4657 Parkcliff Dr
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INSPECTION REC4RD Control No. 0386
? 41TY OF EAGAN PERMIT TYPE: NI?1 f ir 1 MA
3830 Pilot Knob Road Permit Number: •004 f';
Eagan, Minnesota 55123 Date Issued: ??? ?06 / y''
(612) 681-4675
SITE ADDRESS:
4 ti', / ? 1? ft ?. t I IrF tl iY
PANkCLiFf '3RCl
PERIIAIT SUBTYPE:
?. i lst,c;
APPLICANT:
S?I?PH--AN HAM?? YMr.
(E;izl A??-;'71'7
rt????YY'Y.- • . ? ' ^ ??' 7 ?I f?? ` -
TYPE OF WORK:
aFu
¦
p,. Rf MAR?: - - III r t11#t +1 •;ha Pt. Ft R.- ur-N r ct p t BO.
Permn Ho. wn,?n wow.. o.e. T.+ephon. #
SIIN
PLUMBINGi
HVAC
ELECTRI
ELECTRIC
InspscUon Date Msp. Commartts
Footu,gs 1
Fouraation
RM*-,9
Roofmp
Rou9h Plbg-
Rough Htg.
laul.
, ~?C8 QD?`J
FWmJ Htg.
orssa rest
Finet Plbg. 3Q , Plbg. Inspector - Notly Plumber
Const. Me12r C'3o -p? fc ers ;~
JI
?
Eng?.1PIen
Bldg. Final
aeck Ftg. ? 30
Deck Final
Well
Pr. Disp.
'0=• ""a
I t
(ter#tftra#e of (Orrupan?y
Cirp of eagan
ibpa?tf of NuHdino jwtrtim
Thts Cerny'u?ate rssued pursuant to die requimnients of Section 306 of Aie Untjorm Building
Code certifying that at the iinre of issuanae this structure ww in compliaace wuli the various
ordinances of the City regulaling building constniction or use- For the following.vae C69UTwmioa 5F DWG Bw romi Nm 413
OC-P-Y,? R-3 M-1 ? R-1 ,??o? V-N _ Zmiog
??? STEPH-AN HOME ?m 14340 PILOT KNOB R!} 4657 &O&gPARKCLIFF DR [-a* L5, B2, PARKCLIFF 3RA
f? ?11 iJUNE 30, 1992
n.te
Busfiv omcw
POST IN A CONSPICUOUS PIJIG`£.
CITY OF EAGAN Remarks
Addition PARKCLIFF 3RD Lot 5 R,k 2 Parcel 10 56702 050 02
Owner Street ???.,?r???? ??iff Dr-iire state_Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK .984 . .
25
5
SEWER LATERAL
WATERMAIN ?9 ,Cp 35 •9 , 7.04 5
WATER LATERAL
WATER AAEA " 9 I.?, 366.26 73.25
STORM SEW TRK ?(? 9?, ?{,2 . 71 12 . 5fa,
STORM SEW LAT 9 3 283.65 5• 73 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER. '
SAC
PARK
I
.-?119a-
J^55531
REQUEST FOR ELECTRICAL INSPECTION
? See inslmcLOns for compieting ihis lorm on back ol yellow copy
'X" Be/ow Wa.kCovered by This Request
EB-00001-08
?.?.?
e add Rep TypeofBmltling App6ancasWired EqwpmeniWired
X Homa X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Ofher (Specdy)
Comm /Indus[rial X Furnace
Farm X Air CondRioner
OtM1er?specly? ConRacior5 Remerks
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSae Fee # Qrcmts/Feeders Fee
Swimming Pool 0 l0 200 Amps ]_ Q 8. ]_ l0 700 Amps 47.
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Insoector5 Use Onry
TOTT
Irngation Booms
„?
,? 65
5 0
Special Inspection ?y
Alarm/Commurncahon THIS INSTALLATION MAY BE O DEHEO DISCONNECTED IF NOT
Other Fee COMPLETED Ill 18 N Sr
I, the Electrical Inspecror, hereby
td
th
t
h
i Rough+n
,
60
oate?,
cer
y
a
t
e above
nspecllon has
been matle F,,,ai oa?e
OFFICE USE ONLY
This reqvest vaitl 18 monlhs irom
J
?
?
a
?P
Reqt Date Fre Nn
5/ 2 8/ 9? ou InspecLOn
R? ? °
? ReaEY Now X
Notify
P?or
I
5 Ves G N. W
?
eatly
ILilicensed contractor ? owner hereby request inspection of a6ove electrical work at:
JoD Atltlress (Street BoK ar Route No I Qty
4651 ? Parkcliff Ea an
Seclmn No Township Name or No qange No Counry
llakota
Occupam (PRINT) Phone No.
Ste han Homes 431-2727
Power SupOfier Atltlress
Dakota Electric 4 00 220 St.W. Farmin ton
Eieancai Convacmr (COmpany Name) Convaaor5license No.
Joos Electric Co. AM018
Maling Aetlress (Gonhaclor or Owner MaMmg Instaltanon)
2104 Great Oaks Drive, Burnsville, MN 55337
borrze0 Signalure ?GOnVaqonOwner MaNing ?ns ? auon7
Phone Number
At
??
-
431-4755
MINNESOTA STATE BOARO OF ELEGTPICITY THIS INSPECTION REOUEST WILL NOT
Gngga-Mitlway BIEg - floom S-173 BE ACGEPTEO BY THE STATE BORRD
1821 Unrversily Ave., SL Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Prtone(612)661-0800 ENCLOSED
HOU?SE HEATING TEST RE[ORD
AOORESS AhT._.iIOCR CITY SUBURB?S!
OCNPANt Op'NER
HFAT LOSS ?-7?-- OAiE H f3L IH{T. SOIb BY ? _^'"? ??(? P ? T/U INS1Al.LED 8Y k ?? ??-? /? ?
Eioeh7eal Mw4 B? 6es Llne 9y
tYPE oF HERt CA _ FA Hw_ StEAM _SPACE HtR. _UNIT NTII. ^OTMER
6A5 DESICN CONVER !r"^?
MAKE ? IAAKE Of 6URNER
?e•? C 1-19 -? o 0 - / wal
V?7, Ow.. eTU R.ilM -
INPU1 0 d 0 p MAKE OF fURNACE
M.Id ?
CONTROLS
THERMOSTAT H
f Plu Vene Sie•
?
Velr* V o KINO OF LIHER S12E NONE
LITiI Z' !,1( A,? Orah Hssd //- Rpulewr
Lim+t S.nino FoIr«e SI? Nu.M.
Fan SeHIn# cql-? "1 ChImmy Lscselaw Inside
OIITMY Cl"efiVNI011 ?
Pllse Me4•
Pilsr IAeA•1 SmsLw Baw6 wl.lnt
Pllse Tlmieg ?i dah I'Me- 1801 ?et
L.W. Cur 011
r Dsw Pr•s¦ur. II0IInv InM.
pn?wn Jt s? P?re?nl CO?? DaN iesled
1rour GFH / O U 0«e.nr O Cewrse? T••qq 1? Lre
Sbek TeInO. ??/ ?? Pwe?nl CO - 6 Nsww o( Toe1w ??•
Addreas: 4657 PARKCLIFF DR Lot 5 Blk 2 Sec/Sub PARKCLIFF 3RD
These items were/were not complete at the time of the final inspection.
Date: 1UNE 30 1992 Yes - No r
Tnspertnr,
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish v
Deck
Please verify with the builder tha removal of roof test caps from the plumbing
system and the shut-off of water supply to the ovtside lavn faucet be£ore
freeze potential exists.
aumeowwn
White - City copy Yellow - Resldent copy Pink - Contractor copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT. ?.
PERMIT TYPE:
Permit Number:
. Datelssued:
4657 pAqKCLIFF OR
LOT: 5 BLOCK: 2
PARKCIIFF 3RD
Control No. 0386
euiLoinc
000413
05/06/92
Bnildikg Permit Type SF DWG
Building WQ,rk Type NEW
UBC Oceupancy. R-3 M-1
Construction Type VN
2oning R-i
6uilding kength 49
Building Width 50
Z'
_:.?t..i`..._i
REMARKS:
RECEIPT N a 0 ? ?& cJ?
FEE SUMMARY:
Base Fee
Plan Rev3ew
3urcharge
SAC
sac %
SAC Units
Subtotal
S8W PlBR. = WENZEI PLBG.
VALUA7ION
$639.50
$415.68
$50.00
$700.00
iee
$1,805.18
;100,0@0
MISC FEES $1,610.50
Total Fee $3,415.68
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
S7EPH-AN HOMES INC 14312727 0001457 STEPN-AN HOMES
14340 PZLOT KNOB RD 14340 PILOT KNOB RD
APPLE VALLEY MN 55124 APPLE VALLEY Mlt4 55124
(612) 431-2727 (612)431-2727
T hereby ackncw.tedge that I have read this application and state that the
information is correct and agree ta comQly with all appliceble State of Mn.
Statutes pynd City af Eagan ardinances.
APPLI ANT/PERMITEESIGNATURE ISSU BY:SIGNATURE
J
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 5
4657 PARKCLZFF OR
PARKCLIFF 3R0
PERMIT SUBTYPE:
SF DWG
NEW
INSPECTION
3ZTE D. .
f00TIN0 .,
FRAMING INSULATION
FINAL FIREPLACE
REMARK5: RECEIPT # S&W PLBR. a W£N2El pL86.
F ?
.. ? t,?-i•? , ,.u ??li U??
??u • ? ?, ? n?l r,? , ? ?,i;, i?i •?
; vI I , , I <,,l
r t, i . ra i n ;. .
Control No. ? ? 8 65
suiLoiNG_ ,
000413
85/06/92
BLOCK: 2 APPLICANT:
S7EPH-AN HOMES ING
(612) 431-2727
TYPE OF WORK:
PERMIT I
CITY OF EAGAN
1992 BUlLDlNG PERM{T APPL{CATION C?t?o".)W OAO Pw-N- .
3 681-4675 APR 2 8 RELD /6 ?
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets ef architectural & structural plans, 1 set of
specifications, 1 copy of eoergy 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.
D e Valuation of work
Site Address: 05- ??S2
?
STREET STE # '
Tenant Name:
LOT ? BLOLK Q SUBO,
V \l P.I.D. M
Descri tion of work: ?
The applicant is: O Owner Contractor ? Other (Deaeri6e) ?
Name Phone
Property LRST FIRST
Uwner
Address
STREET ' 8TE i ,
City State Zip
Company 2?? ;?/ ?rrJ ? 5 Phone "?9/ --22tw-7'
Contractor Address /Vdi0 /911CE 4??4 License #0001 5 Exp. 3 l3l-y"3
city State Zip 4/
Company Phone
Architect/ '
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber ?/ 2cZ . Processing time for
sewer 8 water permits is twu days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
L
v• •v? vvr v1\Y?
BUILDING PERMIT TYPE
? 01 Foundation O 05 Apt. 81dg ? 09 Basement F9nish
,,p 02 SF Dwg. ` ? 06 Garage/Accessory ? 30 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Parch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Camm./Ind.
WORK TYPE
p 31 New
O 32 Addition
? 33 Alterations
O 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION.
Const. (Actual
(Allowable
UBC Occupancy
Zoning
i of Stories
Length
Oepth
APPROVALS
? 37 Demolish
? 99 Undefined
? Basement sq. ft.
v?v lst F1. sq. ft.
/W__ ? 2nd F1. sq. ft.
K-i Sq. Ft. total
footprint Sq. ft.
-?? On-site well
0,On-site sewage .
Planning Building
Engineering Yariance
RE9UIRED INSPECTIONS
?$ Site
? Wallboard
? Footing
? Final
? 13 Public Fac.
? 14 Agricultural
O 15 Miscellaneous
MYCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code 7%
,61 Framing
? Draintile
J?'Insulation
? Fireplace
Permit Fee
S
a
, 3f,SO
urch
rge S o
Plan Review
License
MWCC SAC
City SAC
Water Conn. Ipp
Water Meter ?
Acct. Deposit 30
5/W Permit 70
S/W Surcharge _ '
so
Treatment P1. - 3?
Road Unit Yeo
Park Ded.
Trails Ded.
Copies
Other
Total :
SAC %
SAC Units
Vetmt;o,: : D o a c?o
y?k za - 3po
7-?-
?O,
v?pr
2Sk yy3 =
zo,sk
e,,1' ?3,,5"
Y/
=18
Assessments
?&r
z z,? zo = yyo
y 8 -? /6
= 2.?
7?'6'0
?f', 3 3z
TcaP ev-cc,14. &t. 49j3.1o
Bpy&encn+Y S?..9o8.8
4
4.'?-
• 2? ?0
??oa?dc2 i
/ f
/ 6x'.Po
JtiIft.Q' - .
( 14/;.10
. \
? ,?v?,•
^ ? O?a
: J? .? bn \>,• i?8
°.I A
, 0 J
•Y G /
?
UY
4
I'
S? Gvp \ e?
?
?
? tie
T,
6
0
LA
V ?
?p
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x i
9
s P r. r.
_?.
,-
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1*
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'9
pB.?j4RlpYlol!a
LdT S ? ?m?w gr
pp?R.1?-G41FF
l30E'SN ?
Sc,AiX-
au. ge+?=wh t+"uraen D
e.pE+b'Igi tRaH MeNUMeNY
RAGAZ IZNGINEERING l7EFT
I hez'eby tyauparvisioneend tl?atslPampa kduly y Registered
undeT my dZreo
yand Surveyaz' under tne lawA?? B o£ eState 0?y aso a.
/
Datee 799
?L oy kLl o a°
RE^+. 4- a8' 9i Ragistered land Surveyor rso. 10795
i- Y
042 FE1 RPR 29 '42 16121
. ? ••'?
OWNER: EXTERIOR ENVEIAPE AVERAGE "U" COMPUTATION .
SITE ADDRESS: P"Ci
6
-
v
y
CONTRACTOR:
DATE : PHO NE 3?r ? 7
? 7
: 7, 0
DETERMINE WORKING SQUAR E FOOTAG E OF EACH:
l. TOTAL EXPOSED WALL AREA ,. 161b sq ft x "U" .II
2. TOTAL ROOF/CEILING AREA .. IdGq sq ft x "u" oa(l
3. TO TAL EXPOSED WALL AREA CALCULATIONS: '
Total exposed wa11
area above floor. sq ft
(t)
a) Total wall coindow area:
glazed. . . //7 sq ft x „U"
- glazed. . . - sq ft x "U" - - -
b) Total door area sq ft x "U"
c) Tota1 sliding glass door area.
v? glazed. . . _ ?IC) sq ft s "U" . 6'? s?
? glazed. . . ' sq ft x "U" ? - ?
d) Tota1 f/place wall a rea f sq ft x "U" ? - ?
e) Total caall framing a rea
(Average 10%) . . _ , , sq ft x "U" • ?/ - /(-/, 7 ?
- ?
f) Total net wa11 area above
floor (insulated) . . . /?fJlo.?J sq ft x "U" 7
g) Total rim joist area . sq ft x "U" (L = j GO
Total foundation are a
(exposed) . . . . . . . 117 s ft x "U" ?/- X/G
q =
h) Total foundation
window area . . . . . . ? sq ft x "U"
i) Total net foundation
azea above grade. . . . Ll 7 sq ft x "U"
TOTAL a) thru i)
If Item
1
16008 n3 is rhe same as, or less than Item #1, yo u have met the intenC of 2 hICAR
. A and D.
Page 1
?4.. ; TOTAL EXPOSED ROOF/CEILING CALCULATIONS: - -
Total exposed
roof/ceiling area sq ft _-
j) Total skylight area ..?_ sq ft x"U" NX_ = iy/µ
--??-
k) Total roof/ceiling framing
area (Average 108). ., 101,9,01 sq ft x"U" - _ ? JJ
1) Tota1 net insulated
roof/ceiling area . . . ?_ sq ft x "U" _ .QQ
TOTAL j) thru 1>
If total of Item #4 is the same as, or less than Item #2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established Uy the sum of
Items --3 and #4 shall not be grester than the sum of Items :l and :2.
l. i9'?. %G + 2. j?.77
2. ?oi, s9 + 4.
C E R T I F I C A T I 0 N
I hereby cectify that I have calculated the "U" factors and "R" values herein and
that the building here described meets or exceeds the State of Minnesota Energy
Conversation Act.
n
R
(Signat re)
(Date)
Page 2
CITY OF EAGAN
L_5 B ?ZT?1? MECHANICAL PERMIT RECEIPT #/d.588?2-
SU$D. (612) 6814675 DATE Lay 13; 1992
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLING5. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PF12nir7'c ARE REQUIRED FOR EACH DWELLING UNIT.
OR'NER: STEPH-AN HOMES FEFS
STl'E ADDRESS:
• ADD ON/REMODEL (E)(ISTING
CONSTRUCfION ONLI) $ 15.00
HVAC: 0.100 M BTU 24.00 X
INSTALLER: Kleve Heating s Air Conditioning ADDI'1'IONAL 50 M BTU 6.00
ADDRESS: 13075 Pioneer Trail GAS OUTLETS • MINIMUM 1@$3 EA. 1 ?- 4 .00
CI1'Y: Eden Pr r , M ZIP: 55347 SZiRCfL1RY.E: $ .50
SIGNAT[TRE• TOTAL: $ 27.50
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJiNDUSTRIAL BUILDINGS. ALSO COMPLEl'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIItED FOR
EACA DWELLING UNIT.
WORK DFSCRIPTION: CONTRACT PRICE:
1°.6 OF CONTRACI' FEE. FEES
STATE SURCIiARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - S25.00'
$
OR'NER: TOTAL: $
STTE ADDRESS:
1'ENAIVT:
SUTI'E #:
INSTALLER:
ADDRESS:
CI1'Y: ZIP:
PHONE CTPP SIGNATURE:
SIGNATURE
RECORD OF COMPLAINT
Date g- /.2 - 9z"
Complaint taken by
Type of buDding sf?-61
Name
Addres
Legal description 8,42 , (Q*xh? ?` •r
Phone number ? E'L ilo -6-2- 7
Complaim
Signature
BiJII.DING COMPIAINT GUIDELINES
• When a comp]aint is received, get the address, name, phone numbcr, and a genera] idea
of what the problem is.
• Always have two City empIoyees present to (1) verify the conversations, (2) ofFer
additional opinions, and (3) lend credibiliry.
• Get "both sides" of the story if there is a contiict,
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies oi departments (ie. Dakota Counry Human Services, 431-2424;
police department; fire department), if necessary.
• Pro%zde hand-out materials if they are available.
• Maintain a record of inspections and conversations on a Ciry complaint form.
f7a-7(1 r
?'o, co
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694
Nav Consimction Rewiremenis emodeVRe air Re uiremeMs Office Use DNv
3 registered site surveys sMw?ng sq fl W Irn, sq fl of Mu?, and ell roofed areas Z copies oi plan shovnng foMings, beams, joisis Cert of Survey Recd _ Y_ N
(2IPb mauimum Irn wverage allowed) 1 set of Energy Calculallom for heated adddions Tree Pres Plan Recd _ Y_ N,
2 cpies of plan showmg beam & window s¢es, poured found design, etc 1 sAe survey for addUans & decks Tree Prm RecNired _ Y_ N
1 set of Energy Calculatiorrs Addmon - inoYcafe d onsite septic system OnsAe 5eplic System _ Y_ N
3 copies of Tree Preservatan Ptan d lot planed after 71153
Rim Joisl Detatl Opnons selecnon sheet (bmldirgs vnth 3 or less unAS)
Minnegasco mechanical ventilation form Date ?>_ / Z i /I(,,) G Construction Cost ! V
SiteAddress UttidSte #
Description of Work S ?•? ? r!'" •5 5`'S7rr-`
Multi-Family Bldg _ Y? N Fireplace(s) / 0 _ 1 _ 2.
Propert,y Owner ?e- Telephone #(Q? Z) Q 3?" - y5' K I
Contractor Gi
u? ??c5 ""??"?p??' S"' •'?`
?
Address I/ "I ?j s ? &&?14 67l eJ b T?A . City .?l G'A ((P
gtate fV1N ZipS-S iZL Telephonel!(qSL)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Mmnesota Rules 7672
Enefgy CDde Category . Residential Ventilation Cafegory 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submittetl
In the lasi 12 months, has the City of Eagan iswed a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
--511
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemvt, but only an applicarion for a pemut, and work is not to start without a
permit; that the work will be in accordance with the approv plaiase work which requires a review and
approval of plans. 1 ApplicanYs Printed Name ppli
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
0 05 03-plex ? 11 10-ptex T? 19 Lower Level ? 24 SYorm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Wor1c TvPes FA-M' / ( j2,0S ?""
? 31 New ? 35 Int Improvement ? 38 Demolish Interior
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof
? 34 Replacement 'Demolition(EntireBldg)-GivePCAhandouttoappticant
DfSCflptloll: WaterDamage _Yes
Valuation a, pci? • O c'?
Plan Review 100% or 25°/a
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const 2,
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Foo4ngs (addition)
_ Faundation
Drain Tile
Roof Ice & Water Final
j0 FramingY
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIItED INSPECTIONS
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext Alt - SF
? 36 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
_ Sheetrock
FinallC.O.
.?O Final/No C.O.
?J' HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Bnck
_ Windows
_ Retaining Wall
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116583
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4657 Parkcliff Dr
Lot:5 Block: 2 Addition: Park Cliff 3rd
PID:10-56702-02-050
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 .
John Miller
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 -
Steven C Soderling Tste
4657 Parkcliff Dr
Eagan MN 55123
James Barton Design Build Inc.
5920 - 148th St W #100
Apple Valley MN 55124
(952) 431-1670
Applicant/Permitee: Signature Issued By: Signature