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4633 Parkcliff Dr Use BLUE or BLACK Ink -----i 1 I Permit Cit of EaEfl I 3830 Pilot Knob Road I~ Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff- - 2010 MECHANICAL PERMIT APPLICATION Date: W vo Site Address:' U/ -Dir Tenant: Suite RESIDENT / OWNER Name: Phone: LAO,- M5 A Address/ City /Zip: CONTRACTOR Name: ! r s Address: ,l ( City: ~r(~ 1 Q201 State: Zip: -4 - Phone: k0S 1 4.- LXJ- Cn Conta mail ~V+' TYPE OF WORK New Replacement Additional i Alteration Demolition Description of work: C~Q x~Jw NOTE: Roof mounted and ground mounted mechanical, equipment is required to be screened by'City Gocie. Please contact the Mechanical Inspector for information an' permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank C_ Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ,50 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 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.aopherstateonecall.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 vri '~e approvelt.plan in se of wo whi squires a review and approval of pla e x NAN Q" ~ x App icant's Printed Name Applicant's Signature FOR OFFICE USE,._ Roviowed By- Required Inspections: Under Ground Rough In -Air Test _Gas,Service.Test _In,-floor.Huat -Final _ Exterior HVAC Screening Inspection , CITY 3830 Pllof Knob Road, P., ' PHOI BUILDING PERMIT To be used for SF D?';G/GAR Est Value Site Address - Lot-1 Block Parcel No. W Name '{EN'S 3 Address 34 0 E 0 _. i311 ??!U?V?I.T o Name SA?v' E 0? Address City Pho? ? F W Name ??': irJ ? n Address i E City - 4- Phoi Minnesota I with all Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all applicabie S Building Officiai 4GAN R?: ' ?.?1??J 21-199, Eagan, MN 55121 ?. r I-8100 Receipt # :,OUO oate JUNE i3 19 86 Erect 3[ Occupancy R3 Remodel ? 2oning RI Repair ? Type oi Const y- Addition ? No. Stories Move ? Length 52 Demolish ? Depth 47 Int. Impr. ? Sq. Fr Water & Sew. Police Fire Eng. Planner Council Bldg.Ofl. ? Var. Statutes and Ciry of Permit 436.00, I Surcharge .00 Plan ReviewQ SAC . 500 O Water Conn. Water Meter ?O Road Unit?0U Tr. P I. _ I cap-es 42,292. 5 u TOtal on the express condition that an Ordinances. I _ I Porml1 No. I Parmit Holdkr I Dote I TdephoeN M I Dat* Hty. Plbg• FInN Occ. Dhp. CITY OF 3830 PILOT KNOB R0/ Site Addrsss /' % " Lot I Block m Name ? Addre c Ciry 1 ? Name 3 Addre p Ciry j TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # Other PERMIT # RECEIPT # MN 55121 DATE: _ - i r? - BLDG. TYPE WORK DESCRIPTION 4es. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE / (.'`., S/C: SIGNATURE OF PERMITTEE TOTAL• ';? 1? FOR: CITY OF EAGAN m m y C " . PERMIT # dDQUW73I (o PLUMBING PERMIT RECEIPT #?P LJ y?'<?( CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ACT PRICE: PHONE 454-8100 Iress BLDG. TYPE WORK DESCRIPTION ? Block Sec/Sub L__4?,J ? Res. ? New X ame lII ' f'?/?r"J l,, :? Mult Add-on idress Comm. Repair ty <<...a Phone Other ame NO. FIXTURES T9TAL ?Water Cioset - $3 00 $4 `;'" I idress 4 ? f . - ?Bath Tubs - $3.00 ty Phone Yi 2,- 3u Lavatory -$3.00 ? --L-Shower - $3.00 ' _L-Kitchen Sink - $3.00 ' FEES IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00 ?Laundry Tray -$3.00 M - RESIDENTIAL FEE - $10.00 Floor Drains - $1.50 M - COMM/IND FEE - 20.00 ?Water Heater - $1.50 >URCHARGE PER PERMIT - .50 Whiripool - $3.00 50 S/C IF PERMIT PRiCE GOES ?Gas Piping OuUets -$1.50 D $? ???.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 ' 3 Rough Openings - $1.50 IRE OF PERMITTEE FEE: STATE 3/C: ' -` ' fY OF EAGAN • GRAND TOTAL: CITY OF EAGAN Remarks Addition PARKCLIFF 3RD Owner Street 4 3 Yt 10 56702 010 oz V e State Eagan, miv 7 51 ;ej Improvement Date Amount Annual Years Payment Receipt Oate STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1 .984 , SEWER LATERAL WATERMAIN 1984 35 7.04 5 WATER LATERAL WATER AREA 9 f?, 366.26 • 2S STORMSEWTRK 9$4 42,71 12 ,54 STORM 5EW LAT 983 2 3.S 5. 73 5 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK i CITY GF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zonirg: Qwnsr: Addross- Sih Addroa: . Plu++ber. Meftr No.: 3 72 is. size: -'5'-/W- _ a Reade. No.. 19 rr? y ????ply & I! 1 St. WATER SBtYICE PetMR PERMIT NO.:, D/1TE: No. of Units:. rIA I,1 n2 w`M - M', ?rgov - 1 J V . ilUpCl 1Y Totol: ' { . .i:,n-i eteter BY Date Pbid: Dote of IrKp.: lmp.: - ?y Yk..?.. /SSu.aP ?l-/T ?? CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zonirg: Owrer: Address: :• =. '} . Site Addrozs: - Plumber. "s? r iGem h Mwply w1lU !M GIly d Mww OIdIMmOM. By DoM of 1nsp.: SEWER S9tVlCE 'ER141R k PERMIT NO.: DATE: No. af Units: Corr»etion C]hapo: Account Dapo:k: Pef111it rN: S{11chOfQe: - _ Miac. Chorgs: _ Totd: _ Doft Poid: WATER SERVICE PERMIT PERMIT NO.: - DATE: - No. of Units: Acoount Deposit Permit Fee: Surchurqe: Misc. Charyes: Totoi: Date Paid: No.. !o aompiy vrilr fM Qtp oF b"os CITY OF EAGAN .1 3830 Pllot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 N2 12115 PHONE: 454-8100 BUILDING PERMIT Receipt# 7obeusedlor SF DWG/GAR EstValue $102,000 Date JUNE 13 1986 SiteAddress 4633 PARKCLZFF DR Erect Occupancy R3 Loi 1 eiock Z seci5ub. Pj?RK CLIFF 3RD Remodei ? zoning RI Parcel No. Repair U Type of Const. Vn- Additian El No. Stories ? KEN' S CONSTRUCTION Move ? Length 52 w Name 340 E 152ND Demolish ? Depth 47 o Address Int Impr. ? Sq. FL Ciry BURNSV7?M 435-2030 Instau ? ,o = u U < ? Name _ Address Phone Water & Sew. Police Fire Eng. Planner Council eid9. ort. 6/13/86 APC Permit ? Y?O. V U Surcharge 51.00 Plan Review 219. 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156.00 F W I Name FEEHAN' S RESID. ARCH Address iw City A.V. Phone I hereby acknowledge that I have read th is applicahon and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and CiN of Eaaan Ordinancea: Si9nature of Permittee L.ltLX .?L/ A Bwlding Permit is issued to: KEN' all work shall be done in accordance with all a{ Building Official n SAME Approvala Feea Var. Date 1 Copies Tota? $2.292.50 on the exprass condition that Statutes and City of Eagan Ordinances. r i ? ` ?? - ? ?` } • / 1986 BOILDING PBRIiTP APPLICATIOH - CITY OF BAGAA NOTE: ALL CONTRACTOHS MUST BE LICSNSED iIITS TH6 CITY OF EAGAA 3INGLS FAMILY DiiELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURUEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DWELLING3 -$ESIDENTIAL REdT9L DdITS FOE SALS Q9ITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECg WITH BLDG, DfiPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, /026?rjd - $2,000 LANDSCAPE BOND I 5'} r c v ?7 7 ? UGV J C To Be Used For: S h ?? f i?M_/V Valuation: ? Date: C/ ?'" Site Address Lot Bloek Pareel/sub P Owner 1??h Address 3 ?/4 J5- / S1?? ? City/Zip Code Phone L/ 3? ? oZC/ 30 Contractor / P t? ?S ?ia n 5 T, Address 54I`7F S &12!/=- City/Zip Code Phone Areh /Engr. f 2 e 1av,'S /CeS-W ??GL> Address City/Zip Code /-,=/P //x //e Z Phone 11 OFFICE OSE ONLY Erect ? Oecupaney Remodel Zoning Repair _ Type of Const 'Q'/? Addition # of Stories _ Move Length '? Demolish ! Depth 7 Int.Impr. _ Sq Ft Install _ aepxovais Fsss Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter ? Council Road Unit 290 Bldg Off (r Treatment P1 ? APC Parks 4ariance Copies 1Y1T9I. 50 NOTE: ADDRESSES FOR CORMEB LOTS - CONTRACTOR/HOMEOWNER MQST DESIGN9YS ii$ICH ADDRSSS IS DESIRED. 80 CH9NGES iiII,L BE ALLOiiSD ONCfi BIIILDING PERMIi IS ISSDED. . 'za X ua x? -? ?c? x 4? 2 3U8? ZZ /? ?C W V b v ?/ SS, c? 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conttruqbn Reaulrements • 3 registered srie suneys showiig sq. R of lot, sq. R. of house; and a0 mofed areas (ZO% mazimum lot coverege allowed) • 2 copies af plan showing beam & windrnv s¢es; poured found desgn, etc.) • 7 set of Energy CalculaGore • 3 copies of Tree PreservaGon Plan if lot platled aRer 711193 • Rim Joist Detatl Options selection sheet (ddgs wiN 3 or less unils) DATE CA -')- / ^O ?_ SITE ADDRESS TYPE OF APPUCANT 'I-0 V-5 STREET ADDRESS 1 yG 5 O ?'I- Z. Q,v-, f C- y+" 4ITY[A oA 1eq TELEPHONE #Co CELL PHONE #5d3- YOro 0 FAX # zlkziP S53o2? PROPERTYOWNER AGt ? k TELEPHONE# COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"1'A RiJLFS 7670 CA'I'EGORY 1 (4 submission type) • Residential Ventllation Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted V? Plumbing Contractor: Plumbing system includes: Mechanical Conhactor. Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning - Heat Recovery System Phone S Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan es. SlgnatureofAppllcant / OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths 1,5 k? Remode4ReoairReauiremenb ? . 2 copies of pan / • 1 set of EriMy Calalations far heated additions • 1 site survey for exterior additions & decks • Indicate i( hame seNed by sepUc system for add"NOns VALUATION Cp ? 7S S?. O Q MULTI•FAMILY BLDG _Y N FIREPLACE(S) _ 0 _ 1 _ 2 EuB6Y. ; S Ln 2 ? 71M2 one # Lawn ? No. of LES 7672 Worksheet Submitted !?--Fe'e: $90.00 Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex O 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel O 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt • Multi ? 33 Ext. Alt - SF 0 36 Multi ? 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 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appNcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addirion) _ pjumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By , Building Inspector I R I I E I I C I l D I I E I I F I I G 1 1 H I 11 21 EXTERIOR ENVELOPE RVERAGE "U" COMPUTRTION ?l 0 :,I 41OWNER THE EICHENFiERGER FAMILY .°,ISITE ADDRESS ------------------------------------------- -------- --------- 61CONTRqCTOR________KENS 71 BI DETERMINE WORI:IN6 SQUARE FOOTRGE 91 1011. Total expased wall area 2505.8sq.ft. x.il 75- 8 1112. Total roof/ceiling area 108?Dsq.ft, x.02E 1 ;_0 1213. Total floor cant.area 0sq.ft. x.08 0 131 (over unheated enclc,sed areas) 1414. Total floor cant, area @sq.ft. x.Q26 0 151 over unheated exposed areas> 161 1715. Total expased wall area above the f1Gor.___________ 2144 181 141 a. Total wall windaw area .................... 20E.6572 201 b. Total door area ........................... 37.8189 211 c. Total sliding glass duor area ............. 40.02 221 d. Total firepiace ar^ea ...................... 231 e. Total wall framing area (ave. 10X)........ 214.4 241 f. Total net wall area a6c,ve the flaar....... 1645.104 251 g. Total rim jaist area ...................... 268 261 271 TOTRL EXP05ED FOUNDFiTION AREA ................ 93.8 281 291 h. Total foundaticm wind4w area .............. 7.1556 301 i. Total net foundatian area ................. 86.6444 311 321 Deter-mine "U" value af each wall segm ent 331 a. 2@6. 6.°i7.=x "U" . 42= 86. 79602 341 b. 37.8189x "U" .06= 2.2E9134 351 c. 40. 02x "U" . s9= 15.6078 361 d. 0x "U" 0= Q 371 e. 214.4x "U" .0917431= 19.66972 381 f. 1645.104x "U" .0432152= 71.09351 391 9. 2E8x "U" .040E835= 9Q?317 10 . 401 h. 7. 1556x "U" . 42= n . 3.005352 411 i. 86.6444x "U" .0824402= 7.142984 421 431E ........ ...............................Tota1 16.4A 7 441If item # 6 is the same as ar less than itern #1 y?+u hav me he current 45I energy co de. 2 MCAR 1.16008 A AND O. 4E1 471 481 491 501 511 521 531 541 551 5E1 571 581 591 601 621 TOTAL EXPOSED ROOF/CEILING AREA 631 641 j. Tatal skylight area ....................... 651 k. Total flat raaf/ceiling framing area...... 661 1. Tatal net flat roof/ceiling area.......... 671 681 691 701 Deterrnine "U" value 711 J. 0x 721 k. 108 x 731 1. 972x 741 751 761 771 1080 108 972 for each raaf/clg. segment ? 0_ .0E49128= .0213356= 7817 ...................................Tota1 791 80IIf item #7 is the same as or less than item #2 you 811energy cade 2 MCRR 1.16008 A AND 0. 821 831 TOTAL FLOOR CANT. AREA (enclosed) @ 841 851 0. Total flncr• cant. frarning area (ave. 10X). 0 861 p. Tatal net insulated floor/cant. area...... 0 0 2.690583 20.73821 871 881 Determine "U" value for each floor/cant. segment . 891 0. 0x "U" .5347594= 0 901 p. 0x "U" .5347594= 0 911 9218 ...................................TGta1 0 931 941If item #8 is the sarne as or less than item #3 yau have met the 951energy code t MCRR 1.16008 q AND 0. 961 971 TOTpL FLOOR/CANT. RRER (exposed) 0 981 991 q. Total flror/cant. frarning area (ave. 10Y.). 0 100I r. Tatal net insulated floor/cant, area...... 0 iQll 1021 Determine "U" valLie for each floor-/cant. segrnent 1031 q. 0x "U" 1.176471= 0 1041 r. Qx "U" 1.176471= 0 1051 10E19 ...................................Tota1 0 1071 108IIf item #9 is the sarne as or less than item #4 yau have met the 1091ener•gy code. c^ MCpR 1.16008 A RNA 0. _ 110! 11211 HERERY CERTIFY THRT I HAVE CALCULF 1131VALIJES HEREIN AND THAT THE BUILDIN6 1141THE STATE OF MN ENERGY CONSERVRTION 1151 11E1 1171 1181 1191 1201 1211 -,., cc 1231 1241 FACTOR5 AND "R" BED MEETS OF EXCEEDS te 23.428 have met the i FA II b& II BC I I BD I 11 "DETERMINE "U" VAL UES" c^ITHRU STUD WITH SIDIN6 & S.R . 31 41Interinr Air ............... .68 SlSheet Rock ................. .45 61Thermo-Rreak ............... 0 71Stud ....................... E.93 BlSheathing .................. 2.06 91Siding ..................... .78 10IExterior Air ............... .17 111Trta1 "R" Value............ 10.9 12I1/R = "U" Value ............ .0'3174.',1 131 141 151THRU INSULRTION WITH SIDING & S.R. 161 17IInteric,r Air ............... .68 181Sheet Rc,ck ................. .45 191 Ther^mn-Fr^eak . . . . . . . . . . . . . . . 0 201InsulatiGn ................. 19 21lSheathing .................. 2.06 ^c2lSidirig ..................... .78 c'slExterior Air ............... .17 241 251Trta1 "R" Value............ 23.14 2611/R = "U" Value ............ .043215P 271 281 291THRU CEILING MEMBER 301 311Interinr Air ............... .68 32ISheet Rock. ................. .58 331Ceiling Member ............. 4.35 34 I I nsu1 at i on . . . . . . . . . . . . . . . . . 33.92 3515ti11 Rir .................. .61 3E1 371Tota1 "R" Value............ 40.14 3811/R = "U.................... .0^c49128 391 401 411 42ITHRU CEILING INSULRTION 431 441Inter^inr Air ............... .E8 45ISheet Rock ................. .58 4EIInsulatian ................. 45 471Stii1 Rir .................. .61 481 491Tuta1 "R" Value............ 46.87 5Qi11/R = "Ull .................. .021335E 511 JGI 531 541THRU CONCRETE PLOCY JJI 561Interior- Air ............... .68 571Conc. Elk. .................. 1.28 sa 1z risi_i 1 at i c-n . . . . . . . . . . . . . . . . . 10 59(Sheet Rk. (Opt.)........... 0 611 62ITota1 "R" Value............ 12:13 6311/R = "U ...... . ............. . @8-24402 641 E51 661THRU RIM TOIST 671 68IInterior Rir ............... .68 69IInsulatian ................. 19 70IRirn Joist ................. 1.89 7115heathing .................. 2.06 721Siding .................... .78 731Exteriar Air ............... .17 741 751Tata1 "R" Value............ 24.58 7611/R = "U........... ......... .0406835 771 781 791"U" value for window....... .42 80I "U" va 1 ue fc,r doQrs........ .06 811"U" value far Patio Drs.... .39 821 831 841THRU CqNT. @ MEMBER (Enclosed) 851 861Inter•ior Rir ............... .E,B 871Finish Flaaring............ 0 881Underlayment ............... 0 891Plywaad .................... 0 901,7oist ...................... 0 9116heet Rack ................. .58 921Sti11 Air .................. .61 931 941Tnta1 "R" Value............ 1.87 9511/R = "U" .................. .5347894 961 971 981THRU CANT. @ INSULATION (Enclased) 991 1001Interior Air ............... .E8 1011Finish Flooring............ Q 1@2I Under^layment . . . . . ... ..... . . 0 103IPlywoc,d .................... fi 1041Insulation ................. 0 105I5heet Rnck ................. ..°i8 10E1Still Air .................. .E1 1071 1081Tota1 "R" Value............ 1.87 10911/R = "U .................... .5347594 1101 1111 1121THRU CRNT, td MEMBER (Expased) 1131 114fIntericrr Air ............... ,E8 1151Firiish Flooring............ 0 11ElUnderlayrnent ............... 0 3171P1ywood .................... 0 1181.Toist ...................... 0 1191Sheathing .................. 0 1201Soffit ..................... Qi 1211Exterior^ Rir ............... .17 122ITotal "R" Value............ .85 123I1/R = "U.................... 1.17E471 1241 1251 I r 1281Interior Air ............... 1291FY•wish Flooring............ 1301Underlayment ............... 1311Plywoad .................... 1321Irisulatiari ................. 1331Sheathing .................. 1341Soffit ..................... 1351Exteriar Air ............... 1361 1371Tata1 "R" Value............ 138I1/R = "Ull .................. 1391 1401 1411 142i 1431 1441 1451 14E1 1471 1481 1491 1501 1511 1521 1531 1 c 68 - @ 0 @ 0 Q 0 .17 .85 1.176471 CTTY OF EAGAN L__L/ B MECHAIVICAL PERMIT SUBD. (612) 681-4675 RESIDENTIAL RECEIPT # !d S DATE i 9?-- PLEASE COMPLEI'E UPPER PORTTON ONLY FOR SINGLE FAMIIY DWELLINGS. ALSO, COMPLEfE FOR TOWNHOMFS/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWEId,ING UNIT. ?? SS• F ADD ON/REMODEL (EAiIISTiNG CONSTRUCI'ION ONLl? $ 15.00 GINZ-RYAN TING AVAC: 0.100 M BTU 423-1144 ADDTI'IONAL 50 M BTU 6.00 ADDRFSS: 14745 South Robert nail GAS OUTLEfS - MINIMUM 1@ $3 EA. G`rD- CITY: Rosemoimt ZIF: 55068 SURCHARGE $ .50 SIGNATURE: ' ' TOTAL: $ J7 p 5" COMMERCIAL PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAUINDUSTRLAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDWGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR FACH DWELLING UNTf. WORK DESCRIPTION: CONTRACI' PRICE 1'Ro OF CONTRACf FEE. FEES STATE SURCHARGE IS $.SO FOR EACH S1,000 OF PERMTf FEE. $ PROCFSSED PIPING - S23.00 MIi:imuM 1'GG - $25.0 $ OWNER: TOTAL: $ SI1'E ADDRESS: TFNANT: SUI1'E #: WSTALLER: " ADDRFSS: CI1'Y: ZIP: PHONE #: CI'fP SIGNATURE SIGNATURE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *IOTF': PAYMF,W OF FF? AT 1IM pg APPLICMION DOES NOr CONMUM APPROVAL OF PERhIIT. iNSpncrioN oF sBM nNo/CR WMR IRS`AILamrONS WII.L NOT BE SQgD- ULID UNI7I. PERNIIT AAS BEM APPROVFID. ' P ease Print) 1) PROPERTY ADDRESS: 41633 ke?? "'- LEGAL DESCRIPTION: Lot Block Sub ivision or Tax Parcel ID ) IF E7QSTING STRL'C1L'RE, DATE OF ORIGINAL BL'ZI,DING pg2MLT ISSL'ANCE: (Nbnth/Year) PRFGEDIr 7ANING/PROPOSID LSE: , - ? CA'?AERCZAL/RETAIL/OFFICE rV( R-1 SINGLE FAMILY ? INIDCSTRLAL T ? R-2 DCPLEX (1b.o Units) n INSTII[.'TIONAL/GOVERNNg,'NT ? R-3 ZOWNII-IO[7SE (Three + Units) ( Units) . (? R-4 APARTMENT/CONIDOMINILM ( •Units) 2) ADDxsss: /5DL'y- 54' - - CITY, STATE, ZIP: Ait;n9V.Ll1e; ?4xj PHONE: * -' 203 U 3) u i: ?• NAP7E: P.DDRFSS: V CIT"l, STATE, ZIP: aaJ. 0 'FiKLI"? - - PHONE: C/2',.."??'13U MASTII2 LICENSE# 3a99K- A4t1v2 EScpired Not recorded St?tial 4) ?a• •:.? ?..nia?: N71ME' ADDRF.SS: ' CITY, 5"PATE, ZIP: PHONE: • $) ? .? v? a: • ?• - ? C? CONNECT=oN ? ?ITY SEMa ? CONNECrION TO CITY WATER ? (YIHM . 6) mv'? 6f' :•i' ? PLEASE HOLD APPROVID PIItI•IIT F'OR PICK-OP BY ONE OF ABC7t7E --' -- ? PLEASE MAIL APPROVID PFItMTT 1n 1, 2, C3) 4, p,BpVE . . (Circle one) 7) . FOR CITY USE ONLY ' PERMIT # ISSUED , 2 4, 3 /? Tf b Pd w/Bldg. Permit FEES: $ $ /O -,s0 SEWER PERMIT (INCLUDE SL'RCHARGE ) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ S, &t ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ ?D O ' cJ"O $ WAC $ .S-7S • d O $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /O? /?f i S d $ TOTAL 6e RE EIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? ? 0 ?p L? OF 3830 PILOT KNOB ROAD. PO BOX 21199 EAGAN. MINNESOTA 55121 PHOfJE (612) 454-8100 July 2, 1987 JEROME C RETRUM 4633 PARK CLIFF DR EAGAN, MN 55123 Dear Mr. Retrum: BFA BLOM9UISi MOyOt iHOMAS EGAN JAMES A $MIiH VIC ELLISON THEODORE WACHTER Councn Members THOMAS HEDGES CiN Adminisimiof EUGENE VAN OVERBEKE Gry Glerk Thank you for your letter of June 17 regarding the water shortage at your home on the evenings of June 14 and 15. As I am sure you are aware, a number of things happened that weekend which resulted in the shortage which were regretable and were corrected as quickly as possible as the result of actions taken by our public works department. As you know, this year has been one of the driest in recent memory. As a result, many of our residents concerned about new and existing landscaping have spent a lot of time and effort in watering their yards and other outside water use. This has placed an unusual demand on our City's water management capacity. Like highways, our water supply system has a certain amount of excess capacity contained in reservoirs or water towers throughout the community. In typical use, the water from those facilities will fall during times of peak demand and rise late at night and at midday when water use is low. Large amounts of outside watering during off peak hours inhibits this system. That was the reason why our City instituted an odd/even sprinkling policy even before the weekend you cited. The simple fact was that we received very poor compliance with that policy despite our attempts to impress the seriousness of the issue upon our residents. On the weekend in question, noncompliance with our water ban and the naturally higher use of water on the weekend had reduced our reservoir capacity somewhat, but not to dangerous levels. On Sunday, an electrical substation failure resulted in the shutdown of two of the City's seven wells. Therefore, on Sunday afternoon when the reservoirs would be typically recharging, they were actually being emptied by the unusual water use. Typically, the falling reservoir levels would have triggered an automatic alarm system but that, too, failed, allowing the levels to continue to drop. Personnel of our water treatment plant were checking the status of the system regularly throughout the weekend. The situation was discovered during one such check on Sunday afternoon. Appropriate action was taken and the wells were brought back on line in a very short time. THE LONE OAN TREE , THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY JEROME C RETRUM PAGE TWO Unfortunately, the wells had barely begun to function when the Woodridge Apartment fire began placing an enormous demand on the system. In the five hours that it took to fight the fire, the equivalent of two of our reservoirs of water was used. This, unfortunately, resulted in water shortages in the higher elevations of our community. City staff immediately instituted a total ban on outside water use and began to enforce it by going door-to-door to shut off sprinklers. Unfortunately, demand remained high and the system was not totally recharged by the following evening when you report that you were out of water again. By Tuesday, as enforcement of the ban began to have an affect, water levels in the reservoirs began to rise again. On Wednesday, June 17, emergency measures brought an eighth municipal well on line, increasing our pumpinq capacity by roughly twelve percent. Another well is scheduled to enter the system in July. As you can see, we are making constant efforts to plan ahead and upgrade our system for our growing population. However, it would be hard to justify to tax-paying citizens the addition of tremendous amounts of excess capacity which are not justified by reasonable planning estimates. The maintenance of such a system would cause taxes to rise dramatically and unnecessarily. As you can see by the situation, the City's municipal water system has the capacity to handle even unusual or catastrophic situations. It is obvious that demand has been unusually high. The failure of an alarm system caused an otherwise routine power outage to have severe impacts on the system. This, followed by a major fire, left our water supply at a very low level and left your home without water. The capacity of the system was adequate, were it not for those circumstances. You can see by this description of events that it is important for all Eagan residents to acknowledge precautionary measures like odd/even watering policies when publicized by the City. Thankfully, we have received several rain showers since the weekend described and compliance with the odd/even policy has improved. I believe that our capacity and water supply are now more than adequate to serve the community's needs, but we need continued cooperation and support for it to continue to serve our needs. As to your request for compensation, the City does not currently have a policy under which people may be compensated in this manner. We recognize the inconvenience of your situation and I believe you can see from my description that everything that could have been done to prevent it was. Therefore, I hope will accept our apologies for the situation and hope you will understand, given my recounting of the facts, that our system is JEROME C RETRUM PAGE TAREE adequate and functioning If you have any further happy to discuss it with Sincerely yours, ? sea Blomquist Mayor as well as possible to serve your needs. questions on this matter, I would be you some more. BB/JH/mc 1 « t Jerome C. Petrum 4633 PaA Cli{{ [)r. Eoqan, Minnesofa 55123 ?UP] ? k`f 1987, Jun 17, 87 Mayor Bea Lindquist 3830 Pilot Knob Road Eagan, Mn 55123 Dear Mayor Lindquist, On the evenings of my residence was without 7:OOPM until 4:OOAM the two consecutive nights, to my family as well as June 14 and 15, 1987, water from approximately following morning on causing an inconvience my weekend guests. I find this particularly galling that water service is the most basic service a city can provide its tax paying citizens failed to be provided by the City of Eagan. Therefore I want the City of Eagan to compensate me at a rate of $100.00 per day for being inconvienced. I expect remittance by 1 July 1987, of $200.00. A disappointed citizen, ykbvt? ? ?t I* jia,`J?'??81?? 1"?-' Jerome C. Petrum . . 4633 paPk Cli{( Ur. Eaqan, Minnesola 55123 ? \ I ? % R- 5 8 4 299 3 6 8' Clalm Check i ?O N4Qt.1 ? Haltl c Oata (? Z( / ? ' JI' * M ?@pI?q 43a rs-,--T Noci?a .2SYD Noths? ? ? Rfturn o?,.wahem ` Pf Fo?yn 3SG9-P, / J Mayor Bea Lindquist 3830 Pilot Knob Road Eagan, MN 55123 UXiM •- s 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan u 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ' FAX # 651-675-5694 0/I Ne,w Construction ReauiremeMS RemodeUReoair Reauiremems 3 registered srte surveys shrnving sq. R W lof, sq. tt of house; and all roofed areas 2 copies of plan 'U , ? (20°k manimum lot cover?e aflaved) 1 sel of Energy Calculations for heated add'Aions ???` ?' 2 mpies of plan sirowing beam 8 window sizes; poured fouM design, etc. 1 site survey for addNOns & dedcs -Y ???? 1 set of Energy Calculations Addltion - indicate Nonsife septic system , _ n .?ir1 :` _ 3 copies of Tree Preservatbn Plan'rf lot platted after 771/93 Rim Joist Defail Options selecllon sheet (bldgs with 3 or less uniLg Date lake- /ZW4 Construction Cost 0 0 DO; SiteAddress 4? 33 C'"kWFRDrluCt E%t?h Unit/Ste # Description of Work E 6? deel. t0M? 14 'fp Id ? fC t6Ge, 0?2(,e i q/-k paur Gd'kGfd'e 5t4b Multi-Family Bldg _ Y x N hr ? ?Yb Fireplace(s) _ 0Y- 1 _ 2 PropertyOwner Mark, (T. l"loss Telephone#(4SI 14YZ 2 802. k Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tvlinnesota Rules 7670 Cateeorv 1 Mianesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply far a Residential Building Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. MI&L er, Ma? Ak? Applicant's Printed Name ApplicanYs Signature V0- Sub Types OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage Q 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition )K 33 Alteration ? 34 Replacement Valuation o4w Census Code 415 y SAC Units - # of Units ! # of Bldgs - Type of Const ? Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee " Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - S F ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof 0 46 Windows/Daars "Damolition (Entire Bldg) - Give PCA handout to applicant Occupancy /7- 3 MCES System Zoning City Water - Stories ? Booster Pump - Sq. Ft. ' PRV - Length l Fire Sprinklered Width REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ?.1 S CERT/f/CstT£ OF SYRVEr - \ ? ? ?hr , o s6 v r \ ? a ? -i•; , .. -c? ,- • ? 7 ro " `?:j ? ?Jr ?? ^? t,? \ ?n' ' t, . ._\`. ? --- / Scale: \ \ ? i HEas-Br c_,?nFr ry.ar rHrs su=vEr, PLA,y p,? A._frwT :""-35 ,°RE-^dREO e3Y ME OR UNQ?R AtY 0.+17fC1" t;,??; F-,;rt;.,y .il..-n % : ,EAJ A p:/LY ? u-.:,e R rMC L d c S OF rxE 5 :.f *E Q`' -- r? ? ?- " ? ` :'- ?-""?'- -- -"iJ?'` ,Qwy Vo. 8140 ?_7= ?r' 1' T• JI'• :'? G. Ci1-? ?F ?t?? ^ •^ i '? , Uo ULd ?vJIlL1 f ,;-?,.?.',.F.;.Y.?-?,,.:{T.-".Min:;:,,?+`'1',?.u'? S1r?'??• -XVO6::.3•?xrcrsar?suxvr..,:..cxRw.?.nav:.awsaffx•?w.a.aw.?.}+'/,aw.;ery.,. ??`ay???f Ri rur??ciging i.,-; ?' ,4r•.a_: . , ? r ??+Ci ?.' ?ay A ! fl ?pE"_ R E.:?` -? _ ;; ?-? °!; ? ?•:' r?,*?° ? ° ? ?:c? c x i - ' CERT/F/CAT£ iOF SWVEr \ ? ? ? F ? ? \ \ a? ? \ / f ? ? ?? ??• ` `?' ? ` ? ` ,f ,??? `? • t?' ? \ < <L .- ? ? L/ `A ?? „s ? C•,? y ? ?, ? ??;x? ,,? f, • ~ " ?`? ?`~? ? Scale: \ \ r MERz-sr ccR nFr rnar rHis su,«r, x,en aR REPoRr t?'a5 P7FEF.4RE0 BY MF OR UNDER !fY O/RfCT fi.?.F,^n'fS;oiY l+ir0 7rA7'I .EP! .k o7LY .4e615TERE0 LkND ,^sUn'Yr MP UMLCR .TnF L k R73 pF TH£ S,-d r£ AR' ;VIMN. ? CY.6. ? ?? :?_ ??°/•.?+'Lr --s?!,? DAr£ fi (1-. _?? ; G;I,C Rt a. ,yo. 8140 v ' DESCP IF -:Di,; Lo: ? E;iock 2, =P:;CL t Fr" 3P-D ?,C??? ? :0?•i , ct ??EcririCS _fluvJf! 0 ?°_f L?C'= 11'0? iJrll'-211t beo'? ??ginacil"ng A out?.aging "7?, woodi tQ(nii burnoutileg fflfnnegg?o 55397 _ _ _ ?? PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA092734 Date Issued: 02/04/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4633 Parkcliff Dr Lot: I Block: 2 Addition: Park Cliff 3rd PID:10-56702-010-02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Second Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: SoN ada and Barna Plumbing Mark G Moss PO Box 188 4633 Parkcliff Dr CedarNIN 55011 Eagan MN 55123 (763) 444-0292 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: Plumbing Eagan. Permit Number: EA102714 Date Issued: 01/11/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4633 Parkcliff Dr Lot: I Block: 2 Addition: Park Cliff 3rd PID: 10-56702-02-010 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Chad Bettin 906 First Street South Waite Park. MN 56387 320-251-2505 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: EcoN titer Systems Mark G Moss P.O. Box 428 4633 Parkcliff Dr Waite Park NIN 56387 Eagan MN 55123 (320) 251-2505 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116585 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 4633 Parkcliff Dr Lot:1 Block: 2 Addition: Park Cliff 3rd PID:10-56702-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Elizabeth Hess 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 - Mark G Moss 4633 Parkcliff Dr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA135689 Date Issued:03/30/2016 Permit Category:ePermit Site Address: 4633 Parkcliff Dr Lot:1 Block: 2 Addition: Park Cliff 3rd PID:10-56702-02-010 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Mark G Moss 4633 Parkcliff Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature For Office Use t t*„.r Permit#: ,04 „., EAGAN Permit Fee: /3--7 ° Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a.citvofeacian.com L 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: March 19, 2019 Site Address:4633 Parkcliff Drive, Eagan, MN 55123 Unit#: Mark G. Moss 6128026436 xu „� em . Name: Phone: iA !SR '` 4633 Parkcliff Drive, Eagan, MN 55123 r Address/City/Zip: Applicant is: Owner Contractor Description of work: Install basement drain tile Type ofzW Work Construction Cost: $2450 Multi-Family Building: (Yes /No ✓ ) company: Safe Basements of MN, Inc. Contact: Shane Goldsmith ,-1 Address.60335 US Hwy 12 City: Litchfield state: MN Zip:55355 Phone: 8004305851 Email: Shane@safebasements.com RICAVAN Ilittnot License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting*Acu that You subft fire aaiifiered to b in trr ion. ins of the lnfor maybe classified as non-public Ifiee4rovide'specii'ic reasons"that would permit ie'eartalatte that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gopherstateonecall.orq 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. Moss x -- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE `"7 (, g'`-6 /f a , / `/X9 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family 7 Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* — Addition — Move Building _ Reroof _ Demolish Interior — Alteration ! _ Fire Repair _ Windows _ Demolish Foundation Replace I _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation Occupancy )))) / MCES System Plan Review Code Edition l5"' SAC Units (25%_ 100% ) Zoning / City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction . + ly Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) )( Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS — Insulation Windows — Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge p (\.-ii ' Plan Review i MCES SAC /� City SAC LI / p Utility Connection Charge (�// J S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3