4607 Parkcliff Dri
? CASH RECEIPT ?
_ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 11 1 19
RECEIVED
FROM
AMC, IT $ I
?
& DOLLARS
too
E]CASH CHECK
t
FOR
? ??_ ?/ ? ' +I. _ ?{. . •
BY l.<- Cf
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
ThankYou
BLDG: PERMIT N0.
. • ? " ?? -:? ? ?-?t., ?,r
,
-;-.
--
01--3210 Bldg. Permi
Ol - 4+22 Plan Check
01-?445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
1$eltle l
0 CASH RECEIPT ?
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
I
DATE
19
rtacKIvao
PROM p . ? AMOUNT $ .
& DOLLARS
?oo
? CASH ? CMECK
roa E ! ?
?--
1
'
PUND CODE AMOUNT
?
Thank You
B Y . < ; )'i1
? ___? 1
47
` • I White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
. • _ _ „_.._- ? _ ?,,.?""?
CITY OF EAGAN
1 ' 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PH O N E: 454-8 100
BUILDING PERMIT Receipt #
To be used for ''• Est. Value ???• ??j?' Date ?,19
Site Address • ' •?•' " ? O FFICE USE ONLY
; t";i, IFF' Af?f ?
Lot BIoCk Sec/Sub. On Site Sewage T Occupancy
MWCC System _ Zoning
PBrCBI No. On Site Well ? Type pf Const
City Water (Actuaq
s Name y3s ' 307.? _
(Allowable)
i , •I -i3 - -?
Address # of Stories
Len
th
;
° g
CitY Phone DePth
S
F
Total
, p Name .
.
Footprint S.F.
? ? Address APPROVALS FEES
r- City Phone Assessments _ Permit
'
? Q WatedSewer _ Surcharge
F W Name Police _ Plan Review ?
z
Add Fire SAC
City
_-
? ress ,
t?
cc
z
Ph
Cit Engc SAC, MWCC
,
u one
Y Planner WaterConn
_
.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg Off• - Road Unit
that the information is Correct and agree to comply with all applicable APC _ Treatment P1 '
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copfes
Signature of Permittee TOTAL
A Building Permit is issued to: `-"` "'", •` ? on the express condition that
all work shall be done in accordance with all applicab,. ttete of M innesota Statutes and City of Eagan Ordinancea
Building Offfcial _
' Permit No. Permit Molder Date Talephone, ?t
P!umbing
H.V.AC.
Electric
Softener
Inspection Dats Insp. Comments
Footings I
Footings II
Foundation
Framing ?
SGG Co r.? ??.+'? s
Roofing 7 (?(
Rough Pibg. 7 . ? ?_ . , •?
Rough Htg.
IsuL
Fireplace ?
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Frmg.
Weli
Pr. Disp.
• _ S . w t`-a.} . , . '
PcHMIT #
MECHANICAL PERMIT , ,r'
?
? , .'v'?l
' ?)
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7-20-97
CONTRACT PRICE PHONE: 454-8100
Site Address
1 iff BLDG. TYPE WORK DESCRIPTION
Lot_ Block
< Sec/Sub
?. Res. X New X
'
CS
4 Mult Add-on
i m .DR2C7
Name FRF
ix4
Address * Comm. Repair
c Ciry _Eage.n Phone 4 92-
2775 Other
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
3 Address 9.S,3 • Ave- ADDITIONAL 50 M BTU - 6.00
p City i-it nnmi nq3-nn Phone (RES. HVAC INCLUDES A/C ON NEW
O
ST
C
N
RUCTION)
GAS OUTLETS
MI
IM
PE
P
(
N
UM - 1
R
ERMIT) - 1.50 EA. ?
TYPE OF WORK COMM/IND FEE - 19io OF CONTRACT FEE
Forced Air 75„,nc)n M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT
PERMIT PRICE GOES
a - .50
Gas Piping Outlets # B
EYOND $? ppp?
Other
FEE 24.00
?
S/C: SIGNATURe OF PERMITTEE
TOTAL• 24.50
FOR: CITY OF EAGAN
I ? • '
,
Site Address L4Lr.1 : 1 +?C
Lot _ Block
m Name - ,
? Address ?
c Ciry Phone ?-
_ Name
3 Address
O CitY Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHDUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.U0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNAYURE OF PERMITTEE
GITY OF EAGAN ?
PEFiMIT # / f U
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? -
PHONE: 454-8100
? ` !? ?- -- ?-?? BLDG. TYPE WORK DESCRIPTION
Sec?Sub ` Res. _X New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
IVO. FIXTURES TOT L
° Water Cioset - $3.00
Bath Tubs - $3.00
?Lavatory - $3.00 ?
_4--Shower - $3.00
_L-Kitchen Sink - $3.00 =
llrinallBidet - $3.04
4_Laundry Tray - $3.00 ?
_LFloor Drains - $1.50
•' ?
?Water Heater - $1.50
Whirlpo4l - $3.00
Z__Gas Piping Outlets - $1.50 ? • '
(MINIMUM - i PER QERM1T)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ? I • ?
STATE S/C: • ???
GRAND YOTAL:
?.,• •
(Itrti#tratit nf Mrruvanr.4
titp of (eagan
aPpal'tmPtlf Df llidbing JttBpPl'ttDit
This Certf:ficate issuedpursuam to ihe requirenients af Serdon 306 of the Uniform Bmilding
Code certi)ing that at the time of issuance this structure was in compliance wtth the varioer.s
ordinances of the City regulating building construction or use. Far rhe follawing.•
L. :
ux cabmficatioo '?CAP eiag. hrm« No. 13, -7 ?.:.
OWUP-r 1YcW ,?? zoning nistricc 1Type conu ?'
Oweer of &rilding Y Addresx `t' •?i? ?+. ?E) 1.5? ' .i?1??? ?::.
Building Address ' . _ •; Lonliry, ?2, ? ? PAP;= ;.':
Date:
Buildiag Official
POST IN A CONSPICVOUS PLACE
CITY OF EAGAN Remarks
Addition pARK C'T.IFF AflDN. Lot 2 Bik 2 Parcel 10 56700 02n 02
Owner 14?+- sireet 4607 Park Cliff Ilrive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F:
STREET RESTOR.
GRADING
SAN SEW TFUNK -
95 28
-
*SEWE
R LATERPI?
WATERMIN Z
*WATER LATERAL
WATER AREA
STORM SEW TRK ? 610 1981 502.04 33.47
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
?
G` CITY OF EAGAN
= 3830 PYot Knob Road
P.O. Box 21199 ?
Eagan, MN 5021
Zoning: F?
Owner. D. N-
` Address:
' Site Address: '-4 b07
Plumber. SLAtf
?
` I ayree to coinply with the CHy of Eagan
? OMlnances.
?
By
Date of Insp.:
Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: i () 0 1`
DATE: 7-7r87 ?
No. of Units: 1
1QO.OOpd
Connection Charge: S? Q0113d
Account Deposit: 7 Cl0pd_
Permit Fee: 10 (]AnA
Surcharge:
Misc. Charges:
Total:
Date Paid:
?--?•°-?r??--r t.?r
CITY OF EAGAN Permit Na Date: 1- 7 -1"
? 3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 • Reader No: Date:
. Eagan, MH 55121
Owner. •• Const.
SiteAddress: 4647 Park Cliff ''rlve L2 !32 °arz. Cliff
Plumber State Mechanical
Conn. Chg: -525• 0 d Zoning: ?
Acct. Dep: :0?o No. of Units: 1
Permit Fee:
Surcharge: • 50pd I agree to comply wRh the City ol Eagan
Tr. Plant I 0• 00pd Ordinances.
Meter. 67-Wn.!
nnisc : Br
WATER SERVIGE PERMIT
CI1'Y OF EAGAN Permit No: `-Dste: 7-7'87
3830 Pllot Knob Rmad Meter No: 3 51/ ? Size:
P.O. Boz 21199 Reader No: 6 2° ? Date:
Esyan, MN 55121 ?- '
Owner. . . , I . :-on.,a t .
Site Address: 4607 Park Cl if f T3rive L? I32 i'ark Cl if f
Plumber State Mechanical ?
. 1
,,..., r•ti,.. 525 . OOnd IIAUNW. T ? !
Permit Fee: lu . 0vpa TFI CDUnhr - -'.--1 •?""c"p
Surcharge: • So `i `a9jM reelowitl%he vEagan
Tr. Plant T9. ?i0pd ??d?c e?W 0
Meter F, rn I A/
Misc.: -Ii4a,;ZL= By
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHON E: 454-87 00
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $$1,000
SiteAddress 4607 PARKCLIFF DR
Lot z Block z Sec/Sub. PARK CLIFF ADD
Parcel No.
a Name D.N.CON
w
o Address 9870 W 1615T ST
City LAKEVILLE phone 435-5249
?
o Name
.
z?
?Q AddrB
? City_
t?
? W Name
W w
?
i? Addre:
U
aw CiItY_
1 here6y acknowledge that I have read this application and state
thattheinformationisco ectandagreetocomplywithallapplicable
State of Minnesota Stai es and City of Eagan Ordinance?
Signature of Permittetaco?rdagnce
A Building Permit is issu : D.N. CON
all work shall be done in with all applica6AState of I
Eagan, MN 55121 N_ 13797
Receipt# 14 W-5
Date .IUNE 19 19 87
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCCSystem X Zoning R1
On Site Well 7ype of Gonst
CayWater X (Actuaq
-
-
(Allowable)
0
# ot Stories
Length 48
DePth ?B
S.F. To[al
Footprint S.F.
APPROVALS FEES
Assessments Permit 437.00
WatedSewer _ Surcharge 40_ SO
Police Plan Review g1 R_ SQ
Fire _ SAC, city 7 nn _ np
Engc SAC,MWCG -525._QO
Planner _ WaterConn. 529 00
Council _ Water Meter 67 _ f10
I BIdg.Off. = RoatlUnit ?f75_O0
I APC TreaGnent Pt np
i Variance Parks
Copies
TOTAL $2, 3_28_DO
on the express condition that
AinneNta Stputes and City ot Eagan Ordinances
Building Official _ D&/ ?8! & ..?
r
?1_??I -7 REQUEST FOR ELECTRICAL INSPECTION ee/-oo/oai-os
It See inetruetions for comolelin9 this torm on beek
r' r ot vellow copy. ?c,>CVCCJ
x(j p-7 q "X" Below Work Covered by This Request
NwAp.Adl AeD.I Tvoa ol BuAtlina 1 Aoolianeea Wired 1 Eqmpment Wired 1
L I I I Lommercial Bldg. 1 1 Fumace 1 1 Slo Ur??oader _J
?I Industrial Blda. Av CondiLOner Bulk Milk Tenk
p Fee ServlceEmreneeSize k Fee Feetlers/5ubieede•s p Fea Circwts
U to 200 qm s 11 ? 0 to 30 Am s 0 tn 30 Am
Above 200 Q 37 to 100 Amps 31 to 100 Anys
Swinxnin Poot Above 100-Am s Above 100_Am 5
Transtormers mgation Booms Partial.'Oth
I I _. ?Signs ISpeaal InSpection JS/?t ?ITOTAL(F E?,i??
`?emnrks ?D 4 /n
nal
I, tne Elecin?gj/
Inaoector, heraey
certilV ' het the abov
insoection hes baen
mbrepuent
This reque;t Wid
18 nvnihs /rom
C- 8 68 74?
Hequest Date ' Fre No. pough-i ?Iwspecuon
fley uved?
?eady Nuw
l Nouty InsGec-
.?Vec nNn tor When N¢atly
WLicensed Electncal Convactor I hereby repuest inspection ol above
? Owner elec[ricel work insfalled et:
Sveet Address, Bax o?r vute No.
G ?`d ri6r L
;Z
F
(:i
? ? CitY
?
!
?
I
, . u ?
ecUOn o. Township Name or No. Nange o. County /
v..?ci T?.
Occupunt IPflINTI Phone No.
r? r?scA a? - b7
er
Power Su y)?i Adtlress ,? S v) ?
?
Ch
Elecirical Convactor ICompany Name)
1 Contrer.tor'S License No.
.
??c, k?Cc ? !?i ?
CII) `-l ?' a
Mailing Atldress IConiractor or Owner Making Instailatwnl
'?/
4/(733 C
s
Authorizetl Signature ICoMracto Owner Maki g(nstal tion) Pho.e Number
MINNESOTA $TpTE BOARD OF ELECTRICITY TMIS INSPECTION PEQUEST WIIL NOT
Grippe•Midway Bidp- - floom N-191 gE ACCEPTED BY TNE STqTE BOARD
UNLESS PNOPEp INSPECTION fEE IS
1821 UniveraftvAVe..Bt. ieul, MN 56704
Phone(612)84Z-O800 ENCLOSED.
o L W , ?--? -- ?
RESIDENTIAL S.5
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
Z-o U? 0 3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-881-4675 ?j
New Construc9on ReauiremeMa RemodellRauair Reauirements
• 3 registered sNe surveys showing sq. ft. of lot, sq. ft. of house; and all roofad areas • 2 copies of plan
(20% manimum lot wve2ge allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior addilions & decks
• isetofEnergyCalculations • Indicateifhomeservedbysepticsystemforadditions
• 3 copies of Tree Preservation Plen'rf lot platted after 711193
• Rim Joisl Detall Oplions seledion sheel (bldgs wiN 3 or less uniLS) ?
DATE C_.-- VALUATION
SITE ADDRESS I?L-J C) PQ 2 K CI F?/? ' MULTI-FAMILY BLDG _ Y ?Id
TYPE OF WORK FQ d'C'SS W 1nrC?f?W (/ FIREPLACE(S),,--0 _ 1_ 2
APPLICANT
STREET ADDRESS / DU<)
TELEPHONE #6 4,26f/203-)? 9
PROPERTYOWNER 6rCcr l/e(SoN TELEPHONE# '2"L9-671""
,---------------------°----------------°°°------'--°-----------------'--°°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RiJLES 7672
(4 submission lype) • Residential Ventilation Catagory t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mcchanical system includes:
Sewer/Water Contractor.
_ Air Condilioning
_ Heat Recovery System
----------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the i
with all applicable State of Minnesota Statutes and City of Eagan Org!
Signature of Applicant
OFFICE USE ONLY
_ Waler Softener _
Water Heater _
`'o. of Baths
_ Phone #
Lawn Sprinklcr
No. of R.I. Baths
Phone # _
Phone # _
-------------
mation is cd
Fce: $90.00
Fce: $70.00
MAY 0 9
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ CELL PHONE # QJ?2*5?101'2 Co FAX #
OFFICE USE ONLY
? 01 Foundation ? 07 05-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
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ 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 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatian 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) FinallC.O.
_ Foo[ings (deck) FinaVNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumhing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
2? -UC7
Building Inspector
eoooN
. a
1987 BQILD TIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IHCLIIDE 2 SEYS OF PLANS, 3 CERTIFICATFS OF SDSVEY, 1 SET OF ENERGY C9LCOLATIONS
NOTS: ADDRESSES FOR COENEH LOTS - COHT@ACTOR/HOMEOSINER MIIST DESIGHAYE WHICH ADDEESS
IS DESIRED. NO CHANGES WILL BS ALLONSD ONCI3 BDILDIAG PfiRHIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENT9L DHITS FOR SALE DNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SDRVE'Y - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS -
CO[?B?RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: S5tl. ?, Valuation:
53te Address i? /?} I??C(!,(.J??
?/Z, ?
? ?C?lrU.ili Ddte:
Lot ? Block Q On Site Sewage_
MWCC System ?
Pareel/Sub Z?.?? 0/;r-? ? On Site Well
City Water ?
Owner .Q,z)Ct9n/T.
Address
City/Zip Code _T ,(q,lr,2,f(c
Phone y,3 J'? ` ?5aa7 `?? 9PPROV9LS
Contractor ?j,y'C 0,J
Address „s s9dovc
City/Zip Code
Phone ??y-
Arch./Engr.
Address
City/Zip Code
Phone #
?
ING PERMIT PLICA
Oecupancy fF- 3
Zoning g I
Type of Const
(Actual) ?
(Allowable) ?
A of Stories
Length Qb
Depth So
S.F. Total
Footprint S.F.
FSBS
Assessments Permit ? 37
Water/Sewer Surcharge Qp.=.° '
Police Plan Review 1 g. S_
Fire SAC, City Ico -_
Engr SAC, MWCC S25
Planner Water Conn 5 Z 1-:? .
Council Water Meter (o-7
Hldg Off Road Unit 'j05.
APC Treatment P1 .?
Variance Parks
Copies
TOTAL ?
- :ti ? .
2cox 4??dpl.;124e?, ?< 7,z3??- ?.
*
--
2?1
a y
°o,5 z?5
- - -- ??
RO p ` C0HSUL71H6 EH61NEf95, . ' 3
PIE NG1NEEf?ING PLRNNE95 and LAHD SUAVEYOflS
COMnANY, INC.
Brn.r bfi'
iRGe zf
Acme M&4ze-co.A
?1000 EAS7 I46i1 S7AEE7, 4UAN5VILLE. 111NNESOTA 5-4337 pH 4Z2'3060
C?r?Z?Z ccz?e Sx.??Ye c?
L072,BLOCK 2, PARKCLIFF,
" DAK07A COUNTY, MINNESOTA
W
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(R? 579 9
78: 3 „
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DENOTES EX15TiNG F1FVqT10N
(IoN.q )DEJOTE5 PRoR7SED Et.EUAl10N -
WpICA S D1R6C-770N 097 SUFF?iC.E
?J DR.4INAGE
1oi5.'y3 r F11YtSNED GARAOE FLSDOR ZC..€Vsj7tON
?.
<<:
$.-
I her:by carlify that thia ia a t:ue and correct npreaentation of a?tract, of _
land as ahown' and deacribed hereon.• Ae preparsd by me on this
. 1987, . - ..-::
. ?.,f na., l?es. .No. ;/Go8'r
•
;.P --
(iob-A )
r[Ojo;6'-
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1?y15
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?
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- -o
J. V'.? ? Zhr
6
Np-
,
8 A,4 Lc : 1
30' FRON7 6urc.oiNc
SETBACK t-ll`dE
DRf1lNA3E ANG U71UTY
EASENIEN T
/
?--
;
.
L, 2 13"?- ??1??+-!?I=
''• "?' k?:?t := . EXTERIOR ENVEIOPE AVERAGE "U" COMPUTATION
. :.i'..
OWN[R; '
SITE ApDRE55:
CONTRACTOR: I
DATE:
DETERMINE YIORKING Sp,UARE FDOTAGE OF EACH:
PHONE:
1. 70TAL E%POSEb WALL AREA, , , , , , .. sq f t x
2. TOTAL ROOF/CEILING AREA,,,,,,,, L3 L? sq ft x"U" 100? - 3?1 2Z
3• TOTAL EXPOSED IJALL AREp CALCUlATIONS:
Total exposed wall
area above floor,,,,,,,, lt([•33 sq ft
a)., Total wali window area: --tr
glazed...... sq ft x '-U-' ,•?(?/ * ?•33
glazed...... -? sq f[ x "U" - _ -"
b) Total door area ,,,,,,,,, -57 °.<3/ sq ft x"U"
c) Total slldtng glass door area:
9lazed...... sq ft x -'U-' y7 e 1 )So
glazed...... -' sq ft x "U" ?
d)` Total flreplace wall area sq ft x"U" m
e); 7ota1 wall framinq area
(Averaqe lOR)........... 14 Cj sq ft x"U" O 9'Z,- = 13 eZS
f) Total net wall area above
floor (Insulated)....... sq ft x"U" ,? 43 = 1-1,2B
g) Totai rim Jotst area...... J(o p sq ft x"U" ? b y ? = 445 G
Total foundation
area (Exposed),........
sq ft
h) 'Total foundatton
wtndow area............. ?? t4 y sq ft x"U"
t) Total net foundatfon
area above grade........ J I?I ? sq ft.x "U"
TOTAL a) thru t) s..260,7
If Item F3 Is the same as, or less than item N1, you have met the intent of
2 MCAR 1.16008 A and 0.
Page"1 ,'
i
/
%
?
? ? .
4. TOTA! EXPpSED ROOP/CEILIHf CALCULATIONS:
I
.( }
k)
°?
4. 1)
Total exposed
roof/ceiling area........ I '?S j lp sq ft
Total skyltqht area......,
Sq ft x "U" ?
Total roof/cetlfnq framing
area (Averaqe 1113,),,,,, ? 3Z sq ft x"U" ?y = S,Z?
Total net insulated
roof/ceilinq area....... sq ft x"U" , L);?$
TOTAL ) h
1 t ru 1)
If total of N4 is the same as, or less than N2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDIPIf, ENVELOPE nESIGN
To utilize the tota) envelope system method, the values established by the sum
of ttems N3 and H4 shall not be grea[er than the sum of items N1 and 02.
?. 2 ?4v. Co C? + 2. .3U. 2.Z
3. 79 +
' C E R T I F I C A T I 0 N
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the bufidinq here described meets or exceeds the Sta[e
of Minnesota Enerqy Conserva[ion Act.
Slqnature
(Date)
Page 2
s' ? X/A '
y 1
i
? I
? i .
4 ?
? i
? I
M57RUCTIDN
ANING SECTION:
WpLL SECTION (INSULATED)
R VALUE
--(1 Inter(or alr fllm O,6R
--?2
-{ 5
-{F+ Extertor air flim 0.17
TOTAL R = 2, ',.o?
u a t/n = , 0?3
RIM JOIST SECTIDtl:
?
i ?
I
?
,
F?
- ----(1 interfor air film f1.69
(2 1 . . v
. 3 I• I
h Exterior air film (1.17
' TOTAL R = Q
FOUNDATION INSUI.ATIOPI REQUIRED: '
Min. R-5 on entire wall OR U° 1/R ° -?
p.;,o Min. R-10 down to frost depth
p
A FOUNDATION SECTION:
• 1 Interior alr film f1.h8
`.p.
?'.a• 3 IZ"8w?« t.z?
:.' ,'4r
n °-
'•'
G 4 Ex[erior ai r f i Im 0.17
,
a.
c•
? ? (5
_
Q. ,
TOTAL R = 13!3
g U = I/R ? 07?
T
m SLAB ON GRADE
Ema-? ? ? ' '? . u• ?- ? a
?4, . •• • o• ?, i /l''"
•a.
• '• Heated Slabs:
•?, •.,? '4, Minimum R = 8:5
ed Slabs:
mum R = 6.2
, A?f?.? .',4 ?'n?,•..??a'f
4?t1? , p'. '?•? ??Si.? 'g? ?
I. 4 V
•4 ,. Q ,Q,•1V•
.d?•. .?.4? ',,.?'?
% Page 3
U - 1/R s ??`?
CONSTRUCTION LL r?',
CEILINf SECTION (INSUIATED):,
1 Interior air film, O•F1
Z ?-115{o
3 1 - 3 £3 -.--Its?
4 Exterlor air film still) f)•
TOTAL R = '3?
Um 1/R=_Lb?
? ¦
,
(I
?i
I
G
C,EILING FRAMINf, SECTION:
1 Interlor alr film
2 S/c--, 5=725 f-r-? c? • o?
3 T-2 1c? ? 9, oa
4 Interior air film still 0.61
5' inches soft wood ?J.3S
TOTAL R = ?.3
U= 1/R= ,Q
CEIL RdG SECTION (INSUTATED):
1' tnterior air film n•61
2
3
4 Fxterior air film still 0• 1
TOTAL R
U = 1/R =
VENTED
CEILIN(; FRAMINf, SECTION:
1 Intertor air f11m 0•61
2
3
4 Exterior air film still n• 1
5 Jnches soft wood
TOTAL R
U = 1/R ° _
iL
1 Inside alr fitm n•Al
2
3
4 n.17
5 Ou[side air film
TOTAL R
U = 1/R 1L
Page 4
f f ?' • ?/
r.? ti;: ?' GUIDELINE TO (R) FACTORS FROM ASHRAE MANIIAL
?
? OF TYPICALLY USED PROOUCTS
AI' R FILMS
,
(R)
SHEATHING
iq
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94
Exterior Air Film (Walls) 0.17 1/2" Plywood Sheathing 0.62
Interior Air Film (Vented Ceiling) 0.61 1/2" Particle Board 0.66
Exterior Air Film (Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32
Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior Air Film (Non Vented) 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
Plywood 1/2" 0.62
BLOWING WOOLS Plywood 3/4" 0.93
Approx. 3" 9
00 Sheathing, Reg. Density 1/2" 1.32
Approx. 4 1/Z" .
13
00 Sheathing, Reg. Density 25/32"
" 2.06
Approx. 6 1/4" .
19.00 Nail-Base Sheathing 1/2 1.14
Approx. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Apprax. 18" 40.00
Built-up Roofs 0.33
All other insulation materials must Asbestos-Cement Shingles 0.21
be verified (R Factor) Asphalt Rol] Roofing 0.13
Asphalt Shingles 0.44
INSULATION
Insulation: 2-2 3/4" Fiberglass 7,00 SIDIN6
Insulation: 3 1/2" Fiberglass 71.00 Aluminum Siding 0.61
Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1.82
Insulat9on: 3 5/8" Fiberglass 13.00 Aluminum with Backer & Foiled 2.96
Insulation: 9" Fiberglass 30,00 112 x 8 Lap Siding (Wood) 0.81
Insulation: 12" Fiberglass 38.OD 7/16 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Cellulose 37.D0 Stucco (Brown and Finish Coat) ----
Insulation: 12" Cellulose 44.00
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS (U)
WOODS 1 3/4" Solid Core Door .46
w/Storm, Wood .31
Fir, Pine & Similar Soft Woods w/Storm, Metal .26
1 112" 1,89 Pease 5tee1 Door Insl/N/GL 7.45R .13
2 112" 3.12 Sliding Glass Door, Wood .65
3 712" 4.35 Metal .72
5 1/2" 6.87
CONCRETE BLOCK WINDOWS
8" Concrete Block (S & G Reg.) 1,11 A11 Windaws
(Filied with Vermiculite) 1,93 (w/Storms 1" to 4" Space) .56
12" Concrete Block (S & G Reg.) 1,28 Removal Double Glazing (RDG) .55
(Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69
8" Light Weight 2,18 1/4" Air Space .65
(Filled with Vermiculite) 5.03 112" Air Space .58
12" Light Weight 2
48 (Other windows specifically tested
(Filled with Yermiculite) ,
5.82 can use better ratings)
Page 5
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
l) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ,L
*iDTF: PAYMENS OiF FEE AT TiME OF
ArnLscATzorr noEs NOr CONSTITUTE
APPRWAL OF PEFOffT.
nvsnDCrioN oF sDM nrm/ox MOM
INSLarramlONS WIId, NOT BE SCEEU-
ULID UNPII, PIIiNIIT AAS BEQ7
APPROVFD.
,?3 L O G/?- ? ?'I??!( G L /ff .E: ?rifl ?
c SubdiTVision or Tax Parcel ID
.
IF E}QSTING S'iRt'CILR2E, DATE OF ORIGINAL BL'ILpING PERMIT ISS[`ANCE: :
(Mori Year
PRFSENT ZONING/PROPOSID L'SE: Q COARMERCIAL/RE,TAII,/OFFICE
r7 IPIDL'STRIAI,
n INSTI1SPfI0NAL/GOVERMENT
M R-1 SINGLE FAMILY
El R-2 DOPLEX (7.WO Units)
? R-3 ZOWNhi0LSE (Three + Units) ( Units)
q R-4 APARTNIENT/CObIDOMINILM ( Units)
2) ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • m?• N?- Ebr City Use
:f)'% &7L- /I/I CG /f /l N / c-i4 fl1 c Pliunbers License:
ADDRFSS:9??K/a -? 9 S i ft Active
Ekpired
CITY, STATE, ZIP:?„A?K? Not recorded
PHONE: MASTER LICETISE# ? OCJ 6z7/
t.a Aut1a1
41 ??-a«49:1:N• i?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-5) u - ?• •?• :a •v? - ?. - ?.
coNNECxioiv TO ciTr sEmm ? coNrEc.Trox To czTSr wATEx p rnHER •
6) °• •` [? PLEASE HOLD APPROVF9 PII2MIT FOR PICK-OP BY ONE OF ABOVE `-' -- -
? PLFASE MAIL APPROVID PERMIT ZU 1. 2. (p 4. ABOVE
(Circle one)
, 7)
? '?.???.-?,L??iJ,?i?X.2?i? ? ?° 'o2?j d>7
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES: ,
$ $ ld SEWER PERMIT (INCLUDE SURCHARGE)
$
$ ?
/a ' J
WATER
PERMIT ( INCLDDE SURCHARGE )
$ (G 7'U?D $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
+S ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ ? UC? $ WAC
$ ?i:zS 'U U $ SAC
$ S TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL[VK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ? ? / ? - crZ} $ ?/, D 0 A
TOT
L
-7L
?2,P
.
RECE PT RECEIPT °
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION
LIST AS
COLVDITION
, .
A
SUBJECT TO THE FOLL OWIBtG CONDITIONS:
APPROVED BY:
TITLE:
DATE: ?? 7 -,f 7
p3Co\
E :•-
2005 RESIDENTIAL BUILDTNG PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuclion Reauirements
3 registered sile surveys shaxing sq. ft, of lot, sq. fl. of house; and all roofed areas
(20 % maximum lot coverage allowed)
2 copies of plan showing 6eam & window sizes; poured found design, efc.
7 set of Eneigy Calculadons
3 copies of Tree Preserration Plan'rf lol platted after 711193
Rim Joist Detaa Options selectbn sheet (bulldings wHh 3 or less units)
Cc?+? ?1a3-
RemodeURaoair Reauirements Ofice Use Onlv
2 wpies of plan CeA of Survey Recd
1selo(EnergyCalculatlonsforheatedaddNOns Tree Pres Plan Recd
1 site survey foraddHians & decks Tree Pres Required
Addition - irMkafe NonsRe sepfic sysfem Onsite 5eptic System
_Y _N
_Y _N
_Y _N
_Y _N
Date 8 //8 / (DS
Site Address
A4 L-zi
-c. ??7r-? Construction Cost
'7? D.Q Unit/Ste #
Description of Work /y?GQ.J F?114 C fxwo1'/"ZQ
Multi-Famity Bldg _ Y4 N Fireplace(s) _ 0 _ 1 _ 2
Property Owner cd r jo -)? A )4C-> I? Telephone # ((:Z,/
Conhactor
Address ??ps2 TP/`m
Sffite a7 IU c?Vr`?UJ !-?1 /< <. CitY
Zip Sj 3J/ Telephone #(:jj'x)4S`'7 -- 2 8(o>_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIlDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
orkst?
• Residential Ventilation Category 1 Worksheet • NavtEneegy-Co"-W?? c ??
(J eubmission rype) ?
submined i i bmittedv I? r I`5
• Energy Envelope Calalalions Submitted i?-
II 18 2005 J
In fhe last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan2
_ Y _ N If yes, date and address of master plan: ?U, 1
I
Licensed Plumber Telephone # 3yI-?
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, 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.
??nu M 14-k-?1 L3
ppli? canYs Printed Name
Z??
ApplicanYs Signature
?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
0 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 3, d m 4 -
Plan Review 100% or
Census Code ?-3 y
SAC Units
# of Units
# of Bidgs
Type of Const Y
?.. ?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. AIt- SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 WindawslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
25%
Zoning ?-? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
?g Footings (deck)
Footings (addition)
Foundation
Dtain Tile
Roof Ice & Water Final
2?3 Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
REQUIRED INSPECTIONS
FinaVC.O.
?7- FinaVNo C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building 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
4 - '
u
State of Minnesota
Department of Commerce
85',- 7th Place East, Suite 600
' St. Paul, MN 55101-3165
_ _Residential Bui
[eyal Name: .MATHIS VERN L ? ,'
DBA`- . VERN MATHI3 CARPENTRY
nddress: 10725 HOPKINS RD
BLOOMINGTON,` MN 55420
License Identficatlon Number. BG 20201902
License Expiretion Date: 3/31/2006
Department of Commerce Licensing Division
Telephone (651) 296 6319 . E-maii address •ficensing-6ornmeroe@state.nin.us
`
; WebsRe address:' commerce.state mn us.
? Contractor L:icense ? , BueinessStructure.? ?-
? INDIVIDUAGPROPRIETOR ',,, '
4ualirying Person VERN L`MATHIIS
Continuing Education: 7 Hrs CE due by 3/31J2006
7 3(P3 C)
2006 RESIDENTIAJ. BUII.DINri PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone #i 651-675-5675 FAX # 651-675-5694
New Constructlon Reauirements
3 registered site surveys showing sq ft of bt sq. R d house; and all roofed areas
(20%maximum lot coverage allowed)
2 copies of plai showing beam & windav saes; poured found design, etc.
1 set of Energy Calatations
3 copies of Tree Preservffiion Plan if lot plaqed afler 711193
Rim Joisf Delail Opbons selection sheet (buildings with 3 a less unils)
Minnegasco mechanical ventilation form
RemodeVReoair Repuiremmis
2 wpies o( plan showmg foohngs, 6eams, jdsLs
1 set of Energy Calalalions fa nea[ed additions
1 site survey for addiGans & decks
Add'dion - indicate ilorrsife sepGc system
20, e96
affice use anr?
CatofSurveyRecd _Y _N
TreePresPlanRecd _Y _N
Tree Pres Raquired _ Y_ N
OnsiteSepGCSysten _Y _N
Date ) /() 1, Coostruction CosP T060
Site Address po'Y 1? ?AA? LJ''r Uoit/Ste #
Description of Work ZY?Sl C,?` --? c- < ?\Y e?, C( 1>
Multi-Family Bldg _ Y _XN Fireplace(s) _ 0? 1 _ 2
Property Owner C::) Y ch?kN L2 ti ?\
, ? Telephone #
Contractor gV r,n?V 1?l Q ?\ f? lCt ?@ ? flP?C 1 4n
Aaaress 8 1, (k "t,\3 City ?V i?lSv
State Zip ri?;,? Telephone#(95A S?q?- ???}tp
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category . Residential Venfilation Category 1 Worksheet • New Eneiyy Code Worksheet
(4 submisswn type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
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.
Applicaht% Printed Name Applican ' Signature
L1?? , A S ?s GUmtr?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114259
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 4607 Parkcliff Dr
Lot:2 Block: 2 Addition: Park Cliff
PID:10-56700-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Patrick Swanson
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Andrew Kasun
4607 Parkcliff Dr
Eagan MN 55123
Trinity Exteriors Inc
4204 Park Glen Rd
Minneapolis MN 55416
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature