4615 Parkridge Dr? . '' CASH RECEIPT 0
CITY OF EAGAN
P. O. BOX 21-199
` A , MINNESOTA 55121
? DATE 19
,
_o
?
AMOUNT
& DOLLARS
?oo
? CASH F-I CHECK
/
FOR
RUND CODE AMOUMT
4 r. ?
l
? i
Thank You '
B,r
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
0
RECEIVED
FROM
CASH RECEIPT
CITY 4F EAGAN
P. O. BOX 21-199
EAGAN,,.NF1111N,ESOTA 55121
0
A? DOLLARS
too
? CASH _] CHECK
i
FUND CODE pMOUNT
l
t-z-
Thanpou
?
?: , . .
White-Payers Copy
Yellow-Postin9 CoPY
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING 'ERMIT Receipt ?j
To w w?d far ?F Q?iG?G?R Est. Value 79.000 Dcte ?OL-Y 13 , 19?L_
Site Address 4613 pnM incas DRIVS E,ect
Lot 4 eiock Z sec/s.b. PAR1C CLIF! ADD[/ Remcc_. L, zoni,';, ? 1 _
Parcel No. Repair ? Type of Const. 31
Enlarge ? No. Stories
? Name D1?VID E. 11ND NANCY G• NEIL Move ? Length 4
Z Address 7823 GLENDA CT BO Demolish ? Depth 50
9 ...__ "p V1T.i.RiL,?--- L49 R71/L Grade ? Sq, Ft.
A Name ?
u? Address
Citv
1 here
the ii
Stota
l
Phone
edge that I have read this applicotion and stote thot
is correct ond ogree to comply with all appliwbla
Dta Stotutes and City of Eagon Ordinances.
Assessment
Water & Sew.
Pol ite
Fire
Enp.
Plonner
Countil
Bldg. Off.
APC
Var. Oate
Feas
Pertnit '
Surchorqs 39.5
Plnn check5• 00
SAC 525oOO
Water Conn.470.80
?
Woter Meter 63.0
Rood Unit 260•00
Perks
Total 1 e t.1 cr
Siynoturo of Permittea DAVID I
l? Buildinq Pern,it is issued to: E?ID N?N6'Y ? 116ZL on the expmss condit?? that
all work sholl be done in accordante with all opplicable 5tote of Minnesoto Stotutes ond Cify of Eapon Ordinances.
9uildinp Offitial
Pwmit No. Permlt Holdsr Dab
P???irig ,'b! c?. -5 8
H.VA.C. ?IS?? Cv t. A-) ?r
Eleteric g 10,00 '?'CM
154 9 ow^o.r L3ls?v (? .cro
Softener
(nspection Date Insp. Other
Footinys
gt/
Foundation
?/?}-
•;?;?' .
Framinq ?
Rouyh Pibg.
Rouyh HVAC ?
Inwlation 0 ?
Final Plbp.
Final HVAC
Finai g5- ??, ?L(f
Cert/Oce. 41j r?$S'
Water Deseribe Location:
wan
s.we.
Pr. Disp.
Receipt
MECHANICAL PERF
CITY OF EAGAN
Permit No.
? Fee
' fill in numbered spaces S/C
Type or Prrnt legiblx •
Tot. • ; ??
,
1. Date ? 2. Installation Cost
3. Job Address Lot L/ Blk. Teact
?
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 11" Commercial O Institutional ?
9. Work Description: New 0 Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No. Epuiqment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. ng:
r
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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
Receipt? ' PLUMBING PERIMIT Parmit No. CITY OF EAGAN
r , Fee
j ? ?Fill in numbered spaces 5/C
Type or Print legib/y Tot.
.Y
1. Date 2. Installation Cost
3. Jo6 Address '?• Lot Blk. Tract
i
4. Owner
5. Contractor Phone
6. Address
7. CitY ! State Zip .
8. Building Type: Residential L?f
9. Work Description: New .6
? 10. Describe
? 11•
Commercial ? Institutional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
- -
51op 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: far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTIUN RECURD
Control No.
f CITY OF EAGAN PERMIT TYPE: Aull Dj NO . 4
I 3$30 Pilot Knob Road Permit Number: 661466 '
Eagan, Minnesota 55123 Date Issued: Q9
(612) 881-4675 SITE ADDRESS: LOT, q HE OCh : ; APPLICAMT:
461Er F'i4itkRIi1Qr DFi WEIL C1AVID
F'AftkCt?( I (612) 452-9Zjj0o--
---J
PEAYIAT
NAI) SU?BfT?YP:F??SO ?Y TYPE OF WORK: ppOITIOli
pESCKIF'YION ATTi4CHfU
Permit Mo. Psrmk Holder DaUa Telephone A
S!W
PLUMBING
MVAC
ELECTRIC
ELECTRIC
Inspaction [?aEe Insp. Comnxreta
Footingsl 7/wAl,
F4uridatiDn
Framing
Roofing
RoWh PIb9. i
Rough Hig.
l6Ul.
Fireplace
Final Htg.
Orsat Test
Flnal Plbg. Plbg, fnspector - Notlfy Plumber
Canitt. Meter
EngrJPlan
Bldg. Final 7 y, r
l
bedc Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition p}LRK CT•TFF AnDN _ Lot 4 Rlk 2 Parcel
Owner ?'+'%j, r; , Street 4615 Park R1dgE Drive State Eagan, MN
( , { , It {A I,
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1981 280.00 8
*SEWER LATERAL3 t? ir
WATERMAIN
*WATER LATEfiAL 1981
WATER AREA
STORM SEW TRK 1981 502.04 33.47 15
*STORM SEW LAT 5L' 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 2 7-21-84
WATER CONN. 470.00 11
BUILDING PEF, ir n
SAC
PARK
CITY OF EAGAN SEVIIER SERVICE PERMIT
3830 Pilot Knob Road , .?
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121-`1 DATE: ?•777T
Zoninp: av y? No. of Units:
Owner:
Address:
sire Address: ar r ge r ve c ar Cliff
Plumber: _ AX ? _.'`eC 19ri CH
1 egne to emPh? wll6 fIN Cihr ef Eages
Ordinoeea.
By
Date of Insp.:
warE
Qote Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Esgan, MM 55127
Zoniny: 7
Uvner: ' U e i l
WATER SERVICE PERMIT
PERMIT NQ.:
DATE:
No. of Units:
Address:
Site Address: /? ( t ?' . • ' _ ; , _ - ? _ ?; ?? _,. -, . . .
Plumber
AAeter Na..
Size:
Reader No.:
I e9me to oemPly wilh iM Cihr of Eegsn
Oedlnoneer.
8y
Connection Charge:
Accourit Deposit: _.'•I'v Yi.
Permit Fee:
Surchorge: 50 P`'
Misc. Charges: E3.00 pcl meter
Totoi: _
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninq: RI
PERMIT
DATE: _
Co?mectron Choroe: _ 425.00 pd
Account Deposit: 15.00 pd
Permk Fee: '?-
Surcharye: -' ' Misc. Charpes:
Total:
R
SERVICE PERMIT
No.: 5692
9-5-84
of Units:
Owner. David W i 7
ress:
it! /1ddre,s: 4615 Parkri rlvenritra T4 a2 a....t_ nl i FF
Ark Mechanical
4:6er: rNo.: 3q.3 d, 7c2 2 .P' Connedion Chorge: 47n _ nn pcl
Size: CA7 1 C Accoum Deposlt: 15.00 pd
Reader o.: 6 '73 L 17 2
1 a9ee? ta PF?r wilh 16* Cify of Eeg?¦
Ordiea
By
Date of Insp.: ?
Permit Fee: 10• 00, pd
Surckarge: - .50 vd
Mlsc. CFarges: 63-f10 nd mPtar
Totnl:
Dote Paid:
Insp.:
t? -L.,l? 2 _, ??s??- ?RnG,?'DiJ R ? Ht? ?? D?/?
, CITY OF EF?GAN Include 2 sets m
3? , 1 Certificate o£ Survey &
? BU;LDING PERMIT APPLICATION 1 set of_ e rT7 cal.culations.
To Be Used For Valuation ? 7?,00? •?? Date ??
Site Paidress:
Lot k_ Block ? Sec./Sub. ?
Parcel #:
Raner: I7t? ?,???. F. IVANCV ?• ?a?e l L
Address: 7R,13 GL,eNdfl CT ?.
City/zip Code: ?nn?y V{}LLFv SSI??
OFFICE USE ONLY
??rect ? occupancy R- 3
Alter Zoning R-I
Repair Fire Zone
Enlarge Zype of Const. ?
Nbve # Stories
Demolish Front 48 ft.
Grade Depth E? ft.
Phone #: 419, -?(o `I 1(n T- ApPROITATS FEEs
Contractor: :?5Q M e 14s 4^1je .
Address:
City/Zip Code:
Phone #:
Arch./Ens•- P?GN, sQP-.
Pddress: 539°i ()D,Oo2 1+a7?'ST
City/Zip Cade: A?,?_\)Hl.I.ey
Phone #: 4a3-,i77 s
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldq. Off.
P.PC
Permit 3-70. °-'
Surcharge 3 9.
Plan Checlc ? 5, =°
SAC 525 '°
Water Conn.
Waber Meter to 3 °-o
Road Unit 21o0.'O
TOTAL i) 9)a so
?? - -
??? = 3?? 4 f -? 1 ? 35
22x ? - S72 x I ? ? ?2qZ
79 326
?
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT Receipt
?
Te M wed te. ?• nmrjr_L71
Est. Volue -70 ?nnn Date -rrirY 2a i9-34_
SiteAddress 461 P RKRTD . DRTV . Erect Occupancy R 3
lot4_Biock 2 c¢c/Sub, ARK ADDN Remodel ? 2oning R 1
Parcel No. Repair ? Type of Const _V
Enlarge ? No. Stories
Name DAVID F._ AND NAN(`Y C+_ WF.TT. Move ? Length 48
7823 CLF
NDA C T Sn Demolish ? Depth50_
;
b .
Address
Grede ? Sq. Ft.
City APP VAT.7.F.Yvhone 417 6716
? 5AME AVDrovub Faet._
ZO Name
?u Address l
City Phone
Name W7'P3A--C$r-gLAA1-ucn?vz?_ a-
Address 5-497 [JPPF.R 147TH ST
c;ty anp VATTPhone 423-3775
I hereby ackrwwledge thot I hove read this apDlicotion and stote that
the informalion Is correct ond ogree fo wmply with all opplicoble
State of Minnewta Stofutes ond City of Eo9an Ordirwnces.
Sipnoture of Permiftae _
A Building Permif Is issued to:
oll work shall 6e done in cc
Build7ng Offlciol
Assessment
Water 8 Sew.
Police
Fire
Enp.
Plnnner
Gouncil
Bldg. Off.
APC
Var. Date
Permit aiv . uv
Surchorge 39.50
Plon check 185.00
Snc 525.00
Water Conn. 4 70 . 0 0
WoterMeter 6 00
Rood unir 260 _ 00
Perks
Total 1, 93:2. 50
DAVID E AND NANCY G WEIL on tha express conditlon that
nce withAll applicoble State of Minnewta Statutes ond Ciry of Eagan Ordinonces.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0d? A
?' Se¢ inshuclians 10r romplBfin9 14is 10rm On baCk Oi VlIIOW copy. /?? j?
A jn°? '"R" Below Work Coverer7'by This Request ?
AdJ Rep. Type oi Bwldtng ApOlan,cB9 Wifed Equ,pment WneA
Home Range Tcmporary Service
Duplex Water Heater Lighnny Fixtures
•Apt BwlAing Dryer Elec[nc Heatin
Commeraal Bidy. Fumace Silu Unloader
InAustnal Bldg. Air Condrtioner Bulk Milk Tdnk
Farm oinN, aec? v nin, lsuea00
[ er Speufy O[her pther
Compu[elnspecUan Fee Below
k Fea SarviceEntranceS,ia p Fee Feeders/SUbfeeders N Fee Crtcwts
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmp5 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_n'2 s
Transtormers Irngation Buoms ParLal.'Other Fee
Signs Special Inspection ? TO A
Rerrw rks VTEI?ls
ftouBh-in
Final Date
"?-Albl ? actncal
InsOectoq he?eby
cartdy thpt the above
ys e tmn nas baen
This requeet voltl 18 months irom
This request vmtl ?1??? ?
18 monffis fmm ? ?(a
A ?1`7 ?,?, ? L ?f 9.) 40.t..K C9L,*JJ
?(13(BY
Request Date -
J
?% Fre No. RouPh-in Insper.?
Heqoired?
?Reatly Now Will NoLiy Inspec-
wr Wh
R
d
?Yes ?No en
ea
y
? Lice?sed Eleclncal ConVacmr I heraby request inspecbon ol above
ner er ? elechical work installed at.
Stree,t Addres?sY Box or FouteIN? o.
`/? '?? ?/ /? ?//??
/-? CHy
ecvon o. 7ouynship Name or No. Ranye No.
Occupant (PRIN4T) Phone No.
7/ ?
A13
2
41" ,
L
Power PDHe, Address
Electn I Contractor (COmpany Nainel %
d CuMractor's Llcense No.
u,
Mailine P.ddress IConvacmr or Owner Makiny Install tmnl
Authonzetl Signatury"(C rac or/O ner mA Ins IaLO Pho715 Number J
MINNESOTA STATE BOAPD'OF ELECTFlICITY TNIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Poom N-191 BE ACCEPTED BY THE STATE BOAND
1821 Umversity Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnnn 16121 297.2111 ENCLOSED.
\
y?( /?Jyr? REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
?!? ! C? ' See inslruclions for completirq ?his torm on Eeck of yellow copy. ??? 19 ?
uot "X" Below IVork Covered by This Request
Npp Add Bep. Tyoe o1 BuilEing Apphancaa Wved Equipmenl WireA
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixmres
Apt. Building Dryer Electnc Heatin
Commerci2l Bldy. Furnace Silo Unloader
Industnal Bldg. Av Condittoner Bulk Milk Tank
Farm otnrr soec,ly Inei ISUecilvl
t er Sueu(y Ot er OlhEeF
Comnutelnspecuon Fee Below
p Fae Sa?,riceEntrencaSize q iee FxeJers/Subfenders # Fr;e Guwrts
00 U to 200 qm>5 0 to 30 qm s y' 0 tn 30 An• i
Abo e 200 qmps 31 [0 100 qmps 0 31 ro 100 q S
Swimming Pool Above 700_Amps Above 100_Amps
Transiormers Ircigation Booms .;d Partial.'Other Fee
Signs Special Inspection 3
n
S TOT FE
Pertwrks
-
?^ y _
E
Nough-in Da he E e rical
- ? ? ?pectur, hereby
certify thet tM1e abova
Final 7D ?O /_ ?{?pecLOn has been
?ede.
fhle reauest voitl 18 mantAS from
'hisrevuestvaiA
_ s moricns r.um
A n?=, li qL ?culc C4
?fZ3lgy \
!o .CTt>
Request D te Rre No. Rouuh-in Ins :uan
fl a ireJ>
I
ElReady Nuw Will NoLty Inspec-
R yes ?No ror When Ready
Licese EI Inral ConVar.[or I hereby repuest inspaction of above
Owner eleclrical wark msialled at
Street Address, 9ox or Route Na. ty
Ci
/
? / / (T
ecuon o. Township Name or No. Ranp¢ No. Count
OccuoantlPRINT)
~ Phone No.
Power Sup ier Address
Electncal Contractor ICompany Nnme) Convacinr's L?cense No.
i r We; L
MaJine dJress (COMracmr or Owner Making InstaVlxtion) n
tL
C. C
8-2 h? ?
A
(Ch ct Owner a kinB Installab n) Phone umber
=
/
' 77
MINNESOTA STATE BOARD OF EIECTNICITY
GrigBS-MidwaV Bltlg. - 0.oom N-191
1821 University Ave., St. Peul, MN 55100
PM1nnw 16121 297.2171
THIS INSPECTION REQVEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS VqOPEN INSPECTION FEE IS
ENCLOSED.
9D4M
2005 RESIDENTIAL BUII.DING PERNII'T APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #(
New Constructlon Reauirements RemodellReoair Reauirements Orike Use Oniv
3 registered stte surveys showirg sq. R of lot, sq. ft ot house; and all roofed areas 2 copies of plan CeA of Suroey Recd _ Y_ N
(20%maximumlotcoverageallowed) lsetafEnergyCakulatansforheafedaddilions TreePiesPlanRecd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 7 stte survey for addNons 8 decks Tree Pres Required _Y _ N
lselofEnergyCalculations Addttlon - indicateifomsitesepfksysfem OnaiteSepticSystem _Y _N
3 copies of Tree Preservation Plan i( bt plaried after 711193
Rim Jolsl Defail Optiore selecfion sheet (buildings with 3 or less unifs)
Date lo / 9 I ?6?-7"
Site Address ?/j (7?=?
i Construction Cost
? a(J(? - Unit/Ste #
Description of Wnrk
Multi-Family Bldg _ Y_ N ireplace(s) _ 0_ 1 _ 2
Property Owner N Telephone #(lpS?) lG?lo 7l i?
Contractor
Address
State / Fr7? City
Zip 5.5377>7 Telephane #(q:52) -70 7 0,?'?'?'?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Coda Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consfructed a buifding in Eagan with a simiiar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical ContraCtor
Sewer/Water Contractor
tlll
$qo.Oo
(.? ?_c C4--
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 plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? OS OB-plex ? 16 Fireplac0 ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
O 03 01 of _ plex ? 09 07-plez ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ 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 WindowslDoors
? 34 Repl2Cement 'DemoliGOn (Entire Bldg) - Giva 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 (addition)
Foundation
Drain Tile
Roof Ice&Watec Final
_ Framing
_ 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
Totai
REQUIRED INSPECTIONS
_ FinaVC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Srone _ Brick
W indows
_ Retaining Wall
Building inspector
.?
QWNER
SITE ADDRESS
£XTERIOR ENVEL"OPE AYERAGE "U" CUMPUTATION
CONTRACTOR (7 ,ea p- ?K 4 4 1? 4 r DATE PHONE Qv J1 -Z//
Determine working square footage of each. It
1. Total exposed wall area .,.,,.?d .? sq, ft. x7' s
2. Total roof/cetling arEa .,.,. C2G/.Zj' sq. ft, x„19S •
, 0Z6
Total exposed eraii area above floor •?77- 7G
a. Total wa'il window area,,,,,,,,,,,,,,,,,,,,,,,,,,, 14 3.i/
b. Total door area ,,,,,,,,,,,,,,,,,,,, 17_F /
c. Total sli6ing ylass door area ................... g¢,ofi
d. Total fireplace wali area........................
.--
e, Total wall framiny area (dveraqe 10%)........,.,. /U b 9,
f, Totat net wz11 area above floor .,, [,?y?m?,z d
g. Total riro joist area ,,,,,,,,,,,,,,,,,,I..,...., a ?.
Total e,posed foundation area = S 3-('L ,
h. Totai founCaticn vEindow area .....................
i. Toal net foundation area above gra?.e ,,,,.....,.. ?
Determine "U" value of each :wull segment,
a. ! YT-?_ x l,u„ 7? 7/
b. I 7_F/ X 11U41 J3 n 4?/
C. 00.0Y X uuu • JJ y 6'0 oZ.
e. ! z „u„ --
e. 1 e6•0 X --U"? D`? • 16.7
f- ? 090.2a x"un b4! • 4?.c0
g. I-q 0'4a X Pue _ OY ` ?"G[
h. _ X 40
x ^v^ . 47 . 9. 06
3 ................ 1r&Q:J.Q.,..........Totat ' X
? 32,7 q
k
]f item f3 is the sam2 as, or less than item /1, you have met the tntent
of S8C 6006(t)2.
?otal exposed roof/ceilinq area = ,(-Z ?r
j, Total skyliqht area.............................
?
k. Tota1 roof/cei)inq framing area (average 10%),,.
?
t. Total net insulate6 roof/ceiling area........... j 7-(e/- Zj'?
Oetermine "U" value for each roof/ceiling segment.
) X ,luil ,
k. X „ull - a
fZG/ 2 (`. -- X ???n - 01C _ -,?--('? f
4.......... t.?Gl; z.T,,,,,,,,,,,,,Total •?? -?-??-?
(F? k
if toCa1 of 64 SS the same as, or less than 02, you have met the inteni; of
SBC 6006{c}1.
Alternate Building Envelope Design
To utilize the total envelope system method, the vaiues established by the
sum of items d3 and 04 shali not be greater f,han the sum of items il and 02.
+ 2,__? 23-7,4`1 X
3. zi 'C65- + a. Z9q-7/ x
WEPJA CO. PLAN SERVICE
EDANDERSON
qRCHITECTURAL DESIGNING ANO PLANNING
5397 Upper 147th Street
Apple Vafley, Minn¢SOtd
Resitlence: Oftice:
423-5658 423-3775
? CI4Ck EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4615 PARKRIDGE DR
LOT: 4 BLOCK: 2
PARKCLIFF
. ATTACNED
Buildin.g Permit Type
Building-Work Type
UBC Occupancy
8uilding Width GARA6EJflCCE550RV
Construction 7ype
Zoning
Building Length
ADDITZON
M-1
V-N
R-1
16
23
REMARKS: L'03-D '6' q?
BUZLDING
001456
09f17/92
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
CONTRACTOR:
$72.00
$2?50
$74.50
$5,000
OWNER: - Applicant -
WEIL OAVID
4615 PARKRIDGE DR
EAGAN MN 55123
(612)452-9775
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 Mn.
Statutes and City of Eagan Ordinances.
L
APPLICA ! /PERMITEE SIGNATURE
A?oc,n 4a1J.l mY_
ISSUEDB:SI NATURE --T
Control No. 1069
INSPECTION RECORD Control No. 1069
CITYOFEAGAN PERMITTYPE: euTLozNs
3830 Pilot Knob Road Permit Number: 001456
Eagan, Minnesota 55123 Date Issued: 0 9/ 17 / 9 2
(612) 681-4675
SITE ADDRESS: Lo r : q B L 0 C K s 2 APPLICANT:
4615 PARKRI06E DR WEIL DAVID
PARKCLIFF (612) 452-9775
?
?
R ?? 4
PERMIT SUBTYPE: TYPE OF WORK:
GARAGE/ACCESSORY ADDITION
DESCRIP'i'ION ATTACHED
PERMIT N "
REACTL'!ATE " _
01CITY OF EAGAN
IdirL
1992 BUILDING PERMIT
681-4675
APPLICATION
-t 94'? a
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date SepT /114_ / ?-;t, Valuation of work hL 000
Site Address: N1o 1 S PR2ky-xd? p p?
STREET Q SUITE R
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD. PR2.-.'C L. t4 P.I.D. N
Descri tion of work: N
The applicant is: ? Owner ? Contractor ? Other coegcrine> ?
Property Name Phon L4 5?L,- G 77 5
LAST F,as,
Ovirner V?'nf;l1 Z;3?.?+
pddress µ(?15 (?AelcR,??,
STREET STE /
City (=ac.aN State I'1irJn1 Zip S51a,l
Company Phone
Contractor Address License ? Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
CitY State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved. '
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Si
natu
f A
li
t?
Q ?
?
g
re o
pp
can
w,,co
(? .
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 foundation
? 02 SF Dwg.
CJ 03 SF Addition
? 04 SF Porch
13 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
TJ 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 37 Demolish
? :.?..? ?.
O 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accesso ry O 18 Comm./Ind.
? 14 Fireplace O 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual ) 0_1
(Allowable) UBC Occupancy Zonin
/ of St gories Ip-l
Length --?
Depth Xi
APPROVALS
Planning
Engineering
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
REGIUIRED INSPECTIONS
? Site lp Footing id Framing
? Wallboard -Y,final ? Draintile
y 38
? Insulation
? Fireplace
Permit Fee 2,).; veiweion:
Surcharge 2
Licenseview
Mwcc sac " y 3-f Z
City SAC
Water Conn.
Nater Meter .
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
* - . -
s ? ? . ..
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
2/a4
CITY OF EAGAN
' APPLICATION FOR PER'9IT
Il
1
" SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINi)
1) P1.P.OPE.4TY ACDR°_SS: ? ?? s a IRaC 0? ?@ Wa
r.Fr?I, DFS=T_C:I: Q ?? ? SLAck 2 N
RVsc
L@"
.
-
(L0t/31ock/Subcli7.7isicn or TaX Parcel I.D. Ncrber)
Cii? : Q_' QP-TCii.1AT. 2ti11: r.-G F=.'1'?'
-- --• --
f PR=...?.'__' .?.''.'127-./=."C'cC= l•J_.: R'.L SLiiLu C:=
?
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' .
L R-2 DUP= (1LtiU L?IITS)
? R-3 TGQ\ECt;SE (T:-S?.^.?"c + V?IITS) ( tNI"_'S)
? _R-4 ApART. "TM'`7?'/CC?IDaLr:IL:-I ( Wi ITS )
p .Ti.'DUS IRLU
? I:15TIT'?'TICt.?I./G???,.T:?n?'P
2) APPLIG= IPLEaSE ?R(9iJ
rra,•?: '?A ? t i?C l v?ce ?l?
ADDRESS:
CITY. STa'!':,', zIP: '?PilVP VA -6\) 1 ' ? N N
PHeNE: "a -(n7 I l,
j) nom,_,nr?
ru?NIE: (P?-ASE PRINi)
A&Ier 6M..)? ?- L FOR CITY USE 09LY
-
ADDRESS: `
Ltf?_csq PLUMBERS LICEBSE:
Active
CITY, STATE, ZIP: A'917e?r?tij? 0? Expired
PHOiVE: nN) i?.
PLIIMBER LICENSE N Q Not oi Record
?rr ini[i?
4) 0=21,N'j`/CPf[`M kYLCA?G YHINIJ
ruu,IE:
aooREss:
CZTY, S'PATE, ZIP: /
PHO^IE: - -
$) INDIC= FII-IIC:I PEP.tilIT IS BEP:G F1EQLTS'ITD:
CL%TIEC^_'IaN 'ICJ CITY SL.;•]ER
ccr.TN=zcy TO czTr ivaTEIz
? CII'!M2 (PI7'ASE CESCi2IBE)
O) L'JUll.:ia.: U;.L]
2
? PT-` E F?OLD APPR(NEp PER?LIT FOR PICn-UP BY ONE OF 1BOVE
LE3SE SAIL APPROt,^;D PEFZ•LLT TO 1,Q 3, 4 ABOVE
(Circle one)
7) SIa?TL:?E: DATE:
MR /! ?1:wa+?FA i? i fRl?:s?a +? as rf s+ss:? a I? o s r:ss:a:? ? ua r! ?.a? rr-l?-?S? r?e s st?ti. i
R C I T Y U S E ONLY •. 1 4
PERMIT - ISSUED
FEES: $
$ G?.3. ?-c
S
$ ?
$ i ? •--o
$
$
$
S
S
$
S
S
Sr::'n nrp%ITi
WATER PET2P4ZT (INCLUDE SURCI:ARGE)
WATER METEP./COPPERhORN/OUTSIDE REAuER
WeIT.°._'. Ta2 ( INCi.uDE COF.PCRAT=ON S':C? )
S°:•]E3 T.T-.P
ACCCUNT DEPOSIT - SEi•;ER
ACCOUNT DEPOSIT - tdA.°_R
wac
sac
TRJVri WaTER AssFss.:ENT
TRli.7:: Sc:vER ASSESSi•?ENT
LATE°AL BLNEFIT/TRUDIK SES•:ER
LATERAL BENEFIT/TRU.IF S4AT°_R
OTHER
S
$ ?l • Sd
TOTAL
AMOU2IT PAID/R£CEIPT ; -,14oa7
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK SVITHIN
PUBLIC ROADWAY" MUST SE ISSUED BY THE
? NO ENGINEERZNG DIVISZON. LZST AS A CONDI-
TION.
SUIIJECT TO TIfE FOLiO:•JIrIG CO;dDITIONS:
(.
APPROVED BY:
TZTLE:
DATE: j ?-.5- -t? ?
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DVANCE
SUAVEYING 6 ENGINfERING CO.
Z
5300 HIGHWAY 107 SOUTH
MlNNETONKA, MINNESOTA 55343
JOB NUMBER
_SECfTWP/RIV
George Lutz CLIENT
LEGAL DESCRIPTION:
Lot 4, Block 2, PARKCLIFF
6/27/84 DATE SURVEYED
7/6/84 DATE DRAFTED
30 SCALE IN FEET PER INCH
PROPOSED ELEVATIONS:
lULS. /b FIRST FLOOR
1017.75 TOP OF FOUNDATION
1013.55 GARAGE FLOOR
1013.75 LOWEST FLOOR
1002.00 SANITARY SEWER
1012.24 BENCHMARK ELEVATION
BENCHMARK DESCRIPTION:
Top of manhole as shown
STANDARD SYMBOLS
Denotes 112" ID pipe with plastic plug
bearing State Registration No. 9235, set.
Denotes iron monument found.
Denotes cross chiseled in concrete surface.
"982x5" Denotes existing spot elevation measured
at the point marked by "x", in this case,
982.5 feet above mean sea level.
"982x5" Denotes proposed spot elevation at the
point marked by "x".
Denotes proposed direction of storm water
runoff.
CERTIFICATION
I hereby certify that this plan, survey, report
or specification was prepared by me and that I
am a duly Registered Land Surveyor and Prof
sional Engineer under the La' N s f the Sta
Minnesota. ? .. ?/
H. Parker, Minn. Reg. No.
10 33.14
"I5 •_
, 1016K ?
,q?
oy ? 1020.59
? J???zS ?a
1? ?
?g 3 4; s? /o, >y3
2 PROPOSED
? ?
.09 4
? DWECL/NG
y
1019.19 - ?
0 ? ?
?
' IOi5
l w Gan.
'` w s ?S a ?
Sm SN"
?
x
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9 ?
? w/01.2s 7
o
' ,? s
? .6 w'ro? 1013.3 1012. '
` . o ?w ?SZ•?s
y
0
?
Bench Mark pA'QLr Ra ? O p 9f
Manho% 'Q/p?. f 630
Dao
Top /ai2.z¢
Iriv. 1002,69
1015.65
? 1015.59
?w
i/
?/ '-iooa,ae
f .
.
_ 30 /
i nn-r aa
1006 "29
30
1011.05
; 1009 49
i
]?\
./
C?
? y
.
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106543
Date Issued: 0812712012
~it~ of 11QR Permit Category: ePermit
Site Address: 4615 Parkridge Dr
Lot: 4 Block: 2 Addition: Park Cliff
PID: 10-56700-02-040
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Repair
Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 8,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Minnesota Window & Siding Erik M Johnson
1710 Douglas Dr. #290 4615 Parkridge Dr
Golden Valley MN 55422 Eagan MN 55123--213
(763) 545-0545
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.
Applicant/Permitee: Signature Issued By: Signature
' Use BLUE or BLACK Ink
. ---------,
� For Office Use I
I �
I
' � Permit#: � � � �
Clty af �a�a� �
� �� �
� Permit Fee: R � �1�
3830 Pilot Knob Road ,,. `�� � � ��'� �, I �r� �
Eagan MN 55122 � Date Received: � '�
Phone:(651)675-5675 � j�
Fax: (651)675-5694 � Staff:� �
L----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� ��0�5 1 �2 Unit#:
Date: I Z r S Site Address: AaK21 Dl�(�
Name:�rCl Qrl►� �A RA J�4 N Sc� rJ Phone: �S�—z7�' �Z�0
' 'Residenti �� Q I\
� Qyy�g� ` Address/City t Zip: y b�S I D'R1L(t I �b� IJ2
Applicant is: �Owner Contractor
TypeOflM�i'k Descriptionofwork: N�W Ci�ais. ��Vn¢S_ ��tJf A2T►7/�N (�,��llS� ��C,
� �v
Construction Cost: ZO �Ou�� Multi-Family Building:(Yes /No �C )
Company:�f KRl C�eV �o.,S'r1�w�r�n._4 A�,.+� �r►t�le'�'�.JContact: ��c� n<✓✓��15�°t'� '
� �' � I
Con#ractor ' Address: 3`I32 ��nm•ciK �.�Q `�3 V ciry: �A��, M�
State�'l/�l Zip: SS123 Phone:(�SI- `���-Io�H`� Email:G�� C'�v���'t,��1�Pw�2c�iA'�"�o�ic,-�t7!� I
License#: �� �3�S�P� Lead Certificate#: N��7 � �2�o � 32 —�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
a
� 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:
a
Sewer 8�Water Contractor: Phone:
N�TE:F►a�s and supporttng documents�hat yoct subtrrif are cvnsidered#c�6e pubfic irrforrnativn. Portic�ns s�f
#he ireformat�on m�y;be ctassi�ed:as non pub�ic if yau prarride sp�+c��reasons#hat would permrt tt�e City to
concfude t/rat the are�ade se�rets,
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 utilfies. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and a�urate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I undersiand this is not a permit, but only an application for a permit, and work is not to start without a permit; thaY the work will be in
accordance with the approved plan in the case of work which requi�es 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.
x C tf A'D ���[2�,a t�a.J X
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
. . . G �� �.e� ��� � � �
. . �'�/.� � � .
� ' DO NOT WRITE BELOW THIS LINE .. �� C�� �� .
SUB TYPES . � �
Foundation Fireplace _ Porch(3-Season) Exterior Alferation(Single Familyj
�Singie 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 lmprovement _ Siding _ Deinolish Building*
Addition Move Building Reroof Demolish Interior
� Aiteration . _ Fire Repair _ Windows Demoljsh Foundatio�
_ Replace _ R�pair _ Egress Window Water Damage ' •.
_ Retaining Wall *Demolition of entire buildin
g—give PCA handout to applicant
DESCRIPTION � � . � �
Valwation � _��_:� Occupancy MCES System
Plan Review Code.Edition SAC Units .
(25%_100%_) � Zoning � � /7 j� _ .City Water
Census Code Stories t�� Booster Pump � �
#of Units " Square Feet PRV � .
#of Buildings � � � � Lengfh � - ' Fire Sprinklers
Type of Construction � Width � � . . �
REQUIRED INSPECTIONS � � � �
Footings(New Bu'ildin.g) Meter Size: � .
Footings(Deck) Final/C.O. Required .
Footings(Addition) � Final!No C:0.Required . � � .
Foundation � HVAC_Gas Service Test�� � Gas Line Air Test �
Roof:_1ce&Water _Final Pool: Footings Air/Gas Tests _Final
� Framing Drain Tile .
Firepface:_Rough In �_Air Test _Final Siding:�Stucco Lath _Stone Lath _Brick
� Insulation . . Windows � . .
Sh.eathing � Retaining Wall:_Footings_Backfill � Finai
Sheetrock Radon Control .
Fire Walls � . ' Erosion Control �
Braced Walls � � Other �� � � � '
`��
Reviewed By: . . , Building Inspector .
RESIDENTIAL FEES . ' � � �
Base Fee . ��r.t�`r���� ����� �''���������`� �
Surcharge �
.e''
Plan Review � ,r,_ �y
MCES SAC . � f �,"{�"_�. . ..-- ` �°�
� �� � .
Cify SAC . . � � `
Utility Connection Charge � � � � .
����. :
S&W Permit&Surcharge � �� � , . .
Treatment Rlant � . , , � � .
Copies � � . . � � � . ..� ;��
� TOTAL . . ,/ ,
: . � • Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151158
Date Issued:08/10/2018
Permit Category:ePermit
Site Address: 4615 Parkridge Dr
Lot:4 Block: 2 Addition: Park Cliff
PID:10-56700-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Erik M Johnson
4615 Parkridge Dr
Eagan MN 55123--213
(651) 270-9210
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature