4719 Oak Cliff DrINSPECTION RECURD
? .
C" OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: . , APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. „
.?, ,.
i, i 114FiN a: r?.?
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HvAC ?-
ELECTRI
ELECTRIC
Irmpectbn Dete Inap. ComrtnMs
Footings I y. gy 9
Foundadon ?
i r O.vr p v
Framing ?
.7/ ?, J
ui Pv c-4C[?sQ ?GC ..•.,?p w.*-[.L S-
Roofing
Rough Plbg.
7W
Rough Htg.
Isul.
s 9
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Flnal ?
Deck Ftg.
Deck Ftnal
weli
Pr. Dlsp.
INSPECTIDN RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE: ?
Permit Number:
Date Issued:
, . APPLiCANT:
TYPE OF 1NORK:
,
?Li fl / '1 ? ! y32
Permk No. Permlt Holtler Date Telephone i
ELECTRIC
PLUMBING
HVAC
Inapactfon Date Inap. Commenta
FOOT7NGS
FWND
FRAMINQ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLRCE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE5T
BLdG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION REC4RD
?J.IY OF EAGAN PERMIT TYPE:
830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SlTE ADDRESS:
< , ,
f! A F: 4: 1. l i= t
H I ,;C K ; , APPLICANT:
i +.• ( ,' 1 li -?!•
PERMIT SUBTYPE:
TYPE OF WORK:
ti s f4f,
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
iNSUI
GYPBOARD
FIREPLACE 6 ?6rd
7 /,?(/
•??? ?' '? ? • '
AIR TEST FIREPLACE ?1O.g • q8 /N?M Pt?r?
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'b+
e . . ,?
r--a .
Wertificate af CccupancV
Witi) of Cfagan
Zepartmext oF Zxitbiug 3uocction
This Certificale issued pursuant to the requirements of tke Uniform Building Code
certifying thai at the time of issuance tfeis structure was in compliance with the various
ordinances of the City negulating building construction or use. For the jollowing:
Uu Qassifiation: SF M Bldg. Permit No. 22q IQ
O-UP-Y TYP? R3lrl1 Zoning Dimrict PD Type Consi. VrT
o-nmor swiw?s JDE MIIlER HM naa- 3459 wa.4MErrYU DR,IVE, EAG1N
Bui{ding Ad&ess 117 14 QAK MW DIM l.onliry T2i B 1.
/
% p?: &/?
??
Buildmg Official /: .-
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
/addition OAK CLIFF ADDITION Lot
Owner Street 4719-21
/n/ 441...s .1,17, ,11 ib'DL?.. 117-
Oak Cliff Drive
10 53550 020 01
Improvement Date w mount Annual Years W Payment Fieceipt Date
STREET SURF. ? 1981 250.88 25.09 10 -:K ,'y
STREET RESTOR.
GRADING
SAN SEW TRUNK 19 1973 104.12 6.94 15 3,qo
SEWER TERAL ? 1981 541.76 54.18 10
WATERMAIN
WATER LATERAL
WATER AREA 1982 161.31 10.75 15 31
STORM SEW TRK 1979 350.52 17.53 20 -Q,_
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
3 a3 9?
a 04 71.
REQUEST FOR ELECTRICAL INSPECTION
? See inshvctions br completing this lorm on back ot yallow copy,
? X" Below Work Covered by Thrs Request
ew Add Rep. Typeot8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumaca Other (Specity)
Farm Air Conditioner
Otnerlsyecify] Contracbrk Remarks:
Compute Inspection Fee Below:
# Other Pee # Service EniranceSize Fee # CircuitslFeeders Fee
Swimminq Pool 0 to 200 Amps ? 0 to 100 Amps
Translormers Above 200 _ AmpS Above 100 _ Amps
Signs Inspector's Use Only: T 7p?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITH ON
I, the Electrical Inspector, here6y
tif
th
t th
b
i Rouqn.m
c.?i/??'6!J oare
cer
y
a
e a
ove inspect
on has
been made. F;,,ai oa?e
OFFIGE USE'JNLY ?
IThis repuestvoitl 18 monihs Irom .
?
? 0477? . v toi
o
?70
Re0ue5? Oate Fire No. Foug?- Mion Repuiretl InsOeMion Ol?er Than RouBh-In
M a r c h 8
19 9 4 no? s ell inspector when reaEy) ? qgatly Now O wn Not?y lnsnmto.
, Yes ? N. Dete ReaEy
I licensed contrector ? owner hereby request inspection of above electrical work at: .
Jo0 Atltlress ISVeeL Box or Route No.) Ciry
4719 Oak Cliff Drive Eagan
Section No. Township Name or No. Range No. County
Dakota
OccupantlPRINTI Phone No.
Joe Miller Homes 454-4663
Power suopber Aaaress 3 Q Q 2 Z 0tll $ t. S. W.
Dakota Electric Farmington,MN 55024
ElecVical Gonhactor (Company Nama) ConVactors License No. .
Midland Electric CA 01236
Mailing Atlaress IConlractor o, Owner Making Installation)
22691 REd Fox DR. Lak eville MN 55044
Au M1onzed SignaW lori0wnet Making Insalla?onl
Phone NumOer
? 1 461-1444
MINNESOTA STATE BOAPD OF ELECTpIQTV THIS MSPEGTION REQUEST WILL NOT
Gtlgqs-Mitlway Bltlg. - Room 5473 BE /CGEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone(612)601-0800 ENCLOSEO.
Address 4719 OAK CLIFF DRIVE Zip 55121_
I.ot ' z' Blk i Sub.
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: *(p f Yes No Inspedor:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entty) ?
Permanent driveway
Permanent gas .
SodlSeeded grass ?
TraiUwrb damage v
Porch
Basement finish
Deck
Please ver$y with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply [o
the outside lawn fauce[ before freeze potenual exists.
Contact engineering division at 681-4645 before working in right-of-way or installing undergrountl sprinkler system.
White - Ciry Copy Yellow - Resident Copy _ Pink - Contractor Copy ?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122 ??
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reavirements RemodellReoair Reauiremenis bffce Use?tv
3 registered site sumeys showing sq. ft. of lot, sq. fl, of house; and all roofed areas 2 copies of plan ?at af Stmtay.t?e? Y- N
(20°h maeimum lot cwerage allowe(:f) 1 set of Energy Calculations for heated addifions T7eePtee PI9t'+S?ecd _Y
2 copies of plan showing beam & window sizes; poured found design, etc. , i site suNey for addtions & decks .3,?88P2sPm4i?
7setofEnergyCalculations Add'Aion - indicaferfon,sitesepticsystem Dt[-s79Sep5ie?yslyffl , _Y.
3 copies of iree Resenration Plan if ioi platted xfrer 711193
Rim Joisl Detail Opiions selection sheet (bldgs with 3 or less units
Date 69 S / Q C? Construction Cost ?/d d
Site Address y T ! ?
q k 4?? Unit/Ste #
ei? 5 5 1 2 2
DescriptionofWark D-Le?' t9iQoUi'i j
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 ?
Property Owner f-,4 "fI14 ? ? L v Telephone #( 6S!
Contractor
Address City
State Zip Tetephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category t Worksheet • New Energy Code Wortcsheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submifled
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential ' i???ex?itZ 2
that the work will be in conform wrt ?h or ma
Statutes; I understand this is not a permit, but only an
permit; that the work will be in ac nce
approval of plans.
Telephone #(
Telephone #(
Telephone #(
N If so, 257o plan review
owledge that the information is complete and accurate;
and codes of the City of Eagan and the State of MN
ap ication for a permit, and work is not to start without a
d plan in the case of ork which requires a review and
Applicant's Printed Name App!licant's 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.)
? 04 02-plex ? 10 OS-plex JM 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lawer Level ? 24 Storm Oamage
O 06 04plex ? 12 12-plex Plbg_Yor _N ? 25 Miscellaneous
Work Types
Y3 31 New
? 32 Adddion
? 33 Alteration
? 34 Replacement
I s
? 30 Accessory Bldg
? 37 Ext.Alt -Multi
? 33 Ext. Alt - SF
? 38 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
'Demotition (Ertire Sldg) • Give PCA handout to applicart
Valuation fl?? • `
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const v ?
Occupancy R ?3 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Fina]/C.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ AirlGas Tests Final
_ Siding _ Stucco -Stone _ Brick
Windows
_ Retaining Wall
_ Footings (new bldg)
)c Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Watu Final
_ Framing
_ Fireplace _ RL _ Air Test _ Final
_ Insulation
Approved By:
Building lnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-as'
RESIDENT[AL BUII.DING
Permit Application .-I c,
City Of Eagan
09 3830 Pilot Knob Road, Eagan Mu 55122 Telep6one # 651-675-5675 FAX # 651-675-5674 1-4y- + ?
New ConsUUCtlon Reauiremenls RemodeLRenair Reauuaments Offze Use OnN
3 registerad sim wrveys sovxvig sq, ft. af bt sq. R o} house; and aN raoffld areas 2 copies of plan Cert of Survey Reod
(20Ya ma.rimum bt coverdge albweA) 1 set of Eneigy Calalefim for heated additioris _ Tree Pres Wan Recd
2 copiea of yan showhg baam & wkMOw sizes: poured fouM desIgn, etc. 1 sile wney ta addiCOm 8 decb _ Tree Pres Not Reqd
1 set of Enmgy Cakulati" Addibon -'udkete ilW-sde septlc system _ Onaae Sep6c Sysoem
3 copies of Tiee PmservaUon Plen il bt plaGed afier 711193
Rim Ja'st OeW Op6ona selectlai sheet (tddgs wiN 3 w less uniN
Date t?' 6 /
Z_? Coastrucdon Cost ..m ?:? 49 O
??
SiteAddress k= GLi `r' /z. UnitlSte #
Descripeon otwork 7h 12,t-c
MuIH-Family Bidg _ Y _(V Fireplace(s) _ D 2
Property Owner Giu` di R?i Telephone #(GS 0?C,i
Contractor
Address City
State Zip Telep6one # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J wbmisslon HPe)
- Minnesota Rules 7670 Cateeorv 1
• Residentlal Ventllatlan Calegay 1 Wakstreet
Su6mitted ?
Dl ' --
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
A NEW BUILDING
Minnesob Rules 7672
• New Energy Code WoAcshnet
Submitted
Telephone #(
Telephone # ( )
Telephone # (
I hereby apply for a Residential Building Pemut and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and wdes of the City of Eagan and the State of MN
Statutes; I understand this is not a perrnit, 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.
1?a.f G 5 i ,c? ?/? _
Applicant's Printed Name Ap icanYs Signahve
OFFICE USE ONLY
Sub Types
? 01 Foundatlon O 07 OS-plex 0 13 16plex ? 20 Pool
? 02 SF Dwelling 0 08 06-plex ? tg Fireplace a 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
0 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screeNgaze6o)
? OS 03plex ? 11 70-plex q 19 LowerLevel O 24 StortnDamage
? 06 04plex O 12 12-plex PIbg_Y w_ N ? 25 Miscellaneous
Work Types
? 30 AcCessory Bidc
? 31 Ext. Alt - Mufti
? 33 Ext. Alt - SF
? 36 Mulf1 Misc.
p 31 New O 35 Int Improvement 0 38 Demalish (Interior) ? 44 Siding
0 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fite Repair
? 33 Alteratlon O 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'OamolWon (Entlre Bldg) - Giva PCA handout to applleaM
Valuation 1! 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ?g FinaVNo C.O.
? Fooangs (addition) _ plumbing
_ Foundauon HVAC
Drain Tile Other
Roof 4- Ice & Water ? Final Pool Ftgs _ Air/Gas Tests _ Final
C Framing Siding Stucco Stone
? Fireplace _ R.I. _ Air Test
^ Final Windows (new/replacement)
,ZC Insulation _ Retaining Wall
Approved By_12L11Building Inspector
Base Fee
Surcharge 9 . S- 14( tV `{ J
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total 1 `?l 1 . "?l c;--
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55922
651-681-4675
New Conatrucdon ReauiremeMa
• 3 regislered site surveys stwwing sq. ft ol lol, sq. ft. of trouse; and all roofed areas
(20% maximum lot mverage allowed)
• 2 copies oF plan showing beam 8 window saes; poured found design, etc.)
• 1 set of Eneigy Calculations
. 3 copies of Tree Preservation Pian if lot platted afler 711193
• Rim Joisl Detail Optiore selectoon sheet (Gdgs wilh 3 or less units) DATE d GI , M D 2•
_ Water Softener
_ Water Heater
_ No. of Baths
SITE ADDRESS ?I 7 I q Oa k 1111f- F CJ R. MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK Lfit iti (?ifm ", FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT __^'_aµ L L" 'S i-.e C-f
STREET ADDRES S LJy??I Oad4 CL%/=F GTY '?tQjo-*, STATE?i/?ZIP
TELEPHONE # 6?/ 8g5O'Vy4'CELL PHONE #
FAX #
PROPERTYOWNER?? L Jf"i?'T?R ? i-eclf TELEPHONE#G'SI F'2S
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY I MI?SC7T-?I-AUFF.
(J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New nerg'y Code Workshe,
• Energy Envelope Calculations Submitted
i10 SEP 2 0 2002
Plumbing Contractor:
Plumbing system includes:
Mechanical Contraetor:
Mechanical system includes:
Sewer/Water Confractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _
Signature of Applicant Q
OFFICE USE ONLY
Phone #
RemodeqReoair Reauirements 3 O • ? ??
• 2 copies of plan ?U • i set of Eirergy Calculations tor heated addAions
• 1 ske survey for ex[erior aEditions & decks
• Indicate if home served 6y septic system tor addi8ons
VALUATION f 70 Olp o
_ I.awn Sprinkler
No. of R.I. Baths
CeAificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
I
i
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex Cl 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ?< 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof x 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation ? ?3) Occupancy A?-149 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 [A / W idth .
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) x Fina]/No C.O.
_ Footings (addition) 7
_ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
y FIaminB Siding Stucco Stone
Fueplace _ R.I. _ Air Test _
Final Windows (new/replacement)
X Insulation _ Retaining Wall
Approved By TZ. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
P``J"
A (o (Js7?-t'r
;_p
,.)"
wb?vIo Udo/S
/? 0 r-V
? .L
53550 OAK CLIFF
OAK CLIFF DRIVE
4715/ 10 53550
4717
4718 10 53550
3550
L4721 / 10 5
4723 10 53550
4725
4724 10 53550
4725-1/2
4727 10 53550
4730 10 53550
4736 10 53550
4737 10 53550
4742 10 53550
4743 10 53550
4749 1053550
4750 10 53550
4755 10 53550
4760 10 53550
4761 10 53550
4767 10 53550
01001
01002
020 Ol
03101
03201
020 02
(STORM SEWER LIFT STATION)
040 O 1
030 02
040 02
030 03
05002
040 03
05003
060 02
060 03
070 02
070 03
080 03
5
RESIDENTIAL
? ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Construction Reouirements RemodellReoair Reauiremenb
• 3 registered sde surveys showing sq. ft. ot lol, sq. ft, of house; and pQ roofed amas • 2 cropies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculatmre for heated addNOns
• 2 copies of plan shuwifg beam & windaw sixes; paured found design, etc.) . 1 site survey for exterior additiors & decks
• 1 set of Eneryy Calcula6ons . Indicate if home served 6y septic system foraddNOns
• 3 copies of Trea Preservalian Plan if lol platted afler 717l93
• Rim Joist Detail Optiwa selec6on shcet (bldgs wAh 3 or less unils)
DATE )9. rS d i'J 2- VALUATION Yh ? 2r
SITE ADDRESS ? 7./5 04' 'k- GL MU4TI-FAMILY BLDG _ Y _ N
TYPE OF WORK ?i hdocr.._Q '.G fIREPLACE(S) _ D_ 1_ 2
APPIICANT
P!n ?n ,S' / iC
STREETADDRESS CITY fQ_?'-?-l STATE,"- ZIP?2
TELEPHONE a S' 50t/"/f CELL PHONE # fAX #
PROPERTYOWNER i"'A0L ??`A"`??+? ?;?v TELEPHONE#?jS ?e?'al S
COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 Ci\"1'EGOKY 1 MINNLSO'1'A RiJLES 7672
(J submission type) • ResidenEal Ventilalion Calegory t Worksheet Submitted • New Energy Code Worksheel Submitted
• Energy Envetope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Controctor;
Mechanical system includes:
Sewer/Water Controctor.
Air Conditioning
HeaC Recoveiy System
Phone #
Phone #
I^ee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O dinan s.
Signature of Applicant `
---- __--------- ___----- -------- ..__------ ------- -- -----°-.._...__________.......
Y OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
4Vater Softener
Water Heater
1Vo. of Balhs
_ Phone #
L,awn Sprinkler
No. of R.I. Baths
Fec: $90.OQ
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W:i.(l `.=)li(J:I. 4719 OF?F' C:.I_:f.frF 50,,00
205 9001 470 ilAi: 1.;1...7F. 0.,50
3430 'anri:l 4719 C.)RI<.. .r,i._IfrF W5D
Toi;a:l. tie.r.:_,i{;k Amnurr!:z Q.00
CROP,`.;i''-i..`.i
USF:R IDo JAN
.1't)k7Xr?k:?::KY,:%F:{?$?"/rvY6k'Y,tY,:k(.*?, PF)Y:%n?'W,.%$)X;X;.°. `M'M1k?;(iFiK7Y:k ?;,v,;YFXC
PERMIT
? CI;Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x Lp x NG
Eagan, Minnesota 55122-1897 Permit Number: 031769
(612) 681-4675 Date Issued: 0 q/ 17 / 9 8
SITE ADDRESS:
4719 OAK CLIFF-DR
LOT: 2 BLOCK: 1
OAK GLIFF
DESCRIPTION:
ermit Type pECK
?rk Type NEW 6? 434 ALT. RESIDENTIAL
;??m"? ?? a ? , .
`???i?i ?.a ??. ?«. .
na
REMARKS:
JOISTS TO BE 12" O.C.
PLAN REVIEWED BY JOE VOELS
FEE SUMMARY:
Base Fee
Surcharge
Subtatal
CONTRACTOR:
OWNER: - Applicent -
AFANASIEV PAUL
4713 OAK CLSFF DR
EAGAN MN 55122
(612)895-0484
$59.00 COPY $.50
$.50 Total Fee $51.06
$50.50
APPLICANT/PERMITEE SIGNATURE
+b
- ,,1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
?? ? CITY OF EAGAN
3830 PII.OT KNOB RD - 65122 ?,(,P?
681-4675
New Construdion Reauirements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copks oF plan
? 2 copies W plans (fnclude beam & window s¢es; pourad fnd. design; etc.) ? 2 site aurvays (exlerior additana 8 decks)
? 7 energy calwlatlons ? 7 energy calailations Por heffied addfliona
• 3 copies of uce preservation plan H IM platted after 7/1/93
iequired: _ Yes _ No
DATE: :Z, y. QJ S CONSTRUCTION COST;J? 75 D,
DESCRIPTION OF WORK:
STREET ADDRESS: i19, il'? S 25 1 'z 2
LOT: BLOCK: SUBD./P.I.D. #: U.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: AFA,YR S% ,6b' ?a W/- Phone#: S? / 5 ~0 y 9 y
Lazt Firs[
stmet Address: y7/ 3 4?Gc L L i,E 1JJ2
ciry _L'?az 11 Yr staoe: /V 'It/ zp: 2 2
Company:
Phone #:
Street Address: License #
City
Company:
Name:
Street Adc
City _
State: Zip:
Phone #:
Registration #: _
State:
Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that i have read this application and state that the infortnation is correct and agree to comply with all applicahl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant a21t?
OFFICE USE ONLY
Certificates ofi Survey Received - Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
y .
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dweiling O 07 4-plex ? 12 Multi RepaidRem. ?
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
O 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex --AB-45 Deck
?
a? ??E:?' ,i?; +lif, ?r,.,,, ,„
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORKTYPE Xfol'£: `Sa,-s-rs lpg 13r, 12, te Ci'. c .
,.?31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Adual)
(Allowable)
UBC Occupancy
2oning
it of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee `
Surcharge
Plan Review
License '
MC/WS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
MGWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Variance
?f? 5s
/
O
Valuation: $ ------
% SAC
SAC Units
ve?.
4
?
SEE AT7ACf;EGF{pyp_OUT
FoRFuRn;En ,raF .?t?Lnr;J4
rX 6l
ssipf>er:ltD av ?
olJi FsOJSrF2AMING
?
40 „
c?«
jDi51S2?? - /G/'
1o 1'515 2 ? ? - 16
'
4,v,,2,??? _ 141' r6' ?
po o?T
I•?'
>f
' C? ?• G G 5?,? z. S
?( r7 N ?Oti..
V?
I
? I
, , , _I ??(: !?`•. __
Y
y? W
?
21? ?/ og aMrn..
?TTNot?-'z i ??"
mz( ?
r.:!.,,n,•
-k
r
E,ii(?_,?'(:,? ?
I .
-??ycn muS? EE AT?',??NEO Myf i}{
Af:'kiMU,M !2) 4- X 4' ?3 SCFEyyg
?rry;was?,?, ;; f v_ ik r ie•
•' (J?
C)
. 4j
r
;
; ?.._
? CITY OrF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE: Bii r LDy ryG
Permit Number: 022919
Date Issued: 02 /0 8( 9 4
SITE ADDRESS:
4719OAK CLIFF Dft
LOT: 2 BLOCK- 1
pAK CLIFF
DESCRIPTION:
Btfftd.inqLPermit 7ype SF GWG
uilding 4-ork 1"yPe NEW
i BG CDtictUpanc( R-3 M-1
p? Canstructior? l'?,,e V-N
r
rZt?Yt?flg 1,..?..,, PD
Jf 8 uikxiI ng S.ength ? E8
? Bu:ildi n, g Wad th 30
F3ii3.l C1i6-q s t nr 58 5 r' 2
AC,
REMARKS:
't'HIS L.0'T" HN5 TWO SERVICES--ONE SET MUS'I' BE REMpVEp AT THE MATN PRIi]R T0
ISSUING THF CFR"("7"Fr('F47F QF Oi IPANfV PR11 4& IJ PI RR - f'FN7-RVAAi
FEE SUMMARY
VALUA1'ION
Eiase Pee
P7.an Review
Surcharge
SAC
SAC o
5RC lJnits
Subtntal
$639.50
$47.5.68
$549.00
$800.00
700
$1n905.18
$100, 000
MISCEI.LANEQUS 1.,828.5[9
7oCal. Pca ? $3,733.68
CONTRACTOR: - APRlzcant -- sT. LTC. OWNER:
JUE MILlEh2 hiqMES 14544663 0002431 .70F MTLLER HfSMFS
3459 WfiSHING70N CJft 3459 WASHTN6TQN DR 204
LAGAN MN 551.22 EAGAN MN 55122
l612) 454-4663 (612)454-4663
Z here6y aeknawleclge t114t I haWe read tltis ap:plIca'k;itrn arid staCv that the ,
rnformatian is carrect and agres ta cbrtaply with a7.1 appJ,iGable SCate etf mn. E
Statute;s and City nf E49an Ordlnances. ;
?A?Pi ICANT/PEAMI E SIG ATURE qSSUEDBT(: SI?A U?-?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS'
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
' GoT:
4719 OAK CL.IFF DR
OWK L'I.IFF
PERMIT SUBTYPE:
s r DwG
z 81-o r. K: I APPLICANT:
JQE h1ILLER HOMES
(612) 454--4663
TYPE OF WORK:
NFw
BuzLorNC,
022919
0l/P8/S9
INSPECTION
fOUTINGS .. .
FQUN(JATIQN D.
FRAMING ROOFTNG
INSULATIfJN PTRhPLflCF
RfJUGH TN PLEIG fiOUGH IN NTG
FTNAL L'li3G FTNAL
ftEMARKSa THIS I.QT HAS YWC7 SERIIICFS--ONE SFT MUST FSE REMOVFCI AT THE PIAIN PRT:OR TCl
ISSUING 1"HE CFRT.T.FTCRTF OF OCL"UPAIUCY PRV S& W pi_Ni2 - GICNZ-RYAN
. .. . I. . ,.. . . . . . . .. . . . ... . . . ?
F
?. ' : _ . . . _ . .J
? i
REACTIVATE _.
RERMiT04 X-14 11
CITY OF EAGAN
1993-BUILDING PERMIT
r4l 681-4675
?? i-? fEB fl 3 8% ,
APPLICArI,ON-?3'
u6 `;C?,-_
L:?
CG & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy?o:fYepe _
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
a
Date -'e? / 3 / Yaluation of work 457-0 =
5ite Address: 'T?
4q I(j STREET SUITE I
? l
Tenant Name: (commercial only)
LOT 2 BLOCK ? SUBD. Y/f // ?
(% Fp - I.D. k
Descri tion of work: h.[..< z-o?
The applicant is: ? Owner tSl Cantractor ? Other coe,«;ne>
Name Phone
Property LAST FIRST
Owner
address
57REET STE M
City State Zip
Company JflE M3LLEF, HOMES Phone
Contractor Address SIfiTE204 License # Exp,? /
City #0002431 State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ??irL - 'tJ Processing time for
sewer & water permits is two days onc area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable St te of Minnesota Statutes and City of
Eagan Ordinances.
? ?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ''a0 16 BasementFinish
•...
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. --O 'I7 .,, ?
*Swim Pool '
? 03 SF Addition ? 08 8-Plex ? 13 Garaqe/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
V? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) / Basement sq. ft. I3 yy MWCC System
(Allowable) u lst F1. sq. ft. l3?y City Water
UBC Occupancy -f 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories 2 footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth 3o On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site 0 Footing
? Wallboard 0 Final
0 Framing
? Draintile
?
7p /
?
?
/
,a Insulation
? Fireplace
Permit Fee veimc;p,: S /Dd aoo
Surcharge /?9a., ?. Lo?•e. Le?elS
Plan Review
Li
cense
MwCC Sat
2 y? y, S G
City SAC
Water Conn.
Water Meter
I 3`1yX b s=? zr) 3?
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?A
j0?/0
()i D?11
5AC %
SAC Units
.
e
? a
m ?
W ?
? < ?
? s
?
n n .
D? ? 0 •
0' ?
0? n 0 •
?
•
f?0 ? •
LOT BIIRVEY CHECICLIBT FOR RESIDENTIAL
SUILDING PERMIT
PROPESTY LECiALs
DOCIIMENT STANDARDS
Date of 8usvey:
Registered Land Surveyor siqnature and company
Building Permit Applicant '
Leqal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, aplit
lookout, etc.)
Directional drainage arrows with slope/gradient t.
Proposed/existing sewer and water services
Street name
Driveway
Exiatinq
D 2?D • sewer service
0? 0 0 • Lot corners
• Top of curb at the driveway
8? ?? • Elevations of any existing adjacent homes
Pronosed
?? ? • Garage floor
? 0 0 • First floor
A? ? 0 • Lowest exposed elevation (walkout/window)
Li?p ? • Property corners
?? ? • Front and rear of home at the foundation
ONDING AREAS (if applicable
entry,
0 3'?-13 • Easement line
0 D'? 0 • NWL
0 ¢' 0 • HwL
0 e' ? • Pond # designation
0 0r 0 • Emergency overflow Elevation
DIMENSIONB
? 0 ? • Lot lines
H?? ? • Right-of-way and street width (to back of curb)
9' 0 D • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
' structures reqviring permanent footings)
Z-
13 ? • Show ell easements of record and any City utilities within
those easements
¢? ? ? • Setbacks of proposed structure and setback of adjacent
existing homes
D ? • Retaining requirements, if any
Reviewed• /
Name / Date
October 1992
MINNESOTp, STATE ENE$GY CODE CALCULATIONS
BASED ON CHAPTER 5 OF TIiE
MODE],?FLjERGY CODE - 1983 EDITION
Adoptioh Effective'
_..-•-- r-+. . . . . . - - - - - ------
. Y..
5ite Address °contractor. ?Pho e
Buildinq Classification: Type A1 (Single Family & Duplex)
Type A2 (Residential, 3 stories or less) (Over 7 atories) (other)
NOTES Comp?ete pages 3 and 4 first.
GENERAL INF9RMATION ?i ,r-t^
1. Building Perimeter, ? 6?`'???r? ft.
2. Wall height (ground to eave) 4t ft.
3. 1. X 2. (above) gross wall area 90 sq.ft.
4. Building dimensions (L) =X (W) ' L4+-.sq.ft.roof & floor area .
5. Sq. foot area of rim joist - Floor joist size (2 X'IL!
((7 X ?(Perimeter) _ ?_sq.ft.
6. Doors - Area 12
Thickne?? in U. factor I
Type of Construction Perimeter ft.
. Manufacturer
7. Totsl doorls perimeter ft.
B. Windows: Manufacturer I?)SUI? LS?'? ? State approved
U fsctor ,t7(-4
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
?? ri O r?? f` H EACti UNITS SQ FEET
t?
9. Total sq.ft. Glass_I lv
10. F'ireplace area: Width X}ieight = X = sq.ft.
11. Exposed foundatlon: 1leiqht X Perimeter
COMPLETION OF THI9 FORM 19 REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED Wt1ERE ENERGY, OTHER THAN TiIE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
12. Framing area = 10% of groes wall area.
13. Gross wall area 1911 sq.ft.
Window area A-110-sq.ft. U windows =p 7 UxA =1?1
Rim joist area Asq.ft. U rim joist= UxA =0
Door area A ;-t _sq.ft, U door pirea= UxA =,-7_
Other doora area A-4-0-eq.ft, U other doors='4 _ UxA =
M
Exposed fndh A I95 aq.ft, U foundstion=.-'i2 UxA =
Framing area AA,q 1 eq.ft. U framing area=IQ r UxA = 143
Net wall area A 0-?A sq.ft. U wall= .('¢?tiJ UxA =5-Q
(1913) TOTAL . . . . . . . . . UxA = 171_
14. Gross wall area x 0,11 (A-1 eingle family & duplex) = allowable UxA/Code
(13. above )
x 0.23 (A-2 other residential)
x .23 (Other buildinge)
x .28 (over 3 etories)
? STUI! must be larqer than or same
Ax U Code °F. as 13B above
15. Ceiling framing area (Af) equale 10% of ceiling area
15A. Grosa ceiling area =(L) x(W) ft.
158. Joist area (Af) = 10$ ceiling area ?7?., ?A--sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) ?LI?1?0 sq.ft.
U ceiling X AC . illogi(olo xy_
U framinq x A f = -pll x •0Y? = 3
15D. TOTAL U x A ..................t ..........2242
16. Ceilinq area (15A) x 0.026 (A-1 eingle family 6 duplex)
= allowable UxA/?ode
x 0.037 (A-2 other residential)
x 0.06 (other)
n BTUlf must be lerger than or eame
A(15Aa x U Code °F. ae 15D above
NOTE: Use U aml A values obtaihed from paqes 1, 3 and 4.
CEflTIEICATIQH: I hereby certify that I have calculated the "U" factors and
"R" values hereLn and that the building here described meeta or exceeda the
State of Minnesota Enerqy Conservation Act.
Date 9lqnature
-2-
II
?1
czrv nF EncAN
CAFiHIER. S TF_fiMINAI. N0: 584
DATE: 12/()1/97 1IME: 14:4036
'r
NAME: FAt1L AFANASSEV
3210 9001 4713 f:IAK L'LIh`F 50.00
205 9001 4719 OAF: CLIFF 0.50
Total FiBCr7.pt qttiountC 50.50
CR0835r3
USE:k IDe NANCY
PERMIT
CITY Of-E`AGAN
X 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
B U I L D I N G
Permit Number: 03119S
Date Issued: 12 / 01 / 9 7
SITE ADDRESS:
4719 OAK CLIFF pR
LpT: 2 BIOCK: 1
OAK CLIFF
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
ToCal Fee
4
.1
CONTRACTOR:
E`
$50.00
$.50
$50.50
FIREPLACE
NEW
434 ALT. RESIDENTIAL
? 4
Y°s;vx ?q? ..k?.? ; n
BBts OWNER: - Applicant -
AFANASIEV PAUL
4719 OAK CLIFF pR
EAGAN MN 55122
(612)895-0484
)0
z?A PL?TlPhERMITEE SIGNAT? ' ISSUED B? } 51 aA ? ITURIE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?? O,?D
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: PERMITFEE: $50.50
DESCRIPTION OF WORK: ? CONSTRUCT rTEW FIREPLACE _ A LTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LWE ONLY
OTFER:
STREET ADDRESS: 4/ 716) e9GK K
LOT ? BLOCK ? SUBD./P.I.D. #: 1b?j
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPER7'Y Name: ?FAiYfI S i Ev f'Gl aL Phone #: 20/5' 0'-/ gL/
OWNER
Signature:
Street Address: ? 7 l9' Oa K Gt i FF d l i.
City: rCC ?Gt ti State: A4 d l Zip:
F[REPLACE Company: Phone #:
INSTALLER
Signature:
Street Address: License #:
City: State: Zip:
GAS LDVE Company: Phone #:
INSTALLER
Name:
Signature:
Street Address:
City: State: Zip:
i ?d ?. ?..,•
OFFICE USE ONLY
BUII.DING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition a 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
. ?
1994 PLUMBING PERMIT (RESIDENTIAL) .
CITY OF EAGAN
3830 PII,UT I{NOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY UWELLINGS. ALSO, FOR TOVV?I?HOMES AND
CONDOS WHEN PER2vIITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TQTAL `
?
- SHOWER 3.00
?? WATER CLOSET 3:00
f BAT-H TUB 3.00
? LAVATORY 3.00
1_ KITCHEN SINK 3.00
f LAUNDRY TRAY 3;00
- HOT TUB/SPA 3:00
? WATER HEATER 3:00 .
? FLOOR DRAIN 3.00
GAS PIPING OUTLET minimum - t 3.00
? ROUGH OPENINGS 1.50
WATER SOFfENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • nome una« mmt. 3:00.
ALTERATIONS -to casttng 20.00
WATER TURN AROUND 20:00
STATESURCHARGE .
TOTAL:
SITE
OWNER N
fano 110 h, (pfn6),ta!`j-,l.,?m
SIGNATURE OF REI2MITTEE •
CITY: STp?TE: ZIP COD-E:' "069
,
PHONE #: (612 )
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
? NEW CONSTRUCTION
' ADD-ON AJC
ADD-ON FL':2NACE
FIREPLACE INSERT
DATE r
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MRQIMUM 1 @ $3.00 EACH) _'3
ADD-ON/REMODEL (EXISTING CoNSTRUCI'ION)
STATE SURCHARGE
TOTAL
SITE
OWNER NAME:
INSTALLER:_ar_?_Lm_?l?C_A __P?-\s
ADDRESS: ? - O ! \ ? oc? ?1 \ Sk_
CITY: ta'C m? n GIs > STATE: ZIP CODE: <?SC-)
TELEPHONE #:
FEES
$ 24.00
6.00
? 'v''
$ 20.00
.50
TELEPHONE #: 'ia` ?G3
1994 MECHANICAL PERMIT (RESIDENTTAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctlon Reauiremenb RemodeVReoair Reauirements Offioe Use OnN
3 registered site surveys showing sq. R af IoC sq. R of house; antl all rao(ed areas 2 copies o( plan Cert of Survey ReW _ Y_ N
(20%maximum lot coverage allmved) 1 set of Energy Cakulafbns (or heated addNOns Tree Pres Plan Recd _ Y_ N
2 wpies of plan showmg beam d window sizes; poured found desigq etc. t site survey for addifions & decks Tree Pres Reqd _ Y_ N
isetafEnergyCakulatlons AddRion-irMkatei/on-sitesep6csysfem On-siteSeptlcSystem _Y _N
3 copies of Trea Presarvafion Plan'rf lot vlatted aRer 711193
Rim Joist Dehil Options selection sheet (61dgs wBh 3 or less uniN
J
Date 9 / I'l / o -?5 Construction Cost _
Site Address ?-! 7i ?? Oei v GL / FF D 2 UniUSte #
°°[ /il ,tj /v S / 2 2
Description o[ Work 12.e /C
Mu1ti-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner EaL Telephone # (6'6"/ ) I ?1 ? e2
Coatractor
Address City
State Zip Telep6one # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submisslon type) Submitted Submitted
• Energy Envelope Calcula6ons Submitted
Have you previously constructed a building in Eagan with a
fee applie5•
Licensed Plumber
Mechanical Conhactor
Sewer/Water Contractor
M M rr
SE?e??Z A 63#
Telephone # (
Telephone # (
If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. f
Applicant's Printed Name ApplicanYs Signature
?
/
?
CERIIFICATE OF SURVEY
for
?-??JOE MILLER HOMES
?EitlE[)
SY
89'48'04° E
138.30
Crt
5??-----
&
eagement
,
N
- - ?
I
I
?
R
i963ai ? \?
?1,54 i'
?
-7 ?s 1 ? f 41.54 - .
4-
20.00 ased house
? 964' ca? siab ProP
El 9643 ? Bsmt el ? 96j,1L
?f,i $ eik?v,b? ?I 9524,00--10
Z ?o5
`/b ?/
?4 -?- •
V
?
?
?
w
.
0
W i7 .
cp M
M N
^? i ?39.?1
2 ' "I-
96So5;?
f's,?? l ? ?vbhi? o
I
?s
? U
t {
. - ? ?? .:'? ; ? 5E'R ?. ? p i.y
pL 18 A9?20?
275.04 _
?b k, u i
E IQ G 96+_
ftEVtEYJ£ iy62?1?; _
.? ?
EI
?•
Scale: 1" = 30'
1'.iACTClAtI L?T
4 Oak
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r1NEr
Cliff Drive
l hereby certify that this sUrvey, plan, or Lot 2, 61ock 1,
report was prepared by me or under my direct OnK CL;FF
supervision and that I arn a duly Registered Dakota County, Min,nesota
Land Surveyor under the Laws of the State
of Minnesota. Plat bearings shown
aiti^ 0? ,? ?l? o Den tes iron monument
1'`t??S.-.
Date Q Z?E/3 1944' Req. No. 8140 ? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206 --"
Burnsville, MN 55306
(612) 435-1966
M32-1068-94
M32--1068-94
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Cliff
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CERTIFICATE OF SURVEY
for
EAGAN JOE MILLER NOMES
REV§WED
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DES IPTION
I1IVEERING DEP1:
Cliff Drive
I hereby certify that this survey, pian, or Lot 2, Block 1,
report was prepared by me or under my dlrect OAIL CL!FF
supervision and that I am a duly Registered
Land Surveyor under the Laws of the Stote Dakota County, Minnesota
of Minnesota. FIoE bearings shown
o Denotes iron monument
r w ??• ? - .?,
Date Z;--E13 199tY Reg. No. 8140 ? Existing j Proposed
(612) 435-1966 M32-1068-94
BRANDT ENGINEERING & SURVEYING
1600 West 1;43rd Street, Suite 206 --"
Burnsville, MN 55306
M32-1 068-94
?----- ? r i v e
Cliff
CERTIFICATE OF SURVEY
' for
JOE MILLER HOMES
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N 89'48'04" E
138.30
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' GAN E'NGINEPAING DEPT.
4723 Oak Cliff Drive
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 2, Block 1,
supervision and that I am o duly Registered OAK CL:FF
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
- ?.
Date Z;=E13 f 99tY Reg. No. 8140 ? Existing? Proposed
/
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206 ---"
Burnsvilie, MN 55306
(612) 435-1966
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M37-1 nF8-q4
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Cliff Drive
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CERT1FICATE OF SURVEY
for
JOE MILLER HOMES
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N 89'48'04" E
138.30
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4723 Oak Cliff Drive
DESCRIPTION
I hereby certify that this survey, plan, or
report wos prepared by me or under my direct
supervision and that I am a duly Registered
Land 5urveyor under the Laws of the State
of Minnesota.
Date ° Z. T:E/3 l9ft Reg. No. 8140
lot 2. Block 1,
0.-1K CLlFF
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206 J-"
Burnsville, MN 55306
(612) 435-1966
M32-1068-94
Use BLUE or BLACK Ink
r-------------------
I For Office Use
Permit City of EaI Permit Fee: Jc~J I
I (ate I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: "(Z
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: P-0, t_t1 (1 SZS,I Cy Phone: G51r J5'O"0
RESIDENT /
OWNER Address / City / Zip: Dq V\ C I&
~
Applicant is: Owner Contractor
TYPE OF WORK Description of work: e.
o~
Construction Cost: Multi-Family Building: (Yes / N~ )
Company: gcta 1\cvr► . Contact: Lq 1.1
`gyp, 2/5
CONTRACTOR Address: S V`~ "0~ ,vt v2. City: ~~e►^
State: rV Zip: '5 00 Phone: 36Q 0 )1 2.
License C C Y 6CZQ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C ust be completed within 180
days of permit issuance.
x
/vat, (Tto,04
Applicant's Printed Name Applican s Signature
Page 1 of 3
Date:
ity of Eakau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
.3q 40;2-3
Date Received: ' 70- HO
Permit #:
Permit Fee:
Staff:
2016 RESIDENTIAL BUILDING/�PERMIT APPLICATION
" �,� Site Address: f 7 ?/9 � Off/ !+ 1 �► '4 ✓(4 Unit #:
Name: €/ Aran 2j j /
Address / City / Zip: /7Z/9
Applicant is: Owner Contractor
ectlieol
Phone: P7-3.1-tls --tri
Description of work: t/ ill 0,7
Construction Cost: `► Q Multi -Family Building: (Yes
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification; please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes
No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with a approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui,%ing Code must be •feted within 180
days of permit issuance. ry_
Applicant's Printed Name App
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
#of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Li -711
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
7C Footings (Addition)
x Foundation
Roof: Ice & Water
Framing `( 30 Minutes
Fireplace: Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
k C..< :ff "Or
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
1 Hour
Air Test Final
— Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings — Backfill _ Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
6)
Page 2 of 3
L/
V317. -t-3
Terry Zelenka
From: Pam Dudziak
Sent: Monday, October 17, 2016 11:34 AM
To: Terry Zelenka
Subject: 4719 Oak Cliff Dr - flat roof
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Red Category
Hi Terry,
0
We discussed the flat roof garage addition at staff meeting and the consensus was there is no zoning requirement that
all roof sections on a single-family home be the same. So from a zoning perspective, the homeowner may construct a
flat roof addition to a home that otherwise has pitched roofs over the dwelling and garage.
It is only with detached garages or accessory structures >120 sf that the roof style and pitch must match that principal
dwelling.
Let me know if you have any questions.
Pam
Pamela Dudziak 1 Planner I City of Eagan
City Hall 1 3830 Pilot Knob Road 1 Eagan, MN 55122 1 651-675-5691 1 651-675-5694 (Fax) 1 pdudziak(a�citvofeagan.com
41911 Cit 1 of Etau
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
1
�9.53.T j
CERTIFICATE OF SURVEY
for
JOE MILLER HOMES
N 89'48'4" E
138.30
Li73
32--106.8-94
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rn�
01:0
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s
iND1
vs -
034
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dro'nage&
util►t eosement
ii)4/AgAg•
(41-/
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E.AGAN
REv1EWE
48 00
r \
965.Q5;>
r•+:
111
Scale: 1" = 30'
961.•
cI_<: CI\ff
1 hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that 1 am o duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
Date
Z &]3 199
111
I ate ICY
EAGAN' ' GINE G DEPT.
4723 Oak diff Drive
DESCRIPTION
Lot 2. Block 1,
OAK CLIFF
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
Reg. No. 8140 \Existing Propose
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435--1966
M,32--1OFF-q4