4604 Parkcliff Dr? CITY OF EAGAN
3830 Pilqt Knob Road
P.O.{Box 31189
6agan, MN 55121
i Zoning: pY SEWER SERVICE PERMIT
? i c
PERMIT NO.:
DATE:
No. oi Units: a ?
, Owr ?
Add
Site
Plumber: Lnompson
3-1`:-97 71?,6? 100.00pd
I agree lo comply wlth Ihe CNy of Eayan Connection Charge: 53 S OOrr'
OMlnances. Account Depasit: 15 ?c?{?rl
Permit Fee: ' ?? ZL2pd
? By
Date of Insp-,
CITY OF ERGAN
3830 Pilot Knob Road
P.O. Sbx 21199
Eagan, MN 55121
Site
Surcharge: SO^K-
Misc. Charges: p----_, q_ 1 n nn.,a
Total:
Permit No:
Meter No:
Reader No: m
Cor, :> t . I
Date:
Size: "
date: ? -Ij-7
,'.. .? -.
Conn. Chg: 52 5 . Odpe ?' • --- ?Ic??1it1BS ' '.
Acct Dep:
Permit Fee: i? • IZPNO • ??
Surcharge: ??? - ?rl??y wlth the C Eagan
Tr. Plant `'??' • Ordinan es. `
- 67.+Jun.j
tzBY
WATER SERVICE PERMIT ?
SEDGWICK HEATING & AIR
HOUSE HEATING TEST RECORD
ADDRESS ? Co O L-? P?ARK Llrt 1? 1? DC2\?07-- CITY E p?!?4
OCCUPANT-- OWNER ?s! LiagSy-??J
HEAT LOSS -`V' DATE HTG. INST. -
SOLD BY
Electrical Work By
TYPE OF HEAT GA_ FA_? HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER --- --?"'
Model_ c=??G,n 'i /5; - G2 5: -? Model --- -----
Serial S Q,41 7A? 19 Sd? 9 Max. BTU Rating ?
INPUT - 1? S. a o d MAKE OF FURNACE
Model
CONTROLS
THERMOSTATVJ9,_ Heat Plug
Valve 4+ L•
Limit _ CtiR Vv, SZ tiT
Limit Setting 1 7 n° ?
Fan Setting / O o
Pilot Type _ v?- L.-* rS c?, tJ t c _
Pilot Make ?o Oa 'KTSYAAW
Pilot Model - S P 7 3 5 t__
Pilot Timing f t-J ST ti4 wi` T
L.W. Cut Off
Pressure 3 , ? ? ?«/• C . Percent CO
2
Input CFH /.;LS- Percent 02
Stack Temp. 3 50 ° f Percent CO
? a a!o
Vent Size C'o
KIND OF LINER StZE NONE
Oraft Hood I N0 u«2 Regulator VF S
Filters Size Number -I
Chimney Location Inside x
Chimney Construction CLW S C. a
Smoke Bomb -
Draft
Door
Wiring 0 r__
Test Tag V E ?
Lighting Inst. Q?
Date Tested D- S-7
G14
Company Testi ng - - u1 I
Name of Tester 0 D N
Form 235
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
; +t li ? { 1 1
PERMIT SUBTYPE:
. r
JCTIQN RECORD
PERMIT TYPE:
Permit Number:
4` il Date Issued:
t 1r1 (11.r
FM I t t) r"1
N ;.' G !. 14
1 N /:'A J111
IMr:NAMFE MTi IIA1 !
( r. .) a? { t, iv F? ?'C1 s' .i
TYPE OF WORK:
tIl (J
i'; .? :. t i• I i,;?a i',tl!"Il ?
INSPECTION D. O ..
, , • „? ?
?
iAFY.'i : A`-l•1'ARAIf F442MM! f'., ItIF411111fi10 FIlR AMIY F'IF.I:ilt3I
?
.. ,
? . ?
. . ...
... .
. ... . -' . ,..
? .. , ? ? 4.
- . .
. . .. ?. . . ..
.,
Permk No. PermR Holder Date Telephons A
ELECTRIC ZZA
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL MTG
ORSAT
TEST
BLDG FINAL ?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
Addition/ pARIC.Ci.IFF ADDN. Lot.
Owner ! ).4 _? _-f) c3 Street 4604 Pa]
c{1n ^ 1qq01
1 Parcel 10 56700 010 Ol
state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
. SAN SEW TRUNK
* SEWER LATERAL `
?
WATERMAIN
* WRTER LATERAL 1981
WATER AREA
STORM SEW TRK ` SDO
* STdRM SEW LAT 19
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PEF,
SAC
I PARK
k
,r
v . r
-6 • % 'p.
(terfif iratr nf Mrruvttnry
titp of eagan
appol'ttltPitf Af lolltbttt J ittpPtfiMt
This Certificate issued pursuant to the requirentents of Section 306 of the Uniform Building
Code cenifying that at the time ojrssuance tkis structure was in compliance with the various
ordinances of the City regulating building rnnstructiox or use. For tke following.•
ux cwjGd.. ,. ,. DW/GAR elas. P=ii rb. 13356
oxuvRnr TYPe R3 zodoa nWrid L 'rrpe conu v
Owntt d Bwldirtg T T'"r`'? C'I'7d?-jSZ y'j f? ?? `? i, - -; j rey ?T'?CT' r:? ?Si l1?3•ii
??' ?? ?? ,.i ; ??? ? bt?'?'•l,'L,;.! .
B,,;m;ngAddrat 4tdj4 Lnm6ty
Dam: .??n•J?; ; ?? ?4R i
Bwlding Official
POST IN A CONSPICUOUS PLACE
"'' • CITY OF EAGAN
J 'd
. ? ?U
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ? Est. Value `I Date `hTZ'"?' ,19
Site Address
Lot ' Block ` Sec/Sub.
s Name • ?. , . . . ?„ . , ?_•.
i
? Address -
9 Citv Phnna 9 4 4 '' ri J ''
Address
I have
A Building Permit is issu
all work shall be done in
Building Official
and stat
On Site 5ewage _ Occupancy
MWCC System _ Zoning
On 5ite Well Type of Const
City Water _ (Actual)
(pllowable)
# of Stories
Length
Depth
S.F. Total
Fooiprint S.F.
APPROVALS FEES
Assessments
Water/Sewer _ Permit
Surcharge
, ?
Police
Plan Review ?
Fire -
_ SAC, City
Engr. _ SAC, MSNCC
Planner _ Water Conn.
Council _ Water Meter '
Bldg. Off. _ Road Unit
! APC _ Treatment P1 I
VarianCe _ Parks
Copiea
TOTAL ;
on the express condition that
Minnesota Statutes e
and City of Eagan Ordinances.
Permft No. Psrmit Holder Dats Talaphone it
:Prumbing
, --
H.V.A.C.
?
i
Electric
Softener
Inspection Date Inap. Commenri
Footings I
Footings II
Foundation
Framing ! E ,y•
Roofing
Rough Plbg. .Z - ?
Rough Htg.
IsuL
Fireplace ?-
Final Htg. ?
Final Plbg.
Bldg. Final '
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
2 73- n?j O ?
I L 'f OFFI E USE ONLV This request void 19 manths imm voLdahon date pnnkd55?
.
PLEASE PRINT OR TYPE
Request ? Rough-in inspeceon reqmmd2 Yes No Inspecnon OIF?er Thon Rough-In ? Ready Naw Wdl Call
? #
i f ?'(ou musl <oll lhe mxpecbr when reody? Dole Ready.
I, ? licensed con}mctar 4!?owner hereby requesf inspecfion of ihe a6ove eledrical work at:
Jo6 Pd ress (SirM oa, or Ro e o.)
0
A'a Ciry Zip Code
to-
r.
5emmn N. Township Name or Na. Ronge N. Fire N. Counfy
Omu mi? I_
- ^
?/
? Phane N.
xi
i
GV E
ee-
wer5upplier Address
Eletlnml C mm r (Company Name? Cantmdor L<ensa N. Mas?nt Elect Only)
Maiing ress (Con cior ar O.m
er Peda
rming InsMllabon)
p
`
0 ? l._
AuMarized SignoNre (Conlmdor or Owner Performmg InsbllaM1Onl Phone N.
EBOOOOlA10 b/95 ? STATE60AflDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOW
I?I IIII W_24 REOUEST FOR ELECTRICAL INSPECTIONS?4
Minnesola State 8oard of Electricity
t821 University Ave., Rm. S 2 SL Paul, MN 55104 * 0 2 7 3 0 i2 * Phone 2) saz-osoo /?(p
ome Duple: Apt.8ldg. Other: New ddn
Commercial Indushial Farm Remod Re air
Air Cond. Hig. Equip. Water Hfr. Load Mgmt. Other:
D er Ran e Elec. Heaf Tem . Service
"X" above fhe work covered by ihis request. Enter remorks in this space and on fhe ba<k of fhe whife copy only.
apj'
Calculate Inspxhon Fee - This Inspec/ion Request will not be accepfed without ihe correci fee:
Other Fee # Service Enhmx+e Srse Fee # Circuils/Feeders Fee
Mobile Nome Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreef Ltg./Troffic $ig. Above 200 Amps Above 100 Amps
TransformedGenerofor INSPECTON'SUSEONLY TOT L ?
Sign/Outline Lfg Xfmr.
Alarm/Remofe Control
Swimming Pool i hm? mm ,n. elachiml insmllanon desmbed herein on the dafes aMted
Irngahon Boom Ro.gh-In ?
• Dm<
Special Inspedion p
L-
Invesfigohve Fee Final ? ?afe
THIS INSTALLATION MAY BE ORDERED DISC N TED IF NOT OMPLETED WITHIN 18 MONTHS.
, .? CITY OF EAGAN N0 13 3 5 6
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE:454•8100
BUILDING PERMIT ReceiPt#
Tobeusedfor SF DWG/GAR Est.Value $165,000 Date MARCH 18 ,1987
SiteAddress 4604 PARKCLIFF DR
Lot 1 Block 1 Sec/Sub. PARKCLIFF
Parcel No.
a Name LECY CONSTRUCTION
z Address 9308 XYLON CIR
o City BLiAGTN phone 944-9499
,e Name SAMR
?a Address
m
P
City Phone
f?
"w
ww
Name
i a Address
e W City ? Phone
I hereby acknowledge tN
thatthe information is con,
State of Minnesota Statul
Signature of Permittee _
A Building Permit is issued
all work shall be done in ac
Building Official
read this application and state
Eagan
Wlth 211
OFFICE USE ONLY
On Site Sewage Occupancy R3
-
MWCCSystem ? Zoning R1
On Site Well Type of Const
_
-
Ciry Water (Actuaq V
?
(Allowable) V
# ot Stories
Lengtn 67
Depth 48_
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit 698.5C
Water/Sewer _ Surcharge 82 .5C
Potice Plan Review 24 Q 25
Fire _ snc,city lnn pc
Engc _ SAC,MWCC S?? QQ
Planner _ WaterConn. ?9Ei Qc
Council _ WeterMeter ??? 0C
Bldg. Off. Road Unit 3 Q 5 0 Q
APC _ Treatment P1 ?8o.0 c
Vanance _ Parks
Copies
TOTAL
2 3 2- Z s
Minnesota Statutes and City of Eagan Ordinancea
y
? I 3? 3? 2006 RESIDENTIAL BUILDING rExmnT arrLrcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslrudian ReauiremenGs
3 registe2d site surveys showing sq. R of lot, sq. ft of house; and all roofed areas
(20°!o mazimum lot coverage albwed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan i(lot platted after7l1/93
Rim Joist DeWil Options selection sheet (buildings with 3 or less unNs)
Minnegasco mechanipl ventilation fortn
RemodeUReoair Reauirements
2 copies of plan showing foolirgs, beams, joofs
t set of Energy Calwlations for heated addNOns
7 si[e survey foraddidons & decks
Addifion - indreate Aon-site sepfic system
4422 .ok-P
oil use aj
Cert ofSih"veyReod;`."`=?Y _N
TreePmsPlanReal -- -=Y_N.
Tree Pres Required - _Y _N
OnsiteSepticSyslem._Y _N
Da[e
Site Address ?
Construction Cost.??
Unit/Ste #
Description of Work ?V-1S? ?JCJ S?/?6 O??^l1?
Multi-Family Bldg _ YK_ N Fireplace(s) _ 0 _ 1 _C:5
Property Owner /wC AAP?e_ Telephane # ( )
Contractor
A2
_
Address /ryyZ Y?-?
7-'r
State yi-"7 ?jf? S City / ?-
NIiCi Zip ? Telephone #
Y
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
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y v4--N If yes, date and address of masTer plan:
Licensed Plumber Telephone #? )
Mechanical Contractor Telephone #( J
Sewer/Water Contractor 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 work which requires a review and
approval of plans.
a .,3,60 St?.I?l4^
Applicant's Printed Name
ApplicanSign e
DO NOT WRITE BELOW .THIS LINE
•- . . ..
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex 0 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)6 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applfeant
DeSCCIptIOn: Water Damage _ Yes
aOE)
/S
?'? "
Valuation
?
- Occupancy MCESSystem
Plan Review 100%or 25%
Census Code L' 3 Zoning R-1 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) FinallC.O.
_ Footings (addition) ?p FinaVNo C.O.
Foundarion HVAC
Drain Tile Other
Roof
Ice & Water Final Pool Ftgs Air/Gas Tests Final
_
_
LO Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace
R.L.
Air Test Final Windows
_
_
1D Insularion _ _
_ Retaining Wall
Approved By: ? uilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
(' l?ry n 9 e ?tG j? I!? q ? S??So r7
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?.io?' e%?wt.bn = 995.77 .
1.EGENC
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PROPQSE;' E?.
, .. . F.
RF.Scheck Compliance Certiflcate
20001VTinnesota Energy Code
REScheck SoHware Version 3.6 Release la
Data Slename: Untitled.rok
COIJNTY: Dakota
STATE: Minncsota
ZONE: 2
CONSTRUC7 [ON TYPE: Single Farnily
WINDOW / WALL RATIO: 0A6
DATE: 04/24/06
DATE OF PLANS: 04/212/2006
PROJECT DESCRIPTION:
Remodeling/ModiSying and converting 3 season porch to room add[ion
DES IGNER/C ONT RACT OR:
Tnside/Out Home Maintenance
COMPLIANCE: Passes
Maximum UA = 25
Your Home UA = 23
8.0% Betta Than Code (UA)
Pecmit Number
Checked By/Datc
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value -U Fador UA
Ceiling 1: Cathedral Ceiling (no attic) 120 16.0 38.0 2
Wall 1: Wood Frune, 16" o.c. 110 16.0 19.0 2
Window I: Above-Grade:Wood Frame:Double Pane with Low-E 9 0.330 3
Window 2: Above-Grade: Wood Frame:Double Pane with Low-E 9 0.330 3
Window 3: Above-Grade: Wood Frune:Double Pane with Low-E 9 0.330 3
Door I: Glass 24 0.330 8
Floor 1: All-Wood JoisUTruss:Over Unconditioned Space 180 42.0 38.0 z
Fumace 1: Forced Hot Air, 90 AFCJE
Air Conditioner I: Electric Central Air, 10 SEER
Proposed and Maximum U-Factor Averages
Proposcd Maximum
Average U-Fac[or Allowed U-Factor
Above-Grade Windows and Glass Doors 0.330 0370
Includes Foundation Windows > 5.6 82
Floors Over Unconditioned Space 0.012 0.033
RF.Scheck Inspection Checklist
2000 Minnesota Energy Code
REScheck So$warc Version 3.6 Releasc la
DATE: 04/24/06
PLAN REVIEW AND INSPECTION ISSUES
This list ofitems may be helpiiil fDr Plxn Reviewers and Building Inspectors to use as a guide tor enforcing [he Minnesota
Energy Code. The items apply to Group R, Division 3 Occupancics, one- and two-5mily residential dwellings. The
items marked with * apply only to detached one- and two-family residential dwellings.
PLAN REVIEW ISSUES
FOi7NDATION INSPECTIOIV
[ ] fDundazion wall insulation R-5 minimum
[]fDundation insulation extends from top ofwall down to top ofthe fDoting
[] exterior foundation insulation is covered by a protective coating Snish
CONCRETE SLAB OR UNDERSLAB INSPECTION
[] slab on gracle perimeter insulation R-5 minimum
[] slab insulation extends from top ofslab to design frost line or top offooting
[] floors over unheated space R-30 minimum
WINDOWS / DOORS ! SKYLIGHTS
[] average U-value is 0.37 masimum fDr windows and glass doors (excludes 6undation windows)
[] window U-values consistent with building plan and REScheck CertiScatc
[] window and door azeas consistent with building plan and REScheck Certificate
MECHANTCAL VENTILATION ISSUES
[] residcntial mechanical ventilation system provides adequate ven[ilation per code requirements'
[] fiimxce efficiency is consistent with REScheck Certificate or building plan
[] protection ageinst excessive depressuriration is installed per code requircments*
ENVELOPE INSULATION FOR PLAN REVIEW
interior basement insulation R-5 minimum (if'no ertenor insulation)
[] ccilings with attics R-38 minimum or consis[ent with bmlding plan and REScheck Cer[iScate
[] wall Saming and insulation level is consistent with buildmg design and REScheck Certificate
INSPECTION ISSUES
CONCEALEDINSULATION
Framing and Sheuthing
[] wind wash bartier installed xt attic edge
[] exterior wall comers framed so that insulaiion can be installed a8er ex[enor sheathing is installed
[] mtersections ofinterior partition walls and exterior walls fiasned so that insulation can be installed between che
partition and extecior sheathing a$er exterior sheathing is installed
[] gaps between framing less than one-halfinch are eliminated by securing Gaming together or aze insulated at the time
ofassembly *
[] all penetranons between wnditioned and unconditioned spaces made prior to framing inspection are sealed *
Interior Air Barrier
[] all fire stops are air scaled
[] pipes, ducts, wires, cquipment and flues and chimneys through thc mtenor air banier aze sealed
[] a srdled continuous interior air bamer is installed on the warm side ofthe building envelope at ceilings, walls, and
fioor rim jois[ amas •
[] air barrier behind tub and sliower is sealed and protcctcd
[] recessed light Sxtures are sealed
Envelope Insulation
[ ] 6asement insulation R-5 minimum
[] wind wash bazrier on wall scparating housc and garage is sealed
[] loose 511 insulation is preventcd from en[ering the eaves
[] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned stde
Aftic Insulation
[] attic access panel insulated [o R-38 fir ceiling panel and R-19 br wall panel
[] aztic cazd attacheci to frammg near access opening
[] notification ofattic R-value and date ofinstallation posted near building peanit inspection card
This is a summazy only. Other requiremen[s may apply. See the Minnesota Energy Code. Questions? Call the
Department ofPublic Scrvice In&Drmation Center at 651-296-5175 or I-900-657-3710.
COMPLIANCE STATEMENT: The proposed building design described herc is consistent with the building plans,
specificxtions, and other calculations submitted with the pertnit application. The proposed building has been designed to
meet the 2000 Minncsota Encrgy Code requirements in REScheck Version 3.6 Release la (Eormerly MECcheck) and to
compty with the mandatory rcquirement?,"sl;4,1 the REScheck Inspection Checklist.
Builder/Designer _ /? -- Date d?
.
qa9o7
2006 RESIDENZ'IAL BUILDINGPERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construdion ReouiremenGs
3 registe2d site surveys showing sq. ft of lot, sq. ft. of house, and all roofed areas
(20% maximum lot coverege allowed)
2 copies of plan showing beam 8 window sizes, poured tound design, etc.
1 set of Energy Cakulations
3 copies of Tree Preservation Plan if lot platled afler 711193
Rim Joist Detail Options selechon sheet (buildings wilh 3 or less un'As)
Minnegasco mechanml ventilation form
''Jb . 6)
RemodeVReoair Reouirements Office Use OnN
2 copies ot plan showing footirgs, beams, joists CeAOf Survey Recd , _Y _N
1 set of Energy Calculations for heated addiGons Tree Pres Plan Rerd Y_ N,
1 sde survey for addNOns & decks Tree Pres Required Y_ N
AddiNon - indicafe if an-srfe sep6c sysfem On-sAe Septic System _ Y_ N
Date -?L / ?_ / -0?- Construction Cost 4U( loQ(?? -
Site Address ?Lo A-) 4 UniUSte # ---
1
'?
? /' I N S Y' /? /
?
t
DescripHon of Work ?-
n fl r?
iJ P r?
.0 t./h Y U!'l
('/ S h 1h to
fz?S ?"K I Y E°
Multi-Family Bldg _ Y k N ?
Fireplace(s) _ 0 _ 1 _ 2
Property Owuer ?e_? ?`(? yV1 ¢ip, Telephone #(6?,5AI
Contractor 1^ I f CS, Cll C ??4 P Cl i^ ? f 1 04m 12
Address City -?
State ??jppg 2p? a Zip Telephone #(?f$'?J
N. Fainfew Aw.
PUMVMO. ? MN
? ? , •?zl
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventila6on Category 1 Worksheet • New Energy Code WoAcsheet
(4 submission type) Submitted Submitted
• Eneigy Envelope Calculations Submitted
In the lasi 12 months, 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 plan:
Licensed Plumber
Telephone # (
Mechanical Contractor P\1 Y 2S? CC ? Cl PG'f? Telephone #(TV) `72 Sewer/Water Contractor
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 3tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
A, I z,d,?I. Alt-) ? kr?
Applicant's Printed Name
App icanYs Signat
DO NOT VVRITE BELOW THIS LINE
Sub Tvues
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex O 25 Miscellaneous
Work Tvpes
? 31 New 0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplOCement `Demolition (Entire Bltl g) • Give PCA handout to applicant
Descripti0n: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length.
r s,s
Type of Const Width °aQ`^'ras se^wa
.evA weMiei .N Oft
tr raa L4M
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) _ FinallC.O.
_ Footings (addition) _ FinallNo C.O.
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco I.ath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u z Lo z NG
3830 Pilot Knob Road Permit Number: 026559
Eagan, Minnesota 55122-1897 Date Issued: 10 J 2 0/ 9 5
(612) 681-4675
SITEADDRESS: P.I.N.: 1 0-5 67-0 e--0 ie-m APPLICANT:
LUT: 1 BLOCK: 1
4604 PACiKCLIFF qR MCNAMEE MICHAEL
PARKCLIFF (612) 686-9923
PERMIT SUBTYPE: TYPE OF WORK:
GARAGEjACCESSORY NEW
DESCRIPTION (SHED)
?
7
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WQRK
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4604 PARKCLTFF OR
LO'1': 1 BLOi:K: 1
RARKCIIFF
P.I.N.: 10-56700-010-01
DESCRIPTION:
(SHED)
6sfildlng: Permit Type
6uilding Wt),rk Type
. \
i
i -
?
2., v .
GARAGE/ACCESSORY
NEW
(.Xo49Jo15
/ o/aa/y,5
BUILDING
026559
10/20/95
REMARKS:
A SEPARA76 PERMIT IS REQWSRED FOf2 F1NY ELEC7R7CAL WOitK
FEE SUMMARY:
VALUATSON
6ase Fes
Plan Review
Surcharge
Total Fee
$127.25
$65.59
$5.00
$258.79
CONTRACTOR:
p12qV00
OWNER: - APPlicant -
MCNAMEE MICHAEL
4604 PARKCLIFF DR
ENGNN MN 55123
(612)685- 9923
. S hereby acknowledge that- Z have read tNis applzcaCian;4nd eta't? that the
in'formatioh is correct and agree to camQly with sll applicable State of Mn.
5tatutes and City of Eagan ordinancas.
e?7' JLai A ? tn-fr
PPL CANRP ERM ITUE SIG& ATURE
ISSUED 8 ' I ATUR
lidMD95 CITY OF EAGAN ? ? ? r,7
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 repisterod site aurveys ?' 2 copies o1 plen
? 2 eopiea of plans (indude Eeam d window sizes; poured fid. design; eta) ? 2 site surveys (exterior additiona 8 dedcc)
? 7 arorpy cslalations ? 1 energy calwlations for heated add'Riona
? 3 copiee ot trse preaervation plan if lot plaKed after 7/1193
required: _ Yes _ No
DATE: CONSTRUCTION COST:
OESCRIPTION OF WORK: 6a?k?.ar.4 SA Fg?
STREET ADDRESS: y6 0`1 Ps,a k r 1; rf L2R
LOT _L BLOCK SUBD./P.I.D. #:
'? il
PROPERTY Name: M'NAMEE 1*1r r4A6 I Phone #: y g4•99 23
OWNER '"°* `M:.
Street Address y40y P.a k[' liff b R.
City: FaGatit State: M IQ Zip• 55121T
coNTw?croR Company: Phone #:
Street Address:
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #'
Street Address,
City: State: Zip:
Sewer & water lioensed piumber:
change are requested once permit is issued.
License #•
State: Zip,
Penalry applies when address change and lot
I hereby aCknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: .S„?• ??-^°?? iri4t"' P'P
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Pian Received _ Yes _ No
f L-3
' SEi' x 9 t9°5
L
BUILDING PERMIT TYPE
OFFICE USE ONLY
r
?
ar ' ?
,,..W.
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o OS 8-plex 4e-13 Garage/Accessory o 20 Public Facility
0 04 SF Porch a 09 12-plex o 14 Fireplace ? 21 Miscellaneous
o OS SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
New ? 33 Alterations o 36 Move
a 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code. y3 25
Footprint sq. ft. SAC Code d?
Census Bidg /
Census Unit v
Planning Building Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ Z vmo ?
4feptrz-
lqy ((? - z Ly X Yo = f3,Ffc?
?,wf 2
zZyxi'tl= 3113(o
°h SAC
SAC Units
J? .
I
- -!
?
e
z?
.`h
?
0
?
?
ion
?
o
0
h
?pm? h ?
.:? _.
I,.. 4 .. .
V) ,d.
?At?
?
?
I , drQ?naqe ?
tsli/ify J?\1b 5h? ?? /
caserns.47t ' r,,
?
.,._...-....... .._.???? , ,
a°? ? `.o)
A^'j°•?
N e
\ vl
c
6
G
??.
?
? .r. n
, /
i
. ?
.,
fP.A? JA/Y ' ,
?o?' e%vat.o.v = 995.77 .
.
...r
46441,
/ 70. 30
? ??
?3/
0
.0
0
? y
9ai''"> t
,
?'??H01y5G
..,? ?_.. .? `
LEcENo PROPQSE;' Evi
. ,. . , . . ? .. ..?:? ,.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
New Constructbn HeaulremeMs
• 3 regisfered site sunays sirowng sq. iL of lot, sq. R. of house; and sLll mofetl areas
(20% mvdmum bt coverage albwed)
. 2 copies of plen showhg beam & window saes; poured founC despn, etc.)
• 1 set o1 Energy Celculetions
• 3 copies ot Tree PreServation Plan N bt plarieC alter 7/1/93
• Rim Jolst Detail Optlons selectbn sheet (bldgs wHh 3 or less unlts)
DATE
Phone #
SITE ADDRESS l lQ L?q ArkcLfF'17 br MULTI-FAMILY BLDG _Y
TYPE OF WORK 2?roo F fIREPWCE(S) _ 0_ 1
APPLICANT
v?. ?x fi2?-i o ?s
STREET ADDRESS /`f lP 1o Wb!, ?? '
TELEPHONE # _921?Z-WI-P 32 CELL PHONE #
FAX #
?5N
_2
3 $1y
PROPERTYOWNER 441 KE% / V(C N?( TELEPHONE 1i
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentiai Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Tp ? ? q rri
Phone jI ? I J U N 0 6 Z
°----°-°--------------------------------------------°----------------------------°.
I hereby acknowledge ihat I have read this application, state that ihe information
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.,,,-
Signature of ApplicaM
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
HemodeVHeoatr Reauirements ?
. 2 coples of plen
• lsetofEnergyCakulatbnsforheatedatldRions
. isAasurveyforexterioraddtlians&decks
. Indicate If home serveA by septlc system for addttbns
VALUATION X /' 7, 3 o /
R
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accesaory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 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 (FOUndatan) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoore
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drein Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Rermit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
CY
6y8•7U+
82•5U+
.i49•2`i+
6'L5•OU1•
525•OU+
67 • 00+
'-? 305•OU+
?
? if30•OU+
2; 83J•151'
r , :3S4 ' Y . ;.
1987 BOILDING PERMIT APPLICAYION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SETS OF PLANSt 3 CSRTIFIC9SES OF SORVSYp t SET OF ENERGY CALCOI.ATIOAS
HO1Ts: ADDRESSES FOH COHNER LOTS - CONSRACTOR/HOMEOfiNES MUST DESIGHATS WHICH ADDRESS
IS DFSIRED. NO CHANGES iiIL[. BE ALLOiiED ONCE BIIILDING PBAMIT IS ISSDSD.
MOLTIPLE DfiIELLINGS - RESIDENTIAL RfiBTAL U8IT5 FOR SALE QHI2S
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SORYEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONRIBRCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANRSCAPE BOND
I loS(DoU
To Be Used For:c1?,(,lot q?Ly Valuation: JR99,0420 Date:
Site Address OFFICB QSE ONLY ?
Lot ? Block
On Site Sewage_
MWCC System ?
On Site Well
City Water
Oecupancy
Zoning
Type of Const
(Aetual)
(Allowable)
S of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
9,3
RI
Parcel/Sub
Owner
Address
City/Zip Code
Phone 9w-
Contractor
Address
City/Zip Code /LIAf q-Sy?3
Phone 9w- qvQ?2 ?
Arch./Engr.
Address
City/Zip Code
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner?-
Council
Bldg Off
APC
Variance
?.
?
?
Permit ?96-J
Surcharge ?
Plan Review ?
SAC, City 100,
SAC, MWCC -S25,
Water Conn ZS
_
S
Water Meter ?
?
Road Unit 305.
Treatment P1 l?'
Parks
Copies
TOTAL ?
a S-
Phone #
3?1x jo - l I lo T 5c? _?? 38c? ? ? -? •
`"7 n Z?
1?44-'0
?
?I X -? " ?7 ? So - r°
23??90xc2=PZ?
I? x co (So
14?22=30?x8? 24??
2? X 24-
Icp 4,o32
Nnm
PLAT OF SURVEY
FOR:
LECY CONSTRUCTION
lOT 1, BLOCK 1, PARKCLIFF, DAKOTA COUNTY, MINNESOTA
i
S?
I
9 I
?
COUNTY ROAD NO. 32
?eg
n} pok
0
Q
h°
:W
ro '
. ?
o J
? J
;s
E65f' /70.30 (9B4o?
9Bf.o
drqinaye E ccf,
? ea5eryienf
/ ?-- -
? f
?1 i oC??oe.es>
?
I ?
Rz? ?
o ?O ? \ Lp6 0?
? ? `O \o (ioil
Affiffj ao F?-r ?
30
,z
1?3)Zto
39
4'.
ig uY lo
ti0
0
\\66> 96> s
?, n ya?a9Q
. a q.
.'
995.77 ?
1
i
\
E"s+mq
HDLLSG
? 0%
i m / i p ?O9?
.s ?
26;"? OpF, rcev ?8)
LEGEND PROPOSED ELEVATIONS
o Iron monuments •°°a.3 lowest floor
0
( ) existing elevations garage floor
? proposed elevatlons ???z•'? top of foundatfon
direction of proposed surface drainage
Mote: Only copies which bear an emboswl seal are certified copies.
'1 I Hansen Thorp 1 hereby certify that this survey was prepared by me or under my supervision File No.
and that 1 am a duly registered larid surveyor under Minnesota Statutes Section 87-031
1 Pelllnefl Ol$Or1 InC. 326.02 to 326.16. Baok - Pege
) l
0 ConultingEngineersBiLandSurvayon 3?/ ZCo
75850Hite Ridga Cucle
Eden Preirie, MN 553643644 $Cele
(612) e29.070o pate: ?'? -B 7 Registration No. ?3?-?7 ???= 30 ?
' 'UI
? EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWfJER: DATE:
SITE ADDRESS: PHONE:
COfVTRACTOR: LEG.?{ C?.??'{'? I1iCr
Determine working square footagc of each
1. Total exposed wall area..... 3(aeOlb sq. ft, x .11
2. Total roof/ceiling area..... AgM I73(¢q. ft, x .026 = 45'11
Total exposed wall area above floor= a.
b.
c.
d.
e.
f.
9•
h.
i.
.l•
Total wall window area ............................................
ToCal door area.............................................
..... ?
Total sliding glass door area .................................... ( ,3
Total fireplace wall area........................................
Total wall framing area (average 10%) ...........................
Total rim joist area .. ........................................
net wall area above floor .....................................
vrall area above floor .....................................
wall area above floor .....................................
frame wall area at foundation ...................................
Total exposed foundation area= ??.0 , j .?.,,,.?:°,?? ?' ,,,;`;,,??• ' ?''??,
I,' ?"; t:l??•,f?..,l::
k. Total ...... ............. .?,.
foundation window area.. .
l. Total net foundation area above grade .............
Determine "u" value of each wall segment (e.g. window, door, each separate wall section)
' ' -
a. Z43,? x„u„ , 4? = I lC-5 i? .
?
?
b. X 11 Ull
C. (S3.3 x llu°
d. X "U" _
e. 3Z.S.0 X liuft?.0? = Zq•3 ?
f. 3ZS* 0 xilu,l t O = 13.0 "
9. x „u„
h.
i.
?•
k.
X "U"
X "U"
x Hu°
K ??u"
1. q3.0 x „u„ , OSZ- _
3 . .................................Total = -&A7.e)
. ?
;
;
If item H3 is the same
as, or less than ,item
#1, you have met the
intent of SBC? 6006; (c)
?
..,,.?.??,.?....,. ?,.,_.. _.. _
•?i"x ?xior L•'nvelope Averaye "0° Compul-atiou
,. t? .
Total exposed roof/ceiling area
m. 'COtal skyli.yht area ............................ -
n. Total roof/ceiling framing area (.iverayc 10%) ...
o. Total net insulated rooL/ceili.ng +area...........
?-?---
oetermine "U" valuc for eacli roof/ceiling segment
M. lb_ X 41ull ------ 04?--- = I•7
i,
Pugc 2 oi• q
4 - r
i ,5•5,
'S4 • ?
d?4•s.
119. I t o? Z•3
n. ,
?O
l0'll? .bl ?-- -(9•q
o. q74. S x„U„
4 ........................... TotaJ.
, If total of 119 is the same as, or less i.han I12, you have met the intent of
SItC 6006 (c) l.
Alternate Building Enve]ope Desiqn
7b utiliza the total envelope'system met}zod, the values established by tlie sun of
items $3 and 04 shall not be greater than the swn of items #1 and #2.
1. do3.?-, + z. 4- ,co
3. ?I.O + 4. 4 S?? = 3 l I•
?
L l N. J"' r, k'JpO%k1D k*+..t.
13IAGlt-=41 f 52fi4I+5L = l8C9
AAee- = Z4+Iz4 ta} = ?70
w .o .:=? lot- twqo= ',o
P;uc-c. (= I 8co +ri t4= 19 -r
FUu. Z= ?4.sta?.st?4.s+?z.st?d.st2z.s=13o.a
F, P. =
pwl s (°ici j' 130= 3z'r!
S? P-T IEIWSt`A WPkA. "16A
13t.ock Ie)(p X, s= qt?
hnt-F +70 x r = Zyo
400 3zso
F?x?l 19S
?:I?Z l-to x? = io4o
P-P
x
P?1M 3Z5 K I ='SZS
T?.. ?- 3CoCo?
TVu ?s I?FT'
?• ?T ?`1?bs?p GEtu HC.? 11,9(.O 54?i
WawS.
Z?2-l:IN' Ikifi 1=77,0
Zgtoo- µ1?t 1I1= ?c.D
zctoo -It =t?o 7
?z?eo-???=i3•3
z848-11=1a7
Z4 4%-111=7.4 .0
PCOk.S
? Z? 20 ?37. 8
'?QS''°q1._ =17?8
7.43•7 ?Tlo t?lmS
cola-I 11=120.0????
ss- I = 33.; J
136Fnr uK%TS
LOT / BLOCK 1 SUBD. ?
RECEIPT#'/959? DATE
1985 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATiONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
DetB: 9- 02 g - `? L:;'
Commerciai
Residential (boulevards)
? Existing residential
GPM
GPM
Area/address to be imgated - ?Q Pn,- Ic c' /r4? /_-) ,e
Installer: ?_V"/?? ,,, 1.Q Owner Q' Plumber ?
Street address "y c' y Pa r k c?i'?? i,2
City, state 8 zip code: ;?? ?s a x/ 1"7R/ ?/.7 Phone #: 694 -° 92 3
Owner Name,' ? y"/ / /-A'? ?? iL/ d'1 Q?Q -r
Street address• 6?? ?t CA 4_ f-; p
City, state & zip code: .14?.% 27z?-12 ?S Phone #:
Imgation contractor, if different than installer:
Telephone #:
1 herebyacknowledge that 1 have read this applicatfon, state thatthe informatlon is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the applicant's responsibiiity to notify
the property owner that the City of Eagan assumes no liabtlity for any damages caused by the City
during its normal operational and mafntenance activities to the factlities constructed under this
permit within Ctty property/right-of-way/easement.
l /• i""// ?'i? ???"/.,4 a,? *"?'
Applica Ys signature ?-
Approved by:
0?,? N er,-
rtie
PRV ? Yes ? No New service
Meter Size A* 8 Cost ?
Date:
O Yes XPto
?
Fees due: r:io
re A) & 0 7 G,s- I
Calcul ted
P ?13
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permtt ts requlred - please contact Protective Inspections at 681-4675.
Fees
Commercial proJect: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv 'rf new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover instalfation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 oer connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required ff backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter wiil be sold before all sewer and water inspections are complete on a new service. If new
service lines are not renuired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The instailer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works DepaRment may be reached at 681-4300 for water tum-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections shouid be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
?
LE?y ?o,?J57?ucr1p? ?_1? !??-) ? ??1'(_A6'??
G A?So.t? ???0??? ?, Q ? 7 ?/ ' .
HEATLOSSCALCULA110NS HEATING$AIR CONDITIONING CO. MINNEAPOLIS,MINIJ.
Weetherstrips A.S.H.V.E. Conatrucllon No. Inaulatlon
yf1?,6 p?s Guida Helers Out. Wall IM. Wall Celilnp Fiool Floor Kind How Applied
Yes-No Yes-No nce
19__ • •
FL e/A)?POOm lenpih 5? Wldth t?/0 Halphl ? F1. 41_rd" Hoan Lenplh /a2 Wldth 1,2 Heipld"?F
Ylindows end Doors -Creckape end Area Wlndowa a nd Doors- Cracka pe and Ar ea
No. Wd?h Nuphl Ne. 01 Un??l II. A?ep
No, WiNM1
e/ on 11o,qhl
ol ans Nq, ol
II hio l?nOrl 11.
cs'
of n A?an
1t.
eq
0 3? /?
a ??? o ?? as •
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infilualian 1A,15 117 ?X, g / InfHhetlon
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Net e¦p, wsll
/ EMp. well
Net eHp. well
'- Int, wsll Inl, well
Cellinq Celllnp •
Floor • /'?9 S e? 5 Floor .
iotet Btu. 7.7 Totel Biu. ' ?'J7(o
flequired sq. ft. E.D.R. ar sq. Ine. W.A. Leeder aree Requlred sQ. II. E.O.R. or eq. Ins. W.A. Leader eree
? FI. RMfL R?^ Length 2 Widlh / Halght ? FL?,qt?,r/ Room Len01h Witlth Heidht
Windows a d Doors-Cracka pe and Area 1-1/1 Wi ndows an Doors-Cracka ge and Ar ea
' NO. ?4tlr?
n ?e?0hl
o ans
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h Au
nsel If
l?
ol n 1.
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•
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Exp, well EKp. well
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Int. Wall Inl. WPII ?
celiina ? /7,8 ceuina
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Totel BW. A2 4/0 Totel Blu.
Hequfrad sa. It. E.D.N. or eq. fns. W.A. Leader preo fiequired eq. 11. E.D.H. or 5V. fns. W.A. Leader area
? FI. W677Z5 Roqn LenplM //f Wldih /(7 Helpht g. / FI LenAtb Width Haight
Ylindowa and Doors-Crackage end Area r-3 Windows and D ors-Cracka ge and Ar ea
No, p?dtn
ol in Haiphl
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of r Aian
/. 11,
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¦. Il.
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.
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int. well Inl. wnll
C9iling . ? Ceilin8 .
Flow s YFlnwr
,ukat Btu. , total stu. . a L/
RpquirW_eq. IL E.D.R. ot 6d. Ins. W.A. LoaJni atlu . I "o.tufiod ny, tt. C.D.r., ui sy. fns. W.A. Loadur mau
NEAT LOSS CALCULATIONS wEATING &AIRCONDITIONING CO. MINNEAPOUS, MINN.
Waelbmalrlpr A.S.H.V.E. ConetrucllonNO. - - - ------- - InaulaUon
Windows Doors Guide
Rel
r Out. WaII IM. Wall Cellinp ibol Floor Kind How Applied
Yes-No
Yes-No e
enq
__
19
.
FL D? Room lenplh /s Wldth /3 Halpbl
_ ? fl. D Poan Lenpth el Width e Haipht 8
Ylindows and Doors-Crack ape antrAr
ea Windows a nd Doors-Crackape and Area
Na.
o •n Herpht
ol ?n. No. DI lmul 11.
?v M?n
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NO• Witlib
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ol ana Nn. OI
11 h?? l?nl 11.
ol?ncnck Aian
????.
a a Go /G ? 3 s?a ic.. S a?
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?n?+?trodo? 3i q57
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?{
/ t??
class 5 5o a$p . -c,iesa ,1 SD zdlia
Exp, wall EMp, well
Nat axp. wall Net exp. well ?e 74S
' Int. well InL well
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Floa • s fioor .
Tolel BW. ?(p ?Totel Bw.
Hequlrod sq. It. E.D.R. or sq. Ine. W.A. Leeder erea Required cq. It. E.D.S. br sq. Ine. W.A. Leadar erea
FL oRvom Lenpth ? Width /p Halphl fl.M, Roan Lenplh p13 Witlth ? HelyNt
Windows a nd Doors -Crecka ge and Area Windaws'a nd Daors -Cracka ge and Area
No.
a sne Haiphl
ol 02,6
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le Aq
1n9e1 11.
L
ol ciack
Aran
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'
No.
Wulrh
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IV
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Exp, well Exp, well
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Int. wail Inl. wnll •'
Ceiling /(op 7Q CeIIInB
Floa 5 K io«
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Naqufrad sq. Il. E.D.H. or eq. Ins. W.A. Leader erea Required ep• Il. E.D.R. or sq. ins. W.A. Leader aree
/PI. / Vl Ropn lengih ?? WVdlh / Helpht g. aF1.m Hoom Lonplh / Width /Q Naight ?
Windows and Ooors-Cracka ge end Are a Wi ndows a nd Doors- Cracka pe and Area
N0.
- ?dih
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II ?t Uneol 11.
ciack ?re.l
t. IL
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ul nn Hwphl
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?. 11.
?o 1? 1 28 d3
ao ? o ?c aa ? -
' Coel B lu Coe? B W
INihralivn ?? c`7 q'J 6 Inliltrntion p
Glesa [17 p Glese 1160
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Inl, well Int. wnll
ca+rna ., - ceirne 50
F low 5 F I(H)v
lotal etu. 5 ,ot" siu, . i
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NEAT IOSS CALCULAtIONS
• ?
HEATIIIlG A A O DITIONING CO. MINNEAPOL15, MINN.
Weethsrsirlp? A.S.H.V.E, Conatructlon No. Insulatlon
y???Wg p?$ Guide
ilelera p?, yyall Inl. Wall Callinp Rouf Floor Kind How Applied
Yes-No
Yas-Nu rcs
?g?_
'
•
•
? FI.?. GJA E? Room Lenpth l? Wldtb Hsiphl a FI. Noan Lenplh ? Wldth ri Heipht Q
Yiindows a nd Doors-Crackape and Area Wlndows end Ooors-Crackage and Area
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li hp l?n?el 11.
1 r Men
?. 11. .
.
No• ti
o I?i? 11oi0h1
of ene Nn, ol
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af rs Awn
sq. Ib
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Nat exp. well
Net eKp. well
(c ?i
a?a0
• Int. well ' Int, well
Calllnp -7D CeII1n0
Floa • s
TotelBtu. Floor ' S
Tolel Blu. ??.
JJc"
Required sa. It. E.D.R. ar sq. Ina. W.q, leader erea Neqvired sq. It. E.D.P. br sq. Ine. W.A. Leatlar erea
FI. LL Room Lenpth Width Haipht a Fl. r-D ? Room Le?pth /? Witlth Heiyht ?
Windows and Doors-Crackape and Area Windows and Doors-Crackage arfCArea
Ha. W?d?h
o? e?e Heiobl
ol ?na No. ol
h Au 4ntel h.
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o. p. •
NO• Wullh
al ene Hwphl
nl nnu No. of
h hu l nenl h.
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ev. 4.
3/
Coel Btu Cool BIu
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Gless ? Gless ,3/ ? Ir65:IcI
Exp, well EHp. weli
Net exp. well Net exp. well
Int. wall Int, wnll
CB11inB a Celllnp
Floa Flow 5
fotel 9tu. Tolal Blu.
Required e4. It. E.D.N. or sq, in5. W.A. Leeder area Required aq, tt. E.U.R. vr sq. Ins. W.A. Lceder area
?41.3SD a Room Lanplh Wldth /3 Heipht . FI, flopn Lenpth Widlh Haipbl
Wi ndows and Doors-Crackage nd Area Windows and Doors-Cracka ge and Area
No. y;?d?h
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. 01 enr Na. of
11 hts l?neel 11.
of •ref? ?un
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?
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Inl. well Int. wnll .
Ceilln0 t C.eifinp .
Floor Floor
lotal tl1u. To1a1 Blu.
NbquireJ Sq. tf. F..p.Fl, of 56. in9. W.A. L>aJe, oiuu ' Avqiii?rd 1,1. it. E.O.n. oi sq. in..'N.A. lcadur aaa
,t-6°
D?w 2005 RESIDENTIAL MECHAPiICAL PERMIT APPLICATION 3? • S?
City Of Eagan
3830 PiIof Knob Aoad, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
nate I_ i A5 i o5
SiteAddress "7l?0q Unit#
Property Owner M, KLI.(11 p e. Telephone #((p-rj I) a S 3- ? 2.5 L`3
Contractor 1 N .yl G.r'4(` Q YNc?
Street Address I (tX? 1 ? Q)aD na ¢_0_. r-, 5"r WrG City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on ar atteration to existi ng dwelling unit $ 30.00
fumace _Additional _Replacement
air exchanger
itioner
aircond _New _ Replacement
?^
?othef lrD'1n6A4
- I-?Paf'an
?
State Surcharge $ .50
Total $ 36-57
AP
,
I hereby apply for a Residential Mechanical Permit and acknowledge 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 oot a
permit, but only an applicatioo for a permit, and work is not to start without a permit; that the work will 6e in accordance with the
a pxoved plan in the case of work which requires a review and approva] of s.
L ?10 Yl ?5 cS?+„n
?LSo r? c? 0 n, ? r? N{, ?7
Applicant's Printed Name ApplicanYs Signature ?(I ?1y17r-,,'
Ifl
"Ji_ 2 9 2QOS
??.
f;y
2005 COMMERCIAL MECHANICAL PERMTI' APPLICATION
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindus[rial buildings
multi-family buildmgs when separate permIIS are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applica6le) Previaus Tenant Name
Property Owner Telephone t7 ( )
Contractor
Street Address CiTy
State Zip Telephone # ( )
Bond #: Expires:
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 insta!ling/removing underground fank, ca!t for inspection 6y Fire Marshal artd Plumbing lnspecfor
Pel'miY Fees: $70.50 Underground tank installationlremoval
$50.50 Minemwe (includes Stace Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If pe rmit fee is $1,000 or less, add $.SD =:> $ State Surcharge
If Qe rmit fee is over $1,000, add $.50 for
every $1,000 oermit fee $ Totat Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge 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, hut 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.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan, Permit Number: EA100939
Date Issued: 09/12/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4604 Parkcliff Dr
Lot: I Block: I Addition: Park Cliff
PID: 10-56700-01-010
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Jon Post
1408 NORTHLAND DRIVE
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Valuation: 6952.00 Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Sedgwick Heating & Air Conditioning C 1olichael loIcnamee
1408 Northland Drive, Suite 310 4604 Parkcliff Dr
1olendota Heights NIN 55120 Eagan NIN 55123
(952) 881-9000
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
DRTE tiS,- G- i,
TIME 051.~a::
FUEL Mat GIs
COMBUSTION
Oz % y,_
F. O Z %
•
Inc ppm -y
FLUE OF 93A
!MET OF 74A
NETT OF 19.2
SFr U°•:ur 55.2
LOSSES 10.6
XRim • 07.5
CO/C02 0.0003
CO RIR FREE 45
customer 0
NSA; a • • a • a
v e a v• a a s r a a a
4111111/
City of Sagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use G�
Permit #: k 55,3
Permit Fee: \ `- ,Do
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S /3 Site Address: . / Unit #:
Resident/
Owner
Name: /Ac_ /'r& /14s.., ,c c . Phone: C 5'1- to F'G - 9'9Z3
Address / City / Zip: 46 o 4' Poex 4/; fie Di -
Applicant is: Owner X Contractor
Type of Work
Description of work:
Construction Cost Multi -Family Building: (Yes / No )
Contractor
Company: '7;5' erAfro eii ij Contact ..-/aA., ��Adt► %eiie•`
Address: 3--g 12 Ca 11.7,..,10,-,, 441 S City: 117,0 /s
State: 11/N Zip: 5-5—L1 /) Phone: 6 / Z - Z 05 - 4',3.- —7-7
License #: ;,EC 00 9/ 3 '7/ Lead Certificate #: !(/AT , f Z t/ 3 t g -1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
-� ISL.), 4" I t-)
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 maybe 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.aooherstateonecall.orq
I hereby acknowledge that this infonhation 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 2eZAr► . < e,Aor►.c. cA •"'
Applicant's Printed Name
Ap; T ant's Signature
Page 1 of 3
L4(Q0 4 Pa.rkcl-lf f Dr.
DO NOT WRITE BELOW THIS LINE
/./553
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
r Deck
Lower Level
Porch (3 -Season) _
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
Interior improvement
Move Building
Fire Repair
Repair
V0
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough in Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
_ 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
-calf
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 Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
N75n1
e
FOR:
PLAT OF SURVEY
LECY CONSTRUCTION
LOT 1, BLOCK 1. PARKCLIFF, DAKOTA COUNTY. MINNESOTA
` 0
0
47tni/a,, 11
4&4b P.,467./Ate,
4(246 1 .. `f"-
O
Bench,-J^,er , saw, is r
e/fdafia.7
/074..7 ho/e.
poi.
ttocir
COUNTY ROAD NO. 32
�9
re�a,`oatl ELLS /' /70. 30
w '
a
•
dra /net ge
• ease/979n f
(:1°08.95.)
• 00
N.
o40.o)•
0 (ort:
IF(613
.
i
iQ,n`ng
vial'
44)
•
LEGEND
995.77
•
O�i
. (1°c8
O Iron monuments
{ ) existing elevations
proposed elevations
direction of proposed
,e)
C
xSi
•9
tele
1c 1i8)
frn«
tt4
surface drainage
sa
/
0
/ID
•
(984 o}
PROPOSED ELEVATIONS
Y012ail
t1
lowest floor
garage floor
top of foundation
Note: Only copies which bear an embossed seal are certified copies.
z1I Hansen Thorp
--7)Pellinen Olson Inc.
O Consulting Engineers & Lend Surveyors
7565 Office Ridge Circle
Eden Prairie, MN 55344.3644
1512) 829-0700
I hereby certify that this survey was prepared by me or under my supervision
and that I am a duly registered land surveyor under Minnesota Statutes Section
326.02 to 326.16.
Date:
—87
Registration No.
File No.
87-031
Soak - Page
39-2(0
Scale
30
Date:
City otEaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Pe\\°11 rmit #:
2-L...0'
l[ -I -1d
Permit Fee:
Date Received:
Staff:
2013 REST TIAL BUILDING PERMIT APPLICATION
Site Address:
Name: /141/x4 /41d ./,i,. , t 4
Address/City/Zip: 4/4 Q hi P/F� .�fL
Unit #:
Phone: G S/— 6Ts 6 — 99z3
Applicant is: Owner X t'tractor
g'tPsbC. £c/c oder-t 7AfTt2 At000rr" -- 12ZAL/4Gc. 0 t.cie,, .' - ERow
Description of work: kg pcsysif Poor„ F pass OW qac i sryiv 4/- 3'i r►so.v paiec 11/
Construction Cost: 1* 37S-4 Multi -Family Building: (Yes I No X )
Company: {/Sea.Avrot pG7 /v6- Contact: 730 5.-4614-7.4> "frp,ocsed (-7
Address: 5-2 / Z. (_'oc HM/as p. $ City: i -"7 -1..... -
State: I41N Zip: Sr S/ / 7 Phone: lP / 2 - Z®5 - 4 S 7 7
License #: /J C c' O 9/3e/ Lesd Certificate #: r - / 2 Si 3
If the project is exempt from Igad certification, pi
P051./g7 ;
explant why: (see Page 3 fir
ditional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
In the last 12 months, has the City of Eagan iced a permit for a similar plan based on t faster plan?
Yes No If yes, date and address of mgr plan:
Licensed Plumber: Phone:
Mechanical Contractor Phone
8 Water Contractor.
BUILDING
CALL LL; EFORE YOU DIG. CaIRGopner State One Call at (651) 45401114 for proteclien ags t under round utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000heretateonecallord
Iacknowledge that this information is complete and accurate; that the yerk will be hi con(onr ence with a ordinances and codes of the City of
Eagan I understand this is nota permit, but only an application fora and work is !igI start whout a permit; that the work will be in
accordance with the approved plan in the case of work which. requires a re ' apply/al of "
Exterior work authorized by a building permit Issued In apoordatoe with 1110111n log Code must be completed within 180
days of permit issuance.
xHa Je.4+44s✓rrpiaG�-r Y/l
Applicant's Printed Name
Page 1 Of 3
L i.va-
(0DLI 196 c � f- ✓
DO NOT WRITE BELOW THIS LINE
S B TYPES
Foundation
Single Family
Multi
01 of Plea
Accessory Building
WORK TYPES
New
Addition
Alteration
X, Replace
Retaining Wail
DESCRIPTION
Valuation ' L, 0 C2
Plan Review
(25%100% )
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (ScreerlGazebo!Pergoia)
Pool
Interior improvement
Move Building
Fire Repair.
Repair
REQUIRED INSPECTIONS
Footings (New Building)
k" Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: ice & Water Final
Framing
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Fireplace: Rough In Air Test Final
insulation
Sheathing
Sheetrock
Reviewed By:
i cli-V
Stone Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Siding Demolish Building*
Reroof
Windows
Egress Window — Water Damage
Demolish interior
Demolish Foundation
*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 i 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 Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
o4i
OO
4.
riL frI Ea.5
/70.30
oono
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Scope of Project
Opening the dividing wall between the porch and the living room.
Create a column look with a arched opening
Refinish the existing walls
Comply with all rescheck values
Open up the walls to install better supports in the lower walls
Remove the old slider doors and install new Andersen windows
Remove the old sliding glass door and replace with a new Andersen unit
Patch the drywall as needed and repaint.
14'-4"
4'-4"
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Removing exiting patio door
and two window.Modifying
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2X6 Trimmers
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LIVING AREA
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Use BLUE or BLACK Ink
_
I For Office Use
ZZ
I Permit 3
City of Ea I
dIl
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
I T RESIDENTIAL BUILDING PERMIT APPLICATION
L/ X2/014
Date: Site Address: L b 6 y Unit
Name: C Q Q.- Phone: 0 / - °Z ~3 -S~ oZ 5-Y
Resident/
Owner Address /City /Zip:
Applicant is: Owner Contra ctor
0` f4_:~
Type of Work Description of work:
Construction C/osMt: Multi-Family Building: (Yes / No
Company: V to IO ,4'l"It'-) ~c wjf R vc- Ji' Contact:
Address: 44` -6 Sc) City: 41A/y,
Contractor State: Zip: S~ ~y V / 7 Phone: G l z U G
License 166 G /f a 3 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
I
Licensed Plumber: Phone:
# Mechanical Contractor: Phone:
}
Sewer & Water Contractor Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co must be completed within 180
days of permit issuance.
x e-ei QJ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
s �
Use BLUE or BLACK Ink
�-----------------,
� For Off�ce Use �
��� ���#,�. � ����I V G�� � Permit#: ��� ` ✓ I
� � /,�/ `� �.
3830 Pilot Knob Road ��N 0 6 241�► i Pe��t Fee:J /�`r[. � �
Eagan MN 55122 I Date Received:
Phone:(651)675-5675 I �/� J I
FaX:(651)6T5-5694 � Staff: '"� j
�--------------- �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION J��
Date ��� //� site Address: ��G°� ��•�x�ei,c� /�;� unit#: i����
�
���� � � g�,�_2
`' ��.� � � � Name: ,a��i�rt ���,�.�.,t��.
�� = � � � �� Phone: �S/� ��fo - 9�Z 3
� �
��a�
�� a�� �� '�'�V Address I City/Zip:_ ���' �/ %�.�x.rG�:r� %�.� .
� r,a� � � , a:;
� �`� �»- �' s� �` �r,_
S�� �= � � ��,�� ,�r� Applicant is: Owner X Contractor
� -, ,
� `�
€ �=��-�� � w� � F�
� $ y� '�r � Description ofwork: i!/��. s'7nsrrs .�'�sz. iws»�•.�= ;S�'f�J��r'�c,.pt.� � f��.�:i.�v� ��v
�s�»�'�
�"� �� _� � 4=
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{ , �������,, Construction Cost: � �c>l�� a�4`�
.� .� ��� `��� �, Multi-Family Building: (Yes /No X}
� �� �� ��� ,..-----
r� � x � =� � � ., Company: .,r �7sc��.,. ��.�.,2,�zr����-
���� � � � � : Contact: '.To�� ����f r,,.�C.�rr
�� � ��� � �,� �
s � � � ' Address:_ S1�/' 2 � f � ,/�7��.�.
, � � .� : �, �!k :
, 4� �..-.. �.. Clty: .�,fl/�-
4h
�}� �. � ds � �,, .
fl � � � �
* `r$' �;���: ��, �� State: lyi:,v Zip: S�S��'� Phone:�i�Z°Zt�S'- Sr��mail: a"'e>�-v
�' , S��/��� �.+a�2T/lC��v.0.�1/c
'+�c `��"�'°`�� ��-�, �
� �,=�. �`z`��� � ;�� License#: i�3 C�c� �j��3 LJ' �r�� �'
� Lead Certificate#: ,,t��► Z- 3 �&° /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
>����T 7 F �l�l �� $? �
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 _N� If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer�Water Contractor: Phone:
� �, i ,�� � �� � s� x � � �;" =r�
,�
w � �
r" r. ����1'. � � ,�� � � �r's �w'� _4 ;r� . 55w������� �* � `�4��� ����'�.
t s � � N� 5h � :.) �, z) � a�+ F,:'�� X- �' '�� ���-��
_ � t 'i � �... � R j" ,�: �. .d� r s�
,.4: c, ,� nc At �"r'v, 2 4_ ��; � -�d���eh�_a�.� .--Z`�'ln 9� �.;.
-= s �w. . _ ;: ^ . .5, x _ .. ..,. ., ., ... ,..:_ ..-a .c `- , .._. . . �. �N+� .' - ^i
CALL. BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utilityr damage. Call 48 hours�s
before you intend to dig to receive locates of underground utildies. www.poaherstateonecall ora
1 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 1 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 wiil be in
accordance with the approved pfan in the case of work which requires a review and approval of plans,
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Cqde must be completed within 180
days of permit issuance.
X�,l CG.:,✓�v ✓`%•ts+a.�i s•i/�'7 i2 L/-��� X �'�—� a
Aool�cant's Printed Name Anol' nt's Sianature
� � ���� ������ ��� a ���`��
DO NOT WRI1E BELOW THIS LINE
SUB TYPES
_ Foundatian Fireplace Porch(3-Seasoh) � Exterior Atteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Muiti)
_ Multi _ Deck _ Porch(Screen/Ga2ebo/Pergola) Miscellaneous
_ 01 of,_Piex _ Lower Level _ p�� _ Accessary Building
WORK TYPES
T New _ Interfor Improvement Siding Demolish Building*
� Addition Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ �ndows Demolish Foundation
_ Replace _ Repair _ Egress Window Water Damage
` Retalning Wall *Demolition of entire buildin
g-give PCA handout to applicant
DESCRIPTION
Valuation L��� Occupancy �' G-�, MCES System '-'-
Pian Review Code Edition o1� SAC Upits
(25%_ 10p%� Zoning ^/ City Water --
Census Code � Stories ---' Booster Pump ""'
#of Units / Square Feet �p _ PRV -"'
#of Buildings � Length �!_ Fire Sprinklers
Type of Construction �_ Width J� �
REQUIRED INSPECTIONS
Footings(New Building) MeterSize:
� Footings (Deck) Final/C.O. Required
� Footings (Addition) � Final/Na C.Q.Required
Foundatian HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool; Footings _Air/Gas Tests Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_8ackfill Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /4 3 �
Surcharge
Plan Review G J ��
MCES SAC
�ity SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. _
N�sm .
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PLAT C3F SI�RVEY
F{3R; LECY C4NSTRUCTI4N
�OT 1, BLOCK 1, PARKCLI�F� DAKOTA COUNTY� MINNESOTA
� CQUNTY RtJAD N0. 32
E�O��N
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LEGEND �(�p0$ xg� PROFOSED ELEVATIOMS
o lran monuraents '°°¢3 lowest floor
0
f } existing etevattans � a�zo garage ftoor
�� proposed elevatlons �orz.� top of foundatfon
r-�... direction of proposed surface drainags
Mate: Only copies which bear an embossed sea! are ceriified capies.
Z� I Hansen Thorp 1 hereby certify thet this survey was prepared by mc or under my supervision File No.
� and that { am a duiy registered tand surveyor under Minneaota Statutes Section 87`031
� P@II11'lefl QISO�I II1C. 326.02 to 326.16. Book-Pege
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p � Cortsulting f ngineers& l,and 5urvayon 3�'2�
7585 Office Ridge C�rcle
Eden Pra�rie,MN 55344-3644 $CaIB
t6�2�szao�oa s /.�13,7 �•� �
Date: c�� '�7 Registration No. =3d
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153122
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 4604 Parkcliff Dr
Lot:1 Block: 1 Addition: Park Cliff
PID:10-56700-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
C Michael Mcnamee
4604 Parkcliff Dr
Eagan MN 55123
(651) 253-8258
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature