4569 Cliff Ridge CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4569 Cliff Ridge Ct
Lot: 12 Block: 2 Addition: Cliff Ridge
PID:10- 17800 - 120 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Matthew F Simpson
4569 Cliff Ridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089860
06/23/2009
ePermit
CITY OF EAGAN . ? 17438
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8'^^
BUILDING PERMIT
To be used for SP 110GAR Est. Value S85,000
Site Address 4369 CLIIrP RIDCE CT
Lot 12 Block 2 SeciSub. CLIPiP RIDCE
Parcel No.
W Name JOB ?IILLER IiOMBS
o Address CLDAR AYE S
City F N Phone 31- 001
Phone
Phone
I hereby acknowlege that I have read this application and state that the
-iniormation is correct and agree to comply wilp all applicable State of
Minnesota Staiutes and City of Eagor+ Ordintrw6s.
Signature of Permitee
A euilding Permit is issued to: JOL MILI.ER HOM
on the express condition that all work shall be done in accordance with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
I Building Oflicial
L
Receipt #
Date
3AN
17 ?
, 1 s ?q
OFFICE USE ONLY
Occupancy R
? ?i FE ES
p
Zoning
-?N
S?Z ??
(ACtual) Consl Bldg. Permit
(Allowable) Surcharge 42.50
# of Stories
?i
Pl
i
R 3?t??
Length an
ev
ew
100.00
Depth SAC, City
S.F. Total - SAC, MCWCC 6w`oo
S.F. Footprints - 615??
On Site Sawage _ Water Conn
On Sde Well ? Water Meter 90•00
MWCC System
?
Acct. Deposit 30.00
City Water ? 30.00
PRV Required S?W Permit
Booster Pump - g,`yy Suroharge 1.00
252.00
Treatment PI
APPROVALS Road Unit 333.00
Planner - park Ded.
Council
BIdg.Oft. _ Copies ^
, .i'?' . ..
Variance - ToTAL
Permit No. Permit Holder Oate Telephone #
WATER
SEWEA ?
PLUMBING ?Iq 5O
?
H.V.A.C. ?-•• '^r , ,v'(? ???/ SL?
ELECTRIC - lq
Inapaction Date Insp. Comments
Footings I
„2 6
(
Foundation
Framirg
Roofing
Rough PIb9•
Rough Htg. ?`/! y' Q? LU ?
Isul. 2O
Freplace - Z• Cl ?% l? S
Final Htg. 3 1 y d
Fnal Plbg. ?/ - /,?,r
Const. Meter Plbg Inspector - Natify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
(Etrttf iratit nf (Orrupttury
Citp of eagari
lgrpartntpttf of suild'mg jwPrYimt
This Certifrcate issued pursuant 1o the requiremenls of Section 306 of tlre Uniform Building
Code certifying that at rhe Gme of issxance this structure wns in compliance with the varrous
ordinances of the City regulatrng building construction or use. For the jollowing:
Use Clwicatioa SF DWI?'aAR Bldg. Ilrmit No. I7438
ooc„p„-Y TYx R3/M 1 ?ing nvu;a PD/ n l Tya comt VN
o„r..(s„aa;wM MILIER HIrFS Ayd,em 18133 C?R AVE S. FAA9MMCN
BIai 4569 RIDGE OCXJRT ,.i;y L 12, S2. Q.IFF RIDGE
n,tc APRII. 23, 1990
Build'6?g
POST IN A CONSPICUOUS PLACE
PLuMBiNG
• . . CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address 4549 G ]
Lot 12 Block
? .ae
? Address 14745 South R,obert 7
c Cfty Roweemunt? Phone
c
8
_ FEES
COMM./IND. FEE - t% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADO $.50 S!C PER EACH $1_000 OF PERMIT FEE)
Q.-
For Office
PERMIT #
RECEIPT # '
DATE:
Res. XXL New XXX
M
lt
Add-0n
.
u
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO F1XTU RES TOTAL
.? Water Closet - $3.00 $
Bath Tubs - $3.00 ?
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 ?
UrinaUBidet - $3.00
Z
Laundry Tray - $3.00 ?
Floor Drains - $1.50 -ab_
Water Heater - $1.50
?L Whirlpool - $3.00 - -???
Gas Piping Outlets - $1.50
(MiNiMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openir?gs - $1.50
PERMIT FEE:
STATES S/C: - ??
GRAND TOTAL: ?OD
. ?, w%'.R . . ar,. c . .. . _. . ?. .. ..t. . .. ? , ... . . .- w , . . ..- . .
PERMIT # '
. • ? ? MECHANiCAL PERMIT RECEIPT # , i
CITY OF EAGAN
DATE:
3630 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
' Site Address
I BLDG. TYPE WORK DESCRIPTION ?
' Lot Block Sec/Sub
Res. New
Mult Add-on
°-' Name
Address Comm. Repair
? City Phone Other
FEES
? Name - RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
MINIMUM - 1 PER PERMIn - 1
GAS OUTLETS
.
(
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU • APT BLDGS. - COMM. RATE APPLIES -
TOWMHOUSE & CONDOS - FiES. RATE APPLIES ,
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ;
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Qutlets # 6EYOND $1,0130)
Other
FEE
`
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOFi: CITY OF EAGAN
SEMIER-& RATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SITE ADDRESS
LOT _BLOCK ,- SEC/SI
APPLIdANT:
ADDRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
METER #!/ 3S'13 1 /,377 PERMIT DATE 1123 /9!%
CHIP # 0 1 3 S, So' S Z PERMIT # 111 f30
METER SIZE * ROC-I B.P. RECEIPT # n 5$45
ISSUE DATE 7- Fo - B.P. RECEIPT DATE 1/ 19 / 40
1L PRV _ BOOSTER PUMP
PfRMIT REGIUESTED
ZIP
Y SEWER %f WATER _ TAPS
- COMM/IND RESIDENTIAL
-k NEW
EXISTING
PLUMBER: 1 •
ADDRESS:
CI1Y, STATE ? ZIP '''?
PHONE: ` - OWNER: _
ADDRESS:_
CITY, STATE
PHONE: _
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
ZIP
SIGMATU ?WHEN ME,TER ISSUED
PLEASE ALLOW TWO WORKIN(i DAYS FOR PROCESSINO. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?
SEWER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
? SITE ADDRESS
k LOT BLOCK SEC/SUB
APPLI6A%T:
ADDRESS:
CITY, STATE ZIP
; PHONE: •
? PLUMBER:
ADDRESS:
; CITY, STATE ZIP
; PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
! PHONE: _
OFFICE USE ONLY
METER # PERMIT DATE % CHIP # PERMIT # 7 = `
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 1/ 1?/ 9v
- PRV _ BOOSTER PUMP
ZIP
PERMR REQUESTED
SEWER _ WATER _ TAPS
COMM/IND - RESIDENTIAL
NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TQ COMPLY WITH CITY QF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WQRKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?i CASH REdr
;IPl`
?`?
" 's, _ f
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
FIEce?o
AMOUNT
?
8 DOUARS
,oo
O CASH CHECK
BY
C 5345 Wm°-pays" COM
Yelbw---Poatirp (`,ppy
Pink-F'Ae Copy
Thank You
DATE
ir2319o
RE: 4569 CLIFF R1DGE COURT, L12, B2. CL1FF RIDGE
XIC
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
. Spasons:
I ??T
_ ??(our Sewer & Water Permit for the above property has been completed, but the meter cannot
' be issued w occupancy allowed until further notice.
COMMERCIAL PROJECTS oNLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 1/23/90
RE:
4569 CL1FF R1DGB COURT, L12, n2, CL1FF RIDGE
ax
- Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?; Your Sewer & Water Permit for the above property cannot be completed for the following
,--sasons:
e
` ;.
y ^'.
,. lour Sewer & Water Permit for the above property has been completed, but the meter cannot
t-be issued or_occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT UEPARTMENT FOR WATER TURN ON POLIGY.
Secretary. Building Inspections Dept.
F._ ._ ^.......? _ __..
I
CITY OF EAGAN
3830 Pilot Knob Road
-Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
J 1{ ? ?, 1 lilil
; PERMIT SUBTYPE:
.,. I ,,,e' r.iI
INSPECTION RECORD
PERMIT TYPE:
Permit Number.
Date Issued:
APPLICANT:
4 I li?,t ?: ?li r0 ! I! ? ii , I.? f 4 I t 1
TYPE OF 1NORK:
A I. irk ao,11ea
INSPECTION
,, , ?• ., .
; ? ??. ,. .•
??,??•?i; ? ra ! I?;?? ? r?r, ?
af r?ARr.s. ?;t Pnr;a t I I•ll l<r, i i', ARr I; r 0111f<r 1, r???( A?aY ?-'a ?OMia i N+i (ifr f i c I. rRICAl wrla
-1 ?
Permit No. Permit Holder Oate Telephone #
SNV
PLUMBING
HVAC
ELECTRIC 414
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing ?
Roofing
Rough Pi6g.
Rough Htg.
Isul_
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - fVotlfy Ptumber
Gonst. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
<
s.
BUILDING PERMIT
To be used for SF DWGIGAR
Est. Value $85,000
Site Address 4569 CLIFF RID E CT
Lot 12 Block _2_ Sec/Sub. CL FF R DC
Parcel No.
w Name .TOE MILLER HOMES
? Address 18133 CEDAR AVE S
? Cit
Y FARMINGTON
Phone 431-2001
I
o Name SAME
Address
a
" City Phone
ww Name
L ; Address
a W City Phone
I hereby acknowlege iha[I have reatl this application and state iha[Ihe
iniormation is correct and agree to comply all ap licable Sta1e of
Minnesota Statutes and Ciry of E Ord4s. .
Signalure ot Permitee
A euilding Permit is issued to: - JOE MILLER HOMF
on ihe express condition ihal all work shall be done in accordance with all
applicable State ot Minnesota Statutes and Cityof Eagan Ordinances.
BuildingOtficial!?1JI,U1
Y
CITY OF EAGAN NO 17438
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE:454-8100 ? ?q,j?
Receipt # J ?? ?
OFFICE USE ONLY
Occupancy R-3 T1.-,1 FEES
mning PD R=1
(ACtuapCOnst V=N Bldg.Permit 572.00
(Allowable) V=N Sumharge 42.5
?
N oi stories
Lergth 46' PlanReview 372.0?
Depih 46' SAC, Ciry 100.00
S.F.TOtal -
SAC.MCWCC 600.00
S.F. Footprin(s _
OnSiteSewage _ WaterConn 625.00
On Sita Well Water Meter 90,00
MWCC System x7{
Aut Deposit
30. 00
Cily Water ?[
PRV Requirad ? S/W Permit 30.00
Baoster Pump _ $/W Surcharge 1.00
TreatmentPl 252-00
APVROVALS qoad Unit 15 S_(lp
Plannar
-
Park Ded.
Council _
Bltlg. Olf. _ Copies
variance _ Tp7qL 3,069.5
0
-? o iv`i
C? 0 6 4 I o 6'/ / e
Request Oate Fre o. ? MugM1-Yn Insp ion
Requiretl? ? ry P
? AeatlY Now Will Noti Ins ector
2-6-90 Yes CNO WhanReady?
censed coniractor p owner hereby request inspection of above electrical work at:
A
Job Atlaress (Stteet, 6ox or Route NI Ciry
4569 Cliff Ridge Court EH Ea
Section No. Township Nam¢ or No. Range No. Gounty
Dakota
Omopant (PRMT) Pnone Na.
Soe Miller Construction Co. 431-2001
Powar Supplier Address
Dakota Electric Farmington, MN 55024
Elecvical Goniramor COmpany Namal Contredor's License No.
Midland Electric Inc. 041610
Maillnq Adtlress (Goohactor oe Owner Making Instailatloo)
14055 Grand AVe So, Suite E Burnsville N
Aut/honze?.s,?/etyre fCOOVacmnOwner Maki/ng Ins?tallet/ion7j Phone Number
MINNESOTA STATE BOAAO Of EIECTRICITV
G.IggaMlEway 81tlg. - Room S413
1821 UNVersity Ave_. SL Paul, MN 55104
Phone (612) 663-0800
TH15 WSPECTION REQUEST WILL NOT
BE ACCEPTED BYTHE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO.
e
REQl1EST FOR ELECTRICAL INSPECTION y -ooom -
i
13 ?Y
? ?
?a ? 5¢e Iosimctions 10/ comple?ing Ihis form on b6Ck of yelloW copY?
06470 "X" Below Work Covered by This Request
ew Actl ReP Type at 8 'Idng APPIiacesW'ed EquipmentWiretl
1 r:........ .. . , V_
, _ .. _ ?.: eg•q;ro I,
Other
Farm
Inspection Fee Below:
Other Fee
Booms
,Other Fee ?
I, the Electrical Inspector, hereby
ceriify that the above inspection has
been made.
)FFICE USE ONLY
'his request vaitl 18 manIDe irom
Femarks'.
ServiceEntranceSize Fee # Clrcuits/Feeders Fee
to 200 Amps 0 to 100 Amps
)ove20D-Amps 10 Amps
?r's Use Oniy TOTAL
? ?Z SQ
THIS INSTALLATION MAY?.EW, ORDEED,DISCONNECTED IF NOT
3 2'd I
J?5461
,u
iiequest Date Fi Roug Inspection
Required? yW?r
eady Now ?WIII NotiTy In3pec[or
-.Yes ?No Wnen ReaEY9
r.$?ricensed coniractor ? owner hereby request inspection of above eledrical work at:
Job Atldress ISVeeL Boz or Route No.) Cih
? `
r
Seclion No. Towni Name or No. an9e No. Counry y
?"'I 4-
Occupant(PRINT) Phone No.
Powsr Suppiier AOtlress ?
Elecv i Convector ICOmpany Namel Comra or5 License No.
o! s
Mailing Atldress IGonVaQOr or Owner Making Ins[allalion)
?
C-ii,
Led
Autnorizee g mre fCOnUactonOwner Making Installationl PnonG Numher ,? ?
LJ ?
MINN A STATE BOARD OF ELECTHICIiV THIS INSPEGTION REOUEST WILL NOT
Grlggs-MlOway BIEg. - Foom 5173 8E ACCEPTEO BY THE STATE BOARO
1021 Universiry Ave. 54 Paul. MN 55104 UNLESS PFOPER MSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
?/G/?? REQUEST FOR ELECTRICAL INSPECTION ea cooom-ope
? See InsimoGans for completing fiis brm on Deck ot yellow capy. eyo
?
"X" Below Work Covered by This Request D
ew Adtl Rep. ' "TypeoiBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heatinq
Apl Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm ir Conditioner
01her ?specilyl Comrector5 Remarks'
Compute Inspection Fee Below:
# . Other Fee S ServiceEnvanceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above200-Amps Above100-Amps
Signs
W
inspecmrs Use oniy:
?
TOTAL ?s
Irrigation Booms
SpeCial Inspection
Aiarm/Communication THIS INSTALLATION MAV BE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
- Date
oughin
ii
certiiy that the above inspection has F;nei
been made.
OFFICE USE ONLY
Tnis reQUest va0 18 months imm
I
This ?eq. CVt voiA
18 inontlis irom
t"J 34765 i? 6,6' U,e.
Request Date F? No. F Ph-in Inspec?ion
F qulred7 ?Ready No Will No1ity_ InsOer
es ?NO w tor Whnn ReadV
LicenseA Elecvir.al ConVactor ? I hereby raquest inspuction oi nbove
? Owner -;rw electrical work installed at
SVee Ad ess, Box or Rnute
'`y - C-
ecuon o. Town Name or o. Rsnge No. Counl
Occ ant IPRWTI . P,h/ane u.
?.
P 71 upDlier AAdress
eferic I Convactor IC mpany 1 / . Con/ryV[/a?c?to7r?'s License No.
4,iTVr
Mailing AA ss (C ntr ctor or wner g nstailation)
Aut?ori a[ure (CO tract wn MakinB Insta ionl Phpn?Numb? -
Q ? - 6?
` rv- L--? THIS INSPECTION NEQUEST WLLL NOT
? A STAT Ap0 OP ELEC NICITY BE ACCEPTED BV THESTqTE BOAND
??B idway B g- Hoom N4 - UNLESS PqOPEF INSPECTION FEE IS
t821 niversilY?+va., MN 66104 ENCLOSED.
Phone (812) 297-2111
REQUEST FOR ELECTRICAL INSPECTION EB-00001.03
Sae .. ruclions fm completing this form on beck of yellaw copy.
65 1 aa3?s
"X" Belnw Work Covered by This Request
a Add R.-.;. Type ot Building Appliances Wirod Equipmenc Wired
Home Fange Tempoiary Service
Duplex Water Heater Lighting Fixwres
Apt. Building Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther oeci v Other ISUCCifyl
t er Suecify Other Oth.r
Cnmpute lnspection Fee Below
tt iae ServiceEnhqnceSiza q Fee Feetl?rs?SUbieaders N Fae Circuits
0 to 100 Am s 0 to 30 Am s 0 tn 30 Am os
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 Amps Above 100-Am s Ahove 100_Am s
Transiormers Remote Control Cira Partial%Other Fee
Signs Speciallnspection S D
TO?AL FEE
Rarr?ark,
,???
,y.,??hy?l-
?''"`v'?/
GTT ?E: " ' "
Rough-in
` Da[e
?
Iacvical
Inspectoq hereby
cartily that the nbove
Final r
? / ?'/ ?.
?
U ? pn«>
r• 3{
' setlepection has bean
.
This repuest voitl
18 nwMhti imm
?-CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-17800-120-02
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4569 CL'iFF RIDGE CT
LtlT: 12 6LOCK: 2
CLIFF RZDGE
Buildinj?._Permit Type
Building We`rk Type
?
f ?`Z
.
j.
f C_
ry,i Zt
BASEMENT FINISM
flLTERATSON
??-
`f/r-rI gy
BUILDING
@23323
@4/14/94
c?F)?
REMARKS:
SEPARATE PERMITS ARE REQUTRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
Totel Fee $40.50
CONTRACTOR: - Applicant - sr. LIC. QWNER:
MEATH C0, D KELLY 17353857-0005787 HAIRE JIM
674 S pOSN7 DOUGLAS RD 4569 CLSFF RIDGE CT
ST PAl1L MN 55119 EAGAN MN
(612) 735-3857 (612)454-4213
S hereby aoknowledge that
informatian is correct an
Statutes and City af '"?
I
.I haWe read tMis
agree to comQly
Ordinancss.
aPPlicaGion and stats that the
with eil applicablE State nf Mn.
?
inR wl
ISSUED 8 51 ATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lor : 12 B L 0 C K: z APPLICANT:
4569 CLZFF RIDGE CT HEATH C0, p KELLY
CLIFF RIDGE (612) 735-3857
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
023323
04/i4/94
AL7ERATION
INSPECTION
FRAMING .. .
INSULATION DA
ROUGH IN PLBG FINAI
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F
L
?
13 1994 BUILDING PERMIT APPLICATION
Ik
A5
CITY OF EAGAN
681-4675
rr (111-I 4-14
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy 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.
Oate L/ Valuation of work 'y115?9.pO
Site Address:__y?,? ?f G/,'FI-
STREET SUITE #
Tenant Name: (commercial only)
LOT 11. BLOCK r_ SUBD. (Wp
r ?. P.I.D. #
Descri tion of work; ti/ - '
The applicant is: ? Owner 14 Contractor ? Other (Describe)
Name ?Aa;.c_ Jrm L if12v11 ?(o Phone
Property LAST FIRST I
Owner pddress _ y5?0 G/ii= f' G7
STREET STE M
City G,an State W4 Zip
Company c Phone 735-3057
Contractor Address G .S v d License #!5,7
9Z_ Exp.?
City /"a v? ? State eft Zip 55/l I
Company Phone
Archftect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber AAg- Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I h rea t s a lication and state that the information is
correct and agree to comply ' h a 1'c e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
. . r .- .
• " I?iGU
. ' "89 S[TII.DIBG PEEMIT APPLICATION
CTfY OF EAGAN
I
t1 Lt 3 SINGLE F9MILY DWELLINGS M[TLTIPLE DWELL2NGS CA1RdERCI9L
2 SETS OF PLANS 2 SfiTS OF PLANS 2 3STS OF ,RCHIiECTDRAI.
3 EEGISTERED STTE SDRPEYS BEGI3TEAED 3ITE SIIRPEY3 - 6 STHUCTORAL PL9N5
1 SET OF ENERGY C6LCS. (CHECg i+TlT$ BLDG DIV.) 1 SET OF $PECIFIC9TIONS
1 SET OF EBERGY C9LCS. 1 SET UF ENERGY CALCS.
!lULTIPLE DWELLINGS AENT6L DNITS FOH SALE UNITS # OF DNITS
gOTEs ADDRES3ES FOH CORNER LOTS - CONTRACTOR/SOMEOWNER !lQST DESIGNATE iiSICH ADDRESS
IS DFSIRED. NO CFiANGFS iTII.L BE ALLOiIED ONCE BUILDING PERMIT I3 I3SOED..
SEfiER 6 iiATER PERMIT FEES AliD ACCOUNT DEPQSIT F6ES itII.L BE INCL9DED WITH THE BUILDINf}
PERMTT FEE. PAOCESSING TIME FOR SEWER AND W9TER PEFMITS IS TWO DAYS ONCE A PEAMTT H9S
BEEN CONlPLETED ZNDICATING A LICENSED PLUlBER.
PENALTY 6PPLIFS WM: PERHIT ZS NOT PAID FOR IH 3AME MONTH IT IS RE40ESTED.
LOT C$ANGE IS &EQUESTED ONCE PERMTT IS ISSIIED.
_dpp 1 6 RECD
To Be Used For: Valuation: qg-) Date:
3ite Address 'j?14 ".X, gs, OFFICE BS]
Lot ?a. Block ? Oceupaney R 3 M_ I
' Zoning PP R-1
Pareel/Sub ? 6etual Const V- N
Allowable V-nL
Owner # of stories
Length ?
9ddress Depth L,2
S.F. Total
City/Zip Code Faotprint S.F.
Phone
Coatractor
Address
On site sewage
On site well
MWCC System
City water
PRV required I/
Booster Pump _
City/Zip Code
Phone `-}31 '?d0 ? Planne?
9reh./Engr. _
6ddress
City/Zip Code
Phone #
Couneil
Bldg. Off.
Var ianee
?'??7 ?S?"?
FEES
Bldg. Permit 572,00
Surcharge 2. 0
Plan Review 3 9?04::3
SAC, City I OD,OD
SAC, MWCC 6Q2 .pD
Water Conn ,DO
Water Meter 90,00
Acet. Deposit 3
S/W Permit
S/W Sureharge ),oD
Treatment P1. 25z.ov
Road Unit 35
S,oD
Park Ded.
Copies
SIIBTOTAL
Penalty
-
TOTAL ",?
4?
.. 'N
VA LuAM oN
G jw %
Z2 x22 = y8y x /5= ??2?.p
6 S w.T
34 k Z`l = `?I (e
12 X Z(?, ? 312
? 2 X LI = ?r8
li?c?xi U?
?-IouS?
12GDZ? 2c 5t7 = ?"???
572•00+
42 • 50+
372 • 00}
2,093•00+
3, 0 6 9 • 50=k+
572•00+
42•50+
372•00+
2> Oi33 • 00+
3, 069•50*
+
%GIsZ - 2 9 7-?D
CERT/F/CATE Af' SfA4YEY
N
Scale: 1" = 30'
W i; / ?424
y
;»;...
4? p ??? ,,•
? R/ ?' :j
J
O
U
Z /
i
?
\922 \
?
;
i
I
/
i
0
.,
? o9i
,
!,8 i ?
E
4
O
?qy4?a z6.oo ^ 1
,
?
,
;?
,I
?`8 52 ,
9g •• E .
?
.?c ?
r,
N ?3os 3 \
2'
4p. ?
? ?' 1r?' `•? r-,3 - .
????AIV
\
4i?
??
?y?y,? E
%)6 ? ?° to y?
nEP2, PaR,V. Fi E C]"U OR E D
DESCRIPTION
/ NfREBY CERT7fY THAT T/I/S S(A4VFY, PLAN AR RfPq4T Lo t Z, B 1 o c k Z,
IYAS PREPARED BY ME AR bHAER MY O/RE7CT SYA?RV/S/LW CL I F?I DGE
AND THATI AM ACY/L,Y MEG/STERED LANO S~YCR Dakota Cour.ty, Minn°sota
UNAER TNf LAM'S QR THf STATE QR M/NMfdOTA.
? Plat bearings shown
o Denotes iron monument
OATE =MR 8140 (Existing i Proposed
?--- ?
11 beondt anginaaiing a tuivaying
2705 uioodi lra11
burniviila, minnaiota 55337
(612) 435-1966
M 32 -297-90
. ,;,.1 ? ?, - uuii,uiuu liEenti?ri?u?,irt ?l? ?"?'? G?/??
- ? . ?x?r??szo?s Euv?,or? nvrasnc?? ??u?? coiaru?rn7?ioti
' ('Po be suUmi:Cted.?vitit buildittg permit applioatiott)
one or Two F amily Dwelling ? :? G ? O wner ? '
All. otlier : s
.
ita Addreea Loi !2
$,??2
C
t
t ?1 '
` I/?q? r?-???+ Cc.I
.'?
? ??)
?
L'?
' ?
C?' ???
on
rao
or,_,.. .1'
a
YV?I
•?Y?:
[I/1}?
U ste Pl?one
LIl1EAL FEET
ElU'OSEU Y7ALL OF /
?"? ? ?7ti'?;
G?r(•,???N fg ' ? r?C?j,,7 '
?
?z
,
. s bove grade ?
G / ?7•
-
7'0'PAL ?XPOSEU WALL AREII SQ. FT.
?
oPAnUE WALL Cotlsl'RUCTIOIf s ??U?? Value x Area
?at4ii - ? ??„?? , ?a X sa.• ?m. ' ?2 ?7,'? ?`j? t?)tn1
re[erenoe ' ????? ?' t. x 82.. FT,??
?(U)(A) .
from . ?{YVL? npn „? x. 82. =
P'T. _ {U)((?)
attacl?ed °???? x 6Q. E'T. - tU1(?)
sl?eete ????? x AQ. F'P. e (U)(A)
. ????? x sQ. g?r. _ (u) (nl
WIIIUOW5c ??U?? Vu1ue x Area •
19alce & Type ??J.,? opn- I?.7?(? x S?. F'r. ,202.?1 ? ?f0 (?)(?)
?? „ ????? x sR. F?r. _ (?)(n?
n n t?n x ?Q. F"P. - ?U)??)
,x 9Q, E"P. = (U)(A)
U00I191 ??U?? Yslue x llres
Ilnlce & Type
?? ??
°:'?z..???°??---?-??-
x
s?.
?
F?. ?. G-? = co,
c??c??
?? ?? --
° x s?. _
_
??r. •_ (?)(e)
n u x
n?n ec?. FT. _ (?)(e)
.
x
? SQ. F'P. (U) (A)
?roxnt.s ZZ 'J?CJ7 sq. r^p. ?'7?, ?i?, (u)(e)
AVE1tn(3E ?i i
I ?O'v? .
TOTAL (U)(A) VALUEB
? .
?IVIUEU DY TO'PAI; 1'?ALL Al2EAZz?'?,? ?y-:
AVEHAaE "U? ??? ??r lase for 1&2 fami liuga '
I100F/CEILIIIp t 1 ?
TO'PAL' A1tEAl r
lletail reference n u ?j J?
from ' ?
U x 8Q. FT. = GJO /(U)(A) .
atta?i?aa Bi?aata. ??
u
?
????? x sQ. ?m. • (?)tn)
ueo??-iba oi?a??i.,,?a
.,,?„
x
s?t? F?r. ? u
? ( >(n)
iu roof. apn x 84j. F'P. = ?????)
x sq. z?r.. (?)(e)
`
xo?l?, ?U)(A) VALUES llIYIUCll BY ?
a? 7o-???y
??.rr z????
TO'i'AL I100F/CEILIMaI AItEA
AVEItADE ??U+? ;02
o ,
f
? ?
_
? ?
$ f
r ventil
(_? . , aCed roO
s;
. ? ,
_? _
?-
12 x? ?A4.?
t?
?
.--?--??
11? Z2,5?3? cn?,5
( 3- ZAY??
j>> z_zJx-??Ca r?
?v ?. , z-t-.?
?? t?x- fp` - E?aJ"
,? Cor? ? 1 a9? 7?1 =
?' ?'?M, 13?i Z°I =
N ? ? ??f ,? r ??• ?
18aZ, z?
.. ?•?? •Wu,, iiullp llirot uua Colta. Ulaolt
. . •
iUOF/OEILIiIq , li YN,U
1. ) InEerior llir t'ilm 0.61
2.) 5181, aYp. Bd. 56
i . ) Ineulntiou ¢? ?
F•1 •
5.) ExEerior Air Film .()
(BTILL) .
11u1t ?O2.r 10TAL' (n)n K.!g
?. ,
Wn=L fl VALU
6.) Interior Air Filnq 0.68
7,1
8. ) ?"'dy??, na.
z??eulatio,? ;1r5
M;rj
9. )
10.)
?16souite siains a
z.n??•
.67
11.? Exterior Air Milm ,17 IIU11 q ??1?= • 0`#•7j TO'1'AL Wa zJ.Or
"? •
?1?'? a VnU
12.) Interior Air lrilm 0.68
130 Insulation Iq.oo '
11I•I 2" FiI` Ilim Jaiet 1.08
15.) Y?viLr- ?'IT= z,
- •
16.) liaoonite sidiuS , .
67
170 Exterior Air Film 617
IIpu a 1/Iia ,pr1.p TOTAI,
? (11)p z?,?2?
.
FoUt1DATIOii r ti VALU
18.) .Interior Air Film' o,68
19.) • .
20: ) P-rf yTklP/?D ' ll.c?
214) 1211 (loanreCe B1onlt
? 1628
22.)
23.) ?Exberior Air Film .?q
r
flpll R I/n? ,070 zomiu, (tt)= 13.1Z
- = '
, ,.
. .. . ' ?
90,00 X5+32
H 6.1-5
For Office Usq
City O Eaaau
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: J
Tenant:
Suite
RESIDENT /OWNER Name: fY 4- (rat Phone: [ i_•-1 '~j
Address / City / Zip:
Applicant is: Owner 4Contractor o ? I
TYPE OF WORK Description of work,,~}}
Construction Cost: 1Z - 165 Iti-Family Building: (Yes / No
CONTRACTOR Name: U i l~C U AQ (fl St Ru CX) g n License ! { , L
Addres~s:5 (C t Vi F-M) e ( Pr tJ
City: l t 1 State:rn n_ Zip: C
Phone:---F L13 0 Contact Person: Ct.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(I submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of tans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113917
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4569 Cliff Ridge Ct
Lot:12 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-120
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 -
Matthew F Simpson
4569 Cliff Ridge Ct
Eagan MN 55123
(612) 309-0477
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
City of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink G rl
fe2t-a6
For Office Use �J �'
Permit #: �^ / o
Permit Fee: FJ - n
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6/14/2016site Address: 4569 CLIFF RIDGE CT
Tenant:
J
Name: MATT & TRACY SIMPSON
Suite #:
Phone: 612-309-0477
Address /City /zip: 4569 CLIFF RIDGE CT
Name: GENZ-RYAN PLUMBING & HEATINGLicense#: PC643433
Address: 2200 WEST HIGHWAY 13City: BURNSVILLE
State: MN zip: 55337 Phone: 952-767-1819
Contact: KELLEY BARKER Email: kelleyb@genzryan-COM
New ✓ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work: KITCHEN REMODEL - NEW SINK, FAUCET, ADD AIR GAP PER CODE
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
✓ Adel -Plumbing Fixtures (1 Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
)(KELLEY BARKER
Applicant's Printed Name
x jWLi
Applicant's Signature
Required Inspection
Meter Related Items
City otEakau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ply 16 2016
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee: 7 0. e
Date Received: l / / 4
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/14/2016 Site Address: 4569 CLIFF RIDGE CT
Unit #:
Name: MATT & TRACY SIMPSON
Address/City/zip: 4569 CLIFF RIDGE CT
Applicant is: Owner Contractor
Phone: 612-309-0477
KITCHEN REMODEL - REMOVE WALL, INSTALL NEW HEADER, FRAME IN HALF WALL, RELOCATE RANGE AND HVAC PER WALL DEMO
Description of work:
Construction Cost: $5,000.00 Multi -Family Building: (Yes / No / )
Company: INSPIRATION DESIGN CENTER Contact: KELLEY BARKER
Address: 2200 WEST HIGHWAY 13 City: BURNSVILLE
952-767-1819 Email: kelleyb@inspirationdesigncenter.com
State: MN Zip: 55337 Phone:
License #:
BC639507
Lead Certificate #: NAT -114275-1
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.c or herstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x KELLEY BARKER
Applicant's Printed Name
x '1/1411f
Applicant's Si ature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%r V )
Census Code
# of Units
# of Buildings
Type of Construction
NOT WRITE BELOW THIS LINE
Fireplace
— Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water __Final
Framing X. 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
ItitLyt
v�\--i, is`
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
1..z*
�y�n�146t7N-
xj-0 c(1/7) --
Page 2 of 3