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4658 Parkcliff Dr öðö ï ÿ þýý üûúüùû øýýÿî íöþ òééñ ß þýö þýüûúù îý ûúù ö ø ùîý Üý ù ô ïý ô ëýü ã ÿþ ù ÿ ý ä õ î ø óøúñ ã æêê õø þýë îè æêäêä ôó öòñ ùù Û Úõú ìö ó ëøúñ éé ý ì ãöññß ãöñ àäÞßß ë üúø ë ëì ë ùù ëë éô ôùúøëùùü þ éã þý òúé í ê ùù÷ ý úþ ý ,.,- ..n CITY OF EAGAN r• ? h 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 6'? ? PHONE: 454-8100 BUILDING PERMIT Receipt# To be used iw e-F DItIG/CiAk Est value $125 , 000 pate PIARCH 25 SiteAddress 4658 PARKCLIFF DR Erect Lot_1? elock 1 seciSub. pARKCLIFF 3RD Remodel Repair Parcel No. Addition W Name O2MUi3-PEDERSO?+7 ItJ?,: rv?ove o Address_15136 G??LAXIE AVE IDnt emolis mpr.h City A•V. pnone 431-5000 Instau 11676 i , o f; 6 Occupancy R3 Zoning Type ot Const V No. Stories Length 54 Depth ? A Sq. Ft o Name SAME Approvaia re = Q, < Address Assessment Permit - ~ City Phone Water & Sew. Surcharge F W Name Police Fire Plan Revie SAC Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appliCable State o( Minnesota Statutes and City of Eaqan Oxlinances. Signature o( Permittee ? , k j°- •' A Building Permit is issued to: OZm all work shall be done in accordance with Building Official 50 I 75 Planner Water Meter 63.50 Council Road Unit 290.00 Bldg. Off. 3/25/8b Tr. PI. 156.00 Date I Total $2.390.25 on the express condition that ites and City of Eagan Ordinances. ? PamR Na PKmit Holdsr DNe TNephoeM N Plumbiny HMA.C. El.cb,c SOMMlf impacrion Date Imp. Commenta Footlnqa 1 . , Footinps II ?z p? ii / Foundstfon Framiny Rooffny Rouyh Plby. ?'.? Rouyh Hty. ? Iruul. t FI?eplaee Final Htp. FinM Ptny. Bldy. Flnal CM. Occ. .L ? 04 Deck Fty. Deelc Frmy. Wdl Pr. Dlsp. , . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KHOB ROAD, EAGAN, MN 55121 DATE: 'RACT PRICE: PHONE: 454-6100 41 ddr -' 1?= -" ?LDG. TYPE WORK DESCRIPTION ? Block Sec/Su m name _ ? Address c Ciy - ? Name _ c Address p? C'tY - TYPE OF WORK Forced Air Boiler Unit Heatec Air Cond. Vent ? Gas Piping Outlets # Other Phone L M BTU M BTU M BTU M BTU CFM ? FEE S/C: TOTAL• Oles. Mult Comm. Other New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADO-ON AIR COND. 0-24 BTU - 12.00 AODITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (AOD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE CITY OF EAGAN . - PERMIT # PLUMBING PERMIT RECEIPT # w / CITY OF EAGAN 6 KNOB ROAD, EAGAN, MN 55121 DATE: Site Addre Lot ? Block ? Name m m Address;?? c City . " Phone - • _ - %? ? Name ` ; Address p City ? Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMi1M - 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) --11 FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES ? TpTAL Water Closet - $3.00 ?-Bath Tubs - $3.00 - Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 L d T $3 00 - aun ray - . ry Floor Drains - $1.50 ? Water Heater - $1.50 ? - Whirlpool - $3.00 Gas Piping Outlets - $1.50 ?•? Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE 7 ? STATE S/C: GRAND TOTAL• J ? 5 ` CITY OF EAGAN Addi?ion PA Street 4658 Park C11ff DT'ive state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK . . SEWER LATERAL WATERMAIN • 1NATERLATERAL WATER AREA • 73.25 STORM SEW TRK ? 9$4 642 .'71 128.54 STORM SEW LAT - 9$3 283.6r 56 . 73 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK CITY OF EAGAN WATER SERNICE PERMR 3810 Pilot Knob Rcad P. O. Box 11199 PERMIT NO.: Eagan, MN 55121 pqTE; Zoniny: No. of Unlh: Owrwr zr.-un : eders: r. Address: 5fte ??: i '' ? ` Park Cl if f ` ?r ive I :'eine Plumbing/ TolutrW Excavatinf No.. pm to oe.Py wilh Taal: - BY c-=+c ?? ,c Date Pold: Date of Insp.: tntp.: CITY OF EAGAN ;3830 Pilot Knob Road P. O. Box 2 11a9 :Esw. MN 55121 Zonirg: Owner: Address: Site Addross: Plurnber. SEVVER SEItVlCE PERMIT PERMIT NO.: D/1TE: Na of Unita: I orw te eMMb V416 tV C11y oi impe ConnKtion ChaMes o"i'w`°'R /1c°°u"''t D°podt: - Permlt Fw: Sureharpe: BY Mlte. CMrqs: - Dote of Irup.: Tolai: 1mp': Date Pald: r WATER SERNICE PERMIT ? PERMIT NO.: DATE: No. of Units: 51tr Addroas: Plunber. Mater No.. Size: Reodar No.. - I "'M h onolp wkb tIM Citi oF 6oM¦ oraN11Cr. Connsction Chorpe: Actount Deposit: Permit Fee: Surchorps: Misc. Choqea: Totol: - .p.• 5. n eY Date Peid: Date of Insp.: 1 CASH RECEIPT CITY OF EAGAN ? P. 0. BOX 21•199 EAGAN, MINNESOTA 55121 / DATE 19 ? . . ? UMT $ ?I p U ...Je E] CASH & OOLLARg ? POR C?'?l? ? 'V ?'?i?W FUM. CODE p1A0UNT U / c o? ? ? Thank You Y N_ 60953 -? White-Payers Copy Yellow-POSting Copy Pink-File CopY CITY OF EAGAN N p 11676 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# ??-)-??13 J 7obeusediar SF DWG/GAR Estvalue $125.000 Date MARCH 25 19 86 SiteAddress 4658 PA3ItCLIFF DiZ Erect t] Occupancy K3 Lot6 Block 1 Sec/Sub PARKCL3FF 3RD Remodel ? Zoning - R1 Parcel No. Repair ? Type of Const. V Additlon ? No.Stories w Name OZYiUN-PEDERSON INC nnove ? Length Demoiish ? Depth 38 3 nddress o 15136 GALAXIE AVE Int Impr ? $q. Ft ciry A.V. phone 431-5000 Install ? o Name SAME APProvals Fees 0a Address ASSeSSmOnt P6rmit 495.50 ? Ciry Pnone Water&Sew. Surcharge 62.50 247 75 a ? w Name Address z a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Mmnesota Statutes and i of gan tdmances. Signature of PermitteP u ? A euilding Permit is issued to: OZPRU EDERSON INC all work shall be done in accordance with all apPlicybW $late of Minneg-o Police Fire - Eng._ Planner Council sia9. on. 3/25/86 APC Var. Date Plan Rewew • SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2.390.25 on the ezpress condition that and Ciry of Eaqan Ordinances. Building Oflicial rnis reql vola q I aff -S/ 18 mon(hs irom ? ? o 0 8 4.115 L / fo / %S~ 61 ? 6# W7. Re.c?st Datr Fire No. Rough- n nspectwn Req ired? '?:'" "Heatly Nnw? ' t ec- ^ Yes ?No [or When Ready' ? Licensed ElecVmal ConVactor I herehy requast insOecM1On of above ? Dwner ' electncel work installed ab SVeet Address. Box ar Route No. City e,cbon o Township Name o o. RanBe No. Countv ` y OccuOdntIPpINT) Phnne No, Pow Supplier A re s . ?QAGO? Electncal ConVacmr (COmpany Name) Convae.mr's License No. G? G.? 1 0 O Mai ng Ad ss (COnvacior or Owner Making Inmailauon.) ?/ /y? ? !s/ Authorrz Signamre ?ConvactndOwne Mak?ng Instailatmn) Phone Number MINNESOTA STATE BOAHD Oi EIECTHICITY THIS lNSPECTION ftEQUEST WILL NOT BE ACCEPTEO BV THE STATE BOARO Griggs-Midwey Bldg. - floom N-181 UNLE55 PflOPEH INSPECTION FEE IS 182'I UniversrtV /ave., St Paul. MN 56106 Phone (612) 297-2711 ' ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION ?e/-o?ojooi.oa See instrvChons for comolehng this form on back of yellow copV. o lJ ?_'?l? 1 1:l "X" Below Work Covered by This Request AA ? Rep. 7VPe ol Building P.Ppliantas Wiretl Equipment Wired Home Range Temporary Service Duplez Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric HeaUn Commercial 81dg. Fumace Silo Unlonder industrial Bldg. Air Conditioner Buik Milk Tank Fafm Othe.r PerilY ther ISVecifY) [her uevify ther O?her Compute lnspection Fee Below N Fee Service Entrenca5ize k Fae Fne.tlws/5u1itenders # Fee Circmts 0 to 200 Am s 0 to 30 Am s 111 ,12. s,01 0 tn 30 Am s Above 200 Am )s 31 to 100 Amps o. ? 31 to 100 Am s Swimming Pool Above 100_Amps Above 100-AmPs Transiormers Irrigation &oorris Q Partial.'Other Fee SignS SpeciallnspecLOn $ ' TOTAL E Remarks 00 Roueh-in Final ' ? ? ?;1?^? ,? ? M ?_7 I, ehe Ele nspBCtoq hereby cerLfV that the above inspaction has been mede. Thie repuast voitl 18 months fmm This requesl voitl 2.?-?? 18 mon[hs /rom ? M 0 $ 41 11 Z- L, , 61, 2c--J? 3ol D ?'- Re9??q.i Fire No. flouPh-in In vr,wn i Repurzed? ReaAY Nnw [:]WiII NoLfy InSUec- ,'3 -,V'4 ? Yes g N O tor When FeadY ? LlcenseA Elecincal Convac[or ? 1 hereby request mspection oi above ? Owner elechical work insfellad ab SVeet Atldress. Box or floute No. Ciry S$' / er.uon o. Townshi me or No. Range No. CouNy ??Kv Occuuan[ (PFINT) Phon¢ No. Sao a P er Supolier Ad ress A 7 ? Elec[nc Convactnr ?C Ompanv N amrl CuMraciot's Lmense No. ? r ? - ?t O o Mailinp A ress IContwctor or Owner Making instailavonl _/ I ?0- /'[ /? Authone SiBnature I oMract wner Mabng Installabon) Phone Number --'2 3°-5? MINNESOTA STATE BOANO OF ELEC-CICITV THIS INSPECTION HEQUEST WILL NOT Grie9s•Midwey Bidg. - Room N-791 gE ACCEPTED BV THE STATE BOARD 1821 UNLE55 PNOPEH INSPECTION FEE IS University Ave., St. Pxul, MN 55109 Phone (612) 297-2111 ENCLOSED. 3REQUEST FOR ELECTRICAL INSPECTION ' EB-a?001-04 '?J? . ?' ? ? See msVUCtions lor comolacing this form on 4ack of yellow copy. ""%" Below Work Covered by 7his Request / l.Atl Re0• TVpa ot 9wldinp AOplIOOCfl3 Wired Epuiument Wired Home Range Temporary Service Duplex Water Heater Lighnng Rxtures Apt. Bwldmg Dryer Electnc Heaun Cammeraai 81dg. Fumace Silo Unloader Industnal Bldy. Av Condrtioner Bulk Milk Tank Farm mer Soeci y 01her i5oer,iv7 ' ? er l5uer.i y Olher Other omnute Inspection fee Belaw p Fee Se/viceEntrenceSize H Fea Fnxdurs/5ubfeeders # Fne Cvcwts / ? 0 to 200 qm s 0 to 30 Amps 0 to 30 .1m s Above 200 qmps 31 to 700 Amps 31 to 100 q S Swimming Pool Above 100-Amps Ahove 100_Amps Transformers Irrigation Boon,s O Partial-"Other Fee Signs SUecial Inspecuon $ a TOTA Hemarks Q? L E?? flough-in Oate I, the EI Insuacbq hereby r??fy Ihnt the Tbove `.mal ? 171 D s?'te q(?r J?vO ??? i.spechon has baen made. I ThIS reuuest voltl 18 monihs from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN •? v 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reauinmanta • 3 regmtered site surveys showing sq. ft o( bt sq. R of house; and II mofed areas (zo% maximum lot wverage allowea) . 2 copies oF plan showing beam d window s¢es; poured lound desgn, etc.) • 1 set ol Eneryy Calculatlons • 3 mpies of Tree Preserva6on Plan if lot plaUed after 711193 • Rim Joial Detail Options selectbn sheet (61dgs with 3 w less unds) DATE _S_aa _O-.2- - S RemodeURewir Reauirements • 2 copies of plan . 1 set of Ereryy CalaWtlans for heated additians . 1 sae sur,ey ra extenor aaal6ons S aecks . IMicate if home served by septic syslem for addiUans vawanoN 4`alo1- o $ SITE ADDRESS 7!kS ,/.i1C1MC?CXS?Q d/J1 . MULTI-FAMILY BLDG _Y _N TYPE OF WORK Rl2 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS V/ cLl oZ0 TELEPHONE #?a_gqf-CY)(() CELL PHONE # FAX # ATE,dW_ Z I P 5533 PROPERTY OWNER ,Q.i.dTELEPHONE# C?SI ------------ ---------------------------------------------------------------------- ------- COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[INNESOTA RULES 7670 CAT'EGORY I MINNESOT:1 RLZES 7672 (J submission type) • Residen4al VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envebpe Calculadons Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcchanical s-ystem includes: Sewer/Water Coniractor. Phone # Phone # Fee: $90.00 Fee: $70.00 -----------°----------°---°------------------------------------------°-°°----°---°-------------------------------- I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable STate of Minnesota Statutes and City of Eagan Or inances. Signature of Applicant 6 OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning Heat Recovery System J13as Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 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 0 09 07-plex 0 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02•plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 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 •Demolition (EnUre 81dg 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) _ FinallC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation I-NAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONYRACTOES IiUST BE LICENSED iRTf! THE CITY OF EAGAN I CLUDE 2 SETS OF PLANS ? ERTIFICATES OF SURVEY 1' OF ENERGY CALCULATIONS To Be Used For: SFD Valuation: 00U Date: March 17, 1986 Site Address: 4658 Parkcliff Drive, Eagan OFFICE USE ONLY Lot: 6 Block 1 Sect/Sub3ril Add 4pect ^ Remodel Parcel # Repair Enlarge Owner Ozmun-Pederson, Inc. Move Demolish Address 15136 Galaxie Ave. Grade City/Zip Code Apple Valley, MN 55124 - ______, Contractor Ozmun-Pederson, Inc. APPROVALS Address _15136 Galaxie Ave City/Zip Code Apple Valley, MN 55124 Phone I! 431-5000 Arch./Engr Address Phone # X Occupancy (Z3 _ Zoning _ Type of Const Ik of Stories Length ? ? Depth ? _ Sq Ft Assessments Permit q S. Sb Water/Sewer Surcharge (02. ? Poliee Plan Review Z¢?,?s Fire SAC 5"ps Engr Water Conn SpO. Planner Water Meter (73 5-° Cauncil Road Unit 290 Bldg Off Parks APC _ Treatment P1 IsCo. Variaace Tornt. S9a, a3?o•,as" NOTE: $20.00 deduct of off set credit. ?jZx ZC9 ? ??Zx - .5? ` 4g2s? a-- ??Xl? ` ??J?X ? ? 2ooro 4q- L 3? ?z ¢ ? l'l x I ? 23g n ¢4-- ` Io4?Z _- ( 2 f 7&c. , PEE25ONSt RE 'ARING ADDITIONAL COPIES WILLi BE? CHARGID A$20:OOr FEE T0; COV! CITY OF EAGAN APPLICATION FOR PERNffT SEWER AbID/OR 4ATf12 CONNECTIOIV 1) PROPII2TY P,DDRES,S: T•H];AT• DESQ2IPTIOV: 11+oL/tilOCK/5UDQ1V1S1011 OY '1'dX YdrC21 l.ll. M] IF EXISTING STRL'CTLRE, DATE OF ORIGINAL BUIL,DING PERMIT ISSL?ANC'E: PRESENP ZONING/PROPOSID USE: Nbnth Year) r 1 SINGLE FAMILY R-2 DOPLEX (44ro Units) R-3 'II?WNHOL'SE (Three + Lnits) ( Units) R-4 APARTMENT/COAIDOMINIL'M ( Onits ) CONAAERCIAL/RETAIL/OFFICE INII]C'STRIAL INSTITUTIONAL/GOVEEtDA7EC]T 2) "'?kj rAME: ;(a ADnxESS: CITY, STATE, ZIP: PHONE?o • r.?• 3) NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: ? ) a wi? -oz y -J. „^ "_TL?rhlii V1, nti J il / K / t 6,?-?,?''s J MASTER LICENSE # (9 O2-6 a-q For City Pse Pl,snbers LiceaSE C,..?" Active O Expired O Not Recorc Sta? f? Initial 4) • • ?• NAME: ?ZM Ka d- Cfe_4 rs o.?. _T? n L ADDRESS: A re__ CITY. STATE, ZIP: ?s6F?2 YtG ? N, /?•ir r., ??S/2Sl PHONE: 5) o a ? a? ?CONNECTION TO CITY SEWER VCONNECTION 'PO CITY T1TER ? p OTHER (Please Describe) 6) u • • i ? PI,EASE HOLD APPROVID PERMIT FOR PICK-C!P BY ONE OF ABOVE ? PLFASE MAIL ApPROVID PERMIT T1? 1, 2,? 4, ABOVE (Circle one) 7) ? ^ ? ?. _ ? F O R C I T Y U S E O N L Y PER."-IIT '-` ISSUED ??y 3 FEEs: g /Z) _ 5__?l $ /L? - S_2? $ 5-6 S 5 $ rjZ) $ S $ $ S i.?? • c-r' $ $ s ?3?G -aS SE:'iLR nEB51T_T (I`TCL:;DE ^aIIBCti?RCE) WATEt2 PERP1ZT (INCL'JDE StiRCHARGE) WATER METER/COPPERHORN/OUTSID° READER WATER TAP (INCLUDE CORPORATION STOP) SE:vER TAP Z._.?GSI: ACC_OUNT D,F.POSIT - PTATER WAC SPC TRliNK WATER ASSESSME.dT TRli2dK SE[1ER ASSESSbSE*iT LATERAL SE:IEFIT/TRUNK SE:v:ER LATERIL SENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCfIARGE OTFIER: TOTAL AMOL'::T PAID/RECEI2T DOES UTILITY CONNECTION REQVIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES ZF YES, THEN A"PERMIT FOR SJORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOILOWING CONDITZONS: APPROVED BY: TI:LE: DATE : 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Kndb Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellmgs & townhomes/condos when pemvts aze required for each unit `1 ?U ,rs?) Date Site Address Lki_(01; l?l- ? r• Unit # PropertyOwner Telephone #(?6! ) zC J Contractor ' BurnsviAe Heating & A/C, LLC ; Street Address 12481 RhOde Island Ave So Cit3' State Savage, MN 55378-1122 Z iP ?C Z?r_qU Ucx7S Telephone# J 1? Bond #: Eapires: The Appiicant is _ Owner ?i Contractor _ Other Add-an ar alteration to esisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New X Replacement other State Surcharge $ 50 Total APR 2 ? ZUU4 I hereby apply for a Residential Mechanical Pemvt and acknowledge that the infoon is co le te; that the work will be in confonnauce with the ordwauces and codes of the City of Eagan and with the??e o es; that I understand this is not a pemut, but only an apphcation for a pemtit, and work is not to start without a pernut; that the work will be in accordance with the a?roved plan in the case of work wluch requires a review and approval of nians. Cl (2,? Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi•fartuly build'mgs when separate pertnits are not required for each dwelling unit Date Site Street Address IInit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractur Street Address City Sta[e Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install ^ Remove "'see beJow Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, caq for inspection 6y Fire Marshal and Plumbing lnspector Permit Fees: $70.50 Underground tank installarion/removal ' $50.50 Minimum (mcludes Sqce Surehazge) . or Contract Value $ x 1% _ $ Permit Fee • If nernvt fee is $1,000 or less, add $.50 => $ State Surcharge If pemilt fee is over $1,000, add $.SO for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the informarion is complete and accurate; that the work will be in conformance with the ordiuances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernnt, 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 wluch requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signatute Approved By: . Inspecmr _9 51 0 ? ? ? ? I r? ? zz•G r ?? N Y-GOO2 E.L?/. O?-'O I k, Ig?.. vrci?E O'- D" b ? 46, a ? ? , 3(-6 }tou5c ? Ec.zv. t I?q'° N ? / ? _ -6?•s'? 8 .i ~- ? 12 c, iz.. ?-. G.. ? \ ?" '= PL 0 -1y UL/-, ,v D 7?- rvl c> N - -P C? LD7 ? ? ? Loc.K j, PP?K.K:GLI'rF rv?D A?rTraN MA/zG{'1 10, ? / ?'? y , li\7'ERIUR ENVEI.OPE AVERACE °U" COMPUTATION ;!;_Address Phone ner_ gal Description of Froperty: Lot h Block_L_Addition??i'1Jf.J.C.'.L.i!'i' i Aate %-? te Address- ty- ?''Y !Y/jJ1' f'" AVERACE LLNEAL FEET OF EKPOSED WALL AREA ABOVE GRADE in level Lineal ft. of framed wall above grade ?'71 x height of wall "- , , m joist area Lineal ft. of rim x height of rim ` r' .wer level ,. I Lineal ft. of framed wall ahove grade •? ?7 x height of wall Linedl ft. of masonry wall above grade i?x height above grade 1 TOTAL wall area above grade including windows and doors [TiDOH'S: Area x "U" value , ake & type ?C'-7 'I;/', G/./{ !Y Z--7l1'/r'sq. ft n n j913C.t 74 / F% :: t_.y? ;? E.:,?I sq. ft n n n n u n 11 ?1 n u n n X flU,, _ (U) ( -x nU.. _ (U) ( -X uUn = (U) ( X (U) ( x I?Uv ? - ? / •?j'1'• ??1? ( % ??ll:' ° ?-'1- (u) ( x ??vu :;. X $??, :•I r '.4?.a..(u)I ? X L ez,l?(u)? -_ X ? ifull (u)' 71 _ X ? ??Uu (U)? ' .... ?y X uUu ..)?"j? • U), e • ( ??X / ' 5 / 1 1,11 11V f 1 ?.:1??• ? \U)` -_X '? uUn (LI ) x uU° - (L') -X itUs, _ (U) ---x ?I Li?? _ (l') ?x nUn = - (L!) . ft._ ft. . ft. . ft., . ft. ft. . ft., ft. . f t. . ft. q, ft. ft s a.? . . sq. ft. sq. ft. I?o,2 OORS: Area x "U" value x ft „U„ _ (U) lake & type ?/!_. !. / ? ,.' _i . ? ? X 5 nUn i = ?/• ri?ll (i1) 3?. ? 'lll (U) ?= - ? o s ft 1%•S X , . U it f q. . li li = r(t-) n 11 d ' " sq. ft. Z4. b x u 7_ ! r 1 t r t= ?-• " " 74". 6 3 )PAUUE WALL C v U ONSTRUCTION; Area x 7 ff ?/ C alue 5sq. ?% > x ft. > O?z-= 7 JC-i ?f?r19/?L/r / , ???? ?%!(U) sq ft. 2.7? X ?t2 L . 1? " ? ) y = 1 ?•StS( u )eta11 refer ? ' sq. ft. ;iZO, nr,x i 070 ' fz I/7o ?9a7 5? U /o % ance from . ..f wA- ! • ' m i?'< {1 ! sq. D , x ft. , (I') d h - ?u x f ????? _ e sttac sq, t.?_ sheets sq, x ft. (U) sq. x ft. ?_ ?.? ? TOTAL Wall Area Including ? TOTAL lU)(A) ??l ?'?? ?`/'` Windows 6 Doors ° " G 12 nvc. U •- . TOTAL (U) (A) VALUES O' - UIVIDED BY TOTAL WkLL AREA ?Z AVERAf,E "U" Minimum .11 or less for 1 6 2 family dwellings I ?1inimum .22 or less for all other buildings NOTF: If avprage "U" values as calculated above do not meet Energv Code requirements, the "Alernate Envelope Design" as indicated on Page 5 may be use .' Top View NALL SECTIUNa HUTE: Use 1096 • ? oi' opaque w811 area for Yrawin• membera . F[tAMING.MEMBERS .IN__WALLS . Exterior air €j.}.m•--.... Siding T'E8L u?? 019H? _ .?.5, __-?__.---------- Sheathing ?• '?ti sofc mooa Y" dr.y wall • 'Interior air film t-Value -- -1 •? g ? 'Z, 0 6 6.S7S -- --?8 -- .45 .68 TOTAL R= I Z. D S-c U= 1/11 U= ? D?Zr FRAMED WALL Bxterior sir film .17 SidinR S7-6E- 611?rrA M l• B?' Sheathing Zv batt tnsulat3on 11" dry wall _ .45 Interior air film - '68 TnTAi R= Z U = 1/& U = • o _.^ RIM_ JOIST ARK(_ Exterior air film - L' Siding -z' Z S? Z,I 2.0 t Sheathin g 3 - 1.88 III" 'soft wood - Ga 2ns.lati on 6 .68 Interior air f11m --•- TOTAL R = Z S ?? u s],/R U° • 0 3 9 MASONRY.WALL,_ Bxterior air film .17 - •- (2) 12"_concrete bloc?_? -•--???'?'-- Inaulation H f- 0 R 104 r D 1?r Interior sir film ?__.._,. __......__: ?'$._•• TUTAL R = 9, . ..__•-- ..._. U= 1/R U ° ,?07 .• U _Outside air film Insulation ?. ?r ? •; % ? ' - ---- - ` -- - `j"?,- Drywall ,45 Interior air film U = 1/R .61 TOTAL R --- - --? . ?? ./ U L- Outside air Insulation _._?. _._ . _ . Y" Drywall .45 Interior air film .61 TOTAL R = U=1/R U= Outside sir film •17 t , i-; r^^fj.n£c -- --- - - --'-33 _ Inaulation ------ ? f? Wood decking Interiot sir film .61 ,' ? % -- ------- ----- ---- - ?, _., - ------ - - -- TOTAL R-- ? - - ? U = 1/R U =?---.. ROOF/CEILINC,: TOTAL AREA: sq. ft. _ (U)(A) Detail reference "U" " x sq. ft. _ (U)(A) from above. "U x sq. ft. (U)(A) Describe openings "U" x sq. ft. _ (U) (A) in roof - "U" x sq. ft. - P')(A) nUn x sq. ft. Iluu x eq. ft. (L') (A) uUn x sq. ft. _ (L)(A) TOTALS $4• ft• (A) VALUFS fOTAL (U) '' DIVIDE[l BY TOTAL GOOF/ All AVG. "G" CEILINC AREA . AVERA(:E "L" .OS for ventilated roofs .10 for all other construction AO'fE: lf averag,e °L'" val.ues as calculated above do not meet the Engeray Code requiremen[s, U "Altcrnate i:nvelope Design" as indicated on Page S may be used. ROOP CBILING {3) -S ? -- ?- ð þýüýû ÿþúþü ûÿÿ úñðïø ê ý òò êê ÿ ø úùø ÷ÿÿöýÿ ÿýÿ ö ø ÷ÿõÿ ÿ ÷öýÿ ÿýÿ ôÿÿ úóÿôÿÿ ø ÷ÿôýòý ÿ úÿ ýõñùÿ ðÿñÿõñùÿ ÿúóÿ ðÿýÿç ÿ ý ö ßÿûñ íê ÿ ñçÿÿæöúåä öãâèèá ÷û ú îý üÿçàÿâèíèí éýýûè öõ øôó ÷÷ý Úÿóð ý ñùüåÿýüýßõÿ öÿ üî áê ý òò ßÿôõþýüýôõ æíãê îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA142832 Date Issued:05/22/2017 Permit Category:ePermit Site Address: 4658 Parkcliff Dr Lot:6 Block: 1 Addition: Park Cliff 3rd PID:10-56702-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - David L Nelson 4658 Parkcliff Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147755 Date Issued:02/01/2018 Permit Category:ePermit Site Address: 4658 Parkcliff Dr Lot:6 Block: 1 Addition: Park Cliff 3rd PID:10-56702-01-060 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David L Nelson 4658 Parkcliff Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169601 Date Issued:06/02/2021 Permit Category:ePermit Site Address: 4658 Parkcliff Dr Lot:6 Block: 1 Addition: Park Cliff 3rd PID:10-56702-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - David L & Jill C Nelson 4658 Parkcliff Dr Saint Paul MN 55123--212 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature