4627 Parkridge Dr
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA098103
Date Issued: 02/28/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4627 Parkridge Dr
Lot: 7 Block: 2 Addition: Park Cliff
PID: 10-56700-070-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Pella Windows & Doors Turnkey Sales Mark R Zingle Tste
1300 25th Ave N =100 4627 Parkridge Dr
PIN-inouth MN 55447 Eagan MN 55123--213
(763) 74-1400
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
• CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
r+ac Ervcc
PROM
AMOUNT $ .I
& OOLLARS
100
E)CASH R CHECK
FOR
si
White-Payers Copy
? %Yellow-Posting Copy
Pink-File CoDY
Thank You
?,? BY
•
ZY - ~ ?
BUILDING PERMIT
Ts 6e rud fer 5 r
CITY OF EAGAN
9795 ?ilo! Knob Rood Eogan, MN 55122
PHONE: 454-8100
Receipt #
Site llddress 4627 Parkridge Drive
Lot 7 Bt«k Z ?/Sub, p3rk Cliff
po,tel # 10 56700 070 02
N"„ Mark Ziagle
W
? Address
_ A....1 - [1- 1 7 .." _
°C lNcime Ozmun-Pederaon. Inc.
?? A?«? 7700 145th St.
r, Apple Valley o,,,_ 431-5000
Addrest
1 hereby ocknowledge that I hova reod this applicotion ond state that
the inlormation is corred and egree to comply with oll applicable
State of Minnesoto Stotutes and City of Eogan Ordinonces.
Sipnoturo of Permittee
Ozmun-Pederson, Inc.
A Bullding Pe?mit Is issued to: ?
all work sholl be dona in accordence with oll opplloable.StateyE.lNh
Buildinp Ofiiciat ,
Erect 2-9
/11ter ?
Repuir ?
Enlorpe ?
Move ?
Demolish ?
?
G?-
Octuponty ?
Zonirg
Fire Zone `?'A
Type of Const. V
# Stories
F t.
Asseument
Water & $ew.
Police
Fire
Enp.
Planner
Council
Bldg. Off.
APC
?IN
Pertnit 44U.SU
$urcherye?n•? 1
Plon check """ ' "
SAC -7177FF
Water Conn. 1`50.00
Woter Meter 60• On
Rood Unit Z?J.O,r1
Total $1997.25
on the express conditlon thai
Statutes ond City of Eo9an Ordinances.
Pormit No. Permit Holder Misc. Permit No. Holder
Plumbinp 3 'ao pfl'11E P.,4.9 (D ZQ,o.)
H.V.A.C. < << ?
Well
Water
Dkp.
Sower
Eiectric uJfl(PZ(DQ (^qOtItE f4Et 4o-I7-r3 -;-F-M
wo8q72 it g'-3-g-3
Inapection Date Insp. Other
Footings _ 1- ?.e-, •T .%
Foundation
Fremina ?
46 ?
Rauph Plbp.
Rouqh HVA 9
Inwlstion
Final Plbq. J
Final HVAC ?
Final ?
water Describe Location:
YYell
Sevrsr '
Pr. Dirp.
Receipt ? ? - MECHANICAL PERMIT Permit No. .-?'S '_"'` •` !
r CITY OF EAGAN Fee -;;
FrII in numbered spaces S/C
Type or Print /egib/y Tot.
/. , ?`'
1. Date 2. Installation Cost ow?- ,
i?
3. Job Address z -. :,,1 i . ..? ? ? Lot `81k. rTract _r 4--
'?
4. Owner
5. Contractor
6. Address
Phone -
7. City _7 State J Zip
8. Building Type: Residential LB'? Commercial ? Institutional ?
9. Work Description: New -E3' Add ? Alter ? Repair ?
10. Describe
11,
Type ?= // `>
No. Eauioment 8TU - M. Ea.
Forced Air No. Enuiament CFM
Ai
H
l
Mfg, r
and
ing:
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
?---
?''
PLUMBING PERMIT
? - ' • '' - CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
ONTRACT PRICE: PHONE: 454-8100
Site Adlress '
Lot Block L Sec/Sub
.
f.'r1
? Name
ig Address L?%'.'-
c City Phone '?? S' •.' S? y
Name x 21 A ,tr
c Address
p3 City Phone
FEES
COMM/IND FEE - 1% OF CONTRAGT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & COMDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
{711 ? ? a .'C.:??- -?
SIGNATUFE OF PERMITTEE
FOR CITY (?F EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
_ Q' V"m
v
FEE: ? ?
STATE S/C:
GRAND TOTAL: ~ L
Receipt 7`? 'FPLUMBING PERMIT Permit No.
CITY OF EAGAN
-t Fee
?Fill in numbered spaces S/C '
Type or Prinf /egib/y _
Tot.
?
L)
1. Date u;? 2. Installation Cost
y?.
3. Job Address !J?t[, ?,- Blk. ? Tract t?
4. Owner
5. Contractor A/- ? Phone
6. Address ?
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New j4 Add ? Alter O Repair O
10. Oescribe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
LZ2- Lavatory 5oftner
Shower Well -
? Kitchen Sink
Urinal/Bidet
Other
?
' Laundry Tray
Floor Drains
? '7? ?
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 464-8100
."f--
INSPECTIaN REC4RD
f CITY OF EAGAN PERMIT TYPE: 'f F! I1 I Aifi
I 3830 Pilot KnOb Road Permit Number: A f
? Eagan, Minnesota 55122-1897 Date Issued:
I
(612) 681-4675
SITE ADDRESS: APPLICANT:
' ?1fik {; 1 [kiyt 4")€t . ? ??ta•-, t ?. ia
I ! t t : ?. 1. i •Irlill •080
PERMIT SUBTYPE:
TYPE OF WORK:
MFtd
; 4..r3fAStIra I
!rf !,CRiYT (nw
! I , ! ) Nt', ';
I I :::y t
Yi2AM 1 PIit
I :-;APr( s: A - t.FPARAI'? Pt- RM I T V: Pe011TRrn r-OP a14v c-:t Fr,rOTcAi y,OaK
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Commenta
FOOTINGS
!C - 2 ?-?t
G a_3
ejk? JQ - -5« <.?,;»??•<? 1'?l
FOUND
FRAMING
ZL.•
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIFEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT 8.1.
BSMT FINAL
DECK FTG
DECK FINAL
?
CITY OF EAGAN Remarks
Addition PARK rT.IFF AflDN. Lot 7 Blk 2 Parcel
owner Ah e.4 k!:.-P n sveet 4627 Park Ridqe Drive stace Eaqan, NIN 55123
/?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURFs9?f
? - -
STREET RESTOR.
GRADING
SAN SEW TRUNK g
*SEWER LATERAL
WATERMAIN
?WNATER LATERAL lgRl
WATER AREA
STORM SEW TRK JI"a] 198 502.04 33.47 15 1 9-21-83
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWAIK
STREET IIGHT
RO
WATER CONN, 450.00
BUILDING PER. 8133
SAC 525.00
n
t?
PARK
?
PERMIT NO.: ?
DATE:
No. of Units: -
reen
L
Reader No.:
I agree to cawpip wltk the CitY of Eagen
Ordinaneea.
By
Dnte of Insp.:
COr1neCt1011 (.hCfg@:
ACCOUIIL DCPOSII: _
Permit Fee:
Surcharqe:
Misc. Charges: ?
Total:
Date Puid:
V'tHIiAN ? SEWER SERVICE PERMIT
Pilot Knob Raad
Box 21199 PERMIT NO.:
i, MN 55121 DA1'E:
D? ? 1 No. of Units: ?
Address:
3c`417
om to complr wi1M tha CiFy af Eagan Cannectlon Chorpc:
lineeees, Atoount Deposit: _
Parmit Fee:
Suechnrge:
Misc. Charqes: -
n of Insp.: Totol:
, ..-- .._..
BUILDING PERMIT
CITY OF EAGAN
3795 Pllet Kno6 Reod Fagan, MN 55122
PHONE: 454-8100
To ba wed Ier SF DWG/GAR
Site Addreu 4627 Parkrid;
3.000
N° 8133
Receipt * 3,,- ?/? 7
Ered 79 Occupanq R-3
Alter ? Zoning R-1
Repoir ? flre Zona NA
Enlarge ? Type of Const. V
Move ? * Stories
Demolish ? Length 56
Grade ? Depth 36 Sq. Ft.-
AOYrarals Fees
Lot 7 Block Z $ec/Sub. Yark (;liYT
Parcet # 10 56700 070 02
rc
Z
9
Nome Mark Zin¢le
Addross
o Name Ozmun-Pederson. Inc.
?? Addrezs 7700 145th St.
? ,-:... Apple Vallev 431-5000
Name _
Address
I hereby ocknowledge rhot I have read this applicorion ond stote that
the inlormation is corrett and egree to comply with all appltcoble
State of Minnewta $tatutes and City of Eogan Ordirwnces.
Sipnalure of Pertnittee
A Building Permit Is issued to: 02m
all work sholl be done in accordarxe with
Bulldinq Officiol e
Assessment Permit 44U.JU
Water 8 Sew. Surchorge 51.50
Palice Plan check 220.25
Fire SAC 525.00
Erp. Water Conn. 450.00
Plonner Water MeTer 60.00
Council Road Unit 250.00
Bldg. Off
.
APC
rotol $1997.25
, IIIC. on fhe expreu conditian thm
iPo Stotutes cnd Cify of Eogon Ordinantes.
CITY OF EAGAN
B I I P I ION
7b Be Used Fo
site Address:
S? ?j c? U LD NG PERMIT AP L CAT
6'
r Valuation _
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date (
,4;t - I n - s:;? S;
4 co a?i OFFICE USE ONLY
Lot __L Block ?i Sec./Sub. Erect ? Occupancy
Parcel #: ? C) S to -Z O O 0 -7 d O?;L- Alter Zoning /
Repair Fire Zone
Owner: En7-az9e _ Type of Const.
Nbve # Stories
Pcldress: Derrolish Front SG, ft.
-ry r- N/ ??-?.4ade Depth ft.
City/Zip Cocle: bt??`
Phone #: APPROUALS FEES
Contractor: Assessments
Address: 7?14e;:W ?-r water/seaer
• Poliae
Cit7'/Zip Code: /AL?l
$ V?re
rhl -
?
Phone # = .
g
Planner
Arch./Fng•: Council
Bldg. O£f.
Address: APC
City/Zip Code:
Phone #:
Permit 0
y y0 ?
Surcharge ?-/
Plan Check ? ,7 D ?
SAC -9:Y
Water Conn.
Water Meter (o- D?
Road Unit a 6-0
?CYPAL IQ ( ? o;2, a
. ,? ? / r
" ? , S? ?
??? ? ?
/ d ??`?
3 ?i 7 3 ? .
?v? 3??
?
y3?
? S6
?
This request voidQ `k-7
18 months (rom
W 0.626-92
L?rg?,Par-kL°ti?F 3(a?4?
Request Oate Pue No. fleqphedn,InaVecuon rtlHe:?tly Nuw U Will NoUly In,peo-
1
?
?
6-1?j-$3 ??es ?No torWhenReady
?
ensed Electncal ConVactor I hereb
y requast inspaction ot above
aner alectrroal work installed at
treet Addres., Bos or noute No. LOT 7, BLK . 2PARK City
4627 PARKRIDGE DR.
ecUOn o. Townshi0 Name or No. Ranpc No. Cnunty
DAKOTA
Occupant (PRINT) Phone Nu.
OZMUN - PEDERSON, INC.
Power Suppliar Address
DAKOTA ELECTRIC FARMINGTON, MN
Electncal Cont detor (COmpany Name) ConVar.lor's L?cense No.
LAKEVILLE ELECTRIC, IyC. A041802
Mailin0.4tlJress IConVactnr or Owner Making InstailaLOnl
20480 JAC UARD AVE. BOX 423•LAKEVILLE MN 5044
Authonzed Si nature (C nI t r/Owner ak'ne Installauun)
Phone Number
46 -49-18
1
MINNESOTA STATE 60ARD OF EIECTHICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwav BidB. - Aoom N-791 BE ACCEPTED BY THE STATE BOARO
1821 Univeryity Ave.. St. Peul, MN 65104 UNLESS PPOPER INSPECTION PEE IS
o?___ 1a11, vo, i'll ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
0 See insiructwns for compieting [his torm on back o1 yellow copy.
"1(" Be1Qyu-1Nork overed by This Request
Ee-00001-OG
..:`
av AA Reo. Tvoe oi 6uiltling
Home ApOliancas Wned
Range Equiument Wvetl
x Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BmlAing Dryer Electnc Heatin
Commercial 81dg. Furnace Siio Unloade,
Indtistnal Bldg. Air Conditioner 8ulk Milk Tank
FdYm Othet peci y Othe, ISpO,fy)
1hP.f $UeGI(y (hC! O1hBf
Compute InspecLOn Fee Be/ow
N Fee ServicaEntrenceSize M Fee Fexders/5abfaetlers # Fee Cvcwts
0 to 200 qm s 0 to 30 qm>s 0 to 30 Am s
Ahove 200 qm ps 31 to 100 qmps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Am?s
Transtormers Irrigation Booms Parval;"Other Fee
Signs Special Inspection S
Renwfks O
floueh-in
A??I ?f/a ( D?ie
I, the Electncal
?/.'1 / p> ,
?
? Inspactoq heraby
t
' carAity that the nbove
Final Date oaction hes been
q+f
Tliis reauesl vala 18 monihs Imm
This reqvest wid p- 3
18 monms f.am
tPd_084724
gY'af'? 3-77Ca1
(07 -oU
fl6?aest Dale Fire Na. ugh-in InsOecvon
zqurte0,
E]Reatly Now K] WtII NnUty Inspeo-
8-1-83 M Yes ?NO torWhe.nReady
Licensed Elecbical Connactor
1 hereby reques[ inspection of above
? Owner electrical work installad et
Sheet Address, Box or Fovre No. Cily
627 PARK RIDGE DR, LOT 7 BI_K.2
on o. Townsh?p Name or No. in9e o. Counly
DAKOTA
"°Pa°` (P'I"n MARK Phone No.
OZMUN - PEDERSON INC. () 431-5000
Pow¢r Suppher AAAress
DAKOTA ELECTRIC, FARMINGTON
Elecnir.al Cantractor tCampany Name) Con[ractor.s Licnnse No.
LAKEVILLE ELECTRIC INC. A041802-
Mailine AdJress IContractor or Owner Making Instaila[ionl
20480 JAC UARD A
AuMorice i0?[ure onira orZ king Insialla[ian) Phone Number
MINNESOTq STATE BOARD OF ELECAIICITY THIS INSPECTION flEQUEST WILL NOT
Gripgs-Midwey Bldg. - floom N-791 BE ACCEPTED BY THE STA7E eOARD
1ffil University Ave., SL Peul, MN ?10/ UNLESS PROPEP INSPECTION FEE IS
oM__ 1.11 'q7_1111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION j1V.% EB-00001-09
See ilmbuM:tions 1or completirg thia tam on back ol yelluw eoOY.
H474
"X" Relow Work avered by This Fequest ?j 77?'
Piaui Add Bep. Type o18ui1tlinB ApPliances Wned EquiVmenc Wired
Home Range Temporary Service
Duplex Water Hea[er Lightinq Fixtures
Apt. Building Oryer Electnc Heatm
Cortm?ercial Bldg. Furnace Silo UnloaJer
Industrial Bldo. Air Conditioner Bulk MiIk Tank
p Fee ServiceEntrenee5ize n Fea Feaders/Sublaeders k Fee C,r?uits
-nn 0 ro200Am5 0 to30Ams 0 to30Am
Above 200 Amps 31 to 100 qmps 31 to 100 Am s
Swimmirg Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Booms Paitial-Oth
Sigis Special'Inspec[ion 70TAL ?E? Q
flemvrks $ fj 7. 5 0
, tha EIe21wCXr
nspector, hereby
erlity thxt the nbove
;4oection has bee.
i
Trrtifirtttt nf Orruvttnxy
Citp uf Cagan
3Rrvttrfmrnt nf Buil,ding Jntiperiimt
Tbii Cati fitatc iuued purruant to the requrremanu of Sertion 306 of the Uni form Building
Codc catifying that at thc time of irtuance tbit nrruturr wat irs rompliance with tbe variaut
ordinances o f tbe City rcgulating building conctraaion or use. For tbr following;
uMC?Um SF DWG/GAR 8133
Bldg Pcmnt No.
?war7ra R3 nwc.?b. V F??. NA zoN?aw???? Rl
w.Moceuoam, M[a[rk Zingle Aaa.? Apple Valley
YV
RnPA1ne?AA??s Z7 Parkridee Dr..__,....Lot 7_Rlnrk 9_Park Cliff
By
September 9, 1983
. OZM[TN-PEDERSON, INC.
.a.. ?, , ?a...,??o?. ...?.
o.c.. ..,
?:?(M#>k?'?Y,;'?,"?TM1?'n'M?#>n'M'M?X(•};??1?k:7X'M?k'M?'<}YS?k?::Kk? ?(4F\YhY
CT'TY l")f' 'i-AC;APd
TIEP.MTNIrL Ntls 77
CAriH.T.I: R ^ :i
rFl''i=? 7.0/1.3/9'7 7VME: i.5e4 4'=27
rD:
1k(aML., DEIJ_FR1 t.CSN:IIRIICTIUN CC.1
32117 3001 4627 FA(iF.F':CD(iF 143.75
Za.'=i::i 9001 /tFsi?i P'hR4;F't:f.Pi;;E 4.50
?430 `.idf70i 4627 F'ARKP1:DGE 5.00
.F
: •,.
1'0'',;--a1 !tereii;i+, Amnvi'•, - W„ 25
Cfii)k3c?C)?'r'
i..l$f:i:4i IL;; NANCV
PERMIT
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030947
10/13J97
SITE ADDRESS:
4627 PARKRIDGE DR
LOT: 7 BLOCK: 2
PARK CLIFF
P.I.N.: 10-56700-070-02
DESCRIPTION:
(3-SEASON)
ermit Type SF PpRCH
TYPe NEW
434 ALT. RESIDENTIAL
wit
z ?
? $
?. ?
i[?t?.? 3FlN ' 9? ? "8 i?iY%t ,?d?T "
?!a?a?
REMARKS:
A SEPARAI"E PERMST IS REQUIRED FOR ANY ELECTRICAI. WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
VALUATION
$149.75
$4.50
Fee $5.00
$159.25
$9,000
CONTRACTOR: - applicant - sT. Lzc OWNER:
p?LLER7 CONST CO 14403080 0001687 2INGLE MARK
6867 BOUDIN ST NE 4627 PARKRIDGE DR
PRIOR LAKE MN 55372 EAGAN MN
(812) 440-3080
? ' r z i ' - L'
:QWlet1p# $hIP.??_? voa
?
ear"1t at,?f,ea;
U
?....
-
??NTIPERMITEE SIGNATURE ? 'IS?ED B IG? ?
k
,
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
O ? CITY OF EAGAN
i 3830 PILOT KNOB RD - $5122
681-4675
New Construction Reauiremenls
Remodel/Reoair Reauircments
Phone #:
? 3 registered ske surveYg ? 2 copies aF plan
• 2 copies of plans (inGuda beam & window sizes; poured fid. design; etc) ? 2 site suneys (exterior atlCftions 8 dedcs)
? 1 energy calwlahons ? 1 energy calculations for heated additions
? 3 copies of tree preservatlon plan if bt platted after 7/1193
required: _ Yes No ?
DATE: /6I? IC/ I CONSTRUCTION COST: ?, '?Jm
DESCRIPTION QF WORK: ?//72C' e S? 1402CA
STREETADDRESS:
LOT BLOCK ? SUBD./P.I.D.#: Y'??h?._?Q?V,?
PROPERTY Name: Y11V2K z)k 6'Jc Phone#:
OWNER
Street Address: y?a `7 b2
City: 1f A G c Au State:?W k) Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Company: 1)e1IcnT cOla S T CD Phone #: y26 -3 6re 6
Street Address: 6-?; 6 7 /54 L)d/v s? Ai lc License #: °°L' / Ulz? 17
City: d'niQn- I-A 1cr State: M )-) Zip: SS`371.
Company:
Name:
Street Address:
City: State:
Sewer & water licer.-ed plumber (new construction onry):
and lot change arc iequested once permit is issued.
Registration #:
cuV
14
Zip:
Penalty applies when address change
I hereby acknowledge that I have read this applica6on and state that the information is correct and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
T2e Preservation Plan Received
? Yes _ No
? Yes No
^ Not
Qu, 6O7
X2
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
n 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. o
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ?
? 04 5F Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
x 32 Addition ? 34 Repair ? 37 Demolition
/
GENERAL INFORMATION 3 ??,pN
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building Ri(? Engineering
Variance
?i?
?12L
?-
?-
Permit Fee
Surcharge
Plan Review
License
MCMJS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Y
Totalir-
°h SAC
S C Units
?=-----,_._,
.,
-- - --f
Valuation: $ ?ffw0o
;?MX ?o - 4 320 . oO
? ? .& .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
5AC Code
Census Bldg
Census Unit
IN . ?
? ??
i
?
r . u.?
??? ?
?? 3s
? 00*
?• ?,
1 L
?7q•
?'??.
? \ 3 ? z?? ?: ?'• ?.
? ? +w
I 'V?•?? _ ? p?? yr /
60 . ? ?
? pv* pas?o
?3xit?
tyDqiTlo.?
`0 t
\/p •
.
?' ' ??^???? • J.?n'/ ? ?r???o,\
; v;? ,
. _ ?,, ?? .o `
TOTAL P.p3
RESIDENTIAL BUILDING
?S7 YJ Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Tl`6 b. 2.!?-
New ConsWCtion Reouiremenfs RemodeNieoair Reouiremenls Office Use Onlv
3 regislered site surveys showing sq il of lot, sq. ft. of house; and all roofed areas 2 copies af plan Cert of Survey Recd Y N
(20% mazimum lot coverege allowed) 1 set of Energy Calalations tor heated addNOns Tree Pres Plan Recd _ Y_N
2 copies oi plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & dedcs Tree Pres Not Reqd _ Y_ N
1 set of Eneigy Cakula6ons Addition - irMicete if on-sRe sepfk syslem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail OD6ons seledion sheet (bldgs with 3 or less uniLs
Date 3
Site Address o ?'y
Construction Cost
z 7 UniUSte #
Description of Work
Multi-Family Bldg _ YZN Fireplace(s) _ 0-0_ 2
Property Owner / nV" /C- od- J 7-l n?- Telephone # ( )
Contractor J , ?Pn Se-? (flp
Address 5 7e-
State Zip City S!? /
Telephone #(7:).) 6 2 0 d 7/7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submissian type) SubmiUed Submitted
• Energy Envelope Calculations Submitted
Have yoLi previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
?
Licensed Plumber ?? ?? ?11 G 111t Telephone #?
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
N If so, 25% plan review
1 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 ofplans.
ApplicanYs Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. 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_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 61dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Fvotings (deck)
_ Footings(addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (newheplacement)
_ Retaining Wall
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
Building Inspector
13610
2006 RESIDENTIAL MECI`TANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
?ate5 /34 /Ob
?L4 Pal l
K v i
r TTnit #
Site Address
.
` V
Pro
ert
Owner?--MO/ JL ZJ ! Y /1 I hone # (Clr5) '--I V5- /aFY2
Tele
p
y
,
V p
Contractor (/1 o_n
'l
Street Address P _
,5 City au&n?„S V ?
State /U
/ / 1? Zip ? Telephone # ? ) ??/> /" I ! )
7
Bond #: '?//, Expires:
T'he Applicant is _ Owner ? Contrac[or _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement , New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
Total
1 hereby apply for a Residential Mechanica] Pevnit and acknowledge that the information is complete and aceurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permi[, but only an application for a permit, and work is not to staR without a pennit; that the work will be in accordance with the
approve,d pl$n in the gae of work which requires a review and approval of plans. ,
-r-. 1M ?PYI Vi Jle, °
Applicant's Pr- int Name- App icant's Signature
2007 RESIDENTIAL PLUMBING PERMIT APPLICATIQN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
PlaacP r.mmnlP.tp fnr mnrlifir.a+inns tn existinn rasidentiai dwellinas
Date 0 4 / 1 1 1 0 7
Site Streef Address 4827 PARKRIDGE DRIVE Unit#
Property Owner SANDY & MARK ZINGLE Telephone #( ) 651-454-6610
Contractor Genz-Ryan Plumbing & Heating _ Telephone #(952 ) 767-1845
&ddress 2200 W HWY 13 City gURNSVILLE S{atg MN Z4p 55337
The Applicant is: _ Owner 8 Occupant ?j Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (reQlace burned out fixtures, etc.) $ 90fl4
This fee a lies when extensive lum6in re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
X Add plumbing fixtures ko -?[- main level ? lower level. This fee includes
instatlation of a water softener andlor water heater at the same time. !f yau are
instatl'mg on(v a wat8r sofiener and/or water h8ater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing. ?p
I ?? V ?
?
_Septic System Abandonment
,
_Water Tumaround (add $136.00 ifa 518" meter is required) 13 2007 J
Other:
tR'ster Soffener llVater hea±er $ 15A0
_ nevv _ replacement
Lawn Irrigation _RPZ _PVB „new _repair _re6uild $ 30.00
State Surcharge $ .Sd
Tota1 $ 50.50
TMM
I hereby apply for a Residential Plum6ing Permit and acknowledge that the inFOrmabon is compiete anp accuroce; inai ine
work wili 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 wi11 be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
?10.111e, >6Ul
Applica Ys Printed Plame Applic nPs Signature
1
1
d
O?
?
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' I.X7'ERipR ENVEI,OPE AVERACE "U" COMPUTATION
iner_?!AE'. Address Fhone_-___
2gal."Descriotion of Property: Lot ^ BlockAddition Date ?r+•?-?`'' ,-
ite'Addiessi. : " -
AVERACE LINEAL FEET OF
EXPOSED WALL AREA ASOVE !:RADE
ain level
of framed wall above gradeZQZ' x height of wall ?'j
Lineal ft
-?3'•'Q'???'j
.
ioi joist area ,
i
'
° Zq2" ?U
QZ, x height of rim
.,
eal' ft. of iim.
Lif
ower.level
Lineal.ft. of framed wall above grade - x height of wall - ° -
x height above grade L
rade
4
-
wall above
f
f
l °,?¢?
______
_V
=je.
g
i
• masonry
t.. o
•,
Lined' .,_
a•+ T/?TAI •?11 ???? ???vu nYeau I....I..Aina vindnv8 8rid a00LS
IND04:5: Area x "U" value
s (U)(A)
??U??
!ake
6 t pe S? ? A
CLAS? •<Fr.a?- ?.Y?'< sq. x
ft.
y
?"' x
.. - (U)(A)
nU -
• sq. ft.
3-7n?- ft.
f'=.'.x
--ti?' .?? 1-,.1!K' (Lt) (A)
„ sy.
X
fc.
(U)(n)
,lv ..^41 ?_
aq. x
ft.?n?
? nOn (A)
sq. .
.. x
ft.
5..4(?^ (U)(A)
..i:n ? -
--
--
n sq. ft.---i x ?
nUv?a (U)(A)
(U) (A)
sq. ft. x
"`' x ?lUn ? (U) (A)
.• , ?. sq. ft.
• x
' „U.s _ (U) (A)
n n . sq. ft.
°Un - (0)(A)
sq.
x
ft.
g uUu (U)(A)
ft-
"U" (U)(A)
x
llUtt _ (lt) (A)
q, ft. x
X ',Ul,
. (U.) (A)
n sq. f[.
x -_
" (U) (A)
"U
n i? sq. ft.
x (P?(A)
sq. ft.
x ttUrt = (U) (A)
sq. ft.
.
A I L w+%Lr
?
)OORS: Area x ":U" value?.?'N?kC? 52 ...
„Utl
tU) (A)
k
& e
t
? Y?? sq. ft. Z-I.On x
Na
e.c
" ?-
yp x
f
v? F--- 1.?77-. (it)(A)
nU"
u n ?8,? ?7
" sq. t. .
L ^ x nll?l'1.2'.2 (U) (A)
?v
r ? I1u11 a (ti)(A)
11 " SQ• X
lt•
-7
)PAUUE WALL CONSTRUCTION; Area x "U" value x IOU's _ (11) (A)
-
sq. ft.
, ' 'lUu = 1c1
!"? N)(A)
,. l
w??? <sQ•
Y? ft.
ZL2J?X .
l
ll ? (U)(A)
uetail refer - 8 1 t
1 x
ft
? u
-?:Z '
---
' q• ..
---
X
-?- ?
?,
ll
(L')(A)
(
P
ence f rom ft
92
Z
I u
a
?-
h ,
d sq. .
.
-
x IlUo, 1? _ "j.-7.22:
??
?
e
attac
? ?4.:n-?'
e.cc _aq. ft. 1 eP,.z?? _
?
A)
? (
"U"
sheeEa sq. ft. x I.Ulr _ (U) (A)
sq. x
ft.
7 c c'! 1,
Wall Area Sncluding
[;;cdowz & Dcare 'TOTAL (U) (A)
AVG'. „tJ's ' ? -- --
TUTAL (U) (A) VALUES ?'-
UIVIDED BY TOTAL WALL AREA
AVERAC,E "U" Minimuro .17 or less for l,fi 2 family dwellings
Minimum .22 or less for all other buildings
Code
NoTE: ]f avArage "U" values as calculated above do not meet ihe Energv reanireme?ts, [he
"Alernate Envelope Design" as indicated on Page 5 may be used.
: ???'?'R? • ? ? .
:. Top View
WaiL::.Zc`PIUNS
tiUTBs vse 10* ?
o. opaqne
a?.11 area
f:.r f'rami
m,mLera
1-
FkAMING MEMEERS IN_WALLS
_Exterior airfilm___„.
Siding
Sheathing ` h
fL ^--
? ?s
1=
soft wood
if"_dr.y wall •
Interior air film
R-V a 1 ue?
- -.. _ .17.. ._._
-- -- 4:.;7
+- j
t
.45
.68
TOTAL R = 1n."7-77.
U = 1/R U a ?;n
FRAMED WALI,
Exterfor air film
Siding
Sheathing
4,v
'JW batt inaulation _
31" dry wall - - - - -
Intezior air fi +s -
_17 _
. ? •'?z?-,
,45
.68
T?TAi R ? ?Z • ??, _ . ?,.
U = 1/R U = p•O?-
_ RIN_ JOIST t?}t?
Exterior air film
Siding •4?
Sheathing r C" 1?»?U _.?,:_3.?'."'.--- __..
711" soft wood 1.88
jg n
.68
Interior air film ----?- --
TOTAL H = Z_?. 2¢L
U = •11R U s 0'04 „
MASONRY WALL_
Exterfor air film --
12° concrete blocic ?----
Insulation ._-
Interior air film _•68
F
TOTAL R =
? --- - -- --- - -'
U = 1/R U
? t:. .
i.i
ROOF CFILING
Outaide sir film .61
i-- ----- ----- -
_ Insulation V
li" Drvwall .45
Interior air film .61
TOTAL R = c=' -`j
-_-'-- '?- ? ?"'-= - -
U = 1/x . U --
Outside air film __
Insulation
Y" Drywall .45 _
Interior air film .61
TOTAL R =
U=1/R U °
f r- ..
?
Outaide a1r film •17
•? --
Ruilttip
Insulation
Wood decking
Interior sir film .61
U > 1/R
TOTAL R
U =
;OOF/CEILING:
'OTAl. 'AREA: . IZA ??. C7C> sq. ft.
° (U) (A)
)etail. reference "U' x sq, ft.
<II) ?A)
_
b nUn Z)?? x
? ? aq. £t. 1711 .c"il? 7
ove.
rom a
?
"
'-' _
ft (U)(A)
)escrlbe openings U
? x .
aq.
_
(u) (A)
n raaf . -IUl x sq. ft. Qr•i i
nUr'
x
sq. ft. iii
(i ) (h)
x sq. ft.
= ?U) ?A)
uUn x sq. ft.
TOTALS 1 ZI?.?. r'?"> sq. ft. (tt) (A)
'OTAI. (U) (A) ,VALUES
iIVIDED BY TOTAL FUOF/
,?,
"
,? ??'j AVG. 1+
XILING AREA
.VERAGE "U" .`JS for ventilated roofs
.10 for all other construction
4b'CF: lf.averaqe "P" val.ues as calculated above do not meet the EngerQy Code requirements, the
"Altcrnate F.nvelope Deaign" as indicated on Page 5 may be used.
(3)
1??! ?•
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090209
Eagan, MN 55122 . Date Issued: 07/15/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4627 Parkridge Dr
Lot: 7 Block: 2 Addition: Park Cliff
PID 10-56700-070-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Pella Windows & Doors Turnkey Sales Mark Zingle
15300 25th Ave N #100 4627 Parkridge Dr
Plymouth MN 55447 Eagan MN 55123
(763) 745-1400
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
I For Office Use Eajan Permit
41 1 i~ 3City of I Permit Fee: r `
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Staff:
Fax: (651) 675-5694 L -----------------I
INFLO FILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Addres
Tenant: Suite
Name: Phone: ~S(_
RESIDENT / OWNER D
Address/ City/ Zip: 42-7 l ~rkrtd~~ rr`re" L,,~ vt ~/Y(1`) ~S r 23
Name: C~~Z ~7avt License
Address: City: .6u.-wis-vi(te_
CONTRACTOR
State: jtPj Zip: 5i9337 Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work:
DESCRIPTION 4L&
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.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.
4(P_ ztViIX_ / " 1w" 1-6
Applicant's Printed Name Applicant's Sign r
FOR OFFICE USE Reviewed By; Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110941
Date Issued:06/04/2013
Permit Category:ePermit
Site Address: 4627 Parkridge Dr
Lot:7 Block: 2 Addition: Park Cliff
PID:10-56700-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Mark R Zingle Tste
4627 Parkridge Dr
Eagan MN 55123--213
(651) 454-6610
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120362
Date Issued:02/04/2014
Permit Category:ePermit
Site Address: 4627 Parkridge Dr
Lot:7 Block: 2 Addition: Park Cliff
PID:10-56700-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
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 -
Mark R Zingle Tste
4627 Parkridge Dr
Eagan MN 55123--213
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120365
Date Issued:02/05/2014
Permit Category:ePermit
Site Address: 4627 Parkridge Dr
Lot:7 Block: 2 Addition: Park Cliff
PID:10-56700-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Mark R Zingle Tste
4627 Parkridge Dr
Eagan MN 55123--213
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
411'
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 7//y
Use BLUE or BLACK Ink
r �
For Office Use ~
Permit #: a 3OD
Permit Fee: 105. .D.5"
Date Received: 5 / '>1 /1 Y
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
116.27 r—Klo( ✓F cAtvetiv
Unit #:
Resident/
Owner
711\161 Liz- ,t
ii1 `'v (1 Z 4I7'' 73 Z o
Name: - Phone:
Address / City / Zip: 14(02-7 eFrrit,cto&f c_ 1) v
Applicant is: Owner K. Contractor
Type of Work
Description of work: SID iv\
Construction Cost: Multi -Family Building: (Yes / No is )
Contractor
Company: / / r%EATecf t -r -I i Contact: ea -lc -
Address: 122 37 NiCot,1# 1 /914.-5 City: 0U(2ts.tSUILtyf.
State: fP114I Zip: 5-63";r7 Phone: Co S- t'l9 3gY2Email: Gfi'c.. a akft, 1,1rw4<--m}tvet+r
License #: l "- t.5O5 i 0 Lead Certificate #: NAT — FiOq''7 Z— I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
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Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156608
Date Issued:07/09/2019
Permit Category:ePermit
Site Address: 4627 Parkridge Dr
Lot:7 Block: 2 Addition: Park Cliff
PID:10-56700-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark R Zingle Tste
4627 Parkridge Dr
Eagan MN 55123--213
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature