4715 Oak Cliff Dr
r - - - - - - - - - - - - - - - -
For Office Use ~(9
Permit
City of Eaaali
I Permit Fee: v I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: Jr'c
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: U
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /.0 Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: & ( f»a4ft M Phone: •a
Address/ City /Zip: T l o t C /'~yl G - G g r`
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Gj Z
Construction Cost: ck:'o Multi-Family Building: (Yes /No ^ay~ `G License ago sir?
CONTRACTOR Name: .411412f -
Address: 14(0tr
City: State: 4f,v Zip:
Phone: pM2.. J/^7 Contact Person: /1 ;
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category ry 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conf+ r nnn- 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 is not to start wi ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and ap oval of plans.
X 6 1 x
Applicant's Printed Name Applicant ' Signa re
Page 1 of 3
_.0 .
Wertificate vf cccupanc?
WUj of ?agan
20ar1 aintt o( IWibing Z»Ocction
This Ceriificate issued pursuant to the requirements of rhe URr,form Building Code
certifyiRg that at the time of issuance thrs structune was in compliance wirh the various
ordinances of the Ciry riegulating building construction or use. For the following:
uttchmnr,w;on: W p,iG sldg. eumit No. 22483
O-W.-Y'n'P? E6.41 i Zoning Distrm Type Consl. VU
OwrcrofBuildiug? ttIMM Address I4450 R' 7F. PK6N! R'YTTIF
auiw;ng Aaa?s4715 nw !7.r" ttt_,IyP LAcalid.l, B1, C1AK Q.?F
/ .
Dale:
Bw7d;o60fficiat'}
POST IN A CONSPlCUOUS PLACE
`CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
, . Ii I f' F "['Y I
, .
PERMIT SUBTYPE:
APPLIC?NT:
?-
,
? . . i - ?? . . .
?
TYPE O? WQR?
. .. . .•
f?? PfAjtik ?; : P R v
;?. W P 1 Hk lt a p?r•c.if
?.
e. '
?? Ca•} . . -, . . . .J
. ? .? ' . . . . . . . . . ? . .
L
Permit No. PermR Holder Date Telephone #
SNV
PLUMBING vul 90Kc P?
HVAC
.
ELECT
ELECTRIC
Inspection Date Insp. Cvmments
Footings I 14,?
Foundation ! z 1 ,?
Framing
Roofing ?L rl
ia
Rough Plbg.
fio- ?
Rough Fn9. ? 13 r
isui.
Fireplace
Final Htg. ?
Orsat Test It a
Final Pibg. o'-i1 -/Jr-7J Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Pian
Bidg. Finai
7
A(W
Deck Ftg.
Deck Final
Well
Pr. Disp.
•
q7t9 INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ?
SITE ADDRESS: APPLICANT:
tIII< ? fii tio. E
r,. ??nK (,i rrr uIR
??Ak ? l f t F t t? L.' )
PERMIT SUBTYPE: TYPE OF WORK:
„j, . At i4
. . .. il? . . .. ' ? . - . ?. . . .. . .
F,? ; . .. ?. ?. ..
? ? .?%? s.•. . .. . . . . ?? . ? ? ,..J
Permtt No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBCa
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
'
-
DECK FTC,
DECK FiN.1? - -- - -
? _ "l _
j!D • GI' 9A
1 ? _
?
--- ----- -
, / ? , , L?t`'l ?:??ON 4Q.d7Gt3" 4Ar
CITY OF EAGAN Remarks
Addition OAK CLIFF ADDITION Lat 1 Rlk 1
owner (:W lljl:!"r ' ?=? • ?r? Street 4715-17 Oak Cliff Dx'ive
?y ? )a&? Au sy-;-y
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, aar.? 1981 250.88 25.09 lO p oZ-
STREET RESTOR.
GRADING
SAN SEW TRUNK 171 1973 104.12 6.94 15
a,
o o
-
SEWE ATEFIAL 1981 541.76 54.18 10 ;
?
?.
WATERMAIN
WATER LATERAL
WATER AREA - ? ' 1 9$2 161.31 10.75 15 ,
STORM SEW TRK ? 1979 350.52 17.53 20 ?,
STORM SEW LA7
CURB & GuTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
FAR K
? 1
71 ? 7 8 -
? ? • ?' O
Requeat Da[e Fire No. Rouqh-in In on NOTICE: Vw Must Call Eledrical Inspedor
. ? _ 0)
-7 _ ? Requiretl? It A Rough-In Inspection
Is Re
uired
, s ? Na q
.
Ler icensed contractor ? owner here6y request inspection of above elecirical work at:
Jo
bA
tltlress (Sireet, eox o Route No.) Cily
?
/
! 1
Section Na Township Name or No. Range No. Coun ?
Owu an PRINn Phone NO.
P er pplier (l/ J? /' Address
Eledrical Contractor (ComOeny Name) l Cunirectac License No.
_ . 1
? _e?rLi
_ / ..
Mailing AdCre(Contrador ar Ownar Making Installalion)
,5 ? .
AuMonzM gnature (Conkador/O er Making InstallaGOn) Phone Number
) S - 3?
? 1
MINNESOTA STAiE BOARD OF ELECTPIGTV THIS INSPECTION FEQl1EST WILL NOT
Grigge-Mitlway Bltlg. - Noom 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 Univereity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
,/ REQUEST FOR ELECTRICAL INSPECTION
/p•y? f ? ? See insimctia?s br completing fii5 tarm an back ol yellow copy
lol 713 78 ' `X" Below Work Cavered by This Request
EB-OW0I-DB
/798/
New Add Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Load Managemem
Comm./Industrial Furnace Other (Specity)
Parm Air Conditioner
Othar (specify) Contraclor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSize Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps - o to 100 Amps
. Transtormers Above 200 _ Amps Ahove 100 _ Amps
SignS Inspedor5 Use Onty: 7OTAL r ?-'
Irri ation Booms 0 J?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rwgn-m
tkva oata
certify that the above inspection has
been made. Fnai oaie
OFFICE USE ONLY
This request voitl 18 months irom
Address 4715 OAx Ct,iFF DRTVE Zip 55122
Lot' ' '1° Blk
Sub OAK CLIFF
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /#V Yes No Inspector:
Fina] grade (6from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder [he removal of roof test caps from the plum6ing system and the shut-off of water supply to
the oufside lawn faucet before freeze potential exists.
Contact engineering divisinn at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Conlractor Copy 0
-X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITE ADDRESS:
P.I.N.: 10-53550-010-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDTNG
022483
11/10/93
4715 OAK CLIFF DR ??6'17' 3
LOT: 1 BLOCKa 1 V Q\?M1
OAK CL7FF
DESCRIPTION:
Bktt1 ldiriq - Permit Type
Ouilcling '4park Type
r?UBC f1CCppan7\
Corrstrua'Cibn Type
Buiid'3nq 4errgtit
i. BUi1r1'irio U1idth
$2.012.05
,
REMARKS:
PRV 5& W PLBR - D C MECH
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
sac %
SAC Units
3ubtotal
VALUATION $125,000
$727.00
$472.55
$62.59
$750.00
iee
1
SF OWG
NEW
R-3 M-1
V-N
52
52
MISCELLANEOUS $1.744.50
Total Fee $3,756.55
CONTRACTOR: - Apptrcant - sr. Lrc.OWNER:
KEY LAND HOMES 18942636 0801553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I herebq ackn4wledge that, I have read this apR3ieatiott and stato that the
9nf6rmatian i;s earrec'C and agree to c?arnply with all appl3cabj?e State of Pin.
Statutes an,d Gity ofi Esgan Ordinances„
L
ICAN ERIv1TEE S NA UT RE ? ISSUE BY: SIG?Y ?
-1
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoTc i BLOCK:
4715 OAK CLIFF pR
OAK CLIFF
PERMIT SUBTYPE:
sF nwG
PERMITTYPE: BuzLozNs
Permit Number: 0 2 2 4 8 3
Date Issued: 11 / 10 / 9 3
y APPLICANT:
KEY LAND HOME5
(612) 894-2636
TYPE OF WORK:
wEw
INSPECTION
FOO7INGS ., .
FOUNpATION D.
FRAMSNG ROQFING
TNSULATZQN FIREPLRCE
RQUGH IN PLBG RQU6H IN MTG
FINAL PLBG FTNAL
REMNRKS: PRV S& W PI.BR - D C MECH
,?,. . . ? ..? ?
1.1, .,i1?.
?': ? . ?. . .i• . ? i
.-
2 I- i
I .?
?
?
? ?
Rfa;t? ?VtiTE :, ;;,. „? ?., , CITY OF EAGAN
PERMIT N f' ?'??VED 993 BUILDING PERMIT
-ts 2 2 1993 681-4675
APPLICATION
(IN6LE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit 9s typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work 7tx) -
Site Address: A OaV_ C,LIFF 9Ri VF
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BLOCR ? SUSD. O18IV, GLIFF P.I.D. N
Descri tion of work: ? Etd LE :FAM I Ly 1??'F_MAeA E
The applicant is: ? Owner ?;Contractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
pddress
STREET STE M
City State Zip
Company V)EY L mE? s Phone 2)"114-Z4o7iGo
Contractor Address H950 gUW.lSVtLLE YK?.tlY, License p 1?3 Exp.3-31-95
City p7URI?ISViLJ?_ State M4. Zip'5->'S30Lo
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber C?• - MELAA4441C-41 . 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 appli able State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
BUIL DING PERMIT TYPE
°?'?
«' ?" "`? • ?"'?
? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging ???6 '?a'?`eqasn?.,f3nish
W02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ?'11 Swim Poolr
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YE`?;
(Allowable) v_ N lst F1. sq. ft. City Water Y C3
UBC Occupancy R,3 M_i 2nd F7. sq. ft. PRV Required _)LE2?_
Zoning n.i Sq. Ft. total Booster Pump
M of Stories Footprint Sq. ft. Fire Sprinkler
-
Length On-site well Census Code /o%
Depth ?2 On-site sewage SAC Code 01
APPROVALS -
i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
0 Final
O Framing
O Draintile
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
city sAc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
wt,at;a,:. g IZS?p?? ?`
&f.ae46; 2L1 VZZ = 525yc/6= 8,y443
C e1.7X26= 5Z0 X/S_= ??BA
ZNa Fooa"
24K 3/. 7y%-) x S?C c.l p) /76
Isr? 95m-7 : ?70d)
z x 4-?' . 67 Y2 `fi
SAC % JDO
SAC Units I
?s} LOT BIIRVEY CHECRLZST FOR RESIDENTIAL
BIIILDING PERMIT APP ICATIDN
m
? S2 ? PROPERTY LEt3AL: (
< ? r++
Date of Survey:
T-'-
? DOCIIMENT STANDARDS V ?
?6?0 • Registered Land Surveyor signature and company
Q? 013 : Building permit Applicant ??? ? Legal description
?0 0 • Address
[?1/??7 0 • North arrow and bar scale
B? ? 0 • House type (rambler, walkout, split w/o, split
-/ lookout, etc.)
tl? 0 • Directional drainage arrows with slope/gradient $.
0 0 • Proposed/existing sewer and water services
? ?? • Street name
LY 0 ? • Driveway
ELEVATION6
Existina
? ?? • Sewer service
? ? ? • Lot corners
6}? 0?? • Top of curb at the driveway
0 H" ? • Elevations of any existing adjacant homes
ProDOSed
?-? ? • Garage floor
? ? ? • First floar
? ? ? • Lowest exposed elevation (walkout/window)
C13? ? 0 • Property carners
L7 013 • Front and rear of home at the foundation
PONDING AREA3 (if applicabie)
LI ? ? • Easement line
n o' ? • NWL
D ?' ? • HwL
? • Pond # designation
? C3? ? • Emergency Overflow Elevation
DIMEN8ION8
2' ? 0 •
J?' 0 0 •
l7? ? ? -
H? ? ? •
a, o o •
? ? •
entry,
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Ret
Reviewed
October 1992
r 0n1r:
10- IE[ -`t73,
ER:
our ------
--
------- _._._ _
` RE ?
?
SS
?'?? l?
?'}" PHONE: ??I'l/ ?o2lL?
S?TE ADD :
i._?L1
CON7 RAC?OR :x tf?e-r? PLAN
Determine working square foota9e of each
l 1 3 o
ll area
d sq, ft. x.11
1. Tota .....
wa
expose
2. Total roof/ceiling area..... I sq. ft. x.026 = 3 I Z?
7ota1 exposed wall area above,floor=?l
.
rea
wi
d ......:... .................
a. Total ...............
ow a
n
wall
l
T ....
d ......... .................. 3a
b. ota oor area ................... 4 0
c. Total sliding glass door area ........ .......... ..................
rea
ll
l .......... .................. ?
d. Total ............
a
ace wa
firep
l ea (average 10%)
a
i
ll f .......... .................. '7 7
Tota ng
r
wa
ram .
l .
ea
i
t ...
....... ..................
S t?
f. Tota ................
ar
s
rim jo : 31
17
g. net wall area above floor. ......... ...
...... .................. ,
floor
b
l ......... ..................
h. .........
ove
arez a
wzl .
'
e floor
b ....
...... ...._.............
i_ . .........
ov
wall area a
..
at foL:neat_on
ll .......... ..................
j. .....
area
rrzme wa
Total exposed foundatio n area= '7 7
k. ?otal -"oundation window r,rea ......... .......... ....
1. Totzl net.ioundation area above grade .......... .... 7 Z
Determine "u" value of each r;all segment
(e.9. window, door, eac h separate wail section)
X „u„ A't = el"1,4?
a
?nl ?
.
b 3°I X ',ul,
X „u„
c
.
d ? ? u??
l?3 X llu„
e
.
f, X liu„ . ?' = 5,•-?4
?I X IIUII
g. 1L
h. X lkuii _
i.
]•
C "U"
X ?lull
If item ,"3 is tnw
as, or less than
you hzve re=
intent of SBC oG
r x liuti
X
3 . .................................Total =_ ISC., ¢3
4. 707nL EX70SED ROOF/CEIL17lG CALCULAIIUN]:
' Total exposed
roof/ceiling area... ..,.. ??? ? sq f[
: j) Total skylioh[ area.. ...... ? sq ft x "U" ? ° -
k) Total roof/ceilinq fr aming ?
area (Averape 10?). ..... 1_ZC? sq ft x "U" i
1) Totzl neC insula[ed
'l ?
s
fC x
"U"
?ZGi
° 7i?.v7J
roor/ceilinq area.. ..... I D q ,,
TOTAL j) [hru 1) 3?• S ?
4
1' total of =1i is che szme as, or less than /2, you have met the.intent or
2?'C: Z 1 .16008 A a-nd 0. . '
ALTERtIAiE BUILDIhlG ENVELOPE DESIGN
To utilize che to[a1 envelope sys[em mechod, the values estzblished 'oy the sum
or itens =3 znd A shall not 6e nrea[er than the sum of items #'l and ?-Z.
+ 2. ??73 = 7 c>. 03
T 4. ?,:?,SI = I?/v,
? ix , A
mM???`T?mTT?mTTTTMTT?TMMTT?TTn`MTMTTTMTMM
CITY 47F EAG1N
C,Af3W:I:E:R. S TFRM7NAL N0: 56
DA'iE ? 08/03/96 TIMI=e 15:29:36
IU:
NAMF e SONJA T ',;CI-IUl_TZ
3430 9001. 4.715 C1Flt; CLIFF 45.00
2155 9001. 4i'15 CIAY, CL_]:PF 0.50
':3430 9001 a-rz= oAf. Cl....T.f-F 1.50
Tota7, fieceipt Amount. 47,00
CR06?794
U5F_R .T.D: NANCY
4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
--b
BUILDING
028505
08/08/96
SITE ADDRESS:
4715 OAK CLIFF DR
LQT: 1 BLpCK: 1
OAK CLIFF
P.I.N.s 10-53550-010-01
DESCRlPTION:
qECK
NEW
434 ALT. RESIDENTIAL
?? J? ?° ???f
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
5ubtotal
CONTRACTOR:
I!'
? k
$45.00
$.50
$45.50
V? .?,(? V?
„?
AP CANT/PERMITEE SIGh TURE
COPIES $1.50
Tatal Fee $47.00
OWNER: - Appiicant -
SCHULTZ KIM
4715 OAK CLIFF DR
EAGAN MN 55122
(612)882-1723
r
.?+?+,• _ z. "
,?. _ .r..._,. .?u n .. _._ . . ? .._.... .,?s
17,
ssflBY: SIFNANRE
nw996
dgw ronstrudion Reouirements
CITY OF EAGAN
3830 PILOT KNOB RQ - 65122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVReoair Reaulrements
? 3 registercd eila surveya ? 2 eopies of plan
? 2 copies ot plans (indude beam & window slzea; poured fid. design; etc.) ? 2 ske surveys (exterior additions 8 decks)
? 7 energy calculatiom ? 1 energy eakulatlona for heatad additions
O 9 copies of tree proservation plan H bl pletted aRer 7/1/93
requked: _ Ves _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: Z "cL
STREET ADDRESS: y7/S ??k Clgr Dl''-
LOT BLOCK SUBD./P.I.D. #: On k rk??
PROPERTY Name: 14?-,Phone #:
owNea ?, ?..
StreetAddress,
- City: 5tate: /W Zip• s3/ZZ-
cot+TrtAC7oR Company: ' Phone #:
Street Address: License #•
ARCHITECTI
ENGINEER
City:
Company:
Name: _
State:
Zip•
Phone #:
Registration #•
Street Address,
City:
State:
Zip:
5ewer 8 water licensed plumber: . Penalty appiies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that 1 have read this application and state that the infortnation is correct and agree to compiy with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
r
Signature of Applicant:
.OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No ???
- ?au:; n ? l996
_NO __r.. .
BUILDING PERMIT TYPE
fl 01 Foundation ? 06 Dupfex
? 02 SF Dwelling ? 07 4-plex
0 03 5F Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
' a 05 SF Misc. a 10 ._ ptex
WORK TYPE
o"37 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL (NFORMATION
Const. (Actuaq
(Atlowable)
UBG Occupancy
Zoning
# of Stocies
Length
Depth
APPROVALS
OFFICE USE ONLY
? 11 Apt./Lodging fl
0 12 Multi Repair/Rem. ?
0 13 Garage/Accessory ?
0?- 4 Fireplace ?
?' 15 Deck
0 36 Move
0 37 Demolition
??
; ??"? ? ?;!
*
? ?W16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water ?
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. R. Baoster Pump
sq, ft. Census Code. -:5 q
Footprint sq. ft. SAC Code I
Census Bidg i
Censas Unit 0
Ptanning Buiiding iL4;2jw- Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Qeposit
5/W Pertnit
SIW Surcharge
Treatment Pl.
Road Unit
Park Ded.
Treils Ded.
Other
COpiBS 1.50
Total:
Valuation: $
96 SAC
SAC Units
OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (672) 454-8100
March 25, 1986
Attention: Peg Rimpila
County Auditor
Dakota County Government Cen[er
1560 Hwy 55
Hastings MN 55033
Dear Peg:
eEA BLOM9UIST
Nwyor
THOMASEGAN
JAMES A SMITH
JERRV THOMAS
THEODORE WACHTER
CounCll Members
THOMAS HEDGES
ciry nCmiruvtrar«
EUGENE VAN OVERBEKE
Qty Gerk
This receipt was incorrectly posted to i10=5550-010=0.1. It
should be posted to 10-53550-010-02. Please make necessary
changes to reflect these assessments on 010-01 and issue a
revised 1986 tax statement to the property owner.
Please let us know the installments made on these assessments
on 010-02, and 6y whom, so we can make appropriate refunds.
Sincerely,
E. J. VanOverbeke
Finance Director/City Clerk
Enclosure
EJV/dk
THE LONE OAK TREE. .. iHE SVMBOL OF STRENGTH AND 6ROWTH IN OUR COMMUNITY
, DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS
DATE -2
. ?
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_
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PLM PqqCEL NO.
114.191
CHECK OIGITI / I MUNICIPALI7Y I
RECEIPT NO.V670
•? D/P ' AUD = INT. ; FROM TO OftIGINAL AMOUNT PRINCIPAL ' INTEREST TOTAL PAID
-- "
o(o o/
arau (3]-401 i41-sm 151.e0)
•? cMbnation Lj f77=4) Prepayment ??77= 5) Paid in Full Q-(78 = 1) Paitial Paid ?(78= 2)
''t : IF CARL D. ONISCHUK, COUNTY AUDITOR BY:
*f: frYUNICIPALITY OF: BY:
q 'ode by check, this is not a volid receipt until check is poid, This Receipt does not include
The installmenT cerTifiedYo pOSTEO BY: DATE
the 19 +
gj?MANENT COPY
7RS?IIIM - - . ?.:.... ...., "_ .: ' . ... . . . . . . . ... .-. - .
--- -----------
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? Permit #:
? Permit Fee: v°? I
I ?p? I
? Date Received: ? f?"" ?
? Staif: . 7J I
I
2009 RESIDENTIAL BUILDING PERMIT A\PPLICATION
Date: J rw! ? Site Address: '-7 ?/? O?/?- (?II'OP ?aGAC . ??!
Tenant:
Suite #:
RESIDENT / OWNER Name: .w.r?a J L /Y. Phone:
Address / City / Zip: 7 7/ ) Q.&G C,'wKYl G? G(a
Applicant is: _ Owner ? Contractor
TYPE OF WORK r
Description of work: G(
J z
Construction Cost: & coo r Multi-Family Building: (Yes No I
CONTRACTOR Name: ? License #: Z6 Jl r7Y
Address:
/'!N Zi
Ci
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p:
tate:
ty:
Phone: &4l^ Contact Person: 1?LA
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota RWes 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone:
, NOTE: Plans
antlsrlppordng documen#s that yoo spbmit_are considered,,to beOabfic informafio?: PortEOrrs'of- .
,
#he informa6on ifray be`classified as ngn public if you provrde'speci?c r"easo?s that ovould permit the`Cr?y ?o =
>
'ade'seeretssr
`yi„ cdnc(ude tha0he arc tr
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conf ? the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, 6ut only an application for a permit, and is not to start wi ertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and ap oval of plans.
X?w4_ &?w X
Applicant's Printed ame ApplicanY Signa re
Page 1 of 3
NGV 02 ' 93 04 :46PM 4'.EY-LRr{D HOMES
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PROPOSEd TOP OF BLOCK =??o'? FEET
? WE HEFi?Y CERIIFY TO KEYLAfVD HDMES THAT THIS 13 A TRUE AND CORREC7
FiEPRE5puTAT1pN OF A SURVEY OF THE BOUNpAR1E8 OF: ' P V? ? r p
?irot II Blook I v OnK CLI FF ? acaoroIn9 to ttie raaoMsd ?OWN ?r' ereof, DWoora Cou?,Minnerats. IT DUES NOl PUFiPORT Tb BHOW IMPftOVEME1?t1'S OR ENCROACNMENTS, EXCEPT A8 . A
SURVEYEb gY ME UR UNDEfi MY GIR6CT SUPEAVI810N TMIS 14TH DAY. p? SEP7 .199.',•
Mo?eo arnnBe BFIDWPI WERE SIG1d : J R. ++t?.L. INC. .
TAKEH fAOM TMS bBVELOPM@Nf' . , '
PLAN 10R OA1t CLIFF PREf14RED r
f BYt PROPE EfV41N6ERIN6,
JOHN C. IARSOIV, UIND SURVEY?OR •
MINN?aTA LJCENSE NUMBER 18828
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FiC BoU.m IWVPTOATION NA8 SISH COMPI.E'TE.
HI IAT BY 7118 S11RV6YOR. T1E 8thTAS11,IiY OF
' SUPI?RT YH6 6F?qFK N0119E PROPDSEO 18 '
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PROPOSVD LOWE3T Fl,pOR a+ 9 og, 1? FEET '
PROPOSEp TOP OF BLOGK= W-0•1 FEET
? WE HfiqEBY CERTIFY TO KE.Y6AND NDMES TNAT TM19 13 A TRUH AND CORRECI'
REPRESEFITATION OF A SURVEY OF TH8 80UNdAR1ES OF:
1..5t 1iBloek I, ppK CI_I FF ? aaaordlnp (o ths reroMad P
(16era01, Aalaoln C",Mhnavots. ... -
IT OUES Nol PURPdRT TO BHOW IMPHOVEMEIYi's OR E7VCFi0ACHMENTS, ExCEPT A3 . OWN. R
SURVEYEb gY ME OR UNDER MY QIRBCT 3UPFJ9v13ION 7NiS 14TH DAY. pr gEPT ,1893. snA TAK6P?fROM THB bE?ELbRlIBNTE gI?'N -,I qB R. HILL, lNC. /r7 '-
PLAN FOK OAN CI.IFI' PREMIIED
I BYt PROBE EHOINBERIN6,
?JOHN C. LAR80N, I.AND SURVEYDN
MINNESOTA LICENSE NUM9ER 18928
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R=99,°5 ^ , 612 894 6823 II-03--9? 01:4 9Ay1 P002 ft39
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131898
Date Issued:07/14/2015
Permit Category:ePermit
Site Address: 4715 Oak Cliff Dr
Lot:1 Block: 1 Addition: Oak Cliff
PID:10-53550-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Larry R Moore
4715 Oak Cliff Dr
Eagan MN 55122
Practical Systems
4342B Shady Oak Rd
Hopkins MN 55343
(952) 933-1868 X205
Applicant/Permitee: Signature Issued By: Signature