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: $
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: `+?'? ?? ? `' ?.>._
? 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
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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
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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