4631 Parkridge DrCITY OF EAGAN f
3830 Pilvt Knob Road, P.O. Box 21-199, Eagan, MN 55121
Y PHON E: 454-8100
BUILDING PERMIT ` R
i
t#
"
ece
p
To be used for Est. Value ? • Date ? ` • ? ,19
Site Address OFF ICE USE ONLY
Lot Block ' Sec/Sub. •?'? ` ?L ??' `•' On Site 3ewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual)Conat
rc Name ' '- City Water (Allowable)
z Address ' PRV Required ik of Stories
? City Phone ' Booster Pump Length
Depth
°oC
. Name S.F. Total
? Q Address i ' Footprint S.F.
0. City Phone j? APPROVALS FEES
?y W
Name Engr./Assess. Permit
? =
Address Planner Surcharge '
_ ., Council Plan Review
? W City Phone
Bidg. Off. SAC, City
I hereby acknowledge that I have read this appiication and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. t :
Building Official
TOTAL
Permit No. Permit Holder Dats Telephone *
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
wen ?
A
/'l-
Pr_ Disp.
CITY OF EAGAN
., . 3795 Pilot Knob Road Eagan, MN 55122
' PHONE: 464-8100
! BUILDING PERMIT Receipt #
To be u=ed for Est. Volue Date
N°_ 6474
Site Address Erect Q' Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repoir ? Fire Zone
l
E T
f C
t
n
arge ? ype o
ons
.
W Na? Move ? # Stories
3 Address DemolisA ? Fronr ft.
b rl«., Grade I7 Depth ft.
w Name ?'?'-Ln3c7. Censtructi
0
. ,,-
ZV ,
Ut l?1?fE55 • • .
?a- L 3?-h? -,,
Neme _
Address
Water & Sew.
Police
Fire <W ' City Phone Planner _
Council _
I hereby acknowledge thot I have read this npplication and stnte that gldg. Off.
the information is correct ond agree to comply with all applicable A? _
Stnte of Minnesota 5tatutes und City of Eagan Ordinances.
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Tota I
Signature of Permittee I
A Building Permif is issuecl to: on the express condition that
oll work shall be done in occordance with nll applicable State of Minnesoto Stotutes ond City of Eagon Ordinances.
Building Officiol
Paemtt # pots lered PermMte*
Plumbing yY l-,2 /-,r/
Mechanical
2 .
INSPECTIONS DATE INSP.
Rough-In
f inel
Footings -i Date Insp. Date Inap.
Foundation Plumbing
Framefirts. X44 Mechanical
Final -Z4= ?
Remorks: a/ --
?
?a?-? -? `? y???"?'
? o. s:
No. - '?
CITY OF EAGAN
3795 Pilot Keob Road
Eagon, Minnesotu 55122
Phone: 454-8100
T - v' tinc• PERMIT
Date:
Site Address: 46 ^ , -
Lot Block ` Sub/5ec. -('-1f
Nome T•ScZX}C C?..?Y-
? Address
?
City Phone: ^r''
Name
?
? Address `OS 31T7. '
? ...
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesoto Statutes ond City of Eogon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter,/Repnir
Cost of Installotion
Permit Fee
Surcharge
Totol
done in accordance with oll applicable State of
Building Official
-. ' cirr oF EAG,?N
3796 Pilot Kwob Roed
Eo9an, Minn?tota 55122
No. Phewe: 464•8100
PERMIT
Date: '-
Site 1lddress:
4631 parlC Rie?,v
Lot Block Sub/Sec.
Name
; Address
O
City Phone:
Nome
.
?
? Address , . ? ,-. • ,
CitY Phone: '
This Permit is iuued on the expreu condition that oll work sholl be
Minnesoto Storutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Reteipt No.:
Single I
Residentiol
Muiti Res., Comm./Ind. I
New/Alter./Repair
i
Cost of i 6olintion
Permit Fee
5urchorge
I Tota I
done in accordance with all opplicable Stote of
Buildir?g Official
?k
?IN
CITY OF EAGAN PERMIT TYPE: ??30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '? I 10 J?l
(651) 681-4675
?
SITE ADDRESS:
„i,r:rarnroF? r?f
PERMIT SUBTYPE:
I F
?
APPLICANT:
. .,.? , .;,
( f. I ,' ) / /!. •-t,?.?l6h
TYPE OF WORK:
irr wR???
01-SCR11' PTti1 tJ P 1-E+(1 ttF
?
J
rr
Pe.mR Nader nate rdepnone t
SEWER/
WATER
PLUMBING
HVAC
Inspsction Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition PARK ('LIFF ADi7N_ Lot R Blk 9
owner by?- ?jQr ?' street 4631 Park RidQe Drive State?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 2646.00 C006946 3/6/81
STREET RESTOR.
GRADING
SAN SEW TRUNK y5 1981 280.00
*SEWER LATERAL 19
WATEAMAIN
*WATER LATERAL 1981
WATER AREA 1981 2
STORM SEW TRK 1981 502.04 33.47 316/81
*STORM SEW LAT 1981
CURB & GUTTER
StDEWALK
STREET LIGHT
Road i
WATER CONN, 305.00
6UILDING PER.
sac 525.00 HH9 8
PARK
?
?: -
S Pilot knob Rood
n, MN 55122
ng:
:r:
ess:
Address:
iber.
?r No.: Connection Charge:
Account Deposit: _
er No.: Permit Fee:
ee fo tompiy with the City of Eagan Surcharge:
+antes. Misc. Chorges: -
Total:
Date Paid:
of Insp.: Insp.:
OF EAGAN
Pilot Knob Road PERMIT NO.: '
, MN 55122 bATE:
No. of Units:
Address:
?ber;
+ee Fo eompig wifh the City of Eugon Connection Charge:
nanees. Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
of Insp.: Total:
. Date Paid:
RESIDENTIAL
J/ BUILDING PERMIT APPLICATION
? ?l ?j y/j CITY OF EAGAN
? 3830 PILOT KNOB RD - 55722
651-681-4675
New Conatruction Reaulremenb
• 3 registered site surveys shaviig aq, ft. of l04 sq. R of housa; and all rooted areas
(ZO%mazhnum lot coverage allowed)
• 2 mpies of plan showirg beam & window sizes; poured found dasign, ek.)
. 7 set of Energy Calculadons
. 3 copies of Tree Preservatlon Plan if lot platted after 711193
• Rim Joist DetaJ Options seledion sheet (ddgs wiN 3 or less uni4s)
DATE
JOB SITE ADDR
'- D/
ca ??ed 51?2/0 ?
RemodeUReoairReauiremenb
. 2 wPies of plan Nvln
• 1 set of Eneagy CalcWatiom for heated additians
• isitesurveyforexterioraddilions8decks
. Indicate if home served 6y septic syslem lor eddBbre
VALUATION
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? /
PROPERTY OWNER ??Xa lo ? ?I?s G'!p
TYPE OF WORK f?ir- c6 h u t?19C4 FIREPLACE(S) _ 0-,/ 1 _ 2
APPLICANT
l?
ADDRESS - ? 631 ?rR??C2? de,9 be .
PAGER #Irjf iX) d69) -1909 CELL PHONE #
PHONE#
CODE _S'-r/.2J
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CAT'EGORY EigA
(check one) - Resi
dential VentilaGon Category 1 Worksheet - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone #:
Pluinbiiig System Includes: _ Waler Softener _ I.awn Sprinkler Fcc: $90.00
_ Water Heater _ No. of R.I. Baths
No. of 13aths
Mechanical Contractor: _
Mcchanical Syslem Includcs:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery Systcm
Phone #
Fce: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Signnture ot Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
0 03 01 of _ plax
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex y 18 Deck
O 11 10-plex ? 19 LowerLevel
O 12 12-piex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Att - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 37 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolition (Entire Blilg only) - Give PCA handnut to'appllcant
Valuation ? 0--?'
Census Code __Z4
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
x
MC/ES System
,
City Water
Booster Pump '. ,
PRV
Fire"Sprinklereil °? •,
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By "Z , Building inspector
Occupancy A6-3
Zoning
Stories Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
F'ueplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Machanical Permit
License Search •
Copies
Other
Total
. .?
FinaUC.O.
?
HVAC
RESIDENTIAL
BUIlDlNG PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651•681 •4675
New Consimdion Reauiremenls
• 3 reglstered site surveys showmg sq. ft. of lot, sq. R. of house, and all roofed areas
(20°6 maximumlol coverage allowed)
• 2 copies of plan showug beam & window sizes; poured fountl design, etc )
• 1 set of Energy Calculations
• 3 copies o( Tree Preservation Plan d lot pWtted aker 717193
. Rim Joist Delatl Opbons selec6on sheet (bldgs with 3 or less unils)
DATE D -6 -0
JOB SITE AD
IF MULTI-FAMILY
PROPERTY
TYPE OF WOR ?
APPLICANT
ADDRE55 "I
PAGER #
CELL PHONE #
HOW MANY U
? 4 -7jq
4! 7l ,'7,3
RemodellReoair Requirements
. 2 copies of plan
• 1 set of Energy Calculalions for heated additions
• 1 sde survey (or extenor addifions & decks
VALUATION (EXCLUDING LAND)?
FIRE LACE(S) _0 _1 _2 _3
PHONE# b5-(--7V-abL[b
A'1? ZIPCODE 65-6 I Li
FAX# 65I '7S?J-9Db'O
NEW RESIDENTIAL BUILDtNG ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
Plumbing Contractor:
P1umUing System Includes:
Mechanical Contractor:
Nlccki.mical Systcm Incluties:
Sewer/Water Coniractor:
Air Conditioning
Heat Recovery Systecn
Phone #
Phone #
Fee
$70.00
All above information must be submitted prior to processing of application,
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. `
Signafure of Applicanf . ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ?
MINNESOTA RUL,ES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler Fee: IS90.00
Water Heater - No. of R.I. Badis
No. of Battis
Updated 1l01
OFFICE USE ONLY
? 01 Foundation Q 07 05•plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex p 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 RPplacement 'Demolition (Enzire Bldg only) • Give PCA handout to applicant
Vatuation 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
REQUIREU INSPECTIONS
_ Footmgs (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Q!her
_ Frammg _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_
_ Insutation _ Windows (new/replacement)
Approved By , Building Inspector
-- --------------------------------------
Base Fee -------- ---------?: ---------
r---? ? . ? 5 ----------------------------------------------------------°--°----------------------
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plar.t
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
?
??
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
New Constmction Reauirements
• 3 registered site surveys showmg sq. fl. of lot, sq. fl. o( house, and all mofed areas
(20% maximum lot coverage allowed)
• 2 wpies of plan showing beam & window sizes; poured found design, etc.)
• 7 set of Energy Calcula6ons
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Delail Options selection sheet (hldgs wiih 3 or less umts)
DATE '" O I •
JOB SITE ADDRESS "I 0! Au
IF MULiI-FAMILY B
PROPERTY OWNF„[t
TYPE OF WOR,?C-l'?1
APPLICANT ?7r???
ADDRESS "C7l
PAGER #
MANY UN
ZIP CODE?
FAX # 165t' :Z??3- ! D 56
`? l57 as
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submi r
- Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing Systcm Includes: _ Water Sottener _ Lawn Sprinkler Fee:
Waler Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor:
Mcchanical Sys[cm Includes:
Sewer/ W ater Contractor:
f11f COI1CI1hOIIllla
_ HcaL Recovcry Systcm
Phone #
Phone #
590.00
Pee:
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the informationis correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Recei d _ Not Required _
_3
RemodeVRepair Requiremenls
. 2 copies of plan
• 1 set of Energy Cakulations for heated additions
. 1 sile survey for cxlenor addihom & decks
g?ODf?.
ALUATION (EXCLl1DING LAND) :
,
FIREPLACE(S)
Updated 1f01
' CELL PHONE #
OFFICE USE ONLY
? 01 Foundation ? 07 DS-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 ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
Cl 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Mlscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demalition (Entire 81dg only) - 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
N6r. of Bldgs Length Fire Sprinkiered
Type of Gonst Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Foorings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
?cain Tile
Ruof Ice &: `.i'ater F:nal Q:F:e:
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Air Test
Fireplace
R.I.
Final _ Siding Stucco Smne
_
_
_
_
Insulation Windows (new/replacement)
Approved By , Building Inspector
------- -------------------------------------- ------------ --;-±- -------
7 --------------------------------------------°--------------------------------------
Base Fee r
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
J
?
Total !
CITY OF EAc;AiN
BUILDING PERMIT APPLICATION
Include 2 se'ts of plans,
1 site plan w/elevations &
1 set of energy calculations.
To Be Used For 4 p 11 ? Valuation eQ Q Date
Site Pddress: jl(,/ 1,?
Lot $ Block Sec./Sub.Erect
Parcel #: z/l 54Q0 4?"ii d a_ A1ter
Repair
Runer: Enlarge -
Mwe
Pddress: /6070 /ve . Demolish
City/Zip Code: -f ,/Grade
7`
/,-;?-/tO
OFFICE USE 0 Y
OccuPancY ?P 3
Zoning R /
Fire Zone 3
lype of Const. J/
# Stories ¢.
Front s o ft.
Depth 3,1 ft.
Phone #: 4I s- APPROVALS FEFG
Contractor: >'Yl. G.).
Address: p
City/Zip Code: J oa
Phone #: -
Arch. /IIig. :
Address:
City/Zip Cocle:
Phone #: .
Assessments? /?Permit
Water/Sewer Surcharge 3a o O
Police Plan Check SO, 2.f
Fire SAC S2?0 0
Enq, WaterConn. qp,S',o o
planner Water Meter 66.40
Council Road Unit / g,?,,jo
Bldg. Off.
P.PC
'il7PAL
CITY OF EAGAN N° 1512 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8 100 /
J
??/ 4
BUILDING PERMIT Receipt D
n 7'
7`
%-
To be used for POOL Est. Value $10, 000 Date .TUNE 7
Site Address 4631 PARKRIDGE DR OFFICE USE ONLY
Lot 8 Block 2 Sec/SubPARKCLIFF
. On Site Sewage _ Occupancy
MWCCSystem _ Zoning
PafCBINo.
OnSiteWell _ (Actual) Const
a
,TUAN AND CARMEN CAP]ESSA
Name
Ciry Water
(Allowa6le)
w
z
Address 46$1 PARKRIDGE DR
PRVReqwred
_ #of5tories
o City EAGAN phone 454-0929 Boosrer Pump _ Length
Depth
o Name VALLEY POOL, INC S.F.rotal
,
zi-
? a
Address 651 CLIFF RD
Footprint S.F.
? City BLRNSVILLE phone $44-1480 ppppOVALS FEES
?a Engr./Assess. Permit 106.00
ww Name
?= Planner Surcharge 5.00
_- Address
a W C?ty PhOne Council Plan Review
Bldg Off SAC, City
I hereby ecknowletlge hat I ave read thi applicahon and state that the Vanance SAC, MWCC
information is correcl nd a ree to com y with all applicable tate of Water Conn
Minnesota Sta[utes an Ci of Eagan Or ina es. ?
Water Meter
SignaW re of Permittee Road Unit
A Bwlding Permit is issued to VALLEY POOL INC Treatment P1
on the express cond ihon that ali work shal I he done m accordance wdh al I
Parks
applicable State of Mmnesota Statutes and Ciry of Eagan Ordinances. 111
00
8wldmg Officral &N.1I R !(An
it
--
• .
TOTAL
`
?
cirir oF EAcaN
3795 Pilot Knob Roud Eagan, MN 55122
PHONE: 454-87 DO
BUILDING PERMIT APPLICATION
Site Address
Lot $
SF
Est. Value
Parcel fk
Block 2 Sec/Sub. Parkcliff
10 56700 OSO 02
rc Name Mark GerEen
; Address 1020 1SL St.
o Farminat.nn.nlFn Ghq_2?)G5
o Nome M W Johnson Construction
?? ,qdd?eu P. 0. BOX 130
? ,.:_Farminvton,Mn e1___ 432-6$38
Nome _
Address
I hereby acknowled9e thot I have read this opplicution ond stote that
the informotion is correct and agree to comply with oll opplicable
State of Minnesote Stotutes and City of Eugan Ordinances.
N? 6474
Receipt # 6wSa -?"td
000 Date I2-„-',21930
R
Ered EK Dccupancy-
-
Alter ? Zoning
Repoir ? Fire Zone
-
Enlorge ? Type of Const. _ V
Move ? # Stories
Demolish ? Front 50 ft.
Grade ? Depth 34 ft.
Apprmals Feea
WaTer & Sew.
Police -
Fire Eng.
Planner -
Council _
Bldg. Off. -
APC -
Permit 10U.?)U
Surcharge 32.00
Plan check $0.25
sac _ 525.00
Water Conn.305, 00
Woter Meter 0 0
Road Umt 185_00
Total 1 347 _ 75
Signature of Permittee I
A Building Permit Is issued to: M. W. JOhriSOri COriStTllCtion on the express condition that
all work shall be done in accordance th all appli ble tote of Minnewta Stntutes ond City of Eagan Ordinences.
Building Official ? ? yx??
/yJ??/?n' REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-os
? / See instracnons for comoleLng this form on back ot Vellow copy. C/
?C 19
E 15 421"- " "x" Be/ow Wark Covered by lhis Request
04 Addl Peo. TvOe ol 9wlemy ADalmncea Wved Eqmument Wired
Home Range Temporary Service
Duplex Water Heater Liyhtinq Fxtwes
Apt. Building Dryei Electnu HeaUm
Commercial Bldy. Furnace Silu Unluader
InAustnal Bldg. Av CondiUOner Bulk Milk T&nk
Farm Other aeci v 00hrr ISpe,ivl
t nr SV?`?ify Other Othui
ompute lnspectian Fee Below
p Fee ServiceEnhanw5na tl Fee Fexders/5u0feeders k Frte Cucunls
U to 200 Am s 0 to 30 Am s 0 co 30 Am>s
Above 200 qm ps 31 to 700 Amps 31 to 100 A s
Swimming Pool Abave 700_Amps Above 100_Amps
Transiormers Irrigation &?orr?s Partial- Other Fee
Signs SpeciallnspecUOn
TA
flemarks j
, , „I ?
.o-
G c. ?ac?/J( Lr/ -
Rou9h-in
Eleccric
Inspec o , eraby
rtdy that the above
Final ?e Insoectimi hes Deen
- -/?? mede.
?9a mpuest rold 18 moniha Irom
Thiz reqaesl vmtl &/??/o[?'
18 months from ? ?
E 15421; ??`a?7. ?????
'J T5?9'/
?$?S 09
Request Uaia
? ? ? ? - 88 Fire No. qequ eW nspecbon
?us ? No
]qoatly Nuw ,II Nntrtv Ins0ec-
I
?r Whon ReadY
.?<Licensed Electncal ConVactor I hereby request mspection of above
? Ownpr electncal work mslalled aC
Sv t Atldress, Box or Route No.
3 A
k
D C??y
r _.
ecuon o. TownsMp ame or No. Rango No. County
N./4 ko/ 1
?Qccup nt (PRINT
) Phone No.
1 /?
?
IV 1?,7/V T
Power $upplner Atldress
Electncal Conlrar.tor (Company Neme)
nYoTwe rs Contra?.l r's License No.
Mailm AtlJress (Conhacmr or Owner Ma
? bnH lnstailauoN J C
1?? • C/ . / . /v /
Authorizetl 5? (C?ntiacm Owne king I allatm Phone Numb
ef
/
?
MINNESOTA STATE BOAflD Of EIECTqICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Roam Nd91 gE ACCEPTEO BY THE STATE BOAHD
1821 Umversitv Ava.. SL Pnol, MN 55704 VNLESS PROPEN INSPECTION FEE IS
Phonel6121642-OBOO ENCIOSED.
minnasota acace soara or tiecnimcy -
Griggs Midway Bldg. - Hoom N191
go 18j7 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
REQUESTFORELECTRICALINSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
E6-00001-02
?,I T 17071
Type of Building New d. Rep. Ch¢ck Appliances Wired Foi Check Equipment Wired For
Hume ? ? Range ? Tempoiazy Wi[ing ?
/
Dteplex ? ? ? Waler Hea[et ? Lighting Fix[ums ,,?,
L7
Apt. 81dg. ? ? ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Iudustrial Bidg. ? ? ? Air Conditionet ? Bulk Milk Tank ?
Faim ? ? ? List ) Lis[ )
Other
?
?
? Othets?
Heie ) Others}
Bere 1
COMPUTE INSPECTION FEE BELOW
ISen'ice Enhance Size: x Fee Feeders&Subfeedeis: # Fee Circuits: a Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
]01 to 200 Amps. 31 [0 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transfotmers RemoteControl Circ. Partial ot othet fee
Signs „ Special inspection Minimum fee $5.00
Remarks
1 D /?l
?r 1 6•[
TOTALFEE
6
?
I,the
fe6y certify that the
/
has been ma?e?
Aatell ; i?•
(Final)
This request void
18 months trom
s?
ont ?,est void 2 ??; 5?? 7$ mhs from / ?
Date of t? is Request ? t / Fire No. ? l.P. 17071
I, as [$?Licensed EI ctncal Contractor El Owner, do hereby request inspection of the above electri-
cal`10iring installed at:
Stieet Address or Route No. City'14?-
Section Township Range unty ?
Which is occupied by?_ . _a?R???
Is a roughin inspection required o# [his job? No ? Yes
Power Supplier ?kcld?s
Electrical ConVactor
Ready Now O, Will Call %-'
Mailtng Address --- ---- o ++uu t , "iltl JJ1G'k
O d a g Installaqon)
Authorized Signature Phone No.
(Elxtrkal Contracror or Owner Making 7bis Installatlon)
?C ??.".#L3??? ? E?????? ???? This inspectian request will not be accepted 6y Me
?3 SWte Board unless pmper inspactian fee is enclosed.
(grr#ifirtttr nf (Orru,pttnry
Citp of (Eagatt
3Deparhnrn2 nf iluild'mg lnsprrtimt
Tbii Certifitate irrrud pusrasnt to tbt rrqninemrntt o f Stttion 306 of the Uniform Baildirrg
Code arti f ying tbot at tht timt nf itttiarut tbit tdurture wat in eom plianre wirh tlx variour
ordinanttt of tbt City ttgp(qting bwldirsg rortmnttion or ute. For tht foUouting:
w.cl--e?um SF DW/GAR elacwmt Na. 6474
?Wd.Y'h0e R3
1YwComuuctim V FinZoo 3 ZauMDumc,
O?mofB?Ohy_MElTk ra2TQPS1 AdAm 1020 1St S't F''3YIRlI]gtQj'1
e?ea??eamm 4631 Park Ridge Dl;?,w„r L8.B2,Parkcliff
BY
BZwwofrw o.,,: 2-25-81
.o.. I.
SEDGWICK HEATING & AIR CONDITIONING CO. HEariNG JDBNO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS /KR?? jo(/ t- CIN
;cl"nO OWNER G a N r-- A"LC7 ? eiG?i / 0/O
OCCUPANT ig
SOLDBY Lk-e- INSTALLED BY 2f t
MAKE
SERIAL NO
CS C> ?S
p
lI ?
THERMOSTAT
VAWE ?'?cM c • ..?/-e ? ?
?
LIMIT
C J y
LIMITSETTING
FAN SETTING
PILOT TYPE
IGNITION MODEL
S '
PILOTTIMING
PRESSURE -.) `
INPUTCFH w
STACKTEMP. ?> [
PERCENTCOz ?
PERCENT Oz ?
MODEL 62 4 aete "' / 6 O G -"U
wPUr '//.o1 Boa
VENT SIZE Vf
TVPE OF LINER
l? 'r
LINER SIZE ,
FILTERS: SIZE -
WIRING
TEST TAG
LIGHTING WST _
DATE TESTED-
COMPANY TESTING
PERCENTCO ? NAMEOFTESTER
,?- z -r NUMBER
Ao i Qr- 4
FOFM 235 (REV 11/89) FORM OISTRIeUTION. WHITE COPY -JOB FILE YELLOW COPY - CITY
PERMIT# ? It4lcii
RECEIPT DATE
2002 R£SIDENTIAl, flLUMBING flERUPP APf'I.iCATION
CTtY OP EAfib4N
S$SO PtLOT KNOB RD
ER&AN, MN 55128
651-6$1-4675
Please complete for: single family dwellings, townhomes and condas when permits are required for each unit,
6ackflow preventer for irrigation system <
SITEADDRESS: 44o3 1 PaYkYI (,[CyC I VC-
OWNER NAME: :[kI ( i d C) , ADY1aID u TELEPHONE (li?I4E?Z` L-17,
(ARE4 CODE)
INSTALLER NAME: ftf- Pi k11in r IL5 TELEPHONE #: LoS t--31d_?>" f34Zy
-`
STREET ADDRESS: :?V)U I?'XiI U R. D (AREA CG7t)
CITY: f_GQLia1 STATE: M? ZIP: S-.S I
_ SEPTIC SY5TEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee I
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, exCluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter rf needed -$118)
Other:
_ RPZ: new installation/repaidrebuild
-- ?- ^ ? ? $ 30.00
_ fawn irrigation sysiem
ReplacemenUadditional: _ water softener water heater
' $ 15.00
Ig•? --- =_ _
State Surcharge $ .50
rota? $
I hereby acknowladga that I have read this application, state lhatthe information is correct, and agree to complywith all appiicable Ciry of Eagan ordinances It
is the applicanYs responsibility to notify the property owner that the C'rty of Eagan assu s n iabAiry for any damages caused 6y the Ciry dunng its normal
operational and mamtenance adivities to the ficilities constructed under this permit ' hin 'I propedy/rigo way/ agement.
GdlAtURE OF PERMITTEE ( 1 1102
~ CERTIFICATE OF SURVEY
ae -- _
h , c4
5 <(
\ ? e4s ° ? S9o
?• S S9o ?4 \ 322„w
\ 9 ?
y W
Q
w =
2 N O
°s c d
o ?
? o - I
aZ
?
UTILITY AND
DRAINAGE EASEMENT
2?>
8?.
?
\ •
LOT 8 BLOCK 2
9
4 06 7 ?
,
04 Q
? o Q 4,
h
30'
? 8 7 5 \
Q p i
Q= o ? M a O
\ ` 96. 5 24, ? mM
B9 9
AfEAS
4I-t , N >vo5 ,
„
- /0'
g?
3.g ? .
W r
N T4o3? 4j6
S 8 ?•-
M,
l .p4? g5.0 ?
158• 4l' ` - - 92'9 Q
Q
Elemtions ahsan are er.isting gr:ldoa end ere asaumed dnttan.
I horeby_c4rtify thc+t-thia_S._s_a correct raoresentation of a c,urooy of:
G?t 8 , Block 2, Nrkcliff, Dakota Coun-y,?L'unnesata, accordi:ig to tha
plat thoreo_" on file a±ui of record-.
Md thwt I am a duly ragistered Inn3 survayor under the laws of tho Steto of L'1n_ie33C,.,
?
Detod this 26th dsy of titoverber, 1580 Gene L. Jncobsan, L'?nn. Reg. :'o. 77:4
DR. BY PB SCALE - I" = 40' o DENOTES IRON MON.
Yreparcd for:
L:. l'i. Jahnson Conetruati,)n
P. 0. Box 130
Y'JSr,.IIZkjV7n, "lZaP. 1"b0?4
BEARINGS ARE ASSUMEO DATUM
JACOBSON SURVEYORS
LAKEVILLE, M I N N. 55044
PHONE 469-4328
YltiLL1YJ YLAN Jt.KVII.r.
,. "I;i(.LIpS Ai,AM SFRYoi,E ?
?76so *. I" ored
EXTEkIOR ENVELOPE kYERAGE "U" COMPUTATIdN
Owr1ER ? I b- ZQ G -
, SITE ADDRESS
CONTRACTOR M . .?pNQ50?J ?5TDATE J2-}r7_g?PHONE
Determine working square footage of each.
1. Total exposed wal l area .. ... ZSoy •9 Lo sy. ft.
8 °
x .1
`150. g
2. Total roof/ceiling area ..... Gu0 sq, fi. x .04 = ?.??
Total exposed wall area above floor = Z13 lo
a. Total wall window area ........................... ? g0,5
6. Total door area .. ..... .•-....•...-•.•.•••••• 3 B
c. Total sliding glass door araa ....................
----
d. Total fireplace wall area ........................
e. Total wall framing area (average 10%)...:........ If5'7.32
f. Total net wall area above floor ................. UQ£',?.Sf3
g. Total rim joist area ............................ Z.lotP
Total exposed faundation area = 10Z.qep
h. Total foundation window area ..................... q.y 5
1. Toat net foundation area ahove g'rade ............ Q 3.51
Determine "U" value of each wall segment.
a. j 80, 8 X"U „ _, 55 =qq_`i-?-.
b. 38 x"U„ , 139 = 5.2
C 44 X „U" , s
d. - K „ull z --
e. I ?'7.3Z X "U„---11?__ = Z14 .35
f. 1_U 5, $ X „u„
9-??. Zt- X ??U"
n. q,y5 x „u.,
q 3,51 x "U"
i.
, O,? = 118.ti1
? oLo = 15,910
_ 55 = 5, i
__.,.I-?°?-- - 43, 55
3 ......................2Soy.:.q ?P..rotai = 3N,o
If item $3 is the same as, or less than item N1, you have met the intent
of 58C 6006(c)2.
- = -- -3-`--
- - - -- - --=-' - ---?-- - - -- - -
r.,.r.7v aF EAcaN
CFlSH.T.ER: S TEkMINAL N0: 946
DATFi 03/10/99 'f`f.ME: 00039
zn?
NFlMEr, GUY WTLL_SAMS
320 3001 4631 F•AE;Y,RIT.+GF' 05,25
2155 9001 4631 FAfil;fiIUGE 3.00
To+,al finceipt Amnun+,; 08.25
CP,iQ3i4B
USER IA; NANL'Y
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.1ePl. : 1- V-5b 7t7Pi-Gi;N--o 2
?eaL
L 0 r:
P nR i<.
PNhKRTnG? Oft
8
rur?
PERMITTYPE: .,uz L n rrar
Permit Numbec E 3%I 6 17
Date Issued: 0 3 71 v? l9 _:
DESCRIPTION:
f>E Pi70 r=
r, i14lplarr€o- Perrnit lVp>'r
cGildirag Jo-rk Typp
11
i
r. i
SF ? hIISi:. i
F1rPACR
4 3'I AI,T. R C-.S'LOEN'I?I:AI_
?-.-
, {ar f
REMARKS:
FEE SUMMARY:
`JALUAI-7:0hl .`11 1">.674) 0
E3a:5? F?ae sl^6."?'S
Surcharqe - d3e+?G1
Total Fee y.I "1 g',GG
CONTRACTOR: - Ro?,li?,?anr: - s T. ?1?.. OWNER:
?,)?eOFiam coNsrR(rcTin[,J 1776stiOO 20114s411"?; G:raN essA cAai-1 F iv
s1? 8 s :,L oAiv FLH?,F ,sa 463i aR i<i<.[1) rsF ot?
1N itPLEWO k) U h N 65717 Et1GAtd nIN 5512 o
I f 6 't71 776-.ca;ipl0 (551 1'r.,64-- :7775
I hQreby »r.},nowlociqe t.tiat 1 h,?ue reLid tiii n aPRdacaCSon eind stdta 1:heaC che ,
:iYfaI- mo t icn Li uorrect ind a4res j.a c:ompiV cai Lti :a11 dpOi icable SCata ai- Nil.
SC,atwtes and CitV ef Ea4an flrJinaaaes. I
?
APPLICANT/PERMITEE SIGNATURE
ISSUED BY. SIG ATUR
I
`? / 1?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-j y- 3830 PII.OT KN B RD 55122
(651) 681-4675
New Construction Reauirements Remodel/Reuair Reauirements
? 3 registered site surveys ? 2coPies oT plan
? 2 copies of plans (indude beam & window sizes, poured tnd. design; etc.) ? 1 site surveys (exterior edditions 8 decks) ?
? 1 energy calculations ? 1 energy cakulations for heated addkions
? 3 wpies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: ? - CONSTRUCTION COST:
DESCRIPTION OF WORK: ? -
STREETADDRESS: V?
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name:Ll n P S (//)`)e/) Phone #:
PROPERTY Last Firs[
OWNER ??
Street Address: / `?
??') ?
City State: f - Zip:
Company:tL Phone #: -??Sv a
CONTRACTOR )
Street Address: Gz License # °Z U L Z ?SExp.
City rr /G4!-? I,( .?(? State: ? Zip: ?/ / .
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
I hereby acknowledge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Ves _ No
is correct, and agree to comply with all applicable
- Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweiling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Width
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
PermitFee
Surcharge ?S
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 d-$. DS-
Engineering
Valuation:
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
SAC Units
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICA'fE5 OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS
RENTAL UNITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
CDhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For•
Site Address
Valuation: Date: SI3 l
Lot 9? Block Z
Parcel/Sub 0/12,KLl.i E( 1?}? ? •
Owner tiA so4 CQQirnprJ OAlf Mfl
Address q&L 0{leQK(-2'ibCE ivC
City/Zip Code„A 9,AA, -A),il 55122
Phone y-s y - nc)z 9
contraetor I-AJ Ir Tvc-
Address IOS? GLk k IL?I
City/Zip Code
0
k)
Phone g Cl ?i - l4 b b
Arch./Engr. _
Address
City/Zip Code
Phone #
/O, DO[?: `=
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
Oceupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit ]GYO'-
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
.
CERTIFICATE OF SURVEY
? -- -
y Cq
? ` F4s ` SM1. `SSc` ,
I ? 1902 ?22„
\ 2?>
I \ S39„ F 4' •
ui 8J' \
a W UTILITY AND
I AINAGE EASEMENT `
W ;°1 'o DR
o ? - r??. ? ?
U I ?/is,? b \\
M g ' %? . ?r ?2 ? ? 89 7
//o
`? % s?? ry Q N B6•T?
87-3 ?
3p,
y
5 ¢
O ,v?j P O
y 5
09•9
__ 9? 8 9 / ?. ?(V
5- ")11JmM?.2 q£4S ? N T4o 9ep ?`? J3?I? ?
't _ T?LET LL ' N 7 o S9 4s" W. 9T.8 J
(11- Y'M\UDeAiJ 4 3f4711w ?S7.py._ Y 0 ?1 ? ! 92•9 aQElnwtions ahown xru nxisting grudea urid &re aaauwed datum.
I hdraby aertify thnt this 1a u norreat r3prdsuntation oC 'L wrvuy af:
Lot b, Hlook 2, Furkoliff, Dr.'siEn County, Ddinnesota, aooording to tha
plet tharauf on filn and oP reaord.
,u;d t}?t 7 uiu n quly regiat?rnd 3tand aurvnyop under thd luws of tha State a1' Hinnaaotr,
zziido-
"tod thie 26th duy ot Novuwbur, 1980 Garue L. Jaopbuon, nu. Rng. No. 7734
DR. BY P6 I SCAI.E ' I"= 40'? a DENOTES IRON MON.
Prnfw,rv3 f or i
jt. 'j1. Johnnon Conutructlan
P. p. Box 130
I Farmington, Yinn• 5.'024
sEARINGS ARE ASSUMEO DATUM I
JACOBSON SURVEYORS
LAKEVILL.E, MINN. 55044.
PHONE 469-4328
.??ey •. : ° ?
301 Wast Bumsvdle Crosstown
? Swte 210
8urnsville, Minnesota 55337
Phone 612/894-5020
&K-PAULTITLE
INSURANCE CORPORATION
RE: Payment of Special Assessments
Enclosed please find our check I125009 in the amount of
for payment in full of the sp2cial assessment(s) for _
on the following property.
4631 Park Ridge Drive Eagan Minnesota 55123 10-56700-080-02
Property Address Plat and Parcel
M.W. Johnson Construction
Seller
If there are any questions concerning this payment, please contact us immediately.
Also, please send all receipts for payment as soon as possible with our file 1/D7249
referenced on the receipt.
Thank you for your cooperation.
Sincexely,
i %
SCEOW Closer
ST. PAUL TITLE INSURANCE CORPORATION
$ 7.173.88
, 9 10
?
l?
??.
?J
t-/
.?
SKETCH ADDENDUM FilgNO. 8213
e«rowgr__ Gonzalo J. & Fransica Bellido
--- ----
- - -- --------- - - - --- - ------ - -
Properry_amrass_ ___ 4631 Parkridge Driye
-
-------
cin-----.----Eagan ------counry----- -Dakota ..----siale------MN--------necoaa_ 55123--2130
LentleqClleN Burnet Home Loans n?res: 7550 France Av. S.1 Suite #940L EdinaI MN 55435
_-. ? . .
Q .
1V X40
r -----------------------?
1 Deck ?
, 00
I Dining Room Dining Area Family Room
i
? Kitchen
? 24.0
? NI/2Ba Dn
Llv
ing Room -lw i 32 X 22
No,
I j
?P 3 Car Garage
? 30.0 -? 30.0
e
L I=
A 12.0' x 20.0' 240.0 I
B 24.0' x 30.0' 720.0
Gross Living Area 96010 I
rvtacnpprel5ar'^ Heal Eslate Appraisal Soltware by Bratlford and flobbms (8001622-8727.
Use BLUE or BLACK Ink
For Office Use
I
rmit
Eapn Pe
City 3
I Permit Fee: f
830 Pilot Knob Road
I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff.
1
- - - - - - - - - - - - - - - - J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:(
Tenant:
Suite
RESIDENT/ OWNER Name: C At-A!tlQr,~ Ph on r
Address / City / Zip: ` U49, f CIO
Applicant is: Owner ntractor
TYPE OF WORK Description of work: Q rbs-J
!(Yes Construction Cost: Multi-Family ding: /No
'
CONTRACTOR Name: le r) Lt- ice se
Address:
City;
State: Zip: i c ~ Phon
Contact:
Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No - If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that t work be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xx
Applican s Printed Name p icant"s Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA081980
Eagan, MN 55122 . Date Issued: 02/19/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4631 Parkridge Dr
Lot: 8 Block: 2 Addition: Park Cliff
PID 10-56700-080-02
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Sedgwick Heating & Air Gonzalo Bellido
8910 Wentworth Ave S 4631 Parkridge Dr
Minneapolis MN 55420 Eagan MN 55123
(952) 881-7739
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
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090957
Eagan, MN 55122 . Date Issued: 09/01/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4631 Parkridge Dr
Lot: 8 Block: 2 Addition: Park Cliff
PID 10-56700-080-02
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
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:
Hearth and Home Technologies Gonzalo Bellido
2700 N. Fairview Ave 4631 Parkridge Dr
Roseville MN 55113 Eagan MN 55123
(651) 633-2561
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118863
Date Issued:11/08/2013
Permit Category:ePermit
Site Address: 4631 Parkridge Dr
Lot:8 Block: 2 Addition: Park Cliff
PID:10-56700-02-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gonzalo Bellido
4631 Parkridge Dr
Eagan MN 55123
Dmz Construction Llc
2121 Cliff Drive, Unit 212
Eagan MN 55122
(612) 570-0907
Applicant/Permitee: Signature Issued By: Signature
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City of EaallFor Office Use
Permit*Permit Fee: (0 c,w
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 �
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /7 Site Address: 4-11‹. 3/ D
Tenant: Suite#:
Resident/Owner Name: C c9 n ZI_Qe t/'c, ' Phone: - 3 9- 47415-.7
Address/City/Zip: `-7/(.03 P A--
Name:
-Name: CQ�,E.A, 1 1u ,v. License#: f/H C;)(c,5 '79j
Contractor Address: City:
SContState: Zip: Phone: '3-- L-t) DS-1-
Contact:
act: Email:
Type of'Work —New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: 12 v1"w,/L I -.L Oc, .-
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type
Septic System Add Plumbing Fixtures ( dC Main/ Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the/approved plan in the case of work which requires a review and approval of plans.
x GL Z./0A- x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ' Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147012
Date Issued:12/01/2017
Permit Category:ePermit
Site Address: 4631 Parkridge Dr
Lot:8 Block: 2 Addition: Park Cliff
PID:10-56700-02-080
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$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 -
Gonzalo Bellido
4631 Parkridge Dr
Eagan MN 55123
(651) 329-4879
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature