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4614 Parkridge Dr? CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE 19 'REC61vrLD FROh7 AMOUNT $ I, DOLLARS ?oo ? CASH ? CHECK Fort FUNO CODE AMOUNT J Thank You B Y YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy . . ? Cirr oF EaG?N 3795 Pilot Knob Rood Eagan, MN 55122 N2 6688 PHGNEs 454-8100 BUILDIN G PERMIT RecetPt # -- To be osed for Est. Value Date , 19 Stte Address Erect p Occuponcy Lot Block Sec/Sub. Alter ? Zoning parcel # ? Repcir ? Fire Zone Enlarge ? Type of Const. W Name T, . . . . '- `, ? Move, 0 # Stories _ Z Addres t s Demolish Ij Front ft. r:... . eL,.__ 5???2- Grode I-I Depth ft. o Name iv,71er ^rr•,••,••• ? ~ ?? Addrest Assessment _ ~ P Water 8 Sew. hone Ci ? ? Pol ice Na"'e F FW ire ?? Address Eng. <W Ci phpne Plonner Council I hereby acknowledfle that I have read this applicotion and stote that gldg pff. _ the informotion is correct ond ogree to comply with oll applicoble State of Minnesota Statutes ond City of Eagon Ordinantes. APC Permit Surcharge Plun check SAC Water Conn. Woter Meter Road Unit Totol Signoture of Permittee I A 8uilding Permit is issued to: " on the express condition tfiat all work shall be done in occordance with oll opplicable Stote of Minnesoto Stotutes and City of Eogan Ordinances. Buildirg Official v.rmir # oate h...a P..alti.. Plumbin9 .' :!?- E c"A Mechonicol a `5_7 `7 r i I F-L E lc0. -T 1SS70 (? S-? 1&'1 fx M ?Lc,C ; f_T? ?I`cc:?? _-_1, `t "7-CQ - tT n,tinti c V INSPECTIONS DATE INSP. Rouph-in Finol Footings Dote Insp. Date Inap. Foundation ram _ Plumbing Mechanical ? ? - Final Remorks: nL, PlLL ,"Vb?? Co ut d ?i '4- 1:, ???a ? Ccysc,),\ ?p ?, 'r_cL? Fdt' ozr+1n n_ 1__ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Typs or Print legib/y Tot. 1. Date 2, Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 1 6. Address I 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New 11 Add O Alter ? Repair ? I 10. Describe 1 11• Type No, Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai li H 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 Flnal .Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? . . ...... . ...._ ,.... . .?.. _ ..- .. . Receipt PLUMBING PERMIT Permit Na. CITY OF EAGAN Fee FiII in numbeied speces S/C Type or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address t A / 7. City State Zip 8. Building Type: Residential IJ 9. Work Description: New 0 I 10. Describe 1 11• Commercial ? Institutional ? Add ? Alter O Repair ? No. Fixtures Water Closet No. Fixtures C l/D fi i l Bath tubs esspoo ra n e d ti Se T k Lavatory p c an Softne Shower r Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r 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 CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition pARK CI.IFF ADDN. Lot 1 Bik 3 Parcel - =''?•?'? Ownerl?i :1?(`. `bta. i' c` j kJ ai IStreet 4614 Park Ridge Drive State Eagan, MN 55123 _ improvement Date Amount Annual Years Payment Receipt date STREETSURF. qffjIDp, 1981 3307,50 661.50 5 2646.60 A010627 10-1-81 RESTOR. GRADING SAN SEW TRUNK yq 1981 280.00 18-67 261.34 A010627 10-1-81 *SEWERLATERALS 3536.62 A010627 10-1-81 WATERMAIN *V1IATER LATERAL 1981 WATER AREA y 38-67 261 . 34 c1014627 19-1-81 S70RM SEW TRK t°ee, lggl 502 .04 33 .47 468.58 A010627 10-1-81 oeS70RM SEW LAT 1981 CURB $e GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 24889 6-1-91 WATER CONN. 33$.00 24889 6- -81 BUILDING PER. 6658 SAC PARK CITY pF 1EAGAN WATER SERVICE PERMIT 3745 Pi1ot Knab Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: - No. of Units: Owner; Address: Site Address: Plumber: Meter No.: Connection Charge: S12e: Account Deposit: Reader No.: Permit Fee: I agree to eomply with the City of Eagan Surchorge: Oedinanees. Misc. Chorges: Totul: Bv Date Poid: Dote of Insp.: lnsp.: CITY a" EAGAN SEWER SERVICE PERMIT 374: Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: 5ite Address: Plumber: 1 agree fo comply wifh the City of Eogan Connection Chorge: Ordinanees. Account Deposit: Permit Fee: ' Surcharge: BY . Misc. Charges: Date of Insp.: Total: Insp.: Date Poid: CITSt OF EAGAN Include 2 sets of plans. 1 site plan w/elevations & gIIILDING PEWIIT APPLICATION 1 set of energy calculations. s'ff//Di ? 'Ib Be Used Forttv d-a a.? . valuatio?? Date 5= a B'- Y/ Site Pddress ? ?? J OFFZCE USE ONLY Lot ? slocx sec.1sub. .9r.sC?ect occupancy ? Pazcel #: /O 36700 O /O e-) 3 Alter Zoning ?P/ O mer: ?-/!4 / ? /??d•t'fJ'a?? Gi /? ?"-t?C ?; r ??le _ Fire Zone di?b TYPe of Const. ?.Tli . ? . Nbve # Stories Address: 13G,h 2 s'S Decplish Fnont ft. City/Zip Code: fdrrn i?r?%BAd, 5 5-o';x y Grade Depth 3 o ft. Phone #: Ll?"Y ^ 574`i Contractor: Address: City/Zip Code: Phone #: s Address: City/Zip Code: Phone #: APPROVALS FEES Assessments Pexntit ?9ater/Seaer Surcharge iS?S-O-p Police Plan Check -?-"?- Fire SAC 5 a S? gYq, Water Conn. .? 3 S2-0 Planner Water Meter Council Road Uni.t Bldg. Off. APC TOTAL / `f q? 'Z.Sf ( ? ais i? ? l ? ?a C) /lS ? S `'10 3d/ 9i CITY OF EAGAN 3795 Pilof Knob Rond Eogan, MN 55122 N2 6688 PHONE: 434-8100 BUILDING PERMIT APPLICATION To ba uted for ST DYYli/GAH Est. Value 11IJ sice nddreu 4614 Park RidQe Drine Loc 1 el«k 3 Sec/Sub. Pa='ko13Yf Add. Porcel # 10 56700 010 03 w Name _ ; Address o ., p Nume _ ? ?Q Address Name _ Address I hereby acknowledge that I hove reod this application and stote that the iniormotion is corred and agree to comply with all opplicoble State of Minnesota Statutes and City of Eugan Ordinonces. Signature of Permittee A Building Permit is issued to: -9-S nll work sholl be done in accordance Building Offlciol ReCeipt # Erect a Occupancy n3 Alter ? Zoning Rl Repair ? Fire Zone NA Enlorge ? Type of Const. V Move ? .jE' $tories Demolish , ? Front 74 ft. Grade ? Depth 30 ft. Approrals Faes Assessment _ Water & Sew. Police - Fire Eng. Planner - Countil - Bldg. Oft. - APC Permit CL7.7V Surcharge $5•00 Plan check 112.75 snc 525.00 Water Conn. 335•00 WaterMeter 60.00 Rood Unit 185.00 Toral $1498.25 _ on the express condition thot and City of Eagan Ordirwnces. -2 -2 C? 2 4 2 2 6,? Requ[bt Date Fre M. Ho -in Inspeclron q ' v ? Ready Now %I Will Noltly Inspector 7 25 89 ?Yes ?No WhenReady? IZ7 licensed coniractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sireet, Boz or Route No.) Cny 4614 Park Rid e Dr Ea an Seciron No Township Name or No 77 Range No Counly 7 Dakota Occupanl (PRIN7) Phone No Eric Jensen 452-9496 Power Supplier Atltlress Electrical Contrflclor (Compeny Name) Comractork license No. H'li Ele ri I 04 5 MeNrg Adtlress (ConVaclor or Owrier Meking Inslallaiwn) Aulho E$ r?Wre(C 4 gr in Instellelan) Phorie Number MINIdE*dYA SfiA?''36p{1u {iF fi-EC7pICITY -7 THIS INSPECTION REQUEST WILL NOT Griggs-Nltlwey Bltlg. - poom 5173 BE ACCEPTED BV THE ST.4TE BOARD 1827 University Ave., St Paul, MN 0104 UNLESS PROPER INSPECTION FEE IS Phom (612) 862-0800 ENCLOSED. ?/l/?cj REQUEST FOR ELECTRICAL INSPECTION ?- eaooom m ( ? Se `rslmC'?r` r compleling this form on back of yelbw mpy 93;3 ?? P 2 4 2.2 6 JC" Below Work Covered by Thrs Request ew Atl ep` " TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer ii Other (Speaty) Comm./Industrial j Furnace Farm Air Conditioner Olh¢r(specdy) ConVac10r9 Remarks Compute Inspection Fee Below: # Olher Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool ]. 0 to 200 Amps ]. ,rj . Q 0 to 100 Amps Transformers Above 200 _ Amps AbovelQO _ Amps Signs Inspeaor5 Use OnN 1 NTAL Irrigation6ooms ? I C2v 50 Speciallnspedion / Alarm/Communication Other Fee .5d I, the Electrical Inspector, hereby certit th tth b i i Rouqn-in oam y a ea ove nspect onhas been made. Final Date - S OFflCE USE ONLY This request wltl 18 moMhs fmm (t - _S This request void 18 months from S . r+ci Date of. this Request 6-4-81 Fire No. T 15570 I, as Q Licensed Electrical Contractor El Owner, do hereby request inspection of the above electri- cal wiring installed at: LOT 1, BLK.3,PARK CLIFF ADDITION Street Address or Route No. 4614 PARK RIDGE DRIVE City FAGAN Section Township Range County DAKOTA Which is occupied by OZMUN PEDERSON (SPEC HOUSE) (Name of Occupant) Is a rougitin inspection required on this job? No IA Yes ? Ready Now 57 Will Call O Power Supplier DqKOTA FI FCTRi(' Address F MT T(1N Electrical Contractor?IFM El,ErTglr c, Contractor's License 13 7 (COmpany Name) MailingAddress 20480 JACQUARD AVE. W, LAKEVILLE, MN 55044 (Elec[rica , ?onjt ?cto?,?o? ?w °? ?M?aking This lnstallatlon) Authorized Signature i. G?"/ Phone No. 469-4438 (Elal Contractor or Owner Making T nStallatlon) 5'p ?Ei ?j'? (?? ?{?p, D ???i,? jy? This inspection request will not be accepted by the !; Lj ?;ju?5 State Baard unless proper inspectian fee is endosed. Griggs Midway Bldg ? ?Room N197r i- 1821 University Ave., SL Paul, Minn. 55104 - Phone 797•2171 REQUEST FOR ELECTRICAL INSPECTION CHECK BEL'bW WORK COVERED BY THIS REOUEST EB-00001-02 2q`? (aa: T 15570 Type Of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fo: Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Wate[Heatet ? LightingFixtures ? Apf. Nldg. ? ? ? Dryet ? Electric Heating ? Commercial Bldg. ? ? El F'umace ? Silo Unloadei ? Industrial Bidg. ? ? ? A'u Condifionei ? Bulk Milk Tank ? Fa[m ? ? ? List List Othei ? ? ? Others? Heee Others? Rece COMPUTE INSPECTION FEE BELOW Senice 6nhance Size: u Fce Feeders&Su6feeders: n Fee C'vcuits: # Fce 0 to 100 Am s. 1 7.50 0 to 30 Am res 0 to 30 Am eres 101 to 200 Am s. 31 ro 100 Amperes 31 to 100 Am eres Above 200_A . (i (?\ Above 100 Amps. Above 100 Amps. Transf RemoteControlCirc. Partialocotherfee Signs ? Speciaf Ins ection Minimum f 8.50 Remazks Lf- TOTAL 4E $,50 I, the Electrical ]nspector, hereby certify that the above inspection has been ma e. (Rough-in) Date (Final) Date ?1.0 ? This request void 18 months from _ 7/(0 L(1 (0'7 d3 Q?, This request void ] 8 monL`is.4lSrom co -:z ? Date+of this Request 7-2-81 Fire No. T40829 I, as CA Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: LOT 1, BLK.3, PARK CLIFF ADDITION Street Addressor Route No. 4614 PARK RIDGE DRIVE City EAGAN Section' T Range County DAKOTA Which is occupied by OZMUN - PEDERSON (SPEC HOUSE) ` (Name o} Occupant) Is a roughin inspection required on this job? No ? Yes IN Ready Now ? Will Call)0 PowerSupplier DAKOTA FI FfTRT(' Address FARMTNC.TbN Electrical Contractor JEMM ELECTRIC? INC. Contractor's License NoA40117 (COmpany Name) Mailing Address 20480 JACQUARD AVE. W. - LAKEVILLE 55044 (Ele rical ontract or Ownar Making This InStallation) Authorized Signature Phone No. 469-4938 (Eleclri<al Contractor or O r Mekin fils Installatlon) ?? oOQ?°3D QO/?p? Th inspection request will nat 6e accepted 6y the ?'ll.=i1 ? U State Board unless proper inspection fee is enclosed. nnnw?a amtn ouam m necotcery Griggs Midway Bldg. - Room N191 Universiry Ave.. St. Paul, Minn. 55104 - Phone 297-2111 IF-r F?QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED SY THIS REQUEST T 40829 Typaot Budding New Add. Rep. Check Appliancea Wired Fm Check Equipment Wired For Home XIE ? ? Range ? TemporaxY Wuing ? Duplex ? ? ? Water Heater ? Lighting Futuies ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ? [ndustrial Bldg. ? ? ? Air Condinonec ? Bulk Milk Tank ? Fatm ? ? ? List + L ist O[her ? ? ? p } Hehel$) p HeheTS? COMPUTE INSPECTION FEE BELOW Se ce Entiance Size: # Fee Feedets&Subfcedets: it Fee C'vcuits: u Fee 0 tu 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 12. OQ 31 to 100 Amperes 31 [0 100 Am eres AwONOOL?Am bl Above I00 Amps. Above 100 Am s. Ta RemoteControlCirc. Partialor otherfee 5 s Special Ins ection Minimum £e Re ks TOTAL I,the Electricallnspector,hereby (Final) This request void 18 months from the v inspection has beery,^y iG Date ? d . .pate ?0 rr i titp "of ? -agan,?. ??P{tFIT#ItlPttf tif B1tiltltttJ ;?Thu CZrti ficaae dstued purauant so tht reqsirementt of Secaon 300 o f the Uni fmni Builrling;. °.` Codd certi fyrng that at tbe Ldme of ittrwnce tbis struaare wat in com plraace uith tlu variour_ -:` i ordirutncu of tIx CrEy rrgulaung bnildin$ corutruction or urt. For the (ollowing: Single Fami73F lhvg/Gsrage sm?w?nno ?66$8 , o.w.-iTrw' A3„'rrwc,. V r,? zo? NA ' za,ftouo??? .?,gl HuOdlo¢Addeea.;42, .?. ?. .? ; 777`"'?\ BY„ c ?. ?uuumngam ? C/. _ //? .. /. . ._ r.. ? ?M. ?.. l ._i JNa1M.lLI.CF ?& RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstructionReauiremants RemodeUReoairRecuirements () • J registerea site surveys showing sq. R. of Ict sq ft. of house: and all roofed areas • 2 copies of plan (20°b mauimum lol coverage allowed) . 1 sel of Energy Calcula6ons for heated addi6ons • 2 copies of plan showing beam 3 vnndew saes, poured found design, etc.) . 7 srte survey for extenor adtlAions 8 Cecks • 1 set of Energy Calcuiations • IiMicate d home served'oy sept¢ system for adddions • 3 copies o(Tree Preservation Plan if lot platted aker 711193 . Rim JoLst DetaJ Options selectlon sheet (bitlgs with 3 orles5 umfs) ? DATE G\° 0? VALUATION iULTI-FAMILY BLDG _ Y ? N FIREPLACE(S) _ 0 )( 1 _ 2 APPLICANT STREET ADDRESS _LeZ?y7 4&C?'i1?Fe ?jJ& S. CITY&t4g/e STATEzWZIP,5:M7 TELEPHONE #CELL PHONE # A),92 Q90:2=?9 FAX #?59_ ?,16? PROPERTYOWNER Tw.-10 TELEPHONE#?S? 1?Qa 2m COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS aNLY Energy Code Category _ %fI\\FSOT.\ RGLLS 7670 C.YC1iGORY l NII\N150'C.\ RI'I.l:ti 76712 (J submission type) Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: NIcch.mic;il sy,tcm includcs: Sewer/Water Confraetor: _ Water Softener _ Water Heater _ No. of Baths :1ir Condiuonin, _ HeaL Rccocen Sqstcm Phone # Iawn Sprinkler No. of R.I. Baths rEe: $90.00 Phone # ??y,70.00 SEP 2? 2002 Phon?# ? l _-- _? ? ----------- ------------------------------ I hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY • Residential Venhlation Category 1 Worksheet SubmiKed • New Energy Code Worksheel Submitted • Energy Envelope Calculahons Submitted Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY • ? 01 Foundation ? 07 OS-plex ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (1-sea.) ? 33 Ext. Alt • SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 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 (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCiES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaUC.O. _ Footings(deck) FinaWo C.O. _ Foonngs (addition) _ Plumbing FoundaRon HVAC Drain Tile Other Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ AinGas Tests _ Final _ Framing _ Siding Stucco _ Stone _ Fiteplace _ R.I. _ Air Test _ Final _ Windows (new/replacemenry _ Insularion _ Retaining Wall Approved By , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total **********?*****??********************* CITY OF EAGAN CASHIER: JS TERMINAL NO: 695 DATE: 09/27/00 TIME: 13:38:48 ID: NAME: MI2WEST CEDAR TIMBERROOF CO 3210 9001 4614 PARKRDG DR 167.25 2155 9001 4q14 PARKRDG ?R 4.50 Total Receipt Amount: 171.75 CR137919 USER ID: JAN f 0 1 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ctrv or EAcar z q q y 3850 PILOT KNOB RD - 55122 851-881-4875 New COns1nx.Man ReaWrert?enh D 3 reylatered sife arveys fhOwlnO t0. M1 of bt, W. R W hOwY Gntl la roofed aroas (7076 max(mum lot covaraae allowedf D 4 Coplef d danf (fhow baan a wlMbw aizes; Dourod Ind deaiW. 6tC.) D 1 set ot enerqy cdWlqllorq D J copiei ot hae preaenalbn plGn M IOf phMatl Cdfor 7/1/91 DATE: q"D-p'ccD DESCRIPTION OP WORK: STREET ADDRESS: LOT: I BLOCK: J SUBD./P.LD. t: _ Pp rk Cli T Name: .?P•rscn 'F-r?'C. pr,onet: (P51-/452- 949(o PROPERIY Lmt Flnt OWNER Sheet Addreaa: Ljul? _ 'P?V_ eI cIQP ?Y. CItY ffi.LX)Ln Sfate: K41`l• Lp: _ Pk51a.3 coR,aanr. M id WeS? Cfrl i v TI rn a?P vnone o: 9sa - $08- 1144 CONiRACTOR (area code) Sheef Addrow. QI 6 W, t2i ver b'd (' i'rc.U ucenee r Z6k133La Em. 3/zool cny BL -a rlSville srate: Mn, zip:5,533-7 ARCHIiECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Addreas: RegishaHon #: citY Sicte: ZIp: Sewedwater licensed plumber (H insfallina sewer/water): Phone #(____) I hereby xknowledye that I have reod thla cPPkatbn, dafe Mhat 1he iMomwtlon b cortecf, and apree fo comply wHh aA appBoable Shde ol Minneaota Sfalufea and CHy of Eapan Ordinancea. Siyiwhire of Applicant l I? G`u ?? e ReN OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes _. No _ Not Required Wp0-11i 4 toplas of plal 1961 ol enerpy cdcWOMOnt fa haaFed addlloru t we wner r« waea« aaanioru a aeew coNSrnucnoN cosr: $qLl 5- ?? V f OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation O 07 OSplex O 02 SF Dwelling O 08 06-plex O 03 01 of _ plex ? 09 07-piex O 04 02-piex p 10 OS-plex 0 OS U3-plex 0 .11 10-plex O OB 04-plex O 72 12-plex WORK TYPE O 31 New 0 32 Addition 0 33 Alteration O 34 Repair 0 13 18-piex p 21 Porch (3-sea.) O 17 Garage 0 22 PorchlAddn. (4-sea.) 0 78 Deck p 23 Porch (screened) O 19 Lower Level O 24 Storm Damage Pnp ra_N O 25 Miscellaneous 0 20 Pool p' 30 Accessory BWg. 0 36 Move Bldg. O 43 Reroof O 37 Demolish (Bldg)• O 44 Siding 0 38 Demolish (interior) p 45 Fire Repair 0 42 DemoBsh (Foundation) O 46 Windows/Doors ' Glve PCA handout to applicant for demolition permit GENERAL INFORMA710N SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ctry Snc Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. • Park Ded. Treils Ded. Other Copies Total: 5AC Uniis % SAC 0 O O ? 31 Ext PJt - Multi 33 Ext. Alt - SF 36 Multl PGf MEMO T0: GENE VANOVERBEKE, DIRECTOR OF FINANCE/CITY CLERK FROM: THOMAS A COLBERT, DIRECTOR OF PUBLIC WORKS DATE: JULY 15, 1987 SUBJECT: CLAIM FOR DAMAGES - 4614 PARKRIDGE DRIVE SPRINKLING BAN - LOSS OF WATER The City has received the attached claim for damages incurred to the homeowner's water softening unit that resulted when the City lost pressure and volume within our water distribution system during the emergency that occurred, on June 15 and 16, 1987, I have verified this bill with the repair company to ensure that the damage was a direct result of loss of water in our system in this neighborhood which resulted in a back siphoning effect. The result was that the resin within the water softener was drawn back through the system and subsequently had to be replaced. If payment is approved, it should be made directly to Milbert Company, dba Culligan Water Conditioning Company, at the address on the enclosed invoice with a copy to the homeowner. If the claim is denied, a letter to that effect should be sent to the homeowner with a copy to the repair service. I would appreciate beinq informed on the final decision regarding the status of this claim as submitted. Di`rector o u lic Works TAC/jj cc: Joe Connolly, Superintendent of Utilities r '?? LJ NEW ACCOUNT itr vvw? ,'? 1 94 0 A2 J I1 ia3zlcst d?.?t:Yil rs. ?? Y3?':?1 NO. r ? ? eUU;c.4., vral.r c.::dt,tza.,g e,?IRV I.1 ?t°E!s?:Ya. Address ? ?r:;:.9 52, F6M: t-03 5507$ If L 457•2241 J oitterent L J ' ?'tocatlon/Stete:,` .K,;;" /i ccti ? iNumbor,"?,' /°? ?? r ? a ? y , . CJ ( ' Sa ?.I• ?- ? 4... ?.1 ^ ? p ? ?, ? ? _ -• " ' ; ` " " ^ h D ? O d r Db N ?` e ' 4 fl . ? ,?, y ymca sy prtc ase?, .. ,? r B 4 qa r; t ; . ,;r . I E ? CS ES ,. L I - PLEASE RETURN TOP PORTIOM WITH REMITTANCE sERvIcE cALL G /z4. ("k 0 THANK YOU! IA ? F CLE tcFau VlE@8ff 1001 plZl71C t`a -,0.' L sov;5 sa. rrac:l, WS-3 5401 a J Form E Rev. 1185 451-22•$3 CUSTOMER COPY SUB TOTAL 98 1 " flecavetl6y ? ? ? a ? ?r ? • ? . . .. . . .. . .,. . .... . ,: _. ,: . •.: , ,?.;:. ?...? .. . .,. ? __ _ i_.. _Y_.. ?_. .. _ . _ . . _ _ . .._ ...__ .. ? . .: . .... . . . .... . . . . : : I ?..] .. .. r.a_,?_ ._ .., ,:vP. ?-?t_5,?.'?Z?`•s"&,c,'`,,a{'.??'?..if??'.'?.?, "Y' ,;., .? " °.i_?3:{?i.::,:' r,-i ".`,• 5T-? F,;.C`•?.i.Y y? s?.?,',.''';ri7',?:p . ? _.w ? + ,? y _ ,?tWTSe.?ESa.t?•Ky?w'??',?'.?„a?'F^'?:l?P?;i1:.. °..,?,L?Mi?$ie Nhi. ? I. .'?q ?? . . 1. , ,. -' 3'?i j?' y S? xW`J ?;'n .s»?'•'w??+b ?r'i???'.v: :? 1 - 1 tt???. ?`q p., ??.?'`? .??"N-i0V:?%?ty'-?., 4 `• °i` Ti''+* s +r,?r ?j? ..... :i?'* ' s 4j.&? g??:•, '!,w?`+,??' q''?°?fi"'S?n?` J / .. v ??? ?a???yip.rh:?. - W?1?N? -----._.._-'•t"-°+--+'a.-?'?..-_.__.? ?.....i?-i. ?U",.?:{:_. ..v?. -6WAAr -------- ------ ------------------- ,-.?d;? ? •.,:'?..:?.; ... ??,,;,?? n // .:r F:3?: . 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' ' ' _ _ ? .'• _:' _ . _ , ' •_41.. =?_. 2004 RESIDENTIAL BUILDING PEKNIIT APPLICATION City OfEagan ? y. 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 ?W "1o:oz) New ConsimcHon Reauirements RemotleVReoair Reouiremenis 3 registered site surveys showing sq. ft of IoL sq• ft. of house; and all roofed areas 2 copies of plan - (20°I. maximum lot caverage allowed) 1 set o( Energy Calalations for heated additions 2 copies of plan slawing beam & wintlow sizes; poured tound design, etc. 1 site surveyfor additions & decks lsetofEnergyCalculatbns Adddion-indicatei(on-sitesepticsysfem 3 copies cf Tree Preservatlon Plan if bt platted after 711193 Rim Joisl Detad Optiore seleciion sheet (bldgs wilh 3 or less uniGs Datc 5? / J3 / o'( SiteAddress 1.. Construction Cost ?Wk4dv A2 UnitlSte # Desc:iplionoFWork Mulii-1'ami[yBldg _ Y _ N Fireplace(s) _ D ? PropcrtyOwner G1912J(. ,JL-NSC ? Telephone#(cv) y'l 499c Contractor Adilress Sintc n? Zip 5-?-;337 City ??vlG d Lr Telephone#Of9J'v733 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 En?rqy Code Category . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet (Jsubmission type) Submitted Submitted • Energy Envelope Calculahons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review fee cpplies. Licensed Plumber Mechanical Contractor Sewer/'vvater Contractor Telephone #( Telephone #( Telephone # ( ) EM g m ? U ? I hercby apply for a Residential Build'mg Permit and acknowledge that the informatio is complete and accur4e; that ihc work will be in conformance with the ordinances and codes of the City of E u?'^*° ^'' ^1n.T Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perniit; that the work will be in accordance with the approved plan in the case of work w' requires a review and approva] of plans. ? ?0//Nj *1`?? AppI i canYs Printed Name Applicafit's Sign OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldc ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazeba) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building' O 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED IN5PECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tesffi Final _ Framing _ Siding _ SNcco _ Stone _ Brick _ Fueplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall P,pproved By: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2004 RESIDENTIAL BITII.DING PERNIIT APPLICATION \ ?? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtion Reouiremenls RemodelRteoair Reauirements Otfice Use Onlv 3 registered site surveys showing sq. ft. of bt, sq. R of house; and all roofed areas 2 wpies of plan Cert of Survey ReW _Y _ N (20°k maximum lot cove2ge allowed) 1 set of Eneigy CalculaGOns for heated additions Tree Pres Plan Rea! Y N 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & dedcs Tree Pres ReQuired _ Y_ N lsetofEnergyCalalations Addrtan - indlcateifonaifesepficsysfem Onsite5epticSystem _Y _N 3 copes of Tree Preservation Plan if bt platted after 717193 Rim Joist Detail Opfbns selection sheet (bldgs witli 3 or less units Date Site Address .?-- Construction Cost iD 6)(mil- UniUSte # Description of Work 3tg-e .e- &? ? . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ? 1 _ 2 Property Owner Telephone # (40 Contractor Address State Zip City Telephone # pr,?) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateaorv 1 • Residential Ventiladon Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minaesota Rules 7672 . New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and aclrnowledge 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 plan in the case of work which requires a review and approval of plans. ' 'NcAa 5cln.G&r ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_vor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addidon) Foundarion Drain Tile RooF Ice & Water Final _ Frazning _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaVC.O. FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date ( l a c) l O?, Site Address y ? / cy Unit # Property Owner JE?_ r ? ?- .S e- ?S <-? Telephone # (?a « ) Q/ 9 - ?702 `J ? Contractor 12253 Nicollet Avenue South Street Address City T6l E?h011B:952-746 52% Te?e hone# ( ) State , _ p - NL -57? J S 6 7 ExPires: B d # on : The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional k,,?eplacement _ New air exchanger air conditioner heat pump other State Surcharge 50 Total , $ -30. S CU i i ..._ ? . ------ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, 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 cas of work which requires a review and approval of plans. ZL4Y 071 N -"1 ? I A plicant's Print d Name ApplicanPs Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete Cor. commerciaUindustrial buildings multi-family buildings when separa[c permits are not required for each dweqing unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) ContraCtor . ,. i;,i?? '; sC>?S Street Address ty ,iJT oe'#f' T ?'"^J ' State ( ? elep6o . . i Zip ?uw,.°J i• i°?,.: .i,..1 Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove `*see below Interior Improvement _ Install Piping _Processed _Gas Nature ofWork: **When rnstalling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permil Fees: $70.50 Underground tank installation/removal $50.50 .Llirtimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If ep rmit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that tne mtormacion is compieee anu acwcaLc, Lila< <I« wU« will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but onty an apphcation 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 approva] of plans, ApplicanYs Printed Name Approved By: Inspector Applicant's Signature Date: Required Inspections: _ U.G. - R.I. - Air Test - Gas Service "Cest - Infloor Heat - Final . KOEHNLEtN 12700 N.COLLEI P'.'ENJEfiOnt. /'?.-?-,,, ?-; ?; "•-r ?; {^??/. ?L, `1'N? R PNONE 1W1 d90tM W1 ??.•'1--? ?? ? ?I W?? . LIGHTOWLER 8UflN5bLLE. MINNESOTn 55331 ' ' JOHNSON r??'?,{_'.? f='("?c? .l ---? - --y- - - t wcoN P oR A rc o ARCHITECTS FARGO, NORTH DA((OTA MORRIS, MINNE6CTA EN6INEERS pHOENIIi. ARI20N/? r % .? ? , / ? INu-- o ?'N ,. \ ? N , A-p ° q ? ?a : t V lu ? V. V;' P. `Q (71l ??=t-:•'- _ ? l1Tl i_R`? ?A`'.:E>M?;T ?• d? I hcreby certifq that thia ou", plon uw report was prcpared by me ot uAdCe ifly dIClCt aupervision and that I Rm a duly ltaglseett$ Lnnd Surveypr under cye lawa of ehe Stnu of Minnesota. Dat-- Rag.IVe.?.?,....?.,. !-?.t.. , .. ,.. . . KOEHNLEIN LIGHTOWLER JOHNSON 1 M C O 11 P O 11 P T L O ARCHITECTS ENGINEERS 12700 n.r.outI nVtN, Ir sn, rt. PHONE 16121 .390.1'/1 OUHNSVILLE, WINNESOT< 55331 FAfiGO. NORTH OAKOTA MORRIS. MINNE60TA PNOENI%.ARIZONA F="mc7j ( pP?=?? Gnt1t % pIGL WI?-I?-l_EIZ M? ?\?? z?`, ° I N? I c:+/k'T? `? IF"zd I fi ?/ ??_ ` ; ! sl / ? M \ \ `jo fl! r.? ?'D ir" 9Give ? n ? ZyARA6.E. ?.? 1 ?._ L-j? n'''/ HOUSE ' ,j 'IV -aa V`?. ?'?-t•:' ?-" - ;'? ?-l? L_r':?f ??r.:E'?''??'=, :r --?, 1 hcreby certify that thit sutvey, plun nt report was prcpared by me ot utldet ttty dIMtlCt supervision and that I nm a duly lZeglueted Land Sucveyor undec che laws of the Stnea of Minnesota. Date- R4 xr' ??^ ?753 1.4? 2007RESIDENTIAL BUILDING rExnuT arrLicaTTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 l3o. P) New Construcfion Reouirements Remodel7Reoair Reauiremenis Office Use Onlv 3 registered sile surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing fooUngs, 6eams, joists Cert of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 set of Energy CalculaUons for heated additions Soils Report _Y _ N 1 Soils Repod if proposed building is to 6e placed on disturbetitsduN _ ,- 1 site snrvey for addtlions & decks Tree Pres Ptan Recd . _Y _ N. 2 copies of plan showing beam & wmdow sizes; poured found n?.?? ?Addifio?? indicate ifon-s8e septic system T2e Pres Required _Y _ N isetofEnergyCalculations Oo-site5epticSystein _Y`_N 3 copies of Tree P2servalion Plan'rf lot platted aftRim Joist Detail Op6ons seledion sheet (buildings j Minnegasco mechaniql ventilation form C??d (?/?S ol?..? nrn rnn¢irlnrnrl niihlir infnrmafinn Wtinla?41: vnu state thev are trade secret and the reason. r- / 00 Date Construction Cost Site Address a/ Unit/Ste # ?Q wt S- z 3 Descripdon of Work Multi-Fami(y Bldg _ Y N Fireplace(s) _ 0 2 Property Owner Telephone # (6s/ Contractor tov C.pia !O ?G?? ?/,7 aS Address City ta/-t-" Ol State IL4 ti Zip 5FO2 Telephone#(4512-) ?lvb'''??Gz- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOr? _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . 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 plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor T l.ereh.. ..lo fnr o R..ciA..nfiol Rnilrlinn Parmit anrl anknnWlP.fj4P. Telephone #( Telephone # ( Telephone #( information is comrolete and accurat e; ..,.,, _,.r-, -..• _ ---°----•---- -----a 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 plan in the case of work wh' requires a review and approval ofplans. ApplicanYs Printed Name ApplicanYs Signature DO NOT WRITE BELOW TAIS LINE Sub Tvpes r , -. ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 30 Accessory 8fdg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? ' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? [ ,QN / 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buiiding• ? 43 Reroof ? 46 Windows/Doors ? 34 ROplacement •Demolition (Entire Bidg) - Gi ve PCA handout to applicant DeSCriDllOtl: Water Damage _ Yes Ualuation Occupancy MCES System Plan Review ? 100% or ? 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new 61dg) ? Foatings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fueplace _ R.I. _ Air Test _ Final Insulation Appraved By: ? Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. .( FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Bnck _ Windows _ Retaining Wall Building Inspector ,?)IW6- 3/ 0C9 0 . . a KOEH NLEI N LIGHTOWLER JOHNSON i n c o R P o A A r c o ARCNITEGTS EN6INEER3 12700 k-GOIIE1q??ENiIE Snlil MO?+E (6i.') n90•tJ1a r BUflNSNLLE. MINNESDTP 55331 FARGO. NORTH OA?OTA ?!1?y ?" MORR18, MINNl66TA I??Y'.--f,.?wn?.d-??'?''?.??? PNOENI%, ARIZONA . t/?y,?? ?( 'T e7l u? / A,u- P-paA.r2-1 N6(D ° iH;?)iCA"FF-- -3 IRa I ?o e ?? ?? • ? \ f V?! ? / i t / 0 ? / TiRRAGE_ Ho?sE . J ??'t=i' ??"? "' s?. L+TI LI??`? i hcreby certi{y that thls au", plen ur reporc was prepared by me or under roy dlract supervision and that I am a duly 1Zeglstetad Land Surveyor under che laws of the Stnie of Minnesota. , N \?\ ?1,0. : /1 \ ? IQ9 ? `.--, iI ii.r,inu I NVii.0rl. nVIR;1I:k "1t^ inNl'lilq'IIUN Address Phone-&]/2 '??? :gal Description of Froperty: LotBlock ?AdditionDate_Z8±y7?_ te Address AVERAGE LINEAL FEET OF E!CPOSED WALL AREA ABOVE GRADE tin level /-?-G 5 Lineal it. of framed wall above grade1+4; -x height of wall e? im joist area ?- Lineal ft. of rim _- height of rim ?c?-?,GU _ , ?wer level Lineal ft, of framed wall ahove grade ?--? x height of wall = Lineal ft. of masonry wall above grade Iy 4 x height above grade TOTAL wail area above grade including windows and doors =-7 77Z, 6;,D T 1NDOk'S: Area x "U" value ake 6 type sq. ft. s??17n ° (U) (A) ?sq. £t. X itUli _ (U) (A) sq. ft. X lo Ur. - O : ?i"tS(o sq. ft. x ,?U.. T S - 00 tU) (A) 3,.5 6 sq. ft. , Z - x (II) (/1) : ^ •n (U) (A) `??--sq* ft. SO x L ° =70i- 0 sq. ft.X nUl(lT) (A) u 4, P C}-O 6Q. fL. g uUn (U)(A) u n -?, _-' L?X lCJ /G J°? sq. ft. x nU?l??i, (U) (A) n n sq. ft. 8 nUn = (U)(A) sq. ft. X 'lUll _ (U) (A) sq. ft. x liUlt _ (U) (A) sq. ft. n ° (U)(A) sq. ft. X' U" ' (11) (A) sq. ft. x -U-- . (U) (A) n u ' sq. ft. % nUn (U)(A) - sq. ft. X ',Ull (II) (A) u n sq. ft. X nUu = (L') (A) 156,_?8 =?5.26 100RS: Area x "U" value ? ?lake & type /' ?? d C//v Gd ? ?Cr/jYL 3q. ft. 2?r OD g nUn , 4'? _ l 0? f'J ?U) ?A) n n ??_' 8 ry/rL, /5, sq. ft. 35, J 4' g nUu (U)(A) J"l'.?7(p?fv'??'G sq• ft. 1 4-, 0_D x nV?..J =?(L')(A) a• Z 67 IPAQUE WALL CONSTRUGTION; Area x"U" value ( 2Z??? ? . sq. ft. R 'lUll (A) sq. ft. G g liLn ? "(t1)CA) ?f F?Y/H/GiIG G1?C3?.?9i???5 sq lUn (U) (A) Detail refer?- znce from -Fl2LF?NE7J V?l C..L . ft. (U)(A) `'LC--T` sq. ft. Z Z.00 xU , q attached -- ? x "U" , 6 ?• L¢ (i') (A) sheets sq. ft. ?? ??U?---_ <ir)(A) sq. ft. (U)(A) " _ sq. ft._ x _ U" X?O -?- , 10TAL Wall Area Including ? - ? a-? %?'' , J_> Windows 6 Doors Z? J / ` TOTAL (U) (A) ?-? 709'AL (U) (A) VALUF.S AVG. U ' r^_ -- GIVIDED BY T'OTAL WALL AREA e,VERA(;E "i'Minimum .17 or less for 1& 2 family dwellings Minimum .22 or less for all other buildings NIOTF.: If avprage "U" values as calculated above do not meet the Energv Code requirements, the "nlernate Envelope Design" as indicated on Page 5 may be used. ? ' . .- FWIMING MEMBERS IN WALLS R-Value Top View NdLL S?CTI?hd Ex?terior ? .}7. .-- bGTEs uae 1u,6 -?- .?!J of opaqlle ? • ?`7 ' Siding°???_.?.?^------ -- -- vall area for framin I? Sheathing ye ?_ _ ?•? _ members AW soft vood ---41M-- Y" flxy wall • ^`--. __45• Interior air film '68 TOTAL R - 1 C=1- ? L U - 1/R U = . C`C-)q7 _FRAMED WALL Exterioz air film Siding • (f12 Sheathing '-L?-- 1"011 ,!" batt insulation .45 is" dry wall _ Interior air film - - .68 ? TOTAi R - -? . u - i/a u = .c74 A RIM_ JOIST AFt?_ Exterior sir film ---- u Siding'"??._?- uq.D op _ - ?? Shea£hing , ua_ ?'??------- 1.88 1 " of 7?s3 s s .68 Interior a1r film - ----- - TOT.AL R = U _ 1/R u MASONRY WAIj_. (2) Exterior air film 12" concrete block Insulation Interior air film . U = 1/R ---?--Z ?--- .68 TOTAL R =..._l_ ?"? - -• U = .Lt?p . ,. • _ ; - ROOF CEILIAiG F -- -- / Y--:.?-s ---- - _ Outside air film ____._61 _ __ ?i Insulation ? GE'.? L ?lL?? _ 40, 0-b _ Y" Drywall Interior air film 0 = 1/R --- .45 _--- _ .61 TOTAL R Z U Outside air film 61_ Znsulation Y" Drywall .45 _ T Interior air film .61 TOTAL R = u = i/x Outaide air film Rui 7 t typ rnnfjnp?-" '-- u= .i7 Insulation +?- ???` ? i . TOTAL R U = 1/R U =??,-- - ROOF/CGILING: r r ? TOTAL AREA: f sq. ft. -'` aU?r x 9• t: i =3 `h" n I°'? ` (U) (A) : .- erence Detail re r = ft (L')(A) from above. " " x sq. , ft _ (U)(A) Describe openings U x sq. . _ ?A? in roof "U" x sq. ft. _ (rr) (A) nUn x sq. ft. _ ?L) (A) ilUn x sq. ft. _ <L)(A) nUn x sq. ft. TOTALS `sa. ft. .... ,c (U) (A', TOTAL (U) (A) VALUES 1 AVG "U" DIVIDED BY TOTAL P.OOF/ . CCILING ARF.A ? AVERA(:E "l;" .OS for ventilated roofs .10 for all other constzuction ,IU'fE: lf averape val.ues as calculated above do not meet the Engergy Code requirements, the "Altcrna[e Rnvelope Design" as indicated on Page 5 ma y be used. Wood decking Interior air film ._61 (3) Use BLUE or BLACK Ink I For Office Us _e I I~~ I City of Eakan i Permit _T1 I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _2`4 0 Site Address: I ~ l , i Tenant: Suite RESIDENT / OWNER Name: t-a ► Phone: Address / City / Zip: S..w.z4 A--> Applicant is: Owner contractor TYPE OF WORK Description of work: Lee- A4ek Construction Cost: Multi-Family Building: (Yes ! No ) CONTRACTOR Name: e L C-Qli" PO 1, 5 License 3C- 2e-,3 e- 3 `t Address: 2- 0 S-7/a City: I_e, 3y J State: Zip: if Phone: J f Z%G - -Zbge Contact: Email: 4x - f c~r'tt APA- COMPLETE THIS ARE NLY 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: 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 the are trade secrets. 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.gopherstateonecall.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. x x Applicant's Printe Na a Applicant's Sign!ta Page 1 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110423 Date Issued:05/10/2013 Permit Category:ePermit Site Address: 4614 Parkridge Dr Lot:1 Block: 3 Addition: Park Cliff PID:10-56700-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Joy Post 1408 Northland Drive Suite #310 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Eric D Jensen 4614 Parkridge Dr Eagan MN 55123 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119797 Date Issued:12/18/2013 Permit Category:ePermit Site Address: 4614 Parkridge Dr Lot:1 Block: 3 Addition: Park Cliff PID:10-56700-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . David Laliberte 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 - Eric D Jensen 4614 Parkridge Dr Eagan MN 55123 Liberte Construction LLC 2838 Fremont Ave Suite 310 Minneapolis MN 55408 (612) 321-8003 Applicant/Permitee: Signature Issued By: Signature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ity of Eagan Permit Type:Building Permit Number:EA150773 Date Issued:07/24/2018 Permit Category:ePermit Site Address: 4614 Parkridge Dr Lot:1 Block: 3 Addition: Park Cliff PID:10-56700-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Eric D Jensen 4614 Parkridge Dr Eagan MN 55123 (612) 930-8606 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature