4646 Parkcliff DrBUILDING PERMIT
_ . .. ., ?' .DWSite Address 4
Lot Block .
Parcel No.
= Name
; Address 9 3 0 a
° City ,, T!J
Z o Name S•?•: %
? ¢ Address
? !`an,
?¢
F W Name-
?
? Address
z
i W City -
E4,K) 7/27/37 CITY OF EAGAN . .
PHot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12160
PHONE: 454-8100
Receipt lf ?
:AR 411s, ODU JL3iN,. 23, 86
Est. Value Date . 19
DR
Erect 11 Occupancy X 3
?Remodel ? Zoning R i
Repair ? Type of Const VL,
Addition ? No. Stories
Move ? Length
Demolish ? Depth 4 'l
Int. Impr. ? Sq. Fr
Install ?
APMova
?
Assessment _
Water 8 Sew.
Police
Fire
? Eng.
Planner
I hereby acknowledge that I have read this application and state that the B?d9
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC.
Signature of
A Building Permit is issued to:
all work shall be done in accc
Building Official
Var.
LECY CONSTRUCTIQN INC
Permit ' - - - - ? -
Surcharge
Plan Review 23 5-2 5
SAC --3-77.00
Water Conn. 5 G U. 0 0
WaterMeter63.5U
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies .' 5
,
on the express condition that
and City of Eagan Ordinances.
y:.
- Pwmit No. Pwmlt Holdsr Dat* TNephone N
PlumbMy n
?
H.V.bC. 0
Eleclrlc
Sofbner
Inspectfon Date Inap. Commmnb
FooUnys I 7/ ?. ?
Foodnyt 11
Foundafbn
Fnminy
Rooling
Rouqh Plbp. .
Rouph Hty.
Inwl. tk,(?
Fireplace ?-
FInN Htp. R ?tv
Flnal Plby.
&dy. Final 'd/
Cwt.Occ. t
Dedc Fty ,? !uf ff C. . ? JI?a7 ??S
Docic Frmy. R-? ?/ii.?.?S.Y"?D? iS'?? /?Ga?C
w.u Ge?erib*lOCatbn: ?oiCS
-s-7 -?O
Pr. Disp. ^!p
. =fiivs? ir.?r "? 1F
O
I
_? ? . . .
F .. . w ? .. ? ;;..`
PERMIT #
MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: ? ' - • PHONE: 454-8100
Site Addr 7 " 7
Lot Block ? Sec/S
? NartV,?. NF ATI°jr ° lI"
? Address '' "• x ?+ ? - --
'
=
c City -' S, fhf*hdp4-:l
0L
54a-161I
Name '
?
c Address
p City Phone _
TYPE OF WORK
Forced Air
Boiler ' J M BTU
M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other 7
FEE
S/C:
TOTAL•
z V.
z
BLD(i. TYPE WORK DESCRIPTION
11'?K - `
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIFi COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 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
PERMIT #
PLUMBING PERMIT RECEIPT #
GTY OF EAGAN `
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CAIdTRAf_T PRICF• ounue. weA_ninn
Site AddrLes,s
' BLDG. TYPE WORK DESCRIPTION
Lot ? Block ? Sec/Su ,Q
Res. New
? Name Mult Add-on
? Address Comm. Repair
c City Phone Other
?
Name NO. FIXTURES
W
t
Cl
t - $3
00 TOTAL
$
? Address a
er
ose
.
Bath Tubs - $3.00
p City Phone Lavatory - $3.00
' Sh
$3
00
ower -
.
FEES 1 Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE UrinallBidet - $3.00
Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 1 Weter Heater -$1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADO $.50 S/C IF PERMIT PRICE GOES f_Gas Piping Oudets -$1.5D -
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
. Private Disp. - $10.00
Rough Openings - $1.50
SrGNATURE OF PERMITTEE FEE;
STATE S/C: ?
FOR: CITY OF EAGAN GRAND TOTAL• r-?N
CITM OF EAGAN Remarks
Addition PARKCLIFF 3RD Lnt 4 slk ?- ParceY 10 56702 040 01
oWner Street--l,.64fi-_Par-k C?I f f Dri ve State Eagan, MN 55123
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 4 3 •24 73.25
SEWER LATERAL
WATERMAIN q 19 4 35 •o?" ]• ??.?, 5
WATER LATERAL
WATER AREA 984 366.26 73 • 25
STORM SEW TRK 9 4 42 . 71 12 . 54
STORM SEW LAT g 3 283.61
5 •`]3
5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CI7Y OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN !?5121
Owner:
Address:
S?ts /lddross:
Plumbcr.
Meter No..
51xe:
Reoder No.:
1 peN to eswpll wHb tIM Ciy ef Eeoem
OIaMwOM.
By _
Rote
SEMIER SERVICE PERMIT
PERMIT NO.: "
DATE:
Na of Units:
Slta Address: ' ziv :
Plumber. ' ' ??=•
CITY pF EAGAN
3830 Rilot Itnob Road
P. O. Box 21199
Eagan, MN 55121
Zaninp:
Owner:
Add?ess:
WATER SERVICE PERNIIT
PERMIT NO.:
D/?TE:
- No. of Units:
Dr
E Cliff
Connection CFwrpe:
llCCOUM Deposit:
Pertnit Fte:
Su?ctwrge:
Misc. Gwe+pes:
Total:
Dote Po1d:
23--86 63971
I yrw te eaeoly wNb 1w C't1y af !sp¦
Ordlmnoa.
q-
Dote of Insp.:
Connaction Oiarge: ,
Aocownt Ckposit: `
PermM Fea:
Surcharps;
Misc. Charpss:
Total:
Daft Poid:
m
4GAN WpTER SERVICE PERMIT
. dnob Road
; F. ix 21199 PERMIT NO.:
i Eagan, 'dIN F5121 DATE:
?
? Zoninp: .
No, of Unitx
CN
Addrow
-
?
.
?.
f Sih Addnn: _ • _?-
?? a c --
t Plumber: ,;,}h?
Meter No.. -3 7 Z
? ction CharQe:
Size:
" rrt Deposlt:
Reoder No.. 5 5
1 Nno to oow? w16 Jut, .
TEIE?! ??? ?£•? --
.
?
Isc. cno
oa?
? B Dato Poid:
Date of Insp.: Irsp.:
?
??????
CASH RECEIPT
0 CITY OF EAGAN 0
' 3795 PILOT KNOB ROAD
. ?
: EACTE N, MINNE OTA 55122 ?j
?°
19
/?2 I ^U
AMOUNT I $ 5u
? DOLLARS
00
? CASH ? CHECK
(oR
6 V4e
Thank You ?
N_ 64779
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
A
3830 Pflot Knob Ro dl P.O. Box 2G-
1 e, Eagan, M N 55121 N2 12160
PHONE: 454-8100 (; 5 9 7v
BUILDING PERM IT
Rece ipt N
SF DWG/GAR $115,000 J UNE 23, 86
To be used lor Est. Value Date 1 g
,
_
Sitenddress 4646 PARKCLIFF DR Erect C? Occupancy R3
Lot 4 Block 1 Sec/Su6. PARK CLIFF 3RDRemodel ? Zoning R1
Repav ? Type of Const. l7n
Parcel No.
Addition
?
No. Stories
? LECY CONSTRUCTION INC Move ? Length 48
Name Demolish ? Depth
4?
; Address 9308 XYLON CIR
Int. Impr. ? Sq. Ft.
° ciry BLMTN pnone 944-9499 Install ?
?
.o
U<
?
Phone
a
w
w Name
Address
i w City Phone
Assessment
Water & Sew.
Police
Fire
Planner
Council
Iherebyacknowledgethatlhavereadthisapp6cationandstatethatthe gldg.Off. 6/19/86
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C1ty Of Eag@n Qrdinancee2 s. ? ,9 _ APC
Signature of Permitte. ? lL7iL •'Gf (??. ? `???'? Var. Date 4/2/85
r r«? "?L
A Building Permit is issued to: LECY CONSTRUCTION INC
all work shall be done in accordance with all applicable Statgrof Minneso tatu
Permi 54
Surcharge 57.50
Plan Review 235.25
SAC 575.00
Water Con n. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie?
Total " ?
"""75
on the express condition that
Ciry of Eagan Ordinances. Building
PERMIT # 5(4 y s L RECEIPT DATE:
EOOE =SIDENTIAL PLUM$INfi PEftM1T ?PP11CATlON
CITY OF FAHi4N
8990 P1LOT KNOS RD
$AHAN, MA 55112
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
HOLM,STEVE
SITE ADDRESS: 4646 PARKCLIFF DRIVE - EAGAN, MN 55123
OWNERNAME:: (6e1)686-9627 TELEPHONE#:
? (AREA CODE)
INSTALLERNAME: KjOrWoYY1 Fl1,1,VyLblv4 TELEPHONE(OIL"921- lfd33
STREETADDRESS: 2-°M5 aOtN'FiGIGA ?ylyivie. SO "tI` (.AREACODE)
CITY: AV1`0?tS. STATE: M?J ZiP; 55Ll0$
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
'
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dweliing unit (+ 5!8" meter if needed •$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system _
C^T 2 3 200 11?1,1
?
'
ReplacemenUadditionaL• _ water softener X water heater I $ 15.00
State Surcharge $ .50
Total g I S .50
I hereby acknowledge that I have read this application, slate that the information is correct, and agree to comply with all applicable Clryof Eagan ordinances. Il
Is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activiNes to the facilities consfructed under this permit within Cit p eAylrightof-way/easement. ? sj/QZ
SIGNA RE OF PERMITTEE 1102
t Zl6d =?
I oR nrrrrnrrar_ arrawrT erpr.rr.srrnA _ r.rTv oF gncAx
HOYE: 9LL COATHACTORS MUST B8 LICENSBD iiITH THS CITY OF EAG9H
SIAGLS FAMIILY DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLINGS - RESIDE8TI9L
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECB iIITH BLDG. DfiPT.9
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Fy;'(MPTW L }{s??Valuation:4 42C2?? Date:
Site Address OFFICE IISS ONLY
Lot I Bloek / Ereet A Oecupancy
Parcel/Sub Fh2y/ &JGr- 39-9
Owner ZA-?"C4E /i?(r.
Address 9A?;'85 x?s?o&l O?x&F
City/Zip Code L&? rYlitI S-SLj'ie
Phone
Contractor
Address
City/Zip Code
Phone
Areh./Engr. r5mie)
Address
City/Zip Code
Phone S
Remodel _
Repair _
Addition _
Move _
Demolish
Int.Impr. _
Install
APP@OVAIS
Zoning gT?
Type of Const ?
# of Stories
Length RE
FSSS
Depth
Sq Ft
1
Assessments Permit y7 ?
Water/Sewer Surcharge ':57,
Police Plan Review G
Fire SAC 7
Engr Water Conn
Planner Water Meter 6-,-
Council Road IInit
Hldg Of 6 r Ss Treatment Pl
APC , Parks
Copies
Variance ?
iOTAL
DiOTE: 9DDHSSSES FOR CORNEH LOTS - CONTRACTOR/HOHEOiiHEH MQST DSSIGNATS i1HICH 6DDafiSS
IS DESIHED. HO CHANGES iiILL BS ALLOii6D OHCE BOILDING PBAMIf I3 ISSOED.
?l45 'AV
?
(;;7z x S? ? 36 97(a
3 x ?O = 3O x S6 =/7?40
lex/o
/w9vv° D 0
Paye?or 4 ?.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: M;Fff MA
Vjt?(
SITE ADDRESS:
CONTRACTOR:
? '
DATE: O
PHONE:
Determine working square footaoe of each
1. Total exposed wall area..... SO3IB•'?j sq. ft, x.11 =
2. Total roof/ceiling area..... [2CjZ•C> sq. ft, x.026 =
Total exposed wall area above floor=a07C(O -0
a. Totdl wall window area ....................................... I sa7
6. Total ....
door area ........
'
c. Total ..........................................
sliding glass doar area .................................. p
d. Total ..
fireplace wall area ........................................ ,
?
e. Total wall framing area (average 10%) ............................
f. Total rim joist area ............................................ 7Z14
g. net wall area above floor ...........................
.
. ?
h. ..
.
.....
wall area a6ove floor ..................................
.
i. .
.
wall area above floor .....................................
j. frame wall area at foundation ...................................
Total exposed foundation area= 003. O
k. Total foundation window area ....................... ? I
1. Total net foundation area above grade .............. M;w
Determine "u" value of each wall segment
(e.9. window, door, each separate wall section)
a. ?J?di7 X "U" 070•5
?f ?---
b. X ??U"__t-2L?---1?•? ?
c. Jeo.d X liull . 4a - , to
d.
X liUll
e. memi&v X
?
f. X
.
9 • R tiuii
h. x 11 Ul. _
3
i. X ((U 11 _
j _ X iiuli _
k. X iout, _
X „U„ .oBZ = t?.8
.................................Total = ; .
If item k3 is the same
as, or less than item
01, you have met the
intent of S8C 6006 (c)2
Lx yrior L•'nvelopc Avera9c "U" Computation Page 2 oE 9
Total exposed roof/ceiling area = tn9?.o , ? !
m. '1'otal skyliyht area
n. Total roof/ceiling
............................
framing area (aaera
e
! I i
??ra I '?I' '
g
o. Total net insulated roof/ceiling ,area...........
Determine "U" value for each roof/ceili ng segment
M. ? Q g
-'U„ 'T'r ?
n. x .1u.,
o. 4as=? x ,.U„
9 ........................ ... 1bL-al
If total of 119 is the same as, or less ihan 42, you have met the int-ent of
ShC 6006 (c) 1.
Alternate Bu?i?ld?'ynq?EnveJope nesign
'ib utilize the total envelo? pes'ys -? me io , the values est-ablished by the s,im of
items 43 and iI9 e;ha71 not be greater than the stun of items ill,?nd II2.
1. ?4•?? + z. ?2.Co
3. + 4. 3?'. L = 3ZGs .o
I
?i
; i ,
- L i mE4 L FT, EXposED
Bt..,oGk j; 4(o+ 4ce-f-3-?+-n _Iw. o
'614 +
0 o ,i Ill
W t
?-tG-+°I¢tZe? 00.0
?'U L L I I'i' ? I?(? •o
FvLL?. co+I.siez
E
1Zl M : I'? ICo?•? ?0?-?= ?41•S"
PLAW #MEWAOV&q .
WALL
M Ssi. ;r-r. SKPoseD wA Lc._. ,APtE,4
3Lock ; lco(o -o X,
IC.N EE t 4 X S =la o
w.a, I x iB =6 0-0
F U L 4 !i I; Kp(o .o X. 8 =(32a-O •
Fu L,L I,,Z ?-en•5 k S =!e[ee.o
F. P,
?? M : ?
!; z?9•?
?c
I
,- 249??
'r'oTAL
il, TpN
iSQ,Ft. EKPOSeD GEI LIrJq
viS o
W DW1S t
z4-%-1=co a
I?0?•rl=8.o
24601"Nt= Sc
Ivep-,=&-??
Z41g_0111:
t dT'°tt-?
'1°'?
Doo?.s ?
?ATl D
t- q ?. _; :-
F35M? UuI +s
-t????
?:
1'• ,
' otnLr, rrr.?l,.nws
'@ Ul'.P 11j% of I?im11UR Wilil i1CQ11 fgl' . .
rlnnu: CUIIGtructiun . , Con, trnr.t i??n r_v,,???•.. .
`? z. -SiLt1,v? .1??• - ---- ? .. __.45
? 3.
? -- --- , ,
G#L..S{lT.C7.... .. _..._... . ..Z.ofi
4, 1Z
.. -' 5. Sln.,u.?.-- --? - ----- ----- - . ?z
7C 6. F:r.lcriur nli: film ?• U.l"1
ALL -? _?r -------' -- ---- ' '_ ;PUlul {t7 tV. gS
r U o°t
FIG. M1 TOPVIE:Id OF
F1U121$ WA41, 1. InCrrlnr_air !11m O.btl
.?45
'. z. Yi"_s.lyg_.1oR_- _
. ? , 3• _fa'.'_....IKSv?.. ---.._..-------•---1`_l,0.
• ? . ' 4 • ?4?3L _'S?LTfi e_ . . ... - - - -- - - -Z=?4
•
G. Extcrieir f).17
FIC. A2 --? -------.--;Pu?,l?a 2Z.?8
?- ---- O ? .
m V? .04
G'I
z.
';??? _ ....._..___...?? a • _2.5?-3?--'?1tle __.... - -- -- ----z.o.L
l?•q(rx ?i / ..._?? _ "' _'__.__ ..-_i!F_Z.
ti.ral - '`• -_0 5• -??-'idi='?- --?-
,}?1 6, };xtr.rinr nir lilm ??•>>
(J = q
?_:
..,. -. ? ? u . ??Q?k
ciinc_alr_(il?:i--?-?------?? (i.GA
--
, ,; •
.
i . o ? -_ _.. _.. _......_... ?\ , q • ??;?nuC 5. _ -?--•-----:----- -----------•--------
?r• 'n' ? r ?' • j••?, 6. iuc f il.ri _ •- -0_l7
-? q ''i ' , . ._.__. -_ ---•-- ?
,
;. ? 00",047
st.nh or? citnuL
. ? ? ------- - - ---, --- -.-• ------...... ?
? V
. • , i r ? R,,?,r ,?, ? . , ? ? ? _..
? t' y •o, ? /?r lll ? • ', ' /(? ?I??.
? • ? : 1?? ? ? . ? . ? ???: ,??
;?• M eic-
?_ -
-,_ --? _ Zy? CP
v? • 0 ? -'•.-- IIU'PI:: Indlcntc ly,?r., ???i?• ??alur., d??i?L•h ?nci
, ? .
• ? ? ? ' p1dCCn,!nC of insutallon.
' • ' .
.r.:?rk.vl.r.nrcmrrm,r+?..?wn-n?.c+a•.?.e...?u?..,...??. .................. ... .._..,- ' "'.-."---'. ,..
r
1
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING S
I"Z
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SIIRVEY, 1 SET OF ENERGY CAI.CQLATIOBS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEONNEE MQST DESIGPATE WHICH ADDRESS
IS DFSIRED. NO CHANGES HILL BE ALLOWED ONCS BQILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RFSIDENTI9L RENTAL OiQITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICARE OF SIIRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMIIiERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Z)46i-?11 Valuation:
n P/9.f'kG'L/'vIC i,E! I
Site Address "6AN , A9a,?, ?C/29 .
Lot l¢-- Block /
Parcel/Sub
Owner ??'/1OX?? /??i??E/?
Address
City/Zip Code ?'yGAi?,
Phone
Contrac or
Address
City/Zip Code
Phone
Arch./Engr. pW??
Address
City/Zip Code
Phone #
? Date: 7 2? 8
On Site Sewage Oecupancy
MWCC System ` Zoning
On Site Well _ Type of Const
City ldater (Actual)
(Allowable)
ll of Stories
Length
Depth
S.F. Tot
APPROVAI.S
S.F.
Assessments P mit
Water/Sewer Sur arge
Police Plan
Fire SAC,
Engr SAC,
\
Planner Water
Council Water
Bldg Off / Unit
Road
APC / Treatment P1
Variance Parks
Copies
TOTAI.
?
/
******t#**#W**t?*xt*xxx:*******#+*
' CITY OF EAGAN * ??? E°F? ??
* ArrxovAr. oF PERMr.
APPUCATION FOR PERMIT *
. * iNsrncrrorr oF sLWM Arro/at v?
scHED-
SEWER AND/OR WATER CONNECTION ? LmID Lm? m;tMIT HAS Mm
* APPROVID.
*
?
. ... *,r?*****,t*+k*?,r*x*+*r*,r,r***t??**+e*,
, 1)
PROPERTY ADDRESS: _y? 1-11` L 4 /)X- ._
LEGAI, DESCRIPTION: •-
Lot B ock Subdivision or Tax Parce ID )
IF EXISTING STRL'CiVRE, DATE OF ORIGINAL BUILDZNG PERMIT ISSL'ANCE: :
MOn YOar
PRFSE?7I' ZONING/PROPOSID C?SE:
C0X4ERCIAI./REPAIL/0FFICE ? R-1 SZNGLE FAMILY
Q IbID[.'STRIAL Q R-2 DL'PLEX (Tt.,o IInits)
? INSTiTUTI??/GOVER1ZEM R-3 ZOWDIIiO(JSE (Three + Units) ( Pnits)
. ? R-4 APARTH27T/CONDOMINIUM ( Units)
2) "'?'u?
NAME:
ADDRESS:
CITY. STATE. ZIP:
PHONE:
3) • i: ?-
NAME:
ADDRFSS:
CITSt, STATE, ZIP:
PHONE:
'1j
o• i*1•
NAME:
ADDRESS:
CITY, SI'ATE. ZIP:
PHONE:
riumoers ia.cense:
Acti.ve
EJcPired
Not recorded
Staff Inltial
5) '? a: • ?• : ? • aw - M.
? OONNEJCTION 10 CI7.'Y SEWE[t Em CONmDCTION 1U CITY WATII2 ? 0'1'fm '. .
6) ? • ? r ? PLFIISE HOLD APPROVID PERMIT F'OR PICK-'P BY ONE OF ABpVE --- -- --
? PLEASE MAIL APPROVID PERMIT ZU 1, 2,3 4. AHOVE
(Circle one)
7) E? (19DA?LVA4? r7%.-.-J,. rj? l I,
MASTII2 LICENSE#
-?L
. FOR CITY USE ONLY
PERMIT # ISSOED •
•
77 -!:5)o -?
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ /S• (J?Z? ACCO[.'NT DEPOSIT - WATER
$ .?J'--Z) O O ? $ WAC
$ S 75-, Q-O $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
+' $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /?rS?• G' ? $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S IZ J?' .?? $ ??. O?Q TOTAL
? •
RECEIPT REC
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DOES UTILITY CONNEC TIO[V REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
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NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
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LIST AS A CONDITION
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SUBJECT TO TAE FOLLOWIIVG CpNDITIONS:
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Note Only copies which bear an embossed seal are certifir.d copies.
Hansen Thorp
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. Pellinen Olson Inc.
Consulting Enginean & Land Survayors
7565 Office Ridge Circle
Eden Praiiia, MN 553443644
16121 829-0700
I hereby certify that this survey was prepared by me or under my supervivon
and that I am a didy regfstered land surveyor undcr Minnesota Statures Sectron
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130034
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph A Kothe
4646 Parkcliff Dr
Eagan MN 55123
(952) 500-2413
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138784
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Joseph A Kothe
4646 Parkcliff Dr
Eagan MN 55123
(612) 719-0916
Champion Plumbing
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:EA161493
Date Issued:05/28/2020
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Joseph A Kothe
4646 Parkcliff Dr
Eagan MN 55123
(952) 500-2413
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162594
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Joseph A Kothe
4646 Parkcliff Dr
Eagan MN 55123
(612) 719-0916
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168612
Date Issued:04/27/2021
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Mark Comfort
4646 Parkcliff Dr
Eagan MN 55123
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178152
Date Issued:08/02/2022
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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 -
Mark Comfort
4646 Parkcliff Dr
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178840
Date Issued:09/06/2022
Permit Category:ePermit
Site Address: 4646 Parkcliff Dr
Lot:4 Block: 1 Addition: Park Cliff 3rd
PID:10-56702-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark Comfort
4646 Parkcliff Dr
Eagan MN 55123
(651) 955-6291
Window World Twin Cities
2220 Castle Ave E
St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature