4689 Parkridge Dr
Use BLUE or BLACK Ink
r----
I ~or Office Use
0
I I
City of EaMIR ~aI Permit#:
I
3830 Pilot Knob Road i Permit Fee:
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff:
L-----------------I
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant: Suite M
RESIDENT/ OWNER Name: 1Gff,01W lAntmd•vlgx Phone: 4571-(,P7'QdoP
Address /City / Zip: //j !D E .
CONTRACTOR Name 0~6e4x License M
Address: `v3 d 1,411u ,'5~n9c '4 City:
State: Zip: Jd5/~-/ Phone:
Contact: 2: Email: _ m a l9-P c-P ~~00, cz),v
TYPE OF WORK New \)aeplacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of
Eagan; that I rstand this is not a permit, but only an application for a permit, and work is t start witho a permit; that the work will be in accordance
with the ap plan in the cas f work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground T. Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
r-----------------
For Office Use
City of E; Permit#:
I Permit Fee: Ic%1;)'
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: r/ , I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2-- k--ilU Site Address: V G g Q /"A, !J V Z7 41
Tenant: LIIA-,Q I[yt. lw_ll Suite M
RESIDENT / OWNER Name: 9 , (t 0 1 ( 6 i 11 r ht u e Phone: C 'j 7- 6
Address / City / Zip: Y6 P 1 "be
Applicant is: j.-- Owner Contractor
TYPE OF WORK Description of work: 6 A (4 AS em r N- ~J
Construction Cost: 3D j o • V-0 Multi-Family Building: (Yes / Nof"-)
CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email:
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:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
x W~ x
Applicant's Printed Name Applicant's Signature
HJUL 7 201 Page 1 oft
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES r 6
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
\r 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 000 Occupancy ~ MCES System
Plan Review Code Edition ptifN7 v~7 SAC Units
(25% 100%-)6 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) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee bfilll~
Surcharge
Plan Review
MCES SAC
City SAC /
Utility Connection Charge 0
~!'L7
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Use BLUE or BLACK Ink
r
For Office Use
I / I
non Permit L I
City of EaRd Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff: _ _ _ _ _ _ _ _ _ _ _ _ _
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: / "I Site Address: t./(Qef q T Ark or i> A 9 .4i
V 01
Tenant: Suite
RESIDENT/ OWNER Name: k k J 13 : r;yt Q ,.Yi® Phone: 0 C-
Address / City / Zip:
CONTRACTOR Name: J r / License
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK New -Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work: A th p w v #N 'fe~
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) /Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci
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.]
x RUC f t ir..+ui ('lr
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS:
.I?h ?_I If f ?Nli
PERMIT ?,YBTYPE:
I. I t I f.M 1 fV(I
;coRD
PERMIT TYPE:
Permit Number:
Date Issued:
t, t) r t 0 X Na
0.1R04 6
C!G /2AJ96
APPLICANT:
TYPE OF WORK:
- FI l ,.1 1, I I' I tt I f.l
f IMAI
i7t PIARh':{ f'A1ti11E Pk12M].l', Rft1l3)Ftt'f) (=fJN ANY t- i!i (Rlt'Ai t,lElltN
tlINVEkt :rkFEN r"rlrlcFl 10 '#-SIL-A;CIN 4t1iN Flk[-f'I.ACF
F
L
IAMI
Al1FRAIlilhl
INt 1 Ufl1 `, 1' IREPI AIt ?
?
Permk No. Pe?mft Holder Date Telephone M
ELECTRIC aa ? ao . Sa? 9G °°
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING .
GA5 SVC
TEST
INBUL
GYP BOARD
FIAEPLACE .
FIREPLACE
AIR TEST
FINAL PLBG
FiNAL HTG
ORSAT
TEST
BLOCi FINAL
? ?
BSMT R.I.
BSMT FINAL
OECK FTG
aECK FlNpL
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l? : 900iPHONE:454-8100
BUICDING PERMIT Ske Address .
Lot
Parcel No. -
W Name
; Addre
b City _
A Name
OU Address
Citv Phone
G W Name
F
Address
IZW City Phone
I hereby acknowledga thot I have reod this applicotion ond stote thot
the informafion is torrect nnd agree to tomply with all applicoble
State of Minnesota Statutes end Uty of Eagan Ordinonces.
Slpnoturc of Permittes
G,vt,T,
A Bullding Permlt Is issued to:
oll work sholl be donc in occordoPce witFi oll applicoble Stote of Minnesota
Buildinp Officiol - r '
Receipt #
.,_._ aPPrr, 2E,
Ered Occupancy 1` 3
Alter
R
l p Zoning N 1
rq/F'
Ff
Z
epo
r ? rc
one
Enlorga ? Type of Const. V ?
Mova
Demolish 0
? # Srorie s 7
Length
Grode p Depth 4 4 Sq. Ft.
Appro vnls Feet
Assessment _
Woter 8 Sew.
Firo
Enp.
Plonner
Council
Bldy. Off.
APC
y
Permit • 0
1 •
??
Surcho rpe E> l • 0 0
Plan check ? z, 6 • 50
SAC U
Water Conn. 4 7 0. U U
Woter Meter E' 'i ' 0 n
Rood Unit 2 (' 0 , `) O
Toral 5.1, 9- ()
on the express tondition lhnr
ond City of Eopon Ordlnances.
, ?
Permit No. Permit Holder Misc. Permit ? No. Holder
Plumbing y q 6 1 ?Ohbh? bl Z b I?
H.V.A.C.
w.u
Water
Disp.
Sftwr
Elactric ? 7 S ?? 7 5 v
Intpection Date Insp. Othe?
Footings .?/
Foundation
Framing .
Rouqh Plbq. ?
Rouph HVA
Inwlation B ?
Final Plbg. . ?
d
Fi
nalHVAC
, ;,?"? 9,t
z
[
Cese?i Loeti
Recaipt `7/`7"..? PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ,
Fill i» numbered specea S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost "
?k c?i
3. Job Address Cbt ' Blk, Tract
4. Owner ,
5. Cantractor Phone - ??
6. Address
7. City State Zip
8. Building Type: Residentiai &D Cammercial ? Institutionai ?
9. Work Description: New 0 Add ? Alter O Repair ?
1 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
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 wark.
Signed : _ for
Rough Final
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ? y vU 8-
s y
Permit No. 3 ?
Fee
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces S/C ?Type or Prin[ legibly Tot.
1. Date 2, Installation Cost I
p l0
3. Job Address 14rX /L Lo 'Y Blk. Y Tract ? u
4. Owner ?.Z.J . ct--? vt e(.X
5. Contractor 2 P-y a? Phone '? ? 3^l 1??
6. Address
7. City
State
Zip
8. Building Type: Residential-E3r Commercial ? Institutional ?
9. Work Description: New-,3- Add ?
10. Oescri be
11.
TVPe I14j?- Gf C??
No. Equinment 8TU • M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
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 Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Alter ? Repair ?
,i I
CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
R15Cfi1V ED ?
FqOM
AMDUNT ?
'' ` L.. -Yj /' G lJo - o `?
E] CASH - "[] "CHECK
i
(-L 74
FUNO COOE AMOUNT
! i
BY
White-Payers Capy
Yellow-Posting Copy
Pink-File Capy
CITY OF EAGAN Remarks Li '? t -
Addition pARKCLIFF 2ND ADDN Lot 4 Rlk 4 Parcel 10-56701
owner Street 4689 PARKRIDGE DRIVE Stace EAGAN MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1984 366.25 73.25 5 293.04 A 013752 4-12-84
SEWER LATERAL
WATERMAIN (p 19$4 35.22 7.04 5 28.18 11 IT
WATER LATERAL
WATER AREA 1 1984 366.25 73.25 5 293.00 "
STORM SEW TFiK 1984 642.60 128.52 S 514.08
STORMSEW LAT J?Q 1983 283.60 56.72 S 170.16
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #42824 4-26-84
WATER CONN. 470.00 11 "
BUILDING PER. 9007
SAC 525.00
PARK
CITY OF EAGAN
3830 Pilot Knab Road WATER SERVIC E PERMIT
511
5 '
P. O. Box 21199 PERMIT NQ.: 1
Eagan, MN 55127 DATE: {' -" f`?
Zonirg: No. of Units: 1
pwner; :JeVBlopet8 Gonst
11ddress:
? Site Address; 4684 Partcrldge Drive L4 B4 Park Clif f 2nd
? Plumber :?ei rke 'C,e3ich & Fxc
? Meter No.: Connectian Chcrge: 4 70. 00 pd
; Stze: Account Deposir: 15 . UO pci
? Recder No.: Pertnit Fee: 1 0• 00 pe
j 1 ay? to eawPl?r w1ti? !Ae Cilp of Eage¦ Surcharge: , 50 pd
? Oediea?o... M1sc. Charges: 63. ?0 pd mete
Totol:
By Date Paid:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road
P. O. Bux 21'99 PERMIT NO.: 5453
Eagan, MN 55121 DATE: 5-3-84
Zoning: R1 No. of Units: 1
; ner;_ Develoners Const
- ?'
VAAdress:
? te Address: 468Qt Parkridge_Drive L4 B4 Park Cliff 2nd
Plumber. WeArke Trench & Exc
. 1 Meter No.: ?9 ?I 7•3 S
' Connectlon Chorge: 470.00 pd
{ Stze: f,'a-E Acwunt Depostt: 15.00 p d
, Reoder No.; /4 9 7 Permit Fee: - 10.00 p d
1 a9rse to wmpir whh eM Ciry of Eegan Surcharge: .50 p d
Ordj"""? Mtac. Chorges: 63.00 p d meter
Total:
?
By Date Paid:
Dote of Insp.: ?nsp,;
3/z-o/F?s
TY OF EAGAN SEWER SERVICE PERMIT
30 Pilot Knob Road
0. Box 21199 PERMIT NO.: -
gan, MiV 551?y3? dATE: '?• -?' +
n1ng: `l No. of Units: r.
D@V@ ODCY':3 CCa3t
Address:
M eompiY wilh Hu CieY of Eayow
of Insp.:
Connection Charpe: 425.00 pd
Accou,,t Depowr; 15.00 pd
Pertnit Fas: 13.00 Pd
Surchorfle: .50 pd
AAisc. ChorQei:
Total:
Date Pald.
2 f") ???/] 0
L L OF,F,I,C? USE ONeL.Vt? This request void 18 manths (mm validahon dote pnnl n fhrs bo
PLEAS
PHI
OR
Y ?
PE
E
NT
T
Reqoest Dote Raagh-in inspecnon reqwred2 ? No Inepe Ton Olher Than Rough-In. 0 Reody Naw Will Call
g, a ? ?You muxt mll Ihe inspedor wfie re?ody) 1afe Ready.
'14 Lcensed con}mcror Q owner hereby request mspedion o{ the abave eledtical work at:
lob Mdress (Sfreet, Bon, or Roob No.)
Y(?5? P?+rz??t?d?rz d,eal,1rL Ciry
JE46ArO Lp Code
3
Sxnon No Townahip Name or No Ranga No Fin No. Counry ^1
Ocapanl Phona No.
C
Tj? ?k ?JO\)
PawerSovPlier Addresa
Eledricol Convocror (Company Name) Conhactor bcenae No. Master Lc No (Plmt Eled Only)
MaA4g Addrett (Convocror or Owner Pedouming Insfil i
33 ftarJL- w,:.no 12rt?t 646!1r-) ryiA.) 3-S-0-2,
Authonx ipno e(C ime or er ormng Immllanon) Phone No
YS'? 3Z3/
EB-OOOOIAIO 6/95 5fA BOAl10COPY-SEEINSTHUCTIONSONBACKOFVELLOWCOPY
uInI 9EOUEST FOR ELECTRICAL INSPECTION 6
I'I innesota 1M821 Unrvessdy AvearRm E'1 BC?. Paul, MN 55104 ??
IIII ?II IIIIII I I IIIIIIIIIIII ? ? .,
?
s 0 2 2 2 1 2 0 8 * Phone (812) 642-0800 g?a'7?y 40
Home Duplex Apt. Bldg, Oiher: New Addn
Cofnmeraol Indusirial Farm Remod Re air
Air Cond. Htg. Equip. Water Hir. Load Mgmt Ofher.
Dryer Ron e Elec. Heot Tem . Service
'R" above the work covered by this request. Enfer remarks m fhis spare and on Ihe ba<k of the whde copy only.
?AS(( fi/uvT (CLIOY'ti FZn,e,S1q
Calculate Inspection Fee - This Inspecfion Reques/ will not be accepted w'dhout fhe correct fee.
Olher Fee # Service Enhance $¢e Fee # Circvils/Feeders Fee
Mabile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef L}g./rraffi< Sig. Above 200 Amps Above 100 Amps
Transformer/Generafor IrupECMq•susEONLr T 7AL
Sign/Outline Lfg. Xfmr.
Alarm/Remote Control
$wimming Pool I hemb cetli Maf l im Mcd ?he elednml imbllaM1On desrnbed hamin on tfie dafez sMkd
Irngafion Boom potieh-iii oare
ecial Ins
S
eciion
p
p
Inveshgative Fee F?nal ?n
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
This reu-•.?t void
18
mon,
..40p,
A 097793 ,c y sLr
441eCl
?'
Napuest
e Fire No. oueh-in Inspection
equi 7
?Peady Nuw?W?ll Notify
Iqspec-
es ? No ' Ior When Peady
nsBtl Electricet Contrnctor 1 hereby request inspecfion of ebovB .
Owner electricel work installed at:
Street ddress, BoK or ta No. • Cit
Q?
cupq o.
`? ? wnship ama or o. Hang¢ o• Co y /?
d T
Occupant INT? Phone No.
Power
f? Addr s
Electricel o tractor Compa N e) Conuactor's Lmense No.
Mailiw AdJ s}C
ontracmr or Owner Makine Inste
llatio
N
!
l! lU ? C
??/
J e?
, LPN
AuMarized Si?ture IC trect ? Owner Makine Installationl Phone Numher
'
4??35Sj
g
NINNESOTp STpTE BOA D Oi EIECTqICITY THIS INSPECTION PEQUEST WILL NOT
Grippe-Midwey Bidp, - Room Nd97 eE ACCEPTED BV THE STATE BOAFD
1827 Uniwnlty Ave., St. Paul, MN 66104 UNLE55 PROPER INSPECTION FEE IS
pA..in 16121 287.2111 ENCLOSED.
f flEQUEST FOR ELECTNICAL INSPECTION es-ooooi.oa
-} ' See inatructiana for tomo e i.q [his form on baek ot Yallow eopV. 4 T smL-7
A_n?7 7ql "X" Below Work Covered by 7hrs Request -7/S I k Cl
Adtl R.P. TYPa ot BuilGinp APClionces WireE Equipmenl Wirad
Home Range Temporary Service
Duplex Water Heater Liflhhny Fixtures
Apt. Buiiding Dryer Electnc HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ther oeci v ther (snor.ifv)
t r uoci y t er 01her
o mpu[e nspection fee Below
p Fea Servlca EatrenceSize p ee Feedars/Subfaeders N ee Circuila
Uip Oqm 5 0 to30Am s 7 0tL,30Am s
Above 200 qm 37 to 100 Amps 31 to 700 Amps
Swimmin Pool ? Above 100_Am s Above 100_Am s
Transformers ' Irrigation Booms Partial-'Other
Signs Special Inspection $ D/ TOTAL E
?
e?rks
f J
. ?/+
"I (
Ibuph-in
? Date .?
?
I,Ihe Elac
Inspectoq hereby
certdy that the ebove
Final 1e 7,W
?Z i epection has been
da.
TpbiaqimlroM 16 montM from
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9007
PHONE:454-8100 , /ag)y
`r
BUILDING PERMIT Rece?pr #
Te be und for SF DWG/GAR Est.Volue $124,000 Dote A PRTL 26 , 1984_
SiteAddress 468 PARKRT D DR Erect [?} Occupancy R3
Lot 4 Block 4 Sec/5ub. PARKCLIFF 2ND Alter ? Zoning Rl
ParcelNO. 10-56701-040-04 Repair ? FlreZone N/A
Enlarga ? Type of Const. V
W DEVELOPERS CONST
Name Move ? .{k Stories
z
; 1101 CLIFF RD
Address
Demolish ?
Length 7$
° City BURNSVILLFphone $90-6194 Gmde ? Depth 44 Sq. Ft.-
o Name SAME
Address
r Cfty Phone
WW Name
?
_? Address
'Z
<. City Phone
I hereby acknowledge that I have reod this applicotion ond stote that
fhe intormution is correct ond ogiee to comply with all upplicable
Stoteof Minnewta Slatutes ond City of Eagan Ordinances.
$ignoture of Pertnittee -
A Bullding Permil Is issued fo:
ell work sholl be done in acw
Building Officicl
DEVELOP
Feea
Assessment Permit $ ?0
Warer 8 Sew. Surchorge 6 2. 00
Police Plan check 246. 50
Fire SAC 525.00
Eng. Wofer Conn. - 470 . 00
Plonner Water Meter _63.0 0
Council Road Unit 260- 0 0
Off
Bldg I O
.
.
APC Total $ z ? 119 -5-0-
on the express conditlon Ihm
Statutes cnd Ciry of Eogon Ordinances.
, f .
CORRECTMN NOT9C?
Address
Owner/
Owner/Agent Ad
DATE: Z
Site Name
Telephone
Ordinance Nos. and Corrections - Correct By
For reinspecvon
Eegan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
4548100
• ?
s
J??'t
. . - ? . . . . .? t . ? '
•
, Y
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? ?dD
BUILDING PERNIIT APPLICATION
? i/i00 0
Rb Be Used For- Valuation
c3" -- --- T-
site Address: L
Lot __j?/ Block
y Parcel #: VO -
r?dq? Dr; Y?
Sec./subf
bRa(' oqU- o
Q,JR2Y:
Pddress:
City/Zip Code: ?l • ?
?
Phone #: d - /
Contractor: ?
Address:
City/Zip Code:
Plzone #:
Arch./Ehg.: _
Address:
City/Zip Code:
Phone #:
Include 2 sets ci.f plans,
1 site plan w/el.evations &
1 set of energy calculationse
Date ??/ ?_-?Z/
OFFICE USE ONLY
Erect X Occupancy /i?3
Alter Zoni.ng
Repair Fire Zone AJ ?
Enlarge Type of Const. tzL
Niove # Stories
Demolish Front 7$ " ft.
Grade Depth #y ' ft.
APPROVALS FESS
Assessments Pexmit y 9s 6'
Water/Sewer Surcharge !o P
Police Plan Check ? y 6 3=0
Fire SAC S a 6?
Enq. Water Conn. 1,70
Planner Water.Meter G 3 ?
cowzcil Rcx,a unit a (?1 ?
Bldg. Off.
APC
`IC)TAL
I
r
3 3 i ?
7 774
5- q 0 y
g 3/?
,r
a9;-oo,-
5 2 ^ G C +
246•5 C+
5 2 5 0 11.
t,70•U1i+
5 3 • 0 i; +
26G?00 fi
2 1 1 9 ,,, #
-1
M I
Certificate for: _ gk: 70/80
,.Developers Construction Co.
• ? 1101 Cliff Road
Bizrnsville, Minnesota
55337
DELN4AR H. SCHWAPVZ
LANOSUiiVEYORSi WC,
ReqislerW Untla LOws ol Tha Sate 0/ Minn"ota ,
2976 - 745TH STNEET W. - BOX M ROSEAIOUNT, #NNME80TA 55088 PMONE 812 4$3-178d
SURVEYOR'S C@RTIFICATE
uRB N
?pq?3. '!
10 2
„
`
? L r? 9-7-ZZ-19z-aj yv 960.2
30 - ao N
'
?bg, 961,1 I
?
o
? a
I o
.
rv
?
g?12
C ?
? f <
m
' ? fl Proposed zi H '
1y House
a W I N ? L
? ? y
. a
I ? a ? _ ( Dra1F'!a8e
t
and ? ,
r
,q M ? N h Utility
m
m
Easement
Sc31e: 1 inch Garage
30 feet ?
nu
men ?
? .7
c) Denotes iron mp
Ct i:enotes wood }iub set l ydpC„Qg yy----
ry_<
Denotes
existing
ele 9?
?ation
qpy,Z Z_/q r„i
y/
' 7of'Nu3 `?63.99
? I)enotes °raposed ele ! Nation ?bS.t.o ? -
Proposed garage floor elevation l/?.Lo
r hereby certify that th1.R is a true and correet representation of
;,nt 4, Block 4, E'ARKCLIFF 2ND ADDTTION, aecording to the recorded glat
i;hereof, Dakota Counk.y, Minneaota.
A1so showing the location of a propaeed house ae staked thereon.
April 12, 1984
r.
MINNESOTA REGISTRATION Np.8625
oWNER: EX7ERIOR ENVELOPE AVERAGE "ll" COMPUI'FlTION
??,,????? ???.??? ??? •
SITE ADDR ESS:
CONTRACTO R: _ DATE: i- ? _PHONE: p- (o!
DETERMIME410RYIPlG SOUARE fi00TAGE OF EAC H:
?
' , .
. ;
'? -
??
?
?
1. TOTAL EXPOSED 41AI,L AREA: ...... ,
s f t x i, ;
I
U '
"
"
'
?7 `
q .:
2. TOTAL ROOF/CEILING AREA.
. f l"
" '_„?
.
.... sq r x U ?
3. TOTAL EXPOSED 14ALL AREA CALCUL,A710NS: , "•;;
' - . . ,
• . ..
,. ,
7ota1 exposed wa11 . . .L:,
area above floor„
... ..
sq
ft
?
a) Total wall window area:"
-y?L1L1L..91azed....
..
SQ
fL X
'luli
glazed.....
sq
ft x
liuii
?
b) Total door area ,,,,,,,,. ?jd sq ft x "U"
c) Total sitding r area:'
`
glazed.:. •
s9
ft x
"Un ;
o
' ?`-
---- '
giazed....... .
sq,
ft x
„Url ..
-
. e
d) 7ota1 fireplaca wall area • ?--- sq ft x "U"
e) Total wall framing area % -
(Average i09;)........... sq ft x ,nU"
' f) Total net wall area above ,
floor (Insulated)....... . sq ft x "U" oS
g) Total rim Joist area...... sq ft x "U" ,0L?
Total foundat-ion
area (Exposed)..........
sq ft
h) Total foundatlon
window area............. sq ft x"U"
1} 7ota1 net foundation
area above,9radeti....... sq ft x"U"
3• , TOTAL a) thru I)
if'Ttem #3 is the same as, or less than item 91, you have met the intent of
S.B.C. Sectlon 6006 (c) 2.
4. 70TAL EXPOSED RODF/CEILING CALCULA71DtlS;
.. . . _.. `? >
Total exposed
;. ,
roof/cetling area...:. 5 q ft
?
. ,. „ ' 11 ,?'.A ?r, p •
. Sq fC x IAU
J) Total skyllaht area
.,. , . r.?
k) Total roof/ceilinq framing ? ?' ,
K,? xr
area (Averaqe 10 sq ft x ull
1}' Total net insulated ,?ri...........,;?f,? '
roof/ceilinq-area -?? sq ft x"U"
?
O? e
70TAL' j) thru )Ir?
If total of ?h is the same as,or tess?than R2, you have meC the intont of
S.4.C. SecLion 66QE (c) l.
?
? s
. . • r, ,?,. ?
, : , • ,. .',`, ,?
ALTERNATE-t3UILDING ENVELOPE OES1GN _ ','.,;'.?.i..s.•??.:?:
, ?.?•.
To utilize the total envelope system method, the values established by the,sum :;'..?"';;;•• :.,,
t'
•of items N3 and #4 shall not,6e,9rea[er than the sum of items Nl and !?2.'
7.. .?411,5?
3, .r--, ?j?_`? ?: _ d` g°.'7?J ',? ?• ?,5? 7^.?'? : ??
. . ;?
CERTIF,ICATIOId
1 hereby certify that i have calculated the "U" factors and "R"
vatues herein and that the,huitdinq here descrihed meets or exceeds the State %
of Minnesota Enerny C.onsefvation'Act,
, Iqnature •
l.uui?th i
"CEILIllG SCCTI011.?(IIISUI.ATED)'?•?
^ 1 Incerlor air"film ??
.2 3 ?,??,
• , . . .. ;::;:, ". ' 3 ? ??N?ud,
l{, Cxterio air Film Isttil) f1.F.1 •''.
/. . ,, i TOTAL R --yJ/,??.?.' ?.
1/R m le 0on
1:::5!? CCILIHG' FRAMIPIG,SECTION
I ,
2 ?.interlor alr'film• 0.?fil
tr ,;J r,•, , 2
• 3 ?ni;?,e??-?iooC. ,,, '??'J4_?f c??
FLOW ?)i" Interior'alr ?ilm st I n 1`
,?. 3 `'"?•
i nches sof t. woo(i
? ?u,? N ? ? ,•? ?'
TOTAI., R.= ,f
O A A
' , ' „ ' , ? : 1,. ?', ; ^' '??;?•;- . y. ;,
. • ' . ?'? r , . ' ' ? ?' : i , ],? ? ? ? :
' • ? , ' , : .? ? , ?
CEILIIdG SEf.T1011 (IPlSULATED)p,
??( nr I^'K?i':'???..?'?'.a3??y,i+:y?°'afah t?.??r•_.?s?.??, ? 11 Interior airfilm;.;?':. ,. ,. ?0
Fxterior air film still (1 1.;'.
„ , . , , .; ' ,, ,,• :?:, ??"'?- :TOTAL R =
. ? ? ? / ,, ,, . •vt ' ' '.? ? ??yr,'' ? s ??,? i? -;,:
0 U 1 / R
.? ?.?? .
2 3 4 5. . . ,
CEILINf; FP,AI11hl11% SECT.IOh! :
? 1• InCerior air film' 'Ml
VCNTED. , . 2 .
, . 3 .
? e a
.
n ?
ti C .xC i r film scill
,
.
? S -, i•nches soft wood
? TOTl1L R
: ' . . . . ;.', .:U _ I'./R._ ,. . .
,.
2
3
i,
S
? air Pilm
•.
n.17
AL R = '
CUII;; I 141if:'I' I UII , Il VALUE''??
Wql
F1iAl•11t;C ?S[CTION:
L
' ,: • '-?-? ,
,
1 Interior air 'fflm'
' ) '
' (2 .,
r"
'
?'-
•
. ? A ?
? .?.
? t;
., ?
,...,_.
,. . ?
X i ches ,
.
,
j ,
soft tivood
, 4 ; - T.'/?`"?'
?.,
, (, Exterior air film
: TOTAL R
s .
s,
`
I '
L
U
.
' UALL
;SEC TION(IIdSULATE D)
, '
1 I
nterlor
air
fllm
T
. ?
'
?
?
„
? -?? /°R-r,'? •_.4 .?`,„ '•':: ??? ±
^
?
',?;?
??I" I 1? ' I ( ?±1
11??AILY;
r I
..
•? I
'.\ ,
?? `
1
.
I CJ
? ?
?
?
il.
?--? ?
• ? .
5/7
.Y?
1 1 l
• F. 'Exterlor a r film .• ?, ,7,,'N ?v`*,,'
TOTAL.'R a 7:?2 E, i ;?
U ?=,l/R
?=
,
p,
RIMJOIST SECTIDN:
?
Interior air ftlm.
r . .. ? - . .fr???•;;?' ;',?.;.
? a 3
? ?
??
•'
',' i
?? ---{ 5
,
,
`
,
?
?
?
6. Exteriok air --
film . , ?.?
?
'' "'•
' ,70TAL'
,R
U 1/R
?
' •A ?,,?'
? i
, ? ,; ,
? ?
.
? ? ? ? , I
,
?: :'.?••? . : ?? ? ? , ?? :,?;
. n.;
o ' FOUNDATI OtJ SECTIO?I• • / i?., ?-,:?'
kL'"'` /3?. ".5??''•;..
?'
l?ti- ?'
,
•?` 1 nterior a r .
.
m r1
f,ft
,
.
?
A
? lb ?
d ?
/ o -'
'
? A_ ,•, c 1
1 P.xterfof air' film n,17
' q • a' ' ,I??%?
?? ( F '
; Q
' ,
? . .
d•?...o
„ ?? . TOTAL
R.-? . D ,
, U -'1/R ? ? •
? t7\ SLAf3 O1J GRADE•
p ?•? ,q,,• ? --?1 ?:a,a; li,^ ?
f`J? `4•
? ' ? • (f 1
.., ? , ?,-1 ' , d ? { • : ? ? r : ? i'; -_ i'; y . . .
(?:'' ' '.? ? ? • ,: '' •?, 4 cj?
•`a,. q?..' ?,-??,',???,??..
. ? ' ? ? . ? ' •:,,?' . ?, ; ? ?
% ??''?J_','414?I ? • '
•?? ?1 '.Q.•i•? .
? , .1 . 'a{': . . ' ? ?, .
• q
--C ? CITY OF EAGAN
3830 Pilot Knob Road
• Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: R?6?a61NIG
Permit Number:
Date Issued: 0 6/ 2 4/ 9 6
SITE ADDRESS:
P.I.N.: 10-56701-040-04
PERMIT
4689 PARKRIDGE DR
LOT: 4 BLOCK: 4
PARK CLIFF 2ND
DESCRIPTION:
INCLUDES
B:ail-,kn-? Permit Type
uiI di ng"`iJork Type
Census Cod?,+.
?•,
"' ?rK
-1
. /
'?l?.te{?:,,«?.'=??,... ?'uy..„,i"t''?kr.r•..?.,
FIREPLACE
SF (MISC.)
ALTERATION
434 ALT. RESIDENTIAL
i
?:?? €- i ?, i? s:.?' .,,l..i``3„?°a ~•?j' k?, ?iu i.';?? : !; m: k ?
-ca?? i?`e.:,
c
REMAg PRRare PERMITS REQUIRED FOR ANY ELECTRICAL WORK
CONVER7 SCREEN PORCH TO 3-SEASON WITH FIREPLACE
FEESUMMARY: vaLuarxoN $2,000
Base Fee $62.25
Surcharge $1.00
Total Fee $63.25
CONTRACTOR:
NF p - nppiicanL -
?J?/O}iRS?dN JAME S
4689 PARKRI06E DR
EAGRN MN
(612)454-0779
Z hereby acknowledge that I have read this
informatian is correot and agree to comply
5tatu and._City af- Eagaq_,cOrdiciances. ,r..
?- - -
<
APPLICAN ERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
? -
c
ISSUED B E
J
t CITY OF EAGAN (0,!3, ? S
a?? 3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) a4Sj,? ??Z Z
681-4675
New Construdion Reau'vemenls RemodeVReoair Reauirements
? 3 reglstered site eurveys ? 2 copies oi plan
? 2 wpiea ot plans (Induda beam 8 window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior addBions & decks)
? 1 energy calculations ? 7 energy talculations for healed additions
? 3 copies M tree preservation plan if lol plaqed after 7/1193
requlred: _ Ves No d
- DATE: 6! l 3?9 { CONSTRUCTION COST: 172 6° a
DESCRIPTION OF WORK: CoN?F?1T SC?-?.vGD ??Q?H %O 3 Sor?,4rflti'
STREET ADDRESS: '7 G o r
LOT BLOCK ?
Street Address:
City:
Company: _
Name:
SUBD.lP.I.D. #:
PROPERTY Name: ?'`?"5D N TA/ '"?S Phone #: ys -a? ? y
OWNER ' '"'* `I°"
Street Address: 17187`? ?? lt'
City: I(-A'G-q A-1 State: Zip: SS/ z 3
CoN7RACTOR Company: /" yS?c/' Phone
ARCHITECTI
ENGINEER
License #:
Phone
Zip:
Registration #:
Street Address• ?
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
??t,- Q, D 6E 1?2t r?
? Sf( ,
State:
State:
Zip:
Penalty applies when address change and lot
is
? u N . s 1996
agree to comply with alI
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
4.
? 01 Foundation ? 06 Duplex o 11 Apt.lLodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Firepiace o 21 Miscellaneous
SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ?33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ?
Census Bidg /
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 'Zi Op° '
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
?:--
?
• ?
z/a4
II ` '?.=r? CITY OF EAGAN
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIObT
(PLEASE P9IN7)
1) ProPERrY ADDrtFSS: 4689 Parkridge Drive
z.Frai, nFSGRIpTZC.r: Lot 4, 6iock 4, Parkcliff 2nd Add.
(Lot/Block/Subdivision or Tax Parcel I.D. Number)
iEy-IS:'=_:G S'Tt.'cL'CI'L^:2E, D;%T' 0° ORIGi 1AL B,i2LL`IING P="ST ISSZ:?,=:
`
? P:LSr?`?- ::,^.=T'/^?C?'CS^, LSz: JFa R-1 SI:tiGLE FPMSLY '- -_- -_
,
? L7 R-2 DUPLEX ('IWO UNITS)
? R-3 TCJ,vTIIIOIISE (THF2F" + [rRTS) ( Wi ITS)
ED R-d ppp.Ri2'E.`:T/CONt7Q?1'u?IIL;l ( UbiITSi
? CQtifiERCSAL/FtEi'AII,/OFFICE
Q L?.'DL'STF2IAL
Q INSTITOTIONAL/GOV???
2) pppLIC,nNT IPLEpSE PRIHT)
NAIIIE: Developers Cohstruction, Inc.
ADnREss: 1101 C1 iff Road
CITY, STATE, zlP: 8urnsville, htN 55337 ,
PHOME: y
3} pJ?^,ijgg2
??, PL A$E PRINT)
Weierke Trenc 1f1J
FOR CITY t1SE OHLY
ADDRESS: 660 C1 iff Road PiUMB,fRS LICe.vsF:
171 Active
CZ2'Y, sTATE, zIP: Burnsville, P1N 55337 TV Expired
PAOiVE; itr
PLUMBER LICENSE f/ ? Not of Record
arr initia
4) OCC[JPA,NT/C,j?? (t'ltq5t NH1Ni)
?1??,':
ADDRESS:
CITY, STATE, ZIP:
PFK?VE:
5) INDICATE WHICH PEP,MIT IS BEIIVG REQUESTID:
JU6 CO.iNECP20N 'Ib CITY SETi1ER
13 CON=ION TO CITY LVATER
? C1I'fIER (PL..ASE DESCRISE)
UJ LLLlll??i:: V::L:
? PI.&lSE HOLD APPRC7VED PERNLiT FOR PICi:-UP BY ONE OF ABCn/E
?°L.E'15E RTALL APPROVID PERtiLIT 'IC) 1, 2, 3, 4 AEC7VE
(Circle one)
7) SIG.A2L'RE: DATE:
O4 R OI:?:Y#Ai? i! E?l:1?-?a f?l ?s R?ICii:a.a? i dt s i.wca:a :a a at a.R ?Y.?.r-?•- ????s ?az ee
F 0 R C I T Y U S E O N L Y
PERMIT '-` ISSUED
FEES: $ /d?.S o S°:^!ED PCA\1Ti fI`ICL:;DE SjiRCH?3G?i
$ WATER PERPIIT (INCLUDE SURCHARGE)
$
WAT°R METER/COPPERHORV/OUTSZDE READER
$ WaTEP, TAP (I:QCLUDE COR?ORATION STOP)
$ SEWER TAD
$ ACCOUNT DEPOSIT - SENER
$ ACCOUNT DEPOSIT - WAT°R
$ WAC
$ SAG
$ T4U.1K WATE° ASSESSf-IENT
$ TRli:IK SES+lER ASSESSME:IT
$ LATEP.AL BENEFIT/TRUNK SET9ER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL "t
?
$ AM0UNT PAID/RECEIPT # ,7q
DOES UTSLITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C YES IF YES, THEN A"PERMIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO THE FOLLO6TING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ? -- ? -
?
?t ?w wt+? w?? w?,? w? wt+? rE ? w a? w? R? w?? s? w? ?? ata re ? s? ar w?a wc? ?t ?? w?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
??7 453830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
New Conshuction Reouirements RemodellReoair ReauiremenLs
3 registered site surveys showing sq. ry. of lot sq. ft. of house; and all roofed areas 2 copies of plan ?
(20°h maximum lot coverape albwed) headedaddtiops
2 capies of plan showing beam & window sizes; poured faund design, etc. 1 sJesuneyJwaddihonsF<pe?ks
1 set of Energy Calculafions Addnion.irulirate j(4-sp ifesepticsystem
3 copies oF Tree Preservation Plan i( lot platted after 711193
Rim Joist Defail Optians selection sheet (bldgs with 3 or less units
? r7
? - L U?3
Offce Use OnN
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ Onsite 5eplic System
Date { / a / 03 Construction Cost d Q d
Site Address _40 )9 -?(}xh lr" iciQ e, -Or 1 4 fe' UniUSte #
?
Description of Work N
Y' / ` 1?Sernen+:- tz td b
eA+room walls Inaq u
:cA115 ish
2yciS-?it? Gll ' nnd ?rloorin
Property Owner L?10L r4 (tri A ??(A fflN i^1'n Gt.I ?V' Telephone#((rj?jl) ?.R? -?ZO(p
Contractor N ?
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesoha Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
SewedWater Contractor
Minnesota Rules 7672
• New?EnergyCotle;Works,heet-"1
Submitted I ??
;
Telephone # ( j )
I
Telephone #(?"-)- ?
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes, I understand this is not a permit, but only an applicarion 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.
R ichard -9 ie.rmc?.??r
ApplicanYs Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 aeck ? 23 Porch (scraeNgazebo)
? 05 03-plex ? 11 10-plex 71 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-piex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
)k 33 Alteration
? 34 Replacement
Valuation o?` v
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
_ Footings (new hldg)
_ Footings (deck)
_ Footings (addition)
_ FoundaHon
Drain TIle
Roof Ice & Water Final
? Fratning
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
`Demolition (Entire Bldg) - Give PCA handout to appliwnt
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ? 2? , Building Inspector
---- - --------------- - -------------------------------------------
?.---
?(2bD 17o
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
(o Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required fvr each unit
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SiteAddress Ack'e., lo/'lyt/ Unit#
Property Owner ? 6LYn7Q/eY' Telephone # (eW ) 6 0" d266
Contractor i?-D J/"?Gin7.(J/I7q
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State Zip (!5??OYl Telephane #(%SZ) ? lo `r lr 9?19
The Appticant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee Additional consultant fees may apply.
Alterations To Existing Dwelling Uoit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener ? Water heater $ 15.00
_ replacement _ additional
$ 50
Sta[e Surcharge
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t hereby apply for a Residential Plumbing Permit and aclmowledge that the '€oEmationris-comptete and aceurate; that the worl< will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to s[art without a permit that the work will be in accordance wrth the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Appl' t's Signature ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114497
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 4689 Parkridge Dr
Lot:4 Block: 4 Addition: Park Cliff 2nd
PID:10-56701-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Andy Carney
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 -
Richard S Biermaier
4689 Parkridge Dr
Eagan MN 55123
(651) 687-0206
Cmr Construction & Roofing Of Mn
2535 Pilot Knob Rd #105
Mendota Heights MN 55120
(763) 398-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152016
Date Issued:09/24/2018
Permit Category:ePermit
Site Address: 4689 Parkridge Dr
Lot:4 Block: 4 Addition: Park Cliff 2nd
PID:10-56701-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Richard S Biermaier
4689 Parkridge Dr
Eagan MN 55123
Liberte Construction LLC
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature