[ Adtlress, Bon or Route No. Citv 1 ~ORVIMLA-3r.) D E^E)14Q eclion o. Townsh,0 Namc or No, qcnye No. Couiny OccoVan[(PRINTI Phone No. ' 143 t - aoo Power Supvlier Address , L13cxa a=ja-n4 s 1- s~ Electncal ConVactnr (ComOeny Name) Conbar.lo''s License No. L~A. EL~ rR t c - U 1 O- z. Ma11~nB Ad~~ess (ConVactor or Owner Makmg Instailationl 13(p7 C3ERR AWhonietl Signatore IC traclor/Owner Making Installationl Phune Number MINNESOTq STqTE BOAflD OF EL C HICITY THIS INSPECTION REQUEST WILL NOT Gri9es-Mitlwey 91E9, - poom N-191 gE ACCEPTED BV TME STq7E BOAND UNLE55 PROPEN INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 PM1nnw 16121297-2111 ENCLOSED. -I-rl , Sea insRUCtions log comoleting this lorm on beck ol vellow ~ 16865 "X" Be/ow Work Covered by Ihrs Request (0 353 Nggvg4red,jj flBp. TypB of euiitling aooisancne w'vaa Equ.,menl wiren Home Range Tempprary Service uplex Water Heater Liqhbny Fixiwes ApL Bwlding Dryei EleclnC Heatin Commerciai Bldy. Fumace $ilo Unloader Industrial Bldg. Au Conditioner Bulk Milk Tank FTrm nhna o,_r v 001c, ISUr.nlvl t Ar SPeci y thcr OiM1, ampute Inspection Fee Below p Fee ServiwEnhence5ixe b Fee Fexders/Subieeders a P¢p Circurts U ta 200 qm ps 0 to 30 qm ps 0 tn 30 Am s Above 200 AmpS 31 to 700 Amps 31 to 100 Am s Swimminy Paol Above 100_Am s Above 100_Am3+ TranStormer5 Irriyation BoOms ~ Partia6 Other Fee Signs Special Inspection mTrks TO L FEE Ae ~ ~ .39. ~v flouBh-in , Dat `I J Electr' I G soec , hegeby cer,ity that tha ebovo Flnal ~e mspect~on has been de. TNe reQuast voia 1B montns Iwm Z 19 1986 BOILDING PE APPLICAIZON - CITY OF EAGAN NOTE: ALL CONTRACT09S MOST BE LICENSED WITH THE CITY OF EAGAN SINGLE FANQLY DiIELLIIiGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS HQLTIPLE DWELLINGS - RFSIDENTIAL RBiT6I. QNITS FOA SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOAVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhMRCTAf. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~y/"~ ~'(~~~S! To Be Used For: / u%W N-()]/~,( Valuation: Date: CD a Site Address y~~(f'~~;~(~US~ bA. OFFICE USE ONLY Lot ~ Block Erect ~ Occupancy ~ ~ Remodel Zoning Pareel/Sub +.~~'..1/1"LU,2~ /I*-h Repair i Type of Const Addition Ik of Stories Owner Move _ Length 5 _ Demolish ~ Depth 13 T- Address Int.Impr. _ Sq Ft Install City/Zip Code ~ Phone APPROVAIS FEES Contractor QCyUxU t`M, I p/~ 1 Assessments Permit J/~J r~ Water/Sewer Surcharge ~ Address 033 Police Plan Review Fire SAC City/Zip Code 3Q,/LVl'LQ/Ylq" I$SOa4 Engr Water Conn Planner Water Meter Phone Council Road Unit O~ Bldg Off b Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL ~ City/Zip Code Phone # NOTE: ADDRESSBS EOR CORNER LOTS - CONTRACTOR/HOlIEOWNER MDST DESIGN9TE AHICH ADDRESS IS DESIRED. NO CHANGES HILL BE ALLOiiED OHCE BQILDING PERMIT IS ISSIIED. 8X/a ~ 76 _ 7Zo ' S~zZ~~0 TRI-LAND C0. SITE PLAN FOR: SURVEYING JOSEPH MILLER SERVICES CONSTRUCTION,INC. 4655 NICOLS ROAD • ' EAGAN, MINNESOTA 55122 vIFFLEY ROAD , N 89•50'44 E 65.00 9y,Y o N Qi Q s~ 1S . f..OT ft i, SCALE: I"= 30' ku :..~.1T O tN-, S ' 6I c~D, O p N 41 I4 Nb yN ~~cN~a~ 5 icxe ~ i NN sy. A J IIr//t/JYLdR/ ~ . 9 Y -7 65.00 45~i h ~ ~ YQRKTOWN DRIyE PROPERTY DESCRIPTION ~ LOT_, BLOCK__, _SUNSET IITH oeeordinq to iM noorded plat tMreof DAKOTA carry, Minr,sswa ) EL QENQ • - o DEHOTES IRON AAONUMENT PROPOSED GARAGE FLOOR ELEVATION• 9510 ~ DENOTES WOOD H1B SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTINCa SPOT PRpPOSED BASEMENT FLOOR ELEVATION ELEVATI ON OENOTES PROPOSED SPOT EIEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I Mr~qr u?fity tAat ihis arwy,plan a nport vas p?*partd by mm or under mr dirsct wpwision and that I om a duly gr6dl*y J. on, Mn. Re4. Na 0235 ; Reqistered Lond Su?veyor unda tM Laws of TM State of Minnesota Datt ~ GITY OF 11U1LUItia llEPl.It7S7k:HT . r:.CrERIOR EHYII.OPE AVERA(3E l'U " CAMPUTATIOH (Tb be eubmitted dth bullding permlt application) One or Tw Famlly Dwelliag ~ Owner All Othar Site Addreee Contractor ~o~^ry ?'/11(~,~2 60IJs7-, _ Deta Phone 31-aznO/ LINEAL fEET OF ^ Q E]CPOSED 1'U1LL 4.~ (~t/op~ ~/~E7" ft. abave grede a 1) S!J?-•oa TOTAL ElL°OSED WALL ARiJ1 SQ. FT. 0?AQUE lYl:LL COFSTRU:TIOt:: "U'f Value x Area Detail ''~R~+7E "UII .043 x SQ. FT. 1470.Zo. (o3.Z1 (U)(A) reterence (=ekJC, n7 (o x SQ. FT, f37•10= l, (n (U) (A) frvm • 2iw1 ~~uu D!ja -x SQ. FT. 107,90= q•SI U) (A) . attached flUm X SQ. FT. - U)(q) sheete "U" z SQ. FT. _ (U)(A) upfi Y SQ. FT. - (U)(A) 'f/INDO'NS: "U" Value x Area Pia;ce & Type x SQ. FT. lZ$,~D= 5.64(U)(p) 11 n uIIn x SQ. FT. - (U)(A) ti ft - IIpII x SQ. FT. - (U) (A) it n • r.pa z SQ. FI'. - (U)(A) DJt)RS: "U" Value x Area :•I4L-ce & Tyoe 4zTL. I"oL. uUu .r~ x SQ. FT. .00 = (o•~ir0 (II)(A). " of PiCT,o 14U.11 FT. 4Z.oo • = 19 7~ (U) (A)- 11. IIUII x S@. FT. _ (U)(A) to rlptt x SQ. FT. - (U)(A) zvTar,s oo sQ. r-T. 16(0• 94 (U) (a) AVERA4E ItUlf 'IbTAL (U)(A) VALUES I/_6 nif _ ~v 'T`~' , oa8 DIVIDED BY TOTAL NpLL AREA AVk:RADE IfU~f (f!5 r leea for 1&2 famlly dwellinge ROOF/CEILINQ: TOTAL AREA: gS4 Detail refereace efU" -OL/ x SQ. FT. 9sg = ZO.d~,(U)(A) irom 11U#f s SQ. FT. (0) (A) attached eheeYs. faUlt x SQ. FT. . (U)(A) Deecrlbe ooeninga @fIIll x SQ. PT, e (U)(A) Sn roof. 'rIIit z SQ. FT. v (U)(A) TOTAI, ( U) (A) VALUES DIVIDED BY N7- O o3 ~t ~CV~{> TO:AL R007/CEII.IN6 AREA 95-1 kVt:RA4E "U" efor ventilc.ted roote. ~ ~ ' ..n__ Determlaing 4o0" valuea at Roofo Wall# Rlm, and Coac. Hloek ROOF/CEII,IN4 (R) VALOE I.) Interlor Air r'llm 0.61 z.) 5/8-- ayp. Ba. .56 3.) Ineulation 44oo 4.1 5•) Exterior Air Film .61 (STZLL) ~ 2 3 6 uUu a 1IR= ~OZI i'OTAL (R)=4S•7B . l $ ' WALL R VALU 6.) Interlor Air Film 0,6$ 9 7.) PI ayp. sa. .45 8.) Inaulation /9•00 9.) L~~L! $c~itl-~~TE Zo¢ 10.) Masonite Siding 11.) Exterior Air Filc .17 ll "Ult = 1/R= ~ O43 TOTIIL (R)= Z3.0l ~ ~ RIM iR) VALUE 12.) Interi or Alr Film 0.68 . J. • . .n... Y3 , _ 13.) iaB,~gci'on "l9,00 _ 1 14 14.) 211 F1r Rim' Joiet 1.88 IS 15.) zs6z" $u«r-~lrE z,o 16.) Maeonlte Sld ng 6 17.) Exterior Alt Fllm .17 . o TOTAL (R)= Z7.~j po ~ FOUNDATION (R) VALU£ 18.) Interior Alr Film 0,68 ta 19.) 21 zo. ) K-il FiM..P- C~..~SS ll•oo n ~°9 21,) 12" Coacrete Block 1.28 ' e ~ !J 22.) 23,) Exterior Air Fllm .17 n o7f/\r •P~ , ,u11 n i/~ /n° •o MTAL (R). ~ U J3.~7 . ~ .T i~ f¢.5o}( (27-fZ9+ 36 t3lo~ ° /B85•~-~c CauC. •071, (Z9tZ9t5(ot3lo~= 87_10~- ~ •83X (zpfz~t~r36~ = lol-po W~t~DowS 1(oX3(o= 4.0_ X9~= 1(v,~ Zoxi~= S.o• X G= 3°•°0 Zf X i!o = 6,o X g= 24, o0 Zn x48 = (p,7 x 4= z&,so t4948° S.o x 4= 3L•P° IZS- 80 ~ 3° STL- WfS-C - 28.oo Z~Src• S.e~ - Zl.oO G ~~4Tio = 42, o0 ~~F= Z~X .36 = S~F S )ki8 = 90 LES~ ~UG 87./0 'ook /07.90 rzs, ao - 411. So i ~bod5 q/, o0 fj47p.L0k *******~********#*****3**f***#*t***# x * C I T Y O F E A A fV *"'DTF': PA~rr oF ~e aT ~ oF * . _ . * ArPLzCATzoN ooFS Wm corb-tzzcTE * ,*F APPROVAL OF PII2NIIT. * • APPLICATION FOR PERMIT . * INSPDCTION oF sEWM ADID/OR MTIIt ,*F y TmTAT7ATTojgS WIIS. NOT SE SCLIFD- 'F : SEWER AND/OR WATER CONNECTION ~ ULID [7NLIL PEEtNIIT HAS BEEN * ~ APPROVID. * * * ~ *~x******++tr****x,rt*,t*t*f*t****+r~*ft P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRL'Ci[.R2E, DATE OF ORZGINAL BLILDING pERMIT ISSL'ANCE: ' PRFSENI' ZONING/PROPOSID CTSE: (Nbn Year) El CONIMCIAL/REPP.IL/OFFICE ~ R-1 SZNGLE FAMILY F7 IbIDL'STRIAL F-I R-2 DL'PLEX (7tm C'nits) n INSTIZCTIONAL/GOVEE2DIIyEN'P ~ R-3 'Il7WNHOUSE (Three + Units) ( Units) q R-4 APARTMENT/COAIDOMIDIIL'M ( Units) 2) w' NAME: ADDRESS:- - J , CITY. STATE. ZIP: PFIONE: p 3) • u For City Ose Pluabers License: ADDRESS: Active CZTY. STATE, ~Expired 1 • ~ir/ Not recorded PHONE: 4' 29 -~~:o cn MASTII2 LICINSE# ~i SG C~ J~-i l' ~al 4) ~a ~ ia• NAME: ~ ADDRFSS: , CITY, STATE, ZIP: PHONE: • •5) u i~ r: • o~ u- ti~o-~ CONt~'..L.`rION 'IU CZTY SE,WII2 CONNFCi'ION ZU CITY WATER Q pTfJER ' . T 7~ 6) ~ r ~ PLEASE HOLD APPROVfD PII2bIIT FC)R PICK-UP BY ONE OF ABC}VE - PLFASE MAIL APPROVID PERMIT ZU 1, 2, 3, 4, AH= (Circle one) 7) r. ru• ~ &APR ~ ~ I" •~1' J I:I• . ~ I• YJI' . y. ~ ~ ~ 1. w~' ~ ~ :1 ~I~1. •Q1.}~ ~ ~ ~ .1~ a' ~ : M1 . FOR CITY USE ONLY ` PEftMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ /D• ~ Z SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ C~3 • S-6 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ /S- Q-o ACCOUNT DEPOSIT - SEWER $ $ U U ACCOUNT DEPOSIT - WATER $ ~OC~ • eg C> $ wAc $ S 7 5. 0 Q $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ I S~ • D O $ WATER TREATMENT PLANT SURCHARGE $ $ ' OTHER: $ ~O 9 TOTAL & HECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[JBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 9 /g /J ~ r43ay zoos RESIDENTIAL PLUMBING PERnniT,aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address ~.3~ ~ w~ Zz& Af;F: Property OwnerLJ 20~~Q4~5'~R eu~ Telephone# ~Contractor J ~ ~P 'C es C Telephone #(9-~a~-~Y3J? Addres State_,~2X Zip,:!2"-"7 The Applicant is: _ Owner ~Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ , 00.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee mGudes instaliation of a water softener and/or water heater at the same time. !f you are inslalling onl a water sofrener and/or water heater, do not complete this section; move to !he next section and check the appliance(s) you are installing. _Septic System Abandonmeni Water Turnaround (add $130.00 if a 5/8" meier is required) Other: X Water Softener _ Water Heater $ 15.00 new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 (Fz~ - 7 1 [State Surcharge ~E V P ~ vE 5 50 JUL 1 4 70nF tal 5/s S-2) I hereby appiy for a Residential Plumbing Permit and acknowledge ihat the information is complete and accurate; that ihe work will be in conformance wiih 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 staR without a permit and work wiil be in accordan e with the approved ptan in the event a plan is required to be reviewed and approved. Applic nYs Printed Name Ap ic Ps Signature ñ þ í ÿþýþü ÿÿ þýý üþþÿÿíûúçéò ëû æ íìëëíë ÿø û ú ùð î ú ù ðùþ ß Ýäþ þý î îïùþ âý ûáþ òæ ù ùù òþüæ þ ñ ñæ ù õãþþ þòþ þ ç ÿ þ þùþ ò ù ç îþ ñ÷ þ á þõ ýòþñ æñ ç þ øèÞèçç ÷ü û æþ èçëçìë àþþüç öúô øóò ùùþ Þþòñþûæôþðòýäòò ä ó ìììæåûëÖ õ ôþù ôöûþôöì êìéíììë æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ PERMIT City of Eagan Permit Type:Building Permit Number:EA155460 Date Issued:05/16/2019 Permit Category:ePermit Site Address: 4389 Yorktown Dr Lot:9 Block: 1 Addition: Sunset 11th PID:10-72997-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Geoffrey W Groskreutz 4389 Yorktown Dr St Paul MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161934 Date Issued:06/18/2020 Permit Category:ePermit Site Address: 4389 Yorktown Dr Lot:9 Block: 1 Addition: Sunset 11th PID:10-72997-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Geoffrey W Groskreutz 4389 Yorktown Dr St Paul MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161934 Date Issued:06/18/2020 Permit Category:ePermit Site Address: 4389 Yorktown Dr Lot:9 Block: 1 Addition: Sunset 11th PID:10-72997-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Geoffrey W Groskreutz 4389 Yorktown Dr St Paul MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature