4622 Parkcliff Dr? CASH RECEIPT ?
CITY OF EAGAN
3795 P?LOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
rtEceIveo
FRqA
AMOUNT $ I
4 OOLLARS
too
? CASH ? CHECK
FOR
-4
FVNO COOE AIAOUNT
rk You
BY
Y
White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
? . ?
BUILDING
CITY OP EAGAN
3795 'ilet Knob Rood Ee9sn, MN 55 122
C's _ _ , ..?
PHONEs 464-8100
Receipt # - ?Stce Address 40Lc rarkclizz orive Erect ? Occuponq R-3
Lot 4 Black 1 Set/Sub. FaTk Cliff AIter ? Zoning R-1
parc@l # 10 56700 040 Ol Repoir p Fire Zone I1A
Enlarqe p Type of Const. Vxl
W Nar,?„ Ozmun-Pederson, Inc. Move p # Srories
Z Addmss 7700 145th St. per„ol;sh p Length62.
6 1CitvAi3n1--- Va v pho„e _ 431-5000 Grode ? Depth_38 So. Ft.
, p Name _
?
Address
r:...
I hereby acknowledfle that I h
the informotion is correct ar
State of Minnesota Statutei';
i ?
Slgnoture of Permittee ?
/1 Building Permit is issued to:
oll work sholl be done in acco
Bufldirp Officiol
Asseument
Phone Wofer & Sew.
Pol ice
Fim
Er+p.
Phone Planner
Countil
read this opplicotion ond stote that Bldg. Off.
gree fo?o mply with oll applicable A?
'CiN,,6f'.Faaan Ordinonces.
with all
Surchorye 6 1 _ S()
Plon check 24 5_? 5
$qC 57 i _ 7!)
Water Conn. 4 5ia 4,;_
Water Meter 61). OP
Rood Unit 250e,0?
Toral $2082.25
on the express conditla? thni
Stotutes ond City of Ea9on Ordinonces.
Permit Na Pe?mit Holder Miac• Permit No. Holdsr
Plumbing 95 2-7 tiCa 1, +?. b-2G-r-3
H.V.A.C. ?? ? t l ? l 1< ( t
Well
Water
Disp.
Swwsr
Electric u1e(o2 (oir 3EwA M b-1?$3 C?E.?? 7?
0"701 tAyi-wME .7-7JW3
Irtspection Date Insp. Othe?
Footingi
Foundetion
Framinp
Rough PI6p.
Rouph HVA
Inwlation
Final Plbq.
Final HVAC
Final -?oz$? L- G
W ?i? La?'on:
'?s1J J'..??t?c' 7/1fr`?lr?
i?
3830 Pilot Knob
BUILDING PERMIT
To be used for %." Est.
4622 'P11RK i
Lot Block
Parcel No.
¢
W
_
3
0
fY OF EAGAN
P.O. Box 21-199, Eagan, MN 55121 ?
O N E: 454-8100 ?-- /
Receipt # i e Date • ,19
ADD
.0 Name l36-:i!4
? ? Address
P. City Phone
vm
w WW Name
?
_ z. Address
i,zu CitY Phone
I hereby acknowledge that I have read this
thatthe information is correct and aarea tn r.ni
Signature of Permittee
t;r L
A Building Permit is issued to:
all work shall be done in accordance with all
O FFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ Type of Const
Ciry Water _ (Actuaq
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footp?int &F.
APPROVALS FEES
Assessments _ Permit • i ? ?
Water/Sewer _ Surcharge
Police Plan Review
Fire SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Gouncil _ Water Mefer
Bldg. Of(. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
on the express condition that
nnesota Statutes and City of Eagan Ordinances
)n and state
iIIBPPIicable !
incea i
ile State of ti
Permlt No. Permit Holdsr Date Telephans it
Plumbing
H.V.A.C.
E lectric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing 7 E?q, ?il fal ? ??. r' ??..;+
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
?
;g.
Deck F
Oeck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
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 Date
Site Address OFF ICE USE ONLY
Lot BloCk Sec/Sub. On Ske Sewage Occupancy
Parcel No. MWCC System
w
ll Zoning
A
t
On Site
e (
ctual) Cons
a Name ' City Water (Allowable)
= Address - PRV Required # of Stories
;
°
City Phone
Booster Pump
Length
Depth
. o Name S.F. Total
o u Address Footprint S.F.
U? City Phone APPROVALS FEES
? W
y?
Name
Engr./Assess.
Permit ?
, , • .
. , .
W
_ z Address Planner Surcharge
F'
cc W City PhOne Council Plan Review
c Bldg. Off. SAC, City !
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all appiicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable 5tafe of Minnesota Statutes and City of Eagan Ordinances. ? -
Ri.ilriinn flff:ri?l TQTAL
Permit No. Permit Holder Data Telsphons i?
Plumbing
H.V.A.C.
E lectriC
Softener
Inspect?on Oate Insp. Comments
Footings I ie-;d•Y? E? -
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final - ?
cert occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
Recaipt .=
MECHANICAL PERMIT
r .
CITY OF EAGAN
,
Fill in numbered spaces
Type or Print legibly
1. Date
,
2. Installation Cost
1
I ? 1
3. Job AddreuiF?i? ,' %j,??rot ` `i Blk.
4. Owner
Permit No.
Fee S/C
--+--
Tot.
Tract I
5. Contractor --L' ` I Phone
?
? ?. .
6. Address
7. City State .? ? Zip -- ? J -S ._>
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
10. Describe
11.
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : i?
for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Type
No.
? Equipment 8TU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. h
O
Air Cond. er
t
Mfg.
Gas, Piping Outlets
Receipx. =`' ' PLUMBING PERMIT Permit No. ? -- j
CITY OF EAGAN -
? Fee
L Fill in numbered spaces S/C
Type or Print /egibty Tot. - -
1. Date 2. Instatlation Cost
?
3. Job Address ot,_Blk. / Tract - ?
4. Owner
5. Contractor Phone
6. Address ;9
7. City
Zip ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add ? Alter 11 Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
infield
Bath tubs p
a
5eptic Tank
Lavatory S
ft
Shower ner
o
Well
Kitchen Sink
-• t •
Urinal/Bidet .._
Othe
Laundry Tray r
• ? ,
'
Floor Drains .
•
Drinking Ftn.
Slop Sink
Gas Piping Outlets ?
?
12. I hereby certify that the a6ove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : _ -?--
for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
1 CITY OF EAGAN Remarks
Addition-_P-ARK CLIFF AADN. Lot 4 Blk 1 Parcel A&M 56700 040 OZ
ner Pdt ;i . Street 4622 Park Cliff Drive State Eagan, M 55123
Quu
I d Y'1, j i.,( :
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK y98 1981 28 224.02 A012693 9-2-83
* SEWER LATERAL ? 3031.40
WATERMAIN
* WATER LATERAL 1981
WATER AREA 9 J 224.02 A012693 9-2-83
STORM SEW TRK SM 1981 502.04 401.66 A012693 9-2-83
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN. 450QO if
BUILDING PER.
SAC ?r n
PARK
CiTY OF EAGAN
3795 Wlot Knob Road
Eogon, MN 55122
Zoning: '
Owner:
Address:
Sita Address:
aen Inc
Plumber: +
1 syree to eomplr with the Gty of Eagae
O?dinanees.
By
Dote of Insp.:
l115D.:
SEVUER SERVICE PERMIT
PERMiT NO.: - ? • •
DATE: -
No. of Units: -
i_ .., . . _.
Connection Chcrpe: ? "Account Deposit:
Permlf Fee: -
Surcharge:
Misc. Ciwrges:
Totot:
Daro Paid:
CITY OF EAGAN WATER SERVICE PERMIT
430 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 1» .
Eagan, MN 55121 DATE:
Zaning: No. of Units: 2
owr,er: `DzEaun -Pedarsoa Iae
Add?ess:
Site Address: L-622 Pe.t'k. CliPf Dx° i,4 B1 Parp Cli.f
Plumber. Pn i : ie 81b; & ht
Meter No.: Connection Cherge: 50.00 pd
Size: Actount Deposit:
Reoder No.: Permit Fee: 10•08 Fd
I e9rm to comVlf? wilie !he City of Eagon Surehorge: • 50 pd
Ord7nonees. Misc. Char9es: oG. QO pd mttex'
Total:
BY Date Poid:
Dote of Insp.: _ I,so,;
CITy pr EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
?,? OFJ
To Be Used For Valuation , ?ate (o -
Site Address 14(0 (?C OFFICE USE ONLY
Lot ^A Bloclc _A_ Sec./Sub. Erect ? i7ccupancy . 3
Parcel #: l0 Sfo`ID O(?' qC) O Alter Zoning ?
Repair Fire Zone
Osmer: Enlar4e _ TYAe of Const.
Address: 777r)a 1 st5? ?-i"• MDve # Stories ft.
Demolish Front
City/Zip Code: '?s...i?? ? Grade Depth w _ ft.
Phone # : Q'1- -I 'aG?
APPROVALS FEES
Contractor: !E'At X
Address:
City/Zip Code:
Phone #:
Arch./Ehg.
Address:
City/Zip Code:
Phone #:
Assessments Perniit <J yD ?'
Water/Sewer Surcharge
Police Plan Check ?
Fire SAC Z a
gnq, Water Conn. ?
Planner Water Meter bo ?
Council Idoad Unit -1$0
Bldg. Off./,- -?
AFC
TdPAL
CITY OF EAGAN
3793 Pile} Knob Raad Eegon, MN 55122 ND $1O2
.
PHONEs 431-8100
BUILDIN 3r7?
C PERMIT Receipt # (eYb
To M med for SF DWG/GAR Est Volue $123,000 DO1e June 6 _ 1 y 83
Slte Address 4622 Parkcliff Drive R-3
Erecr 7(g Occuponcy
Lor 4 Bl«k 1 Sec/Sub. Park Cliff After 0 Zoninq R-1
Purcel # 10 56700 040 Ol Repair ? Fire Zone NA
a Name Ozmun-Pederson, Inc. Enlarge ? Type of Consr. Vn
Move ? # Sror+es
; Address 7700 145th St. pemolish ? Length 62
e Apple Valley 431-5000
Ci ph? Grode
?
Depth 38 Sq. Ft.-
o Nome OwneY Aovrorala Fees
uu Addresf hssessmenf Permit 490.50
f cit phem Water 8 Sew. Surcharge 61.50
Gw Palice Plan check Z45.25
?Z Name
Fire
$AC 525.00
? Address
Eng
Water Conn 4.9.0 .,00
I hereby ocknowledge thot I hove reod this applicotion and sfote thaf
ihe inlormotion is correct qwd ogree t?omply with all opplicGble
Stafe of Minnewto $tatut,fs Ihnd/,City/ob'. aan Ordirwnces.
Signofure of Permittee?LL,?If?,'
A Building Vermit Is issued to: OZmllri-
oll work shall be done in accordorxe with oll
Buildiny OffiNol
Planner _
Council _
Bldg. Off. _
APC
Water Meter 60.00
Road Unit 250.00
Totol $2082.25
on fhe expresf condition thm
$totutes ond Ciry of Eagan Ordinances.
CITY OF EAGAN (v2 13 6 91
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # / ?////
?y"r"
To be used for 3-SEASON PORCH Est. Value $1,800 Date MAY 29 ,1987
Site Address 4622 PARK CLIFF
Lot 4 Block 1 Sec/Sub. PARKCLIFF ADD
Parcel No.
W Name_
; Address
c pity-
7167
Nama_ SAME
736-6314 (W)
O
0
oy Address
i- City Phone
ww Name_
FW
=o Address
<W City_
1 hereby acknowletlge that 1 have read thls application antl state
thattheinformationisconectan greetocomplywithailapplicable
Stete of Minnesota Statutes ity of Eaga ?O Qlpancea
Signature of Permittee 1Gi??>
A Building Permit is issued to: GERALD OWENS
atl work shall be done in accordance with all a 'c le State of h
Building Official ?
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Wafer _ (ACtuap
(Allowable)
# 01 S10fIB5
Length
Depth -
S F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $34.10
Water/Sewer _ Surcharge 7 _00
Police Plan Review
Fire SAQ City
Engc SAC, MWCC
Planner WaterConn.
Council _ Water Meter
Bldg. Off. _ Roed Unit
APC _ Treatment Pt
Variance _ Parks
Copies
TOTAL ?
on the express conditlon that
Statutes and City of Eagan Ordinances.
CITY OF EAGAN N°_
3830 Pllot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt # --I -I (-'r0
To be used for GARAGE ADD Est. Value $3,120 Date SEPTEMBER 22
Site Address
Lot 4 Bloc
Parcel No.
4622 PARKCLIFF DR
k 1 Sec/Sub. PARKCLIFF ADD
a Name MR & MRS GERALD OWEN
z Address SAMR
° CitY Phone 452-7167
o Name J. CELY CONTRACTING CORP
?a Address 3860 HAMILTON ST
: City B'VILLE phone 890-8249
f?
ww Name
?
rz. Address
aw City Phone
1 hereby acknowledge that I have read ihis
information is correct and agree to comp?
Minnesota Sffi[ute5 antl City of Eagan Ord
Signature of Permittee
A Building Permit is issued to. J/
ontheexpresscondihonthatallw ?W 'I
appliCable State of Minrt¢SOEaISt es ani
Building Offiaal
n and state that the
applicable State of
; done in accortlancewith all
CitY,of Eagin Ortlmances.
??-
14200
19 87
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
OnSiteWell _ (ACtuaqConst
City Water _ (pllowflble)
PRV Required _ # 01 Stories
Booster Pump _ Length
Depth
S.F.TOtal
Footprint S.F.
APPROVALS FEES
?$1.50
Engr./ASSess. Permit
2 • DO
Plannei Surcharge
Council Plan Review
BItlg.Off. SAC, Cdy
Variance SAC, MWCC
Water Conn.
Water Mete1
Road Unit
Treatment P1
Parks
$53.50
70TAL
minnesota state noara ot nectna[y p
?
Griggs Midway Bldg. - lioom N191 ?6y
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2711 n
'. REQUEST FOR ELECTRICAL INSPECTION
CHECK HELOW WOP3e COVERED BY THIS REQUEST
EB-00001-02
89925 ?
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm
Home ? ? Range ? emporary Wving
T ?
Duplex ? ? ? Water Heatei ? Lighting Fixtuies ?
Apt. Bidg. ? ? ? Dryex Electric Heating ?
Coipmercial Bldg. ? 0 ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List
) List
Ot e[ ? ? ? }
p
HeheISl p
HeielsI
COMPUTE INSPECTION FEE BELOW
Selvice Enhance Size: # Fee 1 1 Fceders&Subtceders: it Fee C'ucuits: # Fa
0 to 100 Am s. 0 to 30 Am eres 0[0 30 Am res . ? ?
101 to 200 1 to 100 Amperes 31 to 100 Am res 1 4.00
Above 200 ?i s. - ove 100 Amps. Above ]00 Ampa
Transfo`me'? moteControlCirc. Pactialorothertee
Si ns -Special Ins ection Minimum fee E5.00
Remaiks
TOTAL FEE 6r?e
48.50
I,the Electricallnspector,hereby certify
(Final)
1'his request void
18 months from
This request void
18 months from ?
Date of this Request ?. 2-24-81 Fire No. 89925
I, as EI Licensed Electrical Contractor ? Ownec, do hereby request inspection of the above electri-
cal wiring installed at:
StreatAddressorRouteNo4622 PARK CLIFF DRIVE CitY EAGAN
Section Township
Range County DAKOTA
Which is occupied by OZMUN PEDERSON, INC. (AL BURGER)
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes (D Ready Now ? Will Call K)
PowerSupplier DAKOTA ELECTRIC, Address FARMINGTON. MN
ElectricalContractor JEMM ELECTRIC, INC. Contractor'sLicenseNcA40117
(COmpany Name)
MailingAddress 20480 JACQUARD AVE. W., LAKEVILLE, MN 55044
Authorized Signature + Phone No 469-4938
?+ (Electrical Cntt r ar Owner Making ;rVis Installation)
. ?\? p??? ?O??D ?Q?? This impection request will not be aecepted by tha
r? Stete Baard unlms proper inspection fee is enclasad.
REQUEST FOR ELECTRICAL INSPECTION F„ Es-ooooi.oa
' See instruct?ons for com0leting this torm on back of yellow coOV. u
.;
" X" Belo W'ork o ered by This Request
eV4 Add ReO. Typ¢ af Bmltlmg APPlmncns Wvetl Equipmenl Wved
Home Range x Temporary Service
I I Duplex Water Heater Liyhtiny Fixmres
Apt. Building Dryer Electric Heatin
L Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air ConAitioner Bulk Milk Tank
Farm ther Soeo v iher l5uccifv)
ihor uocify t er Othcr
ompute lnspecbon Fee Be/ow
N Fea ServicaEnfrenceSize fl Fee FBPdef5/S1lCfBBABrS N Foe Cucmts
in-nn 0 to30Amps Om30Am
Above200
m ?s 31 to 100 Arnps 31 ta 100 Am s
W Above 100Am s Above 700_Amps
Irriation Booms
• Partial.'Other Fee
Speual Inspection $
Rem3rks i0.)r0 TALFEE
?
l? I
RouBh-in Date
17the ectncel
Inspectoq hereby
td
th
t th
b
Final M
r`?A!• ? y
x
e a
ove
pection has hean
mede.
Thlerepueslvoitll8monthvlrom fi/ -
This requp5t Void?_?v
r
18 rtwnths hom
@?'.062685
Lq ? $.\ `?a.nY - C-ll-?- P
3(03310
Request Oate iire No. flouah-in Insuectwn
ReQmmtl?
fleady Nuw Q Will Notify Inspec-
?
6-9-83 ?les MNo r When Ready
IN L.censed Electrmal Conver.[or I herebv request inspeclwn of ebuve
? Owner electrical work instelled eY
Strmt Atldress, Box nr Rwte No. CitV
4622 PARK CLIFF DRIVE EAGAN
ec[ion o. Townshio Name or No. RTnge No. County
' DAKOTA
Occupant IPflINTI Phone No.
OZMUN - PEDERSON INC. 431-5000
Power Supplier AAdress
DAKOTA ELECTRIC FARMINGTON, MN
Electrical Convector (COmpuny Name) Contrar.tor's L?r.ense No."
JEMM ELECTRIC INC. A40117-5
Maihng AAdress IConvactor or Owner Makiny InstailatioN
20 0 JAC U D E AKE LLE N 44
Authona d Si namre ICon[rac[or e B???stallationl Phone. Number
469-4938
MINNESSTATE eOAflD OF ELECTRICITV ? THIS INSPECTION pE6l1EST WILL NOT
Grie9s- dway Bldg. - Roam N•181 BE ACCEPTED 9Y THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS P0.0PEH INSPECTION FEE IS
oi,___ 1.11, 'y??'ll ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION
' See inefructions tor comalefing this frnm on back of yellow copy
-9
Be? pWO??Covered by This Request
Ee-ooooi-oa
31o S gC-3
Nw4 Addj Heo. Type ot Building Applionces WireO Equipmanl Wired
Home X Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buildmg Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industrial 61dg. Air Conditioner Bulk Milk Tank
P2fm Ot er Peci Y therlSnecifyl
t er 1 ueci y t er Other
ompute lnspectron Fee Be/ow
# Fae ServmeEntwnceSixe # Fee Feaders/Subfeatlars A Fee Cvcwts
0 to 200 Am s 0 to 30 qm s 0 io 30 Am s
Above 200 qmps 31 to 700 Amps Q 1 .00 31 to 100 Am s
Swimming Pool Above 100_Am s Above 700_Am s
Trensiormers Irrigation Boorris .5 Pertiab'Other
Signs Speciallnspection
5
Remi.ks 67.50 TOTAL ^
0?
'
?
Rough-in
Final
? Date
?
ry?
ye ','he E '
Inspectoq ?eraby
certify that ?he above
nsvecLOn hes been
mede.
W/?fh?/"?O?
ThlarepuesivoltllBmamhsirom //b--111
This request void -7--j
78 mon[hs from
W C?84709
Ly 1 81 1 Park C( iP-fl 30 9- 8'd
(o-], bb
Request Date Fre No. RouBh-in InspecLOn
Re wred)
EIfleady Nuw 63Will Noidy Insper
7-1-83 ?]Ves ?Na torWhenReady
N licensed Elemncal Contracmr 1 hareby requeet mepection oi ebove
? Owner alectricel work installed et'
Street ACdress, Box or Route No.
LOT 4, BLK.1 QtY
4622 PARK CLIFF DR. PARKCLIFF ADDN. EAGAN
ection o.
7ownship Name or No.
anea No.
Counly
I I DAKOTA
Occupanl(PRINT) Phone No.
OZMUN - PEDERSON I NC. (SPEC HOUSE 431-5000
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Electncal Contracmr (Company Name) Convacmr's Ucense No.
LAKEVILLE ELECTRIC INC.
Mailine .Qddress IContractor or Owner Makine Instailabonl
20480 JAC UARD AVE. _
Authonze S?gnatur Coctor/Ow akinB ?nstallation) Phone Number
MINNESOTp STATE BOARO Oi ELECTNICITY?/ THIS INSPECTION flEQUEST WILI NOT
Griggs-Midwey BIdB. - Room N•191 BE ACCEPTED BY THE STATE eOAND
1821 UniversitYAve., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS
o.--- Ie.ei ee' o«. ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construetion ReauiremenB
. 3 regrstered mte surveys showing sq. ft o( lol, sq, ft. of house; and alI roofed areas
(20 b mazimum lot coverage allaxed)
. 2 copies of plan showing beam & windaw s¢es; paured found desgn, etc )
• 1 set af Energy Calculalions
• 3 copies of Tree Preservahon Plan if lot platled after 7I1193
• Rim Joist Detail Options selection sheet (hldgs with 3 or less unds)
DATE P) " I- 02 J
SITEADDRESS 1-I62,2, ('?' K?fjl Drl?/P? ? MULTI-FAMILYBLDG _Y ZN
TYPE Of WORKReYX]P FIREPLACE(S) _ 0_ 1_ 2
APPLICANT `S(,Phl.f1`b54iI Fdn:I(lt"S
STREET ADDRESS']Liffi PA 1?1?Y3'ltYlGa#TiY1 e .. CITY @E4't 0 2ti+'rC STATEMN ZIP 553?4?4
TELEPHONE ??)W-gfL-
3Z CELL PHONE # FAX #W1) ? I- 1951 I
PROPERTY OWNER kcw"t QCt" L,OIlc4'- TELEPHONE?Cn I S?'
---------------------- --------------°---------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW°" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY t MINNESOTA RULES 7672
(J submission type)
Plumbing Contractor:
Plumbing system includes:
• Residen6al Ventilation Catagory 1 Worksheet Submitted • New Ener9y Code Worksheet Submitted
• Energy Envelope Caiwlations Submitted
Mechanical Contractor.
Mechanical syslem includes:
Sewer/Water Contractor:
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
RertrodeNReaair Raauiremenls
• 2 cropies o( plan
• 1 sel ot Energy CalculaGans Iw healed addihons
• 1 site survey far extenor additions & decks
• IMicate if home served hy septic system for additions
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Phone #
vy-y 655
f ':8 , 25
Fee: $90.00
------------------°------------------°------------°------------------------,--------°---°----°-----*-------
I hereby acknowledge that I have read ihis application, state that the information g?o?f?ag?ee`-fo'?omply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appltcant
OFFICE USE ONLY
VALUATION
Certificates of Survey Receroed _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4•sea.) ? 33 EM. Nt - 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_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 'Demalition (Entire Bidg only) • Give PCA handout to applicant
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) _ FinallC.O.
_ Footings(deck) FinaWi o C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Firepiace _ R.I. _ Air Test _ Final _ Wmdows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
t.l IY LI- F c.iGiiPi
Cr1s-3i-r.r.EF? :?;; C'E:RIR:INAL hn: 69`?
UATE.:: 09i iUi 9(-2 1' i:Mlii. e 1.3m1.;..:1 t
IIl ^
!.F?i4F' i1l..C..,7.E Li r.T.l•F.:`ilDG:,, 7'NQ
3017 '?I'l(1tiI 4(.?%.c.'. I'6?i?I;f:l.:::1= !7 F6?I,ClL"I
Zi J:J .}/???JII fGF'i' PAPKCLl:i' D Ej.Y'.
?y
CH I i 6fi
.
U<iLR TII:, JAN
3?l51
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Date: ?842f • VA?( C ?
Description of Work: Consu-uct aew fireplace
? InsYall eas irisert nnlv
_ Other
Job address:, `lC0 A 2:?, D?C? i^ K? l I `-?4 Ih J v
Lot: Block: Suhdivision/P.I.D. #:
Applicant (circle one only): Owner C tractor
Name:O/eV` (/&4
PROPERTY Last F t
OWNER `7t// ?.?C ?GrY?/C Nl
Street Address: ?
FIREPLACE
INSTALLER
Perniit Fee: $60.50
Phone #
City _- a_ State: ? Zip:
onen:
Company: ?
Street Address:
Ciry //GI V!i1 ?(J/1/9 - State:
Company
GAS LINE
INSTALLER Street Adc
City
r
Zip: ??33'11)
Phone #:
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances. 944?&A"?
'
`?,a ???]? S;? ture "
SEP 1 6 1999
BY:_.---------
_ Alferations to existma.
_ Install eas line oulv
1
,
OFFICE USE ONLY
BUILD[NG PEI2MIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations `
17 32 Addition ? 34 Repair
GENERAL INFOWNIATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
A
CTTY C1F EAGAN
GASH.T.E:R: ; TERt1INAt_ N0. 764
DA1'E- TTM[e t]7:4?.'.?46
zn:
NAMEr BFlNNEh' RDOFSivG CC1Rf-'ORAT]:OM
320 3001 4622 F'(aRF:CIIF"F 1.53.P.5
21;35 3009. 4•622 PA!"tKC;LiFF 4.00
'(ota7. Receipt; Flmounta 151.2;
CR:1.1i?i97
UaFR TD: NANC;Y
? j57•25 ?2z?? 1999 BUILDING PER-IIAI7 iAP?LICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PIdOT KNOB RD • 55122
Q
1 651-681-4675
New ConskucNon ReaufremeMs Remodel/Reoair Reautrements
b I
? 3 regBtered sBe surveys showing aq. H. of lot, sq. k. of house 2 copies of ptan
and gtl rooted area: (20% maximum lot eoveraae allowed) 1 set of energy calculaNOns fa heafed addMions
? 2 coptes of plans (show beam i window sizes; poured Ind. de:ign; etc.) 1 sRe survey for eulerior addiNons a decks
? 1 set of energy calculafions
? 3 copies of hee preservafion pian M loi plaHed a(fer 7/1/93
DATE: to'2Z'99 CONSTRUCTION COST: 7? ?{I?• UO
DESCRIPTION OF WORK: TaQ -QM U fi5E,
STREET ADDRESS:
LOT: ? BLOCK: I SUBD./P.I.D. #: 8'CJ, ?•V__ C X-`,I?/J
Name: Phone(951 " 45-41'37?7
PROPERTY Last Rrst
OWNER p ?1±
Sireet Address: ?tP 2Z fY.vLt_ t( tt' p 2.
City _ Z:0.4lLYl State: l?/J Zip: 55123
Company: gQ.it/lL kj?dt n a Phone dk: I.71 Z 70 -0 7P
(area code)
CONTRACTOR " ?
SheetAddress:_ /a?Ju..?e, ?.?• ? License# Z(XXZ6q Exp. A
City pi0?5 • State: Zip: SS?I?9
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
Cffy State:
Sewer S water Ilcensed plumber (reauired for new conshucHon onNl:
Penalty applfes when address chcnge and lot change is requested onee permH Is Issued.
Zip:
I hzreby acknowledge ihat I hove read this applicaNon, stafe that ihe InformaHon is cortect, and ogree to eomply wMh all apptlcabl
Sta!e of Minnesofa Statutes and CNy of Eagan Ordinances. ?1 o
? Signature of Applicant
17
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
RECEIV?I?
JUN 2 4 1999 i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 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 ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* ri"A PCp h2ndpu t Tp aPPlicant tor dPr,±niirinn -n.,rt
GENERAL INFORMATION
Const. (Actuaq
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
`JVidth
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 Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
;
SAC Units
% SAC
CITY USE ONLY
L ? BL RECEIPT#: 129 5p 41- 6??9
SUBD. 'L R E C E I P T DATE: `J 0?S 99
PERMIT# YE?6"7L
1999 PLUM$INfi PEftMIT (USIDENI7AL)
crrY of EAsm
3830 Pv.or ?txoa gn
fRHAN, MN 551 EE
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
i backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Flnnr rirain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC rc. 75.00 x = $
Private Dis osal 5 stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
t 3.00 x = $
Water heater 3.00 x = $
Watef 5o ener if dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e ,50 --> ----> ----> $ 50
Total --> --> ----> ----> $
a30.5o
Reminder. Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
---------•---------••- ------- -----------------------------------------------------------------
I hereby acknowledge that I have read this epplicatlon, sfzte tl?at the intortnation is cortecl, and agiee to comply with all appliwble Ciry of Eagan ordinances.
It is the applicanPS responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit wifhin City propertylright-of•way/easement.
SITE ADDRESS: -?-?
OWNER NAME: : TELEPHONE #: (?S l
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
STREETADDRESS: ??/?o C%???? ,p,e ?slD (AREA CODE)
CITY: /G!r/?our.1 STATE: /61? ZIP:
?
.BTGNATU PERMITTEE
LOT 4 BLOCK / SUBD.
RECEIPT k C 51 d &J & DATE ? - 2?? _ 4
1994 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: C) y'
Y Area/addr
X Installer: ZeL=
Street add
City, s[ate
Owner Name:
Street address:
City, state & zip code:
Commercial GPM
Residential (boulevards) GPM
Existing residential
Phone N:
Irrigation contractor, if different than installer: c::;G YY1 2_
Telephone N: 9?7
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances.
6?ae' ?? W?
Si ture Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
prope /right-of-wa /easement.
& Vz5?
Pr perty ner Dat
? '
Approved by:
PRV ? Yes 0 No
Date:
New service ? Yes ? No Meter Size & Cost
Fees due: ?' S b Calculated by:
5=,Y-7y 7 za -1-7 IP?? 14
& zip code: (2'?e9/? ' Z"? Phone #: VY7" 3 ? ??
?Ij
l 2? ?
7987 BIIILDING PERMTP 9PPLICATION - CITY OF EAGAN ?
?
/
SINGLE FAMILY DWELLINGS
INCLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHAYE AHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALL041ED ONCE SIIILDING PERMIT IS ISSQED.
M[TLTIPLE DWELLINGS - RFSIDENTIAL RENTAL ONITS FOR 56LE ONiTS
TNCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SIIRVEY - CHECK STITH BLDG. DEPT.9
1 SET OF ENERGY CALCULATIONS
COLMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
CTO l.3 (J??-,?Be Used For: ??,??,;,, Valuation: Date:
Site Address 3?.? OFFICE USE
Lot ? Block
Pareel/Sub
Owner ? ?? ? < lic??a???:?e ??
AddressQE-z2
City/Zip Code
Phone
Contra
Addres
City/2
?
Phone R_, u- rr c.a-
Arch./Engr.
Address ?
City/Zip Code
On Site Sewage_ Occupancy M? 7
MWCC System Zoning
On Site Well Type of Const
`
City lJater (Actual)
_ (Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROV9LS FEFS
Assessments
Water/Sewer
Police Fire
Engr
Planner
Council
Bldg Off
1-7
APC
Variance
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT9L
51,50
2.00
Phone If
1 14nri?4 ~?"
/, ? /
aoxl 3 x I 2 = 3/ Zo
?
3G
1987 BOILDING PERFffT 6PPLICATIOH - CITY OF EAG6N ?
-- ? ?
SINGLE FAMILY DWELLINGS ?
ffiCLODE 2 SETS OF PL9NS, 3 CERTIFICATES OF SIIROEYO 1 SET OF ENERGY CALCQLATIOHS
NOTE: 9DDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOfiNER MIIST DESIGHAYfi HHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RERTAL Q10iITS FOR SALE ONTIS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CHECS WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ?
1 SET OF SPECIFICATIONS AND 1 SET OF ?
ENERGY CALCULATIONS, ?
$2,000 LANDSCAPE BOND I'd
?-v
p /
To Be Used For:,J vcc+?iT?j.J / a?,Valuation:'fl/ ed O O? }?'Date:
' ..
Site Address ?j6i-"zz
Lot It Block Ar j
Parcel/Sub P40
,?Ojo
Owner er+ ?J
Address q t2 Z C[, {-•F-
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone l!
On Site Sewage Oecupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water (Actual)
(Allowable)
4l of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments
Permit io
34-
Water/Sewer Sureharge 1.
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
?.-
e-
' ?
i
1 • 5
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liA7'BRIOR ENVrLOPE AVERACE "U" COMPUTATION
iner(?a ,Address?? Phone ?'?r,
!gal_,Aesciiption of Property: Lot_:4_Block_.?_AdditionDate
ite ;Addreas
: t• .?; Y
u, 6, . . •
AVERAGE LINEAL FEET OF
EXpOSEpWALL AREA ABOVE GRAUE
ain ;2eye1
Lineal ft. of ^framed wall above grade"&C x height lof wall?c?? --
,
im Soist area
- d
Lin'Ral of
ft iim x height of rim • ? -
.
ower level
Liqe'#?2 ft. of framed wall above grade c, 3 x height,of wall
L'in1"I. f'G. of' masonry well above grade 1'71:? x ti'eight ,.-above $rade?/?,S7i?-S
,
TOTAL wall area above grade iaclUditrg windows aAd doors
Area'z "U" value
n `;:: L't: • u ?
o = «?'s?=? ?: _
. 1? 'a - Y
4S,
a'
<
`
"?' sq.
? . .....
sq.
0?
''
?
"
? .-
?.o..
n
, • - gy,
eq,
Area # "•U" value
-sq.
sq.
. ri.` ?_`:, • {? ? „ "?"?.. ? .:St{.
BQ'.
OPAOIIE WALL CONSTRUCTION; Area x "U" value
s4•
._>.: ? r A ' eq.
lletail'refei -
ence from ? T sq.
$A•
sheets.
eg.
, "..
?
ft. (U) (k)
ft. x nti•• _ (U) (11)
ft.? (U) tA)
ft. z (U) (A)
2G?.C> U . • .->
C
ft. "U" (A)
ft. '•; , n x: ??U.. c??--(U) (A)
. oup
ft ' s (U) (A)
ft. ?.rtUl. ?(U) (A)
ft. °Uo (U) (+t)
ft. : x nUn 7.. (U) (A)
ft. (U) (A)
ft. .--??g flUll_ I ? (ll) (A)
ft. ? x ??Ulf . (U) (A)
ft. ^U" .-, ?, (lf) (A)
ft. (U) (A)
ft. ...'. - x uUn : (II) (A)
ft.? (A)
GI S'- i°
ft. x ??Un C'?..=;F-?= 1c' (U)(A)
ft. 't g nua ?(U) iA)
ft. ?.u?r'? (U) (A)
£t. . x (U}(A)
?? . x ?(17) (A)
ft. (U) (A)
ft
t . . ? x
x ilUn ? (U) (A)
f."... 1 g nUo (U)(A)
t
ft. x uU????- (A)
ft. X uUst (11) (A)
ft. a ?,U,r _ (U) (A.)
:3T0:. :f?:11-.4r_a ?^.?lua«?ag
Windows S Doors'
TOTAL
(U) (A)
TUTAI, (U) (A) VALUES l,? ?' ? e a AVG. "?1° _--
? 57)
,?1 UIVIDED BY TOTAL WALL AREA '),. "
AVERAGE "U" Minimum .17 or less for 1 6 2 family dwellings
Minimum .22 or less for all other;_buildings
NOT£: If avarage "0" values as calculated above do not meet the Bnergv Code requirements, the
.. :Y a"Alernate Envelope Design.. as indicated on Page 5 mag be used.,
? ,• ,, .
'-: ;
NALL _..cC`'IuIuo Top V iew
NUTL: ,,se lu?b o. opaque
a:.ll area ? f?n f? '?-
f';,r framin r IIII
ml:mbera 1
R-Value
Ft?AMING MEMBERS IN WALLS
Exterior air film,_.__,_, _ .17
Siding
Sheathing
.?
?
_ -
?
T_-__ ?
_---
+F3? ?
.
soEt vood
MW ?
Y" dr.y wall • .45
Interior air film •68
° TOTAL R -7
U m 1/R U
_FRAMEp WAI,L
Exterior air f11m
Siding
Sheathing ?/-7>1 1,?=r,??,
.? hatt ineulatian
li" drv wal.l '
Interior air film
1.? ? 1
.45
.68
TOTA7 R
U - 1/R ? U
_ RIM_ sOIST AUA__
Exterior air f11m
Siding
Sheathing h?!
'V eoft wood
T.?lfsgstlario., fc; -?--?,'
Interior air film
? ? ..,
` ` - ---•
1.88
.68
TOTAL R =
?
U = 1/R U =
MASONRY WALL
Exterior air film
12" concrete blocic ,t ? ? ,.
Insulation
Interior air film
U e 1/R
.17
.68
TOTAL R
?
ROOF CEILING?? _
'?rt • .
Outs?ide..a 'r fflm ----- --.61 _
`(r???ys? ' {'? ?'I-? j ! •.1 ? ? {`j' Diywall:' - .45
Inte??,or' f11m ? ?.61
,-_„_ -- ----
- .:? . ?
TOTAI. R
• ?,.',??„ • ? ,
,?'::??,;^?' _ • _`?? ? , /
U ..'1?iR u
:',???'{?}`??Z.:J.???.;.p4? ? . ? .. ? . ?' .• '.7. _ ., . • ' i ,. . ' ,
I b .
x a , /
T
.j:.? ? .. . . .?.,? . . '
-- --,?^-? - - - --? .
fde a#i??fili 661
Outs
, _ .._... _ ins"atioa ,3/Q'. _?e-
hit DlymalIL p-- ? .45 ?_ . .
1 f
InteFior :a?s fiim : s .61 '
TOTetL B -
., „
i? 1VR
U
?3??b!? ¢trvwv., ;, ''?•:? . ' , . , . , . . , . ' .
QutBi4e .a?r, .17 , .
.
;s
x 7 i ? ;z[
> , .+
Wood?i?deck{;i`i$'
'air fiim .61
M?kY??,?•,. ? ? TOTAL R =
U ? lIR U ? .
•?t?' • -, . , - "
•-?.??.'?? ? ' _ _ '?' • , ? - ! ?
DT?'+,;AW f-,s, sq. ft.
et4ff,_ refererice, ? "Ult z $q. f.t: (U) (n) -
rom'.i?b'?ve3:r? •:..,? zs?, ?? ?.u.?,? o?. a aq. ?ft. (C)(A)
eseKbe,'ocEii`ings • - --'Ux sq. ft..-' ? (U) (A)
.
n.rpaf:'? ..U.aZ=, x sg.'ft(u)(n)
„Ul. - ? z sq. ft: (") (A) .
q . (L?) (A)
8 •. ft?
oVo"?- x
•?. sq."ft . ` ? (II) (A)
. . ` ? , TOTALS 12.C? aq. (ll) (A)
U)= (A) YALOES
IVIDSD_BY TOTAL FOOF/ 2?.d? ? , 8Z AVG: "U".
CIk?'NG? rAREA
V RIl?$? "I!," - ? ?AS for-,ventilated roofs
.10.'for all othei construction ;
, ? ..; ,,. . . ?. ?
UmP;'`IE averAge "t"' vn7.ues ae calculated"above do not meet.the EngerP,Y Code requirements, the
Al;t'crna[e Rn,velope,Design" as indicated on Page 5 may be uaed.
'?"ra. ? . . . . . -
?
r i
?
i ?
:
.
??-?
4 c-.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4622 Parkcliff Dr
Lot: 4 Block: 1 Addition: Park Cliff
PID:10- 56700- 040 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Donald P Koller
4622 Parkcliff Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA087078
10/24/2008
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109442
Date Issued:03/11/2013
Permit Category:ePermit
Site Address: 4622 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff
PID:10-56700-01-040
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donald P Koller
4622 Parkcliff Dr
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1O3$2>$,+
-./$%'53/4-.1 6789;7C
<*%-'!==3->1?7@7P@A?7:
-./$%'#*%-+(.&1- -./$%
B$%-'6>>.-==1''9:AA'' *.MF2$))'<.''
V#$ %& ''!())* * + ''2-C&'O$*GG
234 !568K"5565!65V5'
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<-=F.$0%$(,1
<=>'?@A1 B*+) .;S4 C;O +; C=% * +'?@A1
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<Q=-C1',11 5
3IAC W1I1+ ;' ' M1'M I1'C1Q=*C1';I &1')1 1% C;'*+'-$$'>1)C I;N'3G'-$ 1C*+0'.*+) .' A1+*+0;' C'*+; -$$*+0'#-@' C'# .'
#(//-,%=1
.*+) .;\]'%-$$'G C'GC-I*+0'*+;A1% * +N'O-$$'G C'G*+-$'*+;A1% * +'-G 1C'*+; -$$- * +N
O-C> +'I + P*)1')1 1% C;'-C1'C1Q=*C1)'.* M*+'!5'G11 ' G'-$$';$11A*+0'C I' A1+*+0;'*+'C1;*)1+ *-$'M I1;'JE*++1; -'< - 1'
# '6'#-;1',11'TVbT!5ZN78'595!NV598
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<=C%M-C01'6'#-;1)' +'_-$=- * +'TVbT7N55'U55!N7!U8
"(%*21G7?PHAP'
#(,%.*F%(.1IE,-.1
6''(AA$*%-+ ''6
21$$-'H C M$-+)?M I-;'/'c ;
!8Z55'78 M'(W1'H''e!55VK77'2-C&%$*GG'4C
2$@I = M'EH''88VV"X-0-+'EH''88!7Z
J"KZL'Z886!Z55JK8!L'""865!K5
3'M1C1>@'-%&+ .$1)01' M- '3'M-W1'C1-)' M*;'-AA$*%- * +'-+)'; - 1' M- ' M1'*+G CI- * +'*;'% CC1% '-+)'-0C11' '% IA$@'.* M'-$$'-AA$*%->$1'< - 1'
G'E*++1; -'< - = 1;'-+)'O* @' G'X-0-+'YC)*+-+%1;N
(AA$*%-+ S21CI* 11 '<*0+- =C13;;=1)'#@ '<*0+- =C1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151411
Date Issued:08/23/2018
Permit Category:ePermit
Site Address: 4622 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff
PID:10-56700-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Thomas R Yost
4622 Parkcliff Dr
Eagan MN 55123
(651) 775-0160
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153314
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 4622 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff
PID:10-56700-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas R Yost
4622 Parkcliff Dr
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153770
Date Issued:01/22/2019
Permit Category:ePermit
Site Address: 4622 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff
PID:10-56700-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas R Yost
4622 Parkcliff Dr
Eagan MN 55123
(651) 775-0160
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature