4645 Parkcliff Dr' T INSPECTIUN R ECORD Controi No. O? 8?
? R?rrY' OF EAGAN. PERMIT TYPE: 803.11' lN"
3830 Pilot Knob Road Permit Number: 000116a
Eagan, Minnesota 55123 Date Issued: 04/z4/92
(612) 681-4675
SITE ADDRESS: i Ur t;
4646 PaRxr,t.iFi r+k
PARKCLIFF 3RD
PERM(?lpUBTYPE:
APPLICANT:
`?i)M 5
CiINST
(612) 462--5366
TYPE OF WORK:
NIEw
[ kpMARIK°.:: S ii W CfiHTRAC?I}R - tt C pl.HU
P*nmtt No. PermR Moldsr Daoe TeMpf?ane s
S/1N
PLUMBlIdG
HvAC ??- •S?,?3 ?/
ELEC7'fll?
ELECTRIC
Inapscibn DeUs Insp. Camments Q
Foot'^gs ' yZ?-?a ?Ds '
Foundation ?
- g2 -
Freming •191z
Rooflng
Rough Plbg.
Rough Htg.
Isul. ?• ? 9 ? D
R'oplace
Fnal Htg.
Orsat Test
Rnel Plbg. Plbg. tnspector - Noti(y Plumber
Consl. AAeter
Eng?JPian
Bidg. Fnal
aedc Ftg.
Deck Flnel
wen
Pr. Disp.
?
' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. I;; r =,Ntl Iiiitlf: i (ilt!'!1rv i
PERMIT SUBTYPE:
011) 1 1 Ni; 1_;
'( AN Rf-VXEl,Ii-D HY ,lfi?I; VQ['Ii
?1?17N U1:1'.K 4:flRM?R Ft?(1T1N?3 :
'hltf I R1F fI tA lt i-rY7 t'Fat1, I;f II .
F
?
TYPE OF WORK:
r4,;,
rrNni
4 14 ittll f? Pt 9 3 " 0 1 Af4F- 1 f K Ldi f li I's:" 1+1 A011 11 V A 1 1 1ff
7
I
.?..
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST '
I
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN PERNIIT TYPE: I I I 10 ; MI ;
3830 Pilot Knob Road Permit Number: " j-s `j'j I
Eagan, Minnesota 55122-1897 Date Issued: ? '°
(612) 681-4675
SITE ADDRESS: ? APPLICANT:
1wit . fV11 I { c, {,' ) +.,??. 39
, i
F
L
PERMIT SUBTYPE: TYPE OF WORK:
f,l'F'AiN
! . 11 . f: Rk'NU?)F ?
Permit Holder Date Telephone p
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FQUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
I
t.I &
(Itrtt#tratt uf (Orrupanry
citp of eagan
lorpwbcrtc# nf iiuilding iwrrtion
This Certifraate issued pursuaRt lo the requirements of Secliorr 306 af the Utifonrr Butlding
Code certi11in8 thal at the time of issucnce this sAruclure Nws in rnmpliaitee witli the variotrs
ordinances of the Ciry regulating building consuuction or use- For the fallowing:
use Cbmdkadm SF DWG/GAR Bklg. hmit No 153
O-W-7 T?w R-3 M-1 ZmW Dis? R- t ?own Vn
Owner of Biakft SONS CONST Ad*= 4600 FAIRWAY HILLS, EAGAN 55123
? A LIFF DR ?h L, B2, PARKCLIFF
JULY 23, 1992
POST IN A CONSPICUOUS PUCE
CITY OF EAGAN Remarks
Addition PARKCLIFF 3RD Loc 3 elk 2 Parcel 10 56702 030 02
Owner Street 4645 Park Cliff Dr'ive state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 984 3 • 21 73 • 25 5
SEWER LATERAL
WATERMAIN 19 L} 3 5411-- 7.04 5
WATER LATERAL
WATER AREA 9 1.?. 366 • 2 73.25
STORMSEWTRK 9 4 42,']1 12 ,54
STORM SEW LAT 983 283.65- 5 •'73 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
,?55604
RepuestOate Fue No Roug nsOecUOn
5 0 6 ? 9 2 Req retl? ? Reatly Now pAM411 Nofily Inspecior
d
?
?Yes ? No When Rea
y
Iy? hcensed contractor ? owner hereby request inspection of above elecUical work at:
Jab AtlOress (Sheet Bor or Route No r QAy
$645 Parkcliff Drive Eagan
SecUOn No, Towns?ip Name or No Range No Counry
Dakota
OccuDant(PRINT) Phone N.
Sons Construction 452-5355
Power SuppLer Mtlress
Dakota ERI Electri 4300 220 St. W., Farmington
Eleclncal Conhaclor ICompany Name1 ConVacto.5 Lwense No
Joos Electric Co. AM10895
MaJrng AtlC:ess (GOnVacior or Ownpr Making InstallaLOn)
2104 Great Oaks Dr've, Burnsville, MN 55337
Authonzed SignaWra fContfactonOwner Maemg Ins Ilalion7 Phone Numb¢r
431-4755
MINNESOTA STATE BOAHD OF ELECTBICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway 8109. - floom 5493 ` BE AGCEPTED BV THE STATE BOARD
1821 Umverelty Ave., SI Peul. MN 55104 UNLESS PROPER WSPECTION FEE IS
Phone(612) 662-OBpO ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
J 5 5 6 0 4 See mstmctions for compleLng ihis lorm on back ol yellow copy
"X" 8elow Work-Covered by This Request
Es-ooDooi-0e
????.
? ?
e Pyj Rep. ' TypeoiBmlding AppliancesWired EqwpmentWired
? Home g Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other (Speciry)
Comm/Industnal FurnaCe
Farm Air Conditioner
Other (syecity) Contrecmr's Remarks
Compute Inspection Fee Below:
N . Other Fee # ServiwEntranceSize Fee # Cvcmis/Feeders Fee
Swimming Pool 1 010266 Amps 1 0 to 100 Amps 47
Transformers Above 200 _Amps AOOVe 100 _Amps
SignS Inspector5 Use Onq ` 7QTp
?
irngation eooms l 6 5• 5 0
Speaal Inspection
L
Al
arm/Communication
THIS INSTALLATION MAV B
SCONNECTED I?IIF NOT
Other Fee COMPLETED WITHIN 18 HS. ?
I, the Electrical Inspector, hereby
f Rouqn-m
ceru
y that the above inspection has
been made. F,?ai oa?e
OFFICE IISE ONIY
This request voi0 18 monms irom
n
Address: 4645 PARKCLIFF Lot 3 Blk 2 Sec/Sub PARKCLIFF 3
These items were/were not complete at the time of the fina inspection.
Date: 7/23/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass f
Trail/curb damage
Porch 1I"
Basement finish
Deck
Pleasa verify vith the builder the removal of roo£ tast caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential axists. ?
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL 7?
s? a? LI ? BUILDING PERMIT APPATION
( CITY OF EAGAN
3830 AILOT KNOB RD, EAGAN MN 55122
851-681-4675
New ConeWCtion Reauiremend RemodeYRemir ReauinmeMs
• 3 registered sife surveys showing sq, fl. of lot, sq. R. of fwuse: and all mofed areas • 2 copies of plan
(20% maximum lot coverage albwed) . 1 set af Ene(gy CalaWtlare for healed addNOns
• 2 copies of plan shovnng Oeam 8 window s¢es; pouted fourM desgn, elc.) • 1 site surrey for exteriar addi6ore & Cecks
• 1 sel of Energy Calculations . Indicate'rf home served hy septic system for addNOns
• 3 copies of Tree PreservaGan Plan R lot platteG after 7/1193
• Rim Joist DeW Oplions selectbn sheet (bldgs vNh 3 or less unils)
DATE (P-Q3-Oa VALUATION G?fYG?
SITE ADDRE33 LtIp4?- MUITI-FAMILY BLDG _Y ?N
TYPE OF WORK Q6D?,nc FIREPLACE(S) _ 0_ 2
APPUC
STREET
TELEPHONE #?J.ir?- ?Ln?U CELL PHONE #{0la-7na- ?%-i Sb PAX #=- ST 95- Y740a
PROPERTYOWNER L2pf1 ??-?zkg?& TELEPHONE#(OS7-6& -RS`SC-
----------------------------------------------------------- ------------°--------------------
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ YfIYNESOTARUZES 7&70 CATEGORY 1 MIPiNESOTA RLZES 7672
(J su6mission type) • Residential Ven6latlon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted ,
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Vlechaniril system includes:
Sewer/Water Contractor;
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
...........................°----------------------........_._..-----°-°------------.._..------------°--•-°------...--
I hereby acknowledge that I have read ihis application, state thot the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O,Winances. ?
Signafure of
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. oF R.I. Baths
JUN 0 4 ZppZ l
Required LJ
U daled 4102
• OFFICE USE ONLY • 161b1- IYa 2S
? Ot Foundation O 07 05-pfex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolftion (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Arain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows(new/replacement)
_ Insulation _ Rera''nino Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
; _. ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT.TYPE
Permit Number:
Date Issued:
BUILDZN6
000153
04/24/92
SITE ADDRESS:
4645 PARKCIIFF DR
LOT: 3 BLOCK: 2
PARKCLIFF 3RD
DESCRIPTION:
8uilding Permit Type
8uilding Work Type
?UBC Occupancy,
Construction Type
Zoning _
Building Length
Building Width
S F OWG
NEW
R-3 M-1
V-N
R-1
,. 4 2
43 ' -
?
. -- ,
,-;
_7-1?.???? jI
,; _..
REMARKS: ` O? s"4V
S& W CONTRACTOR - R C PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
$699.00
=464.35
;58.50
;700.00
10@
1
$1,911.86
$117,00@
MISCELLANEOUS $1,610.60
COPIES $1.00
Total Fee $3.523.35
CONTRACTOR: - Applicant - ST. LIC. OWNER:
SONS CONST 14525355 8002608 SONS CONST
4600 FAZRWAY HILLS DR 4600 FAIRWAY HILIS
EAGA11 MN 55123 EA6AN MN 55123
(612) 452-5365 (612)452-5355
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 Mn.
Stat es and ity of Eagan Ordinances.
APPLICAN PEF SIGNATURE 'ISSUE? B. SIGNA URR
Control No. 0282
PERMIT#
?
?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
JIAR 2 4 RECQ
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 2- / 92- Yaluation of work
Site location: ?i??( ?-3 13 2- PdizlcCLlFI= 3'?
STREE T STE 7!
Tenant Name: S??r ? C?or S?" ?fi
LOT BLOCK ?r SUBD. y?
?Arz
CL P.I.D. #
?
? F 3
Descri tion of work: lGc?r #o.,, ?
The applicant is: la'Owner L`1"Contractor ? Oth21' (Describe)
Name ?'h-) C s.vsi Phones-s-
Property LA51 FIRST
owner Address Y?ac/ FAoLl,)e-?-i /-/,zLc
STREET STE /!
City State /?3, Zip 5_)22-3
Company Phone
Contractor Address UO f'?lh6v??/ /-/,L// License # 2(069 Exp.
City State '4"? Zip S7?_/2- 3
Company S6?7 j Phone
Architect/
Engineer Name Le? g.feL Registration #
Address 00 fl 1 rr- P114?i ?f , LLr
City State ?-? Z;p SJ%z3
Sewer & water licensed plumber ?. CA Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read his application and state that the information is
correct and agree to compl wit 11 pl' able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
002 SF Dwg.
? 03 Twa family
? 04 Multi-fam. T.H.
O 05 Apt. Bldg.
WORK TYPE
-9 31 New
O 32 Addition
? 33 Alterations
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 34 Remodel
? 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
O 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 37 Move
? 38 Demolish
? 99 Undefined
M _ . .^
? 16 Agricultural
? 17 Building Move
? 18 Demolition
O 20 Miscellaneous
Occupancy Z-3 M-I Basement sq. ft. MWCC System YES
Zoning R-I lst F1. sq. ft. City Water F-s
Const. (Actual) v-N 2nd F1. sq. ft. PRV Required
(A1Towable) y_,J Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length N- On-site well Census Code Iol
Depth ? On-site sewage SAC Code o/
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? 3ite
0 Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC % 100
SAC Units I
0,?4 y 41 '1 03 XZ= 3G
1 x 7? 7 14
kll= y`I
/BX.?6r y6? i?s2 xs3; SI3?3?
699. o0
SSO
y5y, 5
7 00.00
IvO,ov
b ??5 , o 0
9S? aJ
30,00
30, vo
,sv
30U? D ?
380, cu
valuatim: s 1I'7,000'
GaRA&a; ; ay x,25 _
3 k 13=
?SMt?T `
?ow?f'?.eJa-? , .
zzxiu=3os
boo
(39)
S'G/ x /b = 897G
liK`_ 66`
aoK ix'= .30d
9 X 1$-7
529 x1S=qZo
?fj 3X 13 % .?°?
i Nk
, E%TERIOR EMYELOPE AVERAGE "U" COMPUTATION - .,
Ou11[R: _ _?b,?
ADORE55: _z-_ f''4 .I CL"
LONTRACTOR: Sor,? OATE: 4/
LpHONE: "2--J3j'j'•
• DETERMINE NORKING SO,UARE f00TAGE OF EACM: -
1. TOTAI, EXPOSED WAII AREA,,,,,,,. sq fc x"U"
2SI•5'?
t. TOTAL ROOF/CEILING AREA,,,,,,.? sa ft x"U" 026 .
..?? Q
9. TOTAL EXPOSED NALL AREA CALCULATIONS:
Total exposed wall
area above floor
) „
. . . . .
T
. .?_,, sq f t
.
a otal well window area:
4lazed
...... sq ft x"U" 59 •
glazed " ---"
,. sq ft x "U"
.
b Total door area ,,,,,,...
'?
sq ft x"U"
c) Total sliding qlass door area: ,
___,,,..9lazed...... sq ft x "U" S
_
S ' 2320
glazed...... sq ft x nun
d)
Total flreplace wall area
sq ft x"U" .
n)
Total wall framinq area .
?-
(Avera4e lOR).......... _?
:Q ft x "U" 10
-- .
.
Z2. O
f) Total net wall area ebove
fioor (Insulated)........ _l1n9.7 sq ft x "U" ,e?..
.
9) Total rlm Jo1st area...... . 1210' sq ft x"U"
Total founAatlon
erea (Exposed)....
....., sq ft
h) Total foundatlon
wlndow area ............. sq ft x"U"
Total net foundatlon ?
' .
area above grade,,,,,,,, yq ft x"U" O'! '
?
TOTAL a) thru I)
I
f item p; is the same as, or less than ttem /1, you have met the (ntent of
Z f4CqR 1.16008 A and 0.
, .. I
Page 1'
,
,
--- , ?
4. TOTAL EXPOSED RQOF/CEIIINR CALCULATIONSi
Tota) exposed
roof/teiling area..... ... 12%?-1 ' sq ft "
?" J} Total skylloht prea........ aq ft x"U"
k) Total roof/cellfnq framing
area (Averaqe 111x)......
?
1) Total net insuleted
roof/ceiling area.......
^
4. ,
If total of 04 Is the same as, or lass
2 MCAR 1.16008 A and 0.
l?S sq fc:x ,??? ..o2-?i,o • g.?S
i122 sq ft,x "IM' •0.2..... .
ToTM. l?1 :thrk ? 1.? ', , ?tlian 02, you have met'. tha intent of
ALTERNATE BUILDING ENYELOPE DESlGN
To uti l iu the total envelope system method, the wiws astab;llslyd, b,y ,.tM sum
of items f3 and N4 sha11 not 6e greater tl?an the suM of. It«os; Nl .?u?d'?M2,.
1. + 2. '
.
_ 3. + 4. . .
CERTIFICATIGN
1 hereby certify that I have calculated the "U" faetor.s and "R!", values herein and that the bulidtnq hare detCribed ?ts:o??ut?e4t;QilwStab .
of Minnesota Energy Conservatlon Att.
j (Slq4ture)
• ?? '?..4?-.-"?±
' tDate) ' ? ,
, , . . ;Pega 2
, ._.. .y.,. ?,? ... .
vmi
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: 6?14B?NU
Permit Number:
Date Issued: 07 J10 J98
SITE ADDRESS:
P.I.N.: 10-56702-030-02
DESCRIPTION:
FERMIT
4645 PARKCLIFF DR
LOT: 3 BLtlCK: 2
PARK CLIFF 3RD
r
Bu3ldii?v? Permit Type
Building'Wprk Type
'Census Code
a \
,
t
4
T - ?
t f _
DECK
NEW
434 ALT. RESTDENTTAL
V ci ?s , tt' i a "-s
.__ ..
REMA?ftKS?:
A REVIEWED BY ]OE VOELS
MAIN DECK CORNER FOOTTNGS SHOULD BE 13" ?IAMETER WITH 18" DIAMETER AT THE
INTERMEDIATE FOOTIN6 BELLS
FEE SUMMARY:
Base Fee $50.00 COPIES
Surcharge $.50 Total Fee
5ubtatal $50.50
CONTRACTOR:
THE DECK AND DOOR
11632 AKRON
INVER GROVE HGTS
(612) 850-2515
- Appli
COMPANY
AVE
MN 55075
$50.75
cant - sT. Lzc OWNER:
18502515 5457 RETZLAFF LEON
4645 PARKCLIFF DR
EAGAN MN 55123
(612)686-8555
I hereby acknowledge that I have read this
irrforrhation is correct and agwee to comply
, SCatutes and City of Eagan Ordinances.
APPIXCANT/PE,WIGNATURE
application and state that the
uvith a11 =applicable State-ofi Mnn
e ?
I SUED BY S N E
2 ?1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3 ? cirr oF E?caN
3850 PILOT KNOB RD - 55722 cQ ?l?JC.(1V
681-4675 7Ig
New Construdion Reauirement Bem4dgUReoair Reauirementa
• 3 registered ake surveys ? 2 copies of plan
? 2 copies of plans (inGUde beam & window sizes; poured fid. design; etc.) ? 2 site aurveys (exterior additions & dedcs)
• t energy calculations ? 7 energy calwlations for heatetl additions
? 3 copies of tree proservation plen if lot platted after 7/1193
required: _ Yes _ No ? -
DATE: , 7` 6-c1 d` CONSTRUCTION COST:
??i • : -.. 9.' n .
DESCRIPTION OF, WORK:, . ,
.- . - , : • .
:. STftEET ADDRESS: - • -????s ? • ??A?2K ? c. i i=r ?J,l'ld/`L
J?O?T ? ?rl
? BLOCK o?. SUBD./P.I.D. #: 21-ni
PROPERTY Name: ? Phone#:6??'`"'"'
OWNER
Street Address:-_?
'
, City: 46-,4 n,/ State: 11?W Zip: K
CONTRACTOR Company: i?I?c K,FDudli C,?• 1,Je- Phone #: '-;2?
Street Address: //Z :? -2? q e/tunu A d,g /z License #: -0-1's7
City: //?11ihG?,0 _ f4,9/G?rr.? State : Zip: Ss-4) 7?
ARCHITECT/ Company: Phone
ENGINEER
Name: • Registration #:
Street Address:
City: State: Zip:
M
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once pertnit is issued.
?y acknowledge that I have read this applipGon and state that the information is correct and agree to comply with all applicable
utes and City of Eagan Ordinances.
Signature of Appticant:
i? OFFICE USE SE ONLY
_ Yes _ No
Tree Preservation Pian Received - Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./lodging
? 02 SF Dwelling ? 07 4-plex o 12 Muiti RepaidRem.
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
a 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 = plex o?-15 Deck
r n( N g?GK
WORK TYPE
,8"1 New
? 32 Addition
wA
rt? .
1
? . +
? . P
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous ?
h
?? fH?du.a ?'L I ? ?? b r? rKz.nR
.rl7-0,eO/tD?.4PL
0 33 Alterations 0 36 Move l3se t w- l.v,9rA .ffa.4
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. CRy Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code,
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
074Z
Building Engineering Variance
Y95?
-?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies , ?6
Total:
% SAC
SAC Units
Valuation: $
•,
.....?,... ---Jii'.
t
-
1 ..=.. .w a..
r ?
CTTY OF EAGAN
L 3 B MECHANICAL pERMIT RECEIPT #/oS '
SUBD. r,?arc-?.? 3 (612) 6814675 DATE
RESIDENI7AL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPLEfE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS pBE ]tEQUIREp FOR FACH DWELLING iTNIT.
OR'NER: L - FEES
L
SITE ?,?is?°
?
5? &
ADD ON/AEMODEL (EIIISTING
CONSTRUCTION ONLM
$ 15.00
INSTALLER: GENZ-RYAN HEA G AVAC: 9-100 M BTU 24.00
P?ONE #: 423-1144 ADDITIONAL SO M BTU 6.00
ADDRFSS: 14745 South Robert Trail GAS OUTLh'll'S - MIIVIIIIUM 1@ S3 EA. 3 -
CITY: Rosemount Zip; 55068 SURCHARGE $ ,50
SIGNATITRE: o,?_ - TOTAL: $a ? S °-
COMMERCIAL
?
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
FACH DWELLING UNTT.
WORK DESCRIPTION: CONTRACf PRICE
196 OF CONTRACT FEE. FEES
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFSSED PIPING • $25.00
MIrnMIcrM FEE - $25.00
a
0WNER° TOTAL: $
SITE ADDRFSS:
TENANT:
SUTfE
IIVSTALLER: , . . _ . ,
_
ADDRFSS:
C11'1': ZIP:
PHONE #: C1TY SIGNATURE:
SIGNATURE:
• ?' ?ITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR _
owNER NAME: Sons Construction
SITE ADDRESS: 4645 P3TkCllff DT1Ve
?rd
LOT: ? BIACK ? SUBD? ? ?
77-
INSTALLER: R C Plllablrig
ADDxESS: 5910 Chester Ave
cI'ly: Northfield zir: 55057
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00
? WATER CLOSET 3.00
? BATH TUB 3.00 -3 -
LAVATORY 3.00 ?
? KITCHEN SINK 3.00 .,3_
? LAUNDRY TRAY 3.00 -3 -
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3
FLOOR DRAIN 3.00 0, ?
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 61- `
? ROUGH OPENINGS 1.50 ?•?'D
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL • S?
ST. SURCHARGE .50
TOTAL: S ?? ?
tOMfERG3AI;f3?1DitSTRIAI:;: PLEASE COMPLETE THIS PORTION FOR ALL COZAfERCIAL/INDUSTRIAL BUILDINGS AND
.. . _, _..
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
047NEIt NAME:
FOR CITY USE ONLY
PERMIT #
RECEIPT # / O
DATE: ?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-- -------------------------
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY
PHONE #
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
( S I GNAT[7RE )
FOR:
CITY OF EAGAN
rxoNe #: 461_2096
2V2 U CITY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? ? S•
651-675-5675
Please complete for modifications to existing residential dwellings.
o
3 I 15 1 V
D
'
ate
Site Street Address kIhq 5 Pdrkci %j'jC Dr, ° Unit #
H'" 95S'
#
iA
(
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'
(
o
7 Telephone
t )
Property Owner L
CI, f
Contractor 14 1, p ( p
? WOl(?-S Telephone# (b51 ) 3?nS'(34?
l
`
?
Address ?1 ? lj[.2'.IGi 12?) City LtL' State_ rrW Zip <fila3
The Applfcant is: _ Owner Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inciudes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required) -;?
Other:
Water Softener ? Water Heater $ 15.00
_ new ?L6_ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50
??-5U
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the informatfon is compiete ana accurate; tnat me
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accor77i the approved plan in the event a plan is required,to/be roviewed and approved.
V?e r)
ApplicanYs Printed Name Applica Ys Signature
f 5 ??
?lig
2006RESIDENTIALSUILDINGrERMiTarPLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reomrements RemodeVReoair ReauiremenYs Ofice Use Oniv
3 registe2d site surveys showing sq. k. W lot sq. tt, of house; and all roofed areas 2 copies of plan showing footings, beams, joists CeR of Survey Recd Y N
(20% mazimum lotcoverage allowed) 1 sel of Energy Calculatrons for heated additrons Soils Report Y N
1 Soils Report rf proposed 6uilding is to be piaced on disNrbed soil 1 site survey for addRions & decks Tree Pres Plan Recd Y N
2 copies W plan showing beam 6 window s¢es; poured found desigq etc Adddion - indicate if on-sAe septic system Tree Pres Required _ Y_ N
1 setof Energy Calculatlons On-sde Septic System _Y _N
3 wpies of Tree Preserva6on Plan'rf lot platted afler 7/1193
Rim Joist Detail Oplions selec6on sheet (buildings with 3 or less uNts)
Minnegasco mechanipl ventiiation form
Date
SiteAddress ConstrvctionCost Z41'1?7co
UniUSte #
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Zc-d l? 4-5ue ee'f LGt rC? Telephone tt ( 651) IO gS' ` l5 S S
Contractor ??C. ' Qy .?TrUf/ -!'1G
Address
State??/? 57/7
Zip SS?/?'( City ??
Telephone#((pSO ?°G?OD'ov
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet
(V submissiontype) Submitted Submitted
. Energy Envelope Calculations 5ubmitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan: Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance writh 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
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.
??Cdrrsf??c`/rUr? Gro?? a';z'??
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Uwelling ? 08 06-ptex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) -Give PCA handout to applicant
D@SCI'IDtiOn; WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRE D INSPECTIONS
_ Foorings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Foorings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs A'u/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit R Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
Building Inspector
,.
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tNGINEEAING
CGMAANv, INC.
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, � For Offica Usa` i
Clt of �a�J a� � � . , , ;
. � ` 11 1 � Permlt�:
b �
3830 Ptlot Knob Road � i Pe"T'��FQ@: �a� i
Easan MN 65122 • . � • �
� Oele Received: �
Phone: (661) 876-6876 . � �
F a x; (661 j 676�b694 . � stan: �
� . �
� 20� 1 RESlDENTIAI. BUI1:`bIN.G,PERMIT APPLICATION
Date: Slte AddreN: � '��•'••/����L�.t:� •l�� Unit�:
, .. ., . . �---_
:� bicJ %�L� � �' �,, ..
Name � �/ �� • �• Phone: ��~��8'c�S-�-S,�
RESlDEN7/ . .. . . .
OWNER . Address I City/Zip; �� �- �`�,9,Q J,{ ��� .f��t �-�q�� �--�.-f
� . ' . �, N'.. , � .� . � .
ApPi(cant is: .Own'et�� '�.ConktBCtor� .. � � "
�.��.
IYPE OF WORK Descripdonotworks-_1�t�,�(�-L� �/��2..µ(,T �y��,
Constructlon CosC ' ' ' � • Mult!•Famlly B flding: (Yes��No 11�
Company:''Ti.✓!N•�7�/��Q(}(��� Gp. Contact:.,��G'�° ����L1���(�
rr
CONTRACTOR Addtess:_L�'Q�I ��it/�,� 1L� ;It�i �_C��,; _ /�?PL� ,
� Slala: /�. Zip;' ��5������ Fh008;' S. ' �' Q 8 i
• • Ucense�:_ L'r.-�.3��.�z"� L.t�d�CQtilflc��te#: �,T ' '7 —f
,,, �
-- 3
tt the project! exem � _ ., , ,.
s pt.from lead cettJflcat(on�'pleasa ex��aln,Why;(8ee Pa�e 3�for additlonal informalion)
�� ��¢� . � ,•S�� .:i�r.ti , :f .v.r;,'t3i`r' ' ',
�� , •ar � �•. 4::�
. . .. .t. 'w�• • •,r,t..r%�Y,'vi...��: , ,
COMPLETE THIS AR�A ��l,;l�F�CQNgTRUC�,t�p q:EW gUILDING
. , , � . . ,
!n the last 12 months, has the Clty of Eagan isaued a pormit for.a slm0ar.plan b�aod�on a master plan�
_Yes _No II yas,date and address of mastar plan; � � �' •
'��
l;�censed Plumber. Phone:
MachanicaJ Contractar, , . `
Phone; ,
Sewer�Watar Convactor, , , . ; . �
NOTE:P/ans and supportJnq documen �'s • � Phone; I
. the lnlormatlon mayas�cla f�y4�subm,lt�,r.�cq�sl��r�d,to�be publlclnfo adonk Po�on tot
$?�/1ed�s; ot��p,u�lle,lfyvN�{�p�Yfs��'�S�'��qr.�easvnsthat►vould erm
. ' ,�Cd�fcfud��13�trt�ie�:�r�'t�cf�•,secrets: R the try o
CAIL W��E YOU DIO, Cep aophor 84t��Qni�Cill�p,l'I�6,�)�K4¢4-ppp=(pr pt�(�'pCRJp�49�Init�underyround upifty damage. Cau�8 hours
beton.Y to d�9 to receNa locates ot underp,t�und yUllUAS • : . •
+:k"�tr i s�ti!', �1;�.� r,..,,�. �) .i.:'.. ,.
� . �d1�i.�Mi.f•��A`'4r�ir<���'iw��i'•2�• • �
I hereby eCknowSed98 thal thls�1fOrtT18U0l�13,COtT�pl9(9 8t1d BCCUf8l8;4hat tho iMOtk yvfU'b9'In cpn(ortnance w{th th@ ordlna�ces end codes o�tna Ciry o�
E.ayan; lhat I unda�tand lhls Is no! e pq'rn111, bUl O111j� dt1 8Ppl1C8U0f1 IO(8 pOfR11l, @t1d,.1y�q�1f li,�Qt lo al9rt wlthoul e parmll; thal Ihe wo�fc will De in
actordance with lhe approv�0 plan ln(he'casa o(wwic wtilcti teq�lres s roNew'e'rid�epproval ot.plons,� • �
Ext�rior worSc authortred b �buildin � I �,� � � , . , .. :� � . . •
Y q permit itsuod In nccordanco Wlth the Mlnnesota St�to 8uliding Coda muat be complet�d within t80
days ol permlt Issuance. .
�
x_ Sf�`�G S�iQo�/�'i 14�E-/2. : ,. � ,
Applicant s Printed Name x
Ap cant'a Slgnature
Pa9e t of 1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167778
Date Issued:03/29/2021
Permit Category:ePermit
Site Address: 4645 Parkcliff Dr
Lot:3 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-02-030
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Leon L & Susan Jo Retzlaff
4645 Parkcliff Dr
Saint Paul MN 55123--214
(612) 749-7765
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature