4638 Parkridge Drnop-
CITY OF EAGAN Remarks -
A Lot H Blk ? Parcel
Oner ??S" Street 4638 Park RidQe Drive State Eaclan, MN 55123
? QImprovement Date Amount Annual Years Payment Receipt Date
STREET SURFS9 Im 1981 3307.50 661.50 -2-
STREET RESTOR.
GRADING
SAN SEW TRUNK 1981 280.00 18,67 15 224.02 A012694 -2-83
* SEWER LATERAL?C Igg1 3789.23 252.62 IS 3031.40 f1 to
WATERMAIN -
* WATER LATERAL 1981
WATER AREA 9 19$1 2$0.00 18.67 15 -_
STORM SEW TRK 1981 502.04 33.47 15 401.66 A012694 9-2-83
STORM SEW LAT 1981 -
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 # 21 5-26-82
WATERCONN. 420,00 11 11
BUILDING PER. 7293
sac 525.00
PARK
BUILDING PERMIT
CITY OF EAGAN '
3795 rilof Knob Reod Eeyae. MN S5122
PHONH: 454-8100
123,000
Site Addrcss
Lot Block Sec/Sub.
Parcel #
? o Nome _
?' Address
F r:•.,
Nome _
Addrcss
Receipt *
n rJ n
5-. , o
Erect [] Occupancy
/11ter ? Zoninp
Repoir ? Fire Zone
Enlorpe ? Type of Const.
Move p # Stories,
Demolish p Length
Grode ? Depth Sq. Ft.
Appro vals F*es
Assessment
Water 3 Sew.
Police
Firo
Enp.
Plonner
Council
Permit
Surchorge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
1 here6y acknowledge thot I hove read this opplicotion and stote that g?? Off.
the informafion is correct and ogree to wmply with oll npplicable APC Tetol
Stote of Minnesoto Statutes ond City of Eagon drdinances.
Sipnoturo of Permittee
/1 Building Permit Is issued to: a? the express conditfon that
all work sholl be done in accordonce with oll opplicable Stote of Minnesota 5tatutes ond City of Eoqan Ordinonces.
Buildinp Offfcial
sama as
Permit Na Permit Holdsr Mise. Psrmit No. Holder
Plumbing zxE" i P? l}f%A & ' Z(4Z
H.V.A.C. ??Db Str_c?c%'l'g
w.n
WaMr
Disp.
Sewer
Electric 32T ?'? M ? ? (f C (o -1-$'L. C?tiw? •
w 300 $'
Irapection Date Insp. Other
Footinqs •TC?
• ?
Foundation
Frsminq
Rouph Plbp. .?. J (j . ? Z
Rouyh HVAC
Inaulstion
Final Piby. . ZQ ?f
Finel HVAC
Final .?D
Wour D?seri6e Loeation: ?
YWII
5ewar '
Pr. Dbp.
.i
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 1 -13
Eagan, Minnesota 55122-1897 Date issued: '
(612) 681-4675
?' ? t) V) ?....rN41 ( r.r) ?? t SITE ADDRESS: APPLICANT: ;
,Rr(Rtr,riF nR
PERMIT SUBTYPE:
,. , .M
TYPE OF WORK:
INSPECTION
?. D. .
??? .. D.
I : ?' a
leS - PI_nN i.F vrtuTo IIv P ri. i aPAMS. I I _ --:,.. -,,t +;.?."
SCPMRA(E PE ftMl t REQllTkt'p FC)Ft ANY Pi 1fMfit ING WONK .
(.'Al.l 44S-2N4 0 itFGAfii)1Mfi FIr- I.TF'II'Al ('f=RMlI #!N!) INrfI1C 11O}d
L? ?
Permit Holder Date Telephone #
PLUMBING • 9 9 e -7M
HVAC
Inspection date Insp. Comments
FOOTINGS
FOUND
FRAMING
?•?-?rb'
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
Q ?
GAS SVC
TEST
INSUL O. _
GYP BOARD
FIREPLACE
2 REPLACE
R TEST
FINAL PLBG /., 7-
FINAL HTG ?
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSN
MAINS
corvoucTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL l2e ,Q
/
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pifot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
Wr.
I?1RSt. ? k ? k r E. i
' PERMIT SUBTYPE:
.t i',:-11 i 1; s,t.,
?
ON
Permit Number:
Date Issued:
APPLICANT:
( ci1 :' 1 e,?tJ •?: ?'.'
TYPE OF WORK:
?c1I I l.ii'i pfi
b:?718?W
INSPECTION DA • DA ?
! ra':if1 N I ItiiV r
? f tl Af
4tCMARkS z -.A at I>AKAtt- f?FR MI l 1', f- f qt!tilrF.n f-nR ANY H tIMB I NeI OP F I f LTP )r.fit "i)iik
r-
Permit No. Permlt Holder Date Telephone N
ELECTRIC
PWMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
7b
FOUND
FRAMING
ROOFING
1
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
6LDG FINAL
BSMT R.I.
BSMT FINAL
DECKfTG -
DECK FINAL
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
I (612) 681-4675
SITE ADDRESS: APPLICANT:
:?. . f'A 1:6•:hf11E,i fil; i?;ti•'?r? ?II Ni; C[tNl';lRUi { itii:
? Ir?i•t ?I?I{ lc,i.'l 19f.;3•.i90.? ..
PERMIT SUBTYPE:
Il; (;
TYPE OF WORK:
i i
4 oii1 TN" ', I I I E iWAI
Permit No. Permit Holder Date Telephona #
ELECTRIC
PLUMBING
NVAC
inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
NEATING
GAS SVC
7EST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAk. PLBG
FINAL HTG
ORSAT
7EST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG '?• 5? '?}
v
DECK Fi^lA! • ? • ?6 / `
l.t/
CITY OF lAGAN SEWER SERVICE PERMIT
3799 Pilot Knob Road PERMIT NO.:
Eagon, MN 56124 DATE:
Zonir?9: No. of Units:
OWnEr:
Address:
Site Address: - ? i -' • r ?,.. - ; _c _'•_:.; f
Plumber:
( asres M oompir wilfi Hro Ci[y of Eagan Connection C?torge: .,? .
Ordinonees. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dcte of Insp.: 7ota1:
Insp.: Date Paid:
WATER SERVtCE PERMIT
CITY OF EAGAN
3795 Pitof Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units: -
Owner:
?,.. ???. , _ •
Ite Address: - -, _ , ., 1 ? ,.
lumber:
leter No.:
Connection Charge:
-.,
" - ,
-
ize: Account Deposit:
eader No,: Permit Fee:
agreo fo conply with fbe City of Eagan Surchnrge:
rdlnaneea, Misc. Charges: "r
Totai:
y Date Paid: O
of I nsp.:
CITY pF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
??tBUIliDING PERMIT APPLICATI?1 1 set of energy calculations.
/23?6ac?
To Be Used For _ Valuation^ ?-? - Date S->Z
Sit.2 Addtess L;?`17?T1', 0(03?' Fark. ZMqF Ds?CFE'ICE U5E ONLY
rAt sioCat sec./su».t ? oocq:)ancy
Parcel #: jb 5(9_70C> 0(o0 03 Alter Zoning
Qwmer: CD21AIM -'f',?1G.
Ac'a3ress: JOIQP?[?1
?
City/Zip Code: r?.. 11?eart_t?1?•??1. i?yd
Phone #:
Contractor: !?;?1J1i'c JS?A!?l??
Pddress:
City/Zip Code:
Phone #:
Arch./Etly. .
Address:
City/Zip Code:
Phone #:
Repair Fire Zone
Ehlarge _ Type of Const.
Nbve # Stories
Derolish Fmnt ft.
(?
Grade Deptlz yo'Z ft.
APPROVAI.S FEES
Assessments Pexmit y9/J
Water/Sewer Surcharge
Police Plan Check
Fire SAC
gnq, Water Conn. ?,/a° ?
Planner Wat,er Meter ?
council 'Faoad unit A ya ?
Bldg. Off. ,r ,2 r
P.PC -
TOTAL
J
,? 7 aoo
413,? ?8'
y ya 8'
?
?13
?7
?
b
,
,?
CITY OF EAGAN N9 7293
9793 Pllet Knob Rood Eogan, MN 35122 -
PHONL: 434-6100
BUILDING PERMIT Receipt #
To M uwd foe $F DW/GAR Est
Value 123,000 Date 5-24 Ig $2
. _,
Site Address 4638 P rk Ridcre Dr Erect $]( pccuponcy R3
Lot 6 Blxk 3 $ec/Sub. ParkCliff_ _ Alrer ? Zoning Rl
Varcel # 10 56700 060 03 Repair ? Fire Zone MA
l
E C V
n
arge 0 Type of
onst.
? Neme ???'1-PP? SOn InC• Move ? .{k Srories 76
3 I Address 308 O??It St (Hox 235) Demolish ? Length 2
O
u?
r
City Fa1[ii.ngton 5? 463-4555 Gmde ? Depth Sq. Ft.-
Nome Sc"31112 d5 dIJOV2 APProvals Faes
Addren
City _
Nome _
Address
Assessment -
Water & Sew.
Police -
Fire
Eng.
Plonner -
Council _
I here6y ocknowledge thot I have read fhis upplicafion and stote that Bldg. Off. 5-21-82
the inlormotion is torrect and agree to comply with all applicable APC
State of Mmnesoto Srotutes and Ciry of Ecgun Orduwnces.
Signature of Pertnittee
A Buildirg Permit Is issued to:
oll xrork sholl be done in accoBuildinp Officiol
oll
Permif '37v.?u
Surcharge 61.50
Plon check 245.25
SAC 525.00
Water Conn. 420.00
Water Meter 60.00
Raod Unit 240.00
Taal 2,042.25
on tha express condition tlun
of Minnewta Srotutes ond City of Eogon Ordinances.
7? y3 ?v REQUEST FOR ELECTRICAL INSPECTION -" ee-ooooi- s
10. a See insVUClrons for completinq IM1is torm on back of yellow copy ?Oa
??7//?,? "X" Be/ow Work Coveced by This Request •? •?
Ne Add Rep. Type of Building Appliances Wved Eqwpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Othar (specify) Conha{?Jp rs Remarksf
Rp? OL?.'"
Compute Inspection Fee Below: 0 1 f2-- n(,W &4d
N Other Fee # Service Entrance Size Fee # CircwtslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
Si ns MspecMOrs Use Only TOTAL
Irrigation Booms Lfd •Oo
O Sa
Speciallnspection °O
AIamJCommunication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
? Other Fee ,g.ttR COMPLETED WITHIN 7 THS f
I, the Electrical Inspector, hereby
tif
th
t ih
i R°°en-'" aia
cer
y
a
e apove
nspection has
been matle. Fina o?
OFFICE USE ONLY
This request voitl 18 months irom
0- 75 345 ? Et+j'? Ov z 1 iy?? g 533Y89
ie
gae
?zO
/ ?.. i
Requ st Date
? ?_ 1?_y? Fre N ough-In Inspeclion fieqmr
(YOU m t rall mspeclor w en reatly) Inspection Other Than qough-In
? Reatly Now p4? WAI Nobtly Inspeaor
Yes ? N. Dale Pead
I I ensed contractor ? owner hereby request mspection of a6ove electriral work at:
dob Atldress (SVeet, Box or Rwte No )
962)3 City
64?. c, v?.
Section No TownsMp Name or N. Flange No County
'0
OccupantQ
s PM1One No
y -9 1
`
? enC,2?
eriS e 7
0
Power Supplier AtlOress
/r/C M/.Ufr?C.t?
Elecincal Conhacror (Company Neme) -{ ( Conteaclor's License N.
Maiimg Atltlress ?(yCOnlrachor or Owner
Making Installab
on
1 ?
• C
Author¢etl Signature ( rector/Owner Makmg Iristalla0on Phone Number
1 o V?
MINNESOTA ATE B;AHD OF ELECT 1 ITY THIS WSPECTION REOUEST WILL NOT
GriggsMid ay Bltlg. - Room 5-128 BE ACCEPTED 9Y THE STATE 80AR0
1821 Unrve?sity Ave, St Paul, MN 5510G
Phonrl6l]tfWf.nenn UNLESS PROPER INSPECTION PEE IS
cucin?Fn
(Itrtiftrtttt nf Orrixpttnrg
Citp uf- Cagan
Eepttrimrnt nf BuilDing Inspcriimt
TbiJ Carti(iratc ittutd purtuant to tbt requiremtntt of Seuion 306 ot tJx Uni/orvn Buflding
Cadc ttnifjing that at tbe time of ittnanrr thit rtrrutwr war in cvmpliunre with the varioat
ordinanrtr o f tht City rrgHlating buikling ronn+xrtion or att. For tbe f ollowrng:
SF DWG/GAR „?_,,,T„Na 7293
o?wm1vw R3 zvwcW.?? V ciRZ ----NA -.z«?ww?I Rl
??Add.4638 Parkridee Drivq?„YLot 6 Block 3 Park Cliff
hp0 4'?-O1i?? ? February 17, 1983
gWldm{OIMY ? Q?t?:
.ar w w mwac?oin ?uw
Mike Maguire
MAVOR October 30, 2007
Paul Bakken
Peggy Carlson
Jeffrey Beissel
Cyndee Fields geissel Windows & Doors
Meg Tilley 1635 Oakdale Ave
COUNCIL MEMBEFlS West St Paul, MN 55118
Thomas Hedges RE: 4638 Parkridge Dr, Permit # 77018
CITY AOMINISTHATOH
Dear Mr. Beissel,
I have received your letter concerning the door between the house and the garage at
4638 Parkridge Dr.
The building code requires the door to be either a 1-3/8" solid wood door, a 1-3/8"
MUNICIPAL CENTER solid or honeycomb steel door or a 20 minute "labeled" fire-rated door.
3830 Pilot Knob Road Unfortunately, once the label was removed, for whatever reason, it is no longer a
Eagan, MN 55122-1810 "labeled" door. You could contact Warnok Hersey (the la6eling agency) to inquire
651.675.5000 phone about relabeling the door in the field. Without the label we have no way of knowing if
651.675.5012 fax the door installed in the opening is the same door that was purchased by you.
651.454.8535 TDD It would also be advisable that your supplier review their practice of removing labels
with the labeling agency.
MAINTENANCE FACILITY Please advise us of how you plan to remedy the problem. Either have the door
3501 Coachman Point relabeled in the field, this may not be cost effective, or replace the door with one of
Eagan, MN 55122 the approved options above.
651.675.5300 phone If you have any questions regarding the above information, please do not hesitate to
651.675.5360 fax contact me at 651-675-5680.
651.454.8535 TDD
Sincerely,
www.cityofeagan.com
Jeffrey T Wheeler
Building Inspector
cc: Dale Schoeppner, Chief Building Official
THE LONE OAK TFlEE Target Windows & Doors, Attn: Maria Rhymes, P.O. Box 608, Bxidgeton, MO
The symbol of 63044
strengih and grow[h
in our communiry.
?qw Z' RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWchon Reouiremenis RemodeURepair Reqmremenb Office Use Onlv
3 registered site surveys showing sq fl. of lot, sq. ft. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd
(20% maximum lot coverage aliowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc, i site survey for additions & decks Tree Pres Not Reqd
isetofEnergyCalculations Addifion - indicateifon-sdesepticsystem _ On-siteSepticSystem
3 copes of Tree Preservation Plan if Iol platted after 711193
Rim Joist Detail Oplions selection sheet (bldgs with 3 or less units
t
D
or/ t
ti
C
t ln
?d ?
C
a
e ons
ruc on
os
'?
Sitc Address UniUSte k
Dcscription of Work '
Multi-Family Bldg _ Y 'N Fireplace(s) _ 0 _ 1 _ 2
- - -
r,
Property Owner Telephone # ( ) ._
Contractor
Address City ?GS^7-
/
State _I?/j/ Zip??-Vf - Telephone#(657' ) c{3-7 6--b'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Categorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
. Ener9y Envelope Calculations Suhmitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurale;
that the work will be in conformance with the ordinances and codes of the City of F..agan aud thc Statc o I NiN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wiihout ?
permit that the work will be in aeeordance with the ap roved plan in the case of work which requires a re%;icNv and
approval of plans.
pplicant's Printed Nam pplicant's Signat ??? ?
By
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? Y 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 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_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation _ Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain TIle Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
? ? a -1 ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConstmcQon Reaulremanta
• 3 registered site surveys showing sq ft of lot, sq ft of house; and all roofed areas
(20 h rnaximum lot coverage allowed)
• 2 wpies otplan showing 6eam & wmdow srzes, poured found design, etc.)
• 1 set of Energy Cafculations
• 3 copies of Tree Preservation Plan d IW pladed after 717/93
• Rim Joist Detad Options selecGon sheet (bldgs with 3 or less umts)
DATE C)z-
SITE ADC
TYPE OF
APPIICANT.?
STREET ADDRE?SS??
TELEPHONE#/5'"J? l
FAX #
PROPERTYOWNER!ii/ 5/'e i/eXiS TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l b1INNFSO"PA RULES 7672
submission type) . Residential Ven6lation Category 1 Worksheel Submitted • New Energy Code Worksheel Submitted
. Energy Envelope Calculahons Submitted
Plumbing Contractor: _
Plumbiiig system includes:
Mechanical Contractor:
Mcchanical system includcs:
Sewer/Water Controctor:
Air Conditioning
Hcat Rccovcry Systcm
Phone #
3?t'S°( _ 2-5
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information iscorrect, and agree tc
with all applicable State of Minnesota Statutes and City agan ?onces. n ' --•- _
OFFICE USE ONLY
?
?ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
CeJS/f' STATE -?tK1IP S?
CELL PHONE #
Water Softener
? Water Heater
No. of Baths
Remodel(Reuair Raauirements
. 2 copies of plan
• t set o( Energy Galculafions for healed adddions
• i sAe survey for ezterior additans & decks
• Indwate rf home served by septic system for addihons
_ Phonc #
Lawn Sprinkler
No. oF R.I. Baths
VALtlAiION
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Aceessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 78 Oeck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Intlmprovement ? 38 Demolish(Interior) ? 44 Siding
? 32 Adtlitron ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nhr. of Bldgs Length Fire Sprinklered
Type ot Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Aoof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windovrs (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W PermR & Surcharge
Treatrnent Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
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i `p 1
I .• ?'- •. •??
'' I<is.q9
? ?1?1?2?1
C??? ?s? ??.
?
CITY USE ONLY
LOT ? BL 9
RECEIPT f:J lY f/?
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1499 MECHANICAL PERMIT WISIDENTIAIa
Cll'YOF PAfiAN
3$30 PILOT KNOB iiD
£A&AN MN 55122
? _ f "i _C?G? (651) 681-4675
Date: l ? I
Complete this section onlv if you are installing FIVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
. gvaC: n_tOpnrnTii
ADDTTIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total
Complete this secrion on if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please mdicate if it is a new item, alterarion, or repair.
_ New
-)?- Furnace
_ Air exchanger
SITE ADDRESS: b 37 L
OWNER NAME: (-, 7 I(1
INSTALLER
STREET
Alteration Repair Other
Reniinder: Call 681-4675 for inspections.
U? _ . .
_ Air conditioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
?OU n?VtAS PHONE ti: ?Jj -7-? ?)),
C • PHON": ?,o1, -g94`-74-)Q-
^?n n 553 ,
STATE: ZIP:
SIGNATURE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1949 hlEcHANICAL PEKbiIT (coMMERCIAL)
CITY OF EAfiAN
S$SO PILOT KNf3$ IiD
EAHRN, MN 55122
(651) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
**NOT'E: When installing/removing underground tanlc, call 651-681-4675 for inspection by fire marshal
and plumbing mspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x I %
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANI' NAME (IIvIPROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
($.50 per $1,000 of DemuY fee due on all pemvts.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
`'[ ( 651-681-4675 ?
New Conskuction ReauhemeMs
D 3 registered sNe suneys showing sq. fF. of lof, sq. R. of house
and all roofed areaa (2046 maximum lot coveraae allowed)
D 2 copies of plans (ahow beom S window sizes; poured ind. design; efc.)
D 1 set of energy calculafions
? 3 coples ol hee preservaHOn plan R bt platted aMer 7/1/93
DATE: Z2
DESCRIPTION OF WORK:
Remodel/Reuair ReauIrements
2 copies ol plan
1 set M energy ealculations for heated addMlons
1 sXe survey for exferior addHions R decb
CONSTRUCTION COST: > 9/00• Uc?
STREET ADDRESS:
LOT: (P BLOCK: ?- SUBD./P.I.D. #: f ?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: s277e- Uei(?j S C'f*&'L -L-hPhone#:
Last Fint
Sireet Address: Pml ?ZD c,.Q o2, r"'P
Cfty ? ? A ?? State: Zip:
(Ij
Company: Phone #: C? ( Z)
' (area code)
Sheet Address: v: Cy Ucense # oM 7l )tb'"I Exp
City (?!p ? ?C?_?.{ T ti State: 1.4 AJ
0 K--
?"S •
Company: Name:
Telephone #: area code ( )
Streefi
Cffy
State:
Sewer 8 water Iicensed plumber (reaulred for new eonshuction onlvl:
Penalty applies when address change and lot change Is requested once permB Is Issued.
Zip:
I hereby acknowledge that I have read this appiicaHon, stafe thot the infwmation is cortec and agree to comply wRh all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appticant:
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
_ No
_ No _ Not Required
Registration #:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
r.rrv nr- FnrFlN
CASHTEFi: 5 TIi-Ri1INFil._ N(]: i''?6
DA7E:; 09/09/913 'rIt1E- 15:54 e?4
IIi :
NAME: f:RE L'ONST'RUrT7:ON
32:I.C1 9001 463E1 F'ARl(R[DGF_ 50.00
21.55 9001. 4538 FArtYF:r.Dcs 0.50
'T'oi:al Receipt Amoun+, : 50.50
CFi0371.86
LISF:R :f.Lir, N(•1NCY
PERMIT
CITY OF EAGAN
3830 Pilot K1n_ob Road
Eaga?.k Minhbsota 55122-1897
(612) 681-4675
PERMIT TYPE:
BuILn T N G
Permit Number. 033147
Date Issued: 0 9! 0 8( 9 8
SITE ADDRESS:
4638 PARKRIL7GE DR
LOT: 6 BLOCK: 3
PARK CLIFF
P.I.N.: 19-56709-068-03
DESCRIPTION:
BsSild"ant}^,g;Permit Type
?ui1c['irrg, "r=k Type
zr
r - ??
°-.a?-?
`?ti
g ue
BASEMENT FINISH
ALTERATION
0.34 ALT. RESIDENTIAL
^n ` <iE?s
i4re'iE91xi.?cM Lia _IPi
jM l3 %' A'a" a1Y' °$ ??tffi
?? eirl ??SI £S IIl'u« iP, ilW E 32 Vn?. a?f': t'id j?? (F
c? .,? aino: ?.I q-,€" a"a ' . s"a
eua .'emr`o- ??
REMARKS:
PLAN REVIEWED 8Y Blll. ADAMS.
SEPflRATE PERMIT REQUZREp FqR ANY PLUMBING WORK.
fAI I 4145-9840 RF('RROTN(' FI F("TRTf AI PFRMTT AN6 TNSPF('T7pN4.
FEE SUMMARY:
Base Fee $50.00
Surcharge _ _1 . 50
Total Fee $50.50
CONTRACTOR:
K132'tEONSTRUC"I"ION
3891+ GIBRALTAR
EAGAN MN
(612) 683-1178 n
- ApplicariT. - ST. LIC
16831178 0008042
TR
55123
OWNER:
57EVEN5 JON
4638 PARKRIDGE C1R
EAGAN MN 55123
(651)687-9722
T bersby ackno+4ledge.that,1 h,av-0i re , 4A 'this °aPPl1c6 ti aer aricl sCaCe tHisttfya
csr'f",atLon 3s; cor'rect :ahd _ajre.Q,"to
?. ` _. , _.,.._. - ,. _ . • ;, . _ v? J
AP LICA 7/ ERMITEE SIG4A7UflE ISSUED BY. SIGNATURE ?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
?? ?? ' ?,? 3830PII.OTKNO;RD-65122
? cl?
Naw Canshudioe Reauvements RemodeUReoair Reauirements?
? 3 regislered srte survays ? 2 eopies of plan
? 2 copies of plans (inGude beam d window sizes; poureO fnd. desgn; etc.) ? 2 si[e surveys (erzterior addkions 8 decks)
? 1 energy calculations ? 7 energy calculations for heated add'Rions
? 3 copies of tree Dreservation plan rf Iot pWUed after 771/93
required: _ Yes _ No
DATE: "/ -3 CONSTRUCTION CaST;
DESCRIPTIO ? F WORK: !'!N' l5H
STRE ADDRESS:
LOT: ? BLOCK: 3 SUBD./P.I.D.
?
Name? VrVas Z? 4 J0IS Phone #: ? - / 707 a?
PROPERTY Lazt First
owrrEx ???'
Street Address:
City .0fil5w Stare: Zip:
Company: ,,F) ,? &,?s //x! Phone #: ZV213
CON7'RACTOR
Street Address: C License #
Ciry State:
ARCHITECT!
ENGINEER Company:
Street
City
Sewer 8 water licensed plumber (new consiruction only):
and lot change is requested once permit is issued.
ss-la
Penalry applies when address chang
i hereby acknowledge that I have read this applicatian and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes ^ No
Tree Preservation Plan Received _ Yes - No
Zip:
Phone #:
Registration #: _
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 5F Porch ? 09 12-plex
O 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuat) _
(Altowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
? 11 Apt./Lodging
? 12 Multi Repair/Rem. ?0`
Q 43 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
w
. A,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/W5 System
Cily Water
Fire Sprinkiered
PRV
Booster Pump
Census Code. ?
SAC Code ?
Census Bldg
Census Unit
Building -?ZL Engineering Variance
Valuation: $
?-F
CITY USE ONLY
SUBD.Il? ?
--?-P-
RECEIPT #: ` 1 G a L
RECEIPT DATE Ot ' 3 "TK
?? AD v- :;? /v/ s a6w-ox
1998 PLUMHING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, D47 55122
(612) 681-4675
Please complete for: ? single family dwellings .
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
--------------------------------------------------------------°----------_--
FIXTURES EACH # TOTAL
Shower 3.00 x 00
Water Closet 3.00 x J_ = 3_ o O
Bath Tub 3.00 x
Lavatory 3.00 x _? = 3 -0
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 X =
U.G. Sprlnklef ' for dwelling under const. 3.00 =
U.G. Sprinkler "forexistingdwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATESURCHARGE / / ??
TOTAL °t SO
----•------ - ?- SO ---_'?
--------- ce
D
---t - I have ------------------------------that t----he infortnation -------------is-------------•--------------------ll-ap--
I hereby adcnowledge tha read this application, state corred, and agree to compiy wiN ap icable City of Eagan ordinans.
It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan aesumes na liabiliry for any damages caused by the City during its
normal operational and maintenance adivities to the facilfties constiucted under this permit wkhin City property/right-of-way/easement.
SITE ADDRESS: `Y b.30 f'-rK 8' A9 'e bp-•
OWNER NAME:
INSTALLER NAME: M-Trn. LI V OdGWL? C"^$ LVVC • TELEPHONE#: 9'g y~7y7 2-
STREET ADDRESS: / S? 3 G??] ?4.?'nga????4 tkw'y
CITY: STATE: At ? ZIP:
SIGNATURE OF PERMITTEE
Stl' ? L 1998
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
?
-4 CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: euzLosrvG
Permit Number: 028128
Date Issued: 0 7/ 0 2/ 9 6
SITE ADDRESS:
4638 PARKRIDGE pR
LOT: 6 BLOCK: 3
PARK CLIFF
P.I.N.: 10-56700-060-03
DESCRIPTION:
?-?
?--`°_
Buzlding?aPermit Type
;?8u-iI diq?g 'Work Type
f Census Code"
F'
?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$45.00
$.50
$46.50
DECK
NEW
434 ALT. RESIDENTIAL
tj,'aia?..?;`???. ?' '•}?;
"4 tIr'
?_:
CONTRACTOR: - Applicant - ST. I.IC.OWNER:
DAVID WEBB CONSTRUCTION 18613002 0006887 STEVENS JON
711 18 AVE 4638 PARKRIDGE DR
RICHFIELD MN 55423 EAGAN MN
(612) 861-3002 (612)687-9722
I hereby acknowledge that T have read this application and stete that the
inporrnatian is correct and„agr,es tq comply with ak.l applicable State afi Mn_
Ststutes and Cityaf Eagari`Qrdinan'ces.' ? L 6/P/L1cANTiPMITEE IGNATURE ISSUED y'
SrSNATURE
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• r 681-4675
New Construction Reauirements
Rem^deVReoair Reaulrements
State:
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (includa beam 8 wilm sizes; poured fid. design; etc.) ? 2 site surveys (exterior addfions & decks)
O 1 energy calculatlons ? 1 energy calcula[ions for heated addflions
? 3 copies of tree preservaqon pfan 'rf lot plaNed after 7l7/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: wo 3
LOT (e_ BLOCK 3
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: S4eJehS ??O r
.w:.
Street Address• C?r
.K-,
City: ?' p^ State: ?/? Zip: ?z ?a S3
Company: oad?? ? C<,,?K P??e
,? Ql8'O/ S/?I'r?s N Y? ,
Street Address: ??? ?'°?`' ?a << icense #: ?6`?`g
City: vCr .?-{ State: Zip.
ARCHITECTt Company:
ENGINEER
Name:
Phone
Registration #:
Street Address•
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this applicafion and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received
_ Yes _ No
_ Yes _ No
JUN `J ,/ iJss
Phone.#: z Z
pv- r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? ;?e
1*6 ?: ..
?,: ,. . .
? 01 Foundation ? 06 Duplex ' 0 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pooi
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
?1 New
? 32 Addition
? 33 Alterations o 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowa6le)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Buiiding Engineering Variance
?
-?
?Z
Permit Fee
Surcharge
Plan Review
License
MC/WS 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
Total:
% SAC
SAC Units
Valuation: $
.
NW4
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
&205jia(a
BUTLDING
027069
02/20/96
SITE ADDRESS:
P.I.N.: 10-56700-060-03
4638 PARKRIDGE DR
LOT: 6 BIOCK: 3
PARK CLIFF 1ST
DESCRIPTION:
r
Build?F7g Permit Type
Bui`lding?Work Type
Census Clodeia
r ? n. 7i
11"A
u .f
r:d n
tiJ :..: 3•,.._ ? ?5'?l
t'
SF ADOITION
NEW
434 ALT. RESIDENTIAL
-?r
? r / l F r .
REMARKS: .
A SEPARATE PERMIT IS RE4UIRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$237.25
$118.63
$8.00
$363.88
$16.000
CONTRACTOR: OWNER: - Applicant -
STEVENS JON
4638 PARKRIDGE DR
EAGAN MN 55123
(612)687-9722
? hereby ackntlwledge, thi`at I.have'"r,ead-this appl"ica`tion'-andstate that the
informatinn is correct and agree to comply with all applicable State of Mn.
? 5tatutes and City of„Ea,gan,? r,dinance.s. ?
?
APP IC /P MITEE SIGNATURE I Y NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot KnOb Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•=•N.: 10-56700-060-03 APPLICANT:
LOT: 6 BLOCK: 3
4638 PARKRIDGE DR STEVENS JON
PARK CLIFF 1ST (612) 687-9722
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
euzLoxrvc
027069
02f20J96
INSPECTION
FOOTINGS D. .
FRAMING ,.
INSULATION FIREPLACE
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
4
M?
CITY OF EAGAN ? %).
? 3830 PILOT KNOB RD - 55122
ot 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Gonstructlon Reauiremenls RemodeUReoalr ReaWrement
? 3 registered site surveys ? 2 eopies of plan
? 2 coples o( plans (indude beam 8 window slzes; poured fnd. design; ete.) ? 2 site surveys (exterior addklons 8 decks)
? 1 energy ealwlaflone ? 1 energy ealculaTrons (or heated additions
? 3 copies of tree preserveUon plan H lot platled aRer 711193
required: _ Yes jX No
DATE: _Eeh T 9, i996 CONSTRUCTION COST: ts nnn_nn
-?---
DESCRIPTION OF WORK: 1610" x 1610" One Story Familv Room Addition
STREET ADDRESS:
4538 - Parkridge Drive, Eagan, Minnesota 55123
LOT 6 BLOCK 3 SUBD./P.I.D. #: par?r? i ff i ?r nn? r ?-
. I
PROPERTY Name: stevens Jon Phone #: r °^7 ^ZZ ? ?
OWNER '"" i1R8T
Slf22t AddfeSS' 4638 - Parkridge nrive
Ciry: Eagan Stat@: MN
CONTRACTOR
Company: Homeowner
Street Address:
ARCHITECTI
ENGINEER
City:
Company:
Name: _
Phone #*
Registration #?
Street Address,
City: State: ZiP:
Sewer & water licensed plumber: None
change are requested once pennit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt:
OFFICE USE ONLY
Certificates of Survey Received Y'Yes No
Homeowner
_
ZIP: 55191
Phone #:
License #:
State: ZiP:
Penalty applies when address change and lot
is coriect and agree to compiy with all
?Eg g 3 5995
-- ?
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
?t=03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = piex
WORK TYPE
? 31 New o 33 Alterations
,--?2 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
6 f?S ? y?
?-
i '
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code o?
Census Bldg /
Census Unit 0
Engineering Variance
Valuation: $ 060 ?
G ?2'9kJG
/bxI& ° 2S? X ?
? II, S36
7--??- ?7
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y?
?
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?
' _?'. • • ? ?ZO•P?a
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I , ?Y 'Gf1,,?.
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I
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; --
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0
? 6?310' ??.
.
o _w
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Iq6.49
16
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KRtS STEVeNS ADpITIpN
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2007RESIDENTIAL BUILDING PExvriT aprLrcnTiorr
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reouirements
3 regislered sde surveys shovring sq ft of lot, sq 8 of house. and all roofed ar>as
(2D%mawmum lot coverage allowed)
1 Soils Repod if pmposetl building is to be placed ontlisNrbed soil
2 copies of plan showing 6eam &windax sizes; poured found design, etc.
7 set of Energy Galculahons
3 wpies of Tree Preservation PWn A lol platted a6er 711193
Rim Joist Delail Options selection 5heet (6uildiigs wilh 3 or less units)
Mmnegasco mechaniwl venhla6on form
RemodeVReoair Reauirements Office Use OnN
2copiesolplanshowingfootings,beams,joisls Certoi5urveyRecd _Y _N
1 set of Energy Calculahons for heated addAions Soils Report _Y _ N
1 sAe surveyfor addifions 8 tlecks Tree Pres Plan Recd _Y _ N
AddRion-mdicateilon-srtesephcsysfem Tree Pres Required _Y _N
Onsite 5ep6c System _ Y _ N
7 ?J
2
0 / U/
Da[e
75 1 J ?
Construction Cos[ --5-
`
,
/
Site Address Unit/Ste #
Description of Work
Multi-Family Bldg _ Y11 Fireptace(s) _ 0 _ 1 _ 2
PrapertyOwner -Jt7h,r/ i f t/P/S 5lle?QNs Telephone#e,j( )C>f-7"- / 7ZL
• . .
Contractor c
Address
State 1?
? Zip Telephone#((pSr) qS /'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code Category . Residenhal Ventilation Category 7 Worksheet • New Energy Cotle Worksheet
(Jsubmissioniype) Submitted Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has fhe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( J
Sewer/Water Contractor Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordalice with the approved plan in the case of work which requires a review and
approval of plans. *pl'iSS Applicant's Printed Name 'atur e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Oi Foundafion ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Rreplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Afl - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work TVpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 W?ndows/Doors
? 34 REplacemenl 'Demolitlon (Entire Bldg) -Give PCA handoutto applirant
DBSCfIp}.lon: WaterDamaga_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type af 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
Air Test _ Final _
Fireplace _ R.I. Windows
_
_
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
( 7?L4
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCATtoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not compine inside anc oUtslae
plumbinq on the same application, separate apqlications and permits are required.
t +?
??
D?
Date
/
!
'tr??? ??,n,? in ?/
<? Ki
"?
w ? iv r
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Site Street Address
Unit#
Property Owner ?I/?+? J l? 1?1?- `7' 1?/?'C,V `? Telephone #((Q? lY?
Appliance Connections Inc
Contractor 1313 QQ,a„'ta /+r Telephone # ( )
Address Ch9l.nnm MN $S$79 State Zip
95
The Applicant is: _ Owner & Occupant icensed Plumbing Contractor
Septic System _ New _ Returbished Submit 2 sets of plans and MPC license Includes County fee
- a ,oo.oo
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to exisYing dwelling $ 50.00
_ Add plumbing fixtures to main levei lower level. This fee includes
installation of a water softener andlor water heater at the same time. If you are
insfalling onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
her:
Water Softener Water Heater $ 15.00
_ new replacement
_ Lawn IrNgation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total
? r
-?y avply eo, a Resaenuai rmmomg rermrt ana adcnovnetlge that the intprmation is oomplete and acwrate; that the work will be
in confortnance with the ordinances and codes of the Ciry of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event
a plan is required to be reviewed and approved.
..
f' .
M /
IiXTBRTOR ENVELOPE AVERAGE "U" COMPUTATION
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ner???Gylu/V???{25Uh! G Address d?`}"!C? /?4l?ro? 7'hon?J?s?
gal Description of Property: Lot_W Block ?J Additionpll,e*??&Date 517,0 Z
te Address ??0 3 8 f? Iti?L Kt Vlt G` Y?? VC-_
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
Lin level
Lineal ft. of framed wall above grade ?71 Z.. x height of wall v -?-
m joist area ? Z< d-t,i
Lineal ft. of rim 7j l 2 x height of rim
,wer level
Lineal ft. of _ I
framed wall above grade x height of wall
rade /L ??"? 6' ?p - I
ht above
h
i
Lineal ft. of masonry wall above grade /.y (o x g
e
g
TOTAL wall area above grade including windows and doors ° Z?6 ¢• ?
INDOWS: Area x"U" value GLAv
,
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n n sq. ft. "U" (U)(A)
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sq. X
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(
7PAOUE WALL CO value
U
NSTRUCTION; Area x
s
'
"
Z x
ft
"U" o,77 ?t'??A?
q.
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rRN
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sq .
ft. ?ia?Q 5? X ,n
I'
(U) (A)
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sq,
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---- n
r
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(U)(A)
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I7??!?' -
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,
ft.
n
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-
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q
s. x
U
ft.
X uUrt _
- (Lt)
(A)
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IlU„ _ (U)(A)
sq. ft.? 5 7
2 r/ ?'?3
TOTAL Wall Area Including
iFU ows & Doors Z?6?• TOTAL (U) (A)
Wind
QJZ'?? • o ? ---
TOTAL (U)(A) AVG. t'U..
VALOES `-
UIVIDED BY TOTAL WALL AREA 2`l6
AVERArE "U" Minimum .17 or less for 1 b 2 family dwellings
`rtinimum .22 or less for all other buildings
N()TE: Tf avPrage "U" values as calculated above do not meet the Energv Code requirements, the
"Alernate Envelope Design" as indicated on Page 5 may be used.
(3)
' ? • •_•
??.
ROOF CEILING
?----
-' ?
---
1 ! ' ? t
? --
?f?- -'?
__Outside air film
Insulationz?????r? _
31" Drywall
Interior air film
----. 61 _
- `_ta-?dd
..45 - --
_ ._61
TOTAL R = AGl
`?-
A = 1/R U - ?? --
Outside air film ,__
Insulation
Y" Drywall
Interior air film
U = 1/R
Outside air film ?? --
_?--
??+„
!
.17
Suilt_up._rnnfing --33
Insulation_
Wood decking
Interior air film .61
U = ,1/R
TOTAL R =
U =
RODF/CEILING:
1'GTAL AREA: I ZOA- 0O sq. ft.
x
??U??
sq.
ft.??L?,oo
° 7-Q•??
Detail reference ? ?yZ (L) (A)
'
from above. ' "U"
" x sq. ft. _ ?U??A?
Descrihe openings "U x sq, ft. (U) (A)
_
in roof x sq. ft. _
(A)
x sq. ft.
,,Ulf x sq. ft. _ (ti)(A)
„Ufl x sq. ft. _ (II) (A)
TOTALS 17n4 sa. ft. ?i?•?? (il)(A)
?
7'OTAL (U) (A) VALUES ?
nIVIDED BY TOT'AL PUOF/ p0
"
?
A 0Z AVG. "ti"
C.EILI[r'C ARF.A \
L?
AVE1tA(:E "(:" .05 for ventilated roofs
I ;lO"CF.:
.10 for all other construction
]f average "I"' val.ues as calculated above do not meet the Engerc:y Code requirements, the
"Altcrnate F•.nvelope nesign" as indicated on Page 5 may be used.
.45
.61
TOTAL R =
U =
(3)
?. `-
. y
:
IYALl SnC`t'Iuha Top View
NUTEs use 10* of' opaque
wall area
for frami
membera
1-
R-Value
FI2AMING MEMBERS IN_WALLS
_Exterior
Siding_.___,?__?__-------- ----- -- ???
Sheathing
S }?n
Wsoft wood
dr.y wall • ? ?.b7S45
_._.?
Interior air film '68
TOTAL R
U = 1/R U = •?jq7
_FRAMED WALL
(2)
Exterior air film
Siding
Sheathing `
?Ir
? batt insulation
11" dry wall -- -
Interior air film
U = 1/R
'6:1'
1,jgt:> -
I Qe Od
.45
.68
U ° . n4.4-
_,__RIM_JOIST ARE&_
Exterior air film 17
Siding
Sheathing ----
1's" soft wood 1.88
In --'-"-- U, F?--" - 1-1- Qc:?-_= -
.68
Interior air film --------------?--
TOTAL R = 23,9Z -
U = 1/R u ° '
MASONRY WALL_
Exterior air film '17 --
12" concrete blocic 1'-r-L•--
Insulation
Interior air film
TOTAL R = Z, ? 3
' ------ - -•----- -
.?
U = 1/R U = 4
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4101
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAI 3I2013
Use BLUE or BLACK Ink
For Office Use
Permit #: k t \ WO
Permit Fee: OCV
Date Received:
Staff:
5.-31a
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '5( 3 t t i3
Site Address: I7 6 3 0 Pea r k T i dq a Grr ✓e Unit #:
Resident/
Owner
Name: 3 ah --4-• kri5 e nS Phone: 6.5i - S7 -gZola
Address / City / Zip: Lt C,3 Z Pa irk- r rr 'a A r d v' -C -
Applicant is: Owner Contractor
Type of Work
Description of work: k‘' -t e -h e n re_rn a cL e. ( .
Construction Cost: $ 3L// cr°0 Multi -Family Building: (Yes / No, )
Contractor
Company: / r 4-0 5 C 6 n 4 r a c4 - t n ci Ll -c. Contact: Le -e_ 1 u.) r e r c. e--
Address: ap.oeu3 .e- Si' I (9 -5. -Si- City: 5 V O
J
State: W)N Zip: 5-3 7 2 Phone: 95 Z - 8G'7 5- .5
..License #: 1--16 13 Lead Certificate #:
If the project is exempt
-a- r •e.
from lead certification, please explain why: (see Page 3 for additional information)
. s \ en. r e_ ...k.) . a 6v. I- -- i z
In the last 12 months,
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 _No
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 maybe 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.gopherstateonecall.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.
x / e� Lewre,, c e
Applicant's Printed Name
pplican ignature
Page 1 of 3
1-ft9N. Parkyi Jr.
DO NOT WRITE BELOW THIS LINE
11 /100
SUB TYPES
_ Foundation Fireplace _ Porch (3 -Season) _ Storm Damage
f Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition_ Move Building _ Reroof — Demolish Interior
)," Alteration_ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION od
Valuation 022 -- Occupancy 2t 6— MCES System
Plan Review / Code Edition`] SAC Units
(25%_ 100%) Zoning / -/ City Water
Census Code k//.3171 Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length —
Fire Sprinklers ----
Type of Construction Width ----
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Air Test Final
Meter Size:
Final I C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _ Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/3,
.277 4/0
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111541
Date Issued:06/28/2013
Permit Category:ePermit
Site Address: 4638 Parkridge Dr
Lot:6 Block: 3 Addition: Park Cliff
PID:10-56700-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Sue Lameyer
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 -
Kristine E Anderson Stevens
4638 Parkridge Dr
Eagan MN 55123
(651) 687-9722
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
g6
J ob# 3c04q C11
r Use B LUoK Ink
For Office Use I
I ~ I
I Permit 1 v ~
City of Ea'„~ 1„
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 U ( j
j
Phone: (651) 675-5675 Date Received: I ~ I
Fax: (651)676-5694
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. Yt r
Date: ID1 I J Site Address: PPY9 bXV,Y-1401C
Tenant: 1 is C* y S+c L S Suite q
Resident/Owner Name: Vn'IS oh YN ~ Phone: Sll -7
Address !City /Zip: 1 , Ct
bOA d 1r' License b 2202- ) J4
Name: Y10 flUllk G(-
Contractor Address: I9 'T pJfw i l 1 i (in S City: - 6
State:l,A t Zip: Phone: .51 - 4-31 - 9 218 X
Contact: Email: ►C~FYL(-t/1tG~}~~tSC PI'tP~O(;r!`C ►r. CCJw
New),-.& Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Permit Type Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) ~-~7,
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ . Qv TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x I%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
"If the project valuation is over $1 million, please call for Surcharge = $ 5.00 Surcharge"
= $ TOTAL FEE
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 ~6'I/(i ~C~►L~~S~3)'1 x V
Applicant's Pr nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By Date:
Underground _ Rough In _ _ Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161176
Date Issued:05/11/2020
Permit Category:ePermit
Site Address: 4638 Parkridge Dr
Lot:6 Block: 3 Addition: Park Cliff
PID:10-56700-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristine E Anderson Stevens
4638 Parkridge Dr
Eagan MN 55123
(612) 723-0547
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature