4603 Parkcliff Drurir oR EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 ugree to eomplp with ehe Citr of Eue,yon Connection Charge:
Ordinances. Actount Deposit:
Permit Fee:
Surcharge:
By Misc. CFwrges:
Qate of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilof Knab Rpad PERMIT NO.:
Eo9an, MN 55122 DATE:
Zoning: No. of Units:
r)...
Address:
$ite Address;
o?....,.?.,._.
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ogree to eomply wieh tke Cifiy of Edgon Surcharge:
Ordinances. Misc. Chorges:
Totol:
By date Paid:
Date of Insp.:
? CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC EI V ED
FROM
AMOUNT ? I
& DOLLARS
too
? CASH ? CHEGK
FOR
FUND CODE AMOUNT
Thank You
! &-_ BY . \ I
White-Payess Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN $5122 NS 6623
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te ba used hr Est. Volue Qote , 19
Site Address Erect 0 Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repair C] Fire Zone
E
l f Co
T
t
n
a?ga [I ype o
ns
.
oWc Name Move p Stories
Z Address Demolish ? Front . ft.
? r:.., o?.,...,. Grode r1 Depth ft.
$` Name _
?? Address
Name _
Addreu
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Water & 5ew.
Police
Fire
Eng.
Planner
Countil
I hereby acknowledfle thot I hove read this upplication and state that 8ld9. O{{,
the information is wrrect and agree to comply with all applicable APC Total
State of Minnesota Statutes ond City of Eagan Ordinances.
Signature oF Permittee
A Building Permit is issued to: on the express condition thot
oll work sholl be done in xcordance with all opplicable State of Mlnnesota Stotutes and City of Eagan Ordinances.
Building Officinl
rermif ? pah Mwd PonnMfw
Plumbing £C c ?} t
Mechanicol
INSPECTIONS DATE INSP.
Rotgh-I n
Finol
Footin9s ?ate Insp. -Dote-? 01 Insp.
Foundation Plumbing ? ?
r e ins. -2 Mechanical
Finol .,?? • I I
Remarks:
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost ?
?
3. Job Address Lot Bik. / Tract
4. Owner
5. Contractor Phone
6. Address '
7. City State Zip
8. Building Type: Residential El
9. Work Description: New O
Commercial ? Institutional ?
Add ? Alter ? Repair ?
I 10. Describe Fuel Type
I 11.
No. Eguipment BTU - M. Ea.
Forced Air No. Equiament CFM
Ai
dli
H
:
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
1
Unit Heater \ ?
'-- ---?
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
I Rough Final
I^ Inspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
. Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost
3. Job Address - Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address •
7. City State
8. Building Type: Residential ? Commercial ? Institutional ?
8. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No• Fixtures
Water Closet No. Fixtures
i
Ces
l/D
fi
ld
Bath tuhs spoo
ra
n
e
ti
k
S
T
Lavatory ep
an
c
Soft
Shower ner
Well
Kitchen 5ink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Ftnal
. Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
? Approved CITY OF EAGAN 464-6100
CITY OF EAGAN Remarks
Addition PARK CLIFF ADDN. Lot 1 Rlk 2 Parcel ? ??=?'-?
Owner-'-I (£' Qif" ;'P -ir Street 4601 Park C'liff Dr'ive State EaQan, MN 55123
/
`( 0)l i-(!Y? to{ -'i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.JC
5TREET RESTOR.
GRADING
SAN 5EW TRUNK 1981 242.68 if
*SEWER LATERAL 4
WATERMAIN
*WATER LATERAL 1981
WATER AREA
STOFiM SEW TRK '. ) 1981 502.04 435.12
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Thisreyuestvnid fll?y C.-? l J-o P Ar1-C<< \ I? I 00
18 mon(hs irom
? 74102
Fxvuest Uate
i-20-$ 1
1 Fre No. Pnuph-in Insuer.tinn
R?QY iretl.
?ReaAy Nuw ?Wili Noufy Inspeo-
? `v'Yes ?NO [or When Ready
L¢ensed Electncal Contractur I hereby request mspectron of above
? Owner electncal work installad eb
sveet nna,ess, e.. or Rooie NoLOT 1, BLK. 2 PARK?bdNF C'?V Eq
460 PARK CL GAN
ectmn o. Townshiu Nome or No. Ranue No. Cnunry
DAKOTA
Orcvpant (PflINT) SPEC. HOUSE Phone No.
Z
Power SupPher dAress
Elec[ncal Contractor (Conif»ny Namx) Conlructor's License No.
JEMM ELECTRIC, TNC. A40117-
Mailinp AdJress ICanvacmr or Owner Makmg Inztaitauonl
20480 JAC UARD AVE. W. - LAKEVffL E
Authonzed Si na[ure (Con
mr/Owner M kiny Install:ivon) Phone Number
? 469-4938
MINNESOTA STATE BOAflD OF ELECTRICITV THIS INSPECTION HEQUEST WILI NOT
Griggs-MiAway Bldg. - Room N-197 V BE ACCEPTED eY THE STATE BOARD
1821 Ilniversity Ave., St. Paul. MN 55104 UNLESS PPOPEH INSPECTIpN FEE IS.
PFnm I6121 297J111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTtON ? EB-ooooi-oa
Soe instructions br compleLng Ihis torm on back ot Yellow cuOV. ?? ?^ I 1
T 74-1020
l/
X?'-6eiow Work Cavered by 7f»s Request ?
New Add flep. Type ol Bwlding Appliancas WireA Eywpment Wved
• Home Range Temporary Service
Duplex Water Heater Lfghtiny Fixtures
Apt. Bu?ldinc? Dryer Electric Heatin
Cnmmeraal 81dg. Fumace Silo Unloader
Industnal Bldg. Air Conditioner eidk Milk Tank
Faim omr. ve?:?ty n?n,;, Isuecit?l
>>erl5ui?ay Othor Othrr
L'ompufelnspecUOn Fee Below
d Fee ServiceEntranceSize p Fee Feetlars/Subfeeders 7 Fea Cvcuits
0 to100Amps 0 to30Am s 4 10 .0 01to30Am s
10 i to 200 Amps 31 to 100 Ainps 31 to 100 Am s
Above 200 Amps Above 100_Amps Above 100_.4mps
Transtormers Remote Control Grc. PartfaL'Other Fee
$igns SpeciallnspecLon S
T
r+m d?s
f"r.s.1 / nA 0 1 I O. S O OTAL FEE ?O.
I, [he Electncal
Inspactor, hereby
Fin?il n,°?? cerhfy Uiat the above
2 inspection has been
? made.
Thi. nid ^ •
18 months fiom
This request void
k3 monfRs from
Date of this Reauest 5-97-R1 F;reNn T 15565
I, as 0 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
LOT 1,BLK.2, PARK CLIFF ADD.
StreetAddressorRouteNo4603 PARK CLIFF DR. CitY EAGAN
Section Township
Range County DAKOTA
Which is occupied by MMtIN PFIFRSON. TNC. CSPEC HOUSE)
( ame of Occupanq
Is a roughin inspection required on this job? No ? Yes g] Ready Now ? Will Call E1
PowerSupplier DAKOTA ELECTRIC AddressFARMINGTON, MN
Electrical Contractor J EMM EL ECT R I C, I NC . Contractor's License NV 4 0 117
(COmpany Name)
MailingAddress 904Rf1 IA(-.()LIARr) AVF. W.. LAKEVTLLE. MN 55044
Authorized Signature ' Phone Nd.F6 g_ 4 g 3$
(EleCtr cal Contra<tor or owner Maklnq Is Installatlon)
(????? ????D ???? This nspection request will not ha aecepted hy the
??,a State Board unless proper inspection fee is enclosed.
mmnasoia awce eoam or uec[ncrty
Griggs Midway Bldg. - Room N797
? 16'21 University Ave., St. Paul, Minn. 55104 - Phone 297-2771
' 1iEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOItK COVERED BY THIS REQUEST
EB-00001-02
??g-ol
T 15565
Type of Budding New Add. Rep. Check Appliances Wired Foi Check Equipment Wired Fw
Home
Duplex $]
? ?
? ?
? Range KI
Water Heater ? Temporary Wiring
Lighting Fi2ctures ?
&]
Apt. Bldg.
Commereiai Bldg. 11
? ?
? ?
? Dryer ?
Fumace Electric Heating
Silo UNoader ?
?
Industrial Bldg. ? ? ? Au Conditioner Bulk Milk Tank ?
Farm
Other
? ?
? ?
?
List
p
Neie13?
List
p
Heiers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: s Fee Feeders&Subfeeders: x Fee Crccuits: # Fce
0 to 100 Am s. 0 to 30 Am exes 0 to 30 Am res 1 14,1 8 Q
101 to 200 Am s. 31 to 100 Am res 31 to 100 Am eres
Above 200 Am s. Above 100 Amps. Above 100 Amps.
Trans - RemoteControlCirc. Partialoro[hertee
Signs Speciallns ection Minimum Cee
Remark
TOTAL FE
6. 50
I, the Electrical lnspector, hereby certif t ther?l3ospec ' has been m
(Rough-in) ( !/ Da[e J'? " d
(Final) -? M Date_
This request void '?• `"v' ??
18 months from
This request void
] 8 months from 'I
- ? -3 5556
Date oP this Request 4- 2 9- 81 Fire No. 1
I, as 91 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
LOT 1,BLK.2 PARK CLIFF ADD.
Street Address or Route No. 4603 PARK CLIFF DR. City EAGAN
Section Township
Range County
Whichisoccupiedby OZMUN PEDERSON,INC. (SPEC. HOUSE)
(Nama of Occupant)
Is a roughin inspection required on this job? No EK Yes ? Ready Now B] Will Call ?
PowerSupplier DAKnTA Fi FfTRr(' Address FRMIKIGTAN
ElectricalContractor JEMM ELECTRIC, INC. Contractor'sLicenseNoA40117
(COmpany Name)
MailingAddress 20480 JACQUARD AVE
Authorized Signature
No.469-4938
(Glecirlcal (:ontfactor o! Ownel' Mng Ti11s Installation)
This inspecaon request will not he accepted by the
State Baard unless proper inspection fee is enclosed.
SY A?? VOAIJIID CJOIYl r
mrnnesota aiace aoara or neccrwrzy
Griggs Midway Bldg. - Room N191 EB-40001-02
1821 University Ave., St. Paul, Minn. 55104 - Phone 297•2117
REQUEST CHECK?iC1W WORK OCOV RED T BY 'TH S RQUEST 'ON T 15556
7ype oT BuJding New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home 91 ? ? Range ? Temporary Wirmg
Duplex ? ? ? WaterHeatec ? LightingFixtu[es ?
Apt. Bldg. ? ? ? Drye[ ? Elec[ric Heating ?
Commemial Bldg. ? ? ? Fumace ? Silo Unloadex 0
industrixl Bldg. ? ? ? Air Conditioner ? Bulk Mtlk Tank El
Farm ? ? ? Lis[ ) List )
Othet ? ? ? ??hers}
em 7 Others}
Aere )
COMPUTE INSPECTION FEE BELOW
ServiceEntranceSize: # Fee Fcedersd5ubfeede`s: a Fee C'vcuits: # Fce
0 w 1 s. 1 jr- 0[0 30 Am res 0 to 30 Am res
]Ol to 2(RA s. 31 to 100 Am res 31 ro 100 Am res
Above 2 0 A Above 100 Amps. Above 100 Amps.
Transfor rs RemoleControlCirc. Partialorotherfee
Signs Special lns ction Minimum fee $
Remarks TOTALF , 0(J
8.50
I, the Electrical Inspector, hereby certify that the aboye inspection has been mlde---"
(Rough-in) ? Date
(Final) ? Date
This request void "
18 months from
cITr oF EacaN
3795 Pilof Knob Rood Eagan, MN 55733 N! 6623
PMONE: 454-6100
BUILDING PERMiT APPLICATION
Receipt .# - !2;6 -- ,
Te be ated for SF DWC'/GAR Est Value 61,000 Date 428 , 19-n_
Site Address 4603 PAL'kCl7.ff DY'. Erect ?j Occupancy R3
Lot 1 Block 2 Sec/Sub. ParkC11ff Alter p Zoning Rl
Repair ? Flre Zone NA
parml #
E
l T
4 C
t V
orge
n ? ype o
ons
.
rc Name Oa[RIl7-PEC12Z'Sc'1 II1C. Move ? # Stories
Addreu BoX 235
,,fi, Faxmingtcn ok_e 463-4555
p Name _
?u Address
? ?:...
Name _
Address
I hereby acknowledge thot I have read this cpplication and state thot
the information is correct and a ree to mmply with oll applicable
State of Minnewto Statute o i of g/pp? Ordinances.
Signature of Permittee `?
A Buiiding Permit is issued to: OzKm-Pedexscn
all work shall be done in occordonce with gy apPliwble 5totp of Mir
Demolish ? Front
ft.
Grade ? Depth 30 N.
Approvals Feea
Woter & Sew.
Police _
Fire Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 170.uU
Surcharge 30.50
Plen check 78.00
snc 525.00
Water Conn. 335.0?
WaterMeter 60.00
Rood Unit 185.00
roroi 1e369.50
IriC. on the express mndition that
inesota Stqtutes and Ciy of Eagan Ordinances.
Building Official
'5ya44
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructbn Neaulremente
• 3 registered sle survey& showing sq. tt. of bt, sq. R. W house; and @q roofed areas
(20% ma)mum lot coverage albwetl)
. 2 copies of plan showing beem & window sizes; poured fouM design, etc.)
. isetofEnergyCalculatbns
• 3 coples of Trea Preservatbn Pian'rf bt platletl afler 711/93
• Rim Jolst Detail Optbns seleclbn sheet (bldgs wth 3 or less unils)
DATE g- !23 - D2
??8_T5
$1126,25
pemadeVReoalr Reauhamente
• 2 copies or pmn
• lsetofEnergyCalculatronsforheatetladditbns
. 1 stte suney for exlerior atltlitions 8 decks
. Indkate tl home served by septic system for add'Abns
VALUATION 5 LI a)(:?,qa
SITE ADDRESS I MULTI-FAMILY BLDG _ Y VN
TYPE OF WORK R(',rMF' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT fjAo.1 r baYl ?xfC710??. -
STREET ADDRESS 2y6G) [l )W?}"111'Cak 2h?E, CIiY 3k-n A_6tOeSTATO(? 21P55 _S__'J_Y
TELEPHONE #52- - eZ52 CELL PHONE # FAX #(9r'fL ) 56 1 ' BS If
PROPERTYOWNER kAC?`I?E" c Ir1Cnb 3 TELEPHONE#
---------------------------------- -------------------- -----°------°--------------------------
COMPLETE THIS SECTION FOR ••NEWIF RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Cotle Worksheet Submiqed
• Energy Envelope Calculations Submitted
Plumbing Confractor:
Pluxnbing system includes:
Mechankal Conhacfor.
_ Water Softener
_ Water Heater
_ No. of Baths
Mechanical system includes: _
Sewer/Water Contracror.
Phone #
Phone tl
Fee: $70.00
I hereby acknowledge ihat I have read this appllcation, state that the Information is correcT, and agree to comply
with pll applicable State of Minnesota Statutes and City of Eagan Ordinancel. _
Signafure of Applicant
OFFICE USE ONLY
Phone #
Air Conditioning
Heat Recovery System
_ L,awn Sprinkler
_ No. of R.I. Baths
Fee: $90.00
?,.
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requ red_
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex • O 20 Pool O 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-piex 0 16 Firepiace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - 3F
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multl
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteratbn ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appllcaM
Valuatfon Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PER T APPUCATION
? ?Q?? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConatruclion Reaulremenfs RemodellReoair Reauirements
• 3 registered site surveys showiig sq, ft. of lot sq. ft of house; and 211 roofed a2as • 2 copies of plan
(20°k marzimum bt coverage allowed) . t set of Energy Cakulations for heated additions
• 2 apies o( plan showing 6eam & wiMow sizes; poured found design, etc J • 1 site survey for exterior addRbm & decks
. 1 sel ot Energy Calalations . Indlcate N fiome served by septfc system for addHlons
• 3 cropies of Tree Preservatian Poan if lot platted aRer 711193
• Rim Joist DeWil Options selection sheet (61dgs with 3 or less unMs)
DATE ; VALUATION S?? ?oS9• R I
JOB SITE ADDRESS ?{?90? ?(S.t? n\,rSr?r?i ?U?A... IF MULTI-FAMILY BUILDING, HOW MANY UNITS? '
PROPERTY OWNER r10i"1Y SaC6bS
TYPE OF WOR ? lp t_,_NpA .. S ,i n.'t'ski+_'% FIREPLACE(5) _ 0_ 1_ 2
APPLICANT?1n..?-'?+?? PHONE# %3.14S- 140C5
ADDRESS 15386-05"-'"Ala-o,. 1V ZIPCODE S°.5y4+
PAGER # _ CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - f1LL OUT COMPLETELY
energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VePtilation Category 1 Worksheet ??„„
- Energy Envelo e Calculations Submitted p ?d?
'
_ MINNE50TARi7LES7672 ? JUN 13 ZIIUZ
New Energy Code Worksheet Submilted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read Shis application, state that the information is correct, and agree to compVy
with all applicable State of Minnesota Statutes and City of Eagan Ord'n nces.
SignatureofAppiicant
Certificates of Survey Received _ Tree Praservation Plan Received _ Not Required _
. Updated 2002
? Water Softener
_ Water Heater
_ No. of Saths
Phone #;
Lawn Sprinkler
No. of R.I. Baths
PERMIT # RECEIPT DATE:
Co
? PXS1DMIAL PLUM$INfi PEtMIT lEPPLICATION
? crrY oF EAem
S$SO PII.OT KAOB RD
£A614A,1HN 5518E
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigafion system
SITEADDRESS: ?1pC?3 ?c-KG?i-C? Oc
OWNER NAME: : TEIEPHONE #: FiS\
(AREA COOE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the oermit wark tvoe
STATE:
ZIP:
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: LD,I?? l,. ?, ?e( ?I1en 4-2?
Septic System, new/refurbished - $ 225.00
• inc!udes Coun?y & Consulting Insoector fees
• requires MPC license
State Surcharge $ 50
Tatal $?
EP05m,
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that 1 have read this apphcaUOn, stale that the mformali is correct, and agree to complywilh all applirable Ciryof Eagan ordinances. It
is the applicanPS responsibility to notify the property owner lhat the Ciry of Eal? ssumes no li " a"m?a9es raused by the City during,its normal
operational and maintenance activities to Ihe faalities COnStruCted undef this er it within qf? DrOperty/righ[?ywey/easement.
?L . , Updated 7l01
TELEPHONE #: ql?a ?3?' ??1 fo
Avenue South (AREA CODE)
X:w*** * *#* u???.A* rx*;M :B* 01VqMM
CI1Y ('1F 1=AGfiN
rASH7:i-R. 75 7["Rt4INAL N[:I: 87°,
DFl7E:; 0811.7t93 T:CHI=e 08,;49- 85
iU :
NAhSt:.e Gf•`.L.AT f'I...f1.T.t:S ICE:.'.i,'fI)RAi:COt. :[NC;
3210 ')C?!Ji. 4603 F'ARl:iM..r.rr 12505
21.3j'S 300:1. 4603 1"'ARK( A.lf-F' 3.00
T'1ta1 Itec!=ipt Ama:ntt J28.25
CR11.SS.:ii%i
l.1Sl:_F' IXt;: JAN
.j73 2? 1999 BUILDING PERMIT APPUCATION (RESIDENTI4)'76
CITY OF EAGAN g?
3830 PILOT KNOB RD - 55122
651-881-4675
New Conahucifon Reauirements
? 3 regisTered sfte surveys showing sq. R. ot lot, aq. H. ol houae
and qJ roofed areos (20% maximum lot coveraae allowed)
? 2 copies ot ptans (show beam R window sizes; poured fnd. deslgn; etc.)
D 1 set W energy calculations
? 3 coplea of hee preservatlon plan M lot platFed afFer 7/1/93
DATE: z _C?_ 9 -/ 9
DESCRIPTION OP 1
STREET ADDRESS:
IOT: ? BLOCK: 2- SUBD./P.I.D. #:
Remodel/Reoalr Reauiremenfs
2 copies of plan
1 set of energy calculatfons For heated atldNlons
1 sNe survey tor exterfor addkiona a decks
CONSTRUCTION COST: ?. J LO 6) D
Name: . ?7'6 YnJ?a / " 1 ? Phone #: ?a 15 57?
PROPERTY Lost Flrst
OWNER i i i . -n ./7 I, 4 I n/"
Street
City _EA ? ?}', State: !''I 1V . Zip:,S? `Z 3
Company: ` LiU5 Phone #: ?5-` ? 19 / ',-3CC? 4_-,
(area eode)
CONTRACTOR h ?Street Address: J U? ??L F kC U(f 37Z; ? Lieense # 6?S.S" Exp. ?/ U U
Cify Hra ?".l S b ?tJ State: ??} L Zip:
ARCHITECT/
ENGINEER
StreeT
Cffy
Name:
.
I
Regisfration
State: Zip:
Sewer 8 water Iicensed plumber (reaulred for new conshuction onlvl:
Penalty applies when address change and lot change is requested once permN is tssued.
Ihereby ncknowledge tha} 1 have read this applicatbn, state that }he Informati n s correct,
Ssate of Minnesota Statutes and City of Eagan Ortlinances.
, REC?I?TEI? Signature of Appiic r,
AUG 16 1999 OFFICE USE ONL
Certifi4&YotS??tio_.__.__.cR p?eiuerLj _ Yes _ No
comply wfih all applfca6l
?-- -
ki 6 ^?,.
Tree Preservation Plan Received - Yes - No ,_ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex 0 OS 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair
Li 34 Kepair L3 38 L7emollsn (Intenor) LJ 42 KerooT
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
6
SAC Units
% SAC
BEABLOMOUl3T.
MAYpp
TMOMI.SHEDGES
L17Y AOMIMiSiMfOP
'"°""°SE°^N
J?MESL SMIiH CITY OF EAGAN EVGENEVANOVERBEKE
.
IERRYTNOMAS
- • CRYLLERR
TMEODORE WA[HTER
COBNOI. IBEMBFNS '.
711f PILOi KHpB ROAD
P.O. BOK 2119f -
EAGAN, MtNNESOTA'
.
Ijg7i
DATE: Iq s5122
. ?...
, '
?. PMONE 4S4-8100
\ru
? ...r? a+r.?..?? g .
?? l.a/wfi ?I/?uLGI/I?LI7.?C UY'?T SEARCH
SPECIA ASSESSbfE
xE
: K zzo6q55
N(cp3 ??i ?cG?
Enclosed herein is the search which you requesied made on the above described pro
ert
? Kind of Im
r p
y.
p
ovement Runs Beginning
Orioinai Amount "
Balance Due
Sa
Tvk
5
,j
ew Myiq, Iq$1 zSO.OD zUZ,cc g
?A? ?1'fiL ' 15 l 78l Z$D. vD . za z.&g
??i2u/TNN? 15 1ql1, SD2.d? 435
/ z..
5fW La'{' SfmL 15 ?9S) .
31g?1.23
3 z8U.o1
1q81 3 30-7.50 ? R SN.so
I further certify that
ments are contemplated according to the records of said office, the
or pendin
afte
h folloicing improve-
g
r
aving been approved, and ar
of planning or completion. e notia in the proces!
WAIVER:
Neither the City of Eagan nor its empioyees guarantees the accuracy of the abore in-
formation which was rcquested by the pcrson or pcrsons indicated. Nor does the City
or its employees assume any liability for the correctness tliereof. In consideration
for tlic supplying of t}ie indicatcd information in the above form, and for all other
considcration of any naturc whatsoever, any claim against the City or its employecs
rising there from is hcreby expressly waived. Levied assessments to be paid to the
County Treasurer at HastinSs, N(y. 55033
V ry truly yours?
TH (.plYE OAK TREE ... THE SYMBpI pF STRENGTH AND GROW7N tN OUR COMMUNI7V.
?? 1 6,:)/ `{'ctrlc Cc'?-C-
BEA BLOMQVIST
MAVOF
THOMASEGAN
MARK PARRANTO
JAMES A. SMITH
THEODORE WACHTER
COUNCIL MEMBEHS
.7ure 15, 1981
OZMUN-PIDERSON INC
EcJX 235
FARMIIQGZUN MN 55024
Re: Erosion Problen -
Dear Sir:
,
ti_.?'. ? ?y •
CITY OF EAGAN
? 979E ?PILOT KNOB ROAD;?
"A EAGAN. MINNESO7A
561E2 ,..R.'v'
PMONE 454-6100
, ? pr •
?---- -=?-='•
8603-Parkcli
ff Drzve 1
THOMASHEDGES
CITY 0.0MINISiFATOP
EUGENEVAN OVERBEKE
C17Y CLEPN
Because of the highly enadible nature of the soils on the lot on which you are con-
structing a single fanily residenoe cranbined with tte steep slopes, extensive ero-
sion is beinq witnessed during each rainstorm which is creating siltation problaas
within the stoun seraer systan along Cliff lmad. Due to tYii.s probl.ett, you will be
requ;red to perfozm your landscape restoraticn and driveway installation (crushed
rock minimtan) by July lst to stabilize the onsite soils fmn entering public right-
of-way. An alternative tp this would be to mnstruct a hay bale erosion control
dike along your frcntage to cnntain the soils onsite. If either of these alterna-
tives are not perfoxmed by that date, you will be held responsible for all oosts
incurred to clean the street right-of-way, stoizn sewer systens, and Cotmty road
ditches• The City cannot guarantee nor estimate what the wst of this erosion
clean-up will be if you fail to take propex preventive measures. If you have any
questicxis regarding this requiranent, please cx:)ntact Nlr. Brad Swenson of our IIigi-
neerincl DePartment.
Sinaerely,
%
Tha[ias A. Colbert, P.E.
Director of Public Works
TAC/jac
cc - Brad Staenson, Ehgineering Aide
Dale Peterson, Building Inspection
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV.
? , .
CITy pF Fp,GArI Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PEFI?LLT APPLICATION 1 set of energy calculations.
1
'Ib Be Used For Valuation v ? / Date
s
Site Address y?d3 Psri,Ci.ff 1,Ili v-?.
Iot r Block .;L Sec./Sub. f991?NCi/FG EreCt
Parcel #: Alter
Ftepair
? %.
Owner: 017M ot Enlarge
Acklress: /3ck' 11 S
City/Zip Code: F4?Q-irr ?.Al T,;.) 5- 5 i .4- y
Phore #: yL 3-
Contractor: r?3 /h le Nt
Pddress: 17 i.t ,1
City/Zip Code: 5 6L1y
Pnone #: WG 3-- y5-r?
Arch./Ehg.:
Address:
City/Zip Code:
Phone #:
Nbve
Demolish
Grade
?
OFFICE USE ONLY
Occupancy 04
Zoning ylr/
Fire Zone Ni9-
7ype of Const.
# Stories
Front 6- ft-
Depth 3 ft.
APPROVALS FEES
Asses ?{ Permit Ib-7'o '
water/Sewer Surcharge 3 o
Police Plan Check 7 ff ?
Fire SAC S?e 4:0
Water Conn. ? ?s -?
? Water Meter d
Council Road Unit / $ S °tl
Bldg. Off.
APC . --
TarrL 1.3'6 9. T0
S ?? OLS
66,77 6
dP `
?
IL?0,9fl
0
O
N
9
fz-fz
4
L s
a
l?`ZM?JF1 -jimpchl. :EN'G. 3 ? IN
fop'n
SSo??f-
---
EXTBRTOR BNVELOFE AVERACE "U" CQMPUTATION
Phone ??- 4SS?`
N?Xpo of PropeFty: Lo[?_B1ock?Addition T"'iLYr1\-?; Date 4/
[ t?,.t?,?!S?$
., ?.
,
. AVBRAGE LINEAI. FEBT QF
' E7CPOSED WU& AREA ABQyE GRADE
, ctf fxamed wall above grade ISg;;> x height of wall??q?
im joiat area Lineal ft. of rim x height of rim
.owe[ level
Lineal ft. of
framed wall above grade
?4
_x
height of wall
4iq441 ft. of _
__
masonry wall above grade i lb x height above grade \, 6a i
TOTAL wall area above grade in cluding windowe and doors
!IN?OWS: Area x "U" value
??U?? a (U)(A)
iake 6 type ? ?CO sQ• ft• s
„U(U) (A)
H
n n
, - -
sq.
f t. x
7C
uVu ° (U) (A)
n a ft. 'Z'S.3Z g nU..? , (U) (A)
^ •' ft. 16.b0 X nU••?(P)(A)
.t n ft. g, -Sg uWr 4gy - Z,4? (17)(A)
ft. 'S x „U"\s•99 (u) (A)
? ft.
`=K?) x „Ul, . ? t Z (U) (A)
_
ft. oo X "U„?(U)(A)
ft X nU.? 4?? = 'z. 14 (U) (A)
.
7 li
U
fA)
"
n
a o ft
?7 x )
1 (
U
,c? = a•Z
. -
A
un sq. ft. x nUn
: (U)(
)
n n s ft x nUn (U)(A)
q. . (lt) (A)
n
n
n n aq. ft. S °
O
1$U11 (U) (A)
sq. ft. X °??
u n a ft 7C (U)(A)
nUn
q. . .
t? (A)
I, sq. ft. x U
t
sq. ft. X ?Uo (U) (A)
^
7OORS: Area x "ll"
Make 6 type aq. (A)
sq. ft. (U) (A)
,? sq. ft. x 11U?? (U)(A)
o n I ?? sq. ft.
!? x nUn=-_s-4Zz-, (U)(A)
-
OPAWE WALL CONSTRUCTION• Area x"U" value
>
nj]n a.
(t:) (A)
aq, ft. X (n)
s fc ? oq7 = ?0 19 9 (U)
y. .=? U) (A)
Detail reEer aq. ft. ?Q, (
ence from ? sq. ft. lsh X „up, ",-30? (U)(A)
attached s ft
?C7 x "U°?? (t`) (p)
? q? . (11) (A)
sheets aq. ft.
q.
s
ft. X ?U?? _ ?U)
(A)
TOTAL Wall Area Including Z
Windows 5 Doors ?_iL;?-7 ?2.c)D TOTAL (U) (A) LZ qi? 7#_
TUTAL M(A) VALUES 22q' L n? = AVG. "U" CD'! ?2.--- •--,.
UIVIDEIY BY TbTAL WALL AREA \la???
i
AVERAGE "U" Minimum .17 or less for 1 b 2 family dwellings
Minimum .22 or less for all other buildings
Nc1TE: 1f avPrage "U" values ae calculated above do not meet the Energv Code requirements, the
"Alernate Envelope Design" as indicated on Page 5 may be used.
Top View
IYbLL SECTIOrS
PiUTEs use lu* oi' opaqu
aall are
for fram
membere
i
FItAMING MEMBERB IN WALLS
Exterior airm_____.
Siding
Sheathing Y-2
-C:? ,,
iiiLsoft woad
4" dxy wall •
Interior air film
R-Value
-- _ •?7. ---
.b?
? V ??--
-
TOTAL R = OZZS
U=1/R U= ?v1 (
_FRAMED WALL
Exterior air film
Siding
,
Sheathing ?-
b.?
batt ineulation
Y' drv wall
Interior air film
. !n:;2
} .3g
45
68
,45
.68
-7-7?
TOTAi R C C.'?? ,
U = 1/R
_. RIM_ JOIST ARYA_
u = .C)QL
Exterior air film
Siding
I
Sheathing e 1k-1S1?? ----
'l" soft wood 1.88
„
I S ? ----
.68
In[erior air fi m ----------^-
TOT.AL R = `. V; ,P Z
U _ ?/R U = C,Q (
MASONRY WALL
Exterior air film '17 ----
12" concrete block ---i'2g----
Insulation
(2)
Interior air film ______, ___ __ ._ .__: 68 -•- -
TOTAL R
? - -- - - °
U aliR ?,_ .q?
ROOF CEILING
S? -
Outside sir film .61
--
'?J
Insulation LnSx= _
Drywall .45
Incerior sir film 61
U m 1/H
Wood decking
Outside sir film
? 9" FC-l- % uSu1-. -?
Insulation 21q "TLnrq+L iws?,r? -- -- ?? •O?-?
Drywall .45 ---
'?
.61
TOTAL R
U - 1/R U
Outside sir film
?- - ---
.17
'` -
Insulation
OOF/CEILING:
OTAL AREA:
etall reference
rom above.
escribe openings
Interior sir film
U = 1/R
TOTAL R_a 41._6?__
U v _ O.0-21 _
.61
TOTAL R =
U --- -
- -- IsUlt - x sq. ft: ? (U) (A)
°Un O,a`L. 3 x
T71xr 57r-}?
- sq. ft.I.C)(-.A- (II)(A)
_
IlU?I x sq. ft. (II) (A)
Dn sq. £t. (U) (A)
nUn
• x sq. fe. ? (TT) (A)
"Un a sq. ft. ° (L ) (A)
nUn x sq. ft. ? (U) (A)
TOTALS J?LQE.LZ' sq. ft. ?3A,O? (U) (A)
n !
OTAL (U) (A) VALUES
IVIDED BY TOTAL ROOF/ r?, ?, i =C) - 02 AVG. "G"
EILINf: AREA
VERA(:E "LL"l .OS for ventilated roofs
.10 for all other construction
If averaqe vn].ues as calculated above do not meet the Engerp,y Code requirements, the
"Altcrnate F.nvelope Design" as indicated on Page 5 may be used.
Interior air film
- -?
2000 F[REPLACE PERMIT APPLICATION
/,(3?? CITY OF EAGAN
% 3830 P[LOT KNOB ROAD - 55122
651 681-4675
?
Date: 1bo-so
,
Description of Work: _ Construct new fireplace _Gas _Masonry _ Afterations to exi ing
_V?Install gas insen only _ Install pas line onlv
Other I,
Job address:
Lot: / Block: Z' Subdivision/P.I.D. #: Y L! Y' K? IiPf
Applicant (circle one only): Own Contractor Permit Fee: $60.50
Name:JAC06.5 " OJ` Phon5r Z?7 ?J?S
PROPERII' Last First
OWNER L??? ?CL.{???'t'? 'b-i?'? _
Street Address:
City State: 1? A) ZiP: SS (? ?
Company: Ji L.Q (if ? ` ' Phone #:
(area code)
FIREPLACE
INSTALLER Street Address:
State: Y?1 ? Zip:
City
Company: Phone #:
(area code)
GASLTNE
INSTALLER Street Address:
Ciry State: Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State
r -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Firepiace
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations ? 39 Gas L'me
? 34 Repair ? 40 Gas Inser[
GENERALINFORMATION
Census Code 434
SAC Code O]
REMARKS
Chimney/flue must be inspected before concealing.
? 41 Wood Stove
s
1'Yllq
?
(? `? ?) °I 3
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single famity dwellings & townhomes/condos when permits are reqaired for each unit
?30 ?V
Date(? / I c) / C-31
SiteAddress '14(oQ? pn-(?Cii Unit#
Property Owner Telephane #( C.PSI ? 4SL4--35"rJ4
?- --
Wohlers Southside Htg. & Air, Inc. j
Conaactor
?
6950 W. 146' St., #106
Street Address _ Apple Valley, MN 55124 City
(952) 431-7099
State ? Telephone # ( )
Z-°Asr-c?
Bond#: Eapires:
The Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to ezisting dwelling unit $ 30.00
? furnace _Additional ?Replacement
air exchanger
V
air conditioner _New
Replacement
other
50
$
State Surcharge .
jC)
Total
•= ?yF ?"
I hereby apply for a Residenrial Mechanical Permit and aclmowledge 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and wotk 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.
r,_-)anie( + .
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildmgs
multi-family buildings when sepazate pertnits azc not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telep6one # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove *"see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*'When lnstalling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installatlon/removal
$50.50 A1inlmum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If nernut fee is $1,000 or less, add $.SO => $ State Surcharge
If uemvt fee is over $1,000, add $.50 for
every $1,000 pemut fee $ Total Fee '
I hereby apply for a Commercial Mechanical Pemtit and aclrnowledge that the information is complete and accurate; that the work
will be in conFormance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, that I understand this is
not a permit, but only an applicarion for a permit, and work is not ro start without a pemut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Naxne
Applicant's Signahue
Approved By: , Inspec[or Date:
r
For Office Use
4, i Permit#: �� 1616 /
E AG N
Permit Fee: I 3 p
/D/
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1 '110-.. ?✓. �
(651)675-5675 l TDD: (651)454-8535 I FAX: (65 .'675-5694 Staff:
buildinginspections(a�citvofeagan.com JUNj
2019 RESIDENTIARY:-BLULDING ERMIT APPLICATION
Date: June 6, 2019 Site Address: 4603 Parkcliff Drive unit#:
Name: Jacobs and Stromme Phone:
Resident/ 4603 Parkcliff Drive
Owner Address/City/Zip:
Applicant is: Owner Contractor A' I / i kc I;
Type of Work
Description of work: Kitchen renovation
500.00 for permit required items
Construction Cost: Multi-Family Building: (Yes /No )
Company: James Barton Design Build Inc Contact: James Madsen
Contractor
Address: 5920 148th St. W#100 City: Apple Valley
State: MN Zip: 55124 Phone: 952-292-2714 Email: james@jbdb.biz
License#: BC 191023 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
home built after 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic if you provide specific)easons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.
xJames Madsen x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
1 Op a , �� Irk �� r ' /��4
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
—
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation .(14(v Occupancy J L ify 1,i MCES System
Plan Review Code Edition ��(( 51 SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vb Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill ( HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
X Framing y 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
)( Insulation Windows
// Sheathing Retaining Wall:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ii, , Building Inspector
RESIDENTIAL FEES
Base Fee d."1"
Surcharge (� ,/�v
Plan Review T\.&vi ,
MCES SAC
City SAC
Utility Connection Charge $ i' Y
0 / ll�1 , L 0
S&W Permit&Surcharge VV `
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157428
Date Issued:08/20/2019
Permit Category:ePermit
Site Address: 4603 Parkcliff Dr
Lot:1 Block: 2 Addition: Park Cliff
PID:10-56700-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Matthew R Jacobs
4603 Parkcliff Dr
Eagan MN 55123
Diversified Plumbing & Heating Inc
125 E Railroad St
Norwood Young Americ MN 55368
(952) 583-9646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157429
Date Issued:08/20/2019
Permit Category:ePermit
Site Address: 4603 Parkcliff Dr
Lot:1 Block: 2 Addition: Park Cliff
PID:10-56700-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew R Jacobs
4603 Parkcliff Dr
Eagan MN 55123
Diversified Plumbing & Heating Inc
125 E Railroad St
Norwood Young Americ MN 55368
(952) 583-9646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164853
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 4603 Parkcliff Dr
Lot:1 Block: 2 Addition: Park Cliff
PID:10-56700-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Matthew R Jacobs
4603 Park Cliff Dr
Saint Paul MN 55123--214
Riverside Mechanical Inc
8600 Xylon Ave N Suite 106
Brooklyn Park MN 55445
(952) 894-7600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165092
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 4603 Parkcliff Dr
Lot:1 Block: 2 Addition: Park Cliff
PID:10-56700-02-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Matthew R Jacobs
4603 Park Cliff Dr
Saint Paul MN 55123--214
(952) 513-7706
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature