4655 Parkridge Dr.. _ _ __ . ,.
CASH RECEIPT ?
0 CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RIEG@IVIKO
FR0M .(. r ,. r ..,
G?
AMOUNT Is
? CASH --?CHECK
FOR
5J ?.? ??? ?' %.?? J r ?.. -
L
FLJNO COOE ? pMOUNT
? U ,SoZ
160 o
a?U U
0
Thank You '
638 G 1 , .
Whiie-Payers Copy
Yellow-Posting Copy
Pink-File Copy
' a
BUILDING
To be
$ 154,000
4655 PARKRrUGE DR
ff R3
Site Ad ess
I Erect Occupancy
lot
Block Sec/Sub. PARK C.LI F :+iD Remodel ? Zoning R1
Parcel No Repair ? Type oi Const v¦+
. Addition ? No. Stories
¢ N ??ZAUti-PEDEiZSON INC Move ? Length 47
= ame J? GikLAX I F; AVE Demolish ?
,
Depth 40
Address I
I
? F
S
o
A. 31 _
V
4 mpr.
nt q.
t
City . Phone Install ?
Address ASSeSSn
City Phone Water &
Police _
Addresa
City Phone
I hereby acknowledge that I have rei
information is correct and agree to
Minnesota Statutes and City of Eag
Signature of Permittee
A Building Permit is issued to: ol `j
all work shall be done in accordance with all
.- .. . . -w . . . , •r= s nr..ari: .r K.s.s.. . -_,.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ;
Fire
Eng.
Planner
Council
ot BIdg. Off. 214/1 0c
APC
Var.
N2 1L^Q7-2
<!
E
? .is 36
Permit '' `""" • "?
Surcharge 77.00
Plan Review 284.?U
SAC • O p
Water Conn.
Water Meter?50
Road Unit ??' 00
Tr. PI. 156.00
Parks
Copie
Total . . 50
"" 11"- on the express condition that
of Minnesota Stat4tes and City of Eagan Ordinances.
Building
Pwmk No. PsrmR Halder Dab TN*phon* N
Plumt;tny
IH.V.A.C.
( 1
?
IEWdft
• S
I
7' 1 (?
?. ?--
soli?
Inspoetlon Dab Insp. Commenb
Footlngs I
Footlngs 11
Foundadon ? -
Framiny / •
Raofiny
Rouqh Plbp. r
Rouyh Mty.
Insul. •ZZ- Af, -
Fkeplaeo
Final Hfp. Q
Finsl Plby. _ZS
Bldy. Final 3
CAW- Occ.
Dsck Ftq. .
Deek Frmp.
Well DewAbe Locatlo?:
Pr. Dbp.
BUIIDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P HON E: 454-8100
Est. Value Site Address 4655 PARKItIDGL' DR
Lot 1 Block 3 SeciSub. PAR=LIM ZHD
Parcel No.
W Name DAVID 6 OOKSTANCL JOtitt80H
; Address ?SS PARKRIDGE Dx
0 City EAGAN Phone 454"7230
o Name SAME
ir
00 ` Address
? Citv - Phone
Name
Phone
I hereby acknowlege that I have read this application arid state that the
intormation is correci and agrea? lo comply with all.;applicable 51ate ol
Minnesota Statutes and City of gdh Ordfnances.
A Building Permit is issued to: DAVM OR CONYOM JCIWIIII
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
18234 1
Receipt #
OFFICE USE ONLY
Occupancy - FEFS
Zoning _
(ACtual) Const - Bldg. Permit 25,
?
(Allowable) - Surcharge • ?
# of Stories
Lengih 2QW Plan Review
Deplh 220 SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
City Water _ Acct. Deposit
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROYALS Road Unit
Planner - park Ded.
Council ?
BIdg.Oil. _ Copies •
Za??
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWEF
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Raofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspecfor - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ft9. O? O 1J
Dedc final
Web
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Addr ss ?
lot? Block
? Name -?,
75 Address ?
c Ciry
? Name
c Address
O CitY
TYPE OF WORK
Forced Air .
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
PERMIT #
RECEIP7 #
DATE: `
QLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU ?
-$24.00-'
AQDITIONAL 54 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA. ?
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
6EYOND $7,000.00)
/ ? ? - i . 1 • -/ I
. j ? SIGNATURE QF PERMfTTEE ?
CITY OF EAGAN
#
Site Address
Lat ?
m Name _
? Address .
c City
? Name -
3 Address _
O CiH
PLUMBING PERMIT '- CITY OF EAGAN RECEIPT # '
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Phone
FEES
GOMM/INd FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD a.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN ?
BIDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
Soltener - $5.00
Well - $10.00
Private Disp. - $10.00
_Rough Openings - $1.50
FEE
STATE S/C:
?
GRAND TOTA L:
CITY OF EAGAN Remarks [%' ?' ` I = ? ' r;
Qe,f,;,;,,,, PARKCLIFF 2ND ADDN ,,,. 1 e,,. 3 0-1 10-56701-010-03
Owner
street 4655 PARKRIDGB DRIVE Stace EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?(0 1984 366.25 73.25 5
SEWER LATERAL
WATERMAIN ?'9(Q 1984 35.12 7.04 5
WATER LATERAL
WATER AREA . 1984 366.25 73.25 5
S70RM SEW TRK 1984 642.60 128.52 5
570RM SEW LAT ` '1983 283.60 56.72 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONPI.
BUILDING PER.
SAC
PARK
DF EAGAN
Pilot Knob Rcad
Box 21199
i, MN 55121
Nddress:
ecder No.:
pne !o somwh? wi1h !iw Clhr ef bven
of Insp.:
WATER SERVICE PERMIT
PERAAIT NO.:
DATE:
. No, of Units:
1 S3 Park Cliff II
Connectfon Charys:
Account Deposit: _
Pertnix Fee:
Surcfiarge:
AAisc. Charpes: _
Totol:
Dote Paid:
?h
CITY OF EAGAN
3830 Pilot Knob Road
SEVUEIt SERVIC! PERMR
P. O. Box 21199 PERMIT NO.: • ?
Eagan, MN 55121 DATE: -
Zoninp: ,, Z No. of llnits:
IOwnwr•
i Address:
; Sita Address: 4651 Park3:3k;e _
? Plumber. nc'fs?e plumbir??
r ._._.
I m0m ro ee041! wiM tis pFy of EMeO CorvNCtion CFwrOe:
v
OrdiMOOM AcoouM Deposit: '
Parm1t Fee:
Surcharpe:
BY Misc
Gwr
es:
p
.
, Date of Inap.: Total:
? I'+sP•: Dote Poid:
CITY OF EAGAN VYATER SE RVICE PERMR
7830 Pilot Kne-b Road
P. 0. Box 21199 PERMiT NO.:
Eagan, MN 55121 DATE:
Zoning: ' No, of Unlts:
Owner: -.._ _ , .
Address:
S1te Addreas: - P a r ic .,c e T
Pitxnber, ;' l um h i r: _
3,7 1
N1ehr No.: ? ?
,?iiAiES •-;;' • , .,";
Slxe• lft
?" ? -. ->?
?lkftg
Ronae No.:.Q5A12-?Zjq 1{ r g
,
Q?
1 y!M t0 00111ply Nah dw City of ?F?1 ? • Q? 'R
. : t.' c
?
?IM11CM. , ?1 1 Vv??nw -
-
OOgd
e? ,.
Rz?ftw-Tatai:
Br ? Dote Poid:
Dote of Irup.: leap.:
Sr /-3 - V T
REQUEST FOR ELtCTRICAL INSPECi,Jrv
Sae instructions lor complabne lhis lorm on back of vellow co0r.
? 4579 "X" BeloW Work Covered by 7his Request ?1 z
Ne -Add Rep. Tyoe ol Bmltling AoPhoncea Wired Equiumeni Wvee I
Electnc
L1 I I Industrial HIAy. I I Av Conditioner I I 6u11, MiIk Tnnk I
N Fee SarviceEntrence5ize !1 Pee Fextlers/Subfeeders N FuR Gvcvits
0 to 200 Am s 0 to 30 qm s 0 tn 30 Am 3s
Above 200 qmps 31 to 100 Antps 1 1-1WC11, 31 to 100 q y
Swimminc? Pool Above 100_Am s Above 100_AmpS
Transiormers Irngation Booms Partial.'Other Fee
Signs Suecialinspection $ ??.
Nemerks ?' O TOTAL FEE
s _ ? /- {,0U
`? I, ?he ElecVic91/
? InsPBCtar, hereCy
cerbiy tMt the »bove
(y inspect,on hes bean
, ?YA aede.
Thiarequeatvoid
TAis reQUest vaia
18 months fmm
__C ,-4579 LI r?
69 `/?F?2?
?i-
..eauee? u ? ? nre ivo. „auAn-in ,nsue4Yqq'
ftequired? 0 Aeatly Now III Noti1V. 1nspec-
? Y Yes ?No IorWhenReady
Sd Licensed Eleclncal ConVactor I hareby raquest inapectwn of ebove
? Owner elecericel work insielletl at:
Street Address, Boz or Rou No.
. . ? sr
A
AK Cirv
??6?44
?t ,,
4
ectmn o.
I Township Name or No. ,
Range No.
CouAnly
??
?
N
?
$
OccupanY IPflIN/T,,iI
?,?/q YJi1' ??'?? tlt^
c£ '1?. Phone No.
Power $upplier Address
Elec}4???a?l C-o^nVactor ICOmpany /Nam_e)
/ CA ?'?yf O?'L ?C tf %K?C. ?J^ Cpun?tmctor/'s/Licensq?e No.
V l ( ? `r
MailinB Address IContractor r Owner
nstailauonl
Makmg ?I
S ?
ZiaL?
4
v
cr
r ,
Auxh iz gnat e lC n[ra i/ ner lAikmg lnstallat nV Phone Number
Y 2 - iila2 2,
MINNESOTA STATE eOAR OF ELECTPICITV THIS INSPECTION REQUEST WILL NOT
Gryggy.Mldwey 91dg. - floom N•791 gE ACGEPTED eY THE STqTE BOANO
1821 Univeryity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 297-2111 ENCLOSED.
BUILDING PERMIT
To be used tor DECK
Est
000
Site Address 4655 PARKRIDGE DR
Lot 1 Block 3 Sec/Sub. PARKCLIFF 2ND
Parcel No. _
w Name DAVID & CONSTANCE JOHNSON
o Address 4655 PARKRIDGE DR
City EAGAN Phone 454-7230
.o Name S?
ga Address
? City Phone
?
W w Name
Address
a W City Phone
I hereby acknowlege Ihatl have read this apphcation pfi stale Ihatthe
informahon is correct antl a to com ly wrth a 6 ?plicable State ot
Minnesota Statutes and C' n O inance
Sgnature of Permne
?
A Bmlding Permrt is issued to: DAVID COMTANCE J01"IIbON
on the express contlition that all work 6 II be done in accordance wilh all
applicabie State ol Minnesota Statut and City of Eagan Ordinances.
BwWmg Ofliaal
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 /
Receipt # _-S
N2 18234
v? 9 cz
Date AUG 7 , 19-90-
OFFICE USE ONLY
Occupancy - FEFS
Zoning _
(Aqual) Const - Bltlg Permit 29_(1(1
(Aliowable) - Surcharge .50
A oi Stones -
Length 2KA2 Plan Review
Depih 22z& SAQ Cey
S F. Total -
SAC, MCWCC
S F. Faotprmts -
On SM1e Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
Actl Deposit
City Water _
PRV Reqmred _ ShY Permil
Booster Pump - S/N/ Surcharge
Treatment PI
-APPROVALS Road Unit
Plannar - Park Ded.
Council
&dg. Ofl _ Copies • 50
Variance - TOTAL 26.00
CITY OF EAGAN
3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12032
p3?, c-/
BUIIDING PERMIT PHONE: 454-8100 Receiptp /
7obeusedfor SF DWG/GAR Est.Value +S 154,000 DeSB •JUNE 2 1986
Site Address 4655 PARKRIDGE DR Erect occupancy R3
Lot 1 Block 3 Sec/Sub. P?K CLIFF 2ND Remodel ? Zoning R 1
Paroel No Repair ? 7ype of Const. Vil
. Addition ? No. Stories
Name OZMUN-PEDERSON INC Move ? Length Qa
i 15136 GALAXIE AVE Demolish ? Depth-40-
Address ? F
S
o
A
V
431-5000 Int. Impr. t
q.
.
ciry . Phone Insrall ?
=o Name SAME
$ ¢ Atldress
? City Phone
?Q
F w Name
? z
Address
z
a W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and a e to gomply ith all applica6le State of
Minnesota Statutes and C' f E an Or ?es.
Signature of Permittee e-
A euilding Permit is issued to: OZMUN- rDERSON INC
all work shall 6e done in accordance with all aplplic/a State of Minn so
Building Otticial ?^ Y
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
aldg. On. 5/ 2 7/8 6
APC
Var. Date
Permit $ 568.00
Surcharge 77.00
Plan Review 284.00
SAC 575.00
Water Conn. 500.00
Waternneter 63.50
Road Unit 290. 00
Tr. PI. 156.00
Parks
Copies
7otal $2.513.50
on the express condition that
City of Eagan Ordinancea.
NOYS: Ai.L
/? ?3 e ? ?7'
1986 BUiLDING PE[tmIIT APPLICATIOH - CI1R OF EAG9N
MQST BE LICBNSED HITH THE CITY OF EAG9N
SINGLE FAlIILY DWEI,LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
lfITI.TIPLfi DiiELLINGS - RESIDENTI6L
INCLUDE 2 SETS OF PLANS, CSA
1 SET OF ENERGY CALCULATIONS
COMIIMRCTSr:
9ENTAL DNITS FOB SALS QNITS
OF SORVEY - CHECB iTITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: _ SFn Valuat ion: ?O Date: Mav 21, 198 6
Site Address 4655 parkr;dcJ Dr;v OF£ICE USE ONLY
Lot _L Block 3 Erect Occupaney
43_
_
Remodel Zoning ,e/
Yareel/Sub park c'l ; ff nd Addition Repair _ Type of Const :9?-
Addition # of Stories
Owner Ozmun-Pederson, Inc. Move Length 7
Demolish Depth
Address 15136 Galaxie Ave. Int.Impr.
Sq Ft
_
Install
City/Zip Code Apple Valley
MN 5512
,
Phone az?_snnn 9PPROVALS FSES
COLItrHC4OC (?7milT-DPlaPY'C!'tT , Tnr Assessments Permit
Water/Sewer Sureharge 77
Address 15136 r_a i a x; P A V P Police Plan Review Z?q4/
Fire SAC '57S
City/Zip Code Apgle Vallev _ _
Engr Water Conn
i Planner Water Meter ?
Phone Council Road Unit Z-76
Bldg Off,4' Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAI. 51 T S U
City/Zip Code
Phone #
.
NOTE: ADDHESSES FOR CORNEB LOTS - CONTRAC?OR/HOMEOWNE6 MIIST DE3IGN9Tfi AHZCH ADDRfiSS
IS D&SIRED. NO CH9NGES iiII,L BE ALLOiiED ONCE BOILDING PERMIr IS ISSDED.
2z ? 3V-' 7y8 X /Z = $97<,
? n 9 7 x/ 7° J7?
67 z"
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?
1999 FIREPLACE PERMIT APPUCATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: Ilf _5`"??
Description of Work: Construct new fireplace
? Install gas insert onlv
_Gas _Masonry _ Alterations to existing
_ Install gas line anlv
Other .
Jobaddress: 'L'CeG J 0.01f?_Dr _
Lot: 1._ Block: Subdivision/P.I.D. #: ??? ? Ca? xr'-"
Applicant (circle one only): Owner Contractor Perneit Fee: 860.50
Name: J6.JV ? ? olm? Phone #: q-W' r ?
&
'
PROPERTY Last ? First OWriER
St
Add
reet
ress:
Crt
S
? " 51S_4?
y (
tate: Zip:
C
V
?
(i(?
# oLle
ompany.
K,
,
Phone
:
FIREPLACE (azea code)
INSTALLER Street Address:
Crty 5 V State: fbk-i Zip:
Company: Phone #:
GAS LINE (azea code)
INSTALLER Sheet Address:
City State: Zip:
I hereby acknowledge that I have read this appli tion and stat at the info tion is correct and agree to
comply with all applicable State of Mintf?ot? at tes ?City o L aga? Ordin ?ce ?
/ /? 1 I I
RECEI??D
?
OCT 0 6 1999
k
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fueplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repau
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
? 39 Gas Line
? 40 Gas Insert
? 41 Wood Stove
0
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN I
?-,- ? 3830 PILOT KNOB RD - 55122
651-681-4675
New Construdion Reauiremenfs
BLOCK:
? 3 registered sHe suneys showing sq. k. of lot, sq. tt. of house 2 copies of pian
and all roo(ed areas (207, maximum lol coveraae allowed) 1 set of energy calculations for heated addXions
? 2 coptes o1 plans (show beam a wfndow slzes; poured fnd. design; etc.) 1sNe wrvey for exierior addHions a decks
? 1 set of energy calculafions
? 3 copies of hee preservalion pnlan tl loT plaHed atfer 7/1/93
DATE: (U ` J v' T 7 CONSTRUCTION COST:
.
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ?
PROPERTY
OWNER
?o ') -P ?? / SMIDIA-
.IJA ,. , J
N '-
Name• ljq'V' - ? Phone #:
Last Flrst
Street
S?
City Ce'?% C^" State: /M `j Ztp:
Company-?) AN ? /? ?l??SG?? phone #: ? 9 gy?
(area code)
CONTRACTOR O0 13 {0 33
Street Address: 19 License # Exp. _
City rf."-? ? .' Stale: G" ^"j Zip:
ARCHITECT/
ENGINEER
Telephone #: area code (
RemodeVReoair ReaulremeMs
Name:
Street Address: Registration #:
City
Sewer 8 water Itcensed piumber (reaulred for new constructlon onlv):
State:
Penaity appltes when address change and lof change is requested once permiF Is Issued.
Zip:
I hereby acknowledge ihat I have read fhls applieaNon, state thaf the inFormaHOn correct, and a ree to comply wifh all applicabl
Sfate of Mlnnesota Statufes and CNy of Eagan Ordinances.
Slgnature of Applicant:
OFFICE USE ONLY ,,???
?
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
- No
? .
_ No _ NotRequired
- ??,?1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 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 O 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
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 Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
SAC Units
°k SAC
.
6
_ ?l? ,83? .??? • ?
--- -- I
---2.
.
; . - - -------- _ ---- --- - ---------------
----------
???--
--
--
_--
- _k?l??
YA-
-- ----
" SO ? n m tS
_?
_-
S ??-
?! 3 7, W",a ,fj-
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CITY USE ONLY ?y
L ? BL ? RECEIPT#: /?O? /
a?
SUBD. %JC-L RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for. ? single family dwellings
• townhomes and condos when permits are required for each unit
? backflow preventerforunderground sprinklersystem
FIXTURES FACb ?f. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
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 construchon 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Atterations ' to exlstlng residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak Cry lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'nbandonment 20.00 =
STATE SURCHARGE •50
TOTAL
I hereby adcnowledge that I have read this appticetion, state Mat the iMormafion is coned, and agree to mmply wRh all applicable City
of Eagen oNinances. It is the applicaM's responsibility to notify the property owner that the City of Eagan assumes no liability for any
dameges causad by the City during its namal operationel and maintenance ectivities to the tacilities constructed under lhis pertnd xrithin
City Droperty/rigM-of-way/easemeM.
SITE ADDRESS:
OWNER NAME: D so.-
S?
INSTALLER NAME: TELEPHONE #: $`S"/- 7/0
STREET ADDRESS: /??
CITY: ,C'r L.; ?__ _ STATE: '_ /"- ZiP:
SIGNAYURE OF PERMITTEE
OLiqle?cGG/
.,?v?? (,/, - / e-/ - %7 &
1
,, -. 11234
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
? ooo-
2 SETS OF PLANS 2 SETS OF PLAIVS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTlIRAL PLANS
1 SET OF ENERGY CALCULATIONS (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 UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWEDONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used ForG I L Valuation
Site Address ??a S S ???KQIDG£ Da.
n Lot I Block -15
Parcel/SubIra-iL Q I F F 2-N=
?r Owner ??J
JU !`fA'?S O,t/ A
Address ?G
City/Zip Code
Phone
?
Contractor ??,?f?f,?o(s
Address
City/Zip Code C,4,44.<?
Phone eS?/
Arch./Engr.
Address
City/Zip Code
COMMERCIAL
Date: ? 2 ? D
USE ONLY
FEES
Occupancy
Zoning
25 ?v0
Actual Const Bldg. Permit
Allowable Surcharge 15-0
#'of stories Plan Review
Length O 1 SAC, City
Depth ?Te2 X$1 SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ 5/W Surcharge
MWCC System Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies ?
SUBTOTAL
AP-PROVALS Penalty
Planner TOTAL 24
Council
Bldg. Off. 8?3
Variance
Phone u
F L-c7,-r FL!^cM
OZ.M(JN-I?CDE25c'r.1, ING,
L_,,?> T I 1 f;?L_oc_K ?
pARK,-'-L,rFr' Z^`° AoviT?o?
M/4Y 14119$6 `.,?-cf1 C.En 2??= 70'
t ZYn ? q '7. Z.
F?-
?
\
e!
0
M f ? ?c
?
S
< --
I
?
I
Nov?? la
z3'
___J ? inlzr.?t:
171 \? FLM1. ci_ v. +z'-f'
--- - zz.
PSpH4l.T
0 DQ??E
m
r0 .
5•41
_.__'_'_'____ ? GVR6 4INE ) ?
PARKK,P4E vg.rviE:
?
?
?
v ?
I
4ASt-
lo-E
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*A'P6: PAYMPN'NS' OF k'EE AT T.ID0 OF
APPT.TcaTzoN DOES Nar oorslz=
APPROVI,L OF PET2PIIT.
IIdSPDCTION OF SEHR ADID/CR M'1Qi
TT1STAT.TA7'3ONS WII.L NOT BE SQHED-
ULFD t]NM PEE2MIT HAS BEESI
APPROVID.
---
P ease Print)
1) PROPERTY ADDRESS: 46r-•5- -4-)rY?Q- "-
LEGAL DESCRIPTION: 2-u"1- )
Gk- 3 YQr'?CI1C'F pa FQ '(,LCA ?`lDMJ •_
:k Subdivision or Tax Parcel ID )
IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: - -
Nbn Year)
PRFGEDTf 7ANING/PROFOSID L'SE:
CQ'1VJEItCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY
r7 IAIDCSTRIAL Q R-2 DCPLEX (1ko Dnits)
? INSTIIL.'TIONAL/GOVERI,A?,'NT ? R-3 'IOWNiOUSE (Three + Units) ( Units)
, Q R-4 APARTMENT/CONIDOMINILTI ( Units)
2)
NAME: S'o k..sow ??CcG..?<9??L.?
- ?
aoDxESS:_ /8r ?'o s' ??? ?4l t??r r31vd _
ciTt, srAxE, ziP:_
PHONE: 8'9 4t a
3) u i: a•
D1A1`9E:_ TeJ i-?_
ADDRFSS:1-fv 4 3
CITY, STATE, ZIP:
PHONE: 'df??_? -??V-,56 MASTER LICENSE# 6o a-L a_?!
4) •?• • • gjQi
NAME:
aDnREss: /.s-) 34 C,? k x,-- ,? Q- .
ciTY, srATE, ziP:?eAz. vu..44 PHONE: •
rlimioers 1,icense:
Active
FScpired
Not recorded
Sta Inltial
?.wt ?-
?-
5) ?? ?? ?: ?• : o • a? • w?
nCONNBCTZON TD CITY SE,dIIt ? CONNECfION 7l7 CITY WATER a dPMR '.-
6) ? r• ?- • r ? PI,EASE HOLD APPROVFD PERMIT FY)R PICK-C?P BY ONE OF ABOVE --'- -- .
1:3 PLEASE MAIL APPROVID PERMIT 10 1, 2, 3, 4, AHOVE ?
(Circle one) 7) ?
??' ".?
FOR CITY USE ONLY
PERMIT # ISSL'ED ,
7,? ?? • ? e ??
Pd w/Bldg. Permit FEES:
$ $ /L"- S G SEWER PERMIT (INCLUDE SC'RCHARGE )
$ $__ IfJ'? WATER PERMIT (INCLODE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ Z? ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ .?, $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN POBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
i ?
c? -1`03w4 .
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date
SiteAddress "?ip 5cJ -P(ar Unit#
PropertyOwner :?1 !??CCJ Telephone # (?651 ) 4`?-A -41?)S?.
1
( Wohlers Southside Htg. & Air, Inc. I
Contractor 6950 W. 14e St., #106 ?
Street Address Apple Valley, MN 55124 ? City
(952) 431-7099 i
State Telephone # ( )
Bond Expires:
The Applicant is _ Owner -Y-Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ? Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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
approvad plan in the case of work which requires a review and approval of plans. ?
0 t-,ad 66-P-?
Applicant's Printed Name Applicant's Signature
?.
7,; , ,.
2005 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for. commercial/industrial buildings
mul[i-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owoer _ ConVactor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove °`see below
_ fnterior Improvement _ Install Piping _ Processed _Gas
Natura ofWork:
"When insfalling/removing underground tank, call forinspection by Fire Marshal and Plumbing Inspector
Permii Fees: 570.50 Underground tank ins[allation/removal
550.50 Minlmum (inciudes Siate Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
i nereoy appty tor a c;ommercial Mechanical 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start withou[ a permit; that the work will be in accordance with
the approved pian in the case of work which requires a review and approval oF plans.
ApplicanPs Printed Name
ApplicanYs Signature
Approved By: , Inspector
GXTERIUR ENVrLOPE .4VERACE "U" COMPUTATION
J
ner _Address Phone
gal Description of Property: Lot L Block 3 Addition?'? Date
te Address_-4 (o ,5 5- ' E?../9 r.. I" kE. '.; Dt/ rV eT
AVERACE I.INEAL FEF.T OF
EXPOSL+D WALL AREA ABOVE GRADE
in level ?j I ?Lineal tt. of framed wall bove ;grade 1U4 ix height of wall ? ?
1i N? 4QJ c1 q-.
m joist area ,; `
Lineal ft. of rim ?7 "? L- x height of rim
wer level
Lineal ft. of frumed wall above grade x height of wall
Lineal ft. of masonry wall above grade ,j $¢•x height above grade Z? ?<<"-`m .
TOTAL wall area above grade including windows and doors a7 -Z-OZ'
:NDOWS: Area x "U" value ? ?? ll a? ?t-?(U) ?
ike & type sq. ft. 2. Ob x U , q-{ _
n it - ? S'i Z G' 7, / sq. ft. Z x nU., ( = 5. ffz?(U) (
Z.OA- "L q0- 5,5 sq. fc. , X??U::-- Zo.z?, (u) (
U„--?' 3 ? ?"r c
ll rz036 ? 4r7 sq X (u)
,?. ft. ?i X ?iU_
01 IT ?yo 3G, Z? 7,2 sq. ft. '
?i - U f
3pA. -L Z G' ?1', q' sy. ft. ?o. ?i X i:L?
ii 71? ?'"? ?? SQ. ft. / t7. "! % nUii?_=?7L?.t? ?U) l
u u Gl%LG(,G-'.!i!?"flb? BD Sq. ft. ?C> X uUu (U)l
(U) (
u u sq. ft. x
(L)t
n a sq. ft. X U" XU?? _ ?U) 1
n n sq. ft.
sq. ft. X liUu (U) i
n sq. ft. X'TUu = (U) i
n n sq. ft. x n?n (ll) X full _ (U.)'
? sq. ft. (U)
x "U" _
It • sq. ft.
X ItUll (t) •
n -' • sq. ft. x nUn _ (?!)
? sq. ft.
ZD 3ZC)
OORS: Area x "U" value
ake & type -7i8 FGf1a?=L 36?/?•4q. ft. 3,5r?? x full
Z. 4?;i t.. (il)
11 ,. 1- 3° v?F?rr??z Sy. fc. Z X„U„ = (u)
sq. fc. X
is sq. ft.
7 J?`IJ'
ipAOUE WALL CONSTRUCT ONq Area X"U" value x'?U" ,n8fi = zo• 9is?c?.?
?/..? /yits.,?.ey°?;;?! sy. f c. ? ?J7, G ,4
rj1AN/E1% G?'hL C.. sq. ft.
)etail refer <..,- sq. ft. a-`? x"U" O'f. = I rZi?U?
ao
!nee m ei,/ .C -l u?tFLC. sq. ft. x?Ull /F, (l?)
ittached
sq. ft.
:heets sq. ft. X
- . X ??U?? _ (U)
P
2-?j ?I1? ,L•lc.°a
----+----
TOTAL Wall Area Including f? Z
? ,, t3D ? TOTAL (U)(A)
Windows & Doors 3
pd> J?l? /???'J
TU1'AL (U) (A) VALUF.S 'Zi l l ? Qb = AVG. °I1??
UIVIDED BY 1'OTAL WALL AREA
AVCRArE "U" Minimum ./J J or less for 1& Z family dwellings
Minimum .22 or less for all other buildings
N(1TF.: If average "U" values as calculated above do not meet the Energv Code requirements, che
"Alernate Envelope Design" as indicated on Page 5 may be used. I
FItAMING.. ... MhTSBERS.IN.__._ ..- WALLS
. . ..... ._ . _.. .. -
Tup View
1FALL SECTIONS Exterior air
NGTEe Uae 10y6 •? ?
or apaque S1din
? 8
wall ?rea /
for framiri I I? Sheathing ?513Z,
memLera (
?" soft woad
k" dr.y wall
U = 1/R
.
(2)
Interior air film
R-Value
.17-- --.-
--
., _. ? _1!T3-8J
.45
.68
TOTAL R = Z- 8 5'
u= .088
FRAMF.D WALL
Exterior air film .11
Siding uJ?FV-Pov
Sheathing ?, a :z
A" batt insulation
' )V drv wall -
Interior air film -- .45
'68
TOTA7 R = Z 7 ?? ?_
U° Z/R U o I 0 4' Gr
„__ &IM_ JOIST.Ag?,(--
Exterior air film _------" -
stding .15'rP?L
?S JZ
Sheathing
1.88
1l" soft wood -?-
.
l 1?-
7
ation -
- -
.b8
Interior sir fim - - ----°
TOTAL R
U = 1/R ? s •C??
MASONRY WALL_
Exterior air film "--
i
12" con_crete blocic _ _ _ ----- '
Insulation f ? ? ? ?? ?.v _ .- ?'-?• ? ••- -
Interior air film __, ___. ._ -.• .---' ?'$ - •• -
TOTAL R
u = 1/R U
ROOF CF.ILING
Outaide air film ??__ .fil
Insulation Z? G?LGULO rr _?' 8cSD
i1" Drymall
.45
Interior air film .61
TOTAL R_
U = 1/R
U=. ?QZ
? f1 I ?.SOAGE
--?•_-='-="-? '?-" '---?-- Outside air film __ _ 61
-:•.------ -__.--- ?,? yi- v F6It-r+? P o'o
? M1 • i ? ? ????
Insulation cm
i
vA--t4 L?- -r
Drywall
•?_ Interior air film
U = 1/R
Outaide air film
,45
.61
TOTAL_R 7.6 7
v = . o Z?
.17
RM 1 t yyp rnnf.{n?.- --... .--• -- - -_-'-33 . _..
Insulat3on
Wood decking
Interior sir film
.,
ROOF/CfiILING:
.61
- y------- -- -- TOTAL R-- ?- -
U m 1/R U
TOTAL AREA: sq. ft.
"0"
x
aq
ft: °
?t» ?A)
Aetail teference "
" . (U)(A)
from ahove. U
"
" x sq. ft.
° (U)(A)
Describe openings U x aq. ft.
_ (U)(A)
in roof "U"
u x aq. ft. _
(1')(A)
uU x aq. ft. _
?
apa x sq. ft. (U)(A)
npn x aq. ft. _ (U)(A)
TUTAL (U) (A) VALU65
TOTALS sa. ft.
(U)
PIVIDED BY TOTAL P•UOF/ = AVG. "L'"
CCILINC AREA
AVERAGE "U" .OS for ventilated roofe
.10 Eor all other construction ;1(1'fE: lf average "4'" vnlues as calculated above do not mee[ the EnRerRY Code requirements, tY.
"Altcrnate Rnvelope Design" as indicated on Page 5 may be used.
(3)
---
..? -'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4655 Parkridge Dr
Lot: 1 Block: 3 Addition: Park Cliff 2nd
PID:10- 56701- 010 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Rolf Sigford
4655 Parkridge Dr
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA085410
08/20/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132842
Date Issued:09/08/2015
Permit Category:ePermit
Site Address: 4655 Parkridge Dr
Lot:1 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings 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: 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 -
Dennis C Lockhart
4655 Parkridge Dr
Eagan MN 55123--213
(612) 325-6989
Signature Select Contracting
332 Minnesota Street - W3171
St Paul MN 55101
(651) 248-4994
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151640
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 4655 Parkridge Dr
Lot:1 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-010
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Dennis C Lockhart
4655 Parkridge Dr
Eagan MN 55123--213
(612) 325-6989
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157679
Date Issued:09/04/2019
Permit Category:ePermit
Site Address: 4655 Parkridge Dr
Lot:1 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-010
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 -
Dennis C Lockhart
4655 Parkridge Dr
Eagan MN 55123--213
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature