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4727 Oak Cliff Dr. INSPECTION RECORD LlTY-OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: + APPUCANT: , ; ? t t+?•: t• • ; , I l{ i t [, 1. t .t;tt vi I t) ! PERMIT, SUBTYPE: TYPE OF WORK: - .. .? . .. INSPECTION .A . . ? i i(;k i 141-1+A htc?.: P€rV w t'F?t;:t ????E??, rrt?; E•? F,?? f#!1". Itl#? ',f l;:' li I•? A k)i,f{i {+t 14 A Y .'tr:Ml i E', ;ri O1t I ;,I 11 F- ? L Permit No. , Permit Holder ? Dete Tel6phone ri SMf PLUMBING ?O tS p ? 3 9-3 HVAC (? aQ fj??? ELECTRIC p/? p? (03 S?.p #4 4? p ELECTRIC inspection Oate Inap. Commerrts Footings I Foundation 7 Framing Roofing K UJ Rough Pibg. / Rough Htg. Isul. f V Fireplace O?j Final Htg. Orsat Test Final Plbg. /U - " PI g. nspe r- Notify Plumber Const. Meter EngrJPlan 61dg. Final Deck Ftg. Al- ? / 19 Ar ziv?l U-^I r Deck Final C.o- - Well 7l ?' 7 Pr. Disp. Y 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: 1 TF F i1R i frM PERMIT SUBTYPE: TYPE OF WQRK: t?4 ki21 ( 1 11 1 P1(i fb:t}?KA INSPECTION D• • DA ? ?i' ? Permit No. Permft Holder Date Telephone N ELECTRIC PLUMBING HVAC Inapectlon Date Inep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINQ ' ' GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE A1R TEST FINAL PLBG F1NAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfC3 DECKFlNAL / W"CL'tifiCQte df cCC1tvQnC? . ; 000) of Wagan . ??rt?acat of y$rit??tg ?x?pcction \_-- r This Certificate issued pursuant to the requirements of the Uniform Building Code r . certifying that at 1he time of issuance this structure was in compliance with the various orrlinances of the City regulating building constnrction or use. For the fo!lowing: uu ctusificaboa: SF IW Bldg. Permi[ No. 22772 Occapancy Type R3/14I yoning pnbia FD Type Const. VN o,.,or ewia;.gIWIIN G'iTY QtAHTMAN ?,.S90C aa.,z,, 10 113 WFNIWOEtIH AVE, Bl1rGIN s,iidi,g naarss 4727 QAK (LIFF DRIVE BI , GMK (ZIFF ' ? Date: ??ofricial.- : POST IN A CONSPICUOUS PLACE ,:5",'?19k1 N 10863 REOUEST FOR ELECTRICAL INSPECTION 10 Se¢ inslrudions br rompleting Ihis form on back of yellav copy "X" Below Work Covergd by This Request ff? ? ? 4E6-00001-08 ?r. ew ` ?R N: TypeofBuiltling AppliancBSWiretl EquipmentWired Home Range Temporary Service Duplez Waler Heater Eleclric Heating Apt. Builtling Dryer Loed Manegement Comm./IMushial " Fumace Other (Specity) Farm Air Contlitioner Other (specily) Contractar's Remarks- V GA?? = /Zh> Compute Inspection Fee Below: 3 # Other ' Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool / 0 to 200 Amps 7,0 0 to 700 Amps Transformers Above200_Amps ove Amps SIgnS Inspecror5 Use Only: ? 0 \TOTAL O?y Irrigation Booms rA ? jd " ?L?i? Special Inspection ?U Cp Z Alarm/COmmunicatlon THIS INSTALIATION QTED IF NOT 4 Other Fee COMPLETED WITHII?'18 MONTHS. I, the Electrical Inspector, hereby if h RougMin Dat ?' I y i cert ai the above inspection has been made. Final Da_e OFFICE USE ONLY This request wi0 18 moMM1S irom S o ?- b 10 8 6 3 Fepuest Oate Fire No. RauptNinlopsec[qn Repuire (YOU ?9us" w fe Y) Inspedion 0 ier Than Rough?l NOw WiI1InsPedw O R Yas ? No FeaGy te Ilicensed contractor p owner hereby requesr in ti oFabove eleciri k Job Atltlress (Sheet. Bw ar Foule Na.) t17.7 7 Ga5aCi P-? ity 9,,.. Section Na Towns?lp Name or No. Range No. County ? Occupanl/(PRINT) 7/Wn/tt+! `U,lJ`?'?°ieL_ Phone Na Power Supplier ' 47m, vv i* - 9 ,,i(,n. Atltlress 01360 oac) --v- k.) Eledrical Conhactor (COmpany Name) - Conlractor's License No. ??rw ?C`¢ 00/3 Mailing Atltlress (COnvactor or pwner Maklnq Installation) y7ao d.? ? Al Authorrze/tl? Sg ura fGo??n??tre/oj/pr/O ner Making Ins?alletion? Phone N umb er P ??t].1.1 ? y MINNESOTA STATE BOARO OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT Gtlggs-Mitlway 91Cg. - Foom S-173 BE HCGEPTED BV THE STATE 80AP? ? 1821 University Pve.. 5[. Paul. MN 55104 UNLESS PROPER INSPECTION FEE/P . (612) 642-OB00 ENCLOSED. W?? Y REQUEST FOR ELECTRICAL INSPECTION p ' See inecructiona fm rnmoleti?e this torm on beck of yellow copy. !1 1 %" Below Work 'Covered by This Request ae-oaooi-oa -)/f7l$Y Me4 Addf Reoil . JVpe of BuilAinO pODlianeee Wired Equipme-, Wired Home Range Temporery Service Duplex Water Heater Li htiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Condi ioner Bulk Milk Tank Farm ' Y ther l5oecifyl t r SVaci V 0,195 Other Campu[e Inspection Fee Below " " - - / p Fes SarvieeEntrenceSize k Fee Feaders/Subfeetlars It Fea Circuits 0 to200Ams 0 to30qms 0 tn30Am Above 200 Am s 31 to 100 Amps / ,:nr/jlj 31 to 100 A s Swimming Pool Above 100_Am s A6ove 100_Am ' Transformers Ivigation Booms .,,jD Partial.'Other Fee $igis Special Inspection S TO FE Mamarks 3? ??. ? Rouph-in Date I? . th InsOactor, hereby rti thet tha above iinal fion hes Deen 1?r? /1l?. .re e. tTb re0uast rolE 18 monthe trom This reQUest wid ?, r? y 18 rtnnths Irom A 059512 L4 8 1 Oak, a`"r 31. av Hxquest Date ire No. PouPh-in InsPect n Reqwred? []Reatly Now ?Will Notity Inspeo- ????p y KYes ? N. . ,or Whan Ready ?Licensed Elec[ricyl Cannactor 1 hareby rapuesl ins0ec[ion of ebove Owner alectrical work ins<elled eY Street Atldress, Box or Poute No. Cit/v ? / CO ectmn a. 1 Towns ip Nama or Hanee No. Count OccuOent IPIiINT? Phone Na. Powe SuD??,er M Adtlress Ele<tric I Contractor (Company Name) Contrector s License No. u.? Mailinp Ad s(Contractor or Ow kine lnstailationl S 1I'. Au rz SiBMture ICo trector Owner Makine Installationl Phone Numb¢r O MINNESOTA STATE BOARO OF ELECTFIICITY THIS INSPECTION REQUEST WILL NOT ariqps-Nidway Bldy. - Room N-797 0E ACCEPTEO eY TNE STATE BOAXD 1827 Univereity Ava., St. Paul, MN 551M UNLESS PROPEN INSPECTION FEE IS pN-- dg121 207a111 ENCLOSEO. - Address 4727 0,AK TFP rRTVF. Zip 5512_2 Lot , 4? Blk i Sub nAx r.r.rFF THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanentdriveway y Permanent gas Sod/Seeded grass TraiUwrb damage ? Porch Basement finish ? Deck Please verify with fhe builder the removal of roof cest caps from the plumbing system and the shuboff of water supply ro the outside lawn faucet before freeze potential exisu. - ContaM engineering division at 681-4645 before working in righ[of-way or installing undergrountl sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY OF EAbAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ' P.S.N.: 10-53550-040-01 ( DESCRIPTION: PERMIT 4727 QAK CLIFF DR LOT: 4 BLpCK: 1 OAK CLIFF ?/6(r PERMITTYPE: uxLnzNG Permit Number: 0 2 2 7 7 2 Date Issued: 0 4/ 0 6/ g 4 Budlding-.Permit Type 5F pWG P?il,d3ng $+14:rk Type NEW liBC Occupsney%,, R-3 M-1 Construction Ty-pe V-N Zorting PD Building Length 68 Bu3lefing Width 76 a M1 ; ?`,~ 4lr r 1?i.. Li •?j'..?? gti?L?S??W REMARKS: PRV S& W pLBR - HOPKINS PLBG THIB LOT HAS 7Wp SERVICES. A RIGHT-OF-WAY PERM FEE Sl1MMARY- VALUATION Base Fee Plan Review Surcharge SAC SAC % 5AC Units Lic. Searnh Fee Subtotal $951.00 $618.15 $94.50 $800.@0 100 1 $5.09 $2,468.65 $189,000 MISCELLANEOUS Total Fee 1 828.50 $4,297.15 lTITINT'C7TY CR'AFTSMEN ASSOC?18840104 0005869 WTM1f-fY"CY CRAFTSMEN ASSOC 12641 63RD AVE N 10113 WENTWORTH AVE MAPLE 6ROVE MN 55369 LQOMTNGTON MN 55420 (612) 884-0104 (612)884-0104 F-- _.. , I herelay ackcnowledge that i have rsad this applicatzon ond stat;e that tha infarmation is correct zn.d agrev to com;ply wi.th all apRiieable Sta`Ge a'f Mn. Statutes and Gaty ofi Eagan 'QrdS.rcaness= ? A CANT/PERMI7EE SIGNATURE -ISSUED YISI? ATURE ??- J REACTIVATE _ CIIY OF EAGAN PERMIT.,?k ? W-? ? c?ED 9S?-BUILDING PERMIT APPLICATION 681-4675 ?,?9? r, ? ?- ? , ?s ?r:,, _ ?,,,t?• SINGLE 8 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 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 j.s requested once permit is issued. / Date $EA17 /??3 / rq93 Valuation of work Site Address: 472 7 o4K CL1r-F DRtuF gA6A-h3 SSlaa`? STREET SUfTE X Tenant Name: (commercial only) *4??road LoT 4 sLocx r svsa. oAK Ct ? Fr P.I.D. "10-,?wo- w- 01 Descri tion of work: CouSt"2f9G't- N o?v 1,67- The applicant is: ? Owner MContractor 0 Other (oee«ix) Name DoRAh1 "("MAS E. Phone 431 ^3(1Z Property LAST FIRST Owner Address t44qo Gex,as ee- eoLoe+ STREET STE Y City t?aSEnlou,uT- State ?N11J. Zip 5'So6$ Compan e ? Phone 4 Contractor I l? I 43r ,k 1?. Address ire-?-& anj License #? Exp.? fa?J? State lylJ ?ip City ill'JnlF ? Company Phone _ Architect/ Engineer Name Registration M Address City State Zip Sewer 8 water licensed plumber P(6a. 4 Flf=?. . Processing time for sewer 8 water permits is two days'once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O OI Foundatian 0 02 SF Dwg. ? 03 SF Addifion ? 04 SF Porch O 05 SF Misc. ? 06 Uuplex ? 07 4-P1ex ? 08 8-P1ex ? 09 12-Plex - ? 10 Multi. Add'1 WORK TYPE X( 31 New ? 32 Addition ? 33 Alterations E3 34 Repair GENERAL INFORMATION t , ? 11 Apt./Lodging ? 43;6, Bi?se?m?ent??finish! 0 12 Mul ti . Mi sc.'? 6 17"5wf"d?' ? 13 Garage/Accessory [3 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move ? Const. (Actual) V-!?1 Basement sq._ft. (Allowable) ? lst F1. sq. ft. UBC Occupancy. R.3 n4-I 2nd F1. sq. ft. Zonin9 PD. Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth ? o. On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Wallboard ? Final MWCC System ES City Water PRY Required ? Booster PumP Fire Sprinkler Census Code /o/ SAC Code 1_ i Assessments I ? Framing 0 Insulation ? Draintile ? Fireplace Permit Fee Surcfiarge Plan Review License MWCC SAC City SAC Water Cann. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: sac % 1 oo SAC Units ___7- volLes;on: $ /O !, Ot3c7 ? GAQ?e; BSMT ? x PorzcH ; ?- )2xI2= ??ly X 4s'= pl°i,4IN L1EUEL; /y3NX SN% Ppey? Le.EZ; l316, x5Y= i ??= 121 09f. a 1, ;?r7o 7?, ?136 ,?4oby 3ZXZ2a 7oy . (,33 X/L= (!G) L/ ri 56 x 139-28560 LICENSE CERTIFICATE No. Department of Regulatory Services LI?IIJ IJ l Minneapolis City Hall Phone 673-2080 L I CENSE N0. BUILDING CON7RACTOR - CLASS A TWIN CITY CRAFTSMEN ASSOCIATION INC NEW BIZ COOE DESCRfPTION UNITS FEE 139 BLDG CONT CL A 138.75 3109 Mail to 153228 04893 F- -l iY71N CITY CRAFTSMEN ASSOCIATION INC 10113 WENTWORTH AVE BLOOMINGTON MN 55420 I -J License expires t z/o 1/93 STATE OF'MN DEP.7.. OF 133 Ea'§'$, Stventh S St. Paul, MN 55101 (612) 296-6319 'BUILDING CONTRACTO T U#10045869 • , eaue : -03T33794 --- VERNpN A JOHNSQN JOHN50N VERNON A 12641 63RD"AVE N MAPLE GROVE MIV 55369-0000 r - .i GXTERIOR BNVELOPE ENERGY CODE COMPUTATION WORKSHEET 'ib Determine Conpliance with the Minnesota Fnergy Code (Section 502 of the State Amenc7ec7 1983 Model Energy Ca3e) Project Tit Site Address 1. EXPOSCD WALL CALCULATIONS II. A. . Opaque Wall AREA "U" VAId7E ARFA x"U" l. Masonry/Concrete a. X = b. c. x = 2. Foundatirn Wa Grade) X a.- l2" P? R l, b. l o. x , 0 6 = 7• g( 3. Wbod Frame Wall X = a. Insulated Area b. Framinq Area (AVe. 158 at 16" oc) 2510, 17 x . o4` = +}2 97 x l01 = I I_ g, ??, -? 4- c. Framing Area (Ave. 10$ at 24" oc) _ . , X = 7 4. Peripheral Floor Edge/Itim Joist a• 2tc12 b. 112-6Co x .oZ _ 7.4--r?" B. Glazing X = 1. winda,as a. F}A.-i?.-,?p CLo? 6? b. ?81•8S x .?,I = 2II•3? 2. Doors X - C. ?,? Doors l-ow C 40. s x . 3?- = l3 •? 7 1. wopd a. Solid b. With storm door X _ X = 2. Metal Ti+?t?oa.. 92 65 x 3. Overhead . 4. Other x - ' x - D. TOTAL WALI, ARFA, sq. ft ..................... t?14D 8 E. 'iOTAL of AREA x"U" ...... ................... ........................ .. 4I5 2? ROO F/CEILING CALCULATIONS A. Rqof/Ceiling Insuldted Area ? 1 dc X . 02. B. Roof/Ceiling Framing (Ave. 158 at 16" oc) x Q C. Roof/Ceiling Framing (Ave. 108 at 24" oc) ? X . ?,y a 2 q2 D. Skylight ? X = E. TOTAL R70F/r-EII,IM ARFA sq. ft .............. 14400 F. Z17T1L (F ARF11 x "?U" . .. ............................................ ? • Zo : . , lii. BUILDING GNVGLOPG RGQUIREMENTS 'PO'PAL ARFA RDQUIRID "U" ,ALLOWAI3LE (Fmm I.D & II.E) (From V.) (Area x "U") A. ExPosed Wall: +t4v. S x • ll = 4-?`i -ro • d-8 B. Roof/Ceiling: 14?0 , o x • oZ.(o = 3"1 •°?6 C. Td? ALLOMBLE B7ILDING FNVEIAPE (Total of A& B above) ... 4 IV. ACTUAL BUILDING ENVELOPG ACTUAL (Area x "U") A. Exposec7 Wall (Fnan I.E) 41 S" 2S B. Roof/Ceiling (Fran II.F) 2a? ? C. TOTAL A?,'1.UAL BUILDING MVIIAPE (Total of A & B) ............ `t-y-y- • q-? ) *(Meets code requirements if less than III.C) V. REQOIRED "U" VALU$S NIALLS 1170F/(EILING Detached ore and two family dwellings .ll 026 * Multi-Family Residential Buildings .238 .033 (3 stories or less in height) * All Other (bnstruction Zypes (3 stories or less) .238 .06 * All OEher Constructiai Types (More than 3 stories) .28 .06 ' Based on 8007 heating degree days (lqils/St. Paul) Adfust 'U' values accordingly for ather locations CERTIFICATION I hereby certify that I have Minnesota Sta6e Energy Code. Signature t n ? the abwe infnnnation and that it oarplies with the EiCSD 3-89 CC/SI11/6574 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. " NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ' ? Lf -r- ?- HVAC: 0-100 M BTU ADDTTIONAL SO M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExlsruaG CoNSrRUCTtor) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 3. efl $ 20.00 .50 a7 ? STI'E ADDRESS: ? 7 2? ly4x- Cqli rf= liew OWNER NAME: f tio?..a c/_' .-O0 t-aA., TELEPHONE #: INSTALL,ER: ? er.r 'z_- hf7`'? ? ?/c- ALDRGJS? LOy YJhOG*dP/L D/? CITY: I-e?v, /e STATE: ZIP CODE: 31 ?Y w ? TELEPHONE #: --l"6 /- 3 e-ok Cl•t/ SI AT OF PER E 1994 MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE PAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL Y 0v? SHOWER 3.00 TE WATER CLOSET 3.00 o?ea 2-- BATH TUB 3.00 r?o 0 0 LAVATORY 3.00 oC) ! KiTCHEN SINK 3.00 3 6n ? LAUNDRX TRAY 3.00 3 a r? HOT TUB%SPA 3.00 WATER HEATER 3.00 a? o ? FLOOR DRAIN 3.00 300 GAS PIPING OUTLET • mintmum - 1 3.00 3 o a ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DI$P. • peLcry: iic 20.00 U.G. SPRTNKT.FR • homeunderoonst. 3.00 ALTERATIONS • to educog 20.00 WATER TURN AROUND 20.00 3 9 STAT'E SURCHARGE .50 TOTAL: STTE OWNER p crrY: STATEc ZIP CODE: CJS3 PHONE #: 1994 PLUMBINCr.PERMIT (RESIDENTfAL) CITY UF EAGAN 3830 PII:OT KNOB RD EAGAN MN 55122 (612). 681-46'l5 L//_ B/ SUBD Oak , NEW RECEIPT S ?,555 / RECEIPT DATE TO JOB OHN D?Ti PLEkSE BE ADVISED THAT TtERE IS A FEE SHORTACE ON T}E ABOVE II.ECTRICAL INSTALLATION IN THE AMOUNT OF Z i0 SHORTAGE M(ST BE PAID iIHITHIN 14 DAYS. REMARlGS 0 to 100 am service= rvice= Ot? r TOTAL FF.F. nIIF.= f I X /10 . "G EVED X//n 96/--4 TOTAL FEE SHORTAGE DOE _ 41 PERMIT4/A/14g4 ?j ORIG. RECEIPTIt aakf RECEIPT DATE r'dQ RETURN A r-OPY OF THIS FORM WITH REMITTANCE. \,J 31 to 100 amu. circuits= 42/, 4 41, ? S ... ? .4 4 . ? S ... ? ?..'.? .::{;?}' ._ .. ..?' •.?':.`?':t:?.'Ilt! ... _. . ?C: ..... ..... .... 1?:: ;]A ? -C?TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT '" PERMITTYPE: suaLoiNG Permit Number: 031984 Date Issued: 05/ 12 / 9 8 4727 ORK CLTFF DR LQT: 4 BLOGK: 1 OAK CLIFF P,I.N.: 10-53550-040-01 DESCRIPTION: rmit 7ype DECK r* TyPg 434 RNEW LT. RESIDENTIRL REMARKS: PLAN REVIEWEO BY MIKE 6ARCK s ? ?I&.I n, ? i'ia ??t$yB..? ? ? ?g?I tRt i?br ww ?? Ct31? a? k 4, n FEE SUMMARY: Base Fee $50.00 Surcharge . $.50 Tntal Fee $50.50 OWNER: - Applicant - DORAN TOM 4727 OAK CLIFF DR EAGAN MN 55122 (612)725-1385 lot??h?'8, --?APIGANT/PE MITEE SIGNATURE C 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT KNOB RD - 55122 ? r L ?,9,9<;'l?. 681-4675 New Construction Reauirements RemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies af plan ? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan 'rf lot platted after 711193 required: _ Yes _ No DATE: :/Aa9 I?,w CONSTRUCTION COST; S(000 ? DESCRIPTION OF WORK: "'t>2C K STREET ADDRESS: q- ) a / ?k C ?E '?br LOT: ? BIOCK: SUBD./P.I.D. #: OaIJag- I?°? ka?`t Co Name: o "-A Phone V?d -g7 / / PROPERTY 1.asc First r,.,o J k,?as- ? 3?5?• OWNER r? ('? (j? \ Street Address: q9a?/ oa ? C 1?-'s? V`r City ?- Gej Q-? State: 2ip: eC Company> 4C oW„i.eJ - SGM2 9S phone#: CONTRACTOR Street Adc City ARCHITECT/ ENGINEER Company: Name: Stceet Adc City _ License # State: Zip: Phone Registration #: _ State: Zip: Sewer & water licensed plumber (new construction only): Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica8on and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Required ?? ?tOw OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. O 10 = plex 0,15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Variance y 3?! OI ? ? Permit Fee Surcharge Plan Review License MCNUS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building /t413 Engineering Valuation: $ `A w? : `+?'? ?? ? `' ?.>._ ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous MC/WS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit R Y ? - . 12"6? L R ?. .. ? n T r •.._? P? L_ I ?) 14 NAiIIE {?AK,. ? ? I ! x da???' 3e , 14 . 't' oU ?' \ "- ??• . ' . yJ { ?,DECI i ?OY ? \ :? 5 o 1 s l? ?-s- -4-wo Sree?-? lou w'?l s??? "Yol ?x Z / lk?*Av O?.. ? x ?;, . .. T? ? f?; HOUSE ?'+rroeah.?? \ N EAGE ? n K X <? ? 14'?WH -tiy .I `y ,} > K ? ad'?u " ?, iditp ouc R ? AGE `X X z ?1 -Y"' •. ,?r,;-f?: ? ? ' v-- .. ? x ?. ' ^. ----- ? C,EILE eo ELEC-gD PHONE BOXIi ? PC R ..,_ . 16023^?,,s 3, -? t ? q?ss8 PIC,r _?- b ? . 3 ? /Y? n. ? _a VA 0 _ i 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3836 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansWction Reauiremenls 3 registered sile surveys showing sq. ft. of l04 sq. R of house; and ?II roofed areas (20%mazimum lot coverage allowed) 1 Soils Report if proposed 6uilding is to be placed on disWrhed soil 2 copies of pfan showing 6eam 8 window sizes; poured found desigq etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan if IM platted aRer 711793 Rim ldst Detail Options selectivn sheet (buildings widh 3 or less unik) Mmnegasco mechanical ventilation form , 0o ed RemodellReoair Reauirements Otfice Use Onlv 2 copies M plan showirig footinqs, beams, joists Cert of Survey Recd . YN 1 set of Energy Calculations Por heated additlons Soils RepoA _ Y., _ N 1 sRe survey for additions 8 decks . Tree Pres Plan Recd ; Y-`N Adddion - indicafe A onsite sepfic system Tree Pres Required ` Y Onrsite Se{i6c SYstem. ,_ Y._ N Plans are considered public information unless you state they are xrade secret and the reason. Date ? /C-?7 / 0 7 Con s truction Cost l/F J"V Site Address ? / c?L7 u'/7l\ ; ? ?L" I ?F DIl. . UniUSte # Description of Wmk Multi-Family Bfdg _ Y?f N - Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?YYI? ??? JV Telephone#(6$) ) 89c^7V/7 Contractor ?O Address -`? City QU?uIUF ?? ) State lVyL.d Zip Telephone 4 (610) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Itules 7670 Cateeorv I Residential Ventilation Category 1 Worksheet (J submission type) Su6mitled • Energy Enveiope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheel Submiried In the last 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a master plan6 _ Y _ N If yes, date and address of master ptan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone fl Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances.and codes of the City of Eagan and.the State of MN Statutes; I understand this is not a permit, but only an 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 k which requires a review and approval ofplans. A -57? Applicant's Printed Name Applicant' ignature      øíø     þýüýû  ÿ þúþü     ûÿÿ úùüùôï  áÞýòò á  ÿ  ø  úùø ÷ÿÿç ýÿ ö ø ÷ÿõÿ ÿ  ÷ç ýÿ Ùÿ   ÿüý üÿÿ ý÷ÿ ñ ÿë ÿñÿ  îùÿ ÿÿôý ÿ ûúýÿþÿ ý ÷ÿ û   íááá  ýî ý öý îüßÿú ôþ ÿ ñçÿÿæðÿ÷ýÿñÿ ãâèèá ÷û  ú îý üÿçàÿâèíèí éýýáûè  öõ ø ôó ÷÷ý  ÿýüå üøîñý þ ý öý îüßÿÿúîáÞýòò þÿ ý ÿôõááþýüýôõ æíã îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý  ÿýýü ÿÿñ÷  îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA107479 Date Issued:10/15/2012 Permit Category:ePermit Site Address: 4727 Oak Cliff Dr Lot:4 Block: 1 Addition: Oak Cliff PID:10-53550-01-040 Use: Description: Sub Type:e-Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Thomas E Doran 4727 Oak Cliff Dr Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature Date: City of Eapi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 175 0� (, Permit #: Permit Fee: Date Received: /o / tel l Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION - 15- \3 Site Address: U M`)--- LSA �' y l— F P Unit #: Name: \Th v E2; t3 Address / City / Zip: LA a 0. ` . ti Applicant is: X Owner Contractor TYPE OF WORK Description of work: Construction Cost: Company: Address: State: Phone: S 1 - `Ic)'7 Lf i-7 C- kt = � f` FA6 413 55 z.2_ S vw 4 iJ T ci t -, a te. t i -PG`> > 7a* cw Sit /ea ML /1.4040- d- 5 a Multi -Family Building: (Yes / No X ) Contact: Zip: Phone: License #: Lead Certificate #: City: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.gooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Sign tur Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition It Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25% 100%_Zr Census Code y 3 y # of Units / # of Buildings Type of Construction .dGa REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final • Framing Fireplace: _Rough In Air Test ▪ Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 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 Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 76 3.2 - Page 2 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA109264 Date Issued: 02/25/2013 Permit Category: ePermit Site Address: 4727 Oak Cliff Dr Lot: 4 Block: 1 Addition: Oak Cliff PID: 10-53550-01-040 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Dien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Thomas E Doran 4727 Oak Cliff Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /O—/C-1-13 Site Address: `/7Z7- fl -k' l F4 OR Unit#: Resident/ Owner Name: e' af�,L, Phone: Address / City /Zip: 4/72 7 e.t.c,,,,,L/ _144 .") C)i cTTf( M. Applicant is: \ Owner Contractor Type of Work Description of work: 1 Qe Construction Cost: i (I( Multi -Family Building: (Yes / No s."---) Contractor Company:J T ,4✓2 "T7 Q — 71-;:rl.5• Contact: `_ .--- ,✓ �, c_ Contact: /`-�'i Address: /1.9 ;L 4/6. 5Ci.,.✓i A--,e_City: LeiGe ai"-1/-L State: j'L/" Zip: _sSZdi'( Phone: _„"Z7,--/ —1-(477- CgL1 (- License #: 8 _ 6 ?06 5C Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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: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 the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ailttCk 4-7_0 Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA157151 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 4727 Oak Cliff Dr Lot:4 Block: 1 Addition: Oak Cliff PID:10-53550-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Thomas & Mary Tste Doran 4727 Oak Cliff Dr Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature