4737 Oak Cliff DrCASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
,
DATE 19
wccavso .
fROM
AMOUNT $ I'
[] CASH [j CHECK
DOLLAR!
roR '
3 7(tZe-4
,.
FUNO CODE AMOUNT
n'
Thank You
sr
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• PHONE: 454-8100
SUILDING ?ERMIT Reuia #
Ts 6E umr fer Esf_ VnItM Ll 0 f)ntp . . 1? tp ?J
Site Addreu _ 4 737 OAK CLIFF DR
Lot Blxk J Se +'1Sub. OAf: CLIFF
Paroel No.
W Neri,e UEVFLOPERS CONST C'.C:
z 1101 CLIFr, "!?
City?? I?d S11 ?L fihone -17 _? 4
?? Name
?l Address
?- Citv Phone
Neme
Address
City Phone
1 hereby ocknowledge thot
fhe inlormotion ia co?rect
Stah of Minnesotc Stotu!
Sipnoture of Permifta ?
A Bulldin9 Permit is issued to:
dl work sholt be done in xcordonu
all
state thot
applicoble
EreCt L.Fi Occupancy
Remodel ? Zoning
Repair ? Type of Cona. W
Addkion ? No. Stories
Move ? Length
DemOliBh ? Depth 5 C
Int Impr. ? Sq, Ft.
Install ?
Apprevah Fees
Asseument Pertnit -:5- 36 7. UU
Water b Sew Su?charge 39.00
.
Police Plan Review-183.5 0
525.00
Fin SAc
Enp. Water Conn `' ? Q• Q?
Pl 63.00
t
t
M
W
onner er
e
er
a
280.00
Countil Road Unit
Bidg. Off. G 12 O/8 5 Tr. PL : i 2.?0
APC parka
Var. Dste Copies
TOt81 8 ?? . ?v
on the txprm COnditfon Ihat
+esota Statutes and Gry o3 Eoqon Ordinanus.
8u11dinp ONicid
Pwmit No. Pwmit Holds? Dm TeIephone ?
PlumbRq '
H.VA.G ?LO 6 '2-n -44
ENmtrlc
Softerwr
IrupeMian Dste Insp. Other
Foocrnge I b ,- 77, (L-
Foodnpsll
Faundstion
Framiny
Roofing
Rough Plbp.
c
Rouph Mtg.
Insul. '04
Ffrsplace
Final Hty.
Flnal Plb?.
Ffnal
co.vo?.
W?? Deseribs Location:
?
?
'
/
W?11 ?
? L
? ( ?? "?
1 ?
Sew?r
Pr. Disp.
Reaipt MECHANICAL PERMIT Pe?mit No.
CITY OF EAGAN ,
Fw --=-=r-
Fi!l in numbered spaces S/C '
Type or Print /egibly Tft
1. Date ' 2. Installaiion Cost
737 t cl) c_
' ?
3. JobJAddress ?LotBlk. '
Tract ,
4. Owner -
5. Contrector Phone • _ ? ? `' `
6. Address A `- .1 `
..?
7. Gty -
State Zip .
8. Building Type: Residential 13 Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
Type - ? -
No,
? Epuioment 8TU - M. Ea.
Foroed Air No. Epuipment CFM
Air Handlin
:
Mfg. g
Boilers Mech
Exhaust
Mfy. ,
Unit Heater
Mfy. Other
? Air Cond. ?- `
Mfy. - -
Gss, Piping Outlets
12. I hereby cartify that the abova information is true and correct, and I agree to
oomply with all ordinances and oodss governiny this type of work.
Si9^ed: for
Rouyh F inel
Inapectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Reoeipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
FN
Frll in numbered;paces S/C
Type a Prinr /egibJy TOIL
1. Date 2, Ins ati CQs
3. Job Address Lot Ik. Tract
4. Owner
5. Contractor Phone
6, Address :
7. City State 2ip
8. Building Type: Residential C] Commercial ? Institutional D
9. Work Description: New ? Add ? Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
ool/Dr
field
Ces
i
Bath tubs sp
n
a
Se
tic Tank
l.avatory p
Softner
- Shower Well
Kitchen Sink
Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
oomply with all ordinances and codes governiny this type of work.
Signed :
for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
PERMIT #
PLUMSING PERM{T RECEIPT # --I y '"' ? 4
C17Y OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
P41ANF• ase.ainn
Site Address
Name (p!EdZ& V !'LLi& !/vc
? Address,???1? / ,rZC?E'Er1l? Lrr)
c City ?:i,??Phone -177 -- s c
Name ,,
3 Address
O City ?
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TaWNHOUSE 8 CONpO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20,00
STATE SURCHARGE PER PERMIT - .50
{ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN 5c,,0 „Aly
.W
BLDG. TYPE WORK DESCRIPTION
Res. -? New
Mult Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-L-Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
-4pC_Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PEA PERMIT)
Softener - $5.00
Weil - S1Q.00
Private Disp. - $10.00
Rough Openings - $1.50
? FEE:
STATE SJC:
GRAND TOTAL: ' -
,?. . . .. . . ;. , . ..
. . .,.
. . _
.
• .. } ti .
PERMIT # ,Y
, MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address - '' BLDG. TYPE WORK DESCRIPTION
Lot lock ? SeclSu i
aes. c.
New
A ;
Mult Add-on
'-"
?
Name
Comm. Repair
Address Other
c City ? - ? Phone
L
Name FEES
RES. HVAC 0-100 M BTU
-$24.00
c Address ADDITIONAL 50 M BTU - 6.00
3
p
City
Phone • (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
TLETS
GAS O
INtNI
UM
t PER
ERMIT 1
EA
5
.
- . -
(
M
P
)
U .
.:
Q
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIE5
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent.
i
G
Pi
O
l
-? CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND
00
p
ng
as
ut
ets # 3 $1,
0)
Other
FEE:
V
? .
. S/C: SIG PER
? ? • TOTAL•
?
, 1?. _ __. ?..._' ?. .
C .
• , FOR: CITY OF EAGAN
<
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
• .; ?;? ??? i,
i .. ??;?? ; ? i! I ??i,,
PERMIT SUBTYPE:
,i APPLICANT:
TYPE OF WORK:
? r r,is
!, f fiC1M
(- 1 ` ?;°i
RFMARK S• RF F'(1f,1F f1lRk 'f?i '; I r1ttM CIA11Aii
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND .
FRAMING
RdOFING .1`,
/
ROUGH
PLUMBING
PLBG
AIR TEST '
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
aRSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLU5H
MAINS
coNOUCnvirr
7EST
HYDROSTATIC
TEST •
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
No..
to aosuplp wuh tiw C'ihr ei hq.r
? GITY OF EAGAN
3830 Pilot Knob Road
P. U. Box 21199
Eagan, MN 55121
Zoninp: `
Owrnr:
AddRSS: `?73 7
Slte A[drESS:
PlUf11(er:
I sS1'N t9 OOIIIply Mah tlw Cw of ass¦
? OtdI11O11COi.
By
Date of Insp.:
CITY OF EAGAN
3$30 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoniny; -
Owner. ,
/lddross: ?
Site /Sddress: -?
Plumber. .. .
Meter No. +
Size:
WATER SERVICE PERMR
Connection Charfle:
Acwur?t Deposit: _
PErmit Fee:
Surdhorgs:
Mlsc. Charges: _
Totol:
Date Paid:
SEWER SERVlCE PERMR
PERMIT NO.:
DATE: "
No. of Units:
C•Ofl/IOC'tiOfl Q10/gQ: 4:5. l,F0fa^! .- f
AcoYrit QQpowt:
Pormit F": 0 0;74'
r. ?
$UfCF1O1''Qe:
Misc. Ciwrpss:
Totof:
Dote Proid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
Reodef No.: Ur M Tii(?-0 6ifj ' Petrrtiit F-0e:
iGym to oonsplr wN6 tiw Cih of Eqsw Surcharpe: ?' -
OrJtw..on.
M1sc. Char9es: 1:3 2
Total:
, , .
.
gy Durs Pofd:
Dote of Insp.: lnp,:
TY OF EAGAN
?30 Pilot Knob Road
0. Box 21199
oan, MN 55121
f I zWYs
CITY OF EAGAN Remarks
Addition OAK LIFF DITION Lot 3 Blk 3 Parcel 10 53550 030 03
Owner Street iL2'40 "p;^ltgR T?"y
5tate
uha.r ? ?./%?•, n ..e.
Improvement
Date / / J '
Amount KilT
Annual
Years
Payment
Receipt
Date
STREETSURF. d
STREET RESTOR.
GRADING
SAIV SEW TfiUfVK
11,
1973
104-12
6.94
15
IT?I S?
I 'a? _
SEWER TERAL a-7
WATERMAIN
WATER LATERAL
M
WATERAREA ? 10.75 19 It% ,.S O/(a(oS? ??.?`?S
STORM SEW TRK 1979 350.52 17.53 20 lo 1-2-4?-?3
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. ?? t?
8UILDING PER.
SAC
PARK
CITY OF EAGAN N? 10 5 6 6
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUI6DING PERMIT RecdPt #t ? ?? 7?
Te•M uad fer SF DWG/GAR Est.Value $78,000 Dafe JULY 11 19 85
SiteAddreu 4737 OAK CI,IFF DR
Lot 3 elock 3 ';1c/sub. OAK CLIFF
Pareel No.
W Narne DEVELOPERS CONST CO
= Address 1101 CLIFF RD
9 citv BURNSVILLEpnone
t I ?vame SAME
?? Address
r City Phone
Name _
addres,
City _
I hereby ocknowledge that
ihe inbrmotion is wrrect
Srota of Minnesoto S7oMf
e.
$ipnofurc of Permifto\
A Buildinq Permit is issw
oll work shall be dona in
Buildinp Offlclol
oll
and zfare fhaf
all applica6le
Erect 12 occupancv R3
Remodel ? Zoning RI
Repair ? Type of Canst. V
Addition ? No. Stories
Move ? Lang[h 60
Oemoli5h ? Depth 50
Int.lmpr. ? 5q. Ft.
Install ?
Aporovols F"s
Assessment Permit +' •°°
Water 3 Sew. Surcharge 39 . 00
Police Plan Review 183.50
Firc SnC 525.00
eny. water conn. 500.00
Planrror weterMeter 63.00
Councll Road Unit 2 8 0• 0 0
BIdg.Off. 6/20/85 Tr.Pi. 132.00
APC Parks
Var. Date Copies
rotal 52 .089.50
an Rha azpreS Condiflon Ihol
tq-5tatutes and City o5 Eoqan Ordinoncai.
REQUEST FaR ELECTRICAL INSPECTION
ee instrwtions lor eompletinq thir(orm m back'ot Yellow coPY-
0q •} 8Qp ' S?} "X" Be/aw WorX Covered by This Request
EB-00007A4
7- IL"si!r
flies a xeo. Tvae of euilaina noclcancaz wi.ee eaWoeent wi.ea
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apl. Building Dryer ElecVic Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Mflk Tank
Farm Olher aeci y Othe, ISUecifvl
t r uer.i y Other Other
Comou[e lnsnection Fee Below
p ee rvicaEntmnceSiza p Fea Feetlers/Subfeeders M Fee Circuiia
to 200 Am s 0 to 30 qm s Z S? 0 to 30 I?m -
;Above
200 Amps 31 to 00 Amps 31 100 A
immin Pool Above 100_Amps Ave 100_A?
ansformers Irtigation Booms Partial%Offier Fee
I_ I_ ' Signs ? I iSpecial Inspec!ion 'S _117JtoITOFAL FEE
Nemerks .( ?f
/,7
e _
BouOh-in Date
1
m t
tti
I .
ee
al
• 'V
'? I?weetor. hereb
Y
mn:iy tlr[ [he above
Final pection has been
read..
Ttft reyuestvoidl8monllefrom vQ,,/, W/?"/?/Y-WW
Thisrepueslvoitl,53L'?
T
18 & ?h??X 3 C2, 4
NepuesPUa qQ Fire No. Mugh-in nspection
Repuired11 ? y?'
Ready Now{Nvill Noufy InsOec-
M
VJb
a/ ?
,?es No
F
en Peady
? Licensed ElecVical Contractor 1 hereby reauest inspection ot above
Owner electrical work installed at
S[reet Address, Box ar Houte No.
/ LJiL City
c
Q O /L-
L.?
ecLOn o. Township Name or N. fl ge No. Gounty
Occvpa (MINT)
1??ve1o Phore No.
Power Suvoii
G
/ Add.ess
? ,
L/
eC?l
.
d4lm
.
ElecVi ontra or ICOmpany Namel
'
, Con[rae[oi s Lieeense No.
/? -
L 3
? ? ?
MailinB AtlJress
ICo
n
tracior or Owner k?np InsTaila[ion)
[.
.
/ `
Authoriz SiBnatm (Conhac[or O er a4ing Ins Ilationl Phone Nunber
55
MINNESOTA STpTE?Am OF ELECZii1CITy/ THIS INSPECTIOtl NEQVEST WILI NOT
Gripgs-MidweY Bid Room N-191 . (/ M ACCEPiEO BY THE STATE BOAND
U55104 NLESS PqOPEp INSIECTION FEE IS
1821 Univarsity Ave., SL Paul, MN ENCLOSED. Plro're 16121 2872111 .
REQUEST FOR ELECTRICAL INSPECTION 10 Es/-ooooi-os
, See inslrvctions for compleling this torm on beck ol Ye110w copy.
6r614 3 K-" 9elow Wak Covered by 7his Request
Nevi Adtl flBD. TypO of BuilGing
Home AOPlioncne Wirod
Ranye EquiVmanl Wired
Ternporary Service
Duple.x Water Heater Lightiny Fiztures
Apt. 8uilding Dryer Electric HeaUn
Commercial Bldy. Fumace Silu Unloader
Industrial Bldg.
Parm
t er Ueci y Air Conditioner
Other Pe i V
?
Other Bulk Milk Tank
01her (Sn,r.ify) C
Othe
Comnute lnsoectian Fee Below
N iee ServiceEntrance5ixe b Fee Fexders/SublenAers N Fnn Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 An ps
Above 200 qmps] 31 to 100 Amps 31 [0 100'Am s
Swinming Pool Above 100_Am s Above 100_Amps
Transformers Irngation Booms Partial-'Other Fee
Signs Special Inspection C?nS'
TOT
Pertyrks •' (.r A.. r1
lf7
Rough-in ??G??/J S I, ihe chical
• "P- " InsOecfor, hereby
? cerli(y theI the above
1 Final 4 7 P -Y ?ie ') ? nsoection hes been
;//°'S 5 •; "'ada.
lhis reauest vold 18 montta irom
This mQUest voitl
18 rtqnths from ?•? ?
? 66149
fiequest Date
I 1 Fire No. Rouph-i i Ins e[ion
Requ red?
EIReaAy Now ¦Will Nolify InsOec-
0 Yes ?No Ior When Reedy
? licensed ElecVical ConVacim I hereby requast inspeclion ot ebave
SOwner eiectrical work installed at:
Sveet Address, Baz or Route No.
4Z3z Opor-- a« De, City
EAc,P^3
ecuon o. 7ownship Name or No. Fange No. Cnunty
OccuGant (PRINT)
M N E,l-- --'C- Et So N Phone No.
-
Power Supolier ACtlress
•Da ?ri
Electricxl Coniractor ICompany Namel Conhar,tor's License No.
Mailin9 AdJress ICoMractor or Owner M, kinp Ins[aila[ion)
Authorize SiBnalwe IContraclor/Owner Maki stallatioN Phonc Numbor
MINNESOiA STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BV THE STATE BOAPD
UNLESS PAOPEP INSPECTION FEE IS
1827 Universitv Ave.. SL Paui, MN 55104 ENCLOSED.
Phon¢ 16121 642-O800
,5/? y'/l?'s REDUEST FOR ELECTRICAL INSPECTION kl`"?\ ea-00??'0```01-69
. . See instruclions for completing Nis fortn on bac4 olyellow copy. ??
?
'"X" Below:k't?rk Eovered by This Request
Ne Add Rep. ' Type of Builtling Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Loatl Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Olher (specify) Gonlractor's Remarks:
? U
Compufe lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Am s Above 0-Amps
SIgf15 Inspector's Use Onty: TOTAL
Irrigation Booms
?
Special Inspection dD
Alarm/Communication THIS INSTALLATION MAY B ISCONNECTEO IF NOT
( Other Fea S"ALJL COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has
been made. Final Da?
OFFICE USE ONLY
This request voitl 18 momhs lrom
0m 4 ?439 ?
? ???`Sy `j5`?j9a3
5
9 ?S
Requ 1 Date ? Fire No. .`gh-In Inspection Requirea
(YOU must call inspeclor hen eatly)
? Ins ecMion Olher rnan Rough-In
?Reatly Now Will Notity 5 ecla?
? Yes
No Oate Reetl
I ' ensed contractor ? owner hereby raquest inspection ot above electrical work at:
Job Atltlress (Street, Box or Roule No.l
`1'"? 37 Ciry
Section No. Township Name or No. Range No. County
q?
OccuOant (PRINT)
\ ? ? ?•
._,
Phone No S
Pawet Supplier AGCress ^
ElecMCal Comrector (Company Name) Coniraclors Llcense No.
G R.",-
Mailing Atltlress (Conhactor or Owner Making Installetion)
1X l
Fhk
AuthorizeG SignaNre (Comractod wner Making Installation) Phone Number
?3 a 3ss
MINNESOTA STATE BOARU OF ELECTR TY
Grlggs-Mitlvray 61dg.- Room Sd28 THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
1831 University Ave., St. Paul, MN 55104
Phone (612) 6420800 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
2007 RESIDENTIAL PLUMBING PeRnnir aPPUC,artoN
ClTY OF EAGAN
3830 PILOT KNOB ftOAQ, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residential dwellings.
Date 12 1 13 1 D7 Mike Nelson
Site Street Address 4737 OAK CLIFF DRIVE Unit #
Eagan, M1V 55122
6518908282
Property Owner Telephone # ( },
Contractor /!/D'?b!D/h P?Gll?l9?I?9 Telephone# (GfZ) SZ7-4033
I A.ddress 2r40S 6-ewTit? ' City ?? O11 Siate.4l/(V ZiP s.fyDg
The Applicant is: _ Owner ? Contractor _Other i
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Indudes Counry fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace humed ouf fixtures, etc.)
- - $ 90.D0
Alterations to existing dwel(ing ;
$ 50:00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a wafer soffener and/or water ,
heater, do not complete this section; move to Yhe nex1. sestion-and Fchecld?'t?q
appliance(s) you are installing. ?
2007
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other.
Water Softener ? Water Heater $ 15.00
_ new _X_ replacemenk
Lawn IrrigaYion _RPZ _PVB new _repair _rebuild $ 30.00
State Surcharge $ 50
Total ' $??
I hereby apply for a Residential Plumhing Permit and acknowiedge that the inforrnation is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wiil be in
accordance with the approved plan in the event a plan is requir be reviewed and approved.
Je_(? ,vorblo4a
ApplicanPS Printed Name IicanYs Signature
?? . _ ?.;
J 01JhIER:
SITE AOORESS,-
CONTRAC70R: i
EX7ERIOR EMVELOPE l1VERAGE "U" CQMPUI'ATION
G 3 0 01
DETERMINE WORY,1FIG SOUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED 41AI,L AREA, ,;,,.., sq ft x"U"
?
2. 70TAL ROOF/CEIIING AREA,,. / ?;70' sq ft x ''U" '
3. 707A1 EXPOSED IJALL AREA CALCULATIONS:
Total exposed wall area above floor,,,,,,,, ?0 sq ft a) Total wall wtndow area:
? 4lazed.:.,.. sq ft x 'luil
glazed...... sq ft x ''U'' _
b) Total door area ?? sq ft x"U" ,?^7 = /-f O
c) Total sllding glass door area:
9lazed.;. . ?6 sq ft x ??U" T,
glazed...... s4F.ft x iiuil
d) Total flreplace wall area ? sq ft x"U" _ e} Total wall framing area ?y
(Avera9e 109;).,.......,. ' sq ft x uU"
•--r?«-?--
' f) Total net wall area above
floor (Insulated) J?J"l?5? , 3 ?'-? q ??
..... ? sq ft x ''Un
g) Total rlm )oist area...... _ 160 sq ft x"U'=
.
Total foundatlon
area (Exposed).......... 9 Q sq ft
h) Total foundatlon
wlndotia area............. --- sq ft x"U" ?-- a -'"
I) Total ne[ foundation
area a6ove.9r'adet....... ?Q sq ft x"U"
3• , TOTAL a) thru I)
If'item /13 ls the same as, or less than itrm N1, you have met the Intent of
S.R,C. Sectlon 6006 (c) 2.
.,
4.
4. TOTAL EXPOSED ROOF/CEILIHG CALCULATIOtIS: ?
Total exposed --7
roof/cellln9 area.?. . _Sq ft
J} . Total skyl laht. area....... ?sq ft x'"U" 27,5-°
k) Total roof/celllnq framing p
??
area (Averape lOq),.••,• 32 sq ft x ''U ?
1) Total net insulated ??
roof/cei l inq area... ,••.^Y,?? . p sq ft x"U" ...?.02"
TOTAL J) thru 1) -oy '
If total'of .'!h is the same as, or less than 112, you have met the lntent of
- S.B.C. Section Gf,06 (c) 1.
. • , ., ;, ,,; . . .
ALTERPIATE I3UILDIPIG ENVELOPF DES1GN
To utilize the total envelope system method,.the values established by the sum
of items 1r3 and N4 shall not 6e 9reater than the sum of items 1/1 and H2.
1 . 0 + 2. ??•.:1.? = o? ?? 7?
C E R T I F.I f, A T I 0
I hereby certify [hat I have calculated the factors and "R"
values herein and tha[ the huildin(i here descrihed meets or exceeds [he 5tate
of Minnesota Enerqy f.onservation Act,
9 a[ure
_ ,_
vq
?.I •
l?.
RI M".JD IIST, SECT I DH -.
----.-(1 InCerior atr,!'P1
'.;:_`?-( 2 • ?/, f?i? ? .a?-y'
.------? 3
F.xCeriok aIr°fI
.''?? . .
.A '-?- "--{ 1 n C r , r t o r a r
I ?•.'a Y ---(3 ir r -°'.
p'. . a C I.xterlo. air film
,l.)
'p •1p TOTAI R,-? D r
, ?.
?-
, SLAO 0 14' GRADE,
;'? ?a , U ? , , ,:, ? c? n ? ?--? ??.?l,?, ? •? ? ??; , ,, ? y , ? , , r-4,,,^
I . ????'t GI ,:,Q . n?'?.r '? /?/ / /?/7/-?//ry/????/f///i, ? ? " ? L11 ? ,( •. ??y .+??•
? . ' ....,' . ? `?1 u. G? ??////!I/??? ir . /? ?' -,•, ? y ?? , , ? q ?? (??!.
?
?V ? ??..^? ?} :' ,n? ,:ii.+ . ?_'? ? ?.4(l
. .. . ? . xl?? v_ ?? . . , 1, ..p, .?/.•. .'.?
vhL? ,rftni-4uM'.srcriorr;,,
,.. ,-?I ; Int?rlnr'a1C':FII
'!! r.
:
?
/
`'l
=
.
,-?
, o
.
J-
•
ches so
5:.
Exterior.air fi1
,
?
?
x? i yj 1 i•
'y
1^11 y 1) ? ?!
S
AL?L
ECTI01l?'
:Oids'ULATeD) "`
.
, .
lnter
lo
'
l
'
r
a
r
' `
'
?"r-?'
:
?
:. ? ?• :. ? ? ???.
y
R
?
? ?. _??
i,
, - ... , ? ... ? .. . . . ,. . . . ???+?
?'-:• c-iLiiir,, sccTinu ,?.i`iisuLn'
'lncerlor Tir.:'Fi?
2
. ?
` ` '? 3 ,??lr3?tci
?i F.xtcrioi'air'fl
:.? ? ,?J,? '1 d+ ? ? i '" i ? t ? ,'•) ? -?fy.. If7Cf125 SQI C PlOP[I
r 1
., 7,77(f -ITolTnl. R?
i i
n ' Y I'' ? f ? ? p?rv (Ib I
1 nj?l?..l. .iP5?1
, S IL` ?n I I? '. • . 1.n. 1? I r.i?h ' ? ? ?l?
?• ' ? °, ,,' cE i?.i.rac ser,TI ou ,(I risu?ATEDj
?:1??^?s?? ??^2,?°C`?'S?i£?U?•.=?•??'fi ??,??-s?tts?? ', ?? :) I ri te r i o r' ?a i r.F i l m?,?.? , f1 ' f+l•,:
Fxterlor.alG fllm, still : ? t1 1.'.
•. ??` .! •.,,,y ? ?.. ?l ? ?.:. vll-It.:P;:A f ? I'1?! i .+:, ? . ? . '
TOTAL R
V tI
Ip
?1 a {
?Ai . . . t
5 ? . i d. 1.? . ..
? 4 1
? . •?. CCII,INr,.FRAl4lhlr„SECTIOPI,
'. ? ,? ,?` ??? . ? 1•• Interlor a(r f11m:
? VCNTED?'
3 ?
? ? ? ?; ?? •' Li l:xte --- a i r film• st111}
rnches soft wood:
. , • TOTAL...R
, - • ; ? ? U 1?/R '
?.
? J
,
.. .., ..J ':.: m,e?d. • . . '- t + .. . . . . . y ? , , .,-???y , . o- ,
' . J? /1y^ti? ??X's ; 1. • • ' / f / ' , ? ? i ? . ?.•',
, .. . ?N lv'4 ?-?'`? >1 , > •?. . ,'•.U--`? ' /`?? I,.? ',, ? ? ? I ? •1 1 i . ? !
n s 1 d c a l r f 1 1 m.
1J- ?? p
3
' . . ,' l o ," ?.1
I IlliI ? . `'??It? U!\I UI'?.? ;
.
?
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTpRS MUST BE LICENSED WITH THE GITY OF EAG9N
. ..
INCLUDE 2 SETS OF PLANS
? ?7 3 CERTIFICATES OF SURVEY
? 7 3/ 1 SET OF ENERGY CALCULATIONS
l8,000 . °? !
To Be Used For: Si g", Valuatiar^40? Date; M?.?µ 4=t
Site Address: OFFICE USE ONLY
J:{.(
Lot: 3 Block ? Sect/Sub ONkc
Parcel !!
Owner ??h?,Cj..YLdC.
Address 01
City/2ip Code BwtNySV.??,C? M4NM
Erect ?4- Oceupancy -2-3
Remodel Zoning (Z-)
?
Repair ? Type of Const 7r_
Addition 11 of Stories
Move ? Length (no
Demolish ? Depth SO
Int.Impr. _ Sq Ft
Install
Phone Rvp - (s 14
Contractor y?E?s(??,?,t (?,s?, .$u• ?
Address _ JI.0 I
City/Zip Code At.-)
Phone 990-61qu_
Arch./Engr.
Address
City/Zip Code
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surcharge 3`1.
Police ? Plan Review = 5O
Fire SAC 525.
Engr Water Conn Snp.
Planner Water Meter (v3.
Council R ad Unit Zao.oO
Bldg Off ?m Treatment P1 l'i2.%'
APC Parks
Variance Copies
YOTAI. .7? 5 0
Phone II
2(px ,?F?.' Il?c?x J4 - C?4S84 r
4-
cD ? l 4- °0 4? 41
1, x( 4- ? 2 SK 5 (4- - I S f 2
3 Z ?c24- " `lO& x i I - 1? ? 48
?
Z? 16b
Certificate for: nx: 71fG7
Developers Constr;jction, Inc. ' 1101 Cliff Road
• Burnsville, Minnesotat 55337
r
DELMAR H. SCHWANZ
, inNnsunvcror+? INc
R<O.i1VPf? Un(1pITWa (1 TM1f S\?If fl A1nnP5(II1
1a750 $OU7M ROBERT TRAIL ROSEMOUNT. MINHESOTA 55088 PHONE 612 4731789
qILRYjjOR-S CERTIFICATE
M A No G A a,J ?/ \
a oQ ?? p .
ry G? N 67- /6 • SB e,i ?y
(1b n y0 , pp ?' 77.. ! 9 4,
.
Scale: 1 inch = 30 feet
o Denotes iron monument
? Denotes set wood hub
'61.7 Denotea existing elevation
-)Denotes proposed elevatioiR,
0
0
M
a
?i
2
qe0
I3 DralnaSe and?-"
f Utility EaseOme?no
\ t?a
? Oarage V4
? b8,1e
yq ?
\
Propoee ?
s ? \
Houee
?
I(, 3?o?
I o, y?8
o0,10 .'f7 Lot 3
5 7j. 36
0
?
?
?- /7d•/ IbPC??t6
f
M0?
^ N ? ?`
Q
/
?
^
v
a
a
n?
N
2
30
I hereby certify that this is a true and correct representation of
Lut 3, Block 3, OAK CLIFF, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house ae etaked thereon.
Dated: Sune 19, 1985
"' ?
MINNESOTA REGISTRATION NO. 6625
LoT 3
EXYERIOR ENVEIOPE AVER/1GE "U" COMPIII'ATION C?S,? GLiFF
OIJhI E R : , . !=?rya?_??.? ?in-,.n ? '' • "
SITE ADDRESS:
' CONTRACTOR:
DETERMINE 4fORY,IfIG SDUARE FOOTAGE OF EACH:
]. 70TAL EXPOSED blAI.L AREA,,;,,... sq ft x"U"
2. TOTAL ROOF/CEILING AREA,.„ ,,. ' ??2_0. sq
- ? ft x"U" Q'<.
3. -TOTAL EXPOSED IJALL AREA CALCULATIONS:
Total exposed wall
' area above floor....... . ?/?J q;, 0 Sq ft . '
a) Total wall wlndow area: •
9lazed.:.... sq ft x 'luii
?
glazed...... sq ft x "U"
a
b) To[al door area ,,,,;,,, ?o sq ft x"U"
c) 7otal sl(ding (ilass door'area:'
glazed.:.... sq ft x?????
glazed...... sq, ft x uuli .
a '
d) Total fireplace wall area ? sq ft x"U"
e) Total wall framing area (Average 103,,).......5q ft x llull
'
f) Total net wall area above .
floor (Insulated)......, Sq ft x "U"
g) Total rlm Joist.area..,... ? Q sq ft x"U" ,(? L? = 6?/p
.
Total foundatlon
area (Exposed)......,., g0 sq.ft
h) Total foundation
w(ndow area,..,,,,,,,,, --- sq ft x"U"
1) Total net foundation '
area above 9radeti..,...._ sq ft x"U"
3' , TO7AL a) thru I) =?L.I
If'Item #3 1s the same as, or less than item N1, you have met [he Intent of
S.B.C. Sectlon f,00(, (c) 2.
4. 70TAL EXPOSED ROOF/CEILING f,ALC!JLATIONS:
• ??\ .
r\
,..?
Total exposed
roof/ceiltng area.::-::... 3? v sq ft
J) . 7ota1 skylfoht. area....... sq ft x'.'U"
k) 7ota) roof/celllnq framing
area (Averaae 109;) ...... /3? sq ft x"U"
1) Total ne[ insulated roof/cellinq area..,..sq ft x??Ull 1Q?' a?? ?` , •.;.
TOTAL J ) thru 1) , Fri-.?S_...1
If total'of "4 ls the same as, or less than 112, you have met the intent of
S.O.C. Section G606 (c) 1. ?
. . . . ,^?..
ALTERtlATE [3U I LDI P1G ENVELOPE bE51 GN
To utilize the total envelope system method, the values established by the sum
of ltems #3 and N4 shall not be greater than the sum of items 1l1 and N2.
+ 2
G, + 1?. e52 9",3 R. s ?l3 ?O;a
C E R T I F.I C A T I 0
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the buildinq here descrihed mcets or exceeds the State
of Minnesota Enerny Conservation Aet.
a[ufC , .
r?..._?
FERMIT
GlTI' OF EAGAN
3830 Pllot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suILozNG
Permit Number: 0 3 2 8 8 7
Date Issued: 0$/ 1 Z/ g$
SITE ADDRESS:
4737 OAK CLiFF DR
LOT: 3 BLOCK: 3
OAK CLIFF
P.I.N.s 10-53550-030-03
DESCRIPTION:
REh2pQF
ermit Type
qrrk 7ype
Pm• 1. [ ? zi+f
x4
?*G,'S?'ai ??' • 4 ? `[u_?'_v fk
g 2
LtF+ Y.-'
M 4a-tw 4:,: ?
STORM DAMflGE
REPAIR
434 ALT. RESZDENTIAL
W ??..w
s?IeA ?sg? '' ?sV?.?(t &ks
r5RI) sypyL'
f? vu?re?'
?L= 5
O ais=? ?4 ?[ef??
.?.?`?« ^mw 3_ .°ie :'?
REMARKS:
REROOF DUE TQ STORM DAmAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - s-r. Lzc. QWNER:
CUS70M CONCEPTS CONST 18987290 20142417 NELSON MIKE
16540 KENRICK LOOp 4737 OAK CLIFF C1R
EAGAN RiN 55123 EAGAN MN 55123
(siz) 898-7290 (651)890-8282
1
?M i
I
2/84
? l ?? "?'?''? ?
?
? CITY OF EAGAN
?C??..? ? ? .
)
?????
L
APPLICATI^vN FOR PE&MIT
SE'NER AND/OR WATER CONNECTZODT
1) PRCP= pMp,pSS: (PLEASE PRINT)
3 7 C??z
c°ze-
GO
=+L DES(MT?T_TCV:
(Lct/31ock/Sl;:c1visicn or T?;c :- i I.D. Nu^:..?r)
ST?.CC^Mv°. , CAi=. OF Ci2T_GZAL r`UIi.,^L`:G ISsZ:;'.NC.:
P•°-°SL':' O n-1 SL:GL.'. F??1SL?
? R-2 vLY= (7.•:0 C?]l':S)
? R-3 =-tlzrv.cE (?= + L=1 TS) ( rN= S)
? R-4 -
?.?i_Cl
? C
t'
n?
.
l.
L
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?/ :[L?. iL' Cit ? T?
T
1
^
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,-?
T
?
2) (cLEasE rei;;r)
D?r+;•tE:
ADC.RiSJ:
. C=. TE' ZIP: . -' •
PFiONE:
3) NP.I
E: PH14i?j?.? D?
? p .Xf FOR C[TY USE 04LY
PD=SS:
l!C 1 :fc?c?_ o V.IJ PLUMBERS UCE45E:
Aetive
CIT'?, .,STa'?'E, ZIP:
. PfiOVE; J/L??•w? 42 J?j? S? 3 G ?
L(7D -U U S G PLUMBER LICEVSE lf aG 7' ?l 3 Q Expired
Not of ecord
F . c
' ti;ni[la
yJ (X.C.tiYP??fP/C!;TIP.ct ?YLLAJt rni;?f)
NFu:
ADoREss:
ciT^r, sTaTE, zzp•
, ---?
PHONE:
5} INpiCI-E ;qyICH PEFZ•LIT ZS,BEItiG REQUESTID:
` /CC:::7ECI'IGV 'IO CITY SD7E'cZ
LJ CC:-WEL-rZC:I 'Io CITY F7ATE2
? 07Mft (PL.G'15E DESCFtIBE)
cQ/lOCO'e ? P=SE fiOLD APPPDVEp pIIt,maT FOR PICi:-G?'t BY C:IE OF AFi(VE
?°t.ES :•aIL APP!?pvED PEY_•LIT M 1, 2. 3, 4 ABME
(Circle one)
7) sic7,zL-:7z: DAzE:
? fl A:?lM11RA i? 1? !? l?JYflf? ! t/? t? f;`a? ? i? 1? isai :a a i YR!l-?lyi +? f? !! i i=gr
FOR C I T Y U S E ON;,Y
Pc??+,i•1 °- rSSUED
rc?O
^J'
$
CGD DCl\7TT ( I?i\.LJ?? li?
$ L' WATER PE?.:lI'?' (Ii:CiuD:?. JU.?'.C::A
?GL%
.
$ WATER yET°R/COPPERHORL7/OCTSIDE REl,CZ3
$ WATER TAP (INCLL'DE CORPORATI0N STCP)
$ SEr':LR :Ty?
$ =.....-..'l...i -
$ /S oC' ACI-OII:VT DF:PO$I2` - S•IAT?'IR
WnC
$]C
$ TRliNK WATER ASSESS;1r1::
S TRi;?]K SE::ER :,5S°S5::A1i1
+S L'nTE?,1`.i BEivEFIT/TRU:]K Si:?.'EZ
$ L;.ER-A L BEVEFIT/TP,U.:K :•]AT°R
WATER TREATTfENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
?I
$ S V AMOCJ%T PAI'J j l=E:?T
i /
DOES UTILZTY COC]NECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF WAy?
L, YES IF YES, THE:] ;y "PERDIIT FOR :dOR:: WITHIN
? PUBLIC ROADWAY" MUST BE ZSSUED BY THE
NO ENGZNEE RIAIG DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLL059ING CONDZTIONS: •
APPROVED BY;
TI"LE: •
DAT_ : 17? 7 ?? -
me
lq ?__3 3 2007RESIDENTIAL BUILDING rExlvuT arrLicaTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauiremen4
3 registered sife surveys showing sq. ft. oi lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverege allowed)
1 Soils Report 'rf proposed 6uilding is to be placed on disturbed soil
2 wpies of plan showing beam & window sizes; poured found design, elc.
1 set of Energy Calalations
3 copies ot Tree Preservation Plan if bt platted after 7f1193
Rim Joist Detail Opfions seledion sheet (buildings with 3 or less units)
Minnegasco mechanical ventilafion form
RemodeVReoair Reauirements
2 copies of plan showing foolings, beams, joisfs
1 sei of Enefgy Cakula6ons for heated addifions
1 site survey for additions & decks
Addition - mdicefe 8 on-sife septic system
Telephone # (
eianc arP rnnsidc±rPd nuhlir. information unless vou state thev are trade secret and the reason.
Date _Q,?_ / O _le7
Site Address 'Z /3) t J? Construction Cost
64LV? -LL Unit/Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Telephone#(5fl) frf0
Contractor ??f Y?7 GCP ? y r/ ?'
naares5 9Tor? .4 7P?4
State 014,?R /iolj' eev?r il/ csry mG? ?f9
Zip 5_f y4?/ Telephone # C76,? J_0?"/ -00 CJ ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Su6miHed
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plvmber
Mechanical Contractor
Sewer/Water Contractor
I herebv apply for a Residential Building Permit and acknowledge
Telephone #(
Telephone #(
CY)
Cy `?
Officeuse onlv
Cert ofSurveyRecd Y N
SoilsReport .: 1' N
Tree Pres Plan Recd Y, _ N,
7reePresRequlred
? _Y _N
On gite Septic?System Y _N
the information is complete and accurat
e;
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
.??erc,?I Y i4t?
ApplicanYs Printed Name ?- Ap i s Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152449
Date Issued:10/16/2018
Permit Category:ePermit
Site Address: 4737 Oak Cliff Dr
Lot:3 Block: 3 Addition: Oak Cliff
PID:10-53550-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael T Nelson Tste
4737 Oak Cliff Dr
Eagan MN 55122
(651) 890-8282
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature