4628 Parkcliff Dr. ..
. . CITY OF EAGAN
[ d' ? 1 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ' BUILDING PERMIT Receipt #
To be used for SF DW/GAR Est. Value $266,000 Date NN 14 , 1991
Site Address 411!
Lot 1 Block
Parcel No.
W Name p1
? Address 91
0 C11y L"E
=o Name S
OU? Address-
? City
r
y?j W
Name
?? Address _
Q W City
Signature of Permil
A Building Permit i:
on the express con
appiicable State o(
Building Official _
OFFICE USE ONLY
?ccupancy R-3 11--i FEE^ -
oning 16-1
lctual) Const V-4111 Bldg. Permit 19, 21.00
llbwable) Y-? 5urcharge 133.00
ot Stories
ength 721 PlanReview 793•?
epth 380 SAC,City 1_00.00
.F.Total - SAC,MCWCC 650•00
F. Footprints -
n Site Sewage _ Water Conn 66o.oo
n Site Well - i
i
Water Mater 95.00
accl. oePosn 30 • 00
S/W Permit 30•00
Sl4V Surcharge .50
Treatment Pt 2 76 • 00
Road Unit 370,00
Park Ded.
TOTAL 41358•30
? permit Np. Permit Holder Date Tskphone #
WATER ? } G? S
SEWER
PLUMBING ? • ? / 7'dd -??
. .-. fr, .
H.v.A.c. y/4 -
0
ELECTRIC /IS ? /`l
1 Os
',-70
I nspection Date Insp. Comments
F??ingS 1 }_g ?o ee 0., i
'7•/ ?S 11i4
Foundation
Framing
Roofing ?Sti.fi ? ,,. /O• i -3/ ..S'
Rough Plbg.
Rough Htg. 9/w / 9N9/ 3?L
Isul. y-?.7-?(
F,replace y. 9
Final Htg.
orstat rest
Final Plbg. -9 ` Inspe r- Notify Plumber
Const. Meter
EngrlPlan
eidg. Fi?ai ??! !Yr
Dedc Ftg. .
Dedc Flnal
wen
Pr. Disp.
?
Z ?? Oy / ?.1•? -a•7? / dF?
H' 11
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
i •:
, .
PERMIT SUBTYPE:
,;?.. ..
I I ! INl,',
? I 'l !1t ICIN
I I ,I
PERMIT TYPE:
Permit Number: . . ? . .? ; ? ?
Date Issued: tn!. /;a i r n%
H.' NlA f
f p'l t?r f
pl W 1 pF ti tl
t ?. I ,• i . . .. 4 irt1•t!
'PE OF WORK:
t`: t. {: 1 I' i 1lih;
J; A Ihi 1 Y4 i .
li;k i-i Ftt I
tv r 11
( (Ni ( tij h111111 ( )
MAfrK'?, R`it: l?AFtA4! 1'I ItM l l I', 1'tVt)1111rJ(?, Ff1Ft A1VIV 1 1 1 f llt11.AS itF: I'I llNillhili I11?h'I
PermR No. Permit Holder Data Telephone N
EIECTRIC /,OQQ?
PIUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING `J?,?,? - ?
ROOFING 2L ?l?Q
oC
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL I
? f
3 n.
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
v
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
?
(ger#i#ira#e of (Orrupanry
titp of (Eagan
arvartmrai o# lwmuug jwrrtinn
This Certifica[e issued pursuant 1o the requirements of Section 306 of ihe Uniform Building
Code certifying lhat at the lime of issuance thrs strucrure was in complianre with the various
ordinances oj the City regu/ating building construclion or use. For the following:
ux csssiGavoo g' DWG/C'AR BWS. Pam;,,,o. 19253
0-p,-y Tra R3/M 1 Z*dq DiAM R 1 T? CQM3L VN
ow,?a ot e?mn? PIETSCfi BUII?tS IlVC Add,.. q543 BIP-04 IAM, I1MUM
4628 PARK= DRIVE ..._ L l. B ). PARKCLIFF 31-RD
Nw. 11/l4/91
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition PARKCLIFF 3RD
-1 ,,,,_ 1 10 56702 010 01
Owner ' "
Street 1 ? 8
{ Cliff DrilTe state
? * ,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK v'1 984 . . 25 5
SEWER LATERAL
3
d
WATERMAIN
1?6 9 35.16 .
WATER LATERAL
WATER AREA 984 . .
STORM SEW TRK .
STORM SEW LAT 283.61 --56-.7 3
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDiNG PER,
SAC .
PARK
? SEWER & WATER PEF
' CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE _ Jo 14, 19: ?
OFFICE USE ONLY
METER ?q!?j a?_233 pERMIT DATE 06 / 14 /91
CHIP # Q_?d3 :Z2 U PERMIT # 12064
METER SIZE s u B.P. RECEIPT # ?1T; ^
ISSUE OATE ' B.P. RECEIPT DATE 06 /11' / 1
_ PRV - 80aSTEfi PUMP
? SITE ADDRESS 1,-32e, T'.°:f?KCLIFF DR PERMIT REOUESTED
LOT i BLOCK ' SEC/SUEA PARK.CLI FF ?IlU '
X SEWER 1 WATER _. TAPS
; APPLICANT:
I ADDRESS: _ COMM/IND ? RESIDENTIAL ,
'
? CITY, STATE ZIP X NEW - EXISTIIVG !
? PHONE:
? Lawn Sprinkler Meters are to be Installed
PLUMBER: ? t?ATTti?4i ?4+iIELS TCJC Ahead of Domestic Meters on Water Line.
ADDRESS: 15185 CA?cGUSEL «AY Credit WILL NOT be given for deduct Meters. ,
CITY,STATE gOSEMOUNT r;! ZIP 55068
?r,. ;
PHQNE: 42?-?73Q
I AGREE TO COMPLY WITH CITY OF
OWNER: y' 1, F `1 'S (7 "? I $UILUi:ES •INC E N ORDINA C j
I ADDRESS:
S543 BZF.CH l,ta 7
/
? CITY, STATE I.AKEVILLE P9Id Z!P 55?,!;;? ;I
I PHONE: 4E1-3381 SIGNATURE EfY METER ISS!!ED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DE PT. _
- - .ti.__.-----_..? ? -- - - ------- ---. -__._ _-. -.--.._ ?•.?..?:. -- - - - ''? - - --- C fi,
, .. CITY OF EAGAN No _ 19253
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512? ??? ??
PHONE: 454-8100
BUILDING PERMIT Receipt # i
To be used for SF DWG/GAR Est. Vali
$266,000
SrteAddress 4628 PARKCLIFF DR
Lot 1 Block 1 SeGSub. PARKCLIFF 3RD
Parcel No.
W IName PIETSCH BUILDERS INC
o Address 9543 BIRCH LN
City LAKEVILLE phone 461-3381
Name -
Address
City -
Phone
M Name
Address
City Phone
I hereby acknowleqe that I have read ihis application and state that the
informahon is correct ae to comply withBll apphcable State ol
Mmnesota Slatules and Ea/g-a?nOrdinar?e"9s. ?
Signature of Permi /GZ.?/
A Buildin9 Permit is issued toPIETSCH BUILDERS INC
on Ihe express condition ihat all work shall be done in accortlance with all
applicable State of Minnesota StaWtes and City of Eagan Ortlmances.
BuddingONicial 4 nt,n R.ou1.1`I1111
OFFICE USE ONI.Y
Occupancy R-3 M=1 FE ES
Zoninq R=1
(ACtual) Const V=N Bldg. Permit 1 .921 . DO
(Allowable) V-N sumnarqe 133.00
k ol Stories
72'
PlanFeview
793.00
Length
DePih 3-8' SAC, Cny 100.00
S.F. Total - SAC, MCWCC 650.00
5 F Footprints -
On Sile Sewage _ water Conn 660.00
On Sile well Water Meter 95.00
MWCC Sysiem X
Acct Deposit 30. ??
Cny Waler X
PRVRequired - S/NPermit 30.00
Boosler Pump - 5/yy Surcharge • 50
Treatment PI 276.00
APPROVALS Road Unit 370 _ 00
Planner - park Ded.
Council
BIdg.Ofl _ Capies
Vanante - TOTAL 4>»O•':6
Address: 4628 PARKL'LSFF DRIVE Lot I Blk I Sec/Sub pARK!MIF'F 30
These items were/were not complete at the time of the final inspection.
I1/14/91 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry V-,?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass LI-11
Trail/curb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
?FM4EDNRII
White - City copy Yellow - Resident copy Pink - Contractor copy
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
? See Instmclions for campleting this brm on back of yellow copy X" Below Work Covered by This Request :Ne Add he . Type of Building A pliances Wired Equipment Wired
Home Range Temporary Service
Du lex Watar Heater Electric Heatin
ABuilding Dryer Load Management
Comm./lndustrial Furnace Other (S ecify)
Farm Air Conditioner
Other(spedfy) ContredoYS Remaexs:
Compute lnspection Fee 8elow: ?mvn Adi
!! Other Fea # Service Entrance Size Fee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners A6ove 200_Amps Above 700 _Amps
$I f1S Inspecmrs Use Only. TOT#L SQ
Irrigation Booms
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT .
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
h Rough,m r oaee
cert
ty t
at the a6ove inspection has
been made. Final
OFFICE USE ONLY ?
T1115 lBq0E5t VOId 10 1110nth5f(ORI
? y 7a..?
?0,6 ? 4 ??D ?
?
? 9
.s
a
Request Dete
1 Fire o. Rough-In Inspection wretl
r when reatly)
(VOU call ins Inspection Other Then ough-In
? Reatly Now Will Notily Inspecmr
50
,3
95 p
Yes ? No Oate Reatl
I? licensed contractor Ctowner hereby request inspection of above electrical work at:
JOb Atltlress (SVaet, Box or te No ) City
'Irl(nag ar?< : ?-( I r.
Secnon No TownSMp Name or N. Range No County
Occupant FINT) Phone N.
; Sa o z;n
Power Supplier Atltlress
Electncal Comracmr (COmpeny Name) Coniracmr's License No
0 rvt Q o W h p.l-
Meiling Atltlress (COnlractor or Owner Makmg Installation)
QV
Amh Sig ture (ConVactor/Owner Meking InstallaUOn) Phone Numbar
nR - cW
MIN SO STAYE BOARU OF ELEC Nld I I THIS INSPECTION REQUEST WILI NOT
Griggs- tlwe tlg. - Noom 5428 II II I I II I I I I
I I
I I I I I I
BE ACCEPTEO BY THE STATE BOARO
St. Peul, MN 55104
University
ho ? ? UNLESS WSPECTION FEE IS
ne 16121642 OBDO
P ENCLOSED
?----------------i
? Permit#: q,? O I
? Pennit Fee: 00 I
I i? I
? Date Received.
? Staff: ? ? • I
I
Date:J Njo Site Address:
t
Tenant:
RESIDENTIOWNER Name:LiSA- MoZi 'NPhone:Cv$
Address/City/Zip:
Applicant is: t Owner _ Contractor
NPE OF WORK Description of work: JZ4_rxx_
ConstructionCosr.,L)? Multi-FamilyBuilding:(YesNoY-)
CONTRACTOR Gcr?Q;?b?RS 11-L,License#:
Address:2q(?Q
City: ?u.r2v.SU i??? State: Yk'lZip: vrJ ?3 ?
Phone:ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submftted Submitted
(4 submission type) • Energy Envelope Calculations Su6mitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans aRil'supportingtlocumients that;yousubmit are:cor+sidered to be publid=informafion.ePorfionwaf.?,.
-
inf
=th
i
n
n
a
s
f
d
C
u
e
wd
c
o
e
ormat
o
r
ay 6e cl
s
i
ietl as non p
permit the
rtto
rrfic rea?ons that
ul
bli
„d y
u provide sp
•
? „ , -_ -:
_ a = M ii conciude fhat the ' are frade secrets. . ??R
I hereby acknowledge ihat this infort»ation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, 6ut only an application for a permit, and work is not to start w@hout a permif; that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans ,
X S ??o X ?
ApplicanYs Printed Name App icanYs Signature
Page 1 of 3
2008 RESIDr;NTIAL BUILDING PERMIT APPLICATION
: ?. 1991 ?u?"' ?
BUILDIG P CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MIJLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NDTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: l/ ? / -,yn41 Valuation
Site Address
Lot / Block ?
Parcel/Sub
?
Owner
Address
City/Zip Code
Phone
Contractor Ti;y? 'eZ,iAa
Address
City/Zip Code ?SD?lz
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
=05E2221?- Date: ?
OFFICE USE ONLY
2GG,ooa --
Occupancy .3 M-1
Zoning 2-I
Actual Const V- N
Allowable
# of stories
Length r/ -
Depth 3B/
S.F. Total
Footprint S.F.
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
1z21,02)
133,00
W4 ou
ov
va
SUSTOTAL
Penalty
Lot Change
TOTAL .?D
On site sewage_
On site well
MWCC System
City water ?
PRV _
Booster Pump _
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?WALu-A-no0
2ARAGE
abx z2? 440
I s- razoo
gsr??T-?
.e---
ILx?3. ?oo8?c1?= l?51 2?o
?--?wer L?
Lt D ? 14= 56J
'-I ? /ny ou
?r
?yx 53
JST
t35mT-- lyvL(
k 5
3='79i82.._
4N'J ?L00 9Z
LI
2..? I I ; , 22
Sxl?= 30
sX y = ?
f 5 lo&
--?.
?P l?r loe k c
.r
= S?SI
122v,?o arZ )zz,
S,c, ?GG,oao X,ooo? ,_, ?3-a
?
'793,33 ?n ?G3
2?Sa?i2 0K Z66`C?OZI?
G7-GO-1771
, OHNEB •
U7'?VhI'I I'KLiI'I lltSlLalY k-LHbbll.b IU
p. - --• .•..?..rs, e?vL?XAGE "jJn COMPUR'ATIt)N
fUfR^r-r s? I 1?n
SzTE ADDRESS
ueis.sar P.02
CO?NT$A CTqR ;
1
2
3.
PH()NE :
T!)TAL E];POSEA WA7,7ARE r ? .`• ? ?
1'p:PAT. R(1bF CEILIAdG AREA ? f1 SQ- PT. X r tI ?
1756?0 ?
------_-?, sQ. Fm. x r D?
TC7TApUSED mnr.r. a"...
Total exposed wali
axea above floor
) Total rtat Ka11 area above
flopr (i?sulated)
9) ':otai r5,m joist area
Totai Foundation area
(eXposed)
? zco
naaw area
b) Total door SQ•F'.E'. X??u?? r
area 39 = Q?c
? SQ. FT. X?
Total slzding glasa door gxea r
d) Total ffr.epaace wa11 ar.ea S?-FT. x?u,??= Jr.?
Total ma --------- ?_ SQ.PC. X ?U- D
@)
( 3i framing area 7?JeZ
avera9e 10%) ----??.. S0. F'c. X„U„ ,•,?q _ ly d
a) Total waZS 4,
'"-?-? sQ,FT. X Rrj••-r,?L
,1= ''J&9
__ ---------?
7. 3S2.fix, X
K I SQ•FT.
hJ Total fourIdation wzndny area
i) Totdl ""?- ?--- SQ•FT. X??u„ ?
net fOgradQ ion area G - ?
above L SQ.gT, g ut" ?7
It item 43 3s TUTA1'? a) through y
the xnt8n?, ?
the sarne ae, ar 1ee+s than itQm #I, ?
y°u have met
Of 2 MCAR 1.16008 A and ().
PAGE 1
, .06-06-1991 10:00RM FROM DESIGN CLASSICS
----------------
TO 4613387 P.03
4. ToTa3:, EXESJ?? ?)()E ICETT tNs CI?LgUT ATIU?,S r
Total sxposad rpof/ 75 •U SQ.F'T. -"
ceillnq area -" """ ? ' - •
j7 Total skylfght area D SQ.FT. X"U" ~ a?_
k) Total roo£/cgiiing 7Ejr SQ.PT. X"f3"?r
framing area
(averaga 10%)
1} Total net insulated 8"f SQ.FT. X"U^
roofJcsiling area
4.
TOTA7'., j ) through } =
If totai of #4 is the same as, or 2ess than #2, you have met ,
th2 intent of 2 MCAR 1.16008 A and p.
3Y?? Z?s( ? Y?_
ATLT'ERt?tA'CE BIII]' DING NVELqPE 2ESIG3d
'co utilize the Lotal anvelope systam method, bhe valups
establishad by the sum at #3 and #4 shall not be greeter
than the awp of ltems #1 and #2.
1. +2. _
3. +9. _
CER'f I F ICAx ION
I hereby cerLify that I have calculated Che "0-, factora and
values herein and that the building here described meets
or exceeds bhe State of Minnesotati Enerqy Conservatfon Act.
te
PAaE 2
C:I.Tt/ [.1F 1:.AL;AN
CA::iil-I:CI'.I";s 15 ii:'.RMSNlaI... NOa h919
71ii'f'L.° 07!'t.'..7/:19 i'I:PfG: 1008c35
II; .
;,7AME:: i..:['.3A B. Hp71:NGU
:32'lf.) 9001 4?f>i'.'.Fi I'AF<N,f:I.:IFF F;C).O(]
^c1.5°i 9001 462E3 F'Al;:t:l.;L.TFF p,50
32:10 9001 462E3 P'Alil'.CI..7.1°F 4£3.,20
E!i.''S°; 9001 462£3 F'FiPfK('.L.ff F" f:).F,U
7'ol,a:t fierei.r-+, Amot+n+„ W9.30
Ck 1 iA?,'E3
IJSE'fi ID: 1AN
%#+F?:MHc?X;?:?;Nc MktY.cXc?k?C%??X ?X:Y,;; ?.Y,;,;;Y.;Y,:?v?acNcYFk<??%k>kV? #?kH
r , t
9 1999 BUILDING PERMIT APPLICATION {RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 UJ
New Conshuction Reaulremenis
ID 3 regisiered sBe surveys ahowing sq. H. oi lot, aq. H. of house
and all roofed areas (20% maximum lot coverage allowed)
? 2 coples of plans (show 6eam 6 window stzes; poured fnd. design; eic.)
? 7 set of energy colculotlons
D 3 copies M hee preservWton plan N lof platted alfm 7/1 J93
DATE:
DESCRIPTION OF WORK:
BemodeVReoaR ReautremerHs
2 coplea ot plan
i set of energy calculalions for heated addRfons
7 sBe aurvey lor exterior addmons a decks
CONSTRUCTION COST:
STREEf ADDRESS: °4 (n?? 9ar't+ C ?\k Q?
LOT: I_ BLOCK: I_ SUBD./P.I,D. #: P0.r+? Cl-4 a"14 Q?Ad'i \IiIID
Name: MC5ji1 M O?-y U.7 Phone #: t nSI5 l
PROPERTY Lan Nrsf
OWNER ???? ?,,? r ?
Street Addres . rt?-r
City C. Stute: Zip: a" z>
CONTRACTOR
Street
City
ARCHITECT/
ENGINEER Compi
Telephone #: area code ( )
Phone #:
(area code)
License # _
Stqte: Zip:
Name:
Streefi Address: Registration #:
City
Sewer 8 woter Iicensed plumber (reauired (or new conshuction onlvl:
State:
PenaPFy applies when address change and lot chonge is requested once permR is issued.
1ilereby acknowledge that I have read ihis appiication, state thaf ihe Informction is corteet, and
Sitate of Minnesota Statutes and City of Eagan Ordinances. ( _
_ ,.
Slgnature of Appltcant:
OFFICE USE' ONLY
Certificates o? Survey Received l/ Yes _ No
Zip:
MrMh all appltcabl
?
jfj?1(?=r
I iJ!
A 2 3
Tree Preservation Plan Received - Yes - No - Not Required
r ,
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 1 B Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments O~ 19 Lower Level ? 24 Storm Damage
? 05 3-plex p 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration p 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 ?
Census Code
SAC Code
No. of Units ?
No. of Bldgs ?
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
SN1! Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
a
h
i
5AC Units
% SAC
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?? q 33 1999 BUILDINC PERMIT APPLICATION (RESIDENTI?,AL)
1 CITY OF E14CAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcflon Reaulremen}s Remodel/Reoair Reauiremenls
? 3 regisiered aNe suneys showing sq. R. o} lot, sq. R. oF house 2 copies of plan ,
and gU rooted areoa (20% maximum loi eoveraae allowed) 7 sef of energy calculatfons for heafed addNions
? 2 coples ot plans (show beam 6 wlndow slzes; poured fnd. design; etc.) 1 sMe wrvey for ezterior addMions 3 decks
? 1 set of energy calculaftons
? 3 eopfes W hee preservatbn plan M lot plcMed aHer 7/1/93
DATE: CONSTRUCTION COST: ?( O r ad 0
DESCRIPTION OF WORK: 1s -
STREEf ADDRESS:
LOT: ? BLOCK: SUBD./P.I.D.#: C44
PROPERTY
OWNER
Name:_ ?\A0?.?1w1..11?7 Phone#: l4LJ? ?oa?"?1
Lasl Firaf
Sireet Address: FoL-riy,
City c-State: Zip: J?1? 3
?Ij
CONTRACTOR
Street
City
ARCHITECT/
ENGINEER Compi
Telephone #: area code ( )
Sheet Address: Registration #:
City State:
Sewer & wafer Ilcensed plumber (reavked for new consfructlon onlv):
Zip:
Penaly applies when address chnnge and lot change is requestetl once permH is issued.
I hereby ecknowledge fhat 1 hove read this applieahon, staTe fhat fhe informaHon Is conect, and agree to comply with all applieabl
Stute of Minnesota Statutes and City of Eagan Ordinances. ^__ , (,
Signature of AppUcant:
OFFICE USE ONLY Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Nat Required .A,L 2 3 IJ.I.
J J
Phone #:
(area code)
License # _
State: Zip:
Name:
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-piex ? 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-ptex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool "K" 25 Miscellaneous
WORK TYPE \
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
J" 33 Alteration ? 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. (Actuap
(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.
Buildint,
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
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $?
?T'L
7Y
??.
SAC lJnits
% SAC'
PERMIT c? 3q? 9 a
? CITY OF EAGAN 5?-95
3830 Pilot Knob Road PERMITTYPE: BurLozNs
Eagan, MinneSOta 55122-1897 Permit Number: 0 2 5 4 8 6
(612) 681-4675 Date Issued: 0 5/ 01 / 9 S
SITE ADDRESS:
4628 PARKCLTFF OR
LOT: 1 BLOCK: 1
PARKCLIFF 3R0
P.I.N.: 10--56702-010-01
DESCRIPTION:
? (INCL REMODEL)
Building-P;ermit Type SP ADDITION
H?uildi_ng Wo'rk_ Type NEW
E+
...&3 =3 1 ? r,£ _
REMARKS:
A SEPARATE PERMI7 IS REQUIREp FOR ANY ELEC7RICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $6,000
Base Fee $81.00
Surcharge $3.00
Total Fes $84.00
CONTRACTOR: OWNER: - p,pplicant -
M02ING0 MATTHEW
4628 PfiRKCLIFF DR
EAGAN MN 55123
(612)688-0001
?
I hereby acknowledge that I heve read this application and state that the
infarmation is correct and,agree to comply with all applicable StaCe ot Mn,
Statutes and City of Eagan (Irdinanees. ;
APPLICANT/PERMITEE SISkOURE
ISSUED B . SI PIA7UR
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025486
05J01/95
SITEADDRESS:P•x.H.: 1e-5e7e2-01e-e1 APPLICANT:
LOT: 1 BLOCK: 1
4628 PARKCLIFF DR MOZINGO
PARKCLIFF 3R0 (612) 688-0001
PERMIT SUBTYPE: TYPE OF WORK:
5F ADDITION
DESCRIPTION
MATTHEW
NEW
(INCL REMODEL)
INSPECTION
OOTINGS .. .
FRAMING ..
NSULATION FIREPLACE
FINAL
REMARKS: A SEPARA7E PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
1-
?
.
?
-1
I
5 • ' ' •
c
:
??
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered sRe surveys
? 2 copies of plans (include beam & window slzes; poured fid. design; etc.)
? 1 energy calculetions
? 3 copies of tree preservation plan 'rf bt platted after 7H/93
Phane #: 61Z 6,9 8 -v061
required. _ Yes _ No
DATE: PE, k 27 ? S CONSTRUCTION C05T: _
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT i_ BLOCK
SUBD./P.I.D. #:
PROPERTY Name: th 6 i N ?•IwTAeu/
OWNER ^^a*
Street Address- - 7 6 2 g'Y"A-, Y? C)
City: Etfi-ti State: rn ?
Ciry:
CONTRACTOR Company: 5 4-M G Phone #:
Street Address:
ARCHITECTI Company:
ENGINEER
Name:
Zip: 73
License
Phone
Zip-
Registration #•
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
State:
Zip:
Penalty applies when address change and lot
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. ?
Signature of Applicant:
OFFICE USE ONLY -----
e°u?C; k.uv1?1 D
Certificates of Survey Received _ Yes _ No
AwR a 7 1995
Tree PreservaGon Plan Received Yes No
? 2 copies of plan
? 2 site surveys (exterior add@ions 8 decks)
? 1 energy calalations Por heated addiGons
.
.
OFFICE USE ONLY ; . ?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
a 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pooi
pi< 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
9,? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
?
O
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ Zo , b ° = ?
?usz ? Lo..? -?,?a 0)0 OwHC.?s
?srin?..rrf ?2 /-/n?,no.,. ?
% SAC
SAC Units
Form for use with Minnesota Aules part 7670.0475, Subp. 2
1& 2 Family Residential "Cookbook" Method
STfE ADDRESS ??(/
hZ4
RF'F' ?? Vri City
? A
r JOyCC?itJ ?
aunnEx nah
Minimum Criteria:
Rim loisc: R-19 insulation Foundatan Windows: Insulated glass, 1/2" air space, wood or vinyl frame
Entry doors: 13/a inch solid wood with storm or better
I S1'EP 1 Window & Door Area I
Total Window & Door Area in Sq. Feet
WINDOWS (including foundation windows):
Dimensions Qnty. Area
?'X 17
x
x
x
x
x
x
x
x
x
x
DOORS:
x
X
x
Total Area of
Window & Doors
07 +Iq A
Total Wall Area in Sq. Ft.
Wall Total Perimeter Height Area
2'0f Sl-D'Y' 331a0
Total Area
of wall ?, Q B
STEP 2 Calculate area as a percent of wall
Box A(window & door area) divided by Box B(total
wall area) times 100 equals the window and door azea
as a percent of wall. azea (Box C).
BoxA x 100=
BoxB Eil
STEP 3 Design Features
ASSEMBLY OPTION
FRAME WALL:
STANDARD FRAMING B
ADVANCED FRAMING ?
CAVITYINSULATION R-?
SHEATHING: LESS'fHAN R•5 ?
R-5 OR MORE
WINDOWS (except foundation windows):
U-FACTOR
From the table, determine the maximum percent window
& door azea for the design options selected and enter the
value in box D below:
EQ
I Box C must be less than or equal to Box D?
V ?
?
ONE- dt TWO-FAMR.Y RFSIDEN7'IAL BUILDING PRESCRRIP'I7VE (COOK-BOOIn
APPROACH
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
From Minn. Rules part 7670.0475, subpart 2, item F
Cavi Window U-Factor
Framin Insulation Sheathin 0.49 0.36 0.31 0.27
STANDARD R-13 > R- 7 13.4% 17.8% 21.3% 24.3%
STANDARD R-13 > R- 5 12.4% 16.4% 19.7% 22.5%
STANDARD R-15 > R- 5 12.9% 17.1% 20.1% 23.4%
STANDARD R-18 c R- 5 12.1°k 16.0% 18.8% 22.00/6
STANDARD R-18 > R- 5 14.0% 18.6% 21.8% 25.3%
ADVANCED R-18 < R- 5 12.9% 17.1% 20.1% 23.4%
ADVANCED R-18 > R- 5 14.5% 19.2% 22.5% 26.1%
STANDARD R-21 < R- 5 12.8% 17.0% 19.9% 23.1%
STANDARD R-21 > R- 5 14.5% 19.3% 22.5° 26.1%
ADVANCED -2 < R - 13.6% 18.1% 21.2 24.6%
ADVANCED R-21 > R- 5 15.0% 19.9% 23.2% 26.9%
Additional calculated values
STANDARD R-17 < R- 5 11.9% 15.7% 18.4% 21.50
STANDARD R-17 > R- 5 13.8% 18.4% 21.5% 25.0%
ADVANCED R-17 <R- 5 12.6% 16.8% 19.6°/a 22.9%
ADVANCED R-17 > R- 5 14.3% 19.0% 22.2% 25.7%
Notes:
Window area equals rough opening minus installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
IV
SEP-3 MON 12e39 FIRE3IDE CORNER.INC_ 6338884
? s
08/SO/91 14:OT FA3 912 690 8526
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SECTION 02265
GEOGRID WALL REINFORCEMENT
PART 1 GENERAL
1.1 Work includes furnishing and installing geogrid
reinforcement, wall fill, and backfill to the lines and
grades designated on the construction drawings. Also
included is the furnishing and installing all appurtenant
materials required for construction of the geogrid
reinforced soil retaining wall as shown on the
construction drawings.
1.2 APPLICABLE SECTIONS OF RELATED WORK
A. Section -
B. Section - Earthwork
C. Section - Geotextile
D. Section - Plastic Connection Pipe (IF REQUIRED)
1.3 REFERENCE STANDARDS
A. ASTM D 638 - Test Method for Tensile Properties of
Plastic
B. ASTM D 1248 - Specification for Polyethylene
Plastics Molding and Extrusion Materials
C. ASTM D 4218 - Test Method for Carbon Black Content in
Polyethylene Compounds by the Muffle
Furnace Technique
D. ASTM D 1785 - Specification for Poly (Vinyl Chloride)
(PVC) Plastic Pipe, Schedules 20, 40,
80 and 120
1.4 DELIVERY STORAGE AND HANDLING
A. Geogrid:
1. Contractor shall check the geogrid upon delivery
to assure that the proper material has been received.
2. Geogrids shall be stored above -20°F (-29°F).
3. Contractor shall prevent excessive mud, wet
cement, epoxy and like materials which may
affix themselves to the gridwork, from coming
in contact with the geogrid material.
4. Rolled geogrid material may be laid flat or
stood on end for storage.
PART 2 MATERIALS
2.1 DEFINITIONS
A. Geogrid is a high density polyethylene (HDPE) grid,
specifically fabricated for use as a soil reinforcement
B. Not used
C. Not used.
D. Backfill is the soil which is used as fill for the
reinforced soil mass.
E. Foundation soil is the insitu soil.
2.2 PRODUCTS
A. Geogrid shall be as shown on the drawings
2.3 ACCEPTABLE MANUFACTURER
A. The Tensar Corporation.
B. Approved equal.
PART 3 EXECUTION
3.1 FOUNDATION SOIL PREPARATION
A. Foundation soil shall be excavated to the lines and
grades as shown on the construction drawings or as
directed by the Engineer.
B. Foundation soil shall be examined by the Engineer
to assure that the actual foundation soil strength
meets or exceeds assumed design strength.
C. Over-excavated areas shall be filled with compacted
backfill material.
D. Foundation soil shall be proof rolled prior to fill
and geogrid placement.
3.2 WALL ERECTION
A. A face form shall be constructed to place fill
against. The form shall be minimum 2' in height extending along
the wall face for length required. Form face shall be removable
as the grid wrapped wall is installed.
B. First layer of geogrid wrap shall be laid onto
compacted grade and draped up in front of front face form. Wall
erection shall be as specified under Section:
Concrete Retaining Wall Units.
C. Begin backfill operations compacting fill as it
is brought up. Do not compact with heavy equipment within 3 feet
of the face form. Compaction shall be to 95$ standard proctor
density. Lifts shall not exceed 611.
D. Place primary reinforcing grids at the appropri-
ate level. Ensure grid is laid flat on compacted soil and all
wrinkles removed.
E. Continue backfilling and compacting soil to the
top of the wrapped section. Fold back face wrap grid, remove all
slack in grid and anchor tight. Stakes and or fill placed on the
rear of the grid should anchor it tight. Continue placing fill on
grid and start with next wrapped section.
F. Remove form and relocate at upper wrapped sec-
tion.
G. Place drainage tile and gravel between wrapped
grid wall and block wall as directed by engineer.
3.3 GEOGRID INSTALLATION
A. The geogrid soil reinforcement shall be laid
horizontally on compacted backfill up to the back of the wrapped
face. Pull taut, and anchor before backfill is placed on the
geogrid.
B. Slack in the geogrid at the wall unit connections
shall be removed in a manner, and to such a
degree, as approved by the Engineer.
C. Location and placement of the Geogrid is as
shown on the drawings. The relative position of the geogrid
layers to the height above finished grade must be maintained.
3.4 WALL FILL PLACEMENT
A. Wall fill material shall be placed in lifts and
compacted to 95% standard proctor density.
B. Backfill shall be placed, spread, and compacted in
such a manner that minimizes the development of
wrinkles in and/or movement of the geogrid.
C. only hand-operated compaction equipment shall be
allowed within 3 feet of the wall face.
D. Backfill shall be placed from the wall outward, to
insure that the geogrid remains taut.
E. Tracked construction equipment shall not be
operated directly on the geogrid. A minimum
backfill thickness of 6 inches is required prior
to operation of tracked vehicles over the geogrid.
Turning of tracked vehicles should be kept to a
minimum to prevent tracks from displacing the fill
and damaging the geogrid.
F. Rubber tired equipment may pass over the geogrid
reinforcement at slow speeds, less than 10 MPH.
Sudden braking and sharp turning shall be avoided.
PIETUH gUILDERS INC. TEL:612-461-3387
?-- .. ...
(io,oa,o ) DENpTE6 EXIST{NQ E?-tiVATIr7N '
DENOTEB PROPOSED EI.FVATION
, .,?.. .v _. ......... .? ..__ ... . ..._.. ..?.._ _......._?....._.
- ? --- P?rr?GH B?IaOeR,s
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ING?ft1Nt3? ?'?'?
7MPAN'? ,INC.
rouu gAer ??im IrnRrr, dURNlYILLCo MINNLlOIA 6671? PN ADR•111Nq
gertlflcat?ur?ey
r?•oD AlJO/T/dY?;
"8ALp"WRjjM= 7'A COUN7Y 'I M/NNESOrA.
DAK0
eon+.E ? r . 40'
..+-?--- IPiDICATUS DIRECTIQN pf 6URi'ACS DRAl1VAG
OP? ,83 =PINIgWF.IDQARA(#RFbdOW ELHVATIQN • .
o, 3 a pA6RiMENT FLUUR ELEVATION
&,ahI• Tpp pp B1.OCK ELEVA710N
Jun 10,91 13=22 No.006 P.02
f. !4 C A.A
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and d.ra{brd tr.en. As pispaleJ by'ms an 111161!?dsV oi JUwE .19?..
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9'-tl' LONG 552 ?
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GENERAL NOTES
1 COMPACTION SHALL BE TO 95. STANDAftO PROCTOR
2. CONPACTION TEST$ SHALL BE TANEN AS WALL IS INSTPLLEO
THE MINIAIUM J( OP TESTS SHALL BE OEfERMWED BY THE SffE SOIL ENGINEER.
3. SRE SOIL ENGINEER SFIALL VERIFT FOONOATION SOIlS AS BEING COMPEfENT
A$ PER OESIGN STANDPRDS
4 GEOGRID SHALL BE THE ttPE AND LENGTH NS SHOWN
5 BASE SHALL BE PFOOF ROLLEO PRIOR TO PUwING GRID
6. FINAL aLIGNMENT OF THE WP1L S44L BE LOCAiED IN THE FIELD.
DESIGN ASSUUPTI0N5
I UNR WEIGNT pF SOIL IS 125 PCF
2. ANGLE OF iHTERNAL FRICTION IS 28
3 ALLOWABLE BENEING STRE55 IS 4000 PSf
a 6ACKFILL IS WELL DPPINED
5 COMPACTION TO 955 STANDPFD PROCTOR
6 COMPACTION TESTS ARE TAKEN.
J I/T CONC SlAB
iF CONDITiON5 ABE OIFFERENT THAN iHOSE PRES:MED. CONTRACiOR
.?- 8, z 51g,
>
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rl
CauGnCTED EAS[
20" % 8" FOOTING
WALL TPICAL DEfNL
RE CERTIFY T i iHiS :lnN. SPECIFlCAiIpl,
REP R? nS E/REO 9Y uE OR UNpER Y,
DIRECT UPETM ' ND iHAT I nM n DULY
REGISL Fj1 pR uo?HGitiEER UNDER TME
DATE V f( fi REGISiIVAT10N NO
GErvERU rv0iE5
i CEOGRID WRPPPED SECTiON SNOwrv StuLL BE PUCEO iv5 OIRECTED H+ 1NE ENGiNEER
2 PtAtE SGACER BEM1YEEN BLOCK wqLl. qrvp wRAPPEO FnCE. FENOVE AS GRID w(UP Wnll
IS IrvSTALLED
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153902
Date Issued:02/01/2019
Permit Category:ePermit
Site Address: 4628 Parkcliff Dr
Lot:1 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Matt Mozingo
4628 Parkcliff Dr
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156836
Date Issued:07/19/2019
Permit Category:ePermit
Site Address: 4628 Parkcliff Dr
Lot:1 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matt Mozingo
4628 Parkcliff Dr
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature