4654 Parkridge Ct?----- CITY OF EAGAN
" 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for • ' Est. Value ` 1 • ' Date ' 4M .19
Site Address O FFICE USE ONLY
Lot Block Sec/Sub.
-• ' • On SRe 3ewage Occupancy
MWCC System Zoninp
Parcel No.
On Sfte Well (Actual) Const
a Name ' City Water (Allowable)
W
2
Address PRV Required * of Stories
? City PhonB ' Booster Pump Length
Depth
, p Name S.F. Total
? i Address Footprint S.F.
? City Phone APPROVALS FEES
CC
v y? W
Name Engr./Assess. Permit
? Planher Surcharge
g Address
?
¢ Z
aW City PhOne Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the `/ariance SAC, MWCC
information is corcect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
5ignature of Permittee Road Unit
A Building Permit is issued to:_ Treatment P1
on the express condition that ali work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
Permit No. Permit Holdar Date Teiephone #
Plumbin9 ? ? ? •
"?'? .
H.V.A.C.
Electric
Softener
Inspectlon oata lnsp. Comments
Footings I
Footings II
Foundation
Framing ?,?
Roofing
Rough PI . ?.?? e Q ie.c/'S ?
Rough Htg• ' T b eQE' Le?
Isul. C' /?N 6 R--7,?!e../ .1 /,- faP
Fireplece v/7 ,P[Eivu.n -;;"e-
Final Htg.
Final Plbg. 3 ?
G
414,FZj---
Bldg. Final ?? -44 & O
Cert.Occ. 2Asg/?4 4,V
Temp. LP
Al-
Deck Ftg.
Deck Final
Well T.Rr? OiQJ - G.??
Pr. Disp.
Receipt
Fill in numbere,
Type or Print G
1. Date 2. Installation I
3. Job Address Lot
4, Owner
5.
f
Permit No.
Fee
S/C
Tot.
Blk. Tract
6. Address
7. City State Zip
$. Building Type: Residential Cl Commercial 0 Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. EquiRment 8TU - M. Ea.
Forced Air No. Enuiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
.
Mfg Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12, I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Ffnal
Inspections: Date fnsp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
' • CITY uF EAGAN ?? 88?9
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O(11 E: 454-8100
BUILDING PERMIT Receipt Te 6e wed fer SF DI'J GAA Est. Value $1 2?? Dote"' ', i' r; ' 19 ?' 4
Site Address 4 6C4 PARKRIDGE COURT Erett OccuPoncy fi 3
Lot ?.- Block 1 Sec/Sub. ptARKC'T.TFF NT] ^lter 0 Zo?ing i:l
Parcel No. 1(] - 67A 1- f13 ()-(] 1 ?Repair ? Firc Zone L1??
-c Name M. W. JOIINSON CONST. E"l°rge 0 Typc of Const. V
,,, Move ? # Stories
z Address P.O. BOX 130 pemolist+ ? Length 50
City FAQMT*Yrmnx-r Phone 4 3 2- 6 8 3 8 Grode ? Depth 50 ? Sq. Ft.
edge thot I have read
is correcf ond agree
)ta Statutes and City
Woter & Sew.
Police
Firo
Enp.
Planner
Counc{I
Bidg. Off.
APC
Perrnit ? 49Q.50
Su?chorye 61.5o
Plan check __.?525.00
4 S_ 2 SAC Water Conn. 450. ? 0
Woter Meter (13. 0 0
Road Unit ' <-' ? • ? 0
Totol $2.095.25
-/ on the expreas condition thrn
Stotutes ond Cify of Ea9an Ordinonces.
Siynoturc of Permittee
A Building Permit Is issued to:
all work sholl be dona in occordontq'?vfth pll oppiioobla S?ate of Mlni
Buildirg Officiol ,
•,_=??- :
_ ,?
Psrmit No. Permit Holdsr Misc. Permit No. Holdar
Plumbing / Q ??2- ?? 8
H.V.A.C. & ?0 V,& U
Weil
Water
Disp.
Sevrer
Elactric b 43 Z
4J?k3Z ?` S . va
Irppection Dsis Insp. Othar
Footinpt
Foundation
Framinp ?/ - -
_N 7?b
Roughh HVA ?
Inwlation
Final Plbp. ?/J ?J
Final HVAC _ .fl<
Final
wsMr Describe Location:
YYell
Sswsr
Pr. D'aP.
? CASH RECEIPT •
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
necEIveo
FRpA
AMOUNT $ I
?
DOLLARS
?oo
[] CASH [] CHECK
>
?oR ' J?, _-? , _ .
FUND CODE AlnOUNT
+•' ,_
i ?
Thank You
3- gY --:
?. ... . ?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
[ . , PEAMIT #
f
? MECHANICAL PERMIT
RECEIPT #
' CITY OF EAGAN
" ?
'
i 3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE: '-
-
:-
-
I CONTRACT PRICE PHONE: 454-8100
Site Address 6 < ' BLDG. TYPE WORK DESCRIPTION
Lot Block. L Sec/Sub Res. New
?
? Name - r
- . , . Mult Add-on
Address Comm. Repair
( c
City
Phone '' %
•?.
? Other
Name ' FEES
RES
HVAC 0-100 M BTU -$24
00
0 .
.
c Address ? f ADDITIONAL 50 M BTU - 6.00
p City ? ' Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
MINIMUM - 1 PER PERMIT) - 1
50 EA
GAS OUTLETS
.
.
(
TYPE OF WORK COMM/IND FEE - 19'a OF CONTRACT FEE
I Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOVNNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
±
S/C: SIGNATURE OF PERMITTEE
TOTAL• -.1y-•`
FOR: CITY OF EAGAN
. . £ -;
^i-
,......? ? . .-< .. _
PERMIT # _
PLUMBING PERMIT
CITY OF EAGAM RECEIPT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Sec/Sub
Name t ,- , L' , " -? j, ? 77
m
?o Address ': . , •, /' ? .? ,- , . i ?;i! ? ?? ?"
c City Phone
Name
Address
Ciiy F Phone
FEES
1A/IND FEE - i% OF CONTRACT FEE
3LDGS - COMM RATE APPLIES
VHOUSE & CONDO - RES. RATE APPUES
AUM - RESIDENTIAL FEE - $12.00
AUM - COMM/IND FEE -$20.00
E SURCHARGE PER PERMIT - .50
$.50 S/C IF PERMIT PRICE GOES
OF PERMITTEE
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
Water Closet - S300 $
?
T/Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
,? KitChen Sink - $3.00
Z Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: 1 ?? JL?
INSPECTION
CITY OF EAGAN
i 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?.
I 1 111, } ?-l I ! + N1I
PERMIT SUBTYPE:
1 li iili 1 iNi., .
III !Nl1l
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
,. ,??•;?r?l
?;i !! s+ A kAi
TYPE OF WORK:
i kHM i Nii
I i:f MAfrh',. stF'AF?Aff - f 1 tI li, it.AI 111 hMl t k1 VU11i1 11
i ,-s TaI?? ?
?ff ? ?i. ?t? $ - ? ??v>? •? ~ .
? ?
Permit No. Permit Holder Date Telephone A
SNV
PLUMBfNG
HVAC
ELECTRIC
ELECTRIC
Inspsctlon Date Inap. Commertts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Irmpector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fina!
Deck Ftg.
t
Deck Final L L
?C1y ?
Well
Pr. Disp.
Reoaipt PLUMBING PERMIT
CITY OF EAGAN
: Fill in numbered spaces
Type or Print IegibJy
;
1. Date 2. Installation Cost
3. Job Address Lot .J Blk.
4, Owner : r' `? y - . ' r •
5. Contractor -=N2 -
6. Address
Phone ? • ?
7. City State Zip . ?-
8. Building Type: Residential O. Commercial ? Institutional ?
.
9. Work Description: New Cl Add O Alter ? Repair O
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other '
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved i i CITY OF EAGAN 454-8100
Permit No.
Fee
S/C '
Tot.
Tract
CITY OF EAGAN Remarks 1) -, ? ?? ?a -a "
Addition PARKCLIFF 2ND ADDN Lat 3
Owner Street 4654 PARKRIDGE
-81 k _
COURT
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK U 293. 00 A013816 5-2-84
SEWER LATERAL
WATERMAIN ?(p
1984
7.04
2$,1$
A013816
5-2-84
WATER LATERAL
WATER AREA '6 293.00 A013816 5-2-84
STORM SEW TRK 514.0$ A013816 5-2-84
STORMSEWLAT g 283.60 56.72 5 170.16 A013816 5-2-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROlID UNIT 260.00 41726 2-25-84
WATER CONN. 450.00
BUILDING PER. 8859
SAC t1 n
PARK
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Roed
P. O. Box 27199 PERMIT NO.:
Eagan, MN 55121 DATE: ? - --' `? -- ° 4
cI ,
Zo^i^0:
No. of Unlts: 1
Owner: J 5
Address:
St ross: 654 f? P' f f 2nd
Plu r ?
No.:
???on Chorpe:
.7
iZd:
y'/Vf:R7Uflt VtlpoSit:
1 >> . ?1?? ?1:.
Reader No.. Pertnit Fee: 1 li ?? nci
1 aoee? !o ply ?h? Cltr of Eeyon Surchorge: .50
P?
Ordiea Misc. Choryes:
Totol:
BY Date Pcid:
Date o p.: ? ? Insp.:
CITY OF EAGAN NWpt SERVICE PERMIT
383-q Pilot Knob Road
P. O. Box 21799 PERMIT NO.:
Eagan, MN 5P127 DATE:
Zoninp: No. of Unita:
pN,ner 49 Johnsaii
llddress:
Site /1ddr
Plumber.
1 prN to oomoly wilb Nis q1y of 1lagsn
OrAIMnm.
Connection Chorpe: 425.00 pd ^
Aaount Deposit: 15. 00 pd
Permit Fse: 1. C . 00 Pc'
SurcFwrye: . 5 3
Misc. Cia?qes:
Total:
Dots Paid:
8v
Dote of Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: : ?-•?4
r ZoninD: ? 1
No. of Units: 1
I
? Owner. .3ohnson
/lddress:
Stte Address: 4654 Park Gkiff-ot t I 3 ,?I Pari:Q1i ff'ncl
pl,,,r,ber Genz Itvan
Aheter No.: Connection Chorye: 4:i 0.OL :)J
Stze: Acoa,nt Deposir: 15.00 pd
Reader No.: Permit Fee: _ 10.00 pd
1 yrw ta oomplp witii !M Cihr of Epp¦ Surchorge: • 50 ;?d
Ordt.ana.. Misc. Choroes: _ 63.03 ?.i -leter
Totol:
BY Date Paid:
Date of I nsp.: I nsc.: ?
CITY OF EAGAN ND 8g59
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT RecelPr #
Ts ba wed ior SF Dl"?/GAR Est. Volue $123 ,000 pateFEBRUARY 28 ly 84
SiteAddress 4654 DARKRIDGF COURT Erect R3
0 Occuponcy
Lot 3 elock 1 cec/Sub. PARKCLIFF 2ND Alter ? Zoniny Rl
Parcel No. 10-5 6 7 01-0 3 0-O1 Repoir ? Fire Zone N/A
Enlorge ? Type ot Const. V
w Name M.W. JOHNSON CONST.
}Z Address p• O. BOX 130
" CityFARMTTTf,T(lN Phone 432-6838
o Name SAME
?
Address
i- City Phone
rc
wW
F Name
3? Address
`W City Phone
I hereby atknowledge thut I have reod this ap0licotion ond stote that
the information Is correct ond agree fo comply with oll opplicobte
Stote of Minnewta $tatutes and City of Eagan Ordirwnces.
Sipnature of Permitteo _
A Building Permit is Issued to:
oll work sholl be done in acm
Move ? # Sfories
Demalish p Length 50 ?
Gmde ? Depth 50 -'Sq. Ft.-
Aoorora6 Faei
Assessment _
Water & Sew.
Police -
Fire
Erp.
Plcnrmr _
Council _
Bldg. Off. _
APC
Permit J 47U.5U
Surcharge 61.50
Plan check - 2A_5o 0
SAC
Water Conn. 450 . 00
WaterMeter 63.00
Rood Unit 260.00
-roeol $2,095.25
on the express cordifion thni
Statufes and Gty o4 Eogan Ordinonces.
Buildirq Offidal ' - - -?
'/S
CITY OF EAGAN No 14 5 9 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUI PHONE:454-8100 Receipt U) pr] r?
LDING PERMIT # 0
Tobeusedfor basement finishESt.Value $1,500 Date FEBRL'ARY 5 ,1988
Site Address 4654 PARKRIDGE CT
Lot 3 Block 1 Sec/Sub. PARKCLIFF 2N?
Parcel No
x Name FRANK T FLETT I
W Address 4654 PARKRIDGE CT
0
City EAGAN Phone 452-4058
¢ Name
0
?a Addre
? City_
"W Name
ww
?
zza Addre
aw Ciry_
Phone
I hereby aCknowledge that I have read Ihis apphcation and state that the
informahon is correct and agree to compry with all applicable State of
Minnesota Statutes and Gry f Eagan Ord nan (e./5?
Sgnature of Permittee-??JU'Dq
A Bwlding Permit is issued to. FRAS]K T FIETT
on the express condition that all work shall be done m accordance with all
applicable State of Minneso{{t77a Statutes and City of Eagan Ordmances.
8uilding Official ?,.?A(.?L4Aa 1 'Al'L
OFFICE USE ONLY
OnSiteSawage - Occupancy
MWCC System _ Zoning
On Si[e Well _ (Actuaq Const
City Water (Allowable)
PRV Required # of StOries
6ooster Pump _ Length
Depth
S.F. Total
Footpnnt S.F.
APPROVALS FEES
Engr./Assess. Permrt 34.00
Planner Surcharge 1.00
Council Plan Review
Bltlg. Off. SAC, Qty
Variance SAC,MWCC
Water Conn
Water Meter
Road Umt
Treatment P1
Parks
TOTAL 35.00
CPi'1 OF EAGAN
BUILDING PERNffT APFLICATSON
jDCjucje_2 sets of plans,
1 s lan w/elevations &
set of energy calculatione:.
X?
?7b Be Used ForS84p Valuation 'f'/2j,,±2, Date
Site Pddre55: ? OFPICE USE OfII.Y
i,ot 3 siocx / sec./s?. ?r??ter ?- zo? ?
P?l #: /O-S?7or-6 7 o -af
Repair Fire Zone
awner: /Yl. W. Jahn?son Enlarge - Type of cAnst _
Move # Stories
Pddress: Derinlish Front ft.
Grade Depth SO ft.
City/Zip Oode:
Phone #:
Contractor• • kJ. ..Iohnson Consf'
Address: 'd, U . '604 130
City/zip Code: f-0 rm ) na fvrl
Phone # :
Arch./Eng.:
Pddress:
City/Zip Code:
Phone #:
APP%7VAL5 FEES
SIJ
Assesstents Pesmit .
W3ter/Sewer SurchareJe ?
Police Plan Check
Fire SAC
glq. Wates Conn. ?.
pjannPr Wdtel MetPS ,??
Counci.l Road Unit ?
Bldg. Off.
APC
7?OTAL o?r U / s ` °t?
Y? f b? 0 y REQUEST FOR ELECTRICAL INSPECTION
' See inetructions for completine this form on back ot Yellow copy. w"'KV Below Wor k Covered by This Request
EB-Q0001-04
c/Z lo o/
AAd Nep. Typa ot Bwltline ApPlmnces Wrted Equiument WireA
Home Range Temporary Servme
Duplez Water Heater Lightiny Fixtmes
Apt. BwlAmq Dryer Electnc Heatin
Commercial Bldg. Furnace Siio Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm o[new pa,u y Other IS?mcirv!
t ier SVecity Ot er Other
Compute Inspectron fee Below
# Fee Serviee EntreneeStze q Fea Fexdere/Subfeede,s # Fe,e Cirewts
0 to 200 qm s 0 to 30 qm s 0 to 30 An'>s
Above 200 qm>s 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100-Amps
I
Q Above 100_Am 5
Transtormers Irrigation Booms Partia6'Other Pee
Signs SUeciallnspection
$
TO
Bemarks ?.
Im
HouBh-m Drrte
I, th echical
Insoector, hereby
certif
thet the ab
v
Final
Dy?te
? y
o
e
InsoecLOn has been
? _
? i" made.
ThIS repuesl voltl 18 months trom
This request void
18 mon(hs from
W083209 iiii?3, P,
C,4tv"P) l e ?
11?0ka.ite Li FF 2-A-5 4Zbo I
Nepues[ Date Rre No. Rough" n InspecLOn
Nepwred
I?cetly Nuw Q Will Noufy lnspec
? a ?? ? Ves tur Wher,p,M1ada,•
?censed Elecvical ConVactor I heraby request inspec<ion oi above -
? Owner electncel work installed at
S[reet Address, Bon or Route No. Crty
'G/ ??- s?
ecYmn o. Townshup Name or No. ange o, Counly
Occupam (PflINT) Phone Nn.
t
Power uppber
e- Address
r
Electncal Contrect
o
r (Company Namel Confr r.
t
or's License No.
'
/
???'L ?K. I?. ?P? (
/
? LQ S?V
Mailine Atltlress (COn[ractor or Owner Makiny instailaLOn)
ZO'1 7 f- av /ZoP t-
Authonzed Si ature (CO ractor Owner Making Instal atioN Phone Number
6 -3 yr7
NNESOTA STATE eOANO OF ELECTRICITY
Griaes•Midway Bldg. - Room N-797
7821 Universrty Ave., St Peul, MN 55700
THIS INSPECTION NEQUEST WILL NOT
8E ACCEPTED 9Y THE STATE BOAND
l1NLES5 PROPER INSPECTION FEE I$
ENCLOSED.
(`?{ ?L -gy REQUEST FOR ELECTRICAL INSPECTION r Es-ooooi.oa
l?? . ' See instruetions lor completing this torm on back of yellow copy.
+ (] 8 o
Beloow ?r2 Tc )overed by This Request ? I
AdJ flep. Type of Bwlding ppplinncns Wiretl Equ,yment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures '
Apt. Bwldmg Dryer Electnc Heatin ,
Commercial 81dg. Furnace Silo Unloader
Industnai Bldg. Air Conditioner Bulk Milk Tank
Farm Other aecity Otherl5necityl
[ er uomfY t er Oth,;r
Fee Below
IN I Fee I ServiceEntrence$iza I q I Fee I Fenders/Sabteeders I N I Fee I Circuits I
mm
the Electncal
3.s7. inspa?,o.. he,aby
certdy thet the above
Final Daie mypection has been
? 61 /4 ?ea.
Tliis ranuest voitl
This re0ues[ wiA V- t? -8 y ? S' v Y
18 Rronths I?om I
W-J-013 218 A,3, 13 (?A 2 leC? 2 Nw y a b o/
Request Ilate Rre No. Rouph-?n Inspection g
Requrted> []HcaAY Nn?Will Notily Insoec-
a?•? ja?s ? Nu ??r When Reddy
Licensed Elec[ncal Conlractor I hereby raquest inspacbon uf ebovo
wner electrical work instelled aY n
Street AAdress, Bon or Route No. City
416 s P4
le
e e r g-
'
, . , ?
ecuon o Township Name o1 No. Rnnpe No. Countv
Occupnnt(PqlNT
) Phune Nu.
'
' rn _ y?/i ? rr
Power Supulier
fa-- ?? sst,eic Atldress
4.a07 i
Elec[ncal Cnnlractor IComuany Namel
6L?
-Z
?e
< Comraclor?s License No.
G
C
-£c ?t G Z 7
M
a
il
inp AdJress ICOnVactor or Owner M kinp Instaila[ion)
/
J
?
/1,G 73r ;'' ! Ji.
Authon ure ICon[ractor wner Making Installatiun) Phone Number
L// 3 - 34'S 7
MINNESTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griges•Midway Bitlg. - Room N-797 BE ACCEPTEO BV THE STATE BOAPD
1827 University Ave., St. Peul, MN 55104 UNLESS PNOPEP INSPECTION FEE IS
on....e ial 1i 1477111 ENCLOSED.
?J REQUEST fOR ELECTRICAL INSPECTION ee-oouoIi-ofa/
P' See mstructions for compL@ting this torm on beck of yellow coOV.
?1% a: 5? ZL ` D7
A 203 z "X" Below Work Covered by This Request f
Newf Addj flep. Type ofi Building Appliancas WireE Eqvipment Wved
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAmg Dryer Electnc Heaun
Commerciai Bldg. Fumace Silo Unloeder
Industnal Bldg. Av Condrtioner Bulk Milk Tank
Fyfm Ihei Pecr y Othor (5uar0y)
thn,r SueciW ther 01hi,,
Computelnspecuon Fee Below
# Fae ServiceEntrancaSrsa q Fee Feetlers/SUbtaetlers n Pea Cucwts
O 0 to 200 qm Ps 0 to 30 qm ps 0 to 30 Am s
A6ove 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Am s
Transiormers Irngation Booms Partial-'Other Fee
Signs Special Inspection $ T F E
Nem3rks
.iliS O T`f •?
Rough-m Date
1, Iha ec
h.,:
insuectoq
I
}
f
L?
Final Dnte V
CBr
I
1flB
{nspeetion
??. 'Y made.
Thiarpuesivoi018monthsfwm V '"'
Yhis reques[NaiC ?l
18 mon[hs from- (
A 142Olt 2 ?u 3 (br,r
?tzzl g ?f
CG,?, 5q- 5 ?
Reques[ Date
I Fvo Na. Rouph-in Inspucli
Re?vfi ed?
?Headv NovJ?Wili Nouty InsPeo-
p
S? 4? p y ?'4'es ? No tor When ReatlY
r L.censed Electncal Coninclor I heraby re0uast inspection of abeve
Owner electncel work instelled at:
SVeet AtlAress, eox or Route Nep
y ?s 4 Pk?X?G ?, £ Oty
??•? .?,.? .
ecnon o. Townsh?p Name or No. fianpe No. County
Occupant IPRINT)
j'?1,w
_ ?'d?.?a,,.? Phone Ne. -
Powe,r SuOPlrer
R4cD1%4
v?-gc'rX?? ev Adtlress a
F9CM?
7?t,u
EI vical Conttdetor ICOmVany Name) ConVUCmr's Lir.ense No.
! t
MaJine />ddress ( Contracmr or Ow
ner
Making InstailaLOnl
'
n
Autnor¢ed SiBnature ICOnttactor/ ner Making Insfalla[ionl Phone Nvm?er
63
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GrigOS-Midway Bldg. - Noom N491 BE ACCEPTED BV THE STqTE BOARD
1821 Univars,tY Ave., St. Paul, MN 55704 UNLESS PROPEN INSPECTION FEE IS
Phone 18121297-2111 ENCLOSED.
iiEQUEST FOR ELECTRICAL INSPECTION
a 1618,9 • See in5VUC0ons for complebng iMS brm on back ol yellow copy
"X" Below Work Covered by This Request
dP"-?aesopoooi-poen
ew Atld Rep. TypeolBudtling AppliancesWiretl EqwpmentWireO
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other, (Specity)
Comm./Indusirial Furnace
Farm Air Condrtioner
Other (sVecM) GonVactorS Remarks
Compute Inspection Fee Below.
# Other Fee # ServiceEmrenceSae Fee # Crtcuits/Feetlers Fee
Swimming Pool 0 l0 200 AmpS 0 to 100 Amps
Transiormers Above 200 _ AmpS Above 100 _ Amps
Signs inspeaor§ use oniy TOTAL
Irrigahon Booms
/ 15.50
Speciallnspection ?
? ?
Alarm/Communicahon THIS INSTALLATION MAY 8E ORD CONNECTED IF NOT
Other Fae COMPLETED WITHIN 78 MONTHS.
I, the Electncal Inspector, hereby
tif
th
t
h
b
i Rou9n-m oare
y
cer
a
i
e a
ove
nspection has
beenmade. Finai oere
OfFICE USE ONLY
Thrs request voitl 18 monms irom ?
/o ?i?y
? 1618 9
/ $/?. 00
/ o ao 9
piluest Date ?• Frte No Rough? nspectron
Reqwretl7
C3vNeedy Now ? Will NoWy Inspector
10-5-92 ?Yas Ao WhenReatly?
I:!Acensed comractor ? owner hereby request inspection of above electrical work at:
Jo0 AdOress (Strcet Boz or Faute No 1 Ciry
4654 Parkridge Ct. Eagan
Sacuon No. TawnsM1ip Name or NO Renge No Couny
Dakota
OccupantlPRINTI PMre No
Frank Flett
Power Suppirer AdtlrBss
Dakota Electric Farmington
Elecmcal Connactor (COmOany Name) ContracbrY 4cense No
Roehning Electric CAO 1557
MaAing Atltlress (COntrador or Owner Mekmg InslallaM1On)
14611 Endicott Wa A le Valle , Mn. 55124
AuYrorrieo?$gnature ICOnvactovOw Makm9ln Ilauonj .
( Phone Number
1
423-4328
MINNESOTA STATE BOAPO OF ECECTPIGITY / THIS INSPECTION REOVEST WILL NOT
Gtig9r11111tlway BIEg - Room S173 BE ACCEPTED BV TME $TATE BOARD
1821 Universlly Ave., SL Paul. MN $StOd UNLES$ PFOPER INSPECTION FEE IS
Plqm (81]) 802-0800 ENCLOSED
REQUEST FOR?ELECTRICAL INSPECTION Es-oooo1-os
1 See ins<ructinns for campletnng this brm on baek of Yellow copy. 016 DoD? 6 616 3"x" eeloW Work Covered by Ihis Request
r,na eo. 7voa of euiiaioe Apphancee Wirea Enumm,mi wi.ed
Home Ranye Temporary Service
Duplex Water Healer Liyhtiny Fiztures
Apt. Buildin9 Dryei Electne Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air CondiLOner Bidk Milk Tank
Farm m,?, speciiy oinf, (sm. c. iv)
[ nr SuaaJV Other Other
Comaute Insoectron fee Below
M Fee ServiceEnllance5ixe p Fea Fxaders/Sublextlers 4 Fee Cvcwts
0 to 200 qm s 0 to 30 Am)s 0 tn 30 An s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swinming Pool Atwve 100-Amps Above 100_amps
Transiormers Irngation Boorris PertiaL Other Fee
SignS Speciallnspecuon
S
?
TOTA F
Hemarks p?? OU
NouBh-in
61,
' tha
speccor, hereby
certily that tha above
Flnd? ?`??e ingpeclion has been
mada.
ThlereQUest voidl8montRShom ' ""'
This ?eqi•Ast void
18 rwnths Irom ' J
0 66163 ?
ntqucs[ uate " Fire No. Hou{?Li? InsDer,tmn
FepwreA? E]ReaAy Nuw E]Will Nnti fy InsOec-
?1'es ?NO 1, ?r When ReaAy
? lscensed Eleclrical Conlrnc[or I he,eby reQUast inspecLon ol abova
? Owner electrical work installed at:
Street AdAress, Boa or flouce No.
6 S9e 4y2lc o- 1 n Grrc
? Ciry
,F? 04r?
ecuon o. Townshup Name or Nn. Ranye o. Cown^tv
OccuVant (PqINT) Phune Nn.
A IL /r i • 0V O
Power Supoher
o rxi Cou..i Address
Electncal Convactor ICompnny Namel Comrar.mr's Lmense No.
MailmQ AOdress IContrac[or or Owner Making Instailabonl
6S7-V 10me'",44ti er-
Au[ho ized SuBn fure (C ntrac r wner Makine InstallaLOnl Phone Number
MINNESOTA STATE 90AHD OF ELECTqICITY TMIS INSPECTION flEQUEST WILL NOT
Griges-MiEwey BIdB. - Roam N•797 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ava., 51. Pxul, MN 55104 UNLESS PPOPER INSPEGTION FEE IS
Phone 1612) 642-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
?
New Conetructbn Raaulramente
. 3 registered site surveys showing sq. fl. W bt, sq, tt. of house; aM ID roofeG areas
(200% mazanum bl coverege ellowed)
. 2 coples ot plan showing beam & wintlow sizes; poured found design, etc.)
. tsetofEnergyCelculetbns
. 3 copies ot Tree PreservaYbn Plan M bt plaMetl efler 711/93
. Rlm,bist Detall Optbns selectbn sheet (6klgs wtlh 3 or less units)
DATE ? ' 5-- o 2'
SITE ADDRESS L4 1O ?
TYPE OF
APPLICANT 'bJAI"
9-1 /4v- K 'ji U11-1
STREET ADDRESS ?S ?-3 br`1- ( 2 ut !k
TELEPHONE #?'L??' 9I 13 CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
A-L'MP ssa -3>
FAX #
PROPERNOWNER F/Y)-r?IC r je I;t ?- TELEPHONE#
COMPLETE THIS SECiION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(d submission type) • Residential Vantilation Category 1 Worksheet Submitted ?
• Energy Envelope Calculations Submittad ?
Plumbing Coniractor:
Plumbing system includes:
Mechanlcal Contracfor: _
Mechanicalsystem includes:
Sewer/Water Conhactor:
Air Conditioning
Heat Recovery Systern
Lawn Sprinkldr=
No. of R.I. Baths
Phone #
JUN 0 5 2
Fee: $70.00
Phone t?
---------------°----------------°---------------°-------------------------°---
I hereby acknowledge that I have read this application, state that the Information is correct and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O Inances.
Signalure of Applicanf ,
..................................................
? ._..._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requfred _
uPaated ao2
lrJ
?o e)
Phone #
_ Water Softener _
_ Water Heater _
No. of Baths
RemotleVReoalr BeaufremeMS
• 2 copies ot pYan
• 7 sat W Energy Caknlations tor heatetl atlditions
• 1 sRe survey for eberbr additlons & derks
. IntlMate H home serveA by septic syslem tor addkbns
VALUATION °2 ci b 12
C r/' I• MULTI-fAMILY BLDG _ Y _ N
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muki
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex O 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Akeration ? 37 Demolish (Bldg)* ? 43 Reroof O 46 WindowslDoors
? 34 Replacement 'Demotttlon (EMlre Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units . Stories 8ooster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation
i HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcw Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
5&W Permlt & Surcharge
Treatment Plant
Plumbing Permit
Mechanlcal Permit
License Searoh
Copies
Other
Total
PERMIT
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
CR 25Y I
PERMITTYPE: guzLozNc
Permit Number: 0 2 3 6 6 7
Date Issued: 0 5 J 2 3/ 9 4
SITE ADDRESS:
4654 PARKRIDGE CT
LOT: 3 BLOCK: 1
F'HRKCLIFF 2ND
P.I.N.: 10-56701-030-01
DESCRIPTION:
B,63.2di g- Permit Type
6uilding Wpr.k 7ype
i
y?
>
- r?
t?
;
REMARKS:
SF PORCH
NEW
U n ~1 ?? ?+ ?, ? r
?.w
SEPARATE ELECTRICAL PERMIT REQUIREp
FEE SUMMARY:
VALUATION $2,000
Base Fee $46.00
Surcharge $1.00
Total Fee $46.09
CONTRACTOR:
OWNER: - Applicant -
FLETT FRANK T
654 PARKRID6E CT
AGAN MN 55123
612}371-8468
I hereby acknowledge that T have read this
infarmation is correct and agree to oamply
5tatutes and City af Eagan Ordinances.
?A
APPLICANT/PERMITEE SIGNATURE
appliaation and sCaCe that the
with all applicable State of Mn.
-i
e K,2ij I
ISSt1ED 81 51 NATUR
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r r a B L 0 C K:
4654 pARKRIDGE CT
PARKCLIFF 2NfJ
PERMIT SUBTYPE:
SF PORCH
PERMITTYPE: auztoxNG
Permit Number: 0 2 9 6 6 7
Date Issued: 8 S/ 2 3/ 9 4
1 APPLICANT:
FLET7 FRANK T
(612) 371-8468
TYPE OF WORK:
NEW
INSPECTION .. . ,.
F007INGS FRAMING
FINAL
REMARKS: SEPARATE ELECTRICAL PERMST REQUIRED
F
L
?• ? ? .. • • ? 'r, .,
?
?
v 6 • ceb
; CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
?o \Q 681-4675
?
-?-e ?T
i?,a;,'? 1 /1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ??do
Site Address: V6 Sy P4'Ge-6 C e7'
STREET SUITE A
Tenant Name: (commercial anly)
LOT BLOCK ? SUBD. r14vf-K(2.:-iFT:;^'07 P .I.D. #
Descri tion of work: ?o P?
The applicant is: ET?Owner ? Contractor ? Other (Oescri6e)
Name ?2?.? '?' !r Phone(o 371? ?$
c-?? hl
Property LAST FIRST
Own@1' e -r-
y? SV ?
P
.9v_,C,
iDGE
qddress
STREET STE #
City rW.¢}? State ??? Zip
Company 5 #m & Phone
COtltt'aCt01' Address License # Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days ance 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 all applicable State of Minnesota Statutes and City of
Eagan Ordinances. n ??
!L
Si
f A
?
gnature o
pplicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex O 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
13 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
l,$ 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .5ite
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
P,Footing
12 Final
12 Framing
? Draintile
? Insulation
? Fireplace
Permit Fee vaiuss;«,: $ 2,4 ?O
Surcharge
Plan Review
Li
/ ?
-
cense -f
6 = 9C,?
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:
r ,r
? 16 Basement finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code Y3
SAC Code -0/
Census Bldg /
Census Unit a
Assessments
SAC %
5AC Units
F
;
F
?
:
r
?-
'j'..
CERTIFlCATE flF SURVEY
h
?
0
lV P
C
i
r?.
.. A' 1?'
• G° ?' ?5
0 0`¢ G`
? / ZF.+
?/ E'P V 1
09 ? a" pG t
?qr_C ?,
g? I
c.
?._ ?r t4 Q
y ?D t 9
' Ll
.? `39og 4 ?> ??`
S2.,
e
3
?
Nh
N 0
Ifl ?J
- e
?
?^?
ltac :. ...j4
Eic.s:I c-_ 1 Lc.:•i arc c•:::1-;
grE'_= E..c arr : ?..,U..
? (D O \
?J
pA2KRlo GE \
c oL3 R-r 1
tN-e
I Tiereby cer[ifp cha; teis is e cozrect zepresencation of a survey of:
Lat 3, Block 1, TARF;CLIFF 2KD ADDZTIOA, iiakota County, tlinnesota, according
to the p1aY-eht?reof-esn--f-i'1-e-aes-? record.
and Lhat I am e duly regis[ered ]and aurvevoz under [he lars of Lhe State of Hinnesnta.
Da[ed this 21st day ef februar,•, 1964 Gene L. .lacohso Minn. Reg. No. 7734
DR BTtiW SC4Lf -!'? =40' ? DENOTES IRpN lApH. bEaRINGS qRE ASSL'MED aATt7M
'Prepared for: _
C. -.
,:
? JACO@50N SURVEYORS
?. ?. ,)D?IfISOR ?021StL. - ?
P. C. soX 130 LA?cEVittE, 'VINN. -55044
*i:-vingtc+n, !B: SSU2?
PNONE 469 - 4 328
•. ?:-???
ti 4113 S 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? r> .??
CITY OF EACAN a
3830 PILOT KNOB RD - 55122
851•681•4875
New ConahucHon ReaulremeMa •• C,? ? 7 S??GA Rertwdel/Reoalr Reauiremenh
(`a•a'C' C
> 3 reglslereG fite wrveys showlny aq. K of lot, aq. ft. of house 2 coples oi plan
and gp raofed areas f70X mmWmum bf covemae allowatl) 1 sef ot energy calcWatlons br heated addlMons
? 2 coples of plaru (show baam 8 wlndpw fftes; poured Ind. design; etc.) 1 sNe surrey tor exlador adtliNau & decks
> 1 sef W enerpy cdculatlona
+ 3 coples of tree preservatlon plan If lol plaMed aHer 7/1 /93 UZ
oA,E: r- z-?? 6 ?)
DESCRIPTION OF WORK:
STREET ADDRESS: ?_?-'
7-
LOT: ? BLOCK:
CONSTRUCTION COST:
. .-- ?
Cl
PROPERTY
OWNER
Sheet
d 4
Cly /? ? 6A-Z? , Sta}e: All) ZiP:
? ?--
Phone #: '
? ?
(area code)
CONTRACTOR Sheet Address: ? ??V _ JF Llcense # _ --? ExP•
a+r 05 10 sbte: zip: 5,-7F
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Regishatlon #:
CHy State:
Sewer/water licensed plum6er (H installirw sewerlwater): Phone #:
I hereby acknowledfle that 1 have read lhis applkalbn, slate fhaF the
01 Mlnnesota Statutes and CHy of Eagan Ordinancea
Signaiure o(
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Ptan Received , Yes
if:
? SUBD./P.I.D. Y: ? 7"QY K I f tr ) nd
_ NO
Zlp:
and agree b compy wifh a9 appncable Sfate
_ No - Not Required
JUN
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
03 01 of _ pleu ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level 0 24 Storm Damage
? OS 03-plex ? 11 70-plex PI6g _Yor_N ? 25 Miscellaneous
? 06 04-plex O 12 12-piex ? 20 Pool ? 30 Acxessory BWg.
WORK TYPE
? 31 New ? 36 Move Bidg. q 43 Reroof
O 32 AddiUon ? 37 Demoli5h (Bldg)' R9, 44 Siding
O 33 Aiteration ? 38 Demolish (Interior) ?O 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMA710N
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/5tone
APPROVALS
Planning Building
Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 F_xt. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuRi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
CZJ
Valuation: $ 5 V ~
SAC Units
% SAC
s etx?..."t:.. ! L..^il'8 :D3:.1CG'??
J:
.
+
10100Lyndeli Ava~So,
f :. EXTERIOR'ENVELOPE kVERA6E ?"U" COMPUTqTION 8loomingtonMN , 554Z0 `"i
? •M,
OWNER Suite j 106.,.;?,,
.? : P
? tny
'' . ? '4 . ? 6D . ,? 4
' . ( ?f.:.?: +r e
`
, SITE?AODRESS .. . .y,; r . ;? . . 71?.:?T?^.0;,,
, .,
CONTRACTOR r ... ... .. . . . . .. . ,
W_JoHr?co? DATE 7-'31- O PHONE i`•i
?. <
,
. Determine working square_footage of 'each.
' 1.: Total exposed wall area:.,, _ 2) SQ: g sq, ft. x
2. Total roof/teilinq area sq, ft, x
•04
? L
_ ? o • lo
Totat exposed waTl area above?floor
e. Total wall window area..
,,
?
;
'
.
„
,
,
,
. b. Total doar area
:
??
:::..
:.::..::.
c. Total sliding gtass door?arz
;
.
' ?.:.•
a
i
.
..:::..:::......
. d.,7otal,fireplace watl area.:. ,'
?
_
e.;Total wall framing area (avera
e?.10% ...
f.. Total net wall area above floor
:: '??
i ::
?: .
'
•
'
.
..
? .,.. . .. : . . .
.
9:.:Tota1
rim ,joist area
. .
• ;
.
: i
' . . . . . . .
?
i
Total exposed foundati
on area?
?
;
, h. TotaT founda '
tion window area:':
1
_. Taa1 net foundation area abpve gr
ade:::.
::: `
.,
....
...•
? ?
Ul? ? ? .
? determine
vatue° of+
eaEfi:walt 'segment. ? .. ?•
+-".i
? .
•;
, f:.
,.?
;.r
'
/? y (
'a• ,•?
? .
•
?:?
' ; ? ?F r 4 . '
b. U??.?,?r
Z i , t' r
? ?"
y y
d._- y g u?r?. 31a. -- 17
,
z i5
,
.;
. .
'
' . . e., -J-5 ,2?y X'.?????, .?RS = IZ.9LI - j
t'-_- o x IIU„ :, - t oy 4
?
?
?,;
ao ? X
;,?;;?
h. 3 g
. . 55 3. y tD
? ?:
X `iiuoi L
°. _
S
9
O
, E5 f
. .
3.:..?. ,
......
.. .......
; ?
?L SQ ? °
; i
•
.";:;?;
?
..
..:.Total `
'
If item43 is the same as, or less'than:item O1s"you have met the
of'SBC 6006(c)2. , ,
,.??.!t
intent
t ,.,,t .
y(?? . 1..: '.r.?' t 1 . . " t. ' . : •, r .?r
?
d
iling area
? -" Total exposed roof/ceI
; ,; ?. .
. .
Total grass roof/ceiling area
;... ±;
.
j. Total skylight area .. ................... -- , , ?
k. Total roof/ceiling framing aNea ............ I 5 Z, 4 " ,
1. Total net insulated roof/ceiling area..... .. 13 Lo
Deter,nine "U" value for each roof/ceiling segment. -
x liull
k. 1SZ•`-i X l'Us, ,04Z = lo 24
i. }Y) i,U, x "u„ .035 = H??
1? ? `?..........rotal
a ..................
-?
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(c)1.
To utitized the total envelope system method, the values established 6y the
, sum of items H3 and N4 shall not be greater than the sum of itens 01 and #2. ?
a
CERTIFICATE OF SURVEY
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F:Lcvations shoi,m are eri-Gting
„rades and are assumed daCUm.
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I hereby certify thaC lhis is a curre:,t repr0senYStimi of a survcy Of:
Lot 3, Block 1, PA[tKCLiC't° 2ND 9DDITI(Iti, Dakota (Ounty, Minnesuta, accUrdiny;
tt) the plat lherroi :ut filc and of rr_cord.
and that I um a duly n:gi.ste;ed Land survc%',+r undoaw5 of the State oC P1inncsnta.
?
Llated this 21vt dap nE Nebrudr}?, L934 Gene L. JaCobson, rli.nn. keg. No. 7734
I DR. 8Y GLJ I SCALE - I" = 40'1 o DENOTES IRON MON.
Prepared Cor:
Juhnson Cun?tr.
i?. u. sox t so
1'uL?ingtor, :•kV »02',
BEARINGS ARE ASSUMED DATUM.
JACOBSON SURVEYORS
LAKEVILLE, MINN. 55044
PNONE 469 -4328
`. --? t
„ . f L
i? w4`3
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLINGS
ItdCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HDMEOWNER MUST DESIGNATE WHICH ADDHESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS
B4So4"r,,e Fj„nSw valuation:
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address
q5N AlL,?.R-rdqGr' cf-
Lot ? Block
Parcel/Sub ^?? k?.,Rl'? ??d
>>
Owner FjMy,J K E,57rr-
Address 45'q 6I*t.K Kr0&x- Cr
City/Zip Code E&A„/ ?"sj y3
Phone 5t0st
Contractor ]r, 4F
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone #
FOR SALE UNITS
Date: .7-
/Is-oc OFF:
On site sewage_
MWCC system _
On site well
City water _
PRV required _
Booster Pump
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
3W oa
/. °°
Oecupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT9L
G?' "
IAH,eL,POO c.-
i
'SR t,l n!k
I?
4
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CITY OF EAGAN
Ii APPLICATIODI FOR PERMIT
SE[dEk AND/OR WATER CONNECTIODT
1) PF
OPEft'
'Y (PLEASE 4INiJ
.
I
ADDRESS:
T.Ff=,L DESG4I°TZCV:
?
(Lot/Block/Subdivision or Tax Parcel I.D. N=ber) ?
i: E:{2S':'=_:G STRi:C7I-7E , DA^ G:' CRIGINF1L :;iiIL;L`;G r.?'_•±IT ISs?:?NC`::
? PP.:'S? ? ?^:M:?:/?aC_°CS? ?R-1 S?;G`? ^P`?SLY ' - -- --:_,
? R-2 DUP?,.,.` (T,ti70 UNITS)
0 R-3 'ICnYN3CUSE (TfLRE"-' + iTVITS) ( Wi ITS)
? R-4 ApART=P/C?T?Ma.LPIIC,?i ( CNITSi
? Ca1'RCLAI,/REi'AIL,/OFFICE
? INDusTRLIi
? INSTITUTIONAL/C-04E:-a?.fi1IIV'P
2) appl,T= (PLEASE PRINT)
NFVE: JQ/?/L60,k) d/V.1y!/t 41enA"?w Z
AnDREss: ? O • oX / 'Fo
crrY, sTaTE, ziP:
PHCNE: ?nR
3) pLu)mER N
PIE: ?n? ?? PLE SE PRiNi)
? FOR CITY USE 04LY
?nr?ss: ??
I PIUHBERS LICE4SE:
177 Acti
ve
CITY, STATE, ZZP: ?/i iv? Expired
'
pLUMBER LICENSE t! q NQ Q Nat of Fecord
att lnltla
4J CX_,til;k'.AiV'P/ffViIER NAME• C ?YLLH?[ rninl)
J 1=,-
ADDRE55: i4C
CITY, STATE, ZIP:
PIIC}:VE:
5) ZPIDIGATE WHICH PER= IS BEiNG Rc iIES'M:
;Ef CCNITECPION 'ICJ CITY SETrlER
TO CITY 6dATET2
? 0'I'fTM.?,k'2 (PLZASE DESCPSIIE)
? PLE,-SE f?OID APPRWID PIIMIT FOR PICiC-LP BY ONE OF ABM'E
[?K°L.EA.SE ?`AIL APPROVED PER`.tIT TO 1, 2X:?D4AECVE
(Circle one)
7) SI(,Zs'a:L':zE: Dr,TE: t?idu?J??/'
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• RR4:#a?#?.isi?ilE!-s?fKfifa?:ss?a#?/iMir:s:a:?aftlf.?fRf?-1lJ?}??a?l?FSS?cesacm
?
F 0 R C I T Y U S E O N L Y
PERMIT " ISSLIED
_7
FEES: $ CFWrp ora%lri (L",Cr ?CH?RGE)
_ ?..;;D? Sli
$ WATER PEPS1IT (IP.CLUDE SURCHARGE)
$ WAT°R METER/COPPERHORN/OUTSIDE READER
$ WATER ':AP (I:v*Ci,UDE CORPGRATIC:V STOP)
$ SE;•]EF TAP
$ ACCOUNT DEPOSIT - SEi•7ER
$ ? ACCOLINT DEPOSIT - bVATER
WAC
$ `11_? SAC
$ TRUNK WATE.°. ASSESSP-lE:IT
$ TRliNK SEWER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SEL9ER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
$
AM0UNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" M[IST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO THE FOLLOP7ING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
.a W-M w? ?WAm wcs wt= sa sw tM wm w+« wpg w.a rEa pe lojw asp% w.a MW so s?M Ka wcWw%wr wm
76? aC) /
2006 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Canstruction Reauirements
3 registered site surveys showing sq. ft of lot, sq. ft, of house; and all roofed areas
(20% maximum l01 coverage allowed)
1 Soils Report if proposed building is to be placed on distur6ed soil
2 copies of plan showing beam &window sizes; poured found design, etc.
1 set ot Energy Caicula6ons
3 wpies of Tree Preservalian Plan if lot platted aker 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasoo med'ianipl venGlaSon fottn
RemodellReoair Reauirements
2 topies oi plan showing footings, beams, joists
7 set of Energy Calculations for heated addi6ons
7 site survey for additions 8 decks
Addifion - indicate if arsRe septic system
ffi°£ e-0n
Cer€oi?nrve?Re?i
Sdils.Re?" ?' Y ?'
3ree??rgs;p ? :, ,.?.mvzy..b lj
=-.-:
Date \?.- / t ?
/ ? ? ,J
Construction Cost ?
Site Address _ ({ ?\
(p7 9 ?{/ 6W4/,/-,
Unit/Ste #
Description of Work {'?)% ?t. Gf? ?L?? ?j? (, ?'?5
Multi-Family Bldg _ Y0?_ N ESreplace(s) _ 0 K,1 _ 2
Property Owner FQ Telephone #(L5)
Contractor
?
dbe FydyWO HftM "Me
Address Q0619?11
Llanq 4Mp N. F?
Aw.
City
Sta[e j
Zip Telephone # Qp I???i 3- 714,5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissionrype) Suhmitted Submitted
• Energy Envelope Calculations Su6mitted
In the lasi 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N!f yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 with 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 I in t case work which requires a review and
approval of plans. wxl
I ? ?` Gt N?,
ApplicanYs Printed Name
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16•plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 EM. Alt - Multi
p 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch(Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 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 Vmprovement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda5on ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish Building• ? 43 Reroof ? 46, Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCPIptlOll: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ? T+?? 8 doeori
smaN A? Anee4s eWuu9 p,fiYs
# of Bldgs Length , Fir f?&redaaU
14.N mg
Type of Const Width .eaiveean
Y6844LiLies
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheefrock
_ FinaUC.O.
_ FinaUNo C.O.
HVAC
Othar
_ Pool Ftgs Au/Gas Tests Final
_ Siding _ Srucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
-
I F^r Office Use
City of T Eaaafl Permit -7
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
- - - - - - - -
7/I~}
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
r
Date: Site Address: I"1 5 1 9 k(4, Cie C-
Tenant: ft~~NU, V0(7- Suite
RESIDENT / OWNER Name: h Ar(L FLC Icy Phone:
Address / City / Zip: *u '4 P I'NI,tk WC I r~~
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: V - ( M A 4 W r-ti pq t L'
Construction Cost: UL t~ Multi-Family Building: (Yes / No / )
CONTRACTOR Name: F N A P t ~~%a ft T (L' License L 0(v 7 3(, G O
Address:
City: A, State: MAN Zip: J ~ L1
Phone: ltf - Z Ri Contact Person: t i. ?`yl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro I of plans.
X m C~j WC
Applicant's Printed Name a is nat r
D
Page 1 of 3
JUL 0 2009
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
_ Addition Move Building Reroof _ Demolish Interior
Alteration - Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Z 6x~, c~, : Occupancy ELI MCES System
Plan Review Code Edition W17 7jov-7 SAC Units
(25%-100%--) Zoning i City Water
Census Code Stories Booster Pump
of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation )I HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests Final
) Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In Air Test Final Windows
J Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: ANO, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4654 Parkridge Ct
Lot: 3 Block: 1 Addition: Park Cliff 2nd
PID:10- 56701- 030 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Frank T Flett
4654 Parkridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA078029
05/31/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4654 Parkridge Ct
Lot: 3 Block: 1 Addition: Park Cliff 2nd
PID:10- 56701- 030 -01
Use:
Description:
Sub Type: e- Reroof & Windows/Doors
Work Type: Reroof & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Windows/Doors: If altering the opening size, a framing inspection is required.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
Owner:
Frank T Flett
4654 Parkridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA087379
11/12/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4654 Parkridge Ct
Lot: 3 Block: 1 Addition: Park Cliff 2nd
PID:10- 56701- 030 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Frank T Flett
4654 Parkridge Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089727
06/17/2009
ePermit
Date:
Tenant:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
ioC135
(po. °u
Date Received:
Staff:
1-7-13
INFLOW &,I'NFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
/// 7/16 l3
Site Address:
Vff `/ P/6 tr CT.
Suite #:
RESIDENT OW ER<,
Name: ,._C. J , Phone: �j i
Address / City / Zip: 7(� s`7' fA2f/6 z' 1, % .3'.c; oh..ir <C"--5-7)-3
i.>
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
PLUAV/BING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
kpip
DESCRIPTION
Description of work: __CoU ^m P D� C41
,OVa rG- 7lab
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x rLr-cn
Applicant's Printed Name
Applicant's Signature
FOR OFFICE
Required Inspections: Under Ground
Rough -In
Use BLUE or BLACK ink
---------
j For Office Use j
� I
' � Permit#. �
��� ������11 � I
�ECEI`JED j Permit Fee:
�
3830 Pilot Knob Road � �
Eagan MN 55122 ,�f,��� � ����+
i Date Received: �
Phone: (651)675-5675 � sta�: j
Fax: (651)675-5694 ______
2014 RESIDENTIAL PLUMBING PERMIT APP�ICATION � t� ��-f`
Date• �{J�l �7 Site Address• l�� 7 ���/�L�ls r� ���
Tenant: __ Suite#:
�
� � , � � �, �� �
'�� � Name: ���1-J.� "'� �OX�hJ✓U� � j� Phone: ���"`�5—Z —�CJS'�
������ �:
{ � ' �' � �` �3 Address/City/Zip: T 6'�� �i���/I��' �%
��r,.
� � � �w
T � " � ' � �' ''
`"� r �� z ;�, �� Name: ��-,�i�ir� �Lu.ylfS�r�Cs License#:
� �
k '� Y } '
� �' N
b y Address: City:
S�: �3r �:..
F �
� ��` ` �; State: Zip: Phone:
� � � 4
� � � � �
� � ,
� ,� �
` �` °` �� k � Contact: Email:
�,.r,�� f
� New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
r t ��
� ���� .��
"` Description of work:
` >a;.�
t ; ' � �' RESIDENTIAL
�
� ,
1 ;Y )
� , ' Water Heater
z �'� ; �� � Water Softener
� ���� Lawn Irrigation(_RPZ!_PVB)
��� � �,,K Add Plumbing Fixtures(_Main/_Lower Level)
� x � Septic System
fi '� y WaterTumaround
� �, ��� _New
� Y h
,q, � X 1" y 'K''',�" .
, �� , ,�r ,�� :;,� Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.�0 State Surcharge)
"Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 SeqtiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliiy damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wvwv.qopherstateanecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ����- � �fZ X-�:'�Q,��h.� ��-�� �.._.
Applicant's Printed Name Applicant's Signature
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e , . Use BLUE or B�ACK Ink
-----------------,
� For Office Use �
�•{ �t j Permit#: f CY .J/ �
16� O� �i���Il RECE1`J�.D , �a ^� ;
� Permit Fee: °�� � �
3830 Pilot Knob Road
Eagan MN 55122 ��� 2 1 �6� j Date Received: '��'� �
Phone:(651)675-5675
I � I
Fax:{651)675-5694 � Staff: l I
I �
'-----------------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ���
Date: � ���� 7 Site Address: ���`� �i�Z K�I D�r C�-�` Unit#:
� /,
$
` � ` �� Name ���� �" �C�9 JZ��r�f�L �� Phone: ��� —��.1—`�O�ff
s� �.r;� ,
` �` ` Address/City/Zip: ��'S� /�Z%K/c�i!�6� �%
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r. �����`'�k�..._...,
�� ,� � � � Applicant is: ✓ Owner Contraetor
$ > � ,�
��� � ` � Description of work: I�f�F�vl�d L L �f�"l�
� �� _
� � � � '� � y�, F Construction Cost: Multi-Family Building: (Yes t No �
� � ` �'�: :.
r
� � � .� �,�� Company: Contact:
� �
�r� � � r�
�. � v � ` :
{ � ` � Address: City:
������ ;
�� G.
��� � � � �; State: Zip: Phone: Email:
� � �.
�„ : r
r ry;
� license#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�J�
COMPLETE THIS AREA OPfLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractar: Phone:
Sewer 8�Water Contractor: Phone:
��j,������� ���t������;� ����s���� ���� z������f`
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r �s x^
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wv��av.qopherstateanecall.ora
•I hereby acknowledge that this information is complete and accurate;that the worlc will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Shate Building Code must be completed within 180
days of permit issuance. �
x ���hJ��- �6� � x �
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�f(�5�� f��'�� C:� ��l��sS
f t i
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Firepiace � Porch(3Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(ScreeNGazebo/Pergola) _ Miscellaneous
01 of Plex � Lower l.evel Pool _ Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windaws _ Demolish Foundation
� Repiace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ,�,� Occupancy 1'�(,G-I MCES System —
Plan Review Code Edition � SAC Units """"
(25%_100%� Zoning n-1 City Water �
Census Code y�l Stories --� Booster Pump
#of Units / Square Feet ' PRV �'
#of Buildings I Length -� Fire Sprinklers ---
Type of Cons#ruction � Width `'
REQUIRED INSPECTIONS
Footings(New Buiiding� Meter Size:
Footings(Deck) Finai/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool:_Footings �AirlGas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:�Footings_Backfill,Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: Building Inspector
RESIDENTIAL FEES D � � a�f� �C.� �
Base Fee �3 �-- �
Surcharge
Plan Review Y 7 �
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
-------
; For Office Use
Permit#: Z� Q
City of Eatall non DECEIVED I ,
Permit Fee:
3830 Pilot Knob Road FEg p 81016 I o1. 1 ( � I
Eagan MN 55122 I Date Received:
Phone: (651)675-5675 I — I
Fax: (651)675-5694 I Staff: I
I I
2016 RESIDENTIAcL1 BUILDING PERMIT APPLICATION
Date: a Site Address: 7� / �F�2/G '1 YJ G CST Unit#:
$ Name: kfi�,)/C r, Elie ZI' Phone:
Reside'
Gyy Address/City/Zip: 7(d I
Applicant is: ✓ Owner Contractor
Description of work: 60 CiL
�f Work
Construction Cost: Multi-Family Building:(Yes /No )
r;.: ..
Company: Contact:
C011trs'�C Address: City:
State: Zip: Phone: Email:
v
License M Lead Certificate M
If the project is exempt from lead certification, please explain why:
�l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
'Plans uAP�x#� i c ments _at ' 060-0,.#
the infvr�+� n be c!a ed as n " ��rou provide petir!fic re bus#hat twouttl p�r�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
` y� y�,,�J j � �
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�7 �O Z/ �L DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Y 0 Occupancy € MCES System
Plan Review Code Edition , SAC Units
(25%_100% ) Zoning _ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES i }
Base Fee 'f "
I
Surcharge
Plan Review $ _
MCES SAC _ ;I of (/
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
i ., &
Copies -
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA135516
Date Issued: 03/21/2016
of ER 1n Permit Category: ePermit
Site Address: 4654 Parkridge Ct
Lot: 3 Block: 1 Addition: Park Cliff 2nd
PID: 10-56701-01-030
Use:
Description:
Sub Type: Residential
Work Type: Alteration
Description: Basement Fixtures
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(miscellaneous) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Oakland Plumbing Frank T Flett
500 Oakland Lane 4654 Park idge Ct
Burnsville MN 55337 Eagan MN 55123
(612)386-6093 (651)452-4058
1 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.
Applicant/Permitee:Signature Issued By:Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139220
Date Issued:10/13/2016
Permit Category:ePermit
Site Address: 4654 Parkridge Ct
Lot:3 Block: 1 Addition: Park Cliff 2nd
PID:10-56701-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Frank T Flett
4654 Parkridge Ct
Eagan MN 55123
(651) 452-4058
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
0et, 18. 2016 10:30AM
*City ofEatan
3030 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5676
Fax: (651) 675-5694
No. 2492 P. 2
Use BLUE or BLACK Ink
For Office Use L�
Permit*: 1 3 1 ` )
Ig1153
Date Received:
Permit Fee:
Staff;
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/18/16 Site Address: 4654 Parkridge Ct. Unit#;
Resident/
Owner
Name: Frank Flett Phone: (651)452-4058
4654 Parkridge Ct. Eagan, MN 55123
Address / City / Zip:
Applicant is: _ Owner X Contractor
Type of Work
oesoriptloriofwork: Installation of Drain Tile. (41ft)
Construction Cost $2,100.00 Multi -Family Building: (Yes _ / No X )
Contractor
Company: Innovative Basement Systems Contact: JT
Address: 1100 Holstein Drive NE City: Pine City
State: MN Zip: 55063 Phone: (320)629-3990 Email: Borden@innovativebasementsystems.com
License #: BC524785 Lead Certificate #: NAT -F120801-1
If the project is exempt from lead certification, please explain why:
‘(2_,-,\
In the last 12 months,
Yes .,No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
.NOTE: Plans and supporting documents that you submit areconsidered to be. public information. Portions of
the Information may be classified as non-public If you provide specific reasons that'wo'uld permit the City to .
• conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Cat 48 hours
before you Intend to dig to receive locates of underground utilities. mw.t.qooherstateortecallorq
I hereby eoknOwledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit: that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
xJordan (JT) Timothy
Applicant's Printed Name
x
Applicar t% Signature
Page 1 Of 3
Oct, 18. 2016 10:30AM
1166-11 Pck
DO NOT WRITE BELOW THIS LINE.ST.11
No. 2492 P. 3
SUB TYPES
Foundation
Single Family
Multi
01 of Piex
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
_ Garage
Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola) _
Pool
_ Interior Improvement
_ Move Building
_ Fire Repair
_ Repair
(25%_ 100%X )
Census Code
# of Units
# of Buildings
Type of Construction
v
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing _ 30 Minutes — 1 Hour
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy ... �,.-
Code Edition
Zoning
Stories
Square Feet
Length
Width
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests ,_,Final
Drain Tile
Final Siding: _Stucco Lath `Stone Lath `Brick
Windows
Retaining Wall: _ Footings _ Backfill — Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
EFIS
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152251
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 4654 Parkridge Ct
Lot:3 Block: 1 Addition: Park Cliff 2nd
PID:10-56701-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Frank T Flett
4654 Parkridge Ct
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
•
fJi
s r For Office Use ci\\1
MAY 4 5 2020 Permit#: /G/4-737
by �s yd ydE AG N
��, s ll�� L/' 171
�•`• 'yy Permit Fee: G// .l— '�
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinuinspections u(�.cityofeagan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 03/26/2020 Site Address: 4654 Parkridge Ct, Eagan MN 55123 Unit#:
Name: Frank Flett Phone: (612)799-3948
Resident/ 4654 Parkridge Ct, Eagan MN 55123
owner Address/City/Zip:
Applicant is: Owner / Contractor
Type of:Work,
Description of work: Install 8.4 kW DC Roof mount-grid tied Solar Photo-voltaic system.
Construction Cost: $14,670 Multi-Family Building: (Yes /No
Company: Solar Connection Inc. Contact: Curt Schellum
Contractor
Address: 6254 34th Ave NW, Suite A City: Rochester
State: MN Zip: 55901 Phone: 507-292-840 Email: mjohnson@solarconnectioninc.com
License#: BC638967 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. P prti°1141;001105fs the Information may beclassified as non-public if you provide specific reasons that would permit the City to conclude that they are ecrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City o
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
XCurt Schellum XCUr} h p IIU111 m Digitally signed by Curt Shellum
SI iDate:2020.03.2615:51:50-05'00'
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 4/ S q ffrigke;cf C- CI . / /(7 Z
SUB TYPES
—
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) ,. Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
X Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ii It
i f0.00
Occupancy '* ei" 1. MCES System
Plan Review Code EditionZO MA) *C, SAC Units
(25%_ 100%^ ) Zoning e•-,L. City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V j3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ,C Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES 501,&r KM. L Tw Vitoliti
Base Fee y
Surcharge 'a w� R 141. 679.0e)
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit& Surcharge 1
Treatment Plant
Radio Meter Read
Copies I
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173772
Date Issued:12/02/2021
Permit Category:ePermit
Site Address: 4654 Parkridge Ct
Lot:3 Block: 1 Addition: Park Cliff 2nd
PID:10-56701-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Frank T & Roxanne Flett
4654 Parkridge Ct
Saint Paul MN 55123--213
(612) 799-3948
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature