4647 Parkridge Dr
Use BLUE or BLACK Ink
I- - _
For Office Use I
t /
I
I Permit*
City of Eatan ~a
I Permit Fee:
3830 Pilot Knob Road : F t I
Eagan MN 55122 Date Received:
Phone: 651 675-5675 1
Fax: (651) 675-5694 I- Staft_
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: y~H~ /=''s LSD?
Tenant: Suite #
RESIDENT / OWNER Phone:
Address/ City/ Zip: 7 l zz
Name: License
CONTRACTOR Address: j/,Zi_25 City:
State: Zip: ~3_ ~ Phone: 'g~-/
Contact: Email:
New j(_ 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:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) _
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ J 5 yU TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 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.aopherstateonecall.ora
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.
Applicant's Printed Name Applica ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
? CASH RECEIPT •
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
R[G RI V EG
FRpN
AMOUNT $ I
DOLLARS
1 oo
? CASH ? CHECK
FOR
White-Payers Copy
j Yellow-Posting Copy
? Pink-File CopY
T k
BY
-' CITY OF EAGAN \
` 1"4 , Ssa?'
3795 PIla1 Keob Road Eagan. AAN l?122
PHONEt 454-8100 ---
BUILDING PERMIT Receipt
Te b? ?s?d fer SF DWG/Gt?t Est. Value 0 Dare November 1_ 19 -? 3
Site Aoreu 4647 ar r ge r'_vE:
Erect ?
Occupancy
Fiirl.cli_ f
Lot Block Sec/Sub.
Alter p -
Zoning "
Parcel # 10-56700-120-02 Repolr ? Fire Zone %A
ateve Retzlaff p
?vros Type of Canst.
oc Nome O # Stories
? 1302 Crestridre T,al,e
Address Demolish ? 58
Length
_
G Eagan 55123 ?o? 452-0324 Grode p ?
Depth '?`' Sq. Ft.
? :?. '. tte Stiae t
a Name Approvab Fees
z 3325 Colfax Ave. So.
o? Address
Assessment .
Permit
uF Ci??iloomin-ton ?o?e ?2.?
Weter d? Sew. ?
Surchorye t? .
ZC-T0
G°C Police Plon check
Nome
F W
Fi ro
SAC
_? Nddross Enp. Woter Conn. 4"`? .
Z E: t) .?7 V
M
i'
Ci Phone Planner Water
efer
Council Rood Unir
1 hereby ocknowtedge that I hove reod this applicotion ond stote thot gldp. Off.
ihe information is torrect and agree to tomply with all applicable APC Totol ' i?~ ??
Stote of Minnesoto Statutes and Ciry of Eogan Ordinances.
Sipnoture of Permittea -
. . . ... . 1
A Building Permit is issued to: on the exprcss condition thol
all work sholl he done in accordonce with oll oppliooble State atMlnn esota -Statutes ond City of Ea9an Ordinances.
Bulldirp Offictal ' '
Permit No. Permit Holdar Misc. Permit No. Hoider
Plum6ing
?o
H.V.A.C.
w.ll
Wate.
oisp.
?
?
.
Ekctric
W ygy ?•S ??« y
Inspection Date ' Insp. Othar
M
Ro.ughHVA
Inwlat
ion
K
Finai Plbq. 2?
.
Finai HVAC 5-?y
Finai ?
Water Dbui6e Location:
V11e11
Sewsr
Pr. Di?p. "
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN "
?m
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
.
1. Date 2. Installation Cost
, .; - , _ , • I
3. Job Address Lot , Blk. Tract '
4. Owner ?? ? • ? t • , - . ,-
5. Contractor ' Phone
6. Address
7. City State • Zip
8. Building Type: Residential O Commercial O Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Descri be
11.
Fuel Type
No. E_Nioment 9TU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
m Name _
? Address
c City -
? Name _
# Address
o City -
' 1 1rC UF NFUl1m, r
Forced Air
Bo+ler
Unit Heate?
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHAMICAL PEAMIT PERMIT # 7 -7' 4?``' •
,
CITY OF EAGAN RECEIPT # 7 ?I
3638 PILOT KNOB ROAO, EAGAN, MN 55122
PHONE:454-8100 DATE: ?
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. ? New „
ry=
Mult Add-on
Comm. Repair
Phone Othef
_ L FEES
RES. HVAC 0-100 M BTU -$24.40
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GA5 OUTlETS (MINIMUM -1 PER PERMin - 1.50 EA.
- - - CAMMAND FEE - 1 %-0F COMTqACT FEE
M BTU APT. BLDGS. - COMM. RATE APPLIES
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - AlL ADD-ON &
M BTU REMODELS - 12.00
?MINIMUM COMMERCIAL FEE - 20.00
CFM STRTE SURCr-fARGE PER PERMIT - .50
(AOD $.50 SJC PER EACH $1000.00 OF PERMIT FEE)
- -;,
PERMR FEE:
si --
siC: •
TOTAL:
? ?FOR: CITY OF EAGAN
Receipt
?
1. Date ' -' -
3. Job Address
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C _
Type or Print /egrbly Tot. ?
-2. Installation Cost
?
? ?"' ` • ,i?
, . Lot 'Blk. `-Tract ,• /.c._ ,U .
4. Owner CA-/ f 14
5. Contractor
6. Address
7. City'?'? ? _..
8. Building 7ype: Residential I
9. Work Description: New
10. Describe
1 11.
f?
Phone
Zip
Commercial ? Institutionai ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfiefd
? Bath tubs
Septic Tank
Lavatory Softner
?
Shower
Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
'
; Floor Drains !
a
- i
Drinking Ftn. c
Sfop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances ?nd codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your perr?it when nu,mbered and approved.
Approved CITY OF EAGAN 454-8700
?
?
CITY OF EAGAN Remarks
Addition PARK C`T.TFF ATli1N_ Lot 12 Blk 2 Parcel
Owner '/? ?/ - ? rh Street 4647 Paric RiAqe j)r1Ye State-8gan? MN 557 '2'4
'r
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF3
STREET RESTOR.
GRADING
SAN SEW TRUNK 224.02 COOS 77 10-11-83
*SEWER LATERALSq 3031 I I of
WATERMAIN
*WATER LATERAL
WATER AREA
STORM SEW TRK 441.66 C 08577 1-11-83
*STORM SEW LAT 198
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 39685
1--
WATER CONN. 450. 00 it
BUILDING PER.
SAC ?? tt
PARK
CITY OF EAGAN
3830 Piloi nhob Road
P. 0. Box 21199
Eagan, MN 55121
Zoninp: R1
euder No.:
sqroe to con44 with !iH Ciey ef Eagaa
WATER SERVICE PERMIT
PERMIT NO.: ?' + 4
DATE: ? 8-?
Connection Chorge:
Account Deposit; _
Permit Fee:
5urcfinrge:
Misc. Charyes: -
ToMI:
Date Poid:
P. O. Box 21199 PERMIT NO.: b36Z
Eagan, MN 55121 DATE: 1?-??- }q
Zoning: P, i No. of Unih: 1
Owner; D.F. MittelsLaedt
Address:
sire nddress: 1647 rart;ricga Drive L12 I32 Park Cliff
Plumber. _ , lbR "v E{tR
11-1-33 3?G5:
1 a9e" to ?plp wilh fha Cihr of Eagan
Ordinaeeei,
Con.,ection Charye: 425.00
Account Deposit:
Pertnlt Fee:
Surcharpa: • ? ?
Misc. Chorges:
Totol:
DaN Paid:
By
Date of Insp.:
CITY OP EAGAN NO 86!?.
3795 Pllot Kno6 Rmd Eogan, MN SS122
PHONE: 454-8100
BUILDING PERMIT Receipt #
7e ba wed N. SF DWG/GAR Est. Volue $92,000 Dore November 1 _ i q 83
Site Address 4647 ParkYidge DTive Erect Occupancy R-3
Lot lZ Block 2 Sec/5ub, Parkcliff qlter ? Zoning R-1
Parcel # 10-56700-120-02 Repuir ? Fire Zone NA
Enlarge ? Type of Const. V
rc INcirne Steve Retzlaff
W
? Address 1302 Crestrid¢e Lane
. n..,..._. ccioo r.ro n1n1
o IName D.F. Mittelstaedt
?0 Aderess 8825 Colfax Ave. So.
f r:.RlnnminoYnn e?.,__ RRR-f1??R
Nome _
Address
Move ? # Stories
Demolish ? Length 58
Grode ? Depth 58 Sq. Ft.-
Approvaif Feet
ASSCSSTCfII -
Water & Sew.
Police -
Fire Eng.
Plonner -
Council _
1 hereby acknowledge thut I have read this apDlication and stare that Bldg. Off.
ihe intormation is correcf and ogree to comply with all opplicuble APC -
State of Minnesota Srotutes and City of Eagan Ordinances.
Si9noture of Permittee
Permit 4V7.VV
Sur<harge 46.00
Plan check 204.50
SnC 525.00
Woler Conn. 450.00
WaterMeter 60.00
Road Unif 250.00
Totol $1944.50
A Building Permit Is issued to: _ on the express Conditlon thrtv
oll work shall be done in uccordance wifh all op_pliqr le fate ? Snne utes and City of Eagon Ordinances.
Building Officiol
i
,
CITY OF EAGAN
BUILDING PERMST APPLICATION
Include ?_ sets of plans,
1 site plan w/elevations &
1 set cf energy calculations.
Tu used For 5 DUJ ? aK`-vaiuation Date
site Address L4 (, Lj-7 Po-r?il ,' dq-E flr0 V E_
I.nt l Block Sec./Sub. '??f ?"" ?•-
_?_ ? A;1?\.'T,l712
Parcel #: IO - 5b7pCD - (20 -0 ??
Osmer: rj-rE"C;L4 Ffi
Address: 1302 La N
City/Zip Cocle: C,g cg ,j S SI
Phone #: 4 V) ;? - 0 3a. -f
Contractor: ?? ? aA I ; E ? S„q
Address: 9j 5- C_Di., F,qX A,). S.
City/Zip Code:
Phone
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
?0- z7-8`2i
OFEICE USE ONLY
Erect ? Occupancy
Alter Zoning
Repair Fire Zone
Enlange Type of Const.
A'ove # Stories
nemlish Front ft.
Grade Depth ?F( ft.
APPROVAL.S E'EES
Assessments Pexmit
?4ater/Sewer Surcharge yl?
Police Plan Check
Fire SAC ,9a7,5-
Eng. Water Conn. A16-0
Planner Water Meter
Council Road Unit aS0
Bldg. Off.
APC
'IOPAL
l/ Cor\AkLl`C, C,h? , !i
? ?y, yvS
7 ? ° ?'
?l G?s
Minnesota SWte Board of Electricity
1954 University Ave., St. Paui, Minn. 55104-Phone 645-7703 ?47 Q?
' AEQUEST FOR ELECTRICAL INSPECTION " ?- /+? ,
CHECK BELAW WORK COVERED BY TH1S REQUEST ? ?2 L} ?
Type o[ Building New Add. Rep. Check Appliancea Wired Foi Check Equipment Wired Fox
Home ? Range ? Temporary Wiring PS
Duplex ? ? ? Water Heater ? Lighting F'istuies =?-
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ?' ?--- Silo Unloadet ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank . ?
Farm
? ? ? []
List )
p }
is
List
p
S?
O[her ? ? ? l
Heie Here
COMPUTE INSPECT[ON FEE BELOW
Smice Entrance Size: # Fce Feedew.tSub(ceders: # Fee Ci?cuits: # Fee
0 to 100 Am s. 1 iG,o? 0 to 30 Am eres 0 to 30 ki&
]01 ro 200 Amps. 31 to 300 Am eres 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Trans[ormers RemoteConVO1C'uc. Parnalorotherfee S
Signs S ecial Ins ection Minimum Cee 55.00
Remarks 7-6 r/in0Rl1-RY EO11STW UG'Tj O/Y Se£i?Ucc&_c
FdQ NKW SiNCvt,it`. PhPl.LY RESeO,6nC'a_S.
TOTALFEE _
I, the Electrical Inspector, hereby certify that the above inspection has been madYr----'
(Rough-in) [ Da[e
(Final) f ".r',:, - Date
This request void 18 months from ^
This request void 18 monthfrom
Date of this Request r? o J.'t-? ! Y?.3 28244
I, as ?Licensed Electrical Contiactoc ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street jYddress or Route No. 4674 7 `pARx R ioC-,f-_ NiJe- ity [AC.., 4 n4
Section Township Range County g K0T4
Which is occupied by ?i ?? E 7?SNA c¢C?N ?? ve-c.9if'F
(Name of Occupant)
Is a roughin inspection required on this joh? No ? Yes P% Ready Now ? Will Call ?
430c7 a? S-r, w,
PowerSupplierpikKor4?'ur.ccrR?c4SOL AddressfA.ltm,nb-rcv,
p
Electrical Contractor H L-,s E??? ??kC_ woAxc DV4 ig ln,?5- 8
Contractor's License No. _
(COmpany Namo) n
Mailing Address 54,4? 1`IAJU', s+t;" AV= CiT fRy? nh. SSlO L
i1 tElectricai Contractor or owdBr Mak{nq This Instailatlon)
Authorized Signature
tetectn<ai contractor or owna
UAt1 E SCARD COET Y
No.2qz4e'-tR
This inspec6on request will not be accepted by ffie
State Board unless proper inspection fee is endosed.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
?
' See instructions for complabnB this form on back of yellow copy. ` O??
? l6i1 ?.;~ j X-"' Belaw Work Covered by 7his Request / AAd'RBP. Typa ot Bmltlmg APPhancnb Wnetl Equipment Wved
Home Range -- Tertiporary'$ervicAi
--
Duplez
Water Heater
X ?
Lightiny Fixtures
Api. Building Dryer Electnc Heaun
Commercial BIAg. x Furnace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk Tunk
Farm Other oPU y 1her ISLenfyl
? P.f SGCC1?y 01h(!( [1\M1I`!
Compute lnspection Fee Belnw
p Fee ServweEnhenceS.ze B Fee Pexders/SUbteeAers ii Fee Crtcmts
0 to 200 qm s 0 to 30 Amps 0 tn 30 Am ps
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100-Amps Above 700_Amps
Transtormers Irngation Booms " Partial-'Othei Fee
Signs Special Inspection
s
r?
^1
TOT E
Hemarks
.9
!
J
?
G-
Ro?g?-in Dnie ? ?h al
Inspector, herabY
certrtV that the above
Final se y` Inspec4on has been
?•n
made.
Thl...... t vad 18 monitb fmm
This request void Ippp"- S O • (J ?,r
18 months from
A n74R11 L?Z 'f???P0.rk(h 4 ?1071
Request,D'ate Frte No. HouAh-,n Inspecbon ?
) !g Reqwred> AC:+tly Now [?Nill Notify InsPec-
y./1.`( es ?NO LorWhvn R¢adY
SLicensal ContrTCtm I herebV requast inspection ol above ?
] Ownli elacvicel work inslalled ar
Sveei AtlAress, eox or Roure No. Ciry
if7
4 P
C
0 E
1G. ARKr?swO
aF-
4 u- ,4C?.4
ecLOn o. Town5hi0 Name or No. Ranye No. County
04K0?'X'J
Occupant(PRIjN-T)
S d¢N ?5 / l/ir l6.5 '*/4(E Phone No.
esg' o.2-2e
Pnower $aOPlier ?/?
?' Address ,s
X
17
?./4 {
o v?E rc 43ck-j '? 1Y .
4.e,., - io
ao S.-. 0 j
Elec,jncal ConV ctor ICompany Namel
'
? Conhaclm's Lmense No.
/??..
s ??cn4, t (,cJa.eics ?0'?3 S-8
MaJinA Address (ConVac[or or Owner MakinB Instailation)
S?CG /'7A-?2se,?.4 ec ? ?•? gr. ? ?
P"?4N?- /7n• .S?Sio
Authonzyd ature lCOnVactor/Owner Making Installat nl Phone Number
242 4??`?
OF ELECTpICITY
9t
5704
THIS INSPECTION REQUEST WIIL NOT
BE ACCEPiED BY THE STATE BOARD
UNLESS PflOPEP INSPECTION fEE IS
ENCLOSEU.
.
. ,,r•--a--,
,? .. ?
OFJNFR
SITE AD
Tiar.?
CONTRACTOR _J??L-n-?? S. ,j- Lo DATi / a ZE3PHONE S?W`o
Determine rrorking square footage of each.
1. Total exposed wall area ... sq. ft. x.19 =.ti. ?t
2. Total roof/ceiling area ... sq. ft, x.04 -?
Total exposed wall area above floor = frof7?i
a. Total wall winCO:•t area ................. a pq
b. Total door area ........................ 'a'(„
c. Tota1 sliding glass area .............. 1%+-i
d. Total fireplace vra21 area ...... . n
e. Total wall framing area (average 10%)... )/„p
f. Total net wall area above floor ........4 vycr
g. Total rim ,joist area .................. ?
Totai exposed foundat3on &rea = 22DO
h. Total foundation window-area _......... zi
i. Total net foundation area above grade
Determine "U' value of each wall segment.
a. n t x ?,U': . ?3 = .?
?1
_
b. 3(0 X ?
?U'; m ?[.7 = ?. ?l?•
a. ),4 X ?rU::
D. X "V'
e. ,?. (uU X ?.Uu
f. X ,:UI:
9 X "U"
h. X ;'U' !O, ? P
3.? X r.U?,
3 ......................... .. .... ......... ....Tota1 L
If item #3 is tne same as, or less than item Nl, you have met the
in*ent of SBC 6006(c)2.
?
EXTERZOR EPdVELCPi AVERAGE "Ul COi1PuTATZOi1
-;' ?r??^d??C'?i?_"st•'
Total exposed roof/ceiling area
J. Total skylight area .......... ...
k. Total roof/ceiling framino 2rea (average 10% Jfay
1. lotal net insulated roof/ceilinr, area ........ 1Q3?t7
Determine "Ul value for each roof/ceiling segment.
, • ?t "; X „U ,; 1 ct _
k. 1 Lv 4 g': U1,
1. J() k?,' X „U "
4 .........................................Tota1 = LICJ, 3 fe
If total of 04 is the same as, or less than f2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelope Desi,n
To utilize ihe total envelope syster. method, the values establishe@
by the sum of items {f3 and #4 shall not be greater than the sum,of
itens #1 an3 h2.
1. + 2. -
3. + 4. _
Q Z Z, Iz
???k `"/'6-
MSMO TO: GENE VANOVSRBERE, DIRECTOR OF FINANCE
FROM: TOM COLBERT#, PIIBLIC WORRS DIRECTOR
DATE: JIINE 26, 1987
SIIBJECT: CLAIM FOR DAMAGBS - 4647 PARRRIDGB DRIVS
SPRINRLING BAN/LOSS OF WATSR
The City has received the attached claim for damages incurred to
homeowners water softening unit that resulted when the City lost
pressure and volume within our water distribution system during
the emergency that occurred on June 15th and 16th, 1987.
I have verified this bill with the repair company to ensure that
the damage was a direct result of loss of water in our system in
this neighborhood which resulted in a back-siphoning effect while
the water softener was going through its recycle period. Result
was that the resin within the water softener was drawn back
through the system and the control valves creating the damage.
While this is the first and only claim the City has received of
this nature, it is possible there may be others of a similar
nature that we have not yet been informed of.
Also, this is the first time the City has ever lost water
availability and pressure to significant portions of the City
which were a direct result of uncontrolled excessive use thxough
sprinklers and a loss of adequate reserve capacity due to a power
failure that occurred on Sunday, June 14th, limiting our ability
to restore our reservoir reserve capacity.
If payment is approved, it should be made directly to Haferman
Water Conditioning, Incorporated at the address on the enclosed
invoice with a copy to the homeowner.
If the claim is denied, a letter to that effect should be.sent to
the homeowner with a copy to the repair service.
I would appreciate being informed of the final decision regarding
the status of this claim as submitted.
.A wecX/?1?-
Public Works Director
Attachment
cc: Joe Connolly, Superintendent of Utilities
TAC/af -
?/O ? L RESIDENTIAL BUILDING
r Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction ReowremenLs RemodeVReoair Reauiremenls Office Use Oniv
3 registered sile surveys showing sq. ft. of bt, sq. fL of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addNons Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & vnndow sizes; poured found design, etc. 1 site survey for addilions & decks Tree Pres Reqd Y_ N
lsetofEnergyCalculalions Addifion - indicateifon-sdesepticsystem OrnsiteSepticSystem _Y _N
3 copies o( Tree Preservation Plan'rf lot platted atter 717193
Rim Joisl Dehail Options selection sheet (bldgs with 3 or less units
Date /_,3_1
Site Address w y ? I
?Q f(., ?( CGG eDr CODSfTUCt10n COSt ? J? 0 e 00
iV e, E G L7 ?1 Unit/Ste #
Description of Work T D h'Ls(9 6 T"
Multi-Family Bldg _ Y'lN Fireplace(s) _ 0 2
PropertyOwner 5-? e,ye d7 LQC* Telephone#(6jri) y5 (a.?)V
Contractor Sco`lt Fnr?ne04 Gensiru c-ti-?sh Secok eq Inc.
aaaress i-766 !
State M n. 3t'a ??e,r Cf
Zip :S6 ! 17 _ cicy Ma?leweDCJ
Telephone #((? J?J ?6 q- 6.263
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(_
Telephone # (I D
I hereby apply for a Residential Building Permit and acknowledge that the infom?tion is complete and I curate;
that the work will be in conformance with the ordinances and codes of the City of-Eagan-and'th"e Stafe of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
s?oft F? ;,,e ! 14
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
5ub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwalling ? 08 06•plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-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 Pibg_Y Or_N ? 25 Miscellaneous
Work Types
? 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)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolkion (Entire Bldg) - Give PCA handout to applicaM
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) - plunibing
_ Foundation HVAC
_ Drain Tile - pther
Roof _ Ice & Water _ Final Poo] Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaVnent Plant
License Search
Copies
Other
ToWI
Building Inspector
C
SIGNiA
I L. ?
I _. N68?Z? ?5
/
I /
i o
?
•6 ?? ?UY?l1
I
; I
O I
O ( ?
^- I
SURVEYING
SERVICES
3908 Sibley Memonal Highway
Eagan, Minnesota 55122
Phane {612) 452-3077
W
?
0
O
z
?
Survey Certificate For:
AAr. DEAN MITTLESTAEDT
`
•?
1gy ?- ? ? ?o ?a
? ?yfl-i'ee = ? ?
b`? \
10 ? ?J
?i
?
e
H QO y?4 r
0
K .
12
??----? ,
f4f
W /
k ?
i
. /
o`
/s
? - 60. 00 --?,-?- ?
S89°54`3e?W '%
ma
P\??
c
e
J\?? 11.6 .
\
5- ?
«?'94
N
SCALE: 1 inch = 40 feet
/?
?j ? ? Denotes Iron Monument Found
x105s.1 ?enotes Existing Spot Elev.
a Denotes Wood Hub Set
?-- Denotes Dxainage Direction
*BEARINGS SHOWN HEREON ARE BASED ON ASSUMED
DATUM*
* ELEVATIONS SHOWN HEREON ARE BASED DN MEAN
SEA LEVEL DATUM*
(per City Utility As-Suilts)
PROPOSED GARAGE FIAOR ELEVATION - 1052.75
PROPOSED FRONT ENTRY ELEVATION - 1053.6
PROPOSED BASEMENT FIAOR ELEVATION-1050.4
- PROPERTY DESCRIPTION -
Lnt 12, SLock 2, PARKCLIFF, according to
the recorded pla[ thereof, Dakota County,
Minnesota.
I hereby certiLy that this survey, plan or
report was prepared by me or under my direct
supervision, that I am a duly Registered Land
Surveyor under the laws of the State of
Minnesota. Dated this 31st day of October, 19
?a4ss' E ??
Wayne D. Cordes, Minn. Reg. No. 14675
soak
, � Receipt:#395854 3088859
.y
EASE $46.00
Retum to: (II�I�I III�I�I�II IIIII IIII�IIIII IIIII
DOUGHERTY MOLENDA IIII IIII
14885 GIAZIER AVENUE Recorded on:9/8/2015 10:28 AM
STE 525
. APPLE VALLEY MN 55124 By�TMB��P�Y
Office of the County Recorder
� / � �7 Dakota County,Minnesota
��C J Jcel T.Beckman,County Recomler
,� �'�i � ��.�,
����
�
4' �-�-� �
DRAINAGE AND UTILITY EASEMENT
THIS DRAINAGE AND UTILITY EASEMENT is made and entered into this <�day of
i.,�U�^ , 2015,by and between �teven H. Retziaff and Tvlary C. iZetziaff, husband and
wi e, hereinafter referred to as "Landowners," and the City of Eagan, a municipal corporation
organized under the laws of the State of Minnesota,hereinafter referred to as the "City".
WITNESSETH:
That the Landowners, in consideration of the sum of One Dollar ($1.00) and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, do hereby
grant and convey unto the City, its successors and assigns, a permanent drainage and utility
easement, over, across and under the following described premises, situated within Dakota County, ',
Minnesota, to-wit: �I
�: io-s6�oo-oa-i.�o
An easement for drainage and utility purposes over, under and across part of Lot 12,
(�. Block 2, Parkcliff, according to the recorded plat thereof, Dakota County, Minnesota,
� described as follows: the southeasterly 5.00 feet of the Northwesterly 10.00 feet.
�
The grant of the foregoing permanent easement for drainage and utility purposes includes the
right of the City, its contractors, agents and servants to enter upon the premises at all reasonable
tlill�� tC3 CO21��Cl.iCt, rf:vOT'iStT"tiCt? :YiS�eC�� i�'ic'1t1i ?aT'id r�aintair. �3�13�:5� C012�ii1t3 ?aMC� 1:2�i12S� a12C� tl2e
further right to remove trees, brush, undergrowth and other obstructions. After completion of such
construction, maintenance, repair or removal, the City shall restore the premises to the condition in
which it was found prior to the comr�encement of such actions, save only for the necessary removal
of trees, brush,undergrowth and other obstructions.
And the Landowners, its successors and assigns, do covenant with the City, its successors and
assigns,that they have the authority to grant and convey the easement herein to the City.
, ,
IN WITNESS WHEREOF, the Landowners have caused this easement to be executed as of the day
and year first above written.
Steve H. Retzlaff
�' �:
Mary C,. R zlaff
STATE OF MINNESOTA)
)ss.
COUNTY OF DAKOTA )
f� �
The foregoing instrument was acknowledged before me this .2� day of t,c �S' ,
2015,by Steven H. Retzlaff and Ma r y C. Retzlaff,husband and wife.
,10hNV P�ORDER
��'�� tary Public
Wnr�rtEz�otpttt�
APPROVED AS TO FORM:
� �' �"�`"
City Attorney's Office
Dated: 4 �/ ���
APPROVED AS TO CONTENT:
�
lic Works epartment
Dated: b 2(v !y
THIS INSTRUMENT WAS DRAFTED BY:
City of Eagan
Engineering Division ,
Public Works Department
3830 Pilot Knob Road
Eagan MN 55122
Easement No. 1298
G:EasementsJEasement 1298(Retzlaf�
2
i - - - - -�
i '
i �
i �
� Lot 11 � �
� j �
� ' �
I 1 �i•
I `\ �
�
I ��'� �
i / Q
�
� �
�
�� \ �
I �� � .
I '�'�i \\
� �
\
\
5.0' Drainage & \,
� Utility Easement �
� �/ ����
� i� ���
� Lot 12 � �
i
I /
I �
I �
I ��
� B�k 2 �
� '
� �� Utility Easement
� �
� An easement for Utility purposes
� over, across and under that part of Lot 12, Block 2,
I Parkcliff, Dakota County,
I Minnesota, and described as follows: ,
I �'i
� i The Southeasterly 5.00 feet of the Northwesterly 10.00 feet
� � of said Lot 12, Block 2, Parkside, Dakota County, Minnesota.
I �
- - - - - - - -'
Fig. A
� Proposed Utility Easement
Lot 12, Block 2
�°f� Parkcliff
City Project 1134