4639 Parkcliff Dr
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA094484
Date Issued: 06/16/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4639 Parkcliff Dr
Lot: 2 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-020-02
Use:
Description:
Sub Type: e - Underground Sprinklers
Work Type: New
Description: New
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Dan Clough
3880 Willowwood St
Prior Lake . MN 55372
Fee Summary: PL - Permit Fee (Res Modifications) $30.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $30.50
Contractor: - Applicant - Owner:
Preferred Plumbing Brims G Tierney
6400 High Point Trail 4639 Parkcliff Dr
Prior Lake MN 55372 Eagan MN 55123
(92)447-761
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
- CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNfSOTA 55122
-9k rE;r-? 19? r
RitcE1vEO .
FR0141-'?
-- 'r
AMOUNT $
? CASH
4 DOLLARS
U y^L
y
lP!?/•A
FUND I CODE x qMOUNT
Thank You .- /
6278 White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMI'f,NU.
01-3210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
Bldg. Permit
Plan Check ,
o{ li';
Surch./Adm. ?
SAC/Adm.
Surcharge
Road Unit
SAC ?-
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permi
Sewer Permi
Sewer Conn.
Park Ded..
TOTAL
?
?) J
% -t.
7J?
?
v
,-;? a
• CASH RECEIPT ?
CITY OF EAGAN
, . 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE r f?? t9 ?
RECEIVED , .
FROM ?
AMOUNT $ Il
? CASH
? CHECK
FUND CODE AMOUNT
"? .
. `
Thank You
6 7 6?4
& DOLLAIlf
10.
1Nhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ' 5 4? ?
PHON E: 454-8100
BUILDING PERMIT Receipt
To be used for GA'•"A`,r Est Value Y5?" Date
PAkKCLIFr l)r'.
Site Address
OFFICE
USE ONLY
1' ?.R?:CiI FK ,?RJ
Lot Block ? SeclSub.
On Site Sewage
Occupancy
MWCC System Zoning
Parcel No. W
l A
l
On Site
el ) Const
(
ctua
a Name CR.6nti ;??r.. „ Ciry Water (Allowable)
= Address 4tY DP PRV Required ik of Stories
o ? Booster Pum Len
th
8- 58(}3 432-4932
City EAGAiJ Phone '? Z p g 14,
Depth
o Name S.F. Total
,
? ` AddreSS Footprint S.F.
I.- City Phone APPROVALS FEES ?
66
.00
v W
W
Name Engr.lAssess_ Permit
W Planner Surcharge
_ g Address
Q W City Phone Council Plan Review
Bldg. Off. SAG, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and apree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Water Conn.
W
M
- ater
eter
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 State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL _ '
Permit No. Psrmit Holder Date Telephone it
Plumbing
H.V.A.C.
Electric
Softener
Inspection oste insp. Commenta
Footings I < 9 '
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.
CITY OF EAGAN 3830 Pdot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
11934
To be uaed for SI'' i)WGlc;p.R Est Value $142,000 Date L MAY 20 , 19 _t3b_
Site Address 4639 PARKCL 1'r'F llR Erect 125 Occupancy k3
PARK C
Lot 2 Block 2 Sec/Sub LTFF 3rtv Remodel ? Zoning
.
Parcel No Repair ? Type of Const
. Addition ? No. Stories
Name VARY ttit?t?iL::•iLi2 Move ? Length `i a
- Demolish ? Depth 4G
j,
ress ?.272 i.7UCKWOOD UR
Add
I
t
i
?
S
Ft
- .
mpr.
n q.
city
. .:L_ti Phone 228-5803 (W) Instan ?
o Name SAtL 452-4332 (H)
? < Address c
City Phone
c
W W Name t',,A`+('n ZN '_
?? Address 143 5 WASFI I N[;Tni? ');2
i W Citv Phone 4 S 2-- i? 7 2 4
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
I hereby acknowledge that I have read th is appl icati on and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eaga
Ordinances.
Signature of Permittee ` \'? `,1?u ?/r ? ;;y,, f• r= ,
A Building Permit is issued to: GA" F'ZAF.I4ER
all work shall be done in accordance with all applicable State of Minnesota
Bldg.
Var.
Permit S 538.00
Surcharge 71s00
Plan Review2-69-00
SAC 575.40
Water Conn.50Q..00
Water Meter63:50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copies
Total 42,462.50
on the express canditian that
of Eagan Ordinances.
Building Official
I I Permit No. I Parmit Holder I Date I TNephone # I
Plbp.
Final
Frmq.
Disp.
• PERMIT #
MECHANICAL PERIYIIT RECEIPT #
CITY OF EAGAN / f n
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE -
! CONTRACT PRICE PHONE 454-6100
Site Address BLDG. TYPE WORK DESCRIPTION
? Lot Block Sec/Sub
m Name
? Address
c City ? •? Phone
Res.
Mult
Comm.
Other
New ?
Add-on
Repair
? Name
c Address ? > >-- -?
C) City ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
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)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
J
,;-
? PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 'ONTRACT PRICE PHONE: 454-8100
Site Address `'
Lot ? Block
? Name - _, , •i :.. ? ,-. . , ?
m
Address
c City Phone
? Name ''
3 Address • ? ` ? ' ,
p City Phone-
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMiT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
- $10.00
- 20.00
- .50
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on -
Comm. Repair _
Other
NO. FIXTURES TOTAL,
Water ClOSet - $3.00 4 ? `?
' Bath Tubs - $3.00
"
Layatory - $3•00
? Shower - $3.00
% Kitchen Sink - $3.00
Urinal/Bidet - $3.00
T_
. " J
Laundry Tray - $3.00
Floor Drains - $1.50
L Water Heater - $1.50 ? -°
-Whiripool - $3.00
77
Gas Piping OuUets - $1.50 -
Softener - $5.00
Well - $10.00
Private Dlsp. - $10.00
Rough Openings - $1.50
FEE G V D
STATE S/C:
GRAND TOTAL: ? ? • "' ?
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
? na'nn
? Address
S City Phone
c Address I-rFf
8 City Ei4PAN21n.1 Phone
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20,00
STATE SURCHARGE PER PERMIT .50
(ADD $.50,S/C PER EACH $1,000 OF PERMIT FEE)
DATE:
Res. New
Mult. Add-on
Comm. Repair
Other
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FDCTURES TOTAL
Waber Closet - $3.00 $
Bath Tu6s - $3.00
LflYatOf)/ - $3.00
Shower - a3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpod - $3.00
Gas Pipirg Outiets - $1.50
(MINIMUM -1 PER PERMIl)
Softener - $5.00
weu - $,0.00
Private Disp. - $10.00
Rough Openings - $1.50
? U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C: Sv
?. GRAND TOTAL: ? - ?
A, ., . •
(Itr#iftrate jo# Orruvanry
titp of (tagari
Mrpartmpni o# lutiMng Jns.prriimt
This Certifrcate issued pursuant to the requirements of Section 306 ojthe Uniform Building
Code certifying thal at the time of issuaace thrs structure was in compliance with 1he various
ordinances ojrhe City regulaling building construction or use. For the fo!lowing:
[ke Claeifracion :iF DXYt'?' R BWg. }lrmit No.
paupIncYTyP? R3 Zoning awict It? Type Cnmi ?:a?
Aaa? ' ' 14??z?1
o?ors?ila;? 1' "??'}? ?r?I
&nlding Addnxs y; tonliry i.LfM Ts- ,r,? ? U.4C!1- --r
Date: .--: ` T7a,
Huldiag OfrLdal
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addi!ion PARKCLIFF 3RD Lot 2 Bik 2 Parcel 10 5 702 020 0
Owner Street 1- h3 9 Park C1 i f f Drive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
5AN 5EW TRUNK 984 . . t-?-
SEWER LATERAL
WATERMAIN $ 1984
WATER LATERAL
WATER AREA 567 Iq,
1
STORM 5EW TRK 984 42 .
STORM SEW LAT
-77 983 2 -
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER,
SAC
PAR K
OF EAGAN-
Pilot Knob Rosd
3ox 21199
, MN 55121
SEWER SBtVECE PERIMR
PERMIT NO.:
DATE: r
No. of Units:
cmr oF EaGAN ' WATER SERVICE PERMIT
3830 PNot Knob Road
P.O. BOx 21189 PERMIT NO.:
Eagan, MN 55121 DATE: 1 a 21-86
Zoning: - n? No. of Units: ?
Owner.
Address;
Site Addess: 4639 -Fes-kel:-#ff-Pr krt-L2--iiz--Padc.ei-frf ?zd- •
Plumber. ??n Rj""Mo
Meter No.: Connection Charge: SOE). oepd.- ;
5ize: Account Qeposit: 15.
Reader No.: Permit Fee: 1313
.
I agree to oomply with the City ol Eagan Surcharge:
.
Ordinances. Misa Charges:
Total:
CITY OF EAGAN swa sERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: - ?' 2 4 3
Eagan, MN 55121 DATE•
Zoninp: - R.i No. af Units: I
DyyfMr, _ CflYy KY e @@r
^ddI'QSS:
-
Site Add?eas; 14639 ?'ark ci i f[?ri ve i2 32 a tc (` iff 3 d
plumber. Zaga_i plu mbin_g
r 'l•?'-?'• (1 2 7'. I00.00pd
I a0m ti oe?/?1f wiM !w dly of 6"¦ ContkCtipn Qhpnw; 425 11QpA
o"u..?... Acox,,,r aepodt; z , n'lT
Prmrit FM:
Surcfarps:
BY AA1sC. Choross:
Doft of Irop.: Total:
Insp.: DoM Pald:
CITY OF EACaAN WATER SERVICE PERMIT
3830 P!'M .Knob Road
P.O. Box 21199 PERMIT NO.: 8091
Eagan, MN 55121 DATE: 2i 96
Zoning: of Units:
No ?
.
Own
r:
e
Address:
Site Addess:
Plumber.
Meter No
: onnqcUon h e.
.
, ?
'Beforp di ?
'
s;Ze: c
,
' FPHLINF = • C AS Etti•
_
Reader No.:(
7Q7
- ?;
- I,-_.
1 sgree to comply wilh ths City pi &WI I IrWAar
wgc. unnrynx . p
ToffiL- 63 , m r
g e' Date Paid
Oate of Insp.: G Insp.:-
? ` 7/ ! ? 9,
?-n'-3 9 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN a I5• A5
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruction Reouirements RemodellRawir Reauirements -
• 3 registered site surveys showing sq. R W bt sq. R M hause; and all roofed areas • 2 capies of pWn
(20% maximum bt cwerage allowed) . 1 set of Energy Calculatiore for heated addNons
• 2 copies of pan showiig beam & vrinAOw sizas; poured (ound tlesign, etc.) . 1 site survey for e#eria additions d CedkS
• 1 sel of Energy CalWanons
• 3 CopieS o( Tree Preservation PWn'rf lot plalled after 7l1193
• Rim Joist Detail Options sektition shcel (bldgs wtlh 3 a less units)
DATE 16- LI 1 b
.iJB SITE ADDRESS (16
IFMULTI-FAMILY BUILDING, HOW MANY U
PROPERTY
TYPE OF WORK
FIREPLACE(S) _0 _7 _2 _3
APPLICANT SELA ROQFING & REMODELING. * ?. PHONE # C0lZ- $Z3 -ed!?4
.42
.
4100 EXCELSIOR SLVD
ADDRESS ?, ???RAoRpi y641c ZIPCODE
PAGER # &L?PWffift # FAX #
NEW'RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbtng Contractor: _
Plumbing System Includes:
Mechanical Contractor.
blechanical S}'stem Includes:
Sewer/Water Contractor:
_ VVater Softener _
_ Water Heater _
_ No. of Baths
Air Conditioning
Heat Recovery• System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe information is correct, and ogree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Appiicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
VALUATION (EXCLUDING LAND)
Phone #:
Iaavn Spiinkler
No. of R.I. Baths
Updated t/Ot
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF
D 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? OS 03-plex ? 17 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitfon (Entire Bidg only) • Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Watei
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion _ HVAC
Drain Tile
Ice & Water
Roof _ Final _ Other
_
_ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
R.I.
Fireplace Ai r Test _ Final _ Siding Stucco Stone
_
_
Insulation _ _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN
BUILDING PERMIT
Receipt p
N°_ 11984
?>-wo
To be used tor SF DWG/GAR Est. Value $142,000 pate MAY 20 jg 86
Site Address 4639 PARKCLIFF DR Erect ?] Occupancy R3
LoC 2 Block 2 Sec/Sub. PARK CLIFF 3RD Remodel ? Zaning R1
ParcelNo. Repair ? TypeotConst. VF3
Adddion ? No.5tories
c
Name GARY KRAEMER Move ? Length 54
i
Address
1272 DUCKWOOD DR Demolish
I ?
? Depth
F
S d?+
o
Ciry EAGAN phone 228-5803
(W) nt.Impr.
mstau
? q.
t.
. o Name SAME 452-4332 (A) Approvals Fees
$ a nddress Assessment _
" Ciry Phone Water & Sew.
V, W Name PLANCO INC Police -
? i Fire
.o Adtlress 3435 WASHINGTON DR En
<W city FAGAN phone 452-0724 9
- Planner-
Cnuncil
Permit a Jjo.vv
Surcharge 71.00
Plan Fieview 269.00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
RoadUnit 290.00
UUyaI,nI wvicuycuaunaveieuuwiaeypncauonanas[axemanne gldg.Off. 5/20/86I Tf.PI. 156.00
information is correct and ? gree to comply wrth all apphcable State of
Minnesota Statutes and i of Eag- Ordinance APC Parks
, Signature of Permittee Vaf.
A Building Permit is issued to: GAR4 KRAEMER
all work shall be done in accordance with all applic?l St t of Minnesota , tati
Buliding ONicial ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Copies
Tota1 $z.462.50
- on the express condiUOn that
of Eagan Ordinances.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15549
BUILDING PERMIT PHONE: 454•8100 Receipt n ??-j ' o5
To be used for GARAGE Est. Value $5, 000 Date SEPTEMBER 1 1988
SiteAddress 4639 PARKCLIFF DR
Lot 2 elock Z Sec/Sub.PARKCLIFF 3R?
Parcel No.
z Name GARY KRAEMER
? Address 1 4639 PARKCLIFF DR
? City ? EAGAN Phone 228-5803 452-4332
, o Name
?a Address
? City Phone
w W Name
?
z z.
Address
aw City _ Phone
I hereby acknowledge thal I have read this applicahon antl state that ihe
informahon is correct and agree to c mply with all ap licable State of
Minnesota Statutes and City of E Ordinar?eys.
Signature of Permrttee
A Bmltling Permn is issued to:_G KRAEMER
on lhe express cond ihon thal all work shall be done m accoidance wdh all
apphcable State ol.(M?m??n?esola Statutes and Ciry of Eagan Ordmances
BuJdingOfficial__?J,lL?I ?
?s_ -_ ----
OFFICE USE ONLY
On Site Sewage _ Occuoancy M-1
MWCC System _ Zoning
On Site Well _ (Actuaq Const
Ciry Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length 12 '
Depih 24'
S.F. Total
Footprint S.F.
APPROVALS FEES
66
00
Engr./ASSess. Permit .
Planner Surcharge 2.50
Council Plan Review
BItlg.OfL SAC, City
Variance SAC,MWCC
WaterConn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL 68.50
This reque5t voitl
18 months irom ?
C_ 16907
Q--"Y.3??
-f q?; -
nequesc uat Pire No. Rou h-in Insuectmn v v
I A RaQUUetl? ?Reatly Nuw ?.W,II Notdy Inspec-
/n- /Q - R1D . loyes nNO tor When Ready
lioensed Electncal ConVactor
I hereby request ins0ection ot above
? Owner electncal work instelled et
Street Atldress, Box or Route No. Qty
pci PY-\R rC L i rF E AGAtJ
ecUOn o. Township Name or No. Fnnge o. County
MKo7k
Occupant IPPINTI Phone No.
GARV M L152-4332
Power Suopher Atldress
, Ec ?3oc? aav-T?4
Electnwl Con« actor (COmpany Name) Convactor's License No.
M?D ?JU ELE?? Ib/C?
MaJ?ng Address (ConVac[or m Owner Makmg InStailabonl
&7 R fbA'C?
Authon d Signa[ure oMrector/Owner Making Ins[allationl Phone Number
-5102?
MINNSOTA STATE BOAPD Ovq&CTflICITY THIS INSPECTION NEQUEST WILL NOT
Gripgn•Midwey Bltlg. - Noom N-181 BE ACCEPTED BY THE STqTE BOAND
1821 Universilv Ave., St. Paul, MN 65100 UNLESS PNOPEN INSPECTION FEE IS
Phone 16121297-2177 ENCIOSED.
REQUEST FOR ELECTRICAL I ee-uuwIAa
, Sae inslruc4ons tor camplefilq this form on back ol yellow capy.
C.mL6-9 o 7 "X" Below Work Covered by 7his Request 0?.? 7?
Ple4 eo.I Type ot BuilAin9 ? ApOliancee VYirad ? Equiument Wired ?
M Fee SernceEntrenceSize k Fee FexOers/Subleeders N Fea Circuits
Uto200Ams Oto30qms Oto30Am
Above 20 _qmps 31 to 100 qmps 37 to 100 A s
Swinxning Pool Above 100_Am s Above 100_Amps
Transiormers Irngatwn Boorcs , ParLal.'Ot r Fee
LI iSiSpis I I 'Special Inspection ? s
G f ? 6 TOT
emerks
n:
i+ss?rcr" .e i
ln%Dector, hereby
certi/y thet tha abave
iinapection has Ceen
mede.
thin rapuest role
REQUEST FOR ELECTRICAL INSPECTION . Ee-ooooi-os
,
n " ?'?I?00
See insGOCtrons tor campletinH this lorm on Cack ot yellow capV.
?
E"27 $ 91 "X'* Below Wak Covered by 7his Request
Neivi Hdtl Fep. TVGe of Builtlmg ApOliences Wired Equiument Wv¢d
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fiztures
Apt. Buflding Dryei Etectnc Heatin
Commercial Bldy. Pumace Silu Unloader
' Industnal BIAg. Air Conditioner Bulk Milk Tenk
Farm omr, oac, v .me. i5n?n?iv1
[ nr V?o71V Other Oinur
CCmpute lnspection Fee Belaw
k Fee Service Enbence5ize n Fee Faeders/Subteeders N Fee Grcwts
0 to 200 qmps 0 to 30 qm s 0 to 30 Am s
Above 200 qin??y 31 to 100 Ainps 31 to 100 Am s
Swinuning Pool Above 100-Amps Above 100_AmFn
Transiormers Irrigation Booms Partial-'Olher Pee
Signs Special Inspection
,50 TOTA E?
Nem?rks S1,5?
?S
- '._, I. tha ERGILaaRf I
_?,,,.^.. Inspectaq he?eby
? -ertify that ihe bova
Final ??e j inspeclion has been
ae.
_ /.i... . ?h . (?'J , n
Tpb repuesl voiC 18 monttu ho.
This request wutl
E 2 7 8 91 ?.? g,
fleque5t De?e ? F?re No. uph-in Insn
per,UO
R q rtetl?
Aeady Now Q Will Nondy Inspec-
?Yes ?N
O tor When Ready
g LicenseA Hecvroal Contractor I hereby reQUast inspection ot ebove
? Owner electrmel work installed at.
Street Address, Boa g Route No.
? 6 3 ?1 r Ci1Y
ecuon o. Townshi0 ame or No.
H,nge No.
Cnunly
1 13 ft"TA
Occupant (PfiINT) Phone No.
S - 33 v
Power SuPpbar
'D T Address /
2Yn,'NcT?
EI¢cb?ical ConVactRr ICompanr Nam I
?
° Conhar,tor's License No.
?? u uJ ? dt e
L r
? 1 e e.
Mad. p A Jress IConlractor or
p
y?ner Making Instailauory?
/
/
I
1 ?J h I pl `
Author etl SBnature ICo Lor/ wn¢r Mnking InstallaLOn1 Phone Number
v'----- 45'2- 5'
0
MINNESOiA STATE BOA D OF ELECTNICITV THIS INSPEGTION HEQUEST WILL NOT
Griggs•Midway Bldg. - Room N•791 BE ACCEPTED BY THE STATE BOAND
1821 Univaraitv Ave.. SI. Veul. MN 55104 UNIESS PFOPEN INSPECTION FEE IS
onnno 19191 aav.nann ENCLOSED.
e
gev
?
1986 BIIILDING PEEt?IIT APPLICATION - CITY OF SAG9N
HOT6: 9LL CONTRAC'fORS !lOST BE LICENS6D WITH THS CITY OF EAGAN
SIBGLE F9lffLY DiiEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE Di1ELLING3 - RSSIDENTIAL
INCLUDE 2 SETS OF YLANS, CER
1 SET OF ENERGY CALCU[.ATIONS
COHIMERCIAI:
RF.'NTAL 09ITS FOH SALS QNITS
OF SIIR9SY - CHECg iiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCBITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
/4/2 cac>,
a
To Be Used For: S4 k,/??y ?- Valuation: o Date: '5'
Site Address ?(0 3g }?/}?ZK L t?yF .11,? ? OFFICE IISE ONLY
Lot .2 Bloek ?2,_
Parcel/Sub\%J4.a1??,(?Q,,;/J
Owner (:21 f}21?
Address /AZz-L
City/Zip Code Fi464ti
Phone
Contraetor
Address
City/Zip Code 4!5Aq,¢2J S/
Phone
Areh./Engr.
Address
City/Zip Code z:*6i¢iV
Phone # ^Q 7'42'/
Erect ? Occupancy A3
Remodel Zoning /
Repair _ Type of Const
Addition # of Stories
Move
Length ?
-
Demolish Depth
Int.Impr. _ Sq Ft
Install
APPHOVALS FSES
Assessments Permit -5
Water/Sewer Sureharge 71
Police Plan Review 2G 9
Fire SAC ;
Engr Water Conn 3
. QQ
Planner Water Meter
Council Road Unit 29a
Bldg Off-46a P6 Treatment P1
APC Parks
Variance Copies
TOTAL
NOTB: ADDRSSSBS FOR CORNEB LOTS - CONTRACTOR/HOMEOBNEB MOST DESIGNATE AHICH ADDRSSS
IS DESIRfiD. NO CHANGE3 iiILL BE ALLOWED ONCE BUI[,DING PfiRMIT IS ISSIIED.
?'
7 G?v? ?6a
7 5 ZZ
L?? /v =
4i0
r,
-
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c a
f ?
r?C d,,
?DHS11LT1H6 EH4iHEf9S,
ENGiNEVIINC PLAHHE9S ond LAND SIJAYEYOflS
COMPANY, INC,
? 1C00 E347 ISSM STRE'c7, BL`AX=l11LLE. 1(1NHESC7a b="= 7 PY 4:2-:0G0
eer?z?'zcrzze 43 SZ?-Ao'ey
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ocI L'r?er?czcr • C-?^-" ? , ??'?.'?'- ?- ,
.
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is` k% (Cl10:3?
(7 >- o--
- ? r --- _ loo?,a'?,
''p...i^,OZ. EVC?LATO?
I her:by eax-tify that th3n 1.1
a t:-e and car:YCi repr_aeatit3oa of?a trac: of
ljad +_ sha+.n'end deaerihed he:aon.. Aa prepared by me on this _IA- day ot
MAy
CJ ?/ _
r CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*********f***#f***ft***********#*k*
. *
*lOTS: PAYMF:W OF kEE AT TIF1E OF
AerLxcrazoN ooFS rOr wrb-riTM *
APPR(3VAL OF PERNIIT. *
INSPf7L`rION OF SES?32 ADID/OR YM1FR
ITLSTAT7.ATTQN$ wn.L wj' $h,' $(nm-
UI,ID UNlIL PERMIT HAS BEIN
APPROVID.
------------------------
Please Print) FF??
1) PROPERTY ADDRESS; /? l ? y ?? r ?? G ?• ??. ?r ' ?? . .'
LEGAL DESCRIPTION: r ••?
. Lot Block Subdivision or Tax Parcel ID )
IF E}ISTING STRi:CIL'RE. DATE OF ORIGINAL BL'II,DING PERMIT ISSL'AI9CE:
(Mon Year}
PRFSFS7P ZONING/PROPOSID USE:
COMREEtCIAL/RE,TILii,/OFFICE [5?R-1 SINGLE FAMILY
C3 INDUSTRIAL Q R-2 DL'PI.EX (1t•,a Units)
INSTIIL.'TIONAL/GOVFRN= ? R-3 7OWNiOUSE (Three + Units) ( Onits)
. ? R-4 APART2IENP/CONIDONLIDIILT9 ( Units)
2) ?
tvAL?E: .c c ???,, ro
ADDRESS: ..
ciTY, sraTE, zIP: A (5f'.(4 v?
PHONE: ?' ?? ?
- R 9'./ n
u . ?• J -
NAME'-
ADDRFSS: c s^ o s S r
CITY. STATE, ZIP:_ <-... m_.: ' yt: ?.•? . PHONE: y-?? MASTII2 LIC'E,TISE# ?.?7
Active
F?cpired
Not recorded
St?tial
4) ?u • ? i?•
NAME:
_ ADDRFSS: 4J, 3 9 ?d r?r ?/f'f er " ??/ .
CITY. STATE, ZIP:_ 89-6-PHONE: -
5) ? ?• ?- . ? a: • 31•i i : m • ?? :,. a?
CONNE(.TION TO CITY SEMFt Q-CpNNECrION TO CITY WATIIt ? p'1'IiER
6) H?r
0 PLEASE HOLD APPROVFD PERMIT E'OR PICK-UP BY ONE OF ABOVE
[Z7- PLEASE MAIL APPROVID PERMIT 70 1, 2, C 4. ABpVE
? ?I r, • (Circle one)
FOR CITY USE ONLY .- '
PERMIT # ISSCED
Pd w/Bldg. Permit
s
?
$ $
FEES:
/d _ Su
$
$
/n_So
s c
SEWER PERMIT (INCLUDE SCRCHARGE)
WATER PERMIT (INCLUDE SC'RCHARGE) ..
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ??i <rZ) ACCOLNT DEPOSIT - SEWER
$ $ ACCO[JNT DEPOSIT - WATER
$ 5m !l C7 $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT -
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRC!NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ ZS Z 'el ZJ $ WATER TREATMENT PLANT SURCHARGE
$ $ ' OTHER:
$ /Z`/ 7 ' TOTAL
- ?z7J1o ? - -7 3 y
RECEZPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RZGI-IT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
N? 1
t ? 1
11
?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS lr6ff 4 q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIJRVEY, 1 SET OF ENERGY C&LCULdTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDSNG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP44ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
t SET OF SPECIFICATIONS AND 1
4 / /•A!/fC11 G?7ip/?iL+?
To Be Used For: f}P:D1170N
Site Address
Lot c2 Block c,2
Parcel/Sub
Owner
Address zv? 9 P Ff r G ,?.,- F
City/Zip Code F-f+,AqA)
Phone 67i'p ,j !,/iy
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 1I
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: `$ a ? ^
On site sewage_
MWCC system
On site well
City water
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
H1dg. Off. ?31
Variance
Date:
occupancy ' M -)
Zoning
Aetual Const
Allowable
7l of stories
Length JZ'
Depth IZy'
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
G6.Oo
_?()
F (1
t/A LuATION r = ? ?
???3 Z ?• . ? .,,
cL q- l iz, . 4 l
P NGiNEfRING CaHSt1iTIN4 E3161HEf9S, PLAHHE:iS and IAHG StlRYEYO!!S
COMPANY? INC.
? m00 CA:T 146L1 57RE7?. BU8HS511LLE, YIHHE=ZTa .'.S=? P!! 432'vOGO
G'eTZ
Lscc7 ?"xs?f-?+ a: ?. L•?- 2 r , ' _ ` `
?A
?AK.orA Gc„?TI ?Nt?rrtiE?n•-iS
?
ti
\ M? 9?
G?3.Z? r
?
t1.??`ax9.g,?`d 91
-- • I -;? ?C?? ?/ ? ?'?'?
.c"?
. \
• ?:, ,?c , i ? ,
i ?? ^. P ?. .7? f ? r/ • ? V /\
J P',o
2 s - _' • ?. \
??'?_ o
?
6
. ?•? = ?o ' '? o ?
? ?. ??i .5'•
i . / aC5, . ?`, .
/,' •p,- S. 4?0.;•
-6z
+,
4(4 / ?ft C-?j
?SGF ? ???r'• - / QA
,
/
CP :J?-:= G? i tJG ?c,A=
" ? C7? S•„2?A? 9R?_c;?.
?a = \ ,..
lorb
•?O?b?C') :_:?• ._?I.O?Z EL<-?f?1T+Qrv
I her:by cartity that th3? ia a t:-:e and earrect rsprseatitioe of a, trae: of
11nd +=r aho+?r+ ' sad deae: ibed herson.. As prapsrad by ma on thia _ I p? dar ct
? r Hinn. Rs;. No. /60?,;
OWNER
EXTERIOR ENYELOPE AYERAGE "U" COMPUTATION
V 'I<V AF.M £ tP I , . • , . -
SITEADDRESS `&39 PaeuO_L.TcA Akt, m N
CONTRACTOR GAP-Y K2AEME9- DATF `/-84v PHf
1. Total ezposed wall a
rea _.. sq. ft.x .11 . _ .Z . .
2. Total roof/ceil(ng are .... ? sq. tt, x.p2g
Determine working square botage of each
Total exposed wall area above 8oor =
?
?5:
a. Total wall window area ......................................'....................
b. Total door area ........... ....................... ..................................
c. Totalslidfng glass door area ........:...:....:...................................
d. Totaltireplace wall area ....................
.....................:........'.......
e. Total wall framing area (averege 10%).......... .....:...... ........,.............. ..
1. Total net wall area above floor ....................................................
g. Totalrim jolst area ............. .......:...........................................
Total exposed foundadon area = ISO ?
h. Total foundatlon window area ........ '
...........................................
i. Total net foundadon area above grade ..: . .:.... ..... .::..:. ........ .. ... . .. . ..... . o ?
•- Determine "U" value of each wal
a ILA x -u° ? 75-?!;? _ 4*7
b. x "V_
C. ? X U. ?
d. ". ' X „U^
4?9 7.
X "U" _
X U"
°. '
9• X "U"
h. ? X °V^
?. l?? X-u- •D ' ?? ? '
3. .........r.......... '.:" Totdl
If item #3 Is the seme as, or less than Item #t, you heve met the intent of 58C 6006(c02.
Total exposed roof/ceiling area
j. Total skylight area ............................ `............... ...................... k. Total roof/cell(ng framing area (average 10%) ... ... ...... ... ... .. . ... .. ....... .. .
1. Total netinsulated roof/celling area ..............:...............................
Determine "U" value of.each roof/ceiling segmem,
1. .
A V U.
._.?...?.? _ .... ? L.. ? ._ .... ? . .
k. . X °U^
I. X.U.
r aZl = ,- . ?,
4 . ....................................................... Total = , .
If tofal ot #41s the same as, or less than #2, you have met the intent,of SBC 6006(c)1.
Alternate Building Ec?nvelope Design /?/?? ?q
1. L? I• U Q + 2. ( 4& '? I
3. 1'1 ?7 . D'?P +4. 3&.2 ? - D; 1
? FORM K-YD-204 (Rev. 5/84)
? KNOX ENERGY WORKSHEET - "U" = 1 ; "R"
1. Insulated Area between Studs
.68 Interior Air Film
Wallboard
?-I ??? ??• Insulation
? 1?
2•0? r/4 L? Insulation
Sheathing
Siding
.17 Exterior Air Film
R=G?J.U?f I lU=
3. Insulated Area between Studs (Wood
.68 Interior Air Film
Exterior Air Film
R=
5. Rim Joist Area
2 Stud/Framing Area
.68 Interior Air Film
??? ?????? ?• ? Wall6oard
Insulation
In. - softwood
•?? ???1r? Sheathing
siding
? .17 Ecterior Air Film
R= 10.8(o I Iu =oCI Z
4. Stud/Framing Area (Wood FoundaUon)
.68 Interior Air Film
In. - softwood
Sheathing
Siding
.17 Exterior Air Film
= i iu=
6. Block Area (Above Grade)
.68 Interior Air Film
?q n
Insulation
? n
In. - softwood
Sheathing ?1Glc ?D Siding
.17 Exterior Air Film
Fi ='/Gf 4-f'h1 IU =
7. Roof/Ceiling Sectlons
•.68 Interior Air Film
,-?-? I`(LM'64' Wallboard
- /)Zj?t?Y r, & Insulation
L'ILLI JL.1' G'K-2 Block
- Insulation
.17 Exterior Air Film
R° I?.?I [V-.40
Exterior Air Film .17 - • 17 Exterior Air Film
J
?/ r1 ? a f?4
Insulation T Jl??r?iL?L ? msulation
Insulation -/ - ? ?'??/ ? ?? ?' In. - softwood
Wallboard ?p?? ?'J• ?`?'?d - '
Insulation
Interior Air Film .61 '??? h ?? '?'J. • Wallboard
- 61 Interior Air Film
8. Floor Sections
Interior Air Film •61
Flooring IQ •?
?
Subfloor
Insulation (.?? r-?' • rI?-
Sheathing ???? ?.?. ? •??
Exterior Air Film • ,17
R = ??1.?7? FU =?04la
, .61 Interior Air Film
h?Z Flooring
/..l? W ?t -?.
Subfloor
???v
? 1'h0 1? In. - softwood
P
VA Sheathing
U=1; R .
insulation
Sheathing
_17 Exterior Air Film
R=? u °.071
FORM K-YD-318 (Rev. 1/84)
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085530
Eagan, MN 55122 . Date Issued: 08/25/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4639 Parkcliff Dr
Lot: 2 Block: 2 Addition: Park Cliff 3rd
PID 10-56702-020-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Lakewoods Remodeling Brian G Tiemey
9001 E Bloomington Freeway #144 4639 Parkcliff Dr
Bloomington MN 55420 Eagan MN 55123
(952) 888-5550
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086851
Eagan, MN 55122 . Date Issued: 10/14/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4639 Parkcliff Dr
Lot: 2 Block: 2 Addition: Park Cliff 3rd
PID 10-56702-020-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Brian G Tiemey
1920 County Road C West 4639 Parkcliff Dr
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA096641
Date Issued: 10/25/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4639 Parkcliff Dr
Lot: 2 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-020-02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Genz Rvan Plumbing & Heating Brims G Tierney
2200 West Highway 13 4639 ParkchffDr
Burnsville MN 55337 Eagan MN 55123
(92)767-1000
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
Use BLUE or BLACK Ink
' I For Office Use / - O
I Permit
[ion
I / I
a
City of Ea
Permit Fee:
3830 Pilot Knob Road I to ( Z l
Eagan MN 55122 k I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
r ~5 ~ I I
' ` - - - - - - - - - - - - - - - - J
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
r2 I ~r fV- Unit
Date: Site Address:
Name: Phone: ,5/ ~(~lo -7 73
RESIDENT /
OWNER Address/ City/ Zip: 4631) G R'k d i g- z_
Applicant is: Owner _)L Contractor
TYPE OF WORK Description of work: &,e (C, C_ C LJ c- w s I
Construction Cost: LA900 Multi-Family Building: (Yes / No )
Company: t~lJ2.l ~~L~!('~ t ~i►n ~v~ vr~w~e. J' t Contact: 13~e.IT CA"~'S
CONTRACTOR Address: TUAe_- 3 ~_PQ City: !S, 4- . 10 "S
State: VhAJ Zip: S5`iLt7J0 Phone: tSZ"~ 33-6 300
License G R to LIZ LJL~`7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
I Mechanical Contractor: Phone: 6
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ li .2-4 CW~, S x Z~ .
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118283
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 4639 Parkcliff Dr
Lot:2 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-02-020
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 -
Brian G Teirney
4639 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:Mechanical
Permit Number:EA174157
Date Issued:12/30/2021
Permit Category:ePermit
Site Address: 4639 Parkcliff Dr
Lot:2 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Brian G & Kathleen P Tierney
4639 Park Cliff Dr
Saint Paul MN 55123--214
(763) 245-9497
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature