1825 Cliff RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1825 Cliff Rd
Lot: 2 Block: 1 Addition: Clearview 2nd
PID:10- 17751- 020 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Total:
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
ME - Permit Fee (Replacements)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Bradley Jones
1825 Cliff Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA082770
04/29/2008
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 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
h all applicable State
Issued By: Signature
ñ ø
þ
ý
þýý üû û ú
ùýý úÿ ø
ñ
ôë
ö
ÿ
þý÷
üûúùø
÷
ô
ô
÷ ôùø
ó
ö
÷
ô
ô
ã
ôüØ
ã
ôùø
ã
ûé
ûô
ü
ô
óû
ú
ò
óû
ú
üØ
ý
ùç úù
Û
ôé
ë
ü
ã
ø ýãóðä
ô
í
æêäêðä
öù
üûô
ô
íè
æê ê
õøôø
÷ óò
øø
ó ôú
û
úô
ùâ
Û
ôé
ë
äñééò
ã
þ
ãó
ÝßÜäð
ô
úù
ö
ë
ô
øø
é ô
ôô
ô
øùö
øø
ú
ü
éã
ü
û
ñ ù éþ
ìô
ê
øø
õ
ô
ü
ûô
û
ù ü
ûô
i
cinr oF EAGaN
3795 Pilot Knob Road Eagan, MN 55122 N2 6635
PHOHE: 454-8100
BUILDING P ERMIT Receipt #
Te bs assd for Est. Vulue Dote , 19
$ite Address Erect p Occupancy
Lot Bloc k Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Name t?'`t ?•? G Move ? # Stories
;
b Address
r:... "
? "7U3
? Demolish ?
Grade ? Front
Depth ft.
ft.
0: Name _
0
81 Address
Nome _
Address
Water & Sew.
Police
Fire
Eng.
Plpnner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I hmre reud this application ond state that Bldg. Off.
the intormation is oorrect and agree to comply with all applicobie APC Totol
State of Minnesota Statutes and City of Eagan Ordinances.
Siflnature of Permittee
A Building Permit is issued to: on the express conditiorr thet
oll work shall be done in accordance with all applicable State of Minnesoto Stotutes ond Gty of Eagnn Ordinances.
Building Official
PMwk # DaN heoW hnnktN
Plumbing ;2 qS 30 - &- / ?
Mechanical 9(p Q P .?, y, - ? C-°C
?k T- kc 7 o& a
INSPEGTIONS DATE INSP. Rouyh-In Finol
Footings Date Insp. Dote Irup.
Foundotion Plumbing Ce)
Mechonlcal _,?!_ c•
Final
-`
T
Remorks: •
5/?c /?? ? ?:(J V ?' ?iYt.O''ii?trC ? ` liSf}?L??W3? " U•..:+
9^?/-Fa
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fes O el)
Fill in numbered spaces S/C I S-C-1
-
Type or Prini legrbly 0b
Tat :5
D
I
ll
i
C ? `C
ate 2.
nsta
on
ost
1.
at
3, Job Address Lot ? ?QCVI Gc1
Blk. ` Tract ?
4. Owner
5. Cflntractor lJX!j 4A Phone
6. Address ??n ?, A1/?? c Sd ?
7. CitY ? C%? State A +" Zip c55*'2 3
8. Building Type: Residential 4 Commercial ? Institutional ?
9. Work Description: New IR Add ? Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
t Bath tubs Septic Tank
Lavatory Softner
? Shower Well
Kitchen 5ink
= Urinal/Bidet
Laundry Tray Other
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
aJtS UYIF?
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
-This is your pa-'c-?+?.rmit ,,he num ered and approved.
' Approved - C1TY OF EAGAN 454-8100
CORRECTION NOTICE
Address / ;?'?
Owner/Agent
DATE: !7"- go - F?P-
Site Name
Telephone rg/ ,2b 3 6
For reinspection
Eagan Dept. of Inspection Inspector:
3795 Piloi Knob Rd.
Eagan, Minnesota 55122
454-87 00 Dept.: ?
Receipt MECHANICAL PERMIT Permit Na
CITY OF EAGAN Fee +
Fil1 in numbered spaces S/C
Type or Print legibty Tot. '
1. Date 2. Installation Cost
r !
3. Job Address Lot " Blk. Tract I
4. Owner
5. Gontractor f
6. Address
7. City
ZiP .?
8, Building Type: Residential O Commercial O Institutional ?
9. Work Description: New 0 Add ? Alier ? Repair ?
10. Qescribe Fusl Type
11.
No. Eouinment STU - M. Ea.
Forced Air No. Equipment CFM
Air H
:
dli
Mfg. an
ng
Boiters ,
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date lnsp. Date 1nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Phone
1J
State `
CITY OF EAGAN
Addition
1825 Cliff Road
state Eagan, D9V 55122
-/'"./,G?. -Z? . _ 1,?7h A.?4/2 A
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
* STREET RESTOR. 1980
GRADING
SAN SEW TRUNK -
.
* SEWER LATERAL 1980 4?t?j.$2 Z(9.40 15 10-15-79
* WATERLATERAL 19$0
WATER AREA ? ,
STORM SEW TRK
* STORM SEW LAT 1980
* service 1980
CURB & GUTTER
SIOEWALK
STREET LIGHT
Road Unit 185.00 24456
WATER CONN. 335.00 24456 5-1-81
BUILDING PER.
SAC
PAR K
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 4' ?? •?,.
Eagan, Minnesota 55123 Date Issued: ?? >: ; ;,, . • : ? ?1
(612) 681-4675
SITE ADDRESS: APPLICANT:
?>;.. ? i ? ? f i, ?? r? ? ? t ?,?t ? i i t? ?????:?, i r?i??s??•.,atr? ?
F;?r"; I i ij , rJl? ( fr l.-') i4y4 4N 14
PERMIT SUBTYPE:
1,. 1,
t 1 N li :i
TYPE OF WORK:
t 1 lVA)
Permit No. Permit Hoider Date Telephone #
S/W
PLUM8ING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. /
?V
Deck Final l?yL/
Well
Pr. Disp.
?
f
. /
1/^ CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
, BUILDING PERNiIT APPLICATIdN 1 set of energy calculations.
Be Used For Valuation
vt??l ?,A -
Address: ?
Tb
Site
Lot c>? Block Z_ Sec./Sub. t-)
Parcel # : /4 I 77-'/
Owrier:
Adciress : -
City/Zip Oocie:
dVv- Date JCP r
a ?
OFFICE USE ONII.,Y
Erect occupancy -
Alter zonin9
R,egair Fire Zone
Enlarge 'Iype of Const.
Mcyve # StAries ?Demolish Front ft.
Grade Depth ft.
Phone # APPFtOVAIS FEES
Contra+ctor: ??fj1?? Assessments ai? ? O/ Pexmit
Address: Water/Sewer Surcharge
Polioe Plan CheeJc
_-
City/ZiP C.ode: Fire SAC
Phone # : En5 • Water Conn.
Plamer Water Meter
Arch. /IDL?. : Council Raad Unit
Bldg. Off.
Address: P,PC
City/Zip Code:
Phor,e #: TarAL ,
PERMIT NO.:
DATE:
No. of Units:
Address: _
Site Address:
Plumber. -
1 agree to aomply with fhe City of Eogan Connection Charge:
Oedinanees. Acrnunt Deposit:
Permit Fee;
Surcharge:
BY Misc. Charges:
Date of Insp.: Total;
Insp.: Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Roed PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Uvner:
Address:
Site Address:
Plumber:
Meter No.: . Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
1 ag?ae !o eomolr with tha City of Eogon Surcharge:
Ordinanoes. Misc. Charges:
Total:
By Dcte Paid:
Date of Insp.: ?nsp :
gjl°? La? 3!, ClFatv???
This request void ? (p 3
l R monttis from 40624
D at e of this Re quest ?? v/ Fire No. ?
l, as RLicensed Electrical Contractor ? Owner, do hereby request inspection o f t he a bove e lec tri-
cal wiring installed at :
Street Address or Roi
Section Tow
Which is occupied by
Is a roughin inspection re ired on this job? No ? Yes 01-'
?
Power Supplier ?'??'d7
y ;
Electrical Contracto r n+?; ?49;#? ?` •???'
Now LJ
will (;au lil/
I:?cefie No.
Mailing Address ?ii3?
?G _-? ??'-'- • - ?- - - - - ; -
t is Installatlon)
AR
Authorized Signature Phone No.
(Elactrical Contractor or Owner Making This Installation) A 2. 15,0
STATE BOARD COPY TMis inspection request wil not be accepted by the
State Board unless praper inspection fee is enclased.
Minnesota State Board of Electricity Eg_Op001-02
Griggs Midway Bldg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 .?(p 3-7 r
R.EQUEST FOR ELECTRICAL INSPECTION T 40624
COVERED BY THIS REQUEST
CHECK BELOW WO
Type of Building New Add. Rep. Check Appliancea W'ved For Check Equipmen t Wired For
Home ? ? Range ?
? Temporary Wiring
Fixtures
Li
hti ?/
l
Duplex ? ? ? Water Heater g
ng Q
Apt. Bldg. ? ? ? Dryer ?,,_,/ Electric Neating
?
Commercial Bldg. ? ? ? Fumace L? Silo Unloader ?
Industrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank
List List
Faim ? ? ? others
? ?thers?
ete
Other
?
?
?
Here RK
TOTAL FEE
l, the Electrical Inspector,
(Rough-in)
(Final)
This request void
18 months from
?
I
?
I
CITY OF EAGAN
3795 Pilof Knob Read Eagaw, MN 55122 N! 6635
PHONE: 4548100
BUILDING PERMIT APPLICATION
this
to c
Site Address 1tiL5 cultt Erect gJ pocuponq R3
Lot 2 Block 1 Set/Sub. ?earview 2 ? Alter p Zonirg Rl
Purcel # 10 17751 020 01 Repoir ? Fire Zone
Enlarge ? Type of Const. Vn
W Name 'I'?10M RBdl? Move 0 # Stories
Z Addres
?
l s 9641 14th Ave S. Demolish ? Front 48 ft.
citv Mpls 55420 881-8979
pFx,,,P
Grode
? 25.5
Depth ft.
? Nome _
,o
?? Address
?- ?:...
I hereby acknowledge that I have 4
the lnformction is corred an a e
State of Minnesoto Statutes Ci
Signoture of Permittee
A Building Permit is issued to:
all work sholl be done in accordonce
Buildfng Official
4:}
?
F'
a
w
U
W
?
N
a
U
m
Z
N
? O LO
cc
Q
Q
W z ?
vi
Y W
O ? Z
O
2
°-
Lr) Z F
? Q
q °
co
w
V
b9
H
z
D
0
?
a
Receipt # o2 7` /7451A,
Asses^inA--jU^'8l Permit 148.00
Water & Sew. Surcharpe 27.50
Police
Fire Plan check 74 • 00
SAC 525.00
Eng. Woter Conn. 335. 00
Plonner Water Meter 60. 00
Council Road Unit 185• 00
Bldfl. Off.
APC Total 1,354.50
on the express condition tfiat
all applicab!vAtote of Mlnnesotn $tatutes nnd City of Eopan Ordinarices.
a
?
?
J
J
O
G
a
? Y
W
I
I U
u
O
I
a
u
?
?
0
IL
\
N. ?
?aa
aU
ap
?. .« C)
m a° m
a ? U.
0 Y
m?
\ ' (
n }
`?1 m
0
?
Y ?
C!s
?C
E"'r
?CiTY,OF EAGAN PERMIT
3830 Pilot Knob fioad
Eagan, Minnesota 55123
(612) 681-4675
cQo?3z
PERMITTYPE: BuzLozNG
Permit Number: 0 2 4 2 6 3
Date Issued: 0 8/ 0 2 J 9 4
SITE ADDRESS:
1825 CLIFF RD
LOT: 2 BLOCK: 1
CLEARVIEW 2N0
P.I.N.: 10-17751-020-01
DESCRIPTION:
Building--Permit Type DECK
Building Wo.rk Type NEW
i j
? -,
.
r
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.00
Surcharge $.50 Total Fee $31.50
Subtotal $30.50
CONTRACTOR: - Applicant - s7. LIC. OWNER:
MIKE WALLIN HOME IMPROVMNT 18949034 0001605 JONES BRAD
12213 ALLEN DR 1825 CLIFF RD
BURNSVILLE MN 55337 EAGAN MN
(612) 894-9034 (612)452-4398
I hereby acknnwledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City o'f Eagan Ordinanoes.
?
APPLICANY ERMITEE I NA7UfiE
- ' IS EO BYISIGMTURE
?
I
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: aurLozNc
3830 Pilot Knob Road Permit Number: 024263
Eagan, Minnesota 55123 Date Issued: 0 8/ e 2/ 9 4
(612) 681-4675
SITEADDRESS: Lar: 2 BLOCK: 1 APPLICANT:
1825 CLIFF RD MIKE WALLIN HOME IMPROVMNT
CLEARVIEW 2N0 (612) 894-9034
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .. . .A
FOOTINGS FINAL
F ?
L . ?
CITY OF EAGAN
1984 BUILDING PERMIT APPUCATION
? 681-4675
rn
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
REC ???ED
COMMERCIAL 2 sets of architectural & structural plans, 1 set o
specifications, 1 copy of energy calcs. !??i 25 tq
,??
----- ---- ---
Penalty applies: 1) when permit is typed, but not picked up by last w
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: f 7_
STREET SUITE q
Tenant Name: (commercial only)
IAT BLOCK __?_ SVBD. P.I.D. #
Descri tion of work: PC?
The applicant is: ? Owner "?rContractor ? Other (Describe)
Name SG^ne.s Phone?s.?? - 5C'3`329
Property -
LasT FIRST
Owner
qddress ?e;? /-111
STREET STE #
City 45d44State /rle s Zip
?.)
Company , ,-A_ aAZIK ,a°ae_ _Li4>;r Phone OZ?erl
COf1t1'aCt01' Address/2;:Z A:3 &/Jz+n o! _ License #ao?//B€??? Exp.?
City _ a'cn-tv.rr, State o'r? _ Zip'_!?;Z4 "8 37
Company Phone
Architect/ .
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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 5tatutes and City of
Eagan Ordinances.
Signature of Applicant:
-& - • CERTIFICATE Of SURVEY '
? 1PLYM ?
.?y
r
?
LAND SURVEYORS ^
-??
.,?. -
---
?
'-i-
?:
i
I ,
. i I?.
I
-T-
i ? • ?
? I
? I
?? I I
,
i I
3 ??5
Zaye# R. eoutuaa. Pua.
8713 OUPONT AVENUE SOUTH
BLOOMINGTON,MINN. 55420
888 2084
.i:.% I?
,%977
<i
Elevations shown are on
? an assumed datum,
?
? .
Survey for:
THORP REALTY
0
I'
.?
`I DESCRIPTION:
Lot 2, Block 1,
CLEARVIEW N0. 2 ,
"h• i i ?r x°
,
,.
' ? ? 4?•? _ _ ,_.i ?'?/!?'
"
EI' io?/•, 4
Ef :?•.., f' " / , .
Propose? Grades;
,.
Top of Blocks
Basement floor pr °
c?:i?'.?y. • ----? - -._<- ,?.: -_,- -4'? ,
Ii% ,S
Garage floor
y? . •? . ,... ? _---
p r f f? 1; rE" i r:.'
We hereby certify that this is a truB and corTpct xepresentation of a sirrvey of the
boundaries of the lanq ahove described and of the location of all Uuildings, if any, tliereon
_ and ali visible encroachments, if any, from or on said . Dated this 28tll day
of nprit , 1981
;y
. ? M' e ota Registration No. 9u18
.
_.__.
CERTIFICATE OF SURVEY
? ?RLSOX WC ,
?RtS?
' LANDSURVEYORS ? O Y f i'7
; ?' -%-j.:.-??' _ _.-•?, i !
{
i ;
i?
? I
?
s ;
i ! J
!
y ; !
i
i !
?-, -T -
? ?
i ?
i /
/ -
'
• ?? ?'__-. _
•`
- 6713 DUPONT AVENUE SOUTH
BLOOMINGTON, MINN 55420
- 888-2084
?
T?l
? Elevations shown are on
an assumed datum.
?? .
Survey for;
THORP REALTY
`
DESCRIPTION:
Lot 2, Block 1,'
CLEARVIEW N0, 2
?
?
i ?-? ?09=
iFf.3
Proposed Grades;
,
Top of Blocks
/.=,,,?#??;;,• ? _ ,?,_ ? ,. Basement floor / •` ? .
/.
"?-
Garage floor /G
I? _- -
?f
h?? ,•, ??_? - . . .-" _- -----
?/ ?:' ? € 'ti'?lc:?. C . . '
We hereby certify that this is a,true and coPTect_representation of a sirr.vey of the
boundaries of the land above described and of the location of alLbuildings, il any, thereon
( and all visible encroachments, if any, from or on,said Dated-this 28t'i_ day
of April' , 1981 "F
i No. 9Jlf
I CITY USE ONLY
? ?? B? ? RECEIPT#:
SUBD. I /' l?I eCI Y' U i P_o RECEIPT DATE: 7` Oc/
j PERMIT#
?
; 2000 PLUMBING PERMIT (RESIDENTIAL)
? CITY OF EAGAN
I 3830 PIIAT IINOB RD
' EAGAN, TMI 55122
? 651-681-4675
?
Please cornpiete for. ? single family dwellings
I ? townhomes and condos when permits are required for each unit
? ? backflow preventer for underground spMnklersystem
PIXTURES
EACH #
TOTAL
,
Atterations to existing dwelling - minimum fee
Descrihe: ?
$ 30.00
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas pipin ' 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 S s em new/refurbished • requlres MPC Iit. 75.00 x = $
Se tlC S 5 em abandonment 30.00 X = $
RPZ ? new installetion/repaidrebufld 30.00 x = $
Rou h o nin 1.50 x = $
Shower i 3.00 x = $
Under rouhd sprinkler Hdwelling is underconstruGion 3.00 x = $
Under rou ds rinkler ifexistingdwelling 30.00 x = $
Water closLzt 3.00 x = $
Water hea er 3.00 x = $
Water soft ner If dwelling under eonstrucdon 5.00 x = $
Water softener u exiating dweuing 30.00 x =
ao
$ 30
Watertumaround 30.00 x $
State Surc arge .50 -> -> --> $ .50
Total -> -> -> ---> ?
Reminde?: Call for inspections af alterat9ons; i,e, water hgatsrs, water Qofteners, etc.
?------------?-------------------• •------•-•• •--...--•-----• •-•------• •- • •-• •• •--•-•----------------------....._---_ ...-•------- ord---
-
-
- .-
1 hereby adcnpwledge that I heve read thia applicetlon - , - atate that the infortnaNon Is c-ortect, and egree to comply vrith all-epplicable City of Eagan inances-
k is the applicanYs responaibility to notiry the property owner that the City of Eegan assumes no liabiltty for any damagas caused by the City during fts
normal operalional and maintenance pctivities lo_the facilRies constructed under this permlt within Ciry propertylright-of-way/easement.
i
SITE ADDRESS: _ JONES, CHRISTINE
1825 CLIFF ROAD
OWNER NME: : EAGAN, MN asizz TELEPHONE
? (651) 452-4398
? - - -- ---- - (AREACODE) .
INSTALLERNAME: N10KI1iLOYi'1 LLJM I 1 r-U TELEPHONE#: 6tZ R27' ?'Oz.'S
c c (AREA COD'E)
STREETAbDRESS: Z?fO J? Q,h= 1?. JO
cirv: _1Y1ojA1E1400,-f
ziP: 5 (7
OF PERMITTEE
i 1--I 5
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaWCtloe Reauiremenb RemodellReoair Reauirements
• 3 registered sAe surveys showing sq. R of lot, sq. ft, of Muse; and all roofed areas • 2 copies of plan
(20% maximum lot cove2ge allowed) • 1 sel o(Energy CalculaGons for heated additions
• 2 copies ol plan showing beam 8 window sizes; poured found design, etc.) • 1 site survey for exterior add'Aions 8 decks
• 1 set of Erveyy Calculatiore • Indicale if home served hy seplic system for additiore
• 3 copies of Tree Preservafion Plan if lot platted after 711193 ..
• Rim Joist Defail Opdons selection sheel (Mdgs with 3 or less units)
DATE 8/u ioZ VALUATION FJOOO .C?)O
SITE ADDRESS 4 % 25 0_1 1 P-P MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK -7- / 11-? S?'1oo ? FIREPLACE(5) _ 0_ 1_ 2
APPLICANT Tc'N o Y1P c?k ?cc?-R ? r1 c?
STREETADDRESS 4q g i?,lvt? CITY STATE_ZIP
TELEPHONE # q%4 14?.etn CELL PHONE #
Phone #
PROPERTYOWNERCYNr???-?ne., \ore? TELEPHONE# 45Z 4-a,q %
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLrS 7670 CATEGORY l MINIv'ESOTA RULES 7672
(J submission type) • Residential Ventilatlon Category 7 Worksheet Su6mitted • New Energy CoderWork ;et
• Energy Envelope Calwlations Su6mitted ,? s i " J
Plumbing Conhactor:
Plumbing system includes:
Mechanlcal Confractor.
Mechanical system uicludes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
P'ee: $90.00
Fee: $70.00
--°-°--------°------------------------------^ •------------°-------°------°---°-°------------°---------°--------
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
No. of Baths
FAX #
Lawn Sprinkl&.1
No. oF R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY of EAGAN
,?r? BUILDING PERMIT
/
o..o.: ......................................................... ..
?.........?./...?.................. "I!
Addsesc (Preconi) .......??..}.: ? .. Q::::<?...:?? .:.... .........
?
/?,?
Bullder ................ ..^".".'?.-......."-'.......................... -?.......... ? J
Addrese ?
..................................................................... ?. ../...................
n V DESCRIPTIO
. ;.
N4 3716
3795 Pilo! Knob Road
Eagan, Minnesola 55122
454-5100
Dals .... .r..7.-
...? .?. ..`..?.l .............
6SO:iee To He Used For Fro Deylh Heighi Esl. Coe! ?erm!! Fsal Aamerlu
..........................'-'-..................... Per ................. ...................... ...............................................................
Mayor Suildiap Ioapaclos
This permit does aot au2horise the use of cfraefa, roada, alleys or sidawelka aor does it gIve the owner or his ayea!
the righ! !o ereafe anp silua2ion which is a auisanee or which presenis e hasard !o ffie heallh, safelp, eonvsaieaea and
genaral welfare fa anyone in itre aommuniSp.
THIS PERMIT MUST BE REPT ON THE PREMISE WHILE THE WORK IS IN PAOGRE88.
Thfe is !o cerlifp, that................................................................ has parmksion !o axeet a_......_......------.....---.._....••••'•--.........-__-upen
the above desaribed premise subjeai Yo the provisions of all applieable Ordinances for ?he Cifp of Eagan.
.. , .
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
I I
' ��C,��V�.D j Permit#: '1 �11�� 7 �
�1�� 0����1�I1 � �
1 � �01� I PermitFee: ���� �
3830 Pilot Knob Road A�� � �I
Eagan MN 55122 j Date Received: �
Phone: (651)675-5675 I �" I
Fax: (651)675-5694 I Staff: � I
I i
L����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �i g l��
, - &� .
Date: ' '�•"'��; f '� f'�� Site Address: t � ^ � L-� � ��f��7��" ��L'� Unit#:
,,,
'� � �"'% Name: . .? �;. ^,- �- '�t�. , � >_?r ,- � '� ., Phone ,° �j l� � t:� ��� t. 1
, „ �i � r�� u a.��� � u .. � _ �� r��
�
%���� �r Address/City/Zip: �- f�� ! ��, r'� �`:� �.�, �u,� ��L`t��l"�'k�
�
,; ,, . �% Applicant is: �Owner �Contractor
r '.
�r t
��% ' �= Description of work: c.k�t•4:6 �.' € �:%�t r p �, � � �'�--E�����G� � � ���'�✓ - '���f� ���
������:
�'! � , y �ra' � � T�/�tG- 1 �
�, � . � �a.,fn-�'� `�'j`6fl/(.$'� fz.% ����1`t���'� -
s;:% Construction Cost: t_��:, r•�'� Multi-Family Buiiding: (Yes /No �f` ) �
%
, .
�: �,� i� Company: _1 j�rr�` Contact:
, . � ,.r,%
�
� � ��< Address: City:
������ ;
;, ;;,
, ,
State: Zip: Phone: Email:
% <'� _
;� � �
,;,,', License#: ' � "� �� �, Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
��Yil%' ���'fG'l.. � � �� ��
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:
� r , � , � � � � ,,,
:'�������y���� '� �
��
� �� /
� , � � � �
����'�'��#�� ��I�`��ii , r i�'� � , � / � ���
���`��������`�'����4��`��� ��i �����'��,����� � ////.
, ii
„�7 �C';,57;�-�; ,,,,,, ,,,,,,� �„ , "";,' ,,,,.,....: ,.� ,;:"s „c;,, ,�„ . . �,�•; t�,��� , /� �,��i/,o/%i�!"��,/,�, �� !,��,�%�ii��/��� %%%� ..
% � ��
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. ��aooherstateonecalf.nrq
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.
r=-.`
t ,
� �
�� ��� �"&�t� ��t,�,� ° xr � ��
X •<,a .
_..___.._._.. , _ �......
Applicant's Printed Name Ap " nt's Signature
Page 1 of 3
_ . , .
l�'� 5 C�����'-�' l�(�c���
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Singie Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi �Deck Porch(ScreenlGazebo/Pergola) Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
� Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION /
Valuation ���� Occupancy MCES System
Plan Review Code Edition ?1(ti+'.� � SAC Units
(25%_100°/�) Zoning � City Water
Census Code � Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction _�� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final �
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: � i/ , Building Inspector
RESIDENTIAL FEES G� p � . ���
Base Fee ���� ��
Surcharge �� �`��, �� ��
.�'
Plan Review �` �� ,�.�� � "°"
MCES SAC '� ' _
� s.,
City SAC �
Utility Connection Charge � ��� � � �
� � 2 �
S8�W Permit 8�Surcharge / �
Treatment Plant
Copies
TOTAL
Page 2 of 3
: 8/10/2014 1825 Cliff Rd-Laserfiche WebLink � �� (j�
� ��
; : ��tS�i'�����
W�k���c��.�
Home " Browse - Search 1825 Cliff Rd
� . . _ �
�:. �: � � � ���� �, �
;; � ..
�,�, 18 " Ga� �� �r� � ��»� �� �� �
.�....�_ F v � ,.. V., ,� �.�.�,. �;.. . .
� ___ _________ __ _.._..___ ___--_ --___..._ _.._...._ ____ _.��. _�
� � �____.� �
� �_
18?5 Cliff Rd ,�����y��n,t av��e������r�
�
-- p ,� '�aa'� B�._�t��i��cF�s,u���a�. �
���� ���� � � ' ���a¢
:
� 8/24/201 2 1 1:43:24 AM � ' '
° �r��t��P38�t� € ' ' �..t1�1atF3i St�R�P�1tt3�'R�
6/12/2009 2:16:34 PM .,,�,, �
,� �', _ �°""
� � s�+':+'x ,�+�.u..q. �,��.�+�r�`� .. �l f+° ���� , �, .
� °',�`;.:��;° -,�,.�;,-�,�.e .�.-�-� .,�.-.�.,u.,�,>,,,�,�, N.� +� ��"i� ���:'�'�.�.` .,,''.�'�„��
� ��' -
!� � - � � ���r���.1�w� ��+���, �:� ��
(� = � , ��'.- .� �..r`��� �r�� ��.� � �� ��� c��� ��:
„ L.��. ��,�'"� ;v '�'9"°`" � ,
� ' � ' + '
� ,
�� �, ° �
I
�, ;�--� — � — �_.c ' ������ f�►r��
� ��,� �,._ `» �+� �� �,��,'�`
�
� � �.v � �
� �
� e �
� �
� � (
! . �� � � ��
.
° , ; t��'�'E�G^�>>"�!'�'�% - E ;� �1 a . �:r
" �''' ��� �}�����'�" ,
� � . . `.
� .� .� .y*- �E' �-� =� �
� ����' �, � � '���� �;� �1� C� l, ���,
'�' �� � � � C"���' r � .F .'�
_ ` � �
, '� � ��1��' � ,�� `;` �',
_ � �.� � * � � �''�,� � �
� �-". � i �����-°r�..� �„ •��,� `(�i,'�� �V{ `�' __ '�.
£ �. ar ,4 � ` } .. .
� PRt
�' .,� "� € � .�� .a' :.. «�°� � '.�A�
��,� l� _ � � �_
I �@' � � � � �`�- �"� �`�
� �,x ���;r� :�`:���� � ����:_�.�.. ,.� _ ;��;�:�N;� '
i � ��`_ � i �� -
� � � ���.� ��p�a��� 4������..
� , �..�� ���` ,�'
�� ��f. �° � �� � �'+�� ��' �.���� �`.. �
'�.� �� � �# ��„s�..,c_ ..�...«_���3 1 .. �[4��. d!� �e#.+�+'4.��[ °.:.a"�w�w
���Y� ,�� . '�,.� �.<. '�`��;r n � .
�,� � -..4. �� ,. �t�a��� ���?i��
� " ` � �a �'` _ °�� , � _.�� � _ e
`"f���'� !t�w ,�` �*� r��; �'�'�� • _
'��' `��`�"�� � - <
�� ����k��r ���t�� ���.t �i� �� � ���� ��� +��'��� �'�p�����������, s�f � ��ru�� � ��+�
�u����i�� �� �h� �a�� ���� ����� ��d �� �� ����f�nf ca�' ��� l��a�di���, � �r��� ������r�
� - �t� a�1'���1��� ���������+����, � ��� f�� �t� t�� �� . I�t�� t�i� ����� �I��
t��` ����.� y �, �'���, � �� �
�� r '4. }_�`.�j �'r�..' �: � .
( , , $ . .»- �:r. ��� L' ��R ����43:�QFMFe..��� ����
!
�
.: . _ . . � . ..� ..o..-_ ,_._aa� ;�—s�r�. .,n;��e..:: �,�"� _�,�"�v s�r K - �- _ .. .. . ..�» . - _ _� _ . .
�n �'
Document management portal powered by LaserFiche �� - , ,
WebLink 8.2.1 �O 1998-2012���, ��� � ,- �� °
http://eagandocs.ci.eagan.mn.us/WebLinl�/2/doc/850252/Page1.aspx y2
r
For Office Use t
//
; : .
.,,,,, , ,
%. # ,
N.. kc, ,# 0 0 EAGAN
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:.(651)675-5694 Staff:
buildinginSpeCtionstWCity0fenan.COM
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _Site Address: Unit#:
Name: A i. /1 if tr."; - ffld Phone: 6/a 7 7 exck-25"--
Resident/ ,
Owner Address/City/Zip: ,f.. „9....r c I i Fl-cc
_
d 40 a Al -air dr
.._
Applicant is: t'‘.-"' ,-OWner Contractor Ir-pqk li 1 e-c6 914
Type of Work I
Description of work: /111C)01 2,_ 5ictril , --91, j)jez c_k_rlekeLL„r-
Construction Cost _ Multi-Family Building: (Yes /No )
<---cnc- .6--J- g eqn4A( t
Company: ..._i "7"- — 5Contact:
Address: City:
Contractor ---------
State: Zip: Phone: Email.
License#: Lead Certificate#:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.comisubscribe.
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.
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. wwwqopherstateonecall.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 out a permit, that the work will be in
jns.accordance with I e approved plan i the case of work which requires a review and appro al o'plans.
App icant's Printed Name Ap i n 's Signature