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4616 Parkcliff Dr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - FQr Office Use Permit#: t ~S~✓ [ion City of Ea Permit Fee: I " I 3830 Pilot Knob Road Eagan MN 55122 Date Receive Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I io Z 211 - It 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C --~A d Date: Site Address: Unit Name: CIO66 .y Gtr= Phone: 6S 1 - V5-z- 5-75-7 RESIDENT / OWNER Address/ City/ Zip: 41(06 7A 1ZY.e.L-I Applicant is: Owner Contractor TYPE OF WORK Description of work: jC.kAe--V iLi~'~1a~70L Construction Cost: 1) 000 Multi-Family Building: (Yes / No ✓ ) Company: a✓Att~ `J00t> Ztc~~ 1Nc, Contact: JOB- AP-~,J6 vim. CONTRACTOR Address: \ b- ls- M\q-C- dcity: (l State: I" Zip: ~q Phone: License Zcc>-577 ` 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: 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 the 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.goi)herstateonecall.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 pl in the case of work which requires a review and approval of plans. x x E lit 14 - Appli ant's Printe Name Applicant's Signature Page 1 of 3 q62 1~ ' ' k~I O 7 O NOT WRITE BELOW THIS LINE vv O SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage u Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building I/ WORK TYPES F~f -o 7.x,.1 13 0 7a - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation V u Ok> Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%-~-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Y Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: t , Building Inspector RESIDENTIAL FEES Base Fee! Surcharge l~j~/y~'*~YfM~' Plan Review MCES SAC City SAC f y Utility Connection Charge J S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 - -ji Receipt --' - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numberied spacea S/G Type or Print /egibly Tot. 1. Date 2. Installation Cost ? ;:. . Cl ?f 3. Job Address7 L'I' 0 Lot ---?' Blk. ? Tract '?_'• ` ? 4. Owner r- -f:. 5. Contractor Phone 6. Address 7. City State i Zip - 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New LKl Add D Alter O Repair ? r.. 10. Describe Fuel Type - y:-" I 11' No. Equopment STU - M. Ea. Forced Air No. Equipment CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. ? Mtg. --? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to cnmply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt ?> s a•-? •? - ? PLUMBING PERMIT Permit Na. C1TY OF EAGAN _ Fee Fill in numbered spaces S/C TypB or Print legib/y t T . . o l. D7te 2.lnstal4ationCost 3. Job Address Lot?Blk. Tract;/'? ??- G? , 4. Owner vl? ? 5. Contractor /-a Phone r'- 6. Address ?? .9? ? ?'? ? .S ? ? - - - - - - - - - - r 7. City State Zip ???? .,• 8. Building Type: Residential frl Cammercial ? Institutional ? 9. Work Description: New ED Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tuhs Septic Tank Lavatory Softner _ Shower Well - ? Kitchen Sink Urinal/Bidet OthLr : Laundry Tray Floor Drains + Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned Rough Vnspections: Date Insp. for Final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition PARK CLIFF ADDN. ?at 3 glk 1. Parcel --GUIli 'C'a-Z Owner bl?? .?' Street 4616 Pdxk Cliff Drive State EaganR MN 55123 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF, g •QO A0?124 j?-2 -8 STREET RESTOR. GRADING SAN SEW TRUNK 3' -if ?4.(? Ao??4 4-'?-83 *SEWER LATERALs?f 3031.?10 n n WATERMAIN * WATER LATERAL WATER AREA 224.02 AOZ2124 4-21-E STORM SEW TRK 01.E6 AOM24 4-21-53 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT I 250.00 441 4-2 -83 WATER CONN. 450.00 " " BUILDING PEA. SAC ?r M PARK Eogan. MN 55122 Zoning: ' Owner: Address: Site Address: PPlumber: 1 egrea to eornpiy with !he Gty of Eagan Ordinanees. By Date of 1 nsp.: PERMIT NO.: DATE: ? - No. ot Units: ? Connection Charge: Acwunt Deposit: Permlt Fee: Surchorge: Misc. Gwrges: Totot: Date Paid: - CI"['1f 9F E!?GAN WATER SERV ICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: -, -? Zoning: - No. of Units: Owner: Address: Site Address: "' "1 i T r ?. : ° ' • - - Plumber: Meter No.: Connection Chorge: ' Size: Account Deposit: Reader No.: Permit Fee: 1 agres to eanpiy with tbe Gty of Eagan Surcharge: Ordinoneas. Misc. Charges: Totcl: By Dote Paid: Date of Insp.: Insp.: BUILDING PERMIT Site Addrcu . Lot 3 Parcet # - ?c W Z 9 g Name _ v? Addreu t- ri.., Nome _ Address I hereby acknowledge that I hove read this the information Is correct and agree to c Stote of Minnesoto $tatutes ond Cify of I Sipnature ot Permittee _ A Building Permit Is iuued oll work shall be done in a Building Qfficial EAGAN Eagow, MN 55122 ?+??v 7:??? Receipt # Erecr la Occuponcy r- 3 /?Iter ? Zoniny K-1 Repair ? Fire Zone IJA EnlarQs ? Type of Const. V Move ? # Stories Demolish ? Length 6 Grode ? Depth --15--?Sq. Ft. Aoarovais Fees ond all , _ nssessmenr Woter & Sew. ? Police - Fire - Eny. Council _ a°e BIdg.Off. APC - Permit 445_50 Surchorpe 57_ 5fl Plon check 222 . 75 SAG 5?S.OG Water Conn4 Sn _ nn Water Meter ??? T-) Road Unit 2 -''!' , ] ;' rmol $2005. 7 5 on the exprcss conditlon thnt ond City of Eayan Ordiranut. Psrmit No. Permit Holdar Misc. Parmit No. Holder Plumbin9 ( -, V COE ? H.V.A.C. w.n wner nEbc?tric t?oSql-L B 4-C t(ec, 5-40 -fs3 Inspection DKe Insp. Other Footingt Foundetion Frsminp ?e - Rouph PI69. Rougoh HVAC Inwlation , Final Pibp. Final HVAC ? Final / Water Describe Locatiom _ Well _ Sewer Pr. Disp. ? CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT ? I & DOLLARS t00 E]CASH ? CHECK ? White-Payers Copy Yellow-Posting Copy Pink-File Copy T ank You • ? , BY CITY OF EAGAN - 795Q 3795 Pilof Knob Rond Eogan, MN 5512= lr ? PHONE: 4S4•8100 BUILDING PERMIT Receipt # 7e be wed fe¦ SF DWG/GAR Fa vm.a 5105.000 n.,,a Anril 25 1083 Site Address 4010 YaTKC112I llY1V2. Lot 3 BI«k 1 Sec/Sub. park Cliff Porcel # 10 56700 030 Ol Bassaw Builders, Inc. Z Address 19131 Orchard Trail A r«, Lakeville e,___ 435-7472 p Name _ 0 Address Nome _ Address I here6y acknowledge thof 1 hove read fhis applicotion and state that the inlormotion is wrrect ond ogree to comply with all opplicable 51ate of Minnesota Statutes and City of Eagan Ordinancea. Signofure of Pertnittea A Buildina Pemir is issued ro: Bassaw Builders, In olt work sholl be done in acmrdonce wifh oll oppli e StaM f Building Officiol Erect )[[$ Omupancy R-3 Alter ? Zoning R-1 Repolr ? Fire Zone NA Enlorge ? TvPe of Const. V Move 0 # Stories DemoHsh ? Length 66 6rode ? Depth 35 Sq. Ft.- Aoorovala Faes Assessment Permit 44S.-') U Woter & Sew. Surchorge 52.50 Police Plan chetk 222.75 Fire SAC 525.00 Erp. Woter Conr650.00 Plonner Woter Meter 66.00 Council Road Unif 250.00 Bldg. Off. APC Twol $2005.75 on t he exOresf conditlon thm ?ipfa5tatutes ond City of Eoppn Ordinancea REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' Sae instructions br compleM1ng this form on back of yel low copy. "1(" Belo? W110FR 121 by This Request 315 -7 3 a evv AAtl HeD. TyOe oi Bwltling Appl.ances Wnretl Eqmpment Wved Home Aange " Temporary Service Duplex Water Heater Lighuny Fixtures Apt. Bwiding Dryer Electnc Heatin Commercfal Bldg. Furnace Silo Unlodder Industrial 01dg. Air Conditioner Bulk Milk Tnnk Farm oin, oe<:? v omu, isueo:tvi [ha.r Spen y Other Othur Compute lnspection fee BeJow N Fee ServiceEntrance$ize k Fee Faxtlars/SabfeeAers Grcurtg 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qmpy 31 to 700 Amps t 31 to 100 A s Swining Pool Ahove 100_Amps Above 100_Amps Transiormers Irrigation&ooms PartiaVOtherFee Signs Speciallnspection S "'o T Rem?rks OT L FEE ? 'f nn gj? Rou9h-m ( D:'r,? % ?y3 I. [ha Elec " " - Y? Q Inspactor, hereby certity that the abova Final (' D.I. {?qinspection has been r-(,? ? maee. ThIS raquasl vald 18 monlhs irom ,h,=,e4uest void S-(D L3 L B l ?PcJ.1- ai F? 1B rtronths fmm bV0 59127 ?-7 <OV Request Date Fire No. ReQgbed?lnspecvnn E]ReadY Now 5?Wili NuviY Inspe?'- '5:^ (4 "' g-L 1 J 'gYes ?No mr When ReadV gLicensed Electncai Conlraclor I heraby request inspecnon of above ? Owner elactncel work installad ar Stree[ AdAress. Bax or N e No. Gty J ecLOn o. Townshiu Name or No. Ranye . Count Z-V? Occupai PRINT) Phnne Nu. Power S pber Address Electrc Cqnhactor ICOmpany Namel Contractur's License No. ?? L ? bYo?3S° Mailin0 .?r.[d Jress lConVactor or Owne/r Makine l nst a/1?'lahunl ? J 2 V ? C?C . PV`!4- E-7- AuNonzed Signat e (C or/Owner Mak? InstaliaLOn) Phone Number /a Lc/ L ` MINNESOTA STATE BOA F ELECTAICITY THIS INSPECTION PEQl1E5T WILL NOT Griggs-Midwav Bltlg. - oom N-191 BE ACCEPTED BV THE STATE 80AHD 1827 UniversitY Ave.. St Paul, MN 55104 UNLESS PqOPEX INSPECTION FEE IS oo, i'll ENCLOSED, 'Ib Be Used Jr- CzTY OF EAGAN BUILDIM Cn. a ,r-- Site Pddress ? Int 3 Block / Sec./Sub. Parcel #: ! D S(9`10o d 30 o Ovmer: -; Address: City/Zip Phone #: Contractc Pddress: City/Zip Phone # : rf ? 5 = 7f 7,;Z- Arch./Ehg.: Address: City/Zip Code: Phcne #: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. _ nate ? - "2-0 - ,g •3 e CiFFICE USE ONLY Erect -- occupancy --v PT-?3Alter Zoning K r _ Repair Fire Zone A) A Ehlan3e _ 'Iype of Const. Nbve # Stories Demlish Front G ft. Grade Depth 3s ft. APPROVALS FEES Assessrnnts PeLZnit ?aater/Sewer Surchar9e S,2 Police Plan Check r26c a Fire sAC Sa ,5- EnJ • water Conn. yS-U Planner Water Meter /o6 Council Road Unit .%° Bldg. Off. AFC =AL 4:v???? 1 ?'. ;ZFs ? I (7 ? ? ? 0 ti ? ?KogXeK* A?:i(Yr. iX?X m:?c?kl'49n%dkm?: Yr. '+FYS:;; 'M:K:K)kk(?R?I:%?;?F7kk<:k+,[YF:? C:r. rY Cli- C"Ai:;AN MSFI'CL::R; :iS i[::Riti:CNAI. h!fl: 340 11F)1':";; C)s'si16/99 T'iMl';.: 32:Mc49 SD., P!A;4..c rON[:;li:!'rL1AL DkSTG;t4 '.Sc::lC1 9(:10'I. q{ilf, F'AF:F:L'I_:LF ii 125 .r'?5 2155 9f.Hl:l. 4E>lE- 1='ARh:rL21°' I) .;,fIO 'iot.i:l. hec:eip+ Amni.erN;: Cfil9.5452. ' IJ;I.'ri C.iJa :?APd n??'M?kY,<?t7%W'K%KYF:{;:{C?k?>FjFAciKY,'3[?kNcm.?7?i:'?.'?:3Kk?$ k'M%FA+?A?# r r 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) .. • CITY OF EAGAN ' 00 3830 PILOT KNOB RD - 55122 651-681-467t New Conshucfion Reaukemenh D 3 regisfered sRe wrveys showing aq. H. d lot, sq. tt, of house aMl Q rooled areas f20% maximum bT covewae albwed) D 2 copies of pinns (show beam a wfndow sizes; poured ind. design; etc.) D 7 sef of energy caiculationa D 3 copies of hee presenaNon plan H IW plaMed after 7/1/93 DATE: Z!&A DESCRIPTION OF WORK: %^64?L - CIt?2or? ?.?ia-?G. D•4 STREET ADDRESS: SLGI G FVCC CCi"ff- /?Ci LOT: '?l BLOCK: I_ SUBD./P.I.D. #: ?a Remodel/Reoalr Reaulremenh 2 copies of Plan 0 1 set of energy cakutafbns for healed addNfom 1 sNe suney fa extarior addifions 3 decka CONSTRUCTIONCOST: ?/X'cu PROPERTY OWNER Name: ?r//Q-> L -jUNn/ Phone #: r- 1 Lasf First Sfreet Address: 41616 A21C /e;?y ?, ?'e City 4? 4-/ State: 141" ° Zip: Company:?yf?'1'?fi??yj?(., /,?& /? Phone #: ???( r 3,3& (area code) Y31 - 33!93 CONTRACTOR ARCHITECT/ ENGINEER SheetAddreu: &4p?- /?? 4-9 S7' ?jeaT LicenseExp. Cliy State: _ZVN' Company: Name: Telephone #: area code ( ) StredF CiFy Sewer 3 water Iicensed plumber (reaulred for new conzhuction onlvl: State: Penalty applies when address change and lot change is requested once permN is issued. Zip: I hereby acknowledge that 1 hwe read 1hh applkaHon, state that the Informofion is cortect, and agree to comply with all applicabl State of Minnesota Statutes and Cffy of Eagan Ordinances. Slgnature of ApplicanY. Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes OFPICE USE ONLY _ No _ No _ Not Required Registrafion #: ', .. -. .. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 0 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant impr ? 39 Gas Line Only 13 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Afleration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bidgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee -),? Surcharge 3. C) Plan Review License MC/ES SAC ; City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL• t -3- . Valuation: SAC Units % SAC T?Wci i: (1 ?Xr?io2 E??toP6 ?9cd?2Htvd ti" ?DmP?tr?¢naw.7 .?r???uE svo2ra? ?-?AaE Fcr?rr,?c" oF a F?N , GJ mrAt exPbscD wAcc J? _3 3?•? x./9 = y??? ? >arAc 2oo?/ce-icrNC Ayee'q />/B. 6 .y? OA x . os/- Tbr,clc c'?sBD ?9?c Rr?E?9 AIquJE Fzocie =?/y?..3 (-a) 7'orNc. wAc.c wi?v?v 446w 6 0) TorRc DooiC A/leFiq = 3v • 9 (0) ror?9c. 5u0i?v& 6mc4ss Doort .9•¢e'A = .j3 - 8 C°? J ToTAt FilLEP?RC.C' u.yqu. i92Ey = G/ s- s' ?c} rDrpc. coRcx- FmvAmvx?G ArZCA&W/oV= o°? 5! 8 ??? To7R4 tia'T taJi944 AQ?7'1 RBDUd F"Y.'2 =/G ?) TOT?4L 2//H 3n/ST RRC?9 ? / `?o? ? - Tor.c? ?xPos? F'oaN?r?o.u ?q.e?R =/sr.? Ch) 7Orsac F+o4fAJj:).4TiDA) ic.v.ODocu i96eR ° ?i J TOTyL Nt7 Fsx[A1vu9Tq0 RleEJ9 f3BdWc ?o/L9t3E =/?/. ? Verclemi.VE lU°dAwr' oF Es?'.N wAcG SE6mE•v7" a? / ?y `f ?ye"F JC LI ~ - SS -+ 9?'j - ? -" ?b) 3?9 s??t. x Ll 09/ -? 9 . (C) 33-8 3a?'f• z U" • ss = ??, ,.7 ?cf1 ??'•E J7ft.x "[/" •CoS : .3/ 8 eJ U=i f• ? s x .. G/ " • /?- - .? ? • ? 7y9 314 x 'u • o?? _??;. 9 ?t) /`?/Y .sf ?' x Q ?I • 3z = i?8•5 3) 7-vn4c z -?'z? , 8 sF irdm 03 is rwe 54mE i95; cpe c.e-cs r//?71u 17'em hFAvE mEr r/E /.urevr oF .384 l0006 C') 3. . OF26, 50 < 6!L ,/2.?, S?G l?DOIc?C?? U KNbG :? ` ror4c. exPoserD CEIGiAx ,4a?? 640 tntAc .3,ryurc'A?ee'A - ? 64) Avr?9c ?-qcc F?m??vc = /? ?8 (C) 4JdT CG/U.c;G i.vSri4?i C77 i9?¢Er} =/.? 75?0 - r= .??am??vE' ta'"dAccsc o? Ei?crr sec•s??.vr (a) 0 .??.? x.,CI? O - o Ca) /75?8 S??• x u".?s?S z,79 L)???5•o s??t• X'u" ??? : ?`?j Cie) rar•gc. = a iF irCm *? is 7'Ne' 3Am? iqS, o,¢ GESS TNi9n, /ram li 'YO?/ NAVE msr T?yE 14Tc'N7- Or- s13c 60o6Cc.) z T°??3? E?t?B'toPC % rF irEm '¢3 ?- iT?m ? y? is TifE SAm? .4S 0/2 Gt"'SS Ti"fWN /J'cm #/tST?/Yl:?. Yoy /YAUei Me-T 7'iyR6 /NTe3JrJ/" oF TNFs' EXT'b72/O?e- 777Ti¢4 ENUCU04?:i?'r ?t9,C/fiqv E COmP4[niT7Ov 3IYc d aoG c) 2 rTC'irt '^ -3 3 z 4 S t Z- re:rirr Jt `/ < s' Z. c Z-re'm "/ ??t ?, .- rrE," a y G ?. ? -3 2F, 5 9u.oi12 ? -/ CLE?o?1/ ,w CITY USE ONLY PERMIT #: qw& RECEIPT DATE: ?-I3 `0' RESID£RTIAL blECfiAAICAI. i'ffiMIT APPLICATiON 6? / crrYoFEAsAv ssso PaoT icxaa itn e,e?sMauv ssi22 651-8$7-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 03 j 0 5.1 0 I SITE ADDRESS: _q f,p f(p p/l 1- K G ?? t-? ? r i? P OWNER NAME j0 ?Vl paJ)-I 6Li- vV 1-ed ! TELEPHONE #: &51 H59 " 5105 (AREA CODE) INSTALLER NAME: _Wohlers Southside Htg. & A/C, Inc. 16950 West 146th Street, Suite 106 STREET ADDRESS: _Apple Valley, MN 55124 CITY: TELEPHONE#' ?So1 t'I3?'???nl (AREA CODE) .,F.,P?. -- ' ZIP: Place a theck mark next to the oermit work tvoe _ New residential dwelling unit under constructionand not owner/occupied $ 70.00 X_ Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Natureofwork: Y`P»lQCC ftkYrCtcP Q iY' C.vYA 'i -44 oYlPi'- State Surchar e $ 50 Total ^ Reminder: C¢Il for inspections. Upda[ed 1101 SIGNATURE OF PERMITTEE CITY USE ONLY PERMIT #: APPROVED 6Y: INSPECTOR RECEIPT DATE: COMMERC1i4L MECHkNICAI. PEitMiT ihPP11CATIOR CI1'Y oF $tgcslkN 3$30 PILOT KAOB itD KAfiiR1V, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI'): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: _ New construction _ Interior Improvement _ Processed Pipmg PHONE#: - (AREA CODB) STATE: Z8: Install U.G. Tank Remove U.G. Tank Specify Nature of W ork: When installing/removing underground tank, ca[I 651-6814675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallarion = m;nimnm fee Contract price: $ x I% _$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?-- O-Ni-ce--Use ----------- ? For ? I j Permit ; Permit Fea: L7) ? ? Data Received. I StaH: t ?1' f I -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 7.01l, 1 G.( kc1 .'ff 0{ Tanant: 'F^ 4- A!v ?i vAk-- Suite#: RESIDENT f OWNER Name: !;.I w? phone: Address / Ciry / Zip: 4t 110 pa"C-G W p/1 Je M 1i1 Applicant is: ? Owner _ Contractor ' ij A j TYPE OF WORK U e Description of work: (e Iy)D Construction Cost: +lO -30 o Multi-Family Building: (Yes No ? CONTRACTOR Name: -' W i1r iZ License M Address: te: Zip: City: Sta ? Phone: ?I"`'IDJ' ?`39G' ContactPerson: / (Scy"e- d I , riZ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnCrgy COd6 • qesidenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet CatCgory Submitted Suhmined (4 SUbmi9sion type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permk for a similar plan besed on a master plan? _Yes ,dNo If yes, date and address of master plan: licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thaf you submtt are considered to be public informetion. Portfons of the lniormation may be class7fled as nonpublic if you provide specNfc reasons that wouW permlt the Ciry to conclude that the are trade secreis. I hereby acknowledge that this information is Comple[e and accurate; Ihat the work will be in Conformance with the ordinances and codes ot the Ciy af Eagan; that I understand this is not a permit, but only an application for a permit and work is not to start withaut a permit; thal the work vnll be in accordance with the approvetl plan in the case oi woHc which requires a review and approval of plans. x C-X' x???1-?f?? Applicant's riMed Name J r?4ppt?caM's I? gnature a? 1 of 3 ? U MAY 2 - 2008 ` DO NOT WRITE BELOW THIS LINE ? . SU8 TYPES ? Foundffilon ? 05-plex ? 16plex ? Accessory Building ? Paol ? Single Family ? Obplex ? Flreplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex tg Deck ? Porch (screen/gazenwpergola) ? MuRi Mlsc. ? 03-Plex ? 10.plex ? Lower Level ? Storm Damage ? 04PIex ? 12-piex ? Miscellaneous WORK TYPES ? New 0 Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interlor ? Alteration ? Fire Repair ? Wlndows ? Demolish Foundatfon 2K Replacement ? Egress Window ? Wster Demage ' Demolihon (entire building) - give PCA harWout to applicant DESCRIPTION: n Valuation Occupancy MCES System Plan Review Code Editlon SAC Unlts (259/6 _ 100% %?j Zoning City Water Census Code Stories Booster Pump # of Units Square Feei PRV # af Buildings Length Pire Sprinklers Type of Const. A7- Widih REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) FinaUC.O. ? Footings (addiiioa) ? FinaUNo C.O. FOUndation HVAC Dreln Tlle Other: Roof: _Ice & Water _Final Pool: _FOOTings _Air/Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulaiion - - Retaining Wall //-- Reviewed By: Bullding Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utllity Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total okl-,W& Page 2 ot 3 / zp ? ?e3A ? f I I ? ? . o I CO I (I Q I , r I 1 N aZ Y A? I .? aI?l [t7l; .0 ? tl sae G p`? ?j L ws,z o'? Oe? ??kaE ? f` ? I5 A ae.o 998;5; PRAPo`°E? ?. ? ? ?? N ? 14Ja?v] - - -I m ? : 0 ? a ? N Sev^-II'mh -3 ? ?Q(d tpp ,7 Propaoed garage floor elevatian 'n {0O1jE_ Propoaed xop of block elevation ? _=L7- Propoaed basement floor elev. ?'e /Lo Denotee iron pipe monument g Denotes setback monument lwrj,ZDenotee exiating elevation ?Denotes propoaed finish grade elej ? Denotes direction of surface drainage N 1 I hereby certify that thia is a true and correct representatioBlockala PARKCLIFFhf boundariea of Lot 3, , ? the County RecorderecDakota County fice o: Minnesota. Also showing the proposed location of a house as staked thereon. 7op 400 PAs+1 .- lDD7,8 Top leap? 90•00 5101°3000 E" ??j ^Ie9 ? = tioo?•1. -?__------'!^ ; oo Y Dated: April 22, 1983 ? LREOSTRA(TI?% NESOTA DN NO 86? tBassliw Conetruction 19131 Junelle View Lakeville, Minnesota 55044 ! DELMAR H. SCHWANZ lANOS RVEVON9I INC• RpistoW U s of TM StaU of MinMSOta / 2878 - 1A67}f STNEET W. - BDX M NT. MINNBSOTA 86008 *p, y? S ? 5UR_E R'SCERTIFICATE r ? l ?I I? - o I co I ? I I I ? (Y') N ' I +h. ti ?8` •. d?°' '100p? ? °? ?pp'1.? m ae o `?`• = Qp,.oPo'bFA (11 ? ?}A?e ??,.4F ? ,., ? ? - ?I1w-?+ , ?De????F ? UTuxr`( EMSEMen' I 19 ? I ?t 1 Also showing the proposed location of a house ae ataked thereon. a114,10? Top "ua Ei.sd < <?CZB eI - ?-? °)Q. 00 5(o{030 00? E _' op ?eoa Top 1Qaa ? , ? = 10069 VA_PA= 1oa9•1: _------ 0 3 : 0 d 0 N BK 4?6/49 PHONE 812 473-1780 SCa?e^l i'nc=30 ?ed 1 8 7 P'ropaoed garage floor elevation ? 1001.1 _ Proposed top oP block elevation J=Jff- Proposed basement Ploor elev. 0 Denotes iron pipe monument e Denotes setback monument lon2 Denotes existing elevation ? (93)Denotes propoaed finish grade ele, Denotes direction of surPace N ? drainage I hereby certify that this ie a true and correct repreaentation of a survey of th, boundaries oP Lot 3, Block 1, PARKCLIFF, ,$s on Pile and of record in the office o the County Recorder, Dakota County, Minnesota. Dated: April 22, 1983 ? f MINNESOTA HEfi1STRATION NO. 86 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082370 Eagan, MN 55122 . Date Issued: 03/27/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4616 Parkcliff Dr Lot: 3 Block: 1 Addition: Park Cliff PID 10-56700-030-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Gregory T Siwek 1920 County Road C West 4616 Parkchff Dr Roseville MN 55113 Eagan MN 55123 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097219 Date Issued: 11/30/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4616 Parkcliff Dr Lot: 3 Block: I Addition: Park Cliff PID:10-56700-030-01 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy-: Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Gregory- T SiNvek 2700 N. Fairview Ave 4616 Parkcliff Dr Roseville MN 55113 Eagan MN 55123 (61)633-261 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 Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature V, A i Use BLUE or BLACK Ink For OfficeUse-----__-- Permit ) ~ I City of Eap I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -J Site Address: Unit ~ Name: X"' Phone: RESIDENT I OWNER Address/ City/ Zip: i/'e'~~ =Applicant is: Owner Contractor 4 TYPE OF WORK Description of work: et.z off- ~tr~ Construction Cost: 1/ '.2-1 & ` s O-~ Multi-Family Building: (Yes ! No ) Company: . S fc .flit Contact: Sm j4 YO Address: 7~ 7--✓V AVE ~ City: _5)01__ J`'!W 41d CONTRACTOR State: / Zip: 5--:511-7 Phone: C. y!1 t License J ~Vo~ o9 ~ Lead Certificate IVA7 11 II~ 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I ^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 the 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.oopherstateonecall.ora 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 M neso late Building Code must be completed within 180 days of permit issuance. ry► cF S E x x Applicant's Printed Name App@§#as Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA103883 Date Issued: 04/23/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4616 Parkcliff Dr Lot: 3 Block: I Addition: Park Cliff PID: 10-56700-01-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy-: Zonin,: Square Feet: 0 Comments: Kara Benson 9533 - 367th Street North Branch. MN 55056 651-674-1766 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 3.452.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Renewal Andersen Gregory- T SiNvek 1920 County Road C West 4616 Parkcliff Dr Roseville MN 55113 Eagan MN 55123 (61)264-4777 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA151961 Date Issued:09/19/2018 Permit Category:ePermit Site Address: 4616 Parkcliff Dr Lot:3 Block: 1 Addition: Park Cliff PID:10-56700-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 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 - Jacob N Vanscoy 4616 Parkcliff Dr Eagan MN 55123 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature