4565 Cliff Ridge Ct'O4'rww!'w
PERMIT #
i Site Address
PLUMBING PERMIT /7 ' ? 5
CITY OF EAGAN RECEIPT # ? ?- J
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?/p 2
PRICE:
? Name c,
m
?a Address
c City Phone ` - I
.. Name P t ?on ? ?? ; '?ds
c Address -
3
O City j_Phone 1-4
-
L f-i,.C?.j ---I I # f t
FEES
GOMM/IND.FEE - 146 QF CONTRA6T FEE
APT, BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE ; =$12.0?1?
MINIMUM - COMM/IND FEE - $20.fl6
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
BLDG. TYPE WORK DESCRIPTION
Res. New #
M ult. Add -on ?
Comm. Repair
Other ?.
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL
Water Closet - $3.00
?
$
Bath Tubs - $3.00 ;
Lavatory - $3.00 !
Shower - $3.00 !
Kitchen Sink - $3.00
Urinal/Bidet - $3.00 ,i
LaundrkTraK--$3.00
Floor Drains?+$'4
-1-Water Heater : $i 50
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
FOR: CITY OF
STATE S/C:
GRAND TOTAL: ' '
BUILDING PERMIT
cm :
Site Address 4
Lot i i Block
Parcel No.
m Name Ji
3 Address
° City E?
o Name si
Z Adtiress -
? Citv
. . . . -.,r ,v-. _, :?.. .. . . .. . .._ . ..i, .w.. . . . _ .. . .,. . . .
CITY OF EAGAN ?a 17071
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 .
Receipt #
on Est. Value $104.000 Date SIp 14 , 1989-
Sec/Sub.
Phone 431-204I
Phone
ie
'BSS
I hereby acknowlege that I hav eaV
ap fica and state that the
information is correct and ag y ith applicable St of
Minnesota Statutes and City o an Sign
alure of Permitee
A euilding Permit is issued to: `TOSEPH H MILLER
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai ?
OFFICE USE ONLY
Occupancy R"3 !4"1 FEES
Zoning pD &- I
(AClual)Const V'p BIdg.Permit 654,00
(Allowable) V H
Surcharge s2•? -
8 01 Stories
501
Plan Review
327.00
Length ? 100'00 '
Depth SAC, City
S.F. Total - SAC, MCWCC 575•00
S.F. Footprints - ??
On Si1e Sewage _
Water Conn .?
?
On Site Well ? Water Meter ?•?
MWCC Syslem
?
Acct. 0eposit ?.?
City Water ? 20• ?
PRV Required S+W Permit
Boosler Pump - SM! Surcharge 1'00
228'00
Treatment PI
APPROVALS Road Unit 340'00
Planner
il
C - park Ded.
ounc
BIdg.Off. _ Copies
2,997.00
Variance - TOTAL
Permif No. Permit Holder Date Telephwre #
VNATEF A '(?O y
SEWER ?
PLUMBING AD Q
H.V.A.C. /3D %
EIECTRIC
Inspection Date Insp. Comments
Footings I 9?s J
Foundation
Framing
Roofing
Rough Pibg.
Rou9h Ht9•
Isut. /p/U G4?
Fireplace
Fnal Htg.
Fnal Plbg. 4t-
Const. Metet Plbg. Inspector - Notify Plumber
Engr.JPlan
Bldg. Final
Deck Fkj.
Deck Final
Well
Pr. Disp.
4 'a
(ger#ifiratt uf (Orru?attry
titp of (f agan
Erpttrtmrnf uf luitbing JtispPrtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building cortstruction or use. For the following.Use Clsssifiaaon W == Bldg. Rrmit No. I7(17 I
Oceu(anry TyPe $..'A?(1 Zoaing Distria Pf14R 1 TYPe Const. VN
OwnerofBuiFding •? ?ER COM. qdmrss 18133 QIAF2 AVE S, FARMUTCN
euaahng Addfm 4565 MIFF RIDGE '.AUF'.T Lwty L 11. E2, Q.IFF RI"
1-6/ _. ? -? ? ?am. N"1c1F]?72 ?7 _ 19R4
aQa?,g oariei;
POST IN A CONSPICUOUS PLACE
PERMIT # ?
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ?
3830 PILQT KNOB ROAD, EAGAN, MN 55122 DATE: E_
CT PRICE: PHONE: 454-e100 For Office Use
? Name
c'?g Addre
c Ciiy -
? Name
3 Addrg
p City _
' '` '' -1i k "4%- ` BLDG. TYPE / WORK DESCRIP?ION
Block ? Sec/Sub ?•?' } '
- •? e Res. V New ?r
Mult Add-on
r- A' Comm. Repair
TYPE OF WOFiK
Forced Air
Boiler
Unit Heater
, Air Cond.
Gas Piping Outlets #
I Other
t.
Phone Other 1
? FEES ?
00 '
RES
HVAC 0-100 M BTU
- $24
.
.
,
6
00
Phone .
ADDITIONAL 50 M BTU
(RES. HYAC INCLUDES A/dON NEW
CONSTRUCTION)
1 PER PERMIl) - 1
50 EA
GAS OUTLETS
MINIMUM
.
.
-
(
COMM/IND FEE - 1% OF CONTRACT FEE
. ? :.
...
'(:?AA BTU
J Z . '. . APT. BLDGS. - COMM. RATE APPUES
. TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU
M BTU
$ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 :j
REMODELS - 12.00 ?
? M BTU
? v MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50 r
CFM (ADD $.50 S/C IF PERMIT PRICE GOES ?
BEYONO $1,000)
'
FEE
. ?Q SIGNATURE OF PERMITTEE ?
S/C:
TOTAL• `-?? '? FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT ti
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
SiteAddress 4565 Cliff Ridge Cot
Lot 11 Block 2 Sec/Sub
BLDG. TY
R es.
M ult.
Comm.
WORK DE C IPTION
New
Add-on
Repair
m Name _r-17-RYA N A
cs Address Td7d K Cniit1+
c City RnysvnntinhRlT
? Name _
3 Address
O CitY -+'i7
;- . FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO FIXTURES ?OTAL
Water Closet - $3.00 S ??-'?.
Bath Tubs - $3.00 c'o
Lavatory - $3.00 • • ?
iShowef. - $3.00
KitcheSink - $3.00
-fl.i-va.Aof _ c'l nn -...._'. _,..
-/-Laundry Tray - $3.00
-/-Floor Drains - $1.50 . ?? V
Water Heater - $1.50 /-„ScD
Whirlpool - $3.00
=Gas Piping Outlets - $1.50 f 'JT>
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-ST-4iough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: C• C) v
STATE SlC: • ??
FOR: CITY OF EAGAN GRANR TOTAL• ' Z?
SEWER 8 WATER PERMIT
CITY OF EAGAN ° • `
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 i?
? DATE ?I--
? PRV _ BOOSTER PUMP
/
LOT BLOCK i=' SEC/SUB
?
APPLICAT: . ?
' ADDRESS: t4 3
CITY, STATE . ?r .
PHONE:
OFFICE USE ONLY
METER # ijl?' aa ? 3 / PERMIT DATE 9 J 2,4
CHIP # AA73, f 6 31 PERMIT # 10937
METER SIZE c B.P. RECEIPT #'38fit1
ISSUE DATE B.P. RECEIPT DATE r? J14
ZIP ?
PERMIT REOUESTED
' 5EWER ? WATER TAPS
_ COMM/IND ? RESIDENTIAL
? NEW _ EXISTING
PLUMBER: ,jA
ADDRESS: CITY, STATE ?L '?` Y-l ZIP 5 ?" ? r
PHONE:
OWNER: -
ADDRESS:_
ClTY, STATE
PHONE: -
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH I OF
E?N ORD'1?AN/C5S n ?-?yan
LI /
ZIP
PLEASE ALLOW TWO V
SEWER PERMtTS, CONI
DEPT.
4
WHEN METEA ISSUED
INSPECTIONS. FOR STORM
3830 Pilot Knob Rd. .
Eagan, MN 55122-1897 ?
I-
DATE
OFFlCE USE ONLY
PERMIT DATE 9 /28/8Q
PERMIT # i () n3 7
B.P. RECEIPT # 6 6
B.P. RECEIPT DATE ?' l '+/ 89
PRV - BOOSTER PUMP I
SITE ADORESsr PERMIT REOUESTED
LOT BLOCK -- SEC/SUB
-`'SEWER ? WATER - TAPS
APPUCAIiT: ,'-' •1 < ;? n ? i ? i ? -? , , ? r '; r ? ? ,
ADDRESS: COMM/IND x RESIDENTIAL
CITY, $TATE ZIP NEW - EXISTING
aunNG''', - r
PLUMBER:
ADORESS: `' _ •? ' '
CITY, ST?Trz..
PHONE:
OWNER:
ADDRESS:
CITY, STATE
PHONE:
r,
METER # _
CHIP # -
METER SIZE
ISSUE DATE
ZIP
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO CQMPLY WITH CITY OF
EAGAN OROINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
. .. r? i iH
I;i-hA!?k ,- !il-i:.E (f l R
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1.0 i: HOJ t H i nc V. . 0 0 .. APPLICANT:
R rti(.C c 1
( t? I ? } ?? : i•. ? ? 1i ,' =i
TYPE OF 1NORK:
-1
--- ?I
?ermit No. Psrmn Nower oate Telepr,one i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection DaN Insp. Commonts
Footings I
Foundatlon
Framing '
Roofing
Rough Plbg_
RW9h Ht9•
Isul.
Ffeplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. trrepectw- Notily Plumbar
Consl. Meter
Erg?./Plan
Bldg. Final ?
Deck Rg.
Deck Flnal
weu
Pr. Disp.
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• I 1?i: ii
? ? i r?? it tulir I i
: I I {? 1 Ii?i1
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
;„W;?
ItU t! 1I t Nf+
02340 /
04 1 <<' l 94
J
----------------------------
Permit No. Permk Holder Date Telephone N.
SMI
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
laul. I
Flreplace
Final ktg.
Orsat Test
Final Pibg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN N2 17071
?. . ^ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE: 454-8100 Receipt# c? qS?bL'o
7obeusedtor SF DWG/GAR EscValue $104,000 Date SEP 14 ,1g$9
SiteAddress - 4565 CLIFF RID('E CT
Lot 11 Block _2- Sec/Sub. CLIFF RTD[:R
Parcel No.
w Name JOSEPH M MILLER CONST
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
o Name b AS-1E
g? Address
City Phone
ww Name
r
?? Address
a W City Phone
I hereby acknowlege that I have read thi and state that the
inlormation is correct and agr t ol
Minnesola Statutes and City an in Signature of Permitee
A Building Permit is issued to: JOSEPH M MILLER
on Ihe ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Officiai
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD -R-1
(ACtual) Const V-N Bldg. Permit , 654.00
(Allowable) V-N
Surcharge 52. ??
# ot stofies
'
327
00
Length 50 Plan Review .
Deplh 36 ? SAC, Cily 100.00
S.F.TOIaI - SAC,MCWCC 575_00
S.F. Footprints _
On Site Sewage _ Water Conn 580 _ 00
OnSiteWell - WaterMeter 90-00
MWCCSyslem XX
XX
Acct. Deposil
30.00
Ciry Water
PRV Required XX S/W Permil ZO.OO
Booster Pump - S/W Surcharge 1. ?0
TrealmentPl 228•00
APPROVALS Road Unil 340.00
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 2+997•G0
K 80
Aequest Oaie i Fire No. '
h-in Insp ion
RequiretlP
/J Ready Now C WIII Notity Inspeclor
?
, es ? No When ReatlY?
licensed contractor ] owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Bcu or Pawe No.) ?
l ' JT
l Cily
SecFOnNO.
TOwnshipNamiorNO. " / - Ran o. County
? ?
OccupantIPRINT? -
Phone No.
- .( % ?•iL? s'
r• '
Pawer Supplier Atltlress
Electncal GortVacto ?COmpany e7 ConVactoeS Llcense Na.
i'
Mailing Atltlress (GOmractor or pwner Making Installation)
1
'? > /
)
Autnori? e ?Conva u0wne ' Ing Inslall 'on? ' Pnone Number J?
MINNESOTA STATE BOAqO OF ELECTA1cITY
Griggs-Mitlway Bldg. - Foom 5-173 THIS MSPECTION REOUEST WILL NOT
1BI1 University Ave., SL Vaul, MN 55104 BE FCCEPTED 8V THE STATE BOARp
UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 602-0900 ENCLOSEO.
REQUE5T FOR ELECTRICAL INSPECTION ,kxk1e??fl es-aooo,oe
?
?
ne ?^?^ O ? See insimo[ions f
I_! h M or completlnq ihls lorm on beck of yellow copy,
P
?!
09 ?'? ?? "X" Below Work Covered by 7his Request
ew Add Rep. TypeotBUilding AppliancesWired EquipmeniWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indus[rial Furnace
Farm Air Conditioner
Other (specily) Comrector§ Remarks. ?.. //
Compufe Inspection Fee Below: /
# Other Fee # Servrnce Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecmr's Use Onry: ? TOTAL
$
Irrigatlon Booms -?-?-. 4DO
Special Inspection ?
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Elechical Inspector, hereby
certif
that th
i
b
ti
h R°°9n-in ? oi ??p9
!
y
ove
e a
nspec
on
as
been made. F;,,ai od1e,
OFFICE IISE ONLV
IThis requast witl 18 months imm
8'
54969
C
,
Reqoest Date Fire N?
? Roug -in In edion
10-12-89 R=p ired? ? Reatly NOw Will NotiTy InspecWr
henReatly?
Yes ?NO
I licensed contractor ? owner here6y request inspection of above electrical work at:
Job Adtlress (SVeet, Box ar Roule No.) Ciry
4565 Cliff Ridge Court Eagan
Section No.
Townshiq Name ot No.
Aariye No.
Counry
I Dakota
Occupant(PFlINT) Phone No.
Joe Miller Construction Co. 431-2001
Power Supplier Atldress
Dakota Electric Farmington, MN 55024
ElecVical ConVacror (COmpany Name) Contractor5 LiCens¢ No.
Midland Electric Inc. 041610
Mailing Atltlress (COnVaclor or Owirer Making Installation)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Author¢e ' e(fAMrador/Owner Making Installa6on) Ptiorte NumOer
892-6688
MINNESOTA STATE BOAAD OF ELECTRICITY
Griggs-Midway BIGg. - Raom S173
1821 Univemity Ave., 51. Paul, MN 55106
Phone (612) 642-0800
REQUEST FOR ELECTRICAL WSPECTION
? See inflructions for completing this form on back W yellow mpy.
5 496g "X" Below V^,!ork Cavered by This Request
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BVTHE STATE BOARD
l1NLE55 PROPER INSPECTION FEE IS
ENCLOSED.
ew Adtl Fep. Type of Building AppuancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
ApL Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other(specity) Contractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 700 Amps
Transformers Above 200 _ Amps Above 100 -Amps
S19n3 Inspecto" Use OnIY TOTAL
Irrigation Booms
Special Inspection ?
Alartn/Communication ?
Oiher Fee
I, the Electrical Inspec[or, hereby pouqn-in
f r oat
certify that the above inspection has
been made. Final
?f ? s Date
?
OFFICE USE ONLY
Thls request wid 18 monihs from
EB-00001-01 I
?lO?p?
I Pq l.'?(p 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
?? T City Of Eag$n
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reouirements
3 2gislered site surveys shovnng sq. ft. of lot, sq. ft. of house; aM all mofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing beam & windmv s¢es; poured found design, etc.
1 set of Energy CaIwlaGons
3 copies of Tree Preservatlon Plan'rf bl platted after 1/1/93
Rim Joist DefaO Options selection sheet (bu8dings wilh 3 or less unils)
1- 1 O,UD
RemodellReoa'v Reaulrements Ofilce Use Onlv
2 wpies of plan Ced of Survey Recd _ Y_ N
1 set of Eneyy Calalations for heated additions Tree Pres Plan Recd _ Y-- N
7 site survey for addiFwns & decks Tree Pres Requ(red --_ Y_ N
Addition - Mdkate 8on-sife sepfk system On-sile §eptic System _ Y_ N
Date Construction Cost
f
SiteAddress G/l?T l?2I?fGQ Unitlste #
j'
Description of Work 1115Aµ AL-\' 4 bV I YLdOkl I- _
Multi-Family Bldg _ Y_XN Fireplace(s) _ 0_ 1 _ 2
Property Owner ?':F?l{\ 0CSL4Q V-j Telephone AO a--
Contractor r YV Onnes
Address Rlcog? V a BIJA K) I 1? City
State Zip Telephone #
7 - ztlj-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionlype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # [
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.
Zr-c?ain Akl An, r 7 2nnF ? I{
,
Arrlican s Printed Name Apr ' ' Signatur ?
I - - -?
•, RESIDENTIAL BUILDING
Permit Application
-/ J City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1,51 c, _L4 ?,
co 13/0.?
Nm Construdbn ReauiremenGS RemaJeUReoair Reauiremenls Oifice Use Onlv
3 registered site surveys shaxing sq. ft. of lot, sq. R of house; and all mofed areas 2 copies of plan Cert of Survey Recd
(20%maximum lot cove2ge allowed) 1 setof Energy Cakulations for heated additbns Tree Pres Plan Recd
2 copies of plan showing beam 8 window sires; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
lsetofEnergyCalculaGons Add'rtion-indicateifonsifesep6csystem _OnsdeSepticSystem
3 capies of Tree Preservation Plan if lot platted after 711l93
Rim Joist Detail Options selection shcet (bldgs with 3 orless units
Date /? I / 0-3 Construction Cost _?? (7a n
SiteAddress yy??
.Q, 6 n, f/ /?'( UniUSte #
Description of Work 11ehin1/I ?C/Xi?nQ:J1ILL(1q(/]/?(?
Multi-Famil
Bld //
Fi
l
0 ?
2 ?h VA4V ?0 il.
1
y
g rep
ace(s) 1 _
_
Property Owner Joh n?- Su4l'.( 'r Telephone lf (iW )?DS?' ?I03Z
Contractor
Address City
State Zip Telep6one # ( )
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential VentilaUOn Category 1 Worksheet
(4 submission rype) Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesob Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
Telephone # (
• '?- 1J
J
Bv_
I hereby apply for a Residential Building Pernut and acknowledge that the informatio?is coffi-p-re_tea?d 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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
E l i Z a bc{'ln. 9-es wk-r ffi4t(}i&
ApplicanYs Printed Name App ' Ys Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
? 31 New
;C 32 Addition
? 33 Altera6on
? 34 Replacement
Valuation 11i 00'a
Census Code 3 8
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const v n
Occupancy Z -3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
Footings (deck)
? Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
4& Framing
_ Fireplace _ R.I. _ Air Test Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
FiuaVNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Fina]
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By / ? • ? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex ? 20 Pool
? 16 Fireplace ? 21 Porch (3-sea.)
)U 17 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Porch (screen/gazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Yor_ N ? 25 Miscellaneous
A??: ') 5 6+? Tx; ? %r ^9 qr4 Rr1-1'e-
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
13 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applieant
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P.R.V. REQU I RE
? DESCRIPTION
?
-- -- • -- - - . _.. ....... .... .......«... ..vv?.• neavanrn.d, 1?) UDCfI: '
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023407
04/22/94
SITE ADDRESS:
P.I.N.: 10-17800-110-02
DESCRIPTION:
FIREPLACE
NEW
?
7 l
PERMIT
4565 CLIFF RTDGE CT
LOT: 11 BLOCK: 2
CLIFF RIDGE
(GAS)
B,u3lding?Permit 7ype
Building Wb.rk Type
f \._.
j \
i
1 >. /
?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$25.00
$.50
Fee $5.00
$30.50
CONTRACTOR: - Applicant - 5T. LrC. OWNER:
FIREPLACE SPECIALIST 14511970 0003924 PETERSON HAL
1200 9TH AVE 4565 CLIFF RIDGE C7
5 ST PAUL MN 55075 EAGAN MN 55122
(612) 451-1970 (612)688-0035
I hereby acknowledge that I have read this application and state that the
intormation is corr t y3nd agree to eomply with all ap-plicable State of Mn.
Statutes 4 d/City agan Ordinances.
?
?
fiw &u.A I u ISSUED 8V: IG ATUREI
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: La r: 11 B L 0 C K: z APPLICANT:
4565 CLIFF RIDGE CT FTREPLACE SPECIALIST
CLIFF RIDGE (612) 451-1970
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
DE5CRIPTION (GAS)
BUILDING
023407
04/22/94
INSPECTION D. . ..
ROUGH-IN FINAL
F
L
?
23401
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 ?JO, 60
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 4-/ Valuation of work _.?DO(7 O
59te Address:_ySC-3- C)i tt
STREET SUIiE #
Tenant Name: (commercial only)
LOT __?_ BLOCK SUBD.
?
C? P.I.D. ot
?- i
?
Descri tion of mork: -- C AS ?i ('` )m C-k'
The applicant is: ? Owner A? Contractor D Other (Describe)
Name ft ?' e R S'a r? p dzj Phone 41?g " (3 03 C
Property LAST FIRST ,
Owner qddress qS_C6 C ? I ?c g )
?
STE #
STREET
City Fa gc?rJ State Zip SS f??_
Company e /p G- Sp.? C) c' I STS Phone yS l^ 17 D
Contractor Address ?a06 qr?' h7v?- Sn License #-?c'l 'D"1 Exp.
City '5. 5't State Mfj Zip d S
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has heen approved.
I hereby acknowledge that I have rea his appli tion and state that the information is
correct and agree to comply with al pplicable ta e of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: 8 t i,t L t) z lv c
Eagan, Minnesota 55123 Permit Number: 001973
(612) 681-4675 Date Issued: 12131. I92
SITE ADDRESS:
I sbs ci_1:F 1- R 1:nct' c:T
LUT: ?'01.1 BLUCK? 0002
L:I.IhF idTl)GE.
P.I.N.: 10-17800-110-02
DESCRIPTION:
'Sui7.dC'czy F'erfri.i.t 1'YPe
BuildingWOrk Type
UBC OccLapariey
BA5EMENT F'INISIi
H LTERRTSUN
rt -3
REMARKS:
Rr['EIPT #
FEE SUMMARY:
Base Fee $35.00
Siarcharqe; $.50
searcn Fea ?s.m7
l" o Y . a1 F c e
CONTRACTOR: - Appli.c,.9 nr. - st e t_ZCpWNER:
JOSFPt-I CONST, MAR7IiV 14366?25 00054-17 PETFk:;ON HAL
81.30 Sl` ORO1X TR S A 5G5 CI_:CFf= i:SUGE, CT
HASTINGS MN 55033 EAGAN MN 55123
(612) 435-6828 l6 12158 8 -0 035
Z hereby acknowledge t:hat I htvve reard this appi.icat.ion 3nci state Lha?: the
in'Formatzon is correct and aqree to r.ompl.y with all applicnbl.e State o'f Mn.
SCatwt:es an(# City o'P Eaqari QrdJ.narGCes.
APPLICANT/PERMITEE SIGNATURE SSUED E[Y: IGNAT IiEk
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
APPLICANT:
SITE ADDRESS: LO7: 0011 BLOr?; e0002
4 66 5 (:I_IFF R7:Ll(3 L Cl' J0SEPH CONS'i? 11iF1RTTN
C L:f.Fi' kIUGE (612) A36 -6t328
PERMIT SUBTYPE:
8R3FMLNT FINISN
REI+lAfZKS: RFC(_IPT: #
I
TYPE OF WORK:
BusI_oans
P!719? i
1.2l31(92
F1L7ERA17:DN
?
p_FRMIT, A
REACTIVATE _
19911
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$40. r0
A, `l ??.,? I ') gn
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date /P_ / Z?7 /?z Yaluation of work
Site Address: 4??_4;S F-F ,iQ ? CT
STREET SV17E i
Tenant Name: (commerc9al only)
IAT SIACR ? SUBD.
11 P.I.D. k
Descri tion of work: iylf?yr lz?-IVI SA(
The applicant is: ? Owner ? Contractor O Other coeB«sne>
Property Name .4? te27F?250.? /,/? ri ;vF: 7-1F Phoi-,e
LAs,
F1RS7
Owner pddress 4s6s C'LiFf" de6'6 ?7--
STREET STE t
City ?i97ofirv State ?^l' Zip
Company 4qff-2-r71/ '?QS Phone _'136 68'ZR`
Contractor Address 4Qa%n' 7T2Sn. License li 4oDSS?y7EXP_3-j/-y
City 7N6 S State 'W/1-l- Zip ?5633
ArchitecU Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and tate that the information is
correct and agree to comply with all applicable State of M nnesota Statutes and City of
Eagan Ordinances., ?--
Si
t
f A
li
gna
ure o
pp
cant:
OFFICE USE ONLY
BUILDING PERMIT TYPE •
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc.
? 03 Sf Addition O OS 8-Plex ? 13 6arage/Accessory
0 04 SF Porch O 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
J31 New ? 33 Alterations ? 35 Tenant Finish
32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable)
_
__ lst F1. sq. ft.
UBL Occupancy
R _
i;7 2nd F1. sq. ft.
Zoning Sq. Ft. total
i of Stories Footprin t Sq. ft.
Length On-site well •
Depth On-site sewage _
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Nallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
? Footing
t"nal
35, Oo I v.i?tsd,:
IS?
?aming
? Draintile
8 `?
? w
r.;? ? RaseAient
? 17 Swim Poo
? 18 Comm./In
d. Misc.
? 19 Comm./Ind
O 20 Public F
O 21 Miscella
? 37 Demolish
Finish
1
acility
neous
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
4004f ?/?
?....
P24?e4 u#01 ,P?
Assessments
? Insulation
? fireplace
5AC 96 ?
SAC Units
% F
1989 H[TILDING PERHIT APPLICAYION
CI'fY OF EIGAN
8IIiGLE FAMILi DiiELLIIIGS
2 sErs oF rLaaas
'?.°GISTEHED SITE 319RYfiYS
?::,?°I' OF EAEAGT CALCS.
lioll
lIITLTIPLE D1iELLINGS
2 SST3 OF PLAN3
9EGISTfiAED 3I2E 3IIRVEI3 -
(CHECK YSSH BLDG DIV.)
t Sa Or 88BEGT CALC3.
?
COMMEACIAL
,2 SETS OF lEC}32iEyT',JRAI.
6 ST60CfORlLrYLANS
1 38T OF SPECTFICATIONS
1 SET OF EPERf3S CALCS.
MULTIPLE DitELLINGS BENTAL IINITS FOH SlLB OUITS /.OF DHITS
iOTEt IDDAES3ES FOA CORIQER LO'!S -COBlAkCfOR/HOMEOUATER !lOST DFSIGIU7E i1HIC6 ADDHESS
IS DESIAED. 80 CHANGFS iiILL HS 11.LONED ONCS BtfILDIAG PERMIT IS ISSffED..
3EHER 8 IiATEA PERMIT FEES AliD lCCOOHT DEPOSIT FSE4 iTII.L Bfi INCLDDED MITH THE HDILDINf3
PElUSIT FEE. PAOCESSIt7G TII3E FOA SEWEA EAD WATER PERHIIS IS Ti10 DAYS ONCE ! PERMIT HA3
BEEN CMiPLES`ED INDICITIAG d LIfENSED PLOlIDER.
PENALTY APPLIFS idHENs PEAMIT IS NOT PAID FOR IN S9ME MONTA TT IS REQUESTED.
LOT CHANCE IS REQIIESTED ONCE PERMIT IS ISSIIED.
SEP 0 8 1989
QG /?
To Be Used For: Yaluatio 4-? - Date:
"Ste Address qS?S? (i?L
Lot ? / Block Z
Parcel/Sub? `
Owner
Address
City/Zip Code
Phone
Contracto ?•AA 6
Address L-Q-h/ JtU 46 -
Lty/Zip Code ?lfn.- • ? ?c? C/
Phone 3/-?7?t? /
Areh./Engr.
Address
City/Zip Code
Yhone f
1 n y, ovo- ".. _""
Oceupancy R 3 M_{ fEFS
Zoning PD R- 1
Actual Const V-N Bldg. Yermit Jr ,DO
Alloxable V-N 3ureharge ,Op
I of atories Plan Review .32'7.00
Length 50T SAC, City ! DD •'OD
Depth 3 SAC, MWCC 15r)
S.F. Total Water Conn 0,00
Footprint S.F. Water Meter 0100
Acet. Deposit < ,00
Qn aite sewage S/H Permit ao,oo
On aite xell 3/Y 3urcharge I,oo
MHCC 3ystem v Yreatmeat P1. 22 oo
CiLy vater v 8oad Unit 3qo,o?
PHV reguired fark Ded.
Sooster Pmp _ Copies
SDBTOTAL
LPPAOYALS
I PenalEq
Planner - ?
i0lAL
Council
Bldg. Off.
Yariance
r/
v,? c. u.??-ra.??.
??
G??za Gc ?22 x2z= ti(64 ? ?s='126 ? ? ? ? ?
L2>SMT, _
';,(, I oDY
l'lX 6?_
?-----
?1`1$ X?N= t3Z72
I ST FLoo(a
r:?05mT_
0
?----
9 6'1 X s°o ? y? 3s?
2 a ? Ft- oo2
ZUx 2.0 ? 672 zX 1'2= Zy
Sb = 34?soo
I 036?'z
M32 - zzs -8a
CERT/f/CATE aF s~r
N
Scale: 1" = 30'
j
?O
?
? oo ^
b f.,`
?
zs .I '
•`vl /
? ?.
? ?` ! s3 2s ? `?
0`
+y ?J
:N\
, i
S65
r
,r I.
?
I
I
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I
Js
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w
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,_,,`?`
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2??y??
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J.7a
EAGAIV ENGIIVEERTiV
i _.
P.R.V. piEOURE
DESCRIPTION
/ MfREBY CER77fY TMAT YN/S SGPVFY, PLAN AR REPGNT Lo t 11 , B 1 O ck wZ,
N'aS PAEPAR£O SY AlE OR UMOfR MY GVRECT SYA9ERV/S/pY CL I FF'TI DGE
AHO THArlAM A DUI.YRfG/STERED LAHO S(~!'qR Dakota County, hiinnesota
f/NOER TNE LAM'8 QF T//f $TATf Qr M/NALU07A.
Plat bearings shown
? o Denotes iron monument
OATf Z" I1M MD. 8140 ? Existing " Proposed
v cv 14 i4ae ? - - -
brandt anginaaring a iutvaying
2105 uroodir ltail
buinivilla, minnaiota 55337
(612) 4351466
?l/13z-2z.s -8g
.......?-?... ..r? ?Lnu4VYG 4H44ULFf11U11j
BASEU ON CIIAPIEft 5 OF 1lIE
.• NODEL ENERGY CODE - 198; EOITION
. . • Adopt oh EfFect va k-,-
Owner
Slte Addre
ContYactor
Bullding Classiflcatlon: Type AI (Single famlly 6 Duplex)_4/- Type A2(Resldentlal)
IIOiE: Com lete '
p pages 3 and 4 ilrst.
? (3.storles or ess '
(Other , ) (Over j starles)
GENfiRAL INFORF1AT1011 '
1. • ?, ? .
9uliding Perlmeter54WpT7' G;?-'ft..
2. Wal) helglit (ground to eave) U ft.
?
3• x 2
1. x 2. (above),gross wal) •area 0Q) I;f? ft. '
4. Bullding dlmenslons (L) x(W) ft.2 rooF 6 floor area
5.• Square (oot area of rlm Jolst Floor )olst slze (2 x :
a 7 )
l( Perimeter - RlmAo
f st area d 0 7vIq ft2
•6. Doors - AFea
7hlckiiess • ln. U iactor r'4??
Type oF Construct on Perimeter ft.
Nanufacturer •
J• Tota) door's perimeter • Ft. " '•
8. . ?
Windows: IlanaFacturer__I?a?.:?J(?, -tT,,(y
State approved
U Fector
.
TYPE SIZE AttEA (Ft.2) • „
NUMBER OF TOtAL FEET ?
E/1CII
I17f__- UNITS ,
. •
9. Total ft.Z Glass ?C)
10. Flreplace areat Nidth X Iielglit - X e , Ft.2
I1. Exposed foundatlon: Ilelght X perlmeter 160-1 X ??~C? _' 071 10 Ft.Z
C011pLETION OF TtIiS FORN IS REQUIRED FOR ALL FItGTCOTI$Th11C?IO??IFJOff-?€ffOtiE[TffG AH0 BU?FNCS BEI111
FfOVED LlIIERE EIIERGY, OTtIER TfIAH TIIE F11NItIAL CODE AILONAIICEt IS USEO.
v,1_ G!hcl?J1?; I 1t?- 1- I +` ?fJ? Phone Uate'
z?? 3 b • . . ' 2 -..,? -???-? ?. ?iC?O
13. Gross wall aa•ea ft.
Nlndow area n 12 z, d, ft.2 ' U wlndaws • m?/> ?. U x A ¦ Z-
R1m joist area A 401 I1 . ft.Z U rim'Jo1st U x A ?4 A
Ooor area A' f t.?
? ? 1? bLl
' U door area U x
.
G(?. , . •
'•- F901See area A +? ft.z
U
,U?0"cp, =
r?? U x
A ?
' i?
Exposed foundation A 0-11 ft.z ' U fuundation ¦ i CO U x A ° tU? ?OZ
Framtng area A_? ? a? ? tQF??Pr 4? ft.? U framing area - jCjjS U x A -
,
Plet wall area A ft. U
, wall • ??t J U x A ,,- Z
. ? (130), TOT AL . . . . . . . . 0 x A
?
• ?i.•i
14. Gross wall area A 0.11.(A-1 single family 6 duplex ? allowable U x A/Code
(13. above) . ?
x' 0.23 (A-2 otlier residential ) ' x ,23 (Otlier buildings) •.' , „ ;
, x .28 (Over 3 stories) . ' • '
7 B1Ufl F1ust be larger tlian
A Z1 ?l '°? x u?Qdv.?_?.l ?..?r-?--??. 138 abave
Ceiling framing area (AF) equals 10% of ceiling area (, or tlte. Same as) ?
15A. Grass ceil tng area s(L) --?-- x(W) ^"' 4 100 ft.2 ;
15B Joist areA (Af) = 10% ce111ng area - ft.Z ,
15C. 11et ceiling area (Ac) (15A - 150) a• ft.2 ., ,
U cellinq x A c? x 1 P
. ? U framtng x A f= I??? ?? • X tQ, C7 = Z i Z ?
r. . . .
15U. T01AL'U x A ........................................ i 7i .
16. Ce111ng area (15A) x 0.026 (A-1 single Fam11y 6 duplex -cade allowable U x A •
• x 0.033 (4-2 otlier resldentlal) :
x 0.06 (other)
' • "
, p,(p BaUll 41ust be larger than •150 (above)
A 1111 5A) x UJcodel= Z???(a F (or the same as )
NOTEs Use U and A values obtalned From pages 1,•3 and 4..
LERTIFICA?ION: I hereby certlFy'tliat 1'liave calculated the l'U" Factors and "R" values
iere n snd-tiiat tlie bullding here descrlbed meets or exceeds the State oF Minnesota
Energy Conservatlon Act.
Dete -- • ' . • . . .. . .1! .' I
, t gneture
. . . ,
• ? • , • . . . . . ? ? • ? , . ' . . ? ; .
.. .. , , . Z. .. ., , ,.? ?. • .
? ' ..
"l?/?K
z--
;;,??v3X?Z??'z°?-I-zcv-?2Co)=
,, ,-=---------_
:,.
; •
,
. ?
?
z?X3ro= Ip?Sxz = zl,o ,
'24X (00 ?. ? 3 #'7 5; ? 3 = 41 i z5,
Il ;;,?vX?°? = 9?oX U = 910
,. Q _
?
0
CF-1 W15?,°' Zo,a ,
7M
I, --lo, ta
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lu?ld? ?lr'?ltba ?.fi0 ?
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Itl2u144lon . •
31u4thlog
.. ,,, .U•?-3
stalna . , ? ? G'I
?tlutllde alt Lllro .li •
? . ? ? R i0G1L 'Z?,??3 ' ' ••
lo?lde?slt lllw ? ,64
Lnletlor v?ll .?•yt,- • .' ?
rw seud (6") .RMj tj?? ?????LO?IIS? U ? 6• r
3110*01114
9141II8
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Ouulde alr Lllrr.? ? -
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i ?
?-_.___, Exl?tlat vall?tn tlnd ? .
?_,i? Exl?rlne alr !?Im' ll ..?•. • '
• . R itl[.1L . ?
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_ 1_? lneetln? alt lLlm Il• ?68 ?? •
I ?,_, In?ulsClnn ? (`??Ub ? . ? •
' l'1 lnclt, onle•wuud n•I.pa (nlm u• A? ?
' . Jnl?t)
91te?thing ' ?,,D?v ?n- ? I •
t [xtatloC uaLl eoTeaing
itm EKtatlot alr [llm (h .?T ' ? • •
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rinr nqn? unc,11?L?l ?uia . ' ..
, II Inl?ro , • p 'Ml1IK
• FILNIIIIU , CEILIIIU
U,fil ?
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? r?lllm .
? _ nnil? lun
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CITY USE ONLY
L tL BL RECEIPT #: ?Jlo 7?d
SUBD. RECEIPT DATE: l%&'0?g7
91-
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for. . singie family dwellings
? townhomes and condos when pertnfts are required for each unit
New construction Add-on fumace
? Add-on air conditioning Add-0n air exchanger, i.e. Vanee system, etc.
Date: C?P
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 2.0
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: L," // PHONE#:
INSTALLERNAME: ? WPAEWEATIli6r1NBlVII16BNBfIIEAW PHONE#:
STREET ADDRESS: 4131 Old SbEy MBmmi31 Hwy. #108
9lln,
CI7v: (612)894WATE:
SIGNATUPtEI(?RMITTEE -
7 ? ?? ?
, +/G ' ? o,l<
02119/2010 03:16 6514637835 EARMINGTON PLUMBING PAGE 01/02
Use BLUE or BLACK ink
`
ty of EaEdI Permit 0: I P Q 3 j Feririit Fee,
3830 Pilot Knob Road 1
Ea an MN 551x2 I Date Received:
Phone: (651) 6755675 f\ealk.. l Staff:
Fax: (651) 675-5694 201o RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:`, l g Site Address: I
Tennant: ~iui~ it:
RESIDENT 1 OWNER Name: V Phone; - ^ '.(e
45. r+
Address / City 1 dip: - r
CONTRACTOR Name; License #:,,~J
l .
Address: '4 City: ,W;_k~e
State: jif~- Zip: -550-j'4 Phone: V -4*t5-I - yu.~
Contact: mail: Dw~ i e Tn`}_, h
TYPE OF WORK -New _Replacement -Repair .2e-Rebuild ` MociIfy 'Space Work in R,O.W.
Descri tlon of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
-Lawn Irrigation -Add Plumbing Fixtures
RPZ / - PVB) (-Main _ Lower Level)
Septic System _ water Turnaround
-New
-Abandonment ` t-tC6 - ~7bh -
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State surcharge)
$30.50 Lawn lydgatlon (includes 6.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abando.rtmettt, Water Tumaround* (includes $30 State Surcharge)
"Water Turnaround (add $166.00 if a 518" meter is required)
$100.60 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 hire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL.. BEFQRE YOU D1C. Call Gopher State One Call at (651) 454-0002 for proteotion against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities, www,gopherstateone i• Ira l.om
I hereby acknowledge that this Information is complete and accurate; that the work well be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an appilcatlan 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 ap~proy'v`all of plans. ~ t
Applicant's Printed Name Applicant's Signature
F F~ O1:FIC 'IJS l;toir'il60ke
~st ;~„GasTes~4,.,~Flri~ll
=1n,,; ir,T
lequlred Ins'pectla:': ,_;:Und+rrGrcititid` ~,>I~atlgh
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114677
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4565 Cliff Ridge Ct
Lot:11 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Hanson
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 -
Elizabeth Desutter
4565 Cliff Ridge Ct
Eagan MN 55123
(651) 686-9632
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
T^
For Office Use
Equ Permlt CA off' I Permit Fee:
3830 Pilot Knob Road
j rate Recived: Eagan MN 55122 j
Phone: (651) 676.5675 I Sfaff; I
Fax: (651) 676-5694' 1
1\,
r Ox
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
I :
Date: Site Address: 565' C.)rR kAe_ 67 Unit#:
& L-4
~eSKr Phone: 6S~-3ZQ~ n1SG
Name:~ s
Address / City / Zip: M/v -SS 1
Applicant is: Owner Contractor
Description of work: ` " " ` 29rtS3
Construction Cost; 2_ 1-0 - 00 Multi-Family Building: (Yes / No )
Company: q YL{~ VA K0/0v-1 (5 ~ Contact: Jakis.l l~ NEt)'~ Gr
Address: 3+)0 V; I ow Lt N City: 1" (V wqx'ut
State: Zip: Phone: Z4•3-50q License BC66573! T Lead Certificate M Al;f 17,31 W - I
If the project is Exempt from lead certification, please explain why: (see Page 3 for additional information)
00
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No if yes, date and address of master plan;
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: _
- land r ou su e
a ton ~l f~ r
CALL BEFORE YOU DIG. Call Gopher State One Call at (859) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground ulllltles. www. o herstat r
I hereby aoknOwledge that this information is complete and accurate; that the work will be in oonfol'mance with the ordinances and 4odes of the City of
Eagan; that I understand this Is not a permit, but only an appllcatlon for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x KIe1 R Md X
Applicant's Printed N e Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES (A/,~
_ Foundation _ Fireplace _ Porch (3-Season) _ Storri~ Damage
Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
_ Addition Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation f~/aA0 Occupancy rQZG- MCES System
Plan Review / Code Edition Lei') SAC Units
(25%_ 100% i!) Zoning n--l City Water
Census Code( Stories Booster Pump
# of Units I Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143660
Date Issued:06/22/2017
Permit Category:ePermit
Site Address: 4565 Cliff Ridge Ct
Lot:11 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth Desutter
4565 Cliff Ridge Ct
Eagan MN 55123
(651) 329-0180
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174964
Date Issued:03/03/2022
Permit Category:ePermit
Site Address: 4565 Cliff Ridge Ct
Lot:11 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Elizabeth & John Desutter
4565 Cliff Ridge Ct
Saint Paul MN 55123--181
(651) 329-0180
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature