4640 Parkcliff Dr? , .
,.---? •--' CITY OF EAGAN '
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?•-- ?? 6??
PNAAIF• dr,A_R1Afl
BUILDING PERMIT
To 6e used tnr a F I
Receipt #
Date
Site Address 4640 PAIZItCLiFF DR Erect
Lot Block 1 Sec/Sub. PARF: Ci.TFF 3g1)Remodel
Repair
Parcel No.
Addition
a Name LF:CY CONSTRUCTiON Move W 9308 XYLON CIR Demolish
3 Address Int Impr.
10 CiTy BL!•i'Tl: phone 9419-949%i Install
= o Name SAAlE
? < Address
a
~ City Phone
?
F Name
-z
? n Address
W City Phone
I hereby acknowledge that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
EX
? Occupancy x?
Zoning R?
? Type of Const
? No. Stories
? Length - rj 6
? Depth - 4 2
? Sq. Ft
0
ipror als Feea
Water & Sew.
Police
Fire
Var.
'
Permit ? 518.00
Surcharge _67:00
Plan Review25.q..,,OU
SAC 575.00
Water Conn.5Q2.00
Water Meter6.3..50 Road Unit 290.00
Tr. PI. _l !j G U 0
Copies
Total ,2 , 426 . 50
A Building Permit is issued to: on the express conditian that
all work shall be done in actroord?f? ,?p/it?i qll adpfiCAdlMinnesota Statutes and City o( Eagan Ordinances_
v ??
Building Official
Pormit No. ParmR Holdk? Dsls Tehphone M
Plumbinq
H.Y.A.C.
Eleetrlc ?/ 1C?L?-L.C. ?( 4 G t0 I/ r
o--
Inspsctfon Date Inap. Commonts
Footlngs I ? 41,11 41,?)
Foofinps II
Foundafbn
Freminq
Rooflnq
Rouyh Wby.
Rouyh Mty.
Inrul.
Flreplace
Final Htp.
Final Plby.
Bldy. Final
Cerl. Oce. 3p
Daek Ffg.
Dock Frm9.
WNI
Pr. Disp.
' ?r (!c 3?- g/
L
3 GEO. SEDGW ICK NTG. & AI R COND. CO. ?
3 y?/
-
? HOUSE HEATING TEST RECORD
/ v Q Cj o
ADDRESS i CITY
OCCUPANT ? ? C?' Iu OWNER
HEAT LOSS D E HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By ?
TYPE OF HEAT GA_ FA-4- HW_ STEAM SPACE HTR. UNIT HTR.-f?-EOJy
GAS DESIGN CONVERSION
' MAKE MAKE OF BURNER _
' Model 5 / Model ?-
Serial ? Max. BTU Rating
IfVPUT I 1 S?. r?G ?; MAKE OF FUFiiltarE ?TE ?9
Model ? ?CONTROLS
THERI'?AOSTAT, ?? Keat Plug
Valve lLeE! I 5 % I r° •?
ko q
?
_.
Limit na /z S
fr,( ?
Limit Setting la.r) f` .
Fan Setting 1 ' ° r-
Pilot Type
Pilot Make
?
Pilot Model 3
Pilot Timing -- ? /v<_
L.W. Cut Off
Pressure
Input CFH ? Percent CO
z
Percent Q
Stack Temp.
Percent C0 41-)G rL ?
2
Vent Sixe ? ? 4-, c- "`
KIND OF LINER SIZE NONE
Draft Nood 11V«%% OP Regulator
Filters Size Number ?
Chimney Location Inside--- x?- Ou9tside
Chimney Construction [ ?(tS? /`s
Smoke Bomb
Draft `
Door Pressure
Wiring G /<
Test Tag ?
Lightlng Inct_ k _
Oate Tested 916 -
Company Testing -,
Name of Tester e ? X14?C=
CITY OF EAGAN Remarks
A ,,,4;.:,,,, PARKCLIFF 3RD
Owner Street ?640 Pai•k Cliff Drive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 984 366.26 73 • 25 5
SEWER LATERAL
WATERMAIN 19 1y 35 •.1f: 7.04 5
WATER LATERAL
WATER AREA 94 3 • 2 73.25 5
STORM SEW TRK 94 42 • 71 12 • 54
S70RM SEW LAT 9 3 283-65 5• 73 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
30 Pilot Krwb Road
0. Box 21199
gan, MN 55121
??F:•.•.? i.?I,:;?p.. ,.?- - ?- -------
o0m to e?wp!! wiK !is Ciey of Eyo¦
P. O. Box 21199
Eagan, MN 55121
Zoniny: -
OWner, !-L. -y Ci?t1St
/1ddross:
Site Addrcas; ' ?40 Park
Plumber: ''M1j?or„-+SOn x
Meur No.
si:e: 5
Reoder No.• =&1?(7aY V
1 qroe to aanolq wt1k t1w Cky
ca,n.ction aarge:
Accoune oeposic: .
Pennit Fee:
Surd+orpe:
Misc. CMrpm
Totol:
Dob Poid:
WATER SERVICE. PERMIT
PERMIT NO.;
D^l'E: _
No. of Un1ts: 1
?..?ryes:
. S(?r.,! meter
Dote af I nsp.:
7 75 1 ev
CIT" tAGAN I l2?'i 0
3830 ?nui Kriob Road
^ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt k
To be usedlor SF DWG/GAR Est Value $134,000 Date MARCH 18 ,1986
SiteAddress 4640 PARRCLIFF DR Erect ? Occupancy R3
Lot 3 Block 1 Sec/Sub. PARK C LTFF 3RD Remodel ? Zaning RI
Parcel No Repair ? Type of Const V
. Addition ? No. Stoiies
? LECY CONSTRUCTION Move ? Length '-5 6
z Name
93 XYLON CIR
08 oemolisn ? Depth---------- z
Address ?
o BLMTN
ci 944-9499
ph Int Impr ? Sq. Ft.
ry one Install
o SAME
Name
i
ou
Address
? CiTy Phone
a
w W Name
?
? z
a
Address
i w City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and aqree to comply with all applicable State of
Minnesota Statute and Cily f Eagan Ordi ances.
Signature o( Permitt
LECY CONSTRUCTION
A Building Permit is issued to:
all work shall be done in accordance with all ap pl!' Mi ne c
Building Official
Assessment
Water & Sew.
Police
Fire
Planner
Council
BIdg.OH. 3/12/86
APC
Var.Date 4/2/85
N° 11634
?070G1
Permit a J1 O. V V
Surcharge 67.O0
PlanReview 759 ?p
SAC 575.00
Water Conn. 500. 0 0
Water Meter 63.50
Road Unit 290. 00
Tr. PI. 156 00
Copies$2,428. 0
on the express condition that
City of Ea9an Ordinances.
RESIDENTIAL ?
5 r?? BUILDINC PERMIT APPLICATION ?' 6,? S
, CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConaWdion Raouiremenh
• 3 regotered site suneys showirg sq. N. of lat, sq. ft. of house; and afl roofed areas
(20 % maximum lot covarage alloweC)
• 2 copies of plan showing beam & vnndow s¢es: poured found desgn, etc.)
• 1 sM of Energy Calculalions
• 3 copies of Tree Preserva6an Plan A lot platted after 7/1/93
• Rim Joist Dehad OpUOns selection sheet (bldgs with 3 ar less unb)
DATE 4- ?I
SITE ADDRESS
TYPE OF WO
APPLICANT
STREET ADDRESS ldlaQ^?Z Ut.f/Lslaa
TELEPHONE # CELL PHONE #
LTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
41 '74_STAWIIZ ZIP -;q ,
FAx #W.2vs_ 996a
PROPERTYOWNER +" J'a-,", TELEPHONE#(JSj-?f?•???"
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RGLFS 7670 CATEGORY l MINNESOTA RtILES 7672
(J submission type) • Residentlal Ventliation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor:
V[cchanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
? ? II
----------------------------------------°-------------------------------------------------- ?----°---
I hereby acknowledge that I have read this application, state that the information is c«ect, and
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. By-?
Signature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener _
_ Water Heater _
No. of Baths
RemodeNteDair RaauiremMs
. 2 mpies of plan
. 7 se[ M Enargy Cakulahons for heated addi6ons
• 7 site survey fa extenor additions 6 decks
. Indicate'rf tqme served hy septlc system fcr additians
aD
vaLuanoN ! S? 3 93 .
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
llpdated 4102
OFFICE USE ONLY Am - 316, 7,'
? Ot Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 EM. Alt • Sf
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) E3 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Dama9e
? 06 04-plex ? 12 12-plex Plbg_Y or_ N 13 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 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 •DemoliUon (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Cily Water
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) _ •FinaUNo C.O.
_ Footings (addition) _ Plumbing
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
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
lbekc(
Emmett Salberg
4640 ParkcliffDrive
Eagan, MN 55123
Eagan City Clerk
3830 Pilot Knob Road
Eagan, Minnesota 55122
Wednesday, October 16, 2002
City Clerk:
Please consider this letter my formal objection to the special assessment notice I received
from the City of Eagan regazding my property af 4640 Pazkcliff Driv_e.
I object to this assessment because the Eagan City Council did not legally authorize ttus
assessment. According to the recenfly approved city minutes and informarional memo
(copies enclosed), the City Council authorized a special assessment for a property with
parcel ID 10-5670-030-01. This is not my home's property ID as you can see from the
copy (enclosed) of my property information I received from the Dakota County
Assessor's Office.
Just as the City would require property owners to strictly adhere to the requirements
imposed by the special assessment statute, so must local authorities strictly adhere to the
statutory norice requirements.
Thank you for your attention to this matter.
Emmett Salberg
A,genda Infozrnacion Memo
October 1, 2002 Eagan City Council Meeting
D. kRO.TECT 854, P,ARKCLITZ+' l5T - 311n ADDITIONS - STREET OVLRLAX
TTNAL A.SST'SSMENT FIEA12ING
ACTION TO BE CUNSIDERE D: To close the public heazini and approve the finaX
assessment mll fror Pmjec4 854 (Parkcli.ff 1" - 3'4 Additions -- Streef Overla,y), exluding
Par.cel. ID No. 10-5670-030-01 (4640 Pazkcliff Arive) and autliorize its cer,tification to
Dakota County for collection To autliorize ro-noYiSca.tion o;F a fnaA assessment public
lieaxin.g for Project 854 for Pascel LD No._10-5670-030-01 (4640 PazkcIiff Drive) on
NovembEr 7, 2002.
TcACTS:
• Pr.oject 854 provided for the bituminous overlay ofthe streets within the Parkcliff 1°`
- 3rd Additions neigliborl.xood in southeast Lagan, as autlined and discussed in the
£easibiiity zeporC.
• The fitxal assessment roll was presented to the Ci.1,y Council on Septembcr 3, 2042,
with a pub),zc hearing scheduled for October ] to formally pment the fmal costs
associated wxth t,hi,s public improvement to the aft'ected betaefitzag pzoperlies. '1'lae
final assessments aie approxirnately 25% less than the estimate contained in the
feaszUiJity report presented, at the public hearing held on November 20, 2001. .
• .A,1] notices lxave been published in the legal papexs and sEnt to al] affected property
owner.s informing them, of ibis public bearing. t1n i:nform.ational meelxng was beld on
Septem.ber 25 to address a1l pzoperty owners' questzons or concerns and provide arJy
addztional information of in4etesY, Of the 73 parcels (R-]properties) being assessed,
one pcrson represenfing one pxoperty atcended the meeting.
T.SSUES.
? A letter of objection to the assessttien.t questioziiztg the valzdity of gie public hearing
notice h,as been received from Mr. EznmetC Salberg, 4640 Pazkcl,if£Drive (Patcel JD
No. 10-5670-030-01). Based on 1VJz. Salbexg's reguest, City sta?'recommends fliat r7ae
fznal assessment public hearing for Parcel JD No. 10-5670-030-01 be re-noticed and
the public hearing to be held on November 7, 2002. '
ATT,FICJ3MENTS:
• Pinal Assessznant Repott, pages],V4bxoughl 1/6
• 1mforrnatzona1 Meeting Minutes, page/ YY
• T,ettex of Objection from Mr. Emmeri SalUerg, page/W,
/2/
CA-i,C, a 5?c GAc-c .r--tr-4?- 4806,
= oNLY rc r?- FLGPPEo,
?? 3
1985 BUILDING PER? APPLICATION - I EAGAH
NOTE: 9LL CONTRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN
CONNERCIAL SINGLE FANILY UMfELLINCS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS -
$2,000 LANDSCAPE BOND
To Be Used For:'jZefD, 1,?pfh?- Valuation :? Date:
Site Address T tl 7`'4 ? OFFICE USE ONLY
Lot 0 Rlock I
Parcel/Sub Z4Y,7K C?Lj €?E
Owner /aa-r G'f7/l?Lr
Address q2 pg
City/Zip Code f7"'(?ci-?MlAfITTo?1?ll?
Phone GJ?GF-?G?? 'r???
Contractor<<„q?F
Address
City/Zip Code
Phone
Arch./Engr. (,?/yL?
Address
City/tip Code
Erect X
Remodel ?
Repair ,
Addition
Move ?
Demolish
Int.Impr. ,
Install ?
APPROVALS
Occupancy
Zoning
Type of Const
9 of Stories
Length
Depth
Sq Ft
FEES
Assessments
? Permit
Water/Sewer
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off iybe reatment Pl
APC Parks
Variance Z•85 Copies
TOTAL
'3
- 5v
Phone Ik
2v x
2to x rC? "?F 10 K s? ^ Z4t 2.. 8 • i
12 xl0 - f2o x I S" ??°?
'i - fv co e? x I 2 ° 7r12L?
c?J?C ZZ !
x¢ 4- '? 22?a
Zo K?? ^?TGC,
( 335?c?
?- .
HEAT LOSS CAICULqiIONS
60 i? 3,?;c-K -rt i
gea. S?alg • Qa-.1? ce
HEATINGBAIR CONDITIONING CO. MINNE aus,MINN.
Weathersirips A.S.H.V.E. ConelruCtion No. --- Insuletion
M1?indows Doors :
Guide
ference 0?, yyall Inl, Well Ceilinp Root Floor Kird How Applied
tes-No Yea-No g__
'I. RooLength Wldth ? Helphl ? FI. f l1ER? Roan LenBth Wldth Helphl
YJ indrnvs and Doors-Crack age end Ar ea Windows and Doore-Crackage i rea f
lo, wdiF
ol ? enu Heipht
ol e?e Na. ol
Iha 4neal /l.
l cr k Ar NO• Wid?h
ol sns Hoiphl
of ene Nn, ol
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??
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a ' S r?o 3 3
4 ? iL 3a ;?- o 4a
caer ew a ?'t 5?a /?- as coef etu
ifiltration ,?7 3 Infillretion 1/7 ?
iess /D 5 5 ciesa 6 14_4 ,3 .56
Kp. wall Exp. wall •
et ex0. wall f f??26, Nal aKp. wel) (o /D 6
it. well Int. well
eil{nB ' CeIIInO .
lo« /v0 5 O o Plo« 5 -
otal etu. ?3 rotal etu. ?
aqulred sq. It. E.D.R. or aq. Ina. W.A, Laeder eren Haqufrad oq. It. E.D.A. or aq. Ina. W.A. Leeder erea
L, FQflovL Room Lenglh aa Width /g Height ? FI, L? &I pR.L Room LanBth Width Neiyht ?
Wi ndows nd Doors- Cracka ge end-Airea ? Windows and oors-Crackage affdArea
a. ??d?h
o ane Hmaht
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ol crack Aren
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No• WA?h
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Coe1 Btu ef
C
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i(iltr9tion ? X/7 .[?? Inliltration "
?
?7`7 I ,?p5!-
less o2 '4/600 Glaea t? 6) 00
tp. well Exp. wall
et exp. wall Net exp. wall ?d 6 6.2
it. wall Int. wall
airne cairnp
ioor 1 5 fioor -
Nal Bta ? Total Btu. ?
jquired sq. tt. E.D.R. or sq. ins. W.A. Leader area Requirad aq. ft. E.D.R. ar sq, ins. W.A. Leeder area
L ,N A( Room LenBth U Width 11 Helght . FI, 1Z Poom Length Width Heightg?
Windows and Doors-Crackage and Area Wi ndows e nd Doors- Crecka ge endr ea
o. Witl1n
ol ane HeiOni
ol nne Na. of
li hta l?nenl It.
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sa. fL
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ul en Hmyhl
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b hle Uneal fl.
of tla k Aren
••??•
3
Coef Btu Coel Btu
37 q / i„rn,Au«,
lass Glass
(p. wall Exp. wall
et exp. wall Net eKp. wall
d. wall Int, wnll
eiling -? CeiHng .
oor _ ?.f•Icwr
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a ?
? . ? Se4ai"
HEAT LOSS CAICUlATIONS HEATING S AIR Col?IDITIONINO CO. MINNEAPOLIS, MINN.
Weather5trip8 A,S.H.V,E. COn6lruCtio? NO. . tnaulation
?Tindows paprs Guide
Referenc Out. Wall Int. Well Calllne Hool Floor Klnd How ApPl ied
fes-No
Yes-No e
?y__
Length '? Wldth Hsipht FI. M E qo«n Length Q7,Z, Wldth /(o Nelght g
YOi ndows a nd DooFs -Cracka ge a r ea Wl ndows a nd Doors-Cracka ge and Ar ea ?
la: W,Nrh
ol anx HaipMl
ol ene Na. ol
li hb Uneel h.
of Cr k 4,eA
•.}t,
Na, W?d?n
ol ene qoi0ht
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ol a tk Area
s4• h•
? z lo' q a 3'0 ?'g P
a 3s? ?? 1b
Coet Btu Coel 8tu
ililtration InfiltraLm
iass 5b ? Glasa ?bo
Kp. wall Exp. wall •
'et ezp. wall
Net aMp. well
?c p
I 0
ri. well Int. well
ellinp - Celling ,?S 5? 7 ?
loor s -? Ftoot 5 -
otel atu, a -Totel atu.
aQUltn1 sa. ft. E.O.R, or sq. Ina. W.A. Leader area Raqulrsd aq. It. E.D.H. or eq, Ina. W.A. Leeder nrea
1. C),E2 Roan lenpth ?? Width ?(7Height g aFI.M. i/}rH Room Lengtb Width Heightg'
Windows and Doors-Crackage gffTWrea ?-- Windows a nd Doors-Crecka ge and Area
°' WC?h
of ? ane Ne?qh?
o/ ena No. ol
1i hio L'neal h.
al crack Aeen
a. N•
No' W??ip
o/ ene Ha? ht
o? nnu No, oI
li htn Lineal IL
ol cre 4 Aree
•. It•
i ' ' 0 1 I ?FF ?IL- I S' 9
1 2 o iL I4
Coe1 Btu Coe( Bw
diltratian 3 47 S/ Inriltration
tass ,77 /,350 G lass 9 $
tp. well • ExP. wali
et exp. wall Net exp. wel? ?? ?L ?
it, wall Int, wal I
eiling / 0 ?(] Ceiling
ow 15 Floor --"- S
riel Btu. 15 7alai Btu. p
Z/ 7p
aCUired sq. (t. E.O.R. or sq. ins. W.A. Leader area Required aq. ft. E.D.R. or sq. ins. W.A. Leeder area
I.L i Room Length -7 Widlh Halpht FI. pfl# Aoom Length Width Height ?
Windows and Odors-Crackage'?nTAree - Wf ndows a nd Ooors- Cracka ge n?TArea
Jdin
?ene HafOhl
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??
hle L?nenl It.
ol re k Aren
?0• h.
NO' W.
ul emnb 1 rnphl
u? enx Na. ol
h Mls Unenl It
.
ol cia k
A?en
••It•
o a a L4 8 + L_
Coef B W Coet B tu
JilLretiW 7 oP'Yl Inliltrntion
lass Glesa $p .?OS?
(p. wall Ezp. wall
et exp. watl / Net exp. well S
rt, well Int. wall
a;l,ne Ceil;nB
Op! • 5 . F IMX
)tal Blu. iotal 8tu.
-- -- e n o _. -- 1- w n ?..e.?e. ei.e?
HEAT LOSS CALCULATIONS ?• ?? MINNEAPOLIS, MINN.
_ HEATINGSAIi? CONDIT109111NG CO.
Weatherstrips A.S.H.V,E. Cons[ruttlon No. . Inaulation
ft?N,g 0?$ Guide
Referenca Out. Wall IrM. Well Celllnp Roo! Floor Kind How Applied
'es-No Yes-No ?y__
'1•GLp ? Room Lenglh (o Width Nelpht PI. Aoan Lenpth Width Helght
Ylindows and Doors -Cracka ge a Area ? Wlndows and Doora- Cracka ge and Ar ea
a, wA?h
ol ? ana He19hi
of ana No. ol
h ht, L?neel It. Area
?, p,
No• r,Olh
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11 Ms l-maal h.
ol p ek AreI?e
sq. .
Coef Btu Coef Btu
diltratim 4/71 IntilVatlon
lass Gless
rP. wall Exp. wall •
et ezp. wall 11?1 j & Net exp. well
it. well Int. well
eiling /r?L Celling .
loor 5 - Floor
otel Btu. ?O TTotal Btu.
oqulred sa. It. E.D.R. or sp. Ina. W.A. leeder erea Requlrad ey. ft. E.D.R. or eq. Ine. W.A. Leader erea
I. Room Length I Width () Height ? FI. Hoom Length Width Heiyht
Wi ndows and Doors- Cracka ge attd-lCr ea ? Wi ndows a nd Doors -Cracka ge and Ar ea
°' W?C?n
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Book - Poge
EAenPrairia.lY?155344-3644 Scale
(siz) e29o700
Oate: Reyj,atratfon No. _
9
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 �L
Permit Fee: w 0 • "'
Date Received: it (al /i3
Staff:
L L1L
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11-2:7-13 Site Address:/P7'kc/;AtZ ?t 0 �1r t✓ Z
Tenant: Suite #:
Resident/Owner
Contractor
Name: Phone:
Address / City / Zip:
Name: P Lf 11.I t4.-ri L License #: (- C 6 L{ 3
Address: 'Si Z S r'G / City: C -r--�
State: PTA) Zip: c5 -17...--Z
Contact:
Phone:
q'S'z H / Z 7550
'�- Email: ffl 1tc1.- rte c p/a ovhh3
_ New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures, f, Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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
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,/iot to start without a per that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of p
Applicant's Printed Name
Applicant's
FOR OFFICE USE
Required Inspections:
Meter Relatedr.lte
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: � I 95(9 5
Permit Fee:
600 ®I
Date Received: la /4/13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
°OA/ice
Date: Site Address: Unit #:
Resident/
Owner
Type of Work
Name: 50n //fleLL L/g sfre tiS1/
�,! ( Phone:
Address / City / Zip: " l b l 1 �Ar#(L//f f= i7ri x f afc,/1/1
Applicant is: Owner Contractor
Description of work: !MA" 11-(,/W
Construction Cost: Multi -Family Building: (Yes / No )
Company: erk--1 1 /r7 `f7 t7 J3(y}i- kJ -6-6 a`e il• Contact: eC, Pockirrifler►
Address: / / ( 9 c / r4 5[/ ice! City: 7 e a "la e. /
State: MA/ Zip:�j� 53%(p Phone: 60 t Z 8"3 `/ /cc? 9
Lead Certificate #: ,l/ 4T '4 5-85- 3 - 1
License#: �_&
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
lq8+p 12—I
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
o If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit arevonsidered to be public infor anon. `Portions° o.
the information may be classified asnon-public if you provide specific reasons t
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.qopherstateonecall.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.
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.
l a. (/7Z&I(1/w/ yl
Applicant's Printed Name ( Applicant's Signature
x
Page 1 of 3
SUB TYPES
Foundation
)/ Single Family
i
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
1f e/10 Pae -A. Ci//t Dr_
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation /25 O1
Plan Review
(25%_ 100% t )
Census Code `7 3 `T
# of Units
# of Buildings
Type of Construction / 8
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Porch (3 -Season)
Porch (4 -Season)
Porch (ScreenlGazebolPergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock �s
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
4110//
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
•\/1.ra'aeci
WIZ 5 0X30
Use BLUE or BLACK Ink
For Office Use � ��
Permit*: 1
Permit Fee: t PD. . 6 6
Date Received: 1 � ' 13
�
Staff: ` ,
J
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit gtwo (2) sets of plans with1"a.�'alll commercial applications.
Date: 242it2) Site Address: 4 Lt ( L L �t O j aoixhi
Su
Tenant: j G� VI ÷
e #:
Resident/Owner
Name: ,Sbh.44- l4 i ASLbto`,k4 Phone:
Vo
�j j
Address / City / Zip: t -i- cr Q I`" yVc t i4 -! -" , Ea t an f
Contractor
Name: arty 110i kit 1— ail I VI `4- !:r License ? 2_LO2.0 5)
Address: lei() 4 U',Vy 4 1 [ �1 fla t City: 46 41. S.
State:1\-X W Zip: S�j v� Phone: (.0 S 1 --. 431- q r�1 Y , q
1
Contact: v ---Ing} Email: kel-rt-(-Votfl� c rson e OY1A1 L ( CLi Y. Cow,
Type of Work
New - Replacement Alteration Demolition
_Additional
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
—
Conditioner
_
Install Piping Processed
—Air
—Air Exchanger
(�
Gas _ Exterior HVAC Unit
�
Heat Pum {/�.C7 WO 44'
p j
—
_ Under / Above ground Tank ( Install / _ Remove)
Other w 1 TOLL
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge) CP
$5.00 State Surcharge) = $ �Q` TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes
(includes $5.00 State Surcharge)
State Surcharge)
$1 million, please call for Surcharge
OR Contract Value $ x 1%
= $ Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. CaII 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.
x -e_ f✓ I/11
Applicant's PrJ
Y� c�' L2 ✓ S CjyI
nted Name
x
1
Applicants igr;fature
FOR OFFICE USE
Required Inspections:
_ Underground _ Rough In _ Air Test _ Gas Service Test In -floor Heat _ Final HVAC Screening
Reviewed By: Date:
!"
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176297
Date Issued:05/11/2022
Permit Category:ePermit
Site Address: 4640 Parkcliff Dr
Lot:3 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-030
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Tankless Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Jason J & Angela B Laskowski
4640 Park Cliff Rd
Saint Paul MN 55123--212
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176401
Date Issued:05/16/2022
Permit Category:ePermit
Site Address: 4640 Parkcliff Dr 1
Lot:3 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason J & Angela B Laskowski
4640 Park Cliff Rd
Saint Paul MN 55123--212
(612) 432-4445
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature