4692 Parkridge DrCITY OF EAGAN Remarks
Addition pARKCLIFF 2ND ADDN Lot 6
owner street 4692 PARKRIDGE
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1984 366.25 73-25 5
SEWER LATERAL
WATERMAIN 1984 35ZZ 7.04
WATER LATERAL
WATER AREA 1984 366.25 73.25 5
STORM SEW TRK ? 1984 642.60 IZ$ $Z
STORMSEWLAT -i 1983 283.60 56.72 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
-e1k Z Parcel 10-56701-060-02
DRIVE C,- E6GAN MN 55123
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55 1 22-1 897
4ATE MAR 26, 1991
SITE AQDRESS 4692 PARKRIDGE DR
LOT 6 BLOCK 2 SEC/5UB
PARKCLIFF 2ND
APPUCANT: 5AA'1E AS 6WJVfK
ADDRESS:
CITY, STATE ' ZIP
PHONE:
PLUMBER: ?
ADDRESS:
CITY, STATE ZIP 55120
PHONE:
PERMIT REGIUESTED
Y SEWER WATER -TAPS
? COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
i•. A'411'4'
1 AGREE TO aOMPLY WITH C1TY OF
OWNER: MCALZISTER CONS'fRUCTIQN CO EAGAN ORDINANCES
ADDRESS: 1960 CIiARLTON ST
CITY, STATE W ST PAUL MN Zlp 55118
PHONE: 451-$070 OR 865-2636 SIGNATURE WHEN METER 15SUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR IN5PECTIUNS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
USE ONLY
? PERMIT DATE 04J01 /91
? PERMIT # 11895
B.P. RECEIPT # B.P. RECEIPT DATE 03 Z7 41
_ PRV - BOOSTER PUMP
OFF
METER #
CHIP
METER SIZE `
ISSUE DATE ? O ?
n,!='_."".t"'Tra'qffq31R'i".°'?"7?ry:"°?`.i ??{T...:?..n,? ?'7?'4i'1P`-";+'y?'.,?,.:?p?^?,.`?'9?,;?roy?'?rss..ry.c+'?,rs??+.??';?9+v+Rp+,.w.'r?7R
iF
: ? . CITY OF EAGAM1!
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 t; 1 ?j 4 i.
BUILDING PERMIT Receipt # u
To be used for SF Dw-/'.:AR Est. Value t.15*41 ,000 Daie MAF 26 91
, 19_--_
Site Ad$ress 4092 PARIKRiD(Z DR
Lot Block Sec/Sub. OFFICE USE ONLY
Parcel No. Ooc"pa"cy R-3 M- 1 FEES
-?i
NCALLI8T6A CON819?UCTI01i CO zoning ?21?00 ?
W Name IActuaq Cons1 Bldg. Permit
; Address (Albwable) - 76•00
o Surcharge
City Phone 451-8070 # ot stories 534.00
len9th Plan Review
SAM ??000
? ;
q N8lp@ Depth - SAC. City
?. AddrBSS ` S.F. Total 6
- SAC, MCWCC ? ? Ciiy PhOt12 ' S.F. Footprints _ 660.00
?
On Site Sewage _ Water Conn j
W W Name on ste weli 95•00 Water Mefer
s Z Address MWCC System ? 30.00
<j Cit PhOne Ci Water -? ?? ?Posit
•
W y PRV Requirad _ SNV Permit ??
I herehy acknowlege that I have read this application and state that the ?ter Punip - SNY Surcharge .50
infortnation is conect and agree to comply with all applicable State of 276.00
Minnesota Statutes and oi E,,tgan ??CeS. ? Treatment PI
t:
l??%
? Road Unit 370.00
Signature of Permitee I APPROVAIS
A Buiiding Permit is issued to: Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council --
applicable Stale of Minnesota 5latutes and City of Eagan Ordinances. gldj. pry, _ Copies
3,643.50
Building Official ? Variance - TOTAI
Permit No. Permit Holder Dtlt Tekphone N
WATER
SEWER '
PIUMBING ? 2az 7/9 11517e91`7
H.V.AC. a 9?3 ? S qr N - qz?q-f
ELECTRIC
Inapectfon DeRe Insp. Comments
Footings I
Foundation
FrarWrig
Roofxg
R.* Ptbg.
R.0 Hts. 3 3 lfi /Q?) ? sZ7 i
Issul.
Freplace S
Final Htg.
Fnal Plbg.
Const. Metef Ptbg. Inspector - Notify Plumher
EngrlPlan
Bldg. Final
Deck Ftg.
OecR Fnal
Wel1
Pr. asp. •
?-
(gtrtZ4t???? ?f Orrupaury
Citp of ( fagan
EPpYbltPtif Qf Nlilbt2iQ JtlopPttT.U1[
Thir CaTific+ale Lrsued pursuant io the requiremen[s of SecAion 306 ojdre Unijorm Building
Cade oem*ing lluu at 1he tiw of iuuance Jhis wuaune K+zs in onmpl'rarrce wrtfi lJre vnriorcr
ordina?ec+es of 1he Cuy regulapFnB bullft rnnsirrecAoon or use For the following.
b
the clonwwad„ SF nwr_ jr,Ag ?,?t,,,. 18815
?7 ? R3/M 1 Zoning nk,;Q 83 rrpe Ciong im -
ownerdBuldio??''!^•AiJ.TSiF.R fYNSMY=[Nuu....
POST IN A CONSPICUOUS PLACE j
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: APPLICANT:
,,. ?. ? ,?x?.r??u??? ?a ,,. ??r:?:? ? ?
1'ARK t'I It f INI) (61?'I J21-1Z90
PERMIT SUBTYPE:
F
L
TYPE OF WORK:
r? f ?-?
rNri. nfr.k kFPATH)
-1
I
RkMARICti? A Sf?!'AIRA(f ('I'F'tMlt 1', HF0UTRkfI F[!1{ AtilY klFi TRII AI. IJilkF +•
Permit No. Permit Holdsr Date Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
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
BSMT R.I.
BSMT FlNAL
DECK FTG
V A
DECK FINAL
U
HOUSE HEATING TEST RECORD 4(pj ,84, Aot? o?ccf:
ADbRESS P, MR K Rl?CoL` ?)R • APT. FLOOR CITY SUBURB
OCCUPANT OMINER
HEAT LOSS DATE ,iTG I?
SOLD BY tti k flT&oF ?tTh/ fc N C. INSTALLED 8Y tw oc?c f?C?
Eieetriea) Mfsrk 9p Gos Line By Hy'G
TYPE OF HEAT GA FA _)4-H1M STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSIOH
MAKE 0 /C2 MAKE OF BURMER
Model ?o Model
Swiol St %20 / 9-;P Me:. BTU RoNnq
INPUT ?oovfl MAKE OF FURNACE
Medel
CONTROLS
THERMOSTAT Heat PIu4. Von? Sis•
Valvo KIND OF LINER SIZE (A " NONE
Limit Crok Hood Rpulawr
Limif SeMiny _ 7 a ?
0O F Ffifers Size NumbK
Fon SeMiny Chimney Loeafion Inside OuttiM
Pilot Typ? e- 6" Chimner Constrveffon
Piia? Mako Cqa &,t 2y N'' Spillage
Pilw AAodel Smeke Banb Mfiriny
Pilot Tin+inq Draft - 23 Test ?aq
L.W. Cut Off Door Presaure Liqhfinq Inst.
Presswe PorCM} CO.: -? Oate Test" 6
InPut CFH /00 P..c•nt OZ Companr T•sriny ?+ c
vC
Stoek To?np o
15 ?r?
PKCN1t CO Nan?e of Tostsr _?_
a HOUSE HEATING TEST RECORD
AODRESS 7? /O2 ?/3RKRI-YeE Z)R• APT._FLOOR CITY SUBURB
OCCUPANT ON'NER
HEAT LOSS DATE J1TG. IST. ?J
soLo er rb k!•?TC ? ssFlYll>c N C. INSTALLED BY - { eA ocK /??G
Eiect.ieai wwk By Go. un. ey Reb ,Q a.c H>6
TYPE OF MEAT GA _ FA C HW _STEAM -SPACE HTR. _UNIT MTR. _OTHER
GAS DESIGN CONVERSION
MAKE - ?114'q / C2 MAKE OF BURNER
M,a.i R G S/oo / A r,?,d.i
s«iai S 9 2olvv Ma.. eru Rafin,
INPUT MAKE OF PURNACE
Medel
CONTROLS
TMERMOSTAT 6VNE Hwt Pluq.
Valvo
Llmlt /
Limif SMfiny
Fon Sottinq / c
Piberype .tnt 6• _
Piiet Mab RR/?!L 1 Ytu 7
Pilm Modal
Pilot Timing
L.W. Cut Off q
Prossun J` s Pereent CDZ ?
InPUt CFIi Ib0 O Porcone O2 ?
Smck Rm?- ?s Pn>nt CO
Vent Siz•
KIND OF LINER 4 11-"MN",x SIZE__C,?=NONE
Dreh Hoad Rpulator
Filtwa Size uum6or
Chfmiay Lecatien Inside Outaido
Ohimnay Consfrucfion B ??P7
Spillage
Smob Bomb Wirinq
Draff Test Toq
Dow Prasswe Lighfinq Insf.
6A
DaM Tesfed
Company Toatiny E O?oCK 77-ra 4
Nama of Tost?r KE? ??Eh
Certificate of Compentency_ #
. • CITY OF EAGAN Np 18815
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 D
BUILDING PERMIT
To be used for SF DWG/GAR
Fst ValuP $152,000
Site Address 4692 PARKRIDGE DR
Lot 6 Block Z Sec/Sub. PARKCLIFF 2ND
Parcel No.
W Name MCALLISTER CONSTRUCTION CO
o Address 1960 CHARLTON ST
City W ST PAUL phone 451-8070
o Name-
g¢ Address
i- City _
Name _
Address
City -
Phone
Phone
I hereby acknowlege lhat I have read this applicalion and slate that the
information is conect and agree to comply with all applicable State o1
Minnesota StaWtes and Qty oi Epgan O??nces.
Signalure of Permilee ' ?
A Buiiding Permit is issued to: M LISTER CONST CO
on the express crondition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Otficial
Receipt # ? i?1=v-
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(ACNaq Consi V-N Bldg. Permit 822.0
0
(Allowable) V-N Surcharge 76 . 00
M ot Stories
60'
Plan Review 534.00
Lenglh
Dapih 44 ' SAC, City 100.00
S.F.Total -
SAC,MCWCC 650.00
S.F. FooWrims - 660
00
On Site Sewage _ H'aler Conn .
On Site Well - Wa1er Mater 95.00
MWCCSystem -?-
D
30
0
City Waler ? qccLDeposit •
PRVRequirad _ S/VJPermit 30-00
Booster Pump - S/W SurCharge _ 50
Treatment PI 77 fi_(1(1
APPHOVALS Road Unil 3 70• nn
Plannar - park Ded.
Countil
BIdg.OH. _ Copies
0
643.5
3
variance - 7o7AL ,
Address: 4692 PARKCI,IFF DRIVE Lot 6, Blk 2 Sec/Sub pA?M= 2M
These items were/were not complate at the time of the final inspection.
Date: 6 20 91 Yes No Tnqppcrnr.
Final grade (6" from siding) ?
Permanent steps - garage r/
Permanent staps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass ?
Trail/cu[b damage
Porch
Basemant finish
Deck f?
Please verify with the buildar the removal of roof tast caps from tha plumbing
system and tha shut-of£ of vatex supply to tha outside lawn faucet be£ore
freeze potential exists. ?
wcmmwn?
White - City copy Yellow - Resident copy Pink - Contractor copy
2006 RESIDENTIAL PLUMBING PeRnnirApPUCaTtoN
CITY OF EAGAN
3830 PILQT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwetlings.
Date i Z 1 T 9 1 0?
Site Street Addrdeff Cldl'k Unit #
692 PARK RIDGE DRIVE
Property Owner_Eagdll, MN 55123 Telephone# ( )
contractor Norbcum TJLLLYYLtJIt'tTelephone#((p?y) 82?-?10?'3
Address 2QD5 C-ICLr-F1P,(,d f1-V. Sc7. ciryM.P(s scatem(u 2ipZ6409
The Applicant is: _ Owner V Cantrector _Other
Septic System _ New , Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener
YWater Heater $ 15.00
/
_ new Y replacement
Lawn Irrigation _RPZ ,_PVB _new _repair _re6uild $ 30.00
K?VMIE
?E
State Surcharge
, D $ 50
i J
Total $
I hereby apply for a Residential.Plumbing Permit and acknowledge that the information Is complete antl accurate; tnat tne
work will be in conformance with the ordinances and code of the City' of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a r it, work is not t art without a permit and work will be in
accordance with the approved pian in the event a plan is re ir, d'o be revi d nd approved.
Je?rer? L. Norblor,?,
Applicani's Prin d Name IA icanYs Signature
?Q Y?
Q ?a
7 ?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuclion Reouirements RemodellReoair Reouiremenis DiFce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. h. of house; and all roofe] arees 2 copies of plan Showing foofings, bearns, jasis Ced M Survey Recd Y_ N
(20°k maximum lot coverage allowea) 1 set of Energy Calculatlons for heffied addifions Tree Pres Plan Recd Y_ N.
2 copies of plan showing beam & window sizes; pared found design, etc. t site survey for addNOns & decks Tree'PresRequired. .-_ Y:_ N
isetofEnergyCalculations AddRion-indca[ei(wrsitesepficsysfem Oo-siteSepticSySlem _Y _N
3 copies of Tree Preservatlon Pian if lot platted aRer 71A3
Rim Joist Dehaii Op6ons selection sheet (6uildings with 3 or less units)
Mirtnegasco mechanical ventilation foan ,
Date 9,0 / j?& Construction Cost ?d /v`
,?
SiteAddress y?y? Yi/` I?i?r ?_?.??%i?.? UniUSte #
Description of Work
Multi-Family Bidg _ YX N ? Fireplace(s) _ 0 0 _ 2
PropertyOwner --K?? Telephone #VW) &?/ ? 74/
Contractor ?
Address
?s
City
State Zip 55° x i_ Telephone #(6,s-A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cafeeorv 1 _ Minnesota Rules 7672
Energy Code Calegory , Resitlential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(4 submissiantype) Submitted Submitted
. . Energy Envelope Calculations Submitted
In the last 12 monttis, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, daie and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
thatthe 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 oniy 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.
loele ? )?.?
Applicant's Pnnted Name Applica Sign U
DO NOT WRITE BELOW THIS LINE
Sub Tvues
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage Q 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt-SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mulli Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage -
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Intlmprovement ? 38 Demolishlnferior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Buiiding" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demoli[ion (Entire Bld g) - Give PCA handout to applicant
DBSCIiptiOll: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 1 00% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock -
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/G as Tests Final
_ Framing _
_
_ Siding _ Stucco Lath _ Stone Lath _BriCk
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan -16 3O ?
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
nare (0 2ao3
Site Address Lt(Ocia PG{,Al AaP Dy I u-t Unit #
Property Owner ? I Q-t-F-Y P-U d- YYl cun.q T. C??f-L Telephone #((?531 )?G 0 lo -? ??lo
ContraMor
Address City
State Zip Telephone # ( )
The Applicant is X Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
4y Lawn irrigation system
Water softener Water heater
- - ??
ri
?
$ 15.00
D ?
_ replacement _ additional l?
i •mn?
?I v $ 50
State Surcharge
Total $
I hereby apply for a Residenrial Plumbing Pemut and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pemvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
i-? ??e se
Applicant's Printed Name?- Applicans Signat e
{ CITY USE OrZY
??
PERMIT RECEIPT DATE:
2002 MIDEPTIAL M£CHAAICAL'PERMTI' APPLICAITOR
crrY oa E?esx
S$SO fILOT KAOB iiD
Slk6AA MN 5518E
651-6$1-44675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: V,
SITE ADDRESS:
DWNERNAME: ?J L, 0 C_U\G-41,,
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: tQS (- ' i -C.1 t Ul
TELEPHONE#: (05(-.3ZZ-PSft'ZS?
3
c.J -, J-1.
CITY:?RcISQSTATE: ('11&J ZIP:
Place a check mark next w the permit work type
_ Ad n tion to exlstina dwelling unit
?• f?um?ace replacem t
?.-air exchang n/QV
• air conditioner
• other
. ? C, By
Nature of work: 30.00
U ?S
State Surchar e $ :50
E Total
?U
$
?.
SIG OF PERMITTEE
] io2
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
SOOE COMMCLkL MECRARICi4I. PFAM1T APPLICATIOA
CITY Of EReE1V
3$30 PILOT KNOB RD
EAsAiv,lax 55 i sE
651-6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New conshuction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
SpecifyNahue of Work
When insta[ding/removfng underground tank, ca[[ 65I-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallarion = minimum fee
Contractprice: $ xl%=$ (BaseFee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATIJRE OF PERMITTEE
IIpdated 1/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouiremants
• 3 regislered site surveys slwwing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lol coverage allowed)
• 2 copies of plan showing beam & vnndow sizes; poured found design, etc.)
• 7 set of Erergy Calculations
• 3 copies of Tree Presenatlon Plan rf lot platted afler 7l1/93
. Rim Joist Detail Options seledlon sheel (bldgs with 3 or less unifs)
DATE &-5
SITE ADDRESS 1 lo "I d
TYPE OF WORK K2 -
APPLICANT Kt-
J}"i nw .4- S? d :
STREETADDRESS 167--) LI BU216i r.d
TELEPHONE # 65 1 (0 3 3- 6395'CELL PHONE #
'i h, STATE h.?1 ZIP ssr ? ?-
FAX # 65-I - (n 33 - ln 4 °i
PROPERTYOWNER J? f t Q. I 0.-r k TELEPHONE# qSa- ?_ Sff ' y37?
-------------------------------------- ---------------------------------------------------------
COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RLII.F_S 7670 CATEGORY 1 MINNFSOTA RULES 7672
(+1 submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksneet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
MULTI-FAMILY BLDG _Y )!?L N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fee: $90.00
Fee: $70.00
---------°----------°-------------------------------°-°------------°------------°------ ---------°----------------
I hereby acknowledge that I have read this application, state that the information is ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r ances.
Signature of Applicant
OFFICE U5E ONLY
_ Water SoRener
_ Water Heater
No. o: Ba1is
i s?7' as
RemadaVReoalr Reouiremanls
. 2 copies of plan
. 1 sel of Energy Calculations for healed additions
• 1 site survey for exterior addNons & decks
• Indicate if home served by septic system for additions
VALUATION "30 00 • 0 0
Phonc #
_ I.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 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 01 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
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg 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
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footiogs (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Othei
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
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
Building Inspector
Total
. KAPPLICATION
CITY OF EAGAN
SINCLE FAMILY DWELLINGS
?L'SETS OF PLANS
d3"REGISTERED SITE SURVEYS
LYSET OF ENERGY CALCUTATIONS
MIILTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & 51RUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UY BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTFD G'tICG PEILKST IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE'WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHDW A LICENSED PLUMBER.
To Be Used For: 1(I16U'9741? Valuation:? Date: L ,P?'2
Site Address !6 9p2- k f A-L
Lot 4? Block ?
Parcel/Sub
Owner ? f a??Y
Address O 4
City/Zip Code
Phone
Contractor
Address ?Z lzk (J
City/Zip Code (A/- %¢7 -
OFFICE USE ONLY
i52, DOJ
Occupancy k-3 M-t
Zoning R-1
Actual Const V-N
Allowable V-N
# of stories
Length 60,
Depth 44'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water r/
PRV _
Booster Pump _
/ /" APPROVALS
Phone - p l5 ? - ,?J Planner _
Council
Arch./Engr. Bldg. Off.
Address Variance
City/Zip Code &{/- =fff -
FEES
Bldg. Permit 2;22.0
D
Surcharge '7(?, OO
Plan Review 53q.o?
SAC, City 100,00
SAC, MWCC 6SO, OD
Water Conn. 6(co, 0 O
Water Meter q ",00
Acct. Deposit 30,pD
S/w Permit 3apo
S/W Surcharge 1150
Treatment P1. 206,0
fl
Road Unit 3?0.0D
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL I lI. .
Phone / ?6 s =,?.?6
agrees that all work shall be done in accordance with
(Signatur?. of Contractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
32x2?- $32
?---
??D k IS= ???ao
?S MT,
1wzv
. . ,,
_--------
?i
? - %
-- i '
-?-
??;:?
fsr F???ri
ZND 12oER= lh's,07-
Z0
I f So ??S`3 = 6Z_S?lo
,2ND F,,L_
?-
y?.k 305
2 ?r
7= ,;
/f52 X S3= ?ios6
/S 1,y2y vle? I 52, Uo,) ?
** 2422 Enterprise Drive
PIONEER Mendota Heights, MN 55120
* eng* eering.. I6121 681-1914
* ?c ?F
Certificate of Survey for: MLALLI 17TE FZ 6ONSr• ?
NORTN
?
116:13 58 9°22'19"?,?y ? ?
44.0 °`b0 io. o
{. M ?- ? - - o - - - - o ? - -i ' ?
l43?11 WEST 4a,a
==.a , ?
raM ?.e
v x° s'+9I ? ? Z
I a" p??vel.+^- y .(?
? " , °?ba? .+ y ? 14.0
? I N ? 1•bl ? o- ? 4 ?
;_Z,..a?_??? ?
?---
I?2'WrAT.
- d
44.e
?
g 900. oo Denohs fxisfing flevatrons PROPoSfD NWSE fLfVATlONS
,l oo•oo Denotes Draposed Elevations Lowest ?loor flevation 9S9•9&
'-- Otnofcs Orol na,o¢'U?%li!?y Easemenf ?p o?8/ock f/evofion q67.b?
= Dcnofes Dr?ainoie ?low xJrraws Gora?e S/ob E/evafion qZ-:i ?i3
o penofes Monwr3enf
6enn1mls shown ore a$.pumed o Deno%s o{sef !lub
LOT ? BloCV2 , P,4eKCLIFr 2NP ,4DllTOki
04rvrvr COUNTY , M1NNE5oTA subject Po easemmfs o,^record
1 hereby certlly that thfe survey, plan or report w,a,s?prePared by me r under y direct sunervision a?+d that I am duly RegistereA Land Surveyor
under the lawa ol the State ot Minnesote. Dated thie ?7?I dey ol A.D. 19
Scale : 1tnt q0f ?{
?'?a R BER 1 B. SIKICII L.S. REG. NO. 14891
..
OHNER:
SITE ADD M
COHTRACTOR:
Determine xorking square footage of each:
7. Total exposed wall area .. 3+? 44 sq, ft, x.11 -
3y8',o4
2. Total roof/ceiling area sq. ft. x.026
Total exposed uall area above floor = 4"
a_ Tntal wall vinrlnv a"on 2-71 , 5?
b. Total door area ................................... ?S 2k 1?
c. Total sliding glass area .......................... '79
,? o
d. Total fireplace wall area ......................... -
e. Total wall framing area (average 10%) ............. i(e,
2.l ?}I.
f. Tota1 net wall area above floor ................... 2;b'141
g. Total rim joist area ............................. 'LS? ? b
Total exposed foundation area = ri C1- S
h, Total foundation window area ....................... ^
i. Total net foundation area above grade .............. q,
Determine 'U' value of each xall segment:
a. 2.75I? x'U' •3'? _ ?S`?`'?I
b• t4 x 'U'
c. '79 ?"1-O x 'U' 2L., 1
d , x ' U' -
e. ? b? x'U' I D = ?32.?j
f. 2,1 ,
g x'U? o? = l on 34
. 2 ? (e x ? U' ?. Z Z.
h, x 'U' -
i, x' U'
3 . ................................................... Total - Z(. 3, ib(e
If item I!3 is the same as or less than item I11, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = ??--L?, a
j. Total skylight area ...............................
k, Total roof/ceiling framing area (average 10%) ..... 75. O
1. Total net insulated roof/ceiling area .............. to 1) , p
OVER
CITY OF EAGAN
EXTERIOR ENVELOPE AYERAGE 'U' COHPUTATION _
Determine 'U' value for each roof/ceiling segment:
j. x 'U' -
k. Il3 XI u} . t)(S - 2? a3
i. l o 1-7 xI ut . oZO = 2a,34-
4 . ............ ............... ........ ............. ...... Total = 2 2?
If total of f{4 is the same as or less than li2, you have met the intent of SBC
6oD6(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items II3 and I14 shall not be greater than the sum of Items fl1 and l12.
1. ay?6, oL4 + 2. ?^?1 .H2
3. 2 l.? ?•$ 6 + u. ?1 ? = 2S lo , 2 3
2
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March l, 1984, the following.energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies,- R-38 U= 0.025 Average
. ._ ,
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as esterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. Al1 insulated areas must be separated from'the heated space
by a weZ1-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
CUICELIIIE TO (0.) PACIURS fP,OtllullR:.f NJIUhL °
, OF TYP ICRLIY usco rr.ouuas ?
(0.)
Interior qir Fiim (Ualls)
0
68 (R)
G(erior A?? Fltm (Vallf) . Gypsum or Olaztcr board 7/$"
??Z
??tcrlor Air film (Ven[ed Ceili nq) 0.17
O
GI Gypsum a1 plaster Goar? 112" 0.45
Extcrh.r nir fllm (vcntcd Ccili n9) .
0
6 Cypzom or pI;,stcr 6oard 5/8-1 0.56
Intcrlor Atr Giln Qicn Ven mA) .
1
0
61 PI
?ooA 3/ "
" 0.47
Eateriar nir Film !
Ilan Yentea) .
0.17 Pt
ywood I/1
Plywood 3/4" 0.62
0.93
RIumQhum SidinG Sheathinq, reg. density 1/2" 1,32
AIuminum .,ith 9acker 0.61 Sheathinq, reo. density 25/32" 2.06
Aluminum ?tich Backcr L foiled 1.82
2.96 Nail-hase shea[hinq I/2^ ?,?y
IR z 8 LGo Sidinn (V1o00) . 0.81 Builc-vp 0.mfs p
73 '
7/I6 a 12 uardEOard Sidinq
? 0.67 As6estos-renent shinplis ,
0
21 -
•sLesms SiAinns I/4 LapDed 0.21 qspholp roll roofing .
0
15
5[vcco (Ore:?n and Finls? Caal) -. Aspahll Shingles .
p,;4
7:4" 1:ood S.bfloar or Sheatning
1/2^ Pl
.,o
e J
i 0.a4 Insulation: 2-2 3/4'• FiberoIass 7.00
y
o
10ath
nq
112•' Parp{clc tlu
rtl 0.62 Insulatian: 3 I/2^ viberglass Ir.oo
_ 0.6G Insuiacion: 6" Fceer9iass 19.06
WODS:
. BLO'dluf, tlOOLS
--' . ,
Flr. Pine t similar mfc qoods I V2" 1.89 j
AOProz p0 '..
2 1/2" 3.12 .
Aoorax. 4 1/2" g.
13.00
3 1/2" 4.35 Approx. 6 1/4" 19.00 ..
5 1/2° 6:87 AoProz. 7 1/4" 24.00 .. . .
. APProx. 14" " 30.00 .. . .
ApProx. IB" 40.U0 ...
AII o[her insvlation materials nos[ be - '- - '
Fliled
verified (ft Foctor)
g" (R) Vermiculi [e
Concrece Block (5
L G 0.eg.) T_?? j,93
12" Cencrete Clock (5 L G Reg.) 1.28
j,?5
'
' .
.
8^ Lig?,t Vcignc 2.16 5.03 • .
.. ..
12° Li9h[ I:el9ht 2.48 $.82 . . . .- '
nee-ee -naane'e•^"anaa.:ee.+x . . . ..
NDTE: ( U) x Area Square Fect -
'Pi1?.l _._. .. . _ ..,
nn ui.nw.:
(w/Sroms I" to 4" Spacc) ,56
Remowl Double Llazing (RDG) .55
Thermo or wcldcd 3116" air spacc .69 '
I/4" air :pacc .65 '
V2" air SPace
(O[Aer wtndoas speCifically tes .$8
mE can vse belter ra(ings)
1 3/4 Solid corc door ,46 ? ' - -
w/:corm, waad .31 . ' ' .
w/smrm, me[a1 ,25 . . .
Pease StcelDoor Insl/r,/GL 7.45rz .13
Slldinq Class Ooor, Vood ,65 ' - -
Metal .115 . . . - . " . '. ' .
cirr use oN?.v
L ? BL RECEIPT#:
04 SUBD. RECEIPT DATE: _04
1'(wMa 310-
1999 i'LUMBINfl PEiMTT (RES1DENTIAL)
Cffl' OF f AfiAN
SSSO PILOT KNOB RD
P.A1fiAN, MN 55122
(851) 681-4675
Please complete tor: ? single family dwellings
? townhomes and condos when permils are required for each unit
? backflow preventer for underground sprinkler system
-_------------------------------------°-------------....-°-
FIXTURES -------------
?C?I ------..--°--------°---°-
# ----T- -
OTAL
Shower 3.00 x =
Water Closet 3.00 x =
eath Tub 3.00 x =
lavatory 3.00 x =
Kltchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
Waler Softenef ' for dwellings under constructlon 5.00 x =
Water Soflener ' for existing dwelling 30.00 x =
U.G. Sprinkler ` for dwelling under const. 3.00 ? = T
U.G.Spfinklef` ' forexistingdwelling 30.00 =
Alterations " to existin8 residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and-refurbished syslems)
Private DispoSal Systems ' a,bandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Cail 681d675 for inspectlons of water healers,
water softeners, alteratlons, etc.
X
5ri
, TOTAL 1
------•• ...........................................•••••••---••- ••••.......------•........•••••---------•-•••••....••---._.._........in••----ances-.,
1 hereby acknowledpe that I have read this application, sUle that the In?ortnatlon is eorrect, and agree to comply wllh all applipble City of Eagan ord
It is Ne applicant's responsi6111ry t0 no6ry the property owner Nat the City of Eagan assumes no Ilability for any damages c2used by Ole Ciry during IIS nortnal
operational and maintenance ? - - '' within City properryhight-of-way/easemenL
SITE ADDRESS:
OWNER NAME:
CLARK,JEFFREY
4692 PARKRIDGE DRIVE
EAGAN, MN 55123
(ssn sas-o»s
INSTALLERNAME: ,LLR(3/ Oit'1 ?L.U/I?IBIAIG? TELEPHONE#: 927,7- `fD23
STREETADDRESS: _ Z (O5 4MF/g-,wD ??E :5e)
CITY: STATE: ? ZIP: S ?8
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1990
. ;, . PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Datelssued:
04eo,5 6 ? qa
BUILDING
027388
04/26/96
SITE ADDRESS:
4692 PARKRICIGE DR
LOT: 6 BLOCK: 2
PARK CIIFF 2Np
P.I.N.s 10-56701-060-02
DESCRIPTION:
(INCL OECK REPAIR)
ermit Type SF PQRCN
k Type NEW
?r?_.e 434 ALT. RESYDENTIAL
i,
'
REMARKS:
A SEPHRATE PERMIT TS REQUIRED FOR ANY ELECTRICAI WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$124.75
$3.50
$128.25
$7,000
ONTRACTOR: _ ppplxcant - sT. LzC.OWNER:
ARCHADECK 17227290 0098594 CLARK JEFF
2236 43RD ST E 4692 PARKRIDGE DR
MINNEAPOLIS hIN 55407 EAGAN MN 55123
(612) 722-7290 (612)686-9176
L_Nw K?.?
AP LICANT/PERMITEE SI ATURE
3830 PILOT KNOB RD - 55122
??? 1996 BUILDING PEaMl6 1? ?15 ATION (RESIDENTIAL)
!?J
New ConsWdion Reauirements Remodellfteoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copias of plans (include beam & window sizes; poured fnd. desfgn; etc.) f 2 site surveys (exterior additions 8 decks)
? 7 energy ealwlalions ? 7 energy calculetions for healed additions
? 3 copies of tree preservation plan H lot platted after 7H193
required: _ Ves _ No •
CIO
DATE: CONSTRUCTION COST: ?GM
DESCRIPTION OF WORK: L I?`-y' At'J'0 S Oum,
STREET ADDRESS: VW2? ??- ??
JLOT BLOCK SUBD./P.I.D. #: ?
PROPERTY Name: N&N? Phone #: U a ? ? 1_7f1
OWNER `"°'?l """ ' T
Street Address- 7 O ?Z ?471,k"¢-y1--
City: ?/drf? State: Zip: 93 f L 3
CoNTRacroR Company: Phone #:
Street Address: 7i2-3 (o C I License #•
City: / vl llo tS State: ffl 4 Zip:?67
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #*
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ???ENED
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
3UILDING PERMIT TYPE
-D 01 Foundation ?
? 02 SF Dwelling ?
? 03 SF Addition ?
4 SF Porch ?
?0
- 05 SF Misc. ?
06 Duplex ? 11 Apt./Lodging 0
07 4-plex ? 12 Multi Repair/Rem. ?
08 8-plex ? 13 Garage/Accessory ?
09 12-plex ? 14 Fireplace 13
10 = plex ?15 Deck
WORK TYPE
U<31 New ? 33 Alterations ? 36 - Move ..
? 32 Addition 34 Repair •-? 37- Deinolition
GENERAL INFORMATION
?y (?? ?-?•?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
-onst. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. , City Water
UBC Occupancy sq: ft. , Fire Sprinklered
%oning sq. ft. PRV
= of Stories sq. ft: Booster Pump
_ength ' sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o/
' Gensus Bidg
. Census Unit a
APPROVALS
,.
?lanning '
Buiiding
•
Engineering ?
Variance
Permit Fee
Valuation: $ ?
?i 0,00
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
D
it
A '76a ?
/e
epos
cct.
S/W Permit
?---_
SIW Surcharge
atment PI
T ?
.
re ? ?
Road Unit
Park Ded.
Trails Ded. ?
Other
Copies - '
Total:
% SAC
SAC Units
?PIONEEA 2422 Enterprise Drive
Mendota Heights, MN 55120
*eng*eering..
* fsi2168?-i9ta
*
Certificate of Survey fo?: M AL LI ?1T(r ?Z ?Q/?f sT' ?
NoarN
1?6.17/ l'fV I?T.2??9'1G? P V
44.0 kA)
LM
143111 wCsr N N S? I\tz 4e, e ',A I -?-1 '° ='' 4
NA? _ r - ze.o , n
? I
I Y o 1, _" I M
4f i?u 0
? , ? ia.o 6 ? °Ib4?y
? a
I ^' b I r I ? ?lJ
y ?..? .0 4
4 j tn?
r lo- ?
Q
\a"
qzti
Q ? _ _ - ?± Z
239,I7 5 89' °22' I?I'?bE $5 - 44 a "k
x 300.00 Denofes Existing E/evafions
' _ oo•oo Denofes Proposed E/evations
" Otnofes Droina-f e Ul%li41
Easemenf
Orno%s Oraino?r klow rows
a Durofts Monun?'errf
Be061s shown ort aswmed
•.,-; ,:; A' - - _ _- ?
/ __...
?.?«= ._.._.._
_`?'?-•Z`-'??-??-?_. ..
n -? _ _....
pAOG17sFD NAUSE fLfl/qTlONS
Lowest F/oor Elevotian 959.9(0
* o^B/ock E/evofron --P67.6to
GaraJe S/ob Elevofiar q67• 33
o Deno%s o {Psef !lub
i LOT (,Op ,BIOCAIZ , P49KCLIFF ZND ,4Dp/7i0V/
COUNTy , M1NNf$pTA subjeet to earemenfs o,^record
1 hereby certlly thet this survey, plan or report wae preparad by me r under y direct sunPrvisinn enA that I am duly qegistxred Land Surveyor
under the laws ol the Stete of Minnesota. Dated thit? dey o( ?
A.D. 19?,
JrCQ??? ? 1 ?"-`fi . 40fCeef . . ( _ .
,
H t7ER I A. SIKICI I ?.5. REG. 1Jn. IAA91
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ÿ÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117805
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 4692 Parkridge Dr
Lot:6 Block: 2 Addition: Park Cliff 2nd
PID:10-56701-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brian Nelson
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 -
Jeffrey C Clark Tste
4692 Parkridge Dr
Eagan MN 55123
(651) 686-0176
Bn Builders Inc
2242 140th St. W.
Rosemount MN 55068
(612) 644-8274
Applicant/Permitee: Signature Issued By: Signature