4622 Parkridge DrCITY OF EAGAN
3795 Pilot Knob Rood Eagon, MN 55122 N! 6487
PHONE: 454-8100
BUILDING PERMIT
39.000
Site Address
Lot Biock
Parcel #
aWc Nome
Z
b 3 Addre
°L Name
0
?? Addre
?- r:...
Name _
Address
Receipt #
Erect 0
Alter ?
Repair ?
Enlorge ?
Move ?
Demolish 0
Grade fl
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Water & Sew.
Pol ite
Firc
Eng.
Plnnner
Council
Permit
Surcharge
Pian check
SAC
Woter Conn.
Water Meter
Rood Unit
I hereby acknowiedye that I hove read this applicotion and stote that g?? Off.
the information is wrrect and ngree to comply with ali applicable APC Total
Stnte of Minnesota Statutes and City of Eagon Ordinances.
Sipnature of Permittee
/1 Building Permit is issued to: on the expreu condition that
oll work shall be dor?e in accordance with oll applicable Stote of Minnesota 5tatutes and City of Eagan Ordinances.
Buildinp Officiol
PeewM # Dab IMUed Pnwitfw
Plumbing 2,224D 5'-2 ' ,F/
Mechanicol
ic
? -?
INSPECTIONS ATE INSP.
Rough- I n
F inal
Footings ,/. 1(- Dnfe Insp. Date Insp.
Foundotion PI umbing
Fram /ins. Mechanical ?
mol
Remorks:
Jl` ?•?"Y?'?'?
3 - 3
a -47-el ` )?;?4O?cP
Racefpt MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fee
Fill in numbered spacas S/C Type or Prinf /egib/y -
Tot.
1, Date ' 2, Installation Cost
3. Job Address •, , ? Lot, Blk. ? Tract ?
4. Owner
5. Contractor ? Phone
.
6. Address
7. City State Zip
8. Building Type: Residential C7 Commercial ? Institutional O
9. Work Description: New C1. Add ? Alier ? Repair ?
10. Describe Fuel Type
1 11.
No. E_caui?m? ent 8TU - M. Ea.
Forced Air Ft f-c-V«CC' No. Enuiament CFM
qi
H
i
Mfg. ? 2-l ( Z q r
andl
ng:
Boilers to SS o w
-Ax
l
Mfg, g _ ? ? ? $Z 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 ordinance; and codes governing this type of work.
Signed : for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. cirY oF EAGAN
- 3795 Pilot Knob Road
Eagae, Minnesota 55122
No. Phene: 454-8100
PERMIT
Date:
Site Address:
Lot
4622 Pazkridge I7Er.
Biock Sub/Sec.
,..?,., .. . -
Name - ° . ? .
g Address
?
City - Phone:
I E?]..? :-, i
Nome '
.
?
g Address
? , -
City - Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto 5tatutes and City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Recefpt No.:
Single
Residential
Comm. / I nd.
New/^Iter./Repafr. Cost of Instoilation
Permit Fee Surchorge
Tota I
done in accordance with all oppliwble State of
Building
Na 11
cirY oF E?"N
3795 Pilot Knob Raod
Eagan, Minnesota 55122
Phene: 454-8100
PERMIT
Dote:
t'. .. -'•?? ;2"? : '? (.'
Site /lddress: -
Lot Block Sub/Sec.
PaZk'CIj.ff
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
5ingle
Residentioi
?3r41
Multi Res., Comm./Ind.
Nome ! N
/Alter
/ Re
oi r
ew
.
p
Address Co
t of Instollution
? s
City Phone: Permit Fee
Name Surcharge
.
? Address "C
'
?
t? .. .,?
Ciry ' Phone: ., .
Totol
This Permit is issued on the express condition that
Minnesoto Stotutes and City of Eogon Ordinances. all work shnll be done in accordcnce with cll applitable StoTe of
Official
CITY OF EAGAN Remarks
Addition pARK C`T,IFF Af]T1N Lot 3 Blk 3 Parcel
Owneri- ? 1,"k l vi r Street 4622 P3rk Ridge Drive State Eaqan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSUFF, SMMLMP, 198
STREET RESTOR.
GRADING
SAN SEW TRUNK `.r 19$1 280.00 18.67 1$
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA 261.34 C007124 -2 -$j
STORM SEW TRK ? $ S$ C007124 -24-81
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 305.00 22923 1/15/81
BUILOING PER. # 2
SAC
PARK
C17'r ,x EAGAN
37 . _ ilot Knob Road
Eagon, MN 55122
Zoning;
*()vner:
Add ress:
Site Address:
Pf umber:
agree ta eomplr with the Ci?r of Eagan
?rdinanees.
By
Date of Insp.:
SEVYER SERVICE PERMIT
PERMIT NO.:
I7ATR•
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surtharge:
- Misc. Charges:
- Total:
Dcte Paid:
-
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Site Address:
Plumber:
Meter No.: Connection Charge: ?
5ize: Account Deposit:
Reader No.: Permit Fee:
1 agree ta eomply with the Ci1y of Eagnn 5urchorge:
Ordinaneea. Misc. Charges:
Toto I:
By Dote Paid:
Date of Insp.: lnsp.:
CITY OF EAGAN
3795 Pilot Kno6 Rood Eagan, MN 53122 N2 , 6487
PHONE: 454-8 f 00
BUILDING PERMIT APPLICATION Receipt #
To 6e used for SF DWG?G}1R Est. Volue 89,000 Date 1-1 S , 19_$1.-
Site Address 4622 Pdrk Cllff DY. Erect g}; Occupanty R3
Lot 3 Block 3 Sec/Sub. ParkCllff qlter ? Zoning Ri
Parcel # 10 56700 030 03 Repair ? Fire Zone 3
E
l v
t
T
f C
n
orge ? ype o
ons
.
w Name Alexandt-'r BllTa2r Move ? .#' Stories z
3 Address _ Demolish ? Front 52 _ ft.
° Ci Phone Grade ? Depth 44 ft.
p 027=_p,?APS iIIC Aoorovals Feea
, p Nome SOTl . ?
Addre 08 Oc'1k $t.
a? '3
auningt°n,Mc-,,L..__ 6 -4555
Name _
Address
Water & Sew.
Police ?
Fire
Eng.
Planner _
Council _
permit 17y.uv
Surcharge 44.50
rian check 99.50
snc 525.00
Water Conn. 305.00
Water Meter 60.00
Rood Unit 1$5.00
I hereby ackrrowledge ihat ! have read this applicotion and stote thot gldg. Off.
the infnrmation is correct an agree to comply with all opplicable 1 418_00
State of Minnesom Statute Od /C?ry of /9+?9 O nances.
Signature APC Total .of Permittee L i"ft'6"t?"" ?
A Building Permit is issued to: 0=m'P KrSOri TriC. on the express condition that
ull work sholl be done in uccordance wit nll applic?t?a?te -o-f?-M-innesotu Stafutes and City of Eagan Ordirwnces.
Building Official ? -?-?L-f?c.-t?'-0::c /
To Be Used For
site Pddress: L//, A„j- y4 __ Z
I.ot 5 Block ? Sec./Sub. ? ?GG( •
Parcel #: ,???r??ZQ?Ll1?0 424
O.mer:
Pddress:
City/Zip Code:
Phone #:
Contractor:
Address: /G ST
city/zip c.«1e:
Phone #: l??3 ?-?5?? ?-???Z`?"
Arch. /Fng. : 67i/?ILfN 'J f ?E?S ?
Address:
CIT'i OF EAGAN
PERNIZT P.PPLICATION
;000 Date 13 OFFICE USE OALY
Include 2 sets or plans,
1 site plan w/elevations &
1 set of energy calculations.
Erect occupancy iP 3
Alter zoning 77 L
Repair Fire Zone 3
Enlarqe 'iype of Const. ?i
Nbve # Stories 2
Demolish Front
Grade Depth y y ft.
APPROUFiLS FE ES
JI
Assessments I?4ezmit J 9
44 f, 06
Water/Sewer urcharge tI y 30
Police Plan Check q f _,ra
Fire sac sa s 40 0
Eng, Water Conn. 3 a S a a
Planner Water Meter G D.o D
Council Road Unit e a
Bldg. Off.
APC
City/Zip Code:
Phone #: TOTAL / ?/ ? j4 61
mmnesoca saate noara or tiecttiaty ?
Griggs Midway Bldg. - Rmm N197
'182:4Jniversity Ave., St. Paul, Minn. 55104 -Phone 297-2117 ?
REQUEST FOR ELECTRICAL INSPECTION 1?z?
CHECK BELOW WORK COVERED BY THIS REQUEST
EB-00001-02
89920
'Iype ot 8uilding New Add. Rep. Check Applisnces W'ved For Check Fquipment Wired Fm
Home
Duplex
Apt. Bldg.
Commeicial Bldg.
Indus[rial Bidg.
arm
?
?
?
? ?
?
?
?
? ?
?
?
?
El Range
Watei Heate[
Dryec
Furnace
Au Condidonet
List ?
?
?
?
? Temporary Wuing
Lighting Fuc[ures
Electric Heating
Silo Unloader
Bulk Miik Tank
List
?
?
?
?
Other
?
?
? p
Heiers?
Oehers?
fj
C-OMPUTE INSPECTION FEE BELOW
Semice Enhance Size: n Fee F eedecs: # Fee Circuits: # Fce
D to ] 00 Am s. 1 o ;. 0 t m s 0 to 30 Am eres
101 to 200 Am s. to? A ces 31 to 100 Am ies
Above 200 Amps. r ' 1b Amps. Above 100 Amps.
Transfoimeis RemoteControlCire. Paztialorotherfee
Signs S ecial Ins ection Minimum fee
Remarks
TOTAL F E?; CO
J
8.50
I, the Electrical Inspector, hereby certify that the above inspection has been ma e.
(xough-in) Date
(Final)
This iequest void ?- ?
18 months from
This request void / J .? ? ??????? ? ?, ? ?' /
18 months from
Date of this Request 1-16 - 81 Fire No. S g9(?
" Z0
I, as M Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
StreetAddcessorRouteNo. 4622 PARK CLIFF DRIVE ?;ty EAGAN
Section Township
Range County DAKOTA
Jb7uchisoccupiedby OZMUN PEDERSON, INC. (ALEXANDER BURGER)
(Name of OccuOant)
Is a roughin inspection required on this job? No in Yes ? Ready Now M Will Call ?
PowerSupplier DAKOTA ELECTRIC Address FARMINGTON
Electrical Contractor J EMM E L E C T R I C. I N C. Contractor's License NoA4 0117
(COmpany Name)
MailingAddress 20480JACQUARD AVE. W., LAKEVILLE, MN 55044
Authorized
or
Na.469-4938
NQM BOaQD
This inrspection request will not be aecepted by the
State Baard unleu proper inspection fee is enclosed.
REQUEST FOR ELECTRICAL INSPECTION
27129 ?JtSm.instrucpuns (or compieting thts torm on back ot yellow copy.
"X" Below Wofk Covered by This Reryuest
Ed-DOOOLG`
3133
sle? Adtl ep. -(ype of Bwlding .QPOliances Wired Equipmenl Wvatl
X Home Ranye Temporary Service .
Dupiex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silc Unloader
Industrial Bldg. Air ConAitioner Bulk Milk Tank
Fyrm Othrr pecity ther (SUecity)
t er Sueafy Other Other
Compute lnspection Fee Below
# Fee Service EnheneeSiza N Pea Feeders/Subteeders H Fee Circwts
0 to 700 Am s 0 to 30 Am)s 0 m 30 Am s
101 to 200 Amps 31 to 100 qmps 31 tu 100 Am s
Above 200 qm s Above 100_Am s Above 100_Amps
Transiormers RemoteControl Qrc. Partiaf%O ther Fee
Signs Special Inspection r0
$10 T
?
Rem?rks .) OT FEE?
RouBh*in Date I, xhe Electncal
inspactor. hereby
FinDl
% (
ar) ,,.
Da[e
?( ?-a certity that [he above
pBCqon hes been
meda.
This reouest void
?
VI'.
16 nIoMhs from
This request void gl,!
18 manths fmm
'd 2 712 9'°
L 3, 83i Pa?kac?F 3133 (
1a -oo
Requ¢st Date fire No. RouBh-in InsuecUOn
Requiretl?
?ReaAY Now ? Will NoUfy InsPer
7-30-82 ?Yes ?NO tor Whe,n Peady
El I'fiNgnsed Electncal Contractor I hereby raquest mspecfon ot above
? Owner electncal work installed at.
Preet Adtlress, Box or Route Na. - Crty
4622 Parkridge Driae Eagan
ecLon o. Township Name or No. - flanye No, County .
Dakota
Occupant (PflINTI Phone No.
Alexander Burger 452-7113
POwer $uppher AAdress
Elec[ncal Contracmr (Company Name) ConVacmr's License No.
Rossow, Inc, 40828 8
Matling Address (COntractor or Owner Makiny Installatwn)
P.O. Box 254 Lake Elmo, Mn. 55042
Author¢ed Signature (ComracmdOwner Making InstallaLON
? Phone Number
L ? 770-5046
MINNESOTp STATE 90AND OF ELECTRICITY . THIS INSPECTION flEQl1EST WILL NOT '
Grjggs-Midway Bldg. - Room N-181 BE ACCEPTED BY 7ME STATE BOAND
1821 lJniveisity Ave., SL Paul, MN 66104 ' UNLESS PROPER INSPECTION FEE IS
... __..e. 1. - .... E N C LOSED.
-; W,
1 9 [0?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
I
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
js ?.?. ?
Date 1 05
SiteSfreetAddress P??-K?idge or Unit#
Property Owner i,uV ld C ?`JL'n 5l-u' Telephone #(?r'j ?)?,Yb 5159
Contractor pp P I e warKs Telephone #(?"jj) 3(p5! 340
Address 3(n70 170C1 d1W City T:-(1G1 rAn State M N Zip 55 1 -L3
The Applicant is: _ Owner 4ontractor _Other
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other: $ 50.00
Water Softener ? Water Heater
new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
[State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
KI lnd? I-?jvi
ApplicanYs Printed Name
Applicant's
? ? P? . 5?
?i MAR 0 9 2005
IN
i?) ??6 f4 0
N KOEHNLEIN 111???CO<<<T A?tN„t,0.,,lPjt,?-T?.
NMONE (61 2) i490? Il ]7
BUNNS`IILIE. MIN/+ESOiP 55-131
LIGHTOWLER
JOHNSON
?,.?o..o...?o Kr.:±.?f?? lf I11
ARCMITECTS Fr1PGO NOPTH DAKOTA i/?KU?(t? G!,/?UUT l????+~?1? ?'•????1
MONNIS MINNESOTA
ENGINEERS PNOfNI% ARIZONP.
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.?? /,L^L A66JME0
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l hertby ceruty CLirt :his survey, plan ur
repott was prepared b1' me or under my dircct
supervision end thac I am a duly Regi9tered
Land Surveyor under the laws of the Stacr
ot innesota.
,??„?.?, ? 2'-?_
Irletr /? ? 9 Reg. No J 33 Z
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******?***********?*********????******?
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 786
DATE: 08/23/00 TIME: 07:22:04
r
ID:
NAME: THOMAS J THOLE
3210 9001 4622 PARKRDGE D 60.00
2155 9001 4622 PARKRDGE D 0.50
Total Receipt Amount: 60.50
CR136295
USER ID: JAN
,. . . ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN 360.50
38SO P 851-881-485 - 55122
Calw
y$w Conafiucllon ReaWremeMs Remodel/Reoalr Reaulremenh
> 3 reqbtered dte wrveys ahowiny fq. H. o/ bf, sq. R. ol houae 2 copies ol plan
antl pl rooletl areas (40% mmAmum bf c(yvemae albwedl 1 sef ol energy cdeWatlons for heated addillons
> 2 capies a aka csnow becan a winaow a?ea; poured Md design; etcJ 1 siTe wrvey /or extedor addiflons & decks
> 1 aet ol energy cdeulallons
* 3 coplea W hea preservaMOn ptan It lof plalfetl afler 7/1/93
DATE: ?I 02 J' CON5fRUCTION COST: "? SS?? •??
DESCRIPTION OF WORK: DECL
STREET ADDRESS: 7b? f' /7?C,/C ?QZ,vC9?-•
LOT: 3 BLOCK: J SUBD./P.I.D. A: Ytll"k l, l1 f£
PROPERfY
OWNER
Name: 6?ZJET7S-r/7 i Z,-ZS/q Phone9:
WM Flrat
Sheet
'2k kl'MKZ? ,0,
Sfate:
Zip:
CMy
. Company. + v I 4A)7z?'iC-l" Phone M J-s-:?- SW?
(area code)
Co??,a,?oR
Sheet Address: y2? Ucanse#c-21-V-Y-txp. 2
cny .5D . S l.r4& ? stare: f/?IV, ztp:
ARCHIiECT/ Name:
ENGINEER Company:
Telephone #: (
Sheet Addreas: Regishatlon Y: _
Cly State: ZiP:
Sewedwater licensed plumbar (H InsWllina sawer/waterPhone ?
I herebY acknowledqe Ihat I have read Ihis applicafbn, afate thaf Ihe Intomation is correct. and agree to com wNh an apPgcable Sfate
of Minnesota Sfatutes and CNy ol Eagan Ordinonces.
Signature of ApplicanY.
OFFICE USE ONLY
CeRiflcates of Survey Received = Yes = No
AUG 21 2000
Tree Preservation Plan Received Yes No _ Not Required _ r.,_?
OFFICE USE ONLY ' • ;
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 39j 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 5torm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? OB 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bld9•
woRK nrPe
? 31 New ? 36 Move Bldg. 0 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration [3 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demoiish (FoundaGon) O 46 Windovus/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings ? Width Footprint sq. ft.
Const. (Actual) V&/ Basement sq. ft. Census Code
(Allowable) Vni Main level sq. ft. MC/ES System
UBC Occupancy R3LU4 sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
?? Engineering Variance
Valuation: $?
f)4,ck, (, U,s--D ?
Totai:
o 31 ExL an - Muw
O 33 Ext. Ak - SF
O 36 Wtufti
?
SAC Units
% SAC
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*********************t*****************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 674
DATE: 08/22/00 TIME: 07:03:45
ID:
NAME: TH7MAS J THOLE
3210 9001 4,622 PARKRDGE D 111.25
2155 9001 4622 PARKRDGE D 2.50
Total Receipt Amount: 113.75
CR136166
USER ID: JAN
q7q ob 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT 1a106 RD - 55122
651•681-4875
New CauhucHon ReauiremeMa RemoOeUReoalr Reaulremenh
n S registared Yte wrveys stwwlny eq. H. of lot, sq. H. of house
and gu rOOled areas f$Q% maximum bt covewae allowe?
> 2 coplea of plans (ahow beam d wlntlow sixes; poured 1nd dealgn; etc.)
> 1 set of energy calWlatlana
? 3 coples of hee preaervaflon plan Il loF plalted aRer 7/1/93
DATE: 7J -(?, I ? LV
2 eopies of plan
1 aet of energy calculallons tor haated addiMOns
1 site wrvey Iw exledor addiHOna R decks
CONSTRUCTION COST: ?9,S? . 0?5
DESCRIPTION OF WORK: ? ?r-
STREETADDRESS: 7ba?
LOT: 3 BLOCK: ? SUBD./P.I.D.#: Ydrk C44
PROPERTY
OWNER
Name: Ez SEA S 1qr ZZS-? Pnone e: 6Ftl,- ' 5.2 6?
lasf Firaf
Sheet
City
u
State:
Zip:
ComPcnY TST EllJ Phone #: 65/ .-52 -? 6-2/3
? (area code)
COMRACTOR
Sheet Address: ?? 7 rl b . ?• licerue #1 ,236i2Exp. o2coI
caty s0 . 57 rAA UL , srcte: 17W3 zip: ?L9 7,5
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheef Address: RegkhaNOn #:
City
Sipte:
Sewerhvater licensed plumber (if installina sawerhvatar): Phone #:
ZIp:
I hereby acknowl'edye that 1 have read thb applkaHon, slate lhot 1he Infomwlbn b cortect, and agree to co ly wiMi a0 applioable Sfafe
of Minneaota Stalutes and City of Eagan Ordinancea
Signature of AppflcanY.
OFFICE USE ONLY ?ECF?? ??
AUG 21 200?
Certiflcates of Survey Received _ Yes _ No
Tree Preservat(on Plan Received _ Yes _ No _ Not Required BY'?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.)
? 02 SF Dwelling ? 08 06-piex 0 17 Garage ? 22 Porch/Addn: (4-sea.)
plex O
? 03 01 of 09 07-plex ? 18 Deck ? 23 Porch (screened)
_
? 04 02-plex ? 10 08-plex ? 79 Lower Level ? 24 Storm Damage
? 05 03-plex 0 11 10-plex Plbg _Vor_N ? 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
p 31 New ? 36 Move Bldg. 0 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demoiish {Inte(or) O 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories Sq• ft•
No. of Units length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MClES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning B uilding Engineering Variance
? 31 Ecc. at - Muni
? 33 Ext. Aft - SF
? 36 Muki •
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
li\7'ERIOR ENVEI.OPE AVERArE "U" CQMPUTATION
???M;,? AddressPhone
?gal Descrip[ion of Froperty: Lot lJ Block ? Ad3ition?yY?'1 ?'? Date
ite Address_^ ' ??y????F- ? 2L?1?,??? -
AVERACE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
sin level
Lineal Yt. of framed wall above grade-:S ??_x height of wall ` ?\ S• °%S?L-?'?
im joist area n
Lineal ft. of rim x height of rim
nwer level
Lineal ft. of framed wall above grade ? x height of wall\tNp0\?cS - ??
Ltnedl ft. of masonry wall above grade?x height above grade?y?p? C. __ 1Q-
TOTAL wall area above grade including windows and doors =??f7?•0 0
'IfiDOI,'S: Area x "U" value C1
!ake & type ??? ?.? -}Ati? ? ?E _?1Y&_?•
.?? sq.
sv.
n u _ _ ° ?60 qsq.
_ a r-S sq,
?io-1 42 - CC. .flr? sn.
? sq.
8Q,
,1 gq,
n n sq.
It $q,
sq.
sq.
sq.
6q .
sq.
sq.
)OORS: Area x "U" value x
?like & type - $ ? KZ S9 •
$r o @ Z yq-
„ ,o S.L. g4•
n u g sq.
)PAOUE WALL CONSTRUCTION; Area x"U" value
sq.
Detail refer- sq.
ence from )Fy Sq.
attached $q.
sheets Sq?
sq.
sq.
ft. X nUlt _ (U) (A)
ft. g nU,. _ (U) (A)
ft. -,
s X
1_? „u,.? ct,> (A)
ft. ..
.
,X ??U.? (U) (A)
ft. ?X nU.. ?QR = 1?„7? ?L?) (A)
ft. c?fJO x ??U'
? 14?
= ZD. (U) (A)
ft. x °Un ° (U)(A)
ft. ? x alUll _ (U) (A)
ft. ! X flUlt = N) (A)
ft. ? . X nUu = (U) (A)
ft. X 11U,, = (U) (A)
ft. X VtU.v _ (U) (A)
ft. x "U" = (U) (A)
ft. X ??Un = (lt) (A)
ft. X ?lug. ? (L•) (A)
ft. - X ?,U,l ? (U)(A)
ft. x nU° ° (D)(A)
ft. X ItUll _ (U) (A)
4-:19 1 TS---
ft. X lull 45.(U) (A)
ft. X
A
F
:?_ nUny(it)(A
??
??
U) (A)
ft.
X
U
_l-?
_ (
ft. X
'
_ ?????_? _ .! (L) (A)
-
12? ? i .-==-
ft. X ?lUl. _ (l:) (A)
ft. (U) (A)
r
ft.?, p, X ?lU,l n = ? (U) (A)
ft.
.O x ?? ??
U . = c ,2 Ga (U) (A)
? _._
ft. oo X ??U?? = Lo(o.,?l? (L?) (A)
ft. X nUn _ (D)(A)
? flU,, _ (U) (A)
ft. x
? 29 8 ?}, ZQ7 ?p . (oZ
TOTAL Wall Area Including
Windows & Doors 'S30\ z::Ao TOTAL (U)(A) 'S .sg
TUTAL (U) (A) VALUES fl = AVG. r? 0 -
UIVIDED BY TOTAL WALL AREA
AVERAGE "U" Minimum .17 or less for 1 6 2 family dwellings
*7inimum .22 or less for all other buildings
NUrF.: 7f avPraRe "U" values as calculated above do not meet the Energv Code requirements, the
"Alernate Envelope Design" as indicated on Page 5 may be used. '
e 'I ?
7op Vicw
AVPi.: ,.?e• t,,i.
CI U"yntyuE'
ri'?11 aP@
ic,r 1ra::.i:
mec.ter5
?
?
?
?.r-
?
?2}
PItAMING MISMBERi IN WA1.LS
_Exrerior_air_film __,_,
_Siding_??2CL4_?`?G-??P•- ---
1
Shea[hing ?
-S?_'`?vvS?
Mlle sofc wooa
Y" dry wall
Interior aic film
R-Value
.17
-- L '? --
??'87_5? ----
.45
.68
TOTAL R=10•Z2-,
U = 1/R U = _ - <Lq"7
_ FRAMED WALL
Exterior air film
Siding_-??j,,,,C t14.t? ?1?• ` .--=?'?--
Sheathing }l? ??SUI-. ???+ 1 •3?
b"
4W batt insulation
11" dry wall .45 _
Interior air film '68
TOTAT R = Z' J?-
U = 1/R U = •044-
RIM JOIST A'R?_
Exterior air film 1-7
Siding'°?'?X'? HfLb ??17 ?-'? ---
I ri
Sheathin
1.88
1'?" soft wo?•a -- ---_?"?'__._.
Ins,t• 1-2 ?b
,68
Interior air film -------- -
T01'AL
U = 1/R U = ' ?
MASONRY WALL_
Exterior air film 17- -"
12"_concrete block
Insu]ation
inter{or ai[ film ----?__- -_ - - . ---.68- - -
TOTAL h = 2 , -)3
' -- - - - -
U= 1/R 0= . 4 L-:,,
s
I
ROOF CRILING
? --
_ Outside air film ______ ____._•,61 _ __
2nsulation " ?_??? _4 b
11" Drywall .,45
Ineerior air film _ _61
TOTAL R
U?1/R p?_
Outside air film .61_.
nu c? _ ?6
Insulation
31" Drywall •45
• . 1 t ???
?
Interibr sir film
.61
----! -- TOTAL R
U = 1/B U - '-`? ?----
Outside sir film '17
Wuod decking
Irterior air f11m .61
- -'--- - - ! TOTAL R-
U = 1/R U =------
gutir ?=.-° ,-^^finy -- --- - - --=33 -
Insulation
ROOB/CCILINC:
TOTAL AREA: ?Z?Q'j sq. ft. (U) (A)
Detail reference ? X sq' ft? (II)(A)
from above. ,?'Z ?x sq• ?U)(A)
Describe oPenings "U" sq. ft. ?o = 2•
(U)(A)
?n roof "U" x sq. ft. -
-- llUll x sq. ft. _ (T') (n)
? llUu x sq. ft. ? ?C) (A)
"U" x sq. ft.T= Cll)(A)
?
Z ?U)(A
TOTALS?_S9• ft. X
TOTAL (U) (A) VALI]ES
, `2nU.n
DIVIDED BY TOTAL RUOF/ ?L = i AVG.
CLILING AREA
AVERAGE °l;" .OS for ventilated roofs ? .10 for all other construction
;1(1'fR: 3f averay,e '^'" val.ues as calculated above do not meet the EngerPy Code requirements, the
"Altcrnate f:nvelope Design" as indicated on Page 5 may be used.
(3)
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4622 Parkridge Dr
Lot: 3 Block: 3 Addition: Park Cliff
PID:10- 56700- 030 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
David Eisenstat
4622 Parkridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA085466
08/21/2008
ePermit
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112547
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 4622 Parkridge Dr
Lot:3 Block: 3 Addition: Park Cliff
PID:10-56700-03-030
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.
Patti Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
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 -
David Eisenstat
4622 Parkridge Dr
Eagan MN 55122
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163052
Date Issued:08/12/2020
Permit Category:ePermit
Site Address: 4622 Parkridge Dr
Lot:3 Block: 3 Addition: Park Cliff
PID:10-56700-03-030
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:SEE COMMENTS
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:8/13/20 Per Mollie, this permit was pulled in error. We are reimbursing the full fee amount. pf
Please print pictures of ice and water protection and house wrap and leave on site.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
Marianna Hanson
4622 Parkridge Dr
Eagan MN 55123
(651) 354-2754
Carroll's Exterior Remodeling Inc
16402 Harvard Dr
Lakeville MN 55044
(952) 356-3131
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163054
Date Issued:08/12/2020
Permit Category:ePermit
Site Address: 4622 Parkridge Dr
Lot:3 Block: 3 Addition: Park Cliff
PID:10-56700-03-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Marianna Hanson
4622 Parkridge Dr
Eagan MN 55123
(651) 354-2754
Carroll's Exterior Remodeling Inc
16402 Harvard Dr
Lakeville MN 55044
(952) 356-3131
Applicant/Permitee: Signature Issued By: Signature