4693 Parkridge Dr
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA095593
Date Issued: 08/24/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4693 Parkridge Dr
Lot: 6 Block: 4 Addition: Park Cliff 2nd
PID:10-56701-060-04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Standard Heating & Air Conditioning Jolm L Schumacher
130 PIN-mouth Ave. N 4693 Parkridge Dr
Minneapolis NIN 55411 Eagan NIN 55123
(612) 824-266
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Bc?x 21195
Eagan, MIV 55121
r;. Z
Zoning:
Owner:
Address:
46-71-
Site Address:
Plumber, e 13?
WATER SERVICE PERMIT
PERMIT NO.: '
DATE:
No. of Uniss: `
AAeter No.: Connection Chorge:
Size• Acwunt De it•
. pos . _
Reader No.: Permit Fee:
I a9rer !o eomPy wflb the Cifr of Eagan Surchorge:
Ordinsncas. Misc. Chorfles: -
Totul:
By Oafe Paid:
TY OF EAGAN
30 Pilot Knoh Road
0. Box 27199
gan, MN 55127
Address:
SEWER SERVICE PERMIT
PERMIT N4.: 0 6 7
DATE:
No. of Units: 1
7-11-84 43163
ti to wmply wi1h Me CNr of Eaga¦ Connedton Charge: ?
enep. Account [kposit:
Permit Fee;
Surchar,pe:
Misc. Chprpes;
of I risp.: Totol:
Dofe Paid:
TY OF EAGAN
30 Pflot Knob Road
0. Box 21199
gan, MN 55121.
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: 1
?g y
e Drive L6 54 Park Cliif :
'Connection Chorge:
iAccourrt Deposit: _
Permit Fee:
of Eagon Surcharge:
Misc. CFar9es: -
Total:
-4?ote Paid:
? ,. CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
wecevao . /
FROM
AMOUN7 $ I?.
?
DOLLARS
I oo
? CASH ? CHECK
ron +-?'
:
dfL( `.L',.
FUND CODE qMOUNT
)
Thank You?
,- BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt
? ' • ?'?
MECHANICAL PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Print /egrbly
Permit No,
Fee
S/C
Tot.
1. Date Li/ ??d y 2. Installation Cost ?
3. Job Address f//2iC/lit?,?ot Blk. Tract
A931
4. Owneri/Ek/TfKrE ENt?e 6l", //Gv//t' ; /A/C,
5. Contractor L l<;o/UE' N-1-? 1176. Phone ?r
6. Address Tc?-
7. CitY E-.rJf- NTi?N State Zip- ?-
8. Building Type: Residential t-Ca Commercial ? Institutional O
9. Work Description: New 0-- Add ? Alter ? Repair ?
±7 64 S
10. Deseribe Fuel Type/A/
11.
No,
? s,yuipment BTU - M. Ea.
Forced Air No. Epuipment CFM
dli
Ai
H
Mfg. r
an
ng:
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 : , y.r ? ?. • ?,.? for
?. _
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
o,,,l;,;,,,, PARKCLIFF 2ND ADDN ,_. 6 I0-56701-460-04
Owner
street 4693 PARKRIDGE DRIVE State EAGAN AW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 13 1984 366.25 73.25 5 293.00 14349 8-2-84
SEWER LATERAL
WATERMAIN ?{0 1984 35.22 7.04 S 28.18 A014349 8-2-84
WATER LATERAL
WATER AREA O 1984 366.25 73.25 5 293.00 A014349 8-2-84
STORM SEW TRK 1984 642.60 128.52 S 514.08 A014349 8-2-84
STORMSEW LAT 283.60 56.72 S 170.16 A014349 8-2-84
' CURB & GUTTER '
510EWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAIV
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E : 454-8100
BUILDING PERMIT •
N? 9061
Reteipt # - -
To be wed fee SF DWG/GAR Est. Value .j 80 ,000 Dot e MAY 11 , 1 9-LA-
Site Address 4693 Z'ARKRIr1GE Erect
?
Occuponcy R3_
`
Lot ? PARK CI,i:Fr 2
Block ?' j GecJSub. Alter ? Zoning R 1
Perce, No. 10-56701-060-04 Repoir p Fire Zone N/A
Enlor9e ? Type oF Const. V
oc Name ROgERT $ MARY DRIFR ?ve ? # Stories
Z Addres s 4165 BLA,CKHRWK Rt7 pemolish ? Length 7?
? City '"?E'AN Phone 4 5 4-7 5 3 9 Grode ? Depth 3? Ft
Sq
.
.
? _. }i E ITAG}; ENER Y HOf4FS Approvals Fees
Name
Address
City
I hereby ocknowledge
ihe intormofion is rn
$tate of Minnesota S
Signature of Permittee _
A 8uilding Permif is issued to:
otl work shall be done in acco
Bulldin9 Official
this opplicotion and state that
to comply with cll opplicoble
of Eogan Ordinances.
Assessment
Water & Sew.
Police
Firo
Enp.
Plonner
Council
Bidg. Off.
APC
Permii $ 373.00
Surchorge 4 0.00
Plan check ' ? 6.? 0
SAC Z `-' • U G
Water Conn. `` 70 • 1)G
Water Meter u 3 . ? ) 0
Road Unit = ?= ? • ! U
Total U
'D on tha cxpress tonditlon thni
Stotutes ond City of Eoyan drdinances.
Permit No. Permit Holder Misc. Permit No. Holdar
Plumbing C? L' h4 f?
I
H. V.A.C. ? ZD O(4 ? Y D t'\
wat.r w.u ,
Disp.
Sawer
Electrie A 05 /!q? Mjf-t 2? ?1- /O.4 d
Inapettion Date Insp. Other
Footings ?s
Foundation
Freming
?
Rough Ptbg.
Rouyh HVAC
Insulation /
Final Plbg. _ Q
Final HVAC G
Final
$
LIA,
D• '
Water Describe Location:
Well
5ewer
Pr. Diap.
Receipt PWMBING PERMIT Permit No.
CITY OF EAGAN
Fee
? Fi!l rn numbered spaces S/C
Type or Prrnt legibty
Tot.
1. Date ?- ? ?- ts y 2. Installation Cost ?
3. Job Address/- y d>? ? Lot_A? Blk. 7 Tract
4. Owner L.
5. Contractor 14-4 L ? Phone ?? ? L/
6. Address
7. City L 1) (- ,,, , State " / t?-- 2ip
8. Building Type: Residential ?9 Commercial ? Institutional ?
9. Work Description: New El Add O Alter ? Repair ?
` 10. Describe L i ? ?L_ (-,
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 ordinanc:es and codes governing this type of work.
Signed : f, for
Rough Final
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
BUILDING PERMIT
N° 9061
Receipt .{k _f ? S
Te be utad fer SF DWG/GAR Est. Value $ 80,000 pate MAV 11 , 19$A-
siteqddress 4693 PARKRIDGE Erecr Occuponcy R3
Lot 6 elock 4 SeclSub. PARK CLIFF 2 Alter ? Zoning R1
Parcel No. 10-56701-060-04 Repotr ? Fire Zone N/A
rc
0
Ou
u?
f
Name ROSERT & MARY DRIER
Address 4165 BLACKHAWK RD
City EAGAN phone 454-7539
Nama
address ICOLS RD - 4655 Citv EA AN phone 452-5950
Name _
Addresa
City -
Phone
Enlarge ? Type of Const. j7
Move p # Stories
Demolish ? Length 75
Grade ? Depth 32 Sq. Ft.-
Avprorul$ Fees
Assessment -
Woter $ Sew.
Police _
Fire
Erp.
Planner ?
Council -
Bldg. Off. -
APC
1 hereby ocknowledge tFaf I hove read fhis npplicofian and stote that
The inlormotion is correct and a9ree to comOly with all opplicoble
State of Minnesote Stotutes and City of Eagon Ordirwnces.
Sipnafure of Pertnittee
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
PHONE: 4548100
A Building Permil Is issued to:
oll work sholl be done in acco
Building Officiol
pemit S 373,00
Surchorge 40.00
Plan check 196 _ 50
$AC r;25.. 00
Woter Conn. _470., 00
Woter Meter 6-4 - 00
Road Unit 7Xin 00
Total 1, 7.50
HERITAGE ENERGY HOMES on the express wndition Ihnt
'?wth oll ono rco e.StaM af Minnesota Statutes and City of Eagan Ordirwnces.
Th's 14.+?o thzLom?d Lf 'l ??U -.t' p /
A 0 68 2 0 4 L b BV?a.k
flequest Da e Fire Mo. Wough-in Ins tion
Neqairetl?
?RBadY Nww?Will
jzvbs ? N. w Often
?L?cens&d Elec?rical Convactw Irymayy repuest inspection of abovs
? Ownlr elaetrical wwk inptallad at
Sveat 'Ad/dress, Baz or Ro No. ?
k
0
l Ciry
93 qr
rlo
t Y
6 N,
ect?on o. Townsh?p Name ar No. Fi.i,qe o. CounDa
Occu ? IPfllf?T) ' Phorie No.
rf ?" r t L-S'?Sd
Power Supph¢?
ar4 - p?re? r (
rAe(Ml» 9'-Xw
Ele ical
Contra tor 'CrrN ?
? Convactor
s Li
No_
?
crs t
*? 6
a
-3
7
Mail?gAddr s(COntract or Owner Maki I?cuilat.on)
L b
7 a
AuMori ed Signam ?Conna or? Maki?g Installatiwr? Phon, NmMer
_ _ f?9?I -3555
MINNESOTq STAT(?App OF ElEC7i11CRY THIS INSiECT10M NEQUFST rILL NOT -
Griygs-Miaway 81 Ibom N-191 BE ACCEP'fE0 BY TIE SfAIE BDApO
1821 Univeraity Ave., St_ Paul, YN 65104 UNLESS P?? INSPECTIOM FEE IS
Phom f8121297.2171 ENCLOSED.
UU REQUEST FOR ELECfRlCAL INSPECTION ?EB-°°°°'-°°
"?;n-6 S. imtructiwis fw c ? f 2( r 0?
o?lati.q tl?is fam m Uaek ot yellow copy. /p
A nRRgn d ""X" Belr overed by This Request
Nar7y0151 Peo.l Tvoe ol eui W ino 1 Aoolmneea qired 1 E9u:paien1 Niretl 1
Mi
A ee Serv:ceEMn a Fee FeadersB?iaeders 6 ier Circu:ts
w m- Uto Om30 Otn30
Above
j
31 to 100 Am
ps
37 to lOQ
Swimming P A6ove 700_Ar?s Above 100_A
Transfortners irrigation Booms Partial.'Otlier Fee
LJ I S??S 1 I ISpecial lnspection Is ,L? ?or ?
RamBrks `' ? '
N7-
Rouph-in Date
I?oactar. MoM
ee Sh thet [he above
F.nal
..? _. .?. t D.I.
. ].7?
o[ ? G. Ies been
"
Tti4 feyuast vab 78 mantlm Imm
This request void y,?5 3? -
78 months lrmn
A 057791 L(,, 6y
iW (? `-Gk ),
5??-yt8y `_
Neguest Da
g Fire No.
t:on
PnauhZ?lrc
pl,
Pa
D?? Nor ?Mill NotiW Insoec-
? Yes
icen ElecLicai Gmtmetor
std 1 Mmby request inspection of above
? Owner sbctriwl wmk imtalled ar.
SVaet Atldress, Box ute No_ ? Cilr
?{ 1?3 a rk r i cl i t?B w
ecuon o. TownsAip Name or o. nge No. Cwnty
Occu ant Ifli NTI Pbone No_
pt
; 5950
?/ Z-
, ? .
Power Su00li
/er
K6?14- ?t •f
AdAress
?
Eleccri a onvact r 1Cmnparry N mel ' Conhactor's licaae No.
D o7L/?3
Mailin Addr?ss ICon[ractor or Owm¢r biaking I?bilation)
6 4
? S '
? a
Authorized Sip?ature fCo actor Owree Mlakina Insiallavonl
17 Pho
ne Nu?Lgr
/ ?j
O I ? ? aJ
MINNESOTp STpTE BOARdOF EIEGTRICiTT
Gripps-Midway Blde- - Mnm N-191
1821 Universiry Ave., Sv Poul, tlN 55704
Phom 18721 297,2111
THIS INSPECTION qEflUFSI' AILL NOT
BE ACCEPIFD 8t 7HE STAIE sOARp
UNLESS PROPEX 1MSPEC7ION fEE 15
ENCLOSED.
?( 353 8 IEQUEST FOR ELECTRlCAL INSPECTfUN /EBZOM/-M
, See ioetr?ti. for rnmpieFim tivis torm w bect Of Yel{ow copY.
"'X" Below Work`C?vered by This Request
A
0577,
Adtl RaP- TYPe ot Builtli" AODlieneea Oired E9uipo,e[ Nired
Home Range Tenyiorary Service
Duplex Water Heater Lighting FizMes
Apt. Building Dryer Etectric Heaiin
Cortmercial Bldg. Furnace Silo Unloader
Indusuial Bldg. Air Conditioner Bulk Milk Tank
Farm OMer ceci v ??? 4Rcecnryl
x. ucm y i. rneer
Comoute lnsoection fee Below
k Fae SarvireEMmoxsSixe p Fee Feeden/Subfeeders M Fee Circuits
0 to200 Amps 0 to30A Duo 30 Amys
Above 200 Am - 31 to 100 Am{u 31 to lOQ
Swimmirg Pool Above 100_ A6oVe 100_A
TranStormer5 Irtigdtion Booms Partial•'Otlha Fee
Siqis 5{ucial Inspec[ion S U
TOT
Aemarks
??
?n
V ? _7;?
flouph-in Date
?_ ny Ebcb:eal
ImPac9r. hnebv
?h' ?t tl? abpve
Finel pp? ? has basn
?
s NM_
_-. Tft ,e9wMvoWlBmnnMeham
? -?¢ ? ?? CITY OF E11GAN Tnalo?l? ?'? §? F§ 6£ p1ans;
/?l'' 1 Cartif,i,eaEe E?f. dt1t°vgy g
?- ? v ICJ ? BUILDING PERMLT APPLICATION 1 set of_' et3ePyy EAiERdl?lf:??l6e
? -
S-- ,- . ,
Rb Be.USed For??????Y???? ValuatioiV'-`6'O,,? Date 9 8?
Site Pddress ^?-?c ?i 3 s mzKlt+ r?? [
OFFICE USE ONLY
Lot ? Block -t- Sec./Sub.Ih2K ? LI Ft= Erect sL Occupancy
Parcel #: /?,Q ' S b?? f- E) ?? .. oAlter Zoning l
? Repair Fire Zone
Owner: ?i O hE--(Lf -L YY)+Yt,4' 1?2 )??Z E7nlarge ' Type of Const.
Address: )3i.h(IKJtlW)C to"e # Stories
Deiolish Fmnt 75 ft.
City/Zip Code: Grade Depth 3? ft.
Phone #: y- S4 - 7?
'J APPROVAL.S FEES
Contractor: k1C'rn??? ? ???aj? ^')mks Assessment,, Permit
Address: 46 iS^ ?1 ICo t5 ??.
City/Zip Code: ??-
Phone #: ?-9 S b
Arch. /E7iq. :
Pddress:
City/Zip Code:
Phone #:
Water/Se,rer Surchan3e ??-
Police Plan Check > 5z' b?
Fire SAC
nvg, water Conn. y 76
Planner Water Meter ?-
cou,cii RQaa vait
Bldg. Off. / ?
APC f 9
?C7I'AL /i 2 1 7 • S O
7/?o <??
F 3».?
77 7"/
373 0 c ' i
186°5C+
525•0 C
490?GC'
6'? •OC-r
2 5 0 ? 0 C+
???-IDSGx
?
RESIDENTIAL
S! O??. BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851•881-4675
New CoostrucNon ReauhemeMs
. 3 regislered ske surveys shawing sq, tt. of Wt, aq. k. of house; and ?II roofed areas
(20°h meximum lot coverage allowed)
. 2 coples ot plan showing beem 8 window sizes; poured found design, atc.)
• lsetofEnergyCalculatbn8
• 3 copies of Tree Preservetion Plan M bt platleA aNer 711193
• Rim Jois[ Detail ppllpns seleclbn sheet (bldgs wMh 3 or less unAS)
DATE l`09-
SITE ADC
TYPE OP
APPLICANT
STREET ADDRESS
TELEPHONE # 763??!!'U30
6? CELL PHONE #
l?l -)s--
NemodeUHepalr BeaulremeMs
. 2 copies of p7an
. 1 set M Energy Calculatans lor heated addttlons
• 7sttesurveyforexlerbradd'AiOns&deckS
. Indiqte n home servetl by septic system for additbns
VALUATION a dYe?
AULTI-FAMILY BLDG _ Y zc-IV'
FIREPLACE(S) _ 0 _ 1 _ 2
?STATfizL ZIP55y
FAX #
PROPERTY OWNER Jo/-Vl ??xIWueCJeve- TELEPHONE # lo5f --GB? '7 9Bn
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01'A RULES 7670 GATEGORY 1 MINNFSOTA RULES 7672
(J submission type) . Rasidential Ventilation Category 1 Workahaet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechaniccl Conkactor:
Mechanical system includes:
Sewer/Water Contracfor:
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
-----°-------------------------°--------------------------------------------------°-----------°-°-°°.----°--------
I hereby acknowledge that I have read this application, state mat the information Is correct, and pgree to comply
with all applicable State of Minnesota Statutes and Ci1y of Eagan Ordinances.
Signolure ofApplicant r
...._.--°-°...... _._._--------------------
OFFICE USE ONLY
CeAificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Ak - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Ext. Ak - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroot ? 46 Windows/Doors
? 34 Replacement •Demolition (Endre Bldg only) - Give PCA handout to applicaM
Valuatlon 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 W idth
REQUIRED INSPECTIDNS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Suppy 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT#
RECEIPT DATE: ?
MIDEPTIlkI. PLUM$Iftfi MAiMIT AffLICATION
C1TY OP EABRA
3930 PILOT KROB i{D
gA6AN, buv 8818E
651-681-4675
Please complete for.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preyenter for irrigation system ___
SCHUMACHER,JOHN
4693 PARKRIDGE DRIVE
EAGAN, MN 55123
(651) 686-7980
NORBLOM PLUMBING Ca.
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: MINNEAPOUS, MN 654M STATE:
Place a check mark next to the oermit work tvue
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
. water turnaround
Nature of work: 1? n n? c- o d 1?e? k2 -
Septic System, new/refurbished - $ 225.00
. includes County & t-lonsulting Inspector fees
. requires MPC license
State Surcharge $ .50
Total $ ?5-0- 5-0
Rem)nder. Be sure to schedule Inspections of alterations, i.e. water heaters, water softeners, etc.
I here6y acknowledge that I have read this application, sfate that the infamiation is wrred, and agree to mmplywith all applipble Cityof Eagan ordlnances. It
is Uie applicanPs responsibility to notl(y the property owner that the City of Eagan assumes no liabiliry far any damages caused by the City during its normal
aperatlonal and maintenance activities to the fadliUes consWcted under Nis pertnit within City property/right-oi-wayleasement.
GNA URE OF PERMITTEE
Updated 1l01
c;er'Liiicatu tor:
, Wally Hafstad
Ylritage Ehergy Homea
4655 Nichols Road
Eagan, Mn, 55122
DELMAR H. SCHWANZ
IPIVQ 5URV EYQR S ! .'"C•
Reqisbretl Untlsr laws ol TM State of Minrrosota
2978 - 146TH STHEET W. - BOX M ROSEMOIAN'f, IWINME9t»A 65488
?
?y
SUflVEYOA'8 CENTtFtCATE
Scale: 1 inch =
30 feet
O Denotes iron
mor.u,nent
[] D@ri0?'.2Fi SEt WOOd
hub
Vi Denote9 existing
elevatian
Dent.t;es pruposed
e; , e va.'L' S,on
i _
I "? N
? o?l i
Bk: 71/75
PHONE 612 423-1768
-(vPq?
i,31
,?! 8 7- zs i3 E'
O LV Garag9
- --- -
roPoBed ?
House ?
I to
-
A?
?
7
i'rop.;ser3 ;c,rxt•a€?e. flnor elevatior,-,-j-.
9
IJrainage -?" i
and Ut111ty I
Easement
h ?
?
3
r?
?
?
?
?
?
ivm
O
'Z
. -- -.-.-1 I
g'? . i
I hex-eL;,= cwrt??.t°y trat this is atrue and carrect representation oP
L-0` 6, F31or.k 4, F'ARtCCLIFF SR-,aND AI3IJTTI6N, aceording to the recorded
p;.at Lhereof, Isaakota County, Minneaata.
A.1_$G showi.nF; the location of a protaased house as staked thereon.
May 3, 1984
? ? (;`
r
? ?.r,
?
+,? ,t'fji?'?r,•i ; ? t ?,(? ! ???j?
MINNESOTA REGISTRATION N0.8826
?I dz-
?
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION '
OWNERs V(ZiER-
SITE ADDRESS:
CONTRACTOR:
DATE: 1?, JI°1 J?
1 1
I. Design Co sidexation: SBC 6006(c)2
Total exposed wsil dz'ea: 19t4.12' x
A! tArA
SQ• FT• X
I-7
windows, 172.rjb ,44
Doors
Sliding Glasa Door .?- -
I p9
:?-s', 2:?
cALc. °u^
Wall Framing Area t v? 16i8 40Co°I (•? 1
Not Wail Arca ?b15,°I2 ? 044 40? rz
Rim Joist Area, I? i 4?144 7 7
Total Not Foundation ?
Total Calculatc8 °U" ias 337 LY,
Sinca the Lot.al calculated "U" is le ss than thu design
qualificaiiun roqtiired, we havo mot the intenL uf SBC 6006(c:)2. '
II. uesiqn Consideration: SBC 6006(c)1
Total roo; and ceiling areas r
ARCAS
SQ. FT. X
.l
C11LC. "U"
Framinq A ea (a°vg) _
Net Insul t Lon Areas
Total calculated "U" is °
?n.
Since the total calculated "U" is less than the design
qualifica.ion reguired, we have met the intent of SBC 6006(c)1
Ct'. IC? I !`li'! '.i•'c?k
_' v! S.R. & 93d5.ag
R•r'1? Lo. o
intf' AiR- (,?g' :
Stud ?j
;??• .
Shtg. .
Sidi.ng 71
Ext. Air .I 1
TDtal "R"
lIR - "u° , o cei
-v
THAU CSILIDTG Int. 111r . (ob
HED(BER S.R. • °aCoC1R. Manbar ?•'?,'r?
Ins. '?'?
SLill Air •, ?'1
T+tal "R" • Sn??
1/R
T}fRIT CONC, HIlC.
2'I
_ . . ,
? '.
?. ?
.. a'.. ? .
t • a
. • ..
Int, pir Lob
? , 2"'P7
C.B. ( IZ,„)
Ias. (Opu-)
Ext. Air
8.R. (OPt.) '--'
SidimR (Opt. ) ---
xot*1 "a" • ?05 3 '
?
1/R
, I
?
i
(
u? 1. K ?+i4i:?g
?
?
R4iIdJ CEIyING
INSULAT7cff
;
2 r'tox
,(rir aaP-
o, tt.
Ias.
Sht?. .
`61 di np.
Ext. Air
Tital "R" e
1/R e °II" .
6-.U
'•?
? ?ln
I?
'Z.. ,'i•_.
,U44.
Int. Aii .. . (ct.?
S.R.
Ina.
, CPl
Bti]1 Air
T,tal "R"
L/a - "u p a ? C.: j1
THMJ Ft7M JOIST
• TYl't.. Air , li`L:-)
Ine. VILi,G`
14," Fi?-)d l .b`'1
??' $htg. c.., L,
3idinF
$xt. Alr
T-AOI. "R"
L/R . "U" A . U? Q
?
SUBD.
gL ?I
CITY USE ONLY
-n?
RECEIPT#: 1 a 36? S%
RECEIPT DATE: r7- ? ? - OO
PERMIT# ? dI 60 yP -C?
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
FAGaa7, 2IIa 55122
651-681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH 7/
TOTAL
Alterations ta existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ` minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newrrerurmsnea ' requires MPC lic. 75.00 x = $
Septic System ahandonment 30.00 x = $
RPZ new installatian/repaiNrebuild 30.00 x = $
Rough apening 1.50 x = $
Shower 3.00 x = 8
Under round s rinkler if dwelling is under construdion 3.00 x = $
Under round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under constructlon 5.00 x = $
Water softener tt exisang dweuing 30.00 x = $
Water turnaround 30.00 x $
State Suroha e 50 --> -? -> $ .50
TOtal -> -> --? ---> S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
.. --• •------------------------------------------------------------------------------------------------------... •-----°--------------------
I hereby acknowledge tha[ I have read this applicahon, state that the information is wrred, and agree ta compty with all applicable City of Eagan oidinances.
It is the epplicant's responsibiliry to notify the praperty owner that the City of Eagan assumes no liability for any damages caused by the City durirg its
nortnal operational and maintenance adivities to the facilities consWCted under this permit wilhin City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE #: 65E-,-l - ?6
(ITttEC(CODE)
INSTALLER NAME: TELEPHONE #: 02-
? ? (AREA CODE)
STREET ADDRESS:
CITY: 0//Yf g-? STATE: ? ZIP:?
SIGNATURE OF PERMITiEE
l .=...'., N
' ? - ' -
- 2/84
i
% CITY OF EAGAN
APPLICATIQN FOR PERMIT
- SEWER AND/OR WATER CONNECTIODi
(PLEASf PHIHi) - "
i) PROPERIr ADoRess: Z16 3 ? ?'?r ;•? I7r-
LDC'.AL. DESCRIPTION:
(LOt/Bloc.lc Stbdivision or 2ax P 1'Y.D. Nunter)
IF ..XiST=`G STRIJCI[ktE. DATE OF ORIGINAL EUILDING PEIF-??ZT ISSiAPiC.^'.:
lMOr,:E /Yea` !
PRESE.^]T --f',?7IRY;/PTDPOSED USE: O(R-1 SI.NQE FAMSLY {
?
? R-2 DUPLEX ('IWO iJPIITS)
d R- 3'!CItT$"1SF f!nq.ZF'F r .,h,T...,
q R-4 APARZMENr/cONIDaMiNrtkt ( --- UNPrs}
? CU14MCIAT./RE'I'AII,/OFF'ILE
INMUSTRLAL
p INSTITUPICNP.L/G9TIItI+IIE1P
2) APPISCANP PlEASE PRIYi)
/ /
?ME7 C'.YJTj_Si`!l /,?
- F
?
AMREss :
CTTY, STATE, zIP: A n o I<7 - Vc ?/ti. ? lM , v7?? S s-
PHONE:
3} pIJ,Jriggt ?j PLEASE PA1Mi FOR CIiY USE pNIY :
NAME: j?c'
1 Y1 e. [' 1k=&t )
? ?:
_
t
? T "?
ADDRESS: PLUMB RS IICEMSE:
+[ Active - ??
? m
CITY, SPATE, ZIP:
N`p $ 5 O,E Expired
d
HfAS'rE11?
PHONE:
?f$Z7"' PLUMBER LIC£NSE # 9ot of
?
Qr?
T?
?f?
T
a ni ia
4) Cx--cIP74'r"P/CWC7Ep, (PLEASE PRINT) - - NAW
:
, {
?7
ADUft65S:
CITY, STATE, ZIP:
Pi 3CXNE: :Sv
s) 1rmrCATE VvIizcH Pffe4rT zs sEirz; REQUESTED:
E''coMEcriorr TO ciTr sEWEa
? [?coNid?.?zaa 'ro czTr cvATrrz
E] (7I'f iER ( PI.F.F15E DFSCf2I;3F )
---_ - - -- -
- - v
6)
x. ? PI1'1L:12 !}nLd) A_r-p ?
R(7VI7J E FRtitI ; LCIR PIC-K-UP BY ? OF
ilPQv rF
[B-9I.G'1SE MAiL APPRm77) i'FSL`LI'I' 'IU 1, 2, 3, 04,aEOvT,
(Circle one)
7) naTE:
? I
?. 1 f
2/84
I t •ti,.;.,- CITY OF EAGAN
? APPLICATION FOR PERMIT
- SEWER AND/OR WATHR CONNECTION
(PLEASE PRIHT)
1) PROPERPY ApDRESS:
LECu'1L DESCRIpTZCN:
(Ir?t/Block/Subdivision or Tax Parcei I.D. Nim?l?er)
li E:tIS7":G S'IRUCP':ZE, Dr1T:: GF CRIGSVAL :.uILL'I:`;G P-?-_.?Im Ic=?N;C°.:
•'-O-- = - _- ,
, P:'E5.-,`_ :' ::.^„7S?:r:/F%C_°CS? i5=: ? R-1 SILNGIu°., rPMLT.Y
? R-2 DUPLE{ MO LNITS )
? R-3 TG6vTIIICUSE (TFLRF," + UNITS) ( UNITS)
C1 R-4 AppA'?T=:T/CJNIDCi?1LVIL^I ( [NItS)
? CCAVE2C7AL/RETAIZ,/OFE'ICE
p I1i,'CL'STRTAL
Q SNSTITfJTIONAI,/GGVEMT,1ENr
2) APPLICAb7P (PLEASE PRINi)
NPhIE:
ADDRESS:
CIZ"l, STA'PE, ZI?: _
PHOiNE:
3) pjU,BER PLEASE PRINi) FOR CITY USE ONLY
NP.NSE:
ADDRESS: PLUNBE RS LICENSE:
` Q Activ
e
CITY, STATE, ZIP: 0 Expir
ed
PHOiVE: ?itK Q Not af Hecard
PLUMBER LILENSE d
ait lnltla
4) OCC[JPAN'p/(7n7NER NtE(PltqSt PH1NI)
:
ADDF2E55:
CITY, STATB, ZIP:
PHOAIC- :
5) INDICF.`I'E WHICH PFRMLiT IS BEIIv'G RIQUESTID:
? CONTIECPION 'It7 CITY SEWER
? CON?IECI'ION 'Ib CITY SJATER
? CJI'F'.II2 (PI?'.ASE DESC:IBE)
u/ LVL1l,i:ta. li:+LC --
' ? PLF;SE F?OID APPROt7D pgZ;tiLIT FpR PICi:-UP BY OPIE OF ABCTJE
? PI.EISE MAIL APPROV: D PgRILIT 'IO 1, 2, 3, 4 71EOVE
(Circle one) `? .
7) SZQZ2J,'ZE: DATE:
?! ?l N:?1l1#lA:f? i111al?l?:a ! 1?[ r! ?:siF?#? ? af ?f 1?:i?i t? a?! f.?t:a? f4 a?e ?!! ??a?tr sa
1
F 0 R
PERMIT °- ISSUED
C I•T-Y-, U S E O N L Y
Fz'ES' $ r e . Go
$ io.so
$
S
$
$ I,S? •--a
$
$
$
$
$
S
$
S ,
SEWER nrAt1T'j' (I'ICL:'?E S'UP,CH?RGE)
WATE? PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCiODE CORPORATIO:I S'_"CP)
SEWER ?`ao
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK ?4ATE.°. ASSESSi1ENT
TRliNK SEWER ASSESSh1ENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRtINK WATER
OTHER
TOTAL
AiMOUNT PAID/RECEZPT I
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK bV2THIN
? PUSLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION_ LIST AS A CONDI-
TION.
SUBJECT TO TfIE FOLLO?^7ING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
.?
4 fl? ?!!e ?t ? i? !A !? ! ? wl? P! ?I i4 ?J! wf? Ra R7i f? ? ?! ??1 ?# ?4 ? i! ?i? lL7 R ? Fl ?J? ?1 ?
From:GENZ RYAN PLUMBING & HEATING 952 767 1900 0212112012 08:48 #144 P.002/002
Z LOW
Use _BLU_E_or BLACK Ink
For Office Use 1
P ertnit /~O~`~ City o Vlf Eallan Ea I Permit Fee: (P/`~(J 1
6
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: I
Phone: 651 675-5675 I I
I
651 5694 Staff:
Fax: 675-
I
2012 MECHANICAL PERMIT APPLICATION
Date: Site Address: L. V ~J P ~r
Tenant: Suite
RESIDENT 1 OWNQ., Name Phone: !
r• (r /1 /Jill
c ,K Address/ City/Zip: Or . C /j d
I i'
Name: 2 License `
CONTRACTOR Address~:,,:.~` u ~1 I ) City:`7~ (;I I' /j?S f~ /J G
State: 1 v Zip: C ^ J Phone: ~)5~ 1 L
Contact: U'R 1kbn' 2- Email: 1 I l Z- ',l r'
New A Replacement Additional Alteration Demolition
TYPEDescription of work: ~Gi.N1 k'f
r 3 3 !y
r.M.. o •iY . s Ffi
Now-
NO
RESIDENTIAL COMMERCIAL
- Furnace - New Construction - Interior Improvement
PERMIT Ty Air Conditioner Install Piping Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pu p _ Under / Above ground Tank Install f _ Remove)
rxw_. X Other VJ L- V~
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(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. 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 t to start without a permit; that the work will be in accordance
with t~eapproved pl n in/ the case of /work ww jich requires a review and approval of plans. ~
Applicant's Printed Name App cant's Sign re
R CIk~~Ci ~ ~~i • ~ ~°~,~~~"ry~`~ xr ; ~ r`~~ r ? r ~ ff
Requ1