4572 Cliff Ridge CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4572 Cliff Ridge Ct
Lot: 3 Block: 2 Addition: Cliff Ridge
PID:10- 17800 - 030 -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:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
James M Bryant
4572 Cliff Ridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
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 with all applicable State
Issued By: Signature
Building
EA083318
06/02/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4572 Cliff Ridge Ct
Lot: 3 Block: 2 Addition: Cliff Ridge
PID:10- 17800 - 030 -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:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
PERMIT
City of Eaan
Expired Permit - Closed w/o Required Inspections. Letter sent to homeowner 1 -16 -09 pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered
required in all sleeping rooms prior to final
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
James M Bryant
4572 Cliff Ridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
EA083447
06/09/2008
ePermit
Smoke detectors are
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4572 Cliff Ridge Ct
Lot: 3 Block: 2 Addition: Cliff Ridge
PID:10- 17800 - 030 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
James M Bryant
4572 Cliff Ridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA090033
07/02/2009
ePermit
cal Inspector,
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
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # `'' '`' ' ? 9EWER PERMIT #
METER # B.P. AECEIPT # C
pj'*Dm-* d4 S OoZ B.P. RECEIPT DATE
METER SIZE ?
fSSUE DATE«4---1? 9 ?x PRV _ 800STER PUMP
SITE ADDRESS 5 tL`;- k-i e C
LOT -5--BLOCK ,-A2--SEC/SUB
?
APPLICANT: f `{,r• -;? d I CO,V 5LEAC Lk10 . JC-
ADQRESS: i"Z I'1_ t?',?'.??, 4! F?'A...a Ed
CITY, S'fATE Mn: ." ZI P5.`' 33
PHDNE: 4 j ? 24,w
EXISTING
PERMIT REQUESTED
SEWER ? 1NATER _ TAPS
? COMM/IND - RESIDENTIAL
- NEW
PLUMBER: StAe'r ??M??NG
ADDRESS: I AGREE TO COMPLY WITH CIl'Y OF
CITY
STATE -11 71p -? EAGIKKOR DINANCES: ,
,
PHONE:
OWNER:
?
ADDRESS: '• -1
u " SIGNATUR E H M ER ISSUED
CiTY, STATE ?._.rr?V?,tI?; n .1F•.j. ZIP ?f-'=:% ?
e??a- ij-? f
/
PHfJNE:
PLEASE ALLOW TVYO WORKING DAYS FOR PROCESSING. FOR STORM
ENGINEERING DEPT.
PERMITS, CONTACT
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE '
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPTOATE 9/26/f
METER SIZE
ISSUE DATE
SITE ADDRESS ?' ;' r ? ? ?,% P ('- t
LOT ;z BLOCK_2- SEC/SUB
APPLICANT:
ADDRESS:
CITY, STATE '?? r r?-?. ?'. ; r ? i, • ZIP
,
PHONE: `T 5Lckn
PLUMBER: - tAeT i:'I,. . . - , . :.
ADDRESS)t
I
CITY, STATE ZIP -
I PHONE:
OWNER:
` )L
Et .kr'a, ll
ADDRESS: r 212
CITY, STATE ?-'• f L''x U: ZIP
PHONE: `4?!
Yk PRV - BOOSTER PUMP
PERMIT REQUESTED
"SEWER -'WATER - TAPS
COMM/IND
&_? NEW
!' RESIDENTIAL
- EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGANYOR DINANCES:
SIGNATURE WHEN METER ISSUED
PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CASH RECEIPT ;
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?
rIEcEWEo FHOM j .
aMOUNT $ - ,
' ('ji? -8 DOLLARS
ioo
? CASH C] CHECK
?
F°"
Z ..? ? ???? lIr- (.c
BY
C WtitPey- Copy
Yelbw-Poslin9 CoPY
Pink-fNe Copy
Thank You
..Wrw?aiau.a.r avi? uu.u? ?y['Y\ ?Wv.tNb:11/ YJL?/JV ,
C&?,-813C CtTY OF EAGAN 42 17104
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
_ ! .
BUILCJING PERMIT PHONE: 454-8100 Receipt #
rn hcsncarifnr 5F DiaG/CAR Cc? 5lolim $116.000 SEP 26 ,n89
Site Address 4572 CLiFF RIDGL CT
Lot 3 Block 2 Sec/Sub. CLIFF xIDGE
Parcel No.
W (?ame _
o Address
Name
Phone
Phone
on
OFFICE USE ONLY ?
i
OccupanCy R-3 14--1 '
FEES i
?-1
9
'
? Y-N 696.00
?
Act
ual) Const N Bldg. Permit
(Allowabie) V
Surcharge 58.00
?
?
# of Stories
52 '
Plan Review
348'00 '
Length 381 100.00
oePin sae. cry
S.F. Total - SAC, MCWCC s?s•?
S.F. Footprints - 580. 00 .
On Site Sewage _ Water Conn ,
On Site weii
-? Wyter Meter 90.00
;
MWCC System
?
Acct. Deposit ?.? ?
City Water ? ???? ?
PRV Required SIW Permit
BoOSter Pump -
51W Surcharge 1.00
?
228'00
Treatment PI ?
APPROVALS Road Unit 340' 00 '
Planner - park Ded.
Council ?
Bldg. Off.
?
Copies '
i
3,066.00
Vas+anca ? fpSAL
that I have read this appiication and state that ihe
and agree to comply with all applicable State ol
Bui4ding Oriicia4 ? '
wnrEa
sEwea
PLUM8ING
H.V.A.C.
ELECTRIC
Comments
aS
Final
Plumber
., ? . .
(gpr#ifiraft uf Orrupanxy
Citp of eagan
FrVarb»rat of lIuilbirg Insprrfinn
This Cestificate rssued pursuant ta the requiremenu of Section 306 of the Uniform Building
Code certifying that a1 the time of issuance this strueture wes in cornpl+ance with the various
ordinances of rhe City regulating building construction or use. For the foUowing.•
Use Clessification SF ?,IGAR Bldg. Rrmit No. 17104
O-paxy Type R3/141 7qniug pistriq R 1 7ypa Conel. VN
OwnerofBuilding MMCNALD CONST•, M qdb. 1212 IIIEn7. $plY RQ.s B?MILE
Buiming Aadrm 4572 RIDGE 0OURT L,,,w;,,L3, B2, a= RIDGE
o.te: A27{]E2' 2A??.9.
' Buildiog OFlicialr: t..
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT
CITY OF EAGAN
For
PERMIT #
RECEI
CONTRACT 3830 PILOT KNOB ROAD, EAd'iiAN, MN 55122 IDATE:
PRICE PHONE 454$100 Site Add?ss ? T /I
Lot ¢lock _ Sec/Sub
Name r. ff -44•- vf-r` i i!Z
? Add PBSS
c City °'`' i- 5'' `" Phone
•.-•• i v uo _J
FEES
COMM./IND. FEE - 196 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
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
Res. V ' New
Mult. Add-0n
Comm. Repair
Other
RES. PLBG. aNLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
3 Water Closet - $3.00 $ ?OvTA?
'
-Z Bath Tubs - $3.00
-? Lavatory - $3.00
-* Shower - $3.00 ?
? " -
-
-? Kitchen Sink - $3.00 ?
UrinaUBidet - $3.00
Laundry Tray - $3.00 .?.
? Floor Drains - $1.50
-T Water Heater - $1.50 7• 7`7
Whirlpool - $3.00
-? Gas Piping Oudets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
WeA - $10.00
Private Disp. - $10.00
7- Rough Openings - $1.50
?
PERMIT FEE: bi'
STATES S/C: d ?
? ??'
GRAND TOTAL: .
(
' PERMIT #
, fi? .:•i ,
. MECHANICAL PERMIT
CITY QF EAGAN RECEIPT #
DATE
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: -
Site Address BLDG. TYPE WORK DESCRIPTION
'
Lot Block Sec/Sub
N
I ew
Res.
. Muft. Add-on
! w Name
Address Comm. Repair
c
City
Phone Other :
r
I ?
? Name FEES
RES. HVAC 0-100 M BTU -$24.00 :
' c Address - ADDITIONAL 50 M BTU , . fi.00
p City Phone " (RES. HVAC INCLUDES A/C ON NEW , -
CONSTRUCTION) y
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMin - 1
.
.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
' Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
? Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00 j
,
I Air Cond. ? M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
I Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping Outlets # ? BEYOND $1,000)
Other
? FEE -
-----
' - ' - - - ?-
S/C: SIGNATURE OF PERMITTEE
, TOTAL• FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
. ----?--
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
-l
SITE ADDRESS: , „ l
I ' ! ; i ; ;. I 1.14it
3 111 (III; h"
1
APPLICANT:
„1 /•• J .' ) ? , H :i ii 1 : ? c?
nf ?) tr ti
I' PERMIT SUBTYPE:
? .;k ttKS : `.f• L'AFiA 1 1 (' I IIMIt 1 Ni
TYPE OF WORK:
111 1 i, ; i o 1;'iv
F h AM I Ni,
I I ftl F'I /i? t
I II Ik11:AI Pl(e NII f`. F<I uiI lft{.!1
F11 1 F h A f 10 1J
& F r?:F- ??i At ?
I?
I 4
?
PermN No. PermR Holder Date Telephone S
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn DaLe inep. Commenb
Footings I
Foundation
Framing z p
RooNng
Rough Plbg. ?_ ? l/9 tl y?/ Q/ I_ S, ?I s.? •
/ /i JLp
Rough Htg. -1u 4
7 fC/f?
Isul. I! /r
FireplaCe
Final Htg.
Qrsat Test
Fnal Pibg. Plbg. Inspector - Notity Plumber
Conat. Metar
FsgrJPlan
a. C',
Bidg. Flnal
Deck Ftg.
Deck Final
Well
Pr. Disp.
Your Sewer & Water Permit for the above property has been completea. it w"' -SURE 70 '
Public Works Garage (3501 Coachman Road) until the meter is picked up• BE
CALL PUBLtC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the ahove property cannot be completed for the following
P `re_:-zons: -
Ytiur Sewer & Water Permit for the above property has been completed, but the meter cannot
i be issued or occupancy allowed until further notice.
COMMERCIAL, PROJECTS ONLY: c P fPas?n no lnsDecto at 4'54 61?OOMbeforel issuance?
WARNING: BEFEQUiRED BY LAWLL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, E'TC•
R
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept• --.--
RE: 3, B2, CL1F'F R1DGS
L g 4 /? ?/?-
1'
-
- (
,21. o
? ?
.
,
Reque D3te eo. h-in Ins 'on
ved? d Reatly Now Will Motity Inspac[or
yes C No hen Reatly?
I Ll licensed contractor Kwner hereby request inspection of above electrical work at:
Job8ox or a
d cih,
'
?
Sect?on No. Townshlp Name or No. Range No. County
Occ pantlpRlNT? Phone No,
?
K
Power Suppf r Adtlress
Electncai ntr ctor (Company Name) Contractor5 License No.
mG?? f-1-11
Maliing dtl
Contractor or Owner Making Inscallalion)
?
0
&
AuthOnzetl re f CO
,
tlo,'Owne, Makg Installauoni PhOnB NUmter
6 (01d`4f 0
MINNESO7A STAT?OARO Of?LECTRICITY THIS INSPECTION FiEQUEST WILL NOT
Grlggs-Midway BI - qoOm 5-173 sm?f
8E ACCEPTED BY THE STATE BOARD
1821 Univenity Ave., St. Paul, MN 55104 ??? UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
??p C?'? REQUEST FOR ELECTRICAL INSPEC710N Ee-ooooi.oa
? See fnstrucuc,ns ior completing ihis ?orm on back ot yeflow copy.
?/?--
L 9814 ?'X" Geiow Work Covered by This Request v?;?:'?
ew Add Rep. Type of Building AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other- (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher(specdy) Con[racior$ Remarks: Z Compute lnspection Fee 8e1ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool Q to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspactor's Use Onty TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLE7ED WITHIN 18 MO
I, the Electrical Inspector, hereby
ceriify thaT the above inspection has
been made. Rougn-in £<<? r,,.: r?? oate
Finai oare
OFFICE USE ONLY
This request voitl 18 mantbs from
CITY OF EAGAN ND 17104
?.- ' - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # e,?/? ??-
To be used for SF DWG/GAR Est. value $116, 000 Date SEP 26 ,1989
Site Address 4572 CLIFF RIDGE CT
Lot 3 Block 2 SeGSub. CLIFF RIDGE
ParcelNO.
W IName MCDONALD CONST. INC
o Address 1212 BLUESILL BAY RD
City BURNSVILLE phone 431-7566
o Name SAME
z•
Address
? City Phone
ame
j ddress
C
ity Phone
I hereby acknowl e that 1 have reatl this application and state thal the
information is co r antl agree compty with all applicable State of
Minnesola Statut a City ol Eaq n Ord ances,
\
Signature of Permif
OFFICE USE ONLY
OtCUpancy R-3 M=1 FE ES
Zoning R=1
(ACluap Const V-N Bldg. Permit 696.00
(Allowa6le) V=N Surcharge 5$•00
p of stories
52,
Plan Review
348.00
Lenglh
DeP[h 38' SAQ Cily 100. ?0
S.F.TOtaI - SAC,MCWCC 575.O0
S.F. Footprinls -
On Site Sewaga _ Waler Conn 580.00
On Site well Water Melar 90.00
MWCC System XX
XX
Acd. Deposil
30. ?0
City Water
PRV Required xx S/W Permit 20.00
Booster Pump - S/W Surcharge 1. 00
Treatment PI 228•00
APPROVALS Road Unit 340.00
A Buildinq Pertnit is i u d to: ?MCDONALD Cb{]ST IN I Planner - park Ded.
on ihe express condit n hat all work shall be done in ccordance with all Council
applicable State of Mi? e oia Statutes antl? yCit?y ? of Eagan Ordinances. Bldg. OIt. Copies
BuilAing Oflicial .( ? 11111 A ,j,1t ' 11 y t Variance - 707AL 3,066:00
pQ REQUEST FOR ELECTRICAL INSPECTION ne?e/oaom-m
p, See inslmclions br compiefing lhis torm on Eack of yellow copy
F X" Below Work Covered by This Request
Nome
Heater
Femarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
0 to 200 Amps 0 to 100 Amps
Swimming Paol
Transformers Above 200 _ Amps ASp,ve 100 _ Amps
Signs Inspector's Use Dnly: Q T
Irrigation Booms
Special Inspection
Aiarm/Cnmmunica5ion
I, the Elec[rical Inspecto5 hereby
certify that the above inspection has
been made.
)FFICE IISE ONLV
"his requesl voitl 18 months imm
? ,6 916 5 ? Li, ? a r
Requesl Date Fire N.
? Pou h-in (yrpiectcm
Pequired?
W'e? No
? Reatly N. ' iy Inspecmr
When Reatly?
I icensed contractor ? owner here6y request inspection of above eleatrical work at:
Job Add ss 5[reet, 9 x or Raine a.) City
?
Sect n No. Townahip Name or No. Ran No. County
Occu n PRIy?
li none ? - ?
Power Suppl'
• AMress
Electr icel CanVactor (Campany Name) on[ractotS License No.
Mailing Pd ress Con aclor or Owner Making Inslallation)
• /
AuMrix SignaNre (COnlractorlOwre Making Inslallation) Phone N Ger
MINNESOT?f BOAROOFELECTRICITY (? l THISINSPECTIONREWESTWILL NVi
GHggs-Midway B g. - Foam SiT3 ? BE ACCEPTED BY THE STATE BOARD
1621 Univerariy Ave., SL Paul, MN 55106 UNLESS PROPER INSPECiION FEE IS
Mmie (612) 662A800 ENCLOSED.
?
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwe(lings
Townhomes and Condos when pemuts are required for each unit
Date BRYANT, KAY
4572 CLIFF RIDGE COURT
Site Address EAGAN, MN 55123 Unit #
(651) 688-8130
Property Owner i elephone # ( )
Contractor NORBLOM PLUAABING CO.
(612) 8274=
Address City
•
State
ip Telephone # ( )
The Applicant is _ Owner 1/(- Contractor _ Other
Septic System New RefUfbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additlonal consultant fees may apply.
Alterations To Existiug Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" mefer if needed -$121.00)
Other.
_ RPZ _ new !,istallation _ repair rebuild $ 30.00
_ Lawn irrigation system
_ Water softener X Water heater
$ 15.00
x replacement _ additional
State Surcharge ?! 5 l?' ? ,I ??! ? I n
I? $ .50
? 03 ??
Toeal $ IS. SC)
i nereoy apply ior a 1(esidenhal Ylumbing Permit and aclaiowled ong@?Yha{?[]te_ii?fonnazi is coc?plete and accurate; [hat the work will
be in conformance with the ordinances and codes of the City of Eagan and wit? h the Plumbiiig Codes; that I understand this is not a
permit, but only an applicauon for a pemnt, and work is not ro start without a pernnt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Jlo-?
Applicant's Printed Name Apj%fit's Sign zre
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConatruction ReauiremeMs
• 3 registered sile surveys showing sq. ft. oi lot, sq. R. of house; and all roofed areas
(20°/a mazimum lot coverage allowed)
• 2 copies of plan showing beam & wirWow sizes; poured found design, etc.)
• lsetotEnergyCalculations
• 3 copies of Tree Presenation Plan if lot platted after 711193
. Rim Joist Delail Options seledion sheet (bldgs wAh 3 or less uni4s)
DATE
JOB SITE
Z CG%??,?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
RemodellReoair Requiremenb
• 2 copies ot plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for ezterior additions & decks
• Iridicate if home served by septic system tor additlons
VALUATION IIQ /ldv
PROPERTY OWNER l"AA't?K 2ti'4
^
TYPE OF WORK ;F?LIC'Ze Fr -7Gy s!?6d C,
fIREPLACE(S) _ O_ 1_ 2
APPLICANT
ADDRESS
S
p
PAGER # CELL PHONE #
Z
PHONE# q? ?'S?3Y¢zT
/"'4/'? ZIPCODE SS33 7
z
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing Syslem Inclucles:
Mechanical Contractor.
Mcchanical Syslem Includcs:
Sewer/Water Contractor.
Air Conditioiung
HeaC Recovery System
AII above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the
with all applicable State of Minnesota Statutes and City of Eagan Ory
SlgnaTure of Appltcant
Certificates of Survey Received _ Tree Preservation Plan F
SEP18-
:orrect, a_o_comply
` Updated 2002
? Il
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Soflener L.awn Sprinkler
Water Heacer No. of R.I. liadis
No. of Baths
4 ?;cCe
Fec: 9;90.00
Phone #
Fce: $70.00
Phone #
`i? ?
g??
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 2977 Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const I/ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & W ater Final _7y Pool ? Ftgs _,4-Air/Gas Tests ? Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final Windows (new/replacement)
_ Insulation _
_ Retauring Wall
1
Approved By E7 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
z.?
?C9 D c9,
Equipment Specifications
Date , 7 /J 2,-
Customer "'i-IL ?2ilq'1Address
Yhone/Ilome1?5'f -°1 -Z p Office
Suhmitted by Valley Pools Inc.
?-7 -2
POOL DATA:
Pool Size 2.,eDK"a Tumover Rate__?'_Hours
Surface Area ?d Filter Rate 20 GPM / sp. Pt.
Capacity or- o Rate of Plow 6o
Perimeter
Piping Data:
Suction: PVC schedule 40 & 100 Poly NSF
Retum; PVC Schedule 40 & 100 # Poly NSF
Mainfold: PVC Schedule 40 & 100 Poly NSF
Filter Sta-rite
Pump & MoCor_ Ir+P k)?- Sta-rite
Skimmers 2 ? i c.. ` Hayward
Inlets '3 tiayward With Dr. Flow Ftgs.
Mnin Drain Z. Hayward
Chlorinator '-
Discharge Hose <?Z? _ Vinyl Therniometer- yes
Pool Hcater
Diving board
Slide
Ladders 3 step S/S
Grab Rail S[ainless Steel
Steps t??'
Pool Lights
Vacuum Kit -(M?
Maintenance Kit _ es
Water lcst Kit Bio- Guard
Ueck Work ?) ALA_e t j ?av aS
Electrical kc?
Fencing work_?td +--- ?` ?w •z ? ??
Pool chemicals dz?_S
Deck Box /d
Safety Kit v.9-?_
Gas Linc a-G
Retaining Walls
Solar cover -y?
Other?Z.i d ?? ClIaZ
Winter cover - yes
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
?
? GENERAL INFORMATION
¢
o z a
0? ?? Applicant - name, address, phone & fax numbers, signature
? ? Property owner name
D 0 Legal description and address of property
Q?/?? North armw, scale (1" = 30' or 40') and date
?" ?? Location and name of all streets adjacent to property
? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
/ structures
L? D 0 Directional drainage azmws (existing and proposed)
Existina
Gd'/ O ? House corners
Cd" ? ? Pmperty corners
??,,{?? On property lines at point of ineasured dimension to pool (see below)
tr?!' ;/ ? If applicable, ground elevation at each end of retaining waUs and at wall's greatest height
Prooosed
C-?/ ?? Finished pool deck comers
l-!?/ ?? Top of retaining walls (if any) and at each different elevation (if it changes)
13' ?? ? Pool bottom (or max. depth)
Existinsa
13" ? ? All property/lot lines
Prooosed
GX ? ? Pool
2?0 ? Pool plus integrated deck/patio
? 0 Shortest disiance from outside edge of pool deck to lot lines and house
Reviewed:
:2 a'p'Z
Date
G:7f ECWJR 2002/Poot Permit Checklis[
?.
3
?
m
0
0
0
0
2
CERT/F/CATE OF sZ4?Wr
? . M , H, ?p7. /y
cf . .-? -C?r? '/? ? n o?'? ,A 2p ° `.¢., S
3. ?L C?Q P4 k 9'
Z, :P6al D QCI< Z---L
? j?aoL ?0. c IC S? Z e
I (p Pc?e, ?.A -i AN
w (i-L C
?-.
?2p6•'L) ?i L-T.s
,
Scale: 1" = 30'
N
Iy Ir73
??.?'sdT? ? oo ? o F wA?L. l13S
wn K
. . _ _. _ -. ..-..? . . 4
5 73,5
??' ?
83 >'E
78° 4S i sFc
S'A%?-Atler
....?„m---•----
/Y?
tjs'?z G?:?? n
3:l AAa,drrKm, S?
? RoWrElrig Wal11NU1
Be Required
r>y_ =i???c
: n • t ? , i,
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A ?.;.
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M?a' t.:..W . s....
.
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........
DESCRIPTIbN ;"?i':
I,ot , IIlock 2 ,
('t,TrF[1GF
Uakota County, hfinnesota
? NEREBY CERTIFY TNAr TN/S SGQWY, p,,IN qq qrftvT
M'AS PREPAqEO sY ,fI,E Cq (/NpCR MY O/RECT S'?,#qf/}yjAtKW
aN0 iri,4T f w,il A 01(/L!' RrV/STFRft7 LAND SP~nW
*PfR 1W LAMS AF TNf STArE p'r M/NmrSOTA.
v,irE ,? ,yb 8140
Plat bearings shown
o Denotes iron monumeiit
brondt anginceling eL furvaying
2145 uuoodi trail
buiniviila, minnarotca 55337
(6I2) 4351966
' 1989 BOILDING PEHIMIT APPLIC9TION - CITY UF EAGAN
SINGLE FAMILY DWELLINGS r 0 Li
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs 6DDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRFSS
IS DESIRED. RO CHANGES WILL BE ALLOSiED ONCE BIIILDING PERMIT IS ISSOED.
MITI.TIPLE DWELLINGS RENTAL ONITS FOR SALE IJNITS # OF QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECB WITH HLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS .
CO[+AfERCIAL,
INCLUDE 2 SETS -OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPFC=FI;;1.7ONS AND 1 SET OF ENERGY CALCULATIONS
& sd)r'?
To Be ?sed For: Sin? Valuation: ?o,mo-?er?c
Site Address 14 57'2- Q;( FQ* CL• '
Lot _ZL_ slack y
Parcel/Sub
Owner
Address 124Z $?u,.l,,;l? Roo, Pd.
J?-
City/Zip Code
Phone y31 -7?& (,2
Contractor Sq,m,- M ,qbOLIC
Address '
City/Zip Code
, I
Phone ` ,•
Arch./Engr. _
Address
City/Zip Code
Phone /l
r$EP 1 9 1989
Date: q' l9-89
OFFICE OSE
oecupaney R-3 M-I
Zoning (
Aetual Const V_N
-
Allowable v-N
U of stories
Length ?-
Depth 32,
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water i/
PRV required
Booster Pump _
APPROV6LS
Planner
Council
Bldg. Off. ,
?9/m
Variance
Council
FEES
H1dg.?Perm t ?''??
Sureharge 'r3-0?
Plan Review 3 y S,pp
SAC, City 100.0
0
SAC, MWCC 5r? po
Water Conn 0,00
Water Meter p,oD
Acet. Deposit `300?
S/W Permit 3.0.00
S/W Sureharge I.00
Treatment P1. azs,OJ
Road Unit p po
Park Ded.
Copies
TOT9L $4 (1 L. 0e
f5 4 ''?
..,
NOTEs Sewer & Water Permit fees and aecount depoait fees srill be inaluded in the building
permit fee. Processing time for aerrer and srater permits is txo daqs once a licenaed
plumber has applied for a permit at City Hall.
y.?
VALUATlO?J
GA RAGE v
` ? ~ ???
Z2 x Zz = yky
ik ?
6S rv?T.
3'3?rzg: q5z
: r75
1 >t 2 = 14
10 41 x 14= I 45-7 y
I sr Lzmor?
?rnT ? i ?c4 ? . _, -..
l?
ID`l7,y?Sor, SLj`?Sv......
Zq/, 2q% 9`6 H X 5D ! 3cl'2.0_s
tiI .f .
0
rE aF S~r
N
Scale: 1" = 30'
d'
m
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o?
0
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vpbtii
0
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z - .
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ce
ro
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5 78a45'
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DESCRI
/ N£REBY C£RTIfY THAT TN/S SU4VFY, fLAM GW RfPQq7
lY,4S PREPAREO dY A!ir />tR !1kxi4 iOIY O/R;E'&°T .ytwRyml2ER°
ANO TNAT I AM A DULY REGISTd'REri LAHG S~!'W
GWAER TNE LAN'S QR' THf STATf Qr M/HNES07A.
I 0,1TE AM Nd 8140
Lot 3 , Block Z ,
CLIF?`"TJDGT:
Dakota County, hiinnesota
Plat bearings shown
o Denotes iron monument
rEPAK'a ° RED
kC'D A P R 2 j. 19@9 M G J p-`,3 --e9
MINNESOTA STATE ENERGY CODE CALCULATIONS ?Qq
BASED ON CHAPTER 5 OF THE
'MODEL ENERGY CODE - I983 EOITION
Adoption Effective 1 V 4-
Ownet ffIF
51te Address
Contractor M L
C. I
Phone Date
Phone
Butlding Cless(fication: Type AI (Single Family b Duplex)_?Type A2(Residential)
NOTE: Complete pages 3 and 4 Pirst. (3 storles or ess
(Other) (Over 3 storles)
GENfiRAL INFORMATION
M v?
1. Bullding Pertmeteft.
2. Wal) he(ght (ground to eave) ? ft.
?
3• 1• x 2. (above) gross wall area m ft2
.
4. Bullding dimenslons (L) ?- X(W) ft.Z roof b floor area
5• Square foot area bf rlrri )oist - Floor Jolst slze (2 x ? ) II 1
X Perimeter = Rfm J0 ist area = ft2
6. Doors - Area ? ('? ?
Thickness in. U factor
Type of Construct on Perlmeter ft.
Manufacturer .
). Total door's perimeter
I ? i
8. Wlndows: ManuFacturer ,N1jVVi State approved
U factor
TYPE SIZE AREA (Ft.2) NUMBER OF
N ' EACN UNITS
ft.
9. Total ft.Z Glass [i4I 1 Z?
TOTAL FEET 2
10. Flreplace area: Width X helght = X = Ft.2
11. Exposed foundation: Height X Perimeter 1 (.01 X? 3(,?0q 111 L Ft.2
COMPLETION OF THIS FORM IS REQUIRED FOR ALL F1EGT COFfSTh CU T10N, 11AJOR REMODE NG ANO BUIIDINGS BEIP7,
MOVED WHERE ENERGY, OTHER THAN THE MINIFIAL CODE ALLOWANCE, IS USED.
Framing area = 10% of.gross wall area.
` 13: Gross wall area ZS I? I ?- ft.2
Windoai area A 7 17?-J- ft.2
Rim Joist area A ft.Z
2
Do r area A' ? I p ft.
6?F?????ea a ft.2
Exposed foundation A? ??? Z' ft.2
framing area A Z?5t
Net wall area A. 1-109I115 ft.
? (138)
-'1'r o I -T? 1
U windoris = i? U x A ? O? i ?Jr-
U rim joist =_1Q41_ U x A- 41 (07,
U door area = , * U x A= ?i%5
U&;WeoaA.ete-I =, 7 U x Ais Ti- I 1
U foundation = I?? U x Ai
U frami ng area =, 095 U x A?? 3. ?J
u Wal , u X a?
TOTAL . . . . . . . ... . U x aliZd -
e
14. Gross wall area z 0.11 (A-1 single family 5 duolex = allomable U x A/Code
(13. above) .
x 0.23 (A-2 other residential)
x .23 (Other 6uildings)
x .28 (Over 3 stories)
x L'Code!?? __-
15.
15A.
158
15C.
150.
16.
Ceiling framing area (Af) equals 10`6 of ceiling area
87UH Must be larger than
_Z?Vi 1'+ of. 136 above
(. or the, same as)
Gross ceiling area =(L) -" x(W) --^' _ 0 Z ft.2
Joist area (Af) = 10% ceiling area = ft.2
Net ceiling area (Ac) (15A - 156) = q?G ft.2
U ceiling x A C= I oZ'? x_?__=
U framing x A f= i OZ.b x_ J 04' _
T0T:1L U x A ........................ ............... Z? O
Ceiling area (15A) x 0.026 (A-1 single `amily b duplex - code allowable U x A
x 0.033 (9-2 other residential)
x 0.06 (other)
IOZfO q BTUH t4ust be larger than 150 (above)
A(15.41 I? x U Icodel= ,I i 0I bF (or the same as)
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values
ereF?d that the building lier-e described me'ets or exceeds the State of Minnesota
Energy Conservation Act. •
te
gna[ure
?
?.
?
i; - _._ ..._.. .
_
. _ _. -----
-----
I;?
--- .---
;':'ZX?a?T',
-----
i'ZoXc?D ?
? oXZ = ?z?o
_..----
; ,
??.__=
_
ZZ ?X I ZZ, O
. .
, ---?-
:, ----
- --
„
,
? -
i? ----- -
nX?--
- ? -
----
i;
,
_ . ---
,
._-----
_-------
„
_.._-----
-----
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_..Arr-w
Y
YY1._
..._ _...
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-- -- -- -- _ ------- --------
-_.. ._.---
.
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4IALL '
SECTION
STUD
SEC'f ION
2fl1T'p]kLtr-
SEC?ION.
R1M
JOIST
AN
l?L?rVll
YALUE
Inalde atr Eilm .68
0441
Interiot wall '
I??D
Insula[ion
7irD(J?
Sheathl.ng
Stding
Ou[atde alr film .17
R TOTAL Z• ?'? n ?'
Instde.atr film
Interior aall
4" stud
Siieath irtg
Siding
Outside air film
R TOTAL
U VALUE
(Wall) U . R :
? .68
R= -4:38(n,5'0 (Ftaming) U. R ?
? G. Clr?
. l 7 ---
1f),`.J b
Inelde air film R' .68
Intetlor wall
Ineuiation
.Sheathtng - '?
_,?xteeior waL)`covertng
Exterior air f11m---R'? .17
R TOTAL
lnterlor air fllm R= .68
lnsulat[on 19 1?
(Y7a11. ) U ° R ?
z
,
l? tnch soft wood R=1.68 (Rim U
Jo1st) "
Sheathing Z?ClO
Exterior wall coveting ?(efl
Exterlor air film R= .17 •
R TOTAI, E4 1 ?ty
Interlor air film R= .68 ,
(Insula:ior) FIM(au),!• 1'),00
,
.-€?dt,ddg; Ava G,04' (Fdn.) U
, L:f ExLe,rior e(r filn R= .17
F TOfAL CiI ?U?
--Exposed Sluck
{
l
? I PV ?
f,rade "s.
/ CEILING WITH VEhITED ATTIC SPACE ABOVE
R 'IALUE TTkUE
,'` • , • - FRAMING CEILING
? 0.61 Air Film 0.61 '
D Insulation
Joist
I S?P Ceiling
?
:
. .
0.61
?-1z1((D
Air Film 0.61
Total R
1
u = k . .
FLA7 ROOF OR CATHEDRAL CEILIN6
R Va ue R `JALUE
FRAt•iIPIG CEIL1tiG
0.6)
0.17
Inslde a1r f11m 0.61
Ceiling
Joist {stu
lnsulation
Air space
Roof decking '
Insulation
;
Built-up roof ?
Outside air film 0.17 ?
Total R '
R - u -
Jindow infiltration .5 cfm/lineal foot of crack
sesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement .
Von-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concrete block no insulatlon = .47 R 2.1
)y 12" concrete block insulated cores = :26 R 3.8
1b 12" ligiitweigfit block = ,32 R 3.1
16 12" lighttieight block insulated cores =.12 R 8.3
J single glass = 1.13; with storm taindow .54
1 double glass = .55
J triple glass = .41
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
:apor barrier mu5t be on the inside (heated side) of viall.
iapor barriers of the polyethelene thin film have no R value. '
4.
s ? S 33 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAPI
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Conatructbn Beaulrements
• 3 regWereC stle surveys showing sq. ft ot IM, sq. ft. of house; ane gll rooted areas
(20% meximum bt coverflge allowed)
. 2 coples of Dlan showing beam 6 window sizes; poured found design, etc.)
. 1 set ot Energy CaCulations
• 3 copies of Tree Preservatbn Plen 81ot pleried aNer 711193
• Rlm,bisiDeteilOpibnsSBlactionshcet(Dldg5wBh3orlessuntts)
SITE ADDRESS
TYPE OF WOR
FIREPLACE(S) _ 0 _ 1 _ 2
TELEPHO?I ^0?C) CELL PHONE # l?D?IJ ? FAX #? f/7(?7 dz)?l Z
r ?5-7 - G
PROPERNOWNER ? TELEPHONE# ?d d?ypa l3d
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULBS 7670 CA'I'EGORY 1 MINNFS07:9 RUI.FS 7672
(J submission lype) . Residential Ventilation Category 1 Worksheet Submkted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor: ___
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Conhactor:
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that the
with all applicable StaTe of Minnesota Statutes and Ciiy of Eagan Ord
Signafure of Applicant
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
MULTI-FAMILY BLDG _Y
BemadeVlieoeir BeaulremaMe
. 2 copies ot plan
. 7 set of Energy Cekuletions lor heated addilbns
. 1 site survey tor exlerior addftions & tlecks
• Indicate B home served by sePtic system for adtlilions
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee:, $7?0.00,._.
,C?IJT C? ?
Phone # E f? I 0402 is
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
d
DATE VAWATION -/n. d Uv , ?
PERMIT
?jCITY OF EAGAN
_ ?3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
P.I.N.: 10-17800-030-02
4572 CLYFF RIqGE CT
LOT: 3 BLOCK: 2
CLIFF RIDGE
DESCRIPTION:
-.,?& FIREPLACE
Ic?"i(irq Permit Type
lcl,frtg ldN,rk Type
BA3EMENT FINISH
ALTERATION
??6' L•
BUIIDING?
020967
05/21/93
-? ?'??vUR
REMARKS:
SEPARATE PLUPIBING & ELECTRICAL PERMITS REQUIRED
FEE SUMMARIR
Base Fee $35.00 COPY $.50
5urcharge $.50 Total Fee $36.00
5ubtotal $35.50
,
CONTRACTOR:
OWNER: - APPlicant -
BRYANT MARY K
4572 CIIFF RIOQE CT
EAGAN MN
(612)668-8130
I heraby acknowledge that' T ftavio rsad th3a 8pp33eatiun ancl state tfrot t'he ?
infarm,ation is correati and egree 'Ca cnriipiy uith a11 aPplicable 5tato tlf pYtti,
5tetutes and CIty of £agan Ard3nattces, ;
APPLICANT/PERMITEE SIGNATURE SSUE B: SI URE
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 020967
Eagan, Minnesota 55123 Date Issued: 05 J21 /93
(612) 681-4675
SITE ADDRESS: Lor : s e Lo c K: z APPLICANT:
4572 CLIFF RIDGE CT BRYANT MARY K
CLIFF RIDGE (612) 688-8130
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERA7ION
DESCRIPTION & FIREPLACE
INSPECTION
FOOTING ., .
FRAMING .A
FINAL FIREPLACE
REMARKS: SEPARATE PIUMBING & ELECTRICAL PERMITS REQUZRED
F - ?
L
. _J
RyAt;*iyATE _ CITY OF EAGAN ?? 6 0?_
PErmtIi # . 1993 BUILDING PERMIT APPLICA ?CMVJED
681-4675
1 MAY 14 1993
u
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy o 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 1s changed or 3) lot change is requested once permit
is issued.
Date /93 Valuation of work
Site Address: 1(??Oae Gf ?r?aan M,?
SiREET SUITE N
Tenant Name: (cammercial only)
IAT BIACK ? SIISD. ?.C
(/ 0 P.I.D. M,
Descri tion of work:
The applicant is: 0 Owner ? C ntractor ? Other (Deseribe)
ti k /'? v Phone P/3O
Br H a?d' /a
Name
Property _
c
L.ST F St
Owner qddress ?s 7.2-
STREET STE M
City (fa ?4n State /m? Zip SS/?
Company Io, Wi Il b-e_ dob, aGl f4c. u/one
ie?p/4Lt
Contra ctor Address Licenst # Exp.
City ? State ? Zip
Company _ Phore
Architect/
Engineer Name Registra4ion #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been aWproved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
O 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
0 15 Deck
WORK TYPE
pk 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
,U 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
-
Length On-site well Census Code ZF3
q
Depth On-site sewage S?ebla ?
APPROVALS ?r u.n gt ?-
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS AL.Sa FiR.c-pL,e„Q.E
O Site 0 Footing ,.M Framing ? Insulation
? Wallboard PYFinal ? Draintile /1X Fireplace
Permit Fee 35, oo v.i„acion: g
Surcharge
Plan Review
License
Mwcc sac
c; cy sac
Yater Conn.
water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies , So
Other
Total:
SAC %
SAC Units •
? -
. CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDIPVG/ "
028883
09/24/96
SITE ADDRESS:
p.I.N.: 10-17800-150-02
4572 OAK CWASE WAY
LOT: 15 BLOCK: 2
CLIFF RIDGE
DESCRIPTION:
(DETACHED)
&uildiilg,.'Permit Type GARAGE/ACCESSORY
Building 0drk 7ype NEW
Census,Code 436 ALT. GARAOE
r
,F
_ s
rY r
`'?i `r?. ' .. •li.?l_ ? ??D "
•-0,:
?? ? 4 .? •
? r ( "A } ' _'13 a ? .' ? ^ 3 ( j ;ci ( w ? R 1
l1 ._.1
REMARKS:
A SEPARATE PERhIIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $7,000
Base Fee $124.75
Surcharge $3.50
7ota1 Fee $128.25
CONTRACTOR: OWNER: - Applicant -
DIDIER TWOMAS
4572 OAK CHASE WAY
EAGAN MN 55123
, (612)681-5744
I herebyacknowledge that,I have rea?d this applicatiQn end eCate that the
information'is'correct and agre'e to .aomply with al'1 appYicable State of Mn:
Btatutes and Cit ,f EagaKl Qrdinances..-
?
AP L CANT/PERMITEE SIGNATURE -TSUED B SI(3WA UR I??-1
CITY QF EACAN 3830 PILOT KNOB F2D - 55122 ? 1:- ?• ?
liss 1996 BUILDING PE.RMIT APPUCATION (RESIDENTIAL) ? _?
s 681-46T5
New Gonslmciion Reoulrements . RemodeLnteoair ReeufremeMs
? 3 repktered site aurveye ? 2 copfes oT plan
? 2 eopies o? plana (mdude beam 3 window sass; poured Ind. design; ete.) ? 2 site surveys (exterlor add8ions 6 deeks)
? 1 energy calCUlalions - ` ? 1 energy calculations for hqated additions
? 9 copiea M free presarvaHon plan N bt platted afler 7/1N3
requircd: _Yea _ No
DATE: / /S l ? CONSTRUCTION COST: ?l .? ?,
DESCRIPTION OF WORK:
STRF.?T ADDRESS:
Lv /5 3L=:
uv......? ...c+. ..
PROPERTY
OWNER
CONTRACTOR
Street
?..,
City: _
Phone #: 0 o n 0 1 1 i
....q r? /
"a
State: IJA Zip:
Company: Sce4'k 0 ' Phone #:
Street Address:
City: State:
ARCHITECTI Company:
ENGINEER
Name:
aireei Acioietis
City:
Sewer 8 water licensed plumber.
change are requested once permN is issued.
State:
Zip•
Penalty appiies when address change and lot
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes No
Tree Preservation Plan Received Yes No
RECENEDD
sEP 19 1996
License #:
Zip•
Phone #-
Registration M
OFFICE USE ONLY
BUILDfNG PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling a 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
n 05 SF Misc. 0 10 = plex
WORK TYPE
p/'37 New o 33 Alterations
0 32 Addition o 34 Repair
?±??ICL' !11 ILl CAD?II A TIAI.1
Consl (Adual)
(Allowabie)
UBC Occupancy
Zoning
# af SFories
Length
Depth
APPROVALS
Planning
a 11 Apt./Lodging ?
0 12 Multi Repair/Rem. o
)2' 13 Garage/Accessory ?
0 14 Fireplace o
0 15 Oeck
a 36 Move
0 37 Demolition
s r?
,t_! ,+ •? ?'?"?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding PkAs
MC/WS System ?
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ti3
SAC Code ni
Census Bidg ?
Census Unit ?
Engineering Variance
Permit Fee Valuation:
Surcharge
Pian Review ?
License
?-
MCNVS SAC 2o x Z4
r;r., cnc
.., .._
Water Conn.
Water Meter
Acet. Deposit
S1W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
s 7,
4I$O If]4!4 = G'JZD.r
°k SAC
SAC Units
•First Security
File No. 01736
Proparty Address: 4572 OAKCHASE WAY, EAGAN
,Buyer: DIDIER
Legal: LOT 15, BL.OCK 2, CLIFF RIDGE
PLAT DRAWING
Insp. Date: 2/5/96 Insp. By: PCT
This Plat Drawinp is not IntenAed to be used aa a survey and should not be relietl upon as sueh.
The lot Elmensione are taken trom [he recorded plat or the county recorda and are
aesumed to be accurete. The IOCation of the improvemente shown on this drawinp are
approximate and are hased upon a visual inspectian of the premises. A licensed
surveyor shoulE Ge contaetad if an accurate survey is tlesfred. Thls plat Erawinp
tloes not constitute a IlaDlllty ofthe company anC is Intentletl for use by the campany anly.
DraN?p?
?M
unwy
Eu?w?ntt
/
<V
/
I
i O
_
a4 N
A?ro o
I N
? 75.487 -
20'
66.85'
N
ONE I
STORY
FRAME
..,, WALKOUT
vi
11
L?
10'
DOUBLE
GARAGE
N
1
1" = 30'
OAKCHASE WAY
4?/714) zl
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
- 2 SETS OF PLAN
-? REGISTERE? SITE SURVEYS-
Ti9NS
MULTIPLE DWELLINGS
USE ONLY
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE lTNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Dx? Valuation: #
Site Address 9s12 Cli'ff ?idqR COI??'-t'
Lot .3 Elock Z
Parcel/Sub C,?I{'f
Owner JQNAOS MGYL 'f AAQVU KG.(4 gfUQI+I"I
Address
City/Zip Code ?q,y? ? AMJ '5S123
Phone (AS- p ( 7:?o
Contractor ??T ' st
Address
City/Zip Code
Phone
Arch./Engr. _ ?1? '?
Address
City/Zip Code
Phone #
COMMERCIAL
qlqo
FEES
Occupancy
Zoning
Actual Const Bldg. Permit
Allowable Surcharge
# of stories Plan Review
Length )Z x ZI SAC, City
Depth Se SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty ,I"
Planner TOTAL A11t:
Council
Bldg. Off
Variance
CERT/f/CATE Af' S7A'PYEI'
' Scale: 1" = 30'
I .
,:_,!?_
I ? ?b?l•l
o I\ 5 ?j•S .
M ? `7z 83 p" ? 30
25
`t ? ?• ti --
m
N S??Q 9z?? /
0 W W ?? ?SV ?2 ?'?3 ,?, 'y •W ?
I ? ' ? ? +? ? y / `9?n V
4gpPoSE
m ? t?9i %9
io -7? f3 rv ?zso ??"`? Q'
?
o oN
? / ? 1 3 O
'
I i` ' 8!0 • I ? o` l? h y) ?L
' 0 45 ? 3Z E N '? ?" 4
u
--? ? 25
DESCRIPTION
/ MEREBY CERTIfY TNAr fN/S S/A9VEY, PLAN A4 RfPGMT Lot , Block Z,
lYAS PREPAREO SY ME Gi UNGER MY OJRfCT 3YA?ERVI,f/qM C L I F?I DGE
AND T7MATlAM A OtKI'I9E1?ISTfREO LANO XV4Yl1'GN Dakota Countv. hlinnesota
N
PLEASE COMPLETE FOR SIlVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
NO.
FIXTURES
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - t
ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • neiLcy. rc.
U.G. SPRINKLER • 6ome under mnst.
ALTERATIONS • to austing
WATER TURN AROUND
SHOWER
WATER CLOSET
BATH VAT RY
LA ?sfv\?
KTTCHEN SINK
LAUNDRY TRAY ?
HOT TUB/SPA
STATE SURCHARGE
STTE ADD]
OWNER N.
WSTALLE.
ADDRESS:
q37F,2, ?CH TOTAL
TOTAL:
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
? s. sv
STATE: /UA? ZIP CODE: 5 S?°z 3
PHONE #: ({, id ) b Vfi- F13 t)
Gfa/ ?dZJ'Y"' f
SIGNATU F P RMITTEE
1993 PLUMBING PERNIIT (RESIDEIVI'IAL) ,
C1TY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
3 CITY USE ONLY
2-
?I t''? i r h?
sueo. ?. i Ari
J
RECEIPT li:
?3 Dv?/3
RECEIPT DATE: l? ? 15r" 00
PERMIT# ?1-3071
8000 PLUM$INfi PEiM1T (ftUIDENTlA1-)
crrYog r.AsRx
3$30 PILOT KNOS iiD
fasntv, Mrt ssisa
651-6e1-4675
Please comple[e for: D single family dwellings
? townhomes and condos when permits are required for each uni[
? backflow preventer for underground sprinkler system
rwtl Iocc FACH
#
TOTAL
r?AI VnLJ
Alterations to existing dwelling - minimum fee
Describe:
30.00
I
Bath tub $ 3.00 x = $ ?
Floor drain 3.00 x = $
Gas i in OUtlet ' minimum -1 3.00 X =
= $
$
Hot tubls a 3.00 x
Kitchen sink 3.00 x = $ ?
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tIC $ StQfil newlrefur6lshed ' requires MPC lic. 75.00 X = $
Se tic S stem abandonment 30.00 x = $ ?
RpZ new installatioNrepaidrebuim 30.00 x = $ ?
Rou h o enin 1.50 x =
= $
$
Shower 3.00 x = $
Under round s rinkler if dwelling Is under construc6on 3.00 x = $ ?
Under round s rinkler if exisun dwelling 30.00 x = $ ?
Watercloset 3.00 x
Waterheater 3.00 x = $
W ater softener if dwemng unaer eonsvuaion 5.00 x = $
Water softener if existin dwelling 30.00 x = $
Watertumaround 30.00 x
>
> $
50
$
State Surchar e .50 --> ---- ---- .
Total __> _> ---> ---> S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- ._..........._.......-•--•- ---- --------------------
-
•ble City of Eagan ordinances.
-applita-
-----------------------•---------------.......•---.
- is correct, and agree to comply_with -all-
-
-
-
-
-
-
-
-that-llie-infortnation_
-plicaUon,-state-
- that-
- I-have-read -
- this ap-
I -hereby- -
-adcnowledge-
I[ is the applicant's responsibility to notity the property owner ihat the Ciry of Eagan assumes na liabiliry for any damages caused by the City during its nortnal
operational and maintenance aclivities to the facifities constructed untler lhis pertnit within City propertylrightof-wayleasement.
SITE ADDRESS: 1 - - --
OWNER NAME: TELEPHONE #: l?S??_) Q
.?
INSTALLER NAME:
TELEPHONE #: ? 5 f" 7 ?,;, )J LL
(AREA CODE)
STREET ADDRESS: L-I
CITY: ?td a n STATE: ZIP:
IGNATURE F PERMITTEE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PiLOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon Reauiremenls
• 3 regislered site surveys sfwwing sq. fl. of lol, sq. ft. of house; anE all roofed areas
(20%mauimum lat coverage allowed)
• 2 copies of plan showing beam 8 wi'Mow sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 wpies of Tree Preservafion Plan A lot platted after 711193
• Rim Joist Detail Optians selection sheet (bldgs with 3 or less units)
FIREPLACE(S) _ 0 _ 1 _ 2
DATE ::L n c I!f t ;'2 CDO a VALUATION
SITE ADDRESS "7S7o1 C'?i??l' ll?f9?_ ??'f MULTI-PAMILY BLDG _Y XN
?
TYPE OF WOR
APPLICANT
STREET ADDRESS
TELEPHONE 4(L5'1 ) bD'-R3dCELL PHONE #
RemodellReoair ReuuiremeMS
• 2 copies ot plan
• t sel of Energy Calculations for healed additions
• t site suney for exterior additions & decks
• Inditate if home served hy septic system for addifions
irr
?-- YV?? ??
_'#q1ZIP
PROPERTY OWNER &t<t ecl I/ (4,-,r?l TELEPHONE #
--------------------------------- -------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ yIVNESO"1':\ RUI.ES 7670 CA"CLGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilatlon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Vlcchanic:il system includcs:
Sewer/Water Contractor.
_ Air Conditioning
EIeat Recovery System
Fee: $90.00
I'ee: $70.00
D ? Z R ? T T
Phone #
? i n gnn?-
---------------------------------------- ? ? ? Y . ....
I hereby acknowledge that I have read this application, state ihat the information is ?ect, and <
with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. ----°'-'--
Signature of Applicant
...----°.....___------------------°-------........._...--- -----°---'--°----°°--------°------_..-----------......
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
Water Heater
No. of Baths
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Phone #
? FAX #
Updated 4/02
OFFICE U5E ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 31 New
,* 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-piex O 16 Fireplace
? 09 07-plex X 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 72 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - MuIU
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Daors
"Demolition (Entire Bldg only) • Give PCA handout to appllcant
Valuation -3?16YJ Occupancy R-3 MC/ES System ---
Census Code y? Zoning ?-? City Water -
SAC Units Stories / Booster Pump
Nbr. of Units Sq. Ft. PRV -
Nbr. of Bldgs Length Fire Sprinklered
Type of Const .f+J_ Width /17 ,
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaVNo C.O.
? Footings (addition) Plumbing
? Founda[ion HVAC
_ Drain Tile Other
Roof _ Ice & Water
? Framing Final Pool Ftgs Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test
_ Final Siding Stucco Stone
Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
--------------------/??
? ----------------- -- -
Building Inspector
??7 ?? ?
17
cERrificarE OF S&ffffr
5 73,
_, >>S?
Scale: 1" = 30'
?
tiwV?
1
3
?
m
T
0
0
D
2
6ob21
?-,.
J W
I ? W
w
w
Q
z
a
m K
lo
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?
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.? 3 0 E
/ ricILI , ...;
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be a?,t ? J?,
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3 r;?a,'+'?.•?c_92? ?-'
? ?.9ai3
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I 4y 1
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?
y I
rm ?
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? '?- ? ?O•o? N
I 9
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S 3zE ??'9b?, _???
0p
DGSCRIPTION"';'';;?:;;.:,
- ?
/ NERfBY CfRT/fY i'7lAT TlNS SLRVFY PLAX Qq R£PmT
wAa AvrpAm sr ar oR uNom dr wRter svorAn.uaw
AND 7NAT J AN A O(lf.Y REY'./fTEREG LANO SWWYqq
UYQER THE iAM'S QR' TN[ STATE Qr M/NALUOTA.
Lot 3 , Block
C I.. I FT-.?t I D(7
llakota Covnty, 11innesota
Plat 6eaxinp.,s shown
o Denotes iron inonument
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
7%7o CD ?
New ConsW dion Reauirements RemodeVReoair Reauirements Office'`Use Onlv
3 regislered sde surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan CerLVf Suweg;Recd - Y ,N
(20%maximumbtcoverageallowed) lsetofEnergyCalculalionsforheatedaddNOns TT?#'eSPid(IR9cG'Y '"N;
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey br add'rfions 8 decks Ttee Pres Requlre d _Y =?J,
lsetofEnergyCakulations Addition-indicafetlon-sitesepfksystem On?iCe,§eptic6ystemY,A1J,
3 copies of Tree Preservation Plan if bt pWtted afler 7/1193
Rim Joist Detail Options selection sheat (bldgs wifh 3 or less un'As
Date 9 / mQQ /? Construction Cost CJ !2
Site Address ysfi a l. «'fT ?? ?t • Unit/Ste #
Description of Work %W`W_Q F? lJU ??L?uJS CJJ? 1( l ? K?ST'fb??RM?
Multi-Family Bldg _ Y%, N Firepiace(s) _ 0 2
t
Property Owner ?10.C ?C, ?
y Q`R?- 3
Telephone #((QS I) LD
Contractor RENEWAL BY ANDERSEN
1920 COUIVTY ROAD "C" WEST
Address ROSEVILLE, MN 55113 - City
State 651-264-4777 lephone #( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VenNatlon Calegory 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
feeapplies.
Licensed Piumber J? Telephone #( )
Mechanical Contractor Telephone # (
?J
Sewer/Water Contractor Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
a?2e?t?Sor /?1?.? O?n'?'???
Applicant's Printed Name Applicant's Signature
•...ve.cv-.?. iuv tG.uu Cti6 IOJ U11 4400 1(C[VI:ITA14
$S°dLYI/13L471$1Y • .
re ai .
'?.
rune t 2ooy City
3836 Rilcrt &tob Road •
Eagan, MN 55122 To Whom It May conoern:
Eider Jones is authodzed to putl buiIdiag pemits Por Renewal by Aadeism Piease atIow
dabe bcyond 6/6J0 1?q? scrvicc for us in Eagen, `1Tiin eutharizetibn is valid for sny
to t?e Ciry_ ' ?'anowal by Andmen manaor exunstq revokes tt ta vntnng
I rcqueat this autliorization be acccPted' expedi@ously. as oo
ovr baildin uot de[ay in che proecasing aP
g Pcanib any fnrthcr_ Picase caIl mc If thcic arc anp qncscEone.. I can bo
r contacbed at 763-502-4746_ .
Your imm9diaGe aicntion to $?Is matter is ednr-erPA. ° ..' :
sin&ykely>
KS d R Rau
on ivtanagcr
Ranowg?[ bY Andasca Comoration
C:c.: TCsrrn-F1dx.Tnnea
MWY Mi?
,
WUU]
Received Time Jun. 1. I:01Pld
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single family dwellings & mwnhomes/wndos when permits aze requircd for each uni[
?? 50
Date Z3
SiteAddress 9P.s7X CA7^y- /7?vc? !??4 Unit#
Property Owner Telephone # ( &5/ ) 6 $7?' ?f .3 O
Contractor
Street Address
.CJ(,? /?s'7$' ?? /!?,
/ e, LAli Ga i?t? ?f'(lf.. S. City
State Zip S3 3 3 7 Telephone ti ( 95-1) 7?(. -SLt7 0
Bond #: ! 3 y/2.4.) y Expires: ? LN v•?
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
' air excha nger
? aircondit ioner _New g Replacement
other
State Surcharge
? ?
/,- $ .50
Total . `i
?
$ -3 O. -5"-.0
I hereby apply For a Aesidentia] Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but onty an application for a permit, and work is not to start without a permiT, that the work will be in accordance with the
approv8d plan in the c se of work which requires a review and approval of plans.
l?A-Y +??na?.-, ? !?-
Applic?ted Name ApplicaDdY Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119178
Date Issued:11/18/2013
Permit Category:ePermit
Site Address: 4572 Cliff Ridge Ct
Lot:3 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
James M Bryant
4572 Cliff Ridge Ct
Eagan MN 55123
(651) 688-8130
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119521
Date Issued:12/03/2013
Permit Category:ePermit
Site Address: 4572 Cliff Ridge Ct
Lot:3 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
James M Bryant
4572 Cliff Ridge Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
!AN 12 2014
Use BLUE or BLACK Ink
For Office Use
i 'd 030D -
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: n9 ,. <. l/ Phone:
Address / City / Zip: 7 r) F F t d C C' otdiv- f"
Applicant is: Owner Contractor
Description of work:
Construction Cost: f Multi -Family Building: (Yes — / No
) -)`Lfl 'b- C/+. _ z�G",ic
Companyi Lt9�
Ce.; 3 --ice' m Contact:
Address: 5 4/ n a.- _
State: 14/11)Zip: ) Phone: 6/
License #: —" ) 2
Lead Certificate #:
if the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
)
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:
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
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 wItybc nnesota State Building Code must be completed within 180
days of
permit Issuance.
Y p
x .. n /e ! 01, fair k
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
CHIck
DONOTNOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
dt_ Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Ar Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%.,Z
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
Atlif
/
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
0 Framing
Fireplace: Rough In Air Test Final
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
87
TOTAL
-
TOTAL
Siding
Reroof
Windows
EgressWindow
- 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
2Re -2
Am?
tur
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
.714 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
Erosion Control
Other:
Building Inspector
,ZaA/40-4)-
Page 2 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use /�
Permit #: (Zt)�o2-
Permit Fee:��
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2 7"/4/ Site Address: 7 S 7? C/i.Tt' eei.c a C74.
Tenant:/ 7#V 1'c peed 1.(fr &" alt r Suite #:
Name: /'file k A4.1 49y64 Phone:
Address / City / Zip: VS 72 0/44
-{
Resident/Owner
Contractor
Type of Work
Name: O r,/ `S /a/fthr W _RG
Address: V/57,Z L/(Q
SA.J, 4Q
64. 63wr
State: /2/4/ Zip: 5-5376
Phone:
Contact: /p4 ALIS Zebd'Ves Email:
Permit Type
License #: P/1d (3,2,A3
City: `14.c(44 (
t‘42) s?-; '9
New _ Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
O
Description of work: /C a mdd2L /t(!$141 ,i ,eit
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. can 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.org
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 1 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.
viq Wong F +eAlis Zszwish('
Applicant's Printed Name
x
Applicant's nature
C.()
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
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