4659 Parkridge Dr? CASH RECEIPT ?
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE _ 19
wKceIven
FROM ' -
AMOUNT ? I
a ..
& DOlLARS
+oo
[-] CASH ? CNECK
. ?.?
?
FUND CODE AMOLJNT
?
Thank You-,
(?eflo B Y
,. ... ... 1. . _l
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BUILDING PERMIT
T. 1. ....a S... S F
CITY OF EAGAN 941f;
3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 .
Receipt #
DWG/GAR Fd Vnluw $104.000 lr.?.re AUGUST 13 to 84
SiteAddreu 4659 PARKRIDGE DR
Lot 2 Biock 3 Sc/5ub. pARKCLIFF 2
Parcel No,
? Name "•.,•• ? ?•?+u,?
? AddresPLE l VAL G??
City Phone
io Name SAME
?? Address
p- ri*v
Name _
Address
City _
Phone
Erect ? Occupency R3
Remodel ? Zoning R
Repeir ? Type af Const. V
Enlarge ? No. Stories
Move ? Le,gth 22 53
Demolish ? Depth 47
Grade ? Sq. Ft.
Asseument
Woter b Sew.
Police
Fire
Er?p.
Plonner
f.ourxil
Bldg. Off.
APC
Var. Date
Permit •00
Surchorqe 52.00
Plon check 221.50
SAC 525.00
water Conn. 470, 0
Wote? Meter 63s..Q 0
Rood Unit 2 6 0-0 0
Parks
rocsl $2, 034.50
I hereby acknowledge that I hove reod this npplication and stote that
fhe informotion is corred and ogree to comply with oll applicoble
Stote of Minnewta Statutes end City of Eo9an Ordinonces.
Sipncturc of Permittee
OZMUN PEDER:;011 J ?!1C
A 8uildin9 Permit Is issixd to:
ell work sholi be done in accordancej :with all oppliwble State of Mlnne
Bufldlnp Officiol
on the exprcss cond(tbn 1hat
Stotutes and City of Eagon Ordinances.
Pe?mk No. Psrmit Holdsr Dats
Plumbinq
H.VA.C.
Ekctric
Sokener
Irupection Data Insp. Other
Fpotinqt
Foundation
Freming
Rough Plbq.
Rough HVAC
Inwiation
Final Plbp.
Final HVAC
Final
Cert/Occ.
Water Deuribe Location:
VUell
Sewe?
Pr. Disp.
Receipt IV L' MECHANICAL PERMIT Permit No.'
CITY OF EAGAN Fee ' Fill in numbered spaces S/C
Type or Print /egibty Tot.
1. Date 2. Installation Cost -- '=J
3. Job Address ? ?' ot b? Blk. Tract
n.
4. Owner
5. Contractor Phone z? 37- y
6.
7.
State -,. , Zjp .?-
8. Building Type: Residential b--" Commercial ? Institutional O
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No.
? i Eauioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
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:????i?-Z-
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,6100
'r
Raceipt PLUMBING PERMIT ? Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C r?
Typs or Print legib/y Tot.
. ?
1. Date 2. Installation Cost ?--
?
3. Job Address 4;: ,?..' ?Ibt - Blk. ? a Tract ?
?
• -;--
4. Owner
5. Contractor Phone
_?.
6. Address
7. CitY •.:';r? s??''1'f t? i, State . ?_ 2ip
?
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add ? Alter 0 Repair ?
1 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspoal/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen 5ink
Urinal/Bidet Other
_L Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
? 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbe'red and approved.
Approved CITY OF EAGAN 454-8100
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
( (612) 681-4675
SITE ADDRESS:
l5f 1: I ltlt Uf{
I PERMIT SUBTYPE:
I i i ;J; 0 ,;
'? I F 11l! i 1 hkt;',
II! INl11
SPECTION RECORD
PERMIT TYPE:
' Permit Number:
? ryV? ry ?
N Date Issued:
APPLICANT:
t; i
i'?:ili ?? I??1 I 1+( fll'•! IPdi
TYPE OF WORK:
( ItAM 1 Plit
I RtMAkf'-.. F1 ':rf'Af?All 1, tl;Mlf 1`, t:lE/llllillt IUit AMY t }.!i l{;i+111 1-t1ll:h
IF
I
HIt t I I? t Nr;
?
Permit No. Parmit Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inapection Dste Insp. Commer?ts
Footings I
Foundation
Framing D
Rooting
Raugh Plbg.
Rough Htg.
Ndr Lr! / D '
Isul.
U -t-f Z p
Freplace ,C/"
i
Final Htg.
Orsat Test
Flnal Pibg. Plbg. Inspector - Notily Plumher
Const. Meter
Engr./Plan
Bldg. Flnai
Deck Ftg. 19111
Deck Final ,
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
•I a, !, 4
I'AFt'M f l 1 I t
tuI -
f'Akk k I [)fif IIF
Nh
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued;
11 f., t V'. APPLICANT:
F'ANE L i. RAr 1
( i, 1 2 ) I'11. - ut,,
TYPE OF WORK:
nt ii r.A f iui
qh<sCR1.F'7I.ON (•.IIi1NE'i )
INSPECTION ..
• .•
IF
L
? I
?
Permft No. Permit Hoider Date Telephone i
5/W
PLUMBING
HVAC
ELECTRiC
ELECTRIC
Inspectlon Date Inap. Commenta
Footings 1
Foundation
Framing
Roafing
Rough Plbg.
Rou9h Htg.
Isul.
Fireplace
Final Htg.
Orsat Tesl
Final Plbg. Plbg. Inspectnr - Notify Plumber
Const. AAeter
Engr./Pian
B{dg. Final
?E
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks ),'' /" / d ),
Addition PARKCLIFF 2ND ADDN Loc 2 Rlk 3 Parcel 10-56701-020-03
owner street 4659 PARIQtIDGE DRIVE State EISGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?$ 21 .]5 A014800 10-31-84
SEWER LATERAL
WATERMAIN ? 1984 35.22 7.04 5 21.14 A014800 10-31-84
WATER LATERAL
WATER AREA --? 7 1984 3 219.75 A01?+800
1-1.1-84
STORM SEW TRK '- S 1984 642.60 128.52 5 385.56 A014800 10-11-84
STORMSEW LAT - ?? 1983 283.60 56.72 5 113.44 " "
CURB & GUTTER
SIDEWALK '
STREET LIGHT
oad Unit 8-13-84
WATER CONN. 470.00
rr
??
BUILDING PER,
SAC
PARK
r's
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road 5677
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 5-28-84
Zonirq: Ri No. of Units: 1
? pwne,; Qzmun Pederson C onstruct ion Inc
A?Mress:
5? Addreee: 4659 Park Ri ge D ive L2 B3 P rkcliff II
plun,ber Peine Plbg & HtR
No.: 31-13 6 7 .? 0 ? Conn,cr;«, ao.ge: 470.00 nd
Siza: .?Ls? Ncaou,r Depostr: 15.00 pd
j Readsr No.: ? 3 L 3 9 72 8 pennlr Fee: 10.00 pd
I.per. te eM* ,rNli 16. cati .f E.'.¦ SurcFw?ps: .50 nd
Mse, qorcov 63.00 pd hom
-_ Totd; & met er
?
s 9y Doh Poid:
? Oma of Irup.: Irnp.•
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: rI
Owr+er: ?m
Address:
5ite Addi
Plumber:
I .9.ee roconol, wfth ow c,ity of eo"A conr,ecaa, a,arge: 42? o_.
o.??.?. ??,ryr oe?t:
Permit Fee: • P
Surchorqe: . pc
By Misc. Charpes:
Dote of Insp.: ToTal:
I nsp.: Dah Paid:
P. O. Box 21199 PERMIT NO.: J" ?'
Eagan, MN 55121 DATE: 8-28-84
Zoning: RI No. of Units: I
p,,,,T1ef, fhmun Feclerbon Ccanstn:ction Inc
llddresx
Stte ^ddress: 4659 Park RidA a Brive T2 113 Perkcliff II
Piumber. _ Pelne Plbg S Htg
Meter No.: Connaction Charge: 470.00 pd
Size: Account oeposit: 15.00 ?d
Reader No.: Permit Fee: 10.00 pd
1 prw w eaePy wNh !Iw qer of EWw Surchorye: .50 pd
Ordinewws. Mtac. Chorpes: 63.00 pd horn
a.,
Date of Insp.:
era oa
SEWER SERVICE PERMR
PERMIT NO.: DATE: , -
No. of Units:
Totel: &
Dote Paid:
r,•?
4 4 3 • 0 0 +
52•0^+
221•50+
525=OC+
4 7 0? C C+
63 • OO.i.
260>OC+
2034=SC*
, ? . .
? ALL CONTRACTO S MUST BE,L.ICENSED WITH THE CITY OF EAGAN rI
6 INCLUDE Q SETS OF PLANS,
Q CERTIFICATES OF SURVEY
p14(1 /44'p- Q SET OF ENERGY ,,C,A/LCULATIONS
To Be Used For: ff._ Valuation:? Date: //_1? y-
-ti -r-
Site Address: '+aSI ?/?K (?l DcrE D?/v? 'e'i O4,000 • •
Lot:?- B1ock:_3 Sect/Sub: /l/L G `F Erect:
Parcel #: Z ? Remodel:
Repair:
Owner: L?}? ?? Enlarge:
Move:
Address: Demolish:
City/Zip Code:
Phone #:
Grade:
X occupancy: 1z3
Zoning: ?
Type Of Const: y
# Stories-
Length:
_ Depth:
Sq. Ft.:
Contractor:
Address :4-5-1-Or G'jA e.4 X!6- A Ydr •
City/Zip Code: &166 VALC.?WAOAI
Phone #: 4 3 f?.s86 0
Arch./Eng:
Address:
City/Zip Code:
Phone#:
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permi t : 44 3"`
Surcharge: CjZ.a
Plan Rev.: 22j,`_<
- SAC: L525°
Water Conn: 4 7o.°°
water Meter
Road Unit:
Parks:
? a,OS ySC7
x 54- = 25OC)4 ,,.
C?30 k Jq- - 3402(-)
Zx13 = 2_? x s4-? f= (Qo4
?
;22x? N ob
h7x4?? ?7,?? z19 71
I??? - ic??l K ?r =
101 17 1
f? xt?= rs?xc. =?oo
2,l4?(,(o -
o 3€355
1
CITY OF EAGAN N9 9416
3830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55121
PHONE: 454-8100
BUILDING PERMIT ReceiPt
Te bs wad Ie. SF DWG/GAR Esr. Volue $104, 000 pate AUGUST 13 , 1984
Sitenddress 4659 PARKRIDGE DR erect m Occupancy R3
Lot 2 Block 3 Sec/Sub. PA-RKCLIFF 2 Remadel ? Zoning RI-
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name OZMUN PEDERSON INC Move ? Length flk'
; Address 15136 GALAXIE AVE Demolisn ? Depth 47
a City APPLE VAL phone 431-5000 Grade ? Sq. Ft.
? Name SAME Avvroral. Fees
?u
uS
F
Address
City _
Phone
Name _
Address
City -
1 hereby acknowledge thof I hnve read fhis opplicotion ond state that
the inlormotion is correct ond agree to comply with oll opplicable
State of Minnesoto Statutes and City of Eagan Ordirwnces.
Sipnature of PermiMee -
A Building Permif Is issued fo:
all work sholl 6e done in acw
Buildinp Official
Phone
OZMUN PEDERSON INC
all
Assessment -
Water 8 Sew.
Police -
Fira
Eng.
Planner _
Council _
Bidg. Off. _
APC
Var. Date
ve.mir $ 443.00
Surcharge 52.00
Plan check 221.50
snc 525.00
Water Conn. 470.00
WnterMeter 63.00
Rood Unif 260_O0
Parks
rotei $2,034.5
O
_ an the exOress cordition thot
ond Ciry of Eapon Ordinancez.
CITY OF EAGAN N° . 9416
3830 Pilot Krrob Road'P.O. Box 21•199 Eagan MN 55121
PHONE: 454-8100
'BUILDING PERMIT Receipt
Te be uted fer SF DWG/GAR Esr. vaiue $104,000 pate AUGUST 13 , 1q 84
SiteAdd.ess 4659 PARKRZDGE DR Erect 29 occupancy R3
Lot 2 elock 3 Sec/Sub. PARKCLIFF 2 Remodel ? Zoning R?-
Percel No. Repair ? Type o4 Conrt. V
Enlarge ? No. Stories
-
-
? Name OZMUN PEDERSON INC Move ? Len9th 22
37
-
-
-
Z Address 15136 GALAXIE AVE oamalish ? f
7
Depth
? city APPLE VAL pnone 431-5000 Grade ? Sq. Ft.
? SAME Approrab Faes
o Name
?? Address
1- City Phone
?W Name
iO Address
"w City Phone
I hereby acknowledpe fhaf 1 hove read this oDDlicotion and stote thaf
the inlormotion is correcf and agree to camply wilh oll opplicable
Stnte of Monrxwta Stotutes ard Ciry of Eogon Ordrtwnces.
r $i0nature of Permittes _
A Bulidirp Permit Is iuued ro:
all work shull be done in oao
}Bulldinp Oftkial
Assessment
Water S $ew.
Police
Fire
Enp.
Plonnar
CouncH
Bldg. Off.
APC
Var. Date
OZMUN PEDERSON INC
all
Permit 4 .00
Surchorgs _ 5 z. 0 0
Plon chetk 221.50
S,qC 525.00
worer Conn. 470.00
WaterMeter 63.00
Rood Unit 260 _ 00
Parks
Totai $2,034.5
0
__ on the axpress Condition thot
and Cfry o4 Eapon Ordinanress.
?. Permit No, Permit Haldar Date r ,
Plumtiin9 leVal.
H.V.a.C. ? ?S6 /'eiher-I?e2.n:ll'.o» 9??IQV 737-9532.
Elactric ?nl34 q LGii([ J i n.v ?e?l ( CJ r?.tT2?
Softenar
Inspection Date [nsp. Other
Fooeings J?
Foundation
Framing 9?p
Rou9h Plbg. .'? . .
lough HVAC ^5?
Inwlation
Final PIbB•
/
Final HVAC _ZS•S 13,19
'
Final
:ert/Ox. ?
Watar Deuribe Lotation:
Well
Sewer
'r. DisP.
? :
!?i%? -? I IEQUEST WR HECTitlCAL 1111SPECTION ?'00001'O'
°J ' See isn?ions far covpleti'y this fmm m heek of W It. capY-
3 Q 7 ""X"" Be%w dYork Cavered by This Request
Add Reo. Twe oi Builtlim I Aooliantas qired Equipmmnt Wired
Farm
k Fea ServieaEn4anteSixe R Fen F"ders/S?blesde- tl Fee Circaits
10 .0 0 m200 Anips 0 w30 A 0t„30 Anws
A6ove 200 qRyn 31 to 100 Amps 3t ro tOQ Aums
Swimnirg Pool p6ove 100_ Above ioo---AFFw
Transformers Irrigation Bowrs Partial•'OMer
ISpecialimpec[ion ?510.50IT0T /J
M
Remarks
flouBh-in o
1 Date '
-
,?1?
? 1. Up EI
haaect?. eereM
cert:M ttw? tl?s aAova
Final
r
pv
m t
sespecdm has baso
.sde.
TNC?eV?tYaidtBmanvo6vn ' .
Th s?u
a=
?,?;e
s 955
.?
? r g1 ??? v
A 068387 uua o- Pa,,kc,li?-F -L a-c,r )??.?•?
pequest Date Fire No. 1 yRin I?apec[ion
8-15-84 ?°v?,ee? arnd..Qwcli?wiit..I
? ?Ves ,pla.o Mr 1N?en qp?y
)CyLicensed Elechiral Gmtrac[w I heepy ?? i.?yuu of aEOVo
? Owner electricel wvk in¢blled at
Sv69t Add,ess. Box or Noute Na City
4659 PARK RIDGE DRIVE EAGAN
ect'on Twrnship Nane p Nn. Riuge o. Cmn1y
DAKOTA
Occupant (PRINT) Reore No.
OZMUN-PEDERSON, ING.CMCKEEN) 431-5000
Power Suppli¢r ppyr¢s,?,
DAKOTA ELECTRIC FARMINGTON
Elec[riol Convactm ICOnpa,ry Namel Contractor's Licar.e No.
LAKEVILLE ELECTRIC INC. A041802-9
Mailino AdJr s (Co(rtractor w pvncr ldaki.p I.uilation)
0 J C UA
00
E. W.• LAKEVILLE
MN 55044
AuM ized : n0mre (GOnVactm Irebllatian) Pho?re NimiEUr
469-4939
NINN TA $TpTE Bpqlm pF ElEC7A1CRY TNIS INSPECTfON BEQUEST.OILL MOT
GriW i0iver Bldp. - P. W-791 0E ACGEPfED BI/7NE STAIE BMXO
1821 Uniwrai[y Aw.. St Paul. YN 55104 UN?? ?OPER INSIEC710N Fff LS
Phone 18121 297-2717 ENClQSE0. .
,ni? eauas ,??e (f ?P 51 ?
18 rtpnlhs Irom
A 9 09 ?6 Pa..Jc C-t'
?L
Bq
.c-0
flepuesc DatB ? f?re No. Rouph-m In ectwn
Hequrt
eA7
?
HeaAy Nnw ?Will Nntrty Inspec-
9-20-84 [Il1'es ?No Im WhenPeaCy
? Ucansed Eleclrical Conlractor I hereby requeet inspecbon oi above
? Owner electrica I werk i nste I led at
SVee[ Atltleess, Box or oute City
4659 PARK? DRIVE EAGAN
ecuon o. 7?nship Name or No.
Range No.
Covnry
I DAKOTA
OccupantlNilNT1 Phone No.
OZMUN - PEDERSON, INC. 431-5000
Power Suppher Address
DAKOTA ELECTRIC FARMINGTON
Elecbical Contractor (COmpany Name) Convactor's L,Cense No.
LAKEVILLE ELECTRIC, INC. A041802-9
MailinB Atldress IConiraclor or Owner Making InstailatioN
20480 JAC UARD AVE.W. BOX 428•LAKEVILLE MN 55044
AuMo z Sipnamre (COntractor/Owner Making Installatianl Phone NumOer
? 469-4939
MINN OTA STATE 60AR0 OF ELECTRIC TMIS INSPECTION REQUEST WILL NOT
G,iggs•Midway Bldg. - Roam N-197 0E ACCEPTED BY THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PqOVEN INSPECTION FEE IS
PMm 18121 297.2111 ENCLOSED.
r/ I^ C,( ,? REQUEST FOR ELECTRIC}1L INSPECTION • ee-ooooi-a
/ ? See inshuctions tar comple/inq this form on beck oi yellow copy.
A n7aqn a "x" ee,oW Wo+' vered by This Request d?
Bulk Mi
p Fee ServiceEnvanceSize k Fee Feeders/Subleedars k Fee Cvcwts
1 .0 0 0 to 200 Am s 1 3 5.0 0 to 30 qm s 0 to 30 Am
Above 200 qm s 31 to 100 Amps 31 to 100 Anips
Swimmin Pool Above 100_Amps A6ove 100_Am '
Transformers Imgation Boorrs PartiaL'Other Fee
SignS Speciai Inspectron •?"
Remarks S 52.5u ror ?E
L
RouBh-in
he ctn
10 spector, eraby
/ certdy ffiat the above
Finel r ' ]?f
? ' sDection hes been
meda.
tlilereQUeatwitll8manlheirom (??J W/-?
c.r.rv UF f:"AGpN
c;ASH:r.Er:A S rf::RrszNri_ Noc 77r3
DAC[:v 07/12/99 'i"t.Mt': i.5;59:49
zi:? ?
NAMF:,, DunMr i. nnRF:usaN
300 9001 4643 rnhKRzDr;r 97.23
2:I5; `"a0p:i. 464:3 I"'ARKR'[[?,f-. 2.00
3c 1.C7 9001 409 I'F1FiKfiI:T1f_.',E 97.25
i'.:i.'.'r`:i 9UC11. 4659 I'AP{t:Rl.iif;E 2,00
1'rai;a:l Fiecei.pt Ainni,!nt; 193.50
CI?:L J.:'2,',D
UEilc:h' 7S.i: NANCY
1999 BUILDING PERMIT APPLICATION (RE51DENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
J?? a O? 657-681-4675 5 a°i - a?
I
New ConsirucTion ReaulremeMs
D 3 registered s8e Surveys showing sq. M, of lot, sq. N. ot house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 copfes ol plans (show beam a wtndow sIzea; poured ind. desfgn; Mc.)
D 1 set of energy calculations
? 3 coplea of free presenaNon plan H lot plafted aker 711 /93
DATE: 7'(?'- ?l
DESCRIPTION OF WORK:
P', t. 2 ov ?-
STREET ADDRESS: S9
LOT: ? BLOCK: .? SUBD./P.I.D. #:
Remodel/Reoah Reaviremenh? f ( -?'- (? ?
2 copies of plan
1 set of energy calculattonf for heWed addHions
1 sRe survey tor exterfw addHions 8 decks
CONSTRUCTIOnN COST: ?-3 L S-6)
57-6 tr." 6 A'? /? f --f,
PROPERTY
OWNER
CONTRACTOR
Name: sY 1 v; A
Last Flrst
Street Address: 1?v )?- `f ° `- s R
City C' A
State: ?K' /,-) Zip:
Company: 'D\JA?k t- PU0 14 Phone #: &r Z ? Y-7-$/1 '3
(area co ?013
Sfreet Address: ? J,-e N/? ?y • License # Exp. _
City ?Y r???" g? State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sfreel Address: Regishation #:
City
Sewer 8 water Iicensed plumber (reaulred for new conshuction onlv):
State:
Zip:
PenaNy appltes when address change and lot change is requested once permN is issued.
I
I.hereby acknowledge that I have read fhis appllcation, stafe that the informafion is cortect, and agree to comply wtth all applicabl
Sta1e of Minnesota Statutes and CMy ot Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
?^
Phone #:
or
,i+.l i.. ' L .
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (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 ? 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 O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.• ? 41 Wood 5tove ? 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 Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
r
SAC Units
% SAC
-?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
CR )hDp
PERMIT TYPE:
PermitNumber: BUILDING
Date Issued: 029923
06/21/94
SITE ADDRESS:
P.I.N.: 10-56701-020-03
DESCRIPTION:
PERMIT
4659 PARKRIDGE DR
LOT: 2 BLOCK: 3
PARKCLIFF 2ND
. ?.
/ -
Building-Permit Type
,Buildzng Wo?r-k Type
' Square Feet ?
/ -
.
i
i ?
-
REMARKS:
SF PORCH
NEW
196
C 1 ?
(73
`Vsui: 1i
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Subtotal
$99.00
$4.00
$103.00
$8,000
COPY $.50
Total Fes $103.50
CONTRACTOR: - Applicant - ST. Lzc. OWNER:
PANELCRAF7 OF MN INC 17216628 0002179 MCKEEN OQUG
3118 SNEILING AVE S 4659 PARKRIDGE DR
MINNEAPOLIS MN 55406 EAGAN MN
(612) 721-6628 (612)454-6139
I hereby acknowledge that I have read this application and state that the
infarmation is correct and agree to comply with all applicable State of Mn.
L Statutes and City of Eagan Qrdinances. ?
--z....r, -noun f?..?.r1J Yh?
/APPLICANT/PERMITEE SIGNATURE ISSUED EIY ' SI NATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 2 BLOCK: 3
4659 PARKRIDGE DR pANELCRAFT OF MN INC
PARKCLIFF 2N0 (612) 721-6628
PERMIT SUBTYPE: TYPE OF WORK:
5F PORCH
NEW
BUILDING
023923
06/21/94
INSPECTION .. . .A
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARRTE PERMTT IS REQUIRED FOR ANY ELECTRICAL WORK
•,
F. . I
i5Q "
CITY CJF EAGAN
1994 BUILDING PERMIT ARPLICATION CM• 5,0
681-4675
,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surv ys, 1 copy of energy
calcs. J?iW 1 4 199$
COMMERCIAL 2 sets of architectural & structur 6..3.sa1_Ilt
specifications, 1 copy of energy calcs.
lenalty
ap
plies: 1) when permit is typed, but not picked up by last working day of month
[
n which request is made, 2) address is changed or 3) lot change is requested once permit
s issued.
Date &I / Valuation of work
3ite Address: li(r c'( LQ
STREE SUITE #
Tenant Name: (commercial only)
LOT -? SLOCK 3 SUBD. P.I.D. #
ti. ?
Descri tion of work: Sc 'W0 p o.0
The applicant is: ? Owner 0 Contractor ? Other (Desoribe)
Name ?-tLk.Fw 0 Phone
Property LAST FIRST
Owner
Address sAh.s__
STREET STE #
City 5tate Zip
Company 4PUw2c%6F"'f Phone '71- I
C011tY8CtOf Address '3W9 Sa??ec1„vc; ,,Fv, 50 . License # CXn::)z1`t9 Exp.:3719 ?5_
City M]24S State rt N Z i p nv?71/66'
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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 5tatutes and City of
Eagan Ordinances.
?
5ignature of Applicant:
r
OFFICE USE ONLY
BUIL DING PERMIT TYPE
. .Aar
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 15 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
El 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
ID 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Cength Qn-site well Census Code 93 %
Depth On-site sewage SAC Code Q/
Census Bldg ?
APPROVALS Census unit
Planning Building Assessments
Engineering Variance
REQUIRED tNSPECTIONS
? Site Footing O-Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
.SD
Yaluetime
r?? ?
SAC %
SAC Units
M/ATTi3dN/MACL70NALD 11\!C.
£3TqUC7UqAL ENOINEERS
1422 W. LAI?F_ STREET
MINNEAPOLIS. MINNESOTA 554UL3 (612) 827-7825
May 7, 1987
Panelcraftlnc.
3118 Snelling Avenue South
Minneapolis, Minnesota 55406
RE: INSULATED ROOF PA[VEL
Centlemen:
I have reviewed the load carrying capacity of tlie 3" insulated rooi panel.
I liave completed calculations for a panel constructed as follows:
.032" 3003-1-114 Aluminum Alloy facing on each side of 3" thick 2 pound per cubic
foot polystyrene ioam.
3" x 1.96 !b/ft Aluminum beam 6061-T6 Alloy spaced at 41-0" on center.
Based on my calculations I find that this panel can span 12'-0" when su6jected to a snow
load of 40 p.s.f. The span under this loading is limited by a deflection of L/180 =.80".
If there are any questions please do not hesitate to contact me.
Yours truly,
MATTSON/MACDONALD, INC.
David H. hlacdonald, P.E.
DHM:dIb
MATTSON/MACDONALD INC.
STql1CTUqA1. EIVOINEERE3
1 -122 W. LAf<E STREC-T
MINNEAPULIS, MINNESO fA 554Uf3 [612) 927-7825
STRUCTURAL CALCULATlONS FOR
3" Insulated [toof Panel
1 hLreby certiiy tiiat these calculations were
prepared by me or under my direct
supervision and that 1 am a duly registered
Professional Engineer under the laws of the
State of Minnesota.
Uavid H. Macdonald, Reg. No. 14751
Date ? r"?T
Prepared for: ?
Panelcraft lnc.
hlinneapolis, !viinnesota 55406
Prepared by:
hiattson/Macdonald, Inc.
Structural Engineers
1422 West Lake Street
Minneapolis, Minnesota 55408
CoI c_
FY= /7k5 ? 'F,,'=/4k,,
xlOSI
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. Z?oo ps;
' 1 \
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045
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PJ1/AT'TSdIV/MAC1"JONALD IfVC.
STRLJCTURAL ENGINEEF1u
r
?
i 1422 W. LAKE STRGET
MINNE:Af-'>OLIP.i. MINNCGO"fA 3:.iA(_lf_3 (b'12) 827-7825
May 7, 1987
Panelcraft, Inc.
3118 Snelling Avenue South
Minneapolis, Minnesota 55406
RE: ALCAN ALUMllVUM BUILDING SYSTEM
Gentlemen:
I have reviewed the Alcan Screen Room building system and have completed calculatlons
for a 40 p.s.f. snow load as required by tlie Minnesota 5tate Building Code. The following
pages outiine the resuits of my calculations and indicates the limiting spans and
capaclties for the various members.
If you have any questions concerning the above please do not hesitate to contact me.
Yours truly,
MATTSON/MACDONALD, INC.
%, • ?l, ???Lf.?.?-,.`r"'
David H. Macdonald, P.E.
DfiM:dlb
Enclosure
KE Y LCC..K MFtaER A-S 2EAM
GptiDiTloN n
40 PS, r. 6NOV4 LOAD
C?--- MAK Szt-+G 'tsr..ini wsTS=?1?"
G ON? tT ? G??I 0
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CONpITION 0
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o.,c. srPC.??G 4yr?..,rv PosTS• 3!0•
kL-uS%KN ?;?Ltx:;, SYSr?.nns
MATTEO N/MAC 00 NAlO 1 N C.
SrwuoTUwwL erioIruUBw¦ ' I
I422 W IAKE Er nEET
MINNE4F01.19 MiNNF50TA 60408
1e t QI Bvv.7B26
i nsr.er c.ruty Tn.t Tnis Pi.n wes
prepand By ME Or Undsr My Dlreel
BuDarvbbn And That I Am A Ouly
Ropitlered Prolenlond Enplnaor Under
The Laws Ot Tly 81aN OI Mlnnesofa
.A; il d/l i .
oeTe 9 AKabf W? Rao.
MA7TSON/MACL70f\I/>LD INC.
STRUCTURAL ENOINEERf3
1422 W. LAI<E STqEET
MINNE.nPOLIS, MINNE-SOTA 55110Fi (612) 827-7825
STRUCTURAL CALCULATIONS FOR
ALCAN ALUMINUM UUI(.DING SYSTEM
1 hereby certify that these calculations were
prepared by me or under my direct
supervision and that 1 am a duly registered
Professional Engineer under the laws of the
State oi Minnesota.
David H. Macdonald? Reg. No. 14751
Prepared Sor:
Date 8? 7
`
Panelcraft Inc.
tilinneapolis, MinAesota 55406 ?
Prepared by:
hlattson/hlacdonald, Inc.
Structural Engineers
1422 West Lake Street
Minneapolis, Minnesota 55408
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S'TRUCTURAL E111GINF_-ER^
15 tr W tAK I- c'I-RE1-T
MIP 1PJGAI'0I LS. MINNF_SO"t A 55,1( n=i (B 12) E327-7825
January 19,1988
Panelcraft,[nc.
3118 Snelling Avenue Soutli
Minneapolis, Minnesota 55406
Re: 5tructural Review
Panel Roof System - Aluminum Hanging Channel
Gentlemen:
As you have requested, I heve reviewed the load capacity and connection requirements
for the "Hanging Channel Support" used in constructing the panel roof system.
Requirements for fabrication and installation of this member are outlined in the enclosed
sketch. When installed as indicated in this sl<etr_li the panel system will be capable of
supporting its own self-weight and a snow load of 40 ps.f.
I have enclosed a copy of my calculations for your files.
Yours truly,
MA TSON/MACDONALD, INC.
?• ?" /?
David H. Macdonald, P.E.
Minnesota Registration No, 14751
DHM/vl
E: U l L.L711.1G.. F e.C,f;
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MIfJNEAPO113. MINNESOtA 35408
(Bt21e27-7B25
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?Y -CI'rY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-56701-020-03
PERMIT
4659 PARKRTOGE DR
LOT: 2 BLOCK: 3
PARKCLIFF 2ND
PERMIT TYPE:
Permit Number:
Date Issued:
Bu, OP ?
023109?
03/17J94
DESCRIPTION:
(SIDING)
Bu"ilding'_Permit 7ype SF (MI3C.)
Building W&rk Type ALTERATION
,
.,
/ ?- -?
I
' . .
? ??,:? ????•y ?? ? l? ? 00
REMARKS:
FEE SUMMARY
VALUATION $16,000
Base Fee $171.08
Surcharge $8.00
Total Fee $179.00
CONTRACTOR: - Flpplicant - sT. Lzc. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 MCKEEN DOUG
3118 SNELLTNG AVE S 4659 PARKRIDGE DR
MTNNEAPOLIS MN 55406 EA6AN MN 55123
(612) 721-6628 (612)454-6139
Z hereby acknowledge that I have read this application and state that the
information is carreet and agree to comply with all appiicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
?
IS?,I.
APPLICANT/PERMITEE SIGNATURE ISSUED 8 SI NATURE?-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 2 B L 0 C K: 3 APPLICANT:
4659 PARKRIpGE DR PANELCRAFT OF MN INC
PARKCLIFF 2N0 (612) 721-6628
PERMIT SUBTYPE: TYPE OF WORK:
euiLoiNc
023109
03/17/94
SF (hIISC.) ALTERATION
DESCRIPTION (SIDING)
INSPECTION
FRAMING D. .
ROUGH IN PL6G
.,
ROUGH IN HTG FINAL
?
?
i; , h -.ka
U I ii
?
?
? , ?
?n10
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
4f'11.00
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1] when perm9t is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ? 3'-f Valuation of work 1
Site Address: Lf659 ct?4- v,=
5T EET SU[TE p
Tenant Name: (commercial only)
LOT _1_ BIACK 3_ SUBD. i(??? j? y i?L
r?' ?,{?J P.I.D. #
Descri tion of work: eS: c) e-
The applicant is: ? Owner ?Contractor ? Other (Describe)
Name 1t_-KF.FtiI Phone
Property LasT fIRST
Owner
Address TpR,vx;_?
STREEi I STE #
City FA-,,aN- State Mht Zip
Company Phone
Contractor Address ?_'r-l?-_rcunK ,avs.Sa, License #c?z?zi`rS Exp. SS
City 0 P2 S State rlh! Zip ?
Company Phone
Architect/
Engineer Name Registration #
Address '
City 5tate Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
?
Signature of Applicant: /
OFFICE USE ONLY
B UILDING PERMIT TYP E .
? j
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
13 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
? 31 New C?'33 Alterations 11 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .s; te
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
O Foating
? Final
? Framing
13 Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
v3 y
o/
/
0
? Insulation
? Fireplace
Permit Fee !7? vaw.eton:
Surcharge
Plan Review
license
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: ?
SAC %
SAC Units
S 6 j c00
? . .
`L/84
? CI'L'Y OP L;e1GA.`d
' APPLIC71TI0N FOR PERMI'P
- SEWER AND/OR WATER CO\NECTIOtd
(PLEAat PRINT)
.
'
1) PROPEfZPY ADDRGSS: Ve.-
a_r
Lt7GAL DFSCFtIPTION: 6 4
?4 ?O 17i1 ?:??7
??
i
??
.
?
Lot7 1CK/S utidivl on r Tax Parcel I.D. Niirber) e
?
I'. L%ZS2:C, STRUCILJI2E. DATE 0°OI2IGINAL :,i;ILDP.VG P=,MIT ISSJAN'.?,^: ?
(N?Oi Ye3T'
p,,EsL:: 7rnrr,r/PnoPosn r•sE: pa n-i sLNGLe,FAnzr.y- '
I ? R-2 DUFLE}C ('IWO TINITS ) '
O A- "j -C?tc?:v r-f-P} ;, h , N; 7r +
p x-4 APAR'II=jCtktU(MarIUM (- -- UPIITSj
p OOhP1ERCIAL/RETAI7./OFE'ICE
p INIDUS'I'R7AL
[I INSTITUTIONAI,/GOVEJ2tdfi?SlP
. 2) APPI,ICADTP (PLEASE PRINT)
-
. - ..,;
.?
..(.
NAME: ?--
l
7 ?
'
] h S G' i`
X I CF V"
b
ADDRESS: VYrI??2 I `IO
CPPY, SPATE, ZIP: A
,qP I? L,
.
PFONE: j
VLEASE PP1NT
3) PIJJNmFFR > . )
FOR CIiY USE ONIY '
NANIE' V
r7 ?7
I
?- PWM S LICEXSE: .
AMPESS: r-ryt 1?t i? c.-? ?
' Active
CITY, STATE, ZIP: ?
f • h f-r ,S'S O,?t ? 0 Expired !
?,??_
_ [?] Nat f Re?ord
PH!)NE: /?//? ,?' t7 PWMBER LICENSE p ?
?
ST-aTF-I ni ia
4) CX'C[JF'FutiT/C1n'[•IEF2 (PL RSF PRINT)
NU1ME:
-- - -
- --
ADUCQSS : r?.. ,kY i i?
CITf. STlt'I'E, ZIP: _?ti?r ?e. ?} L?'c H ?•?/7_2.? S S/„L Jl _
PEKM: ?3 % •SO oc? _? °
5) INUI('l+'PE WFiICti Yf.RMIT IS BEINC; REQUESTED:
B--CONIINECI'ION 'IO CITY SES^IER
' M-CS3N.'.'fION 'IC) CZTY WATf.it
? CJi'[IIi:F. (PI.FASE DESCRIBE)
-- -- --------------
Gi
? E'=SE HO?.P FS'PY.rJVf?l F-t7-P^1IT tUR YI:CK-'ut flY U^t; 0:' A6G'vi?
? p. r',,cr :.Rl3L iv PRCn'LD r F1?.°jZ7, ,Io 1, 2,(2) 4;:FA7'3E:
fC?rcle or:e)
,
_
7)
ST?Y'••?• *(?1L:
? r•
I ` 2/84
J CITY QF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(ALEASE PRINT)
1) PROPEE2'PY ADDRFSS:
r.FrnT, DESCFtiPTION:
(Lot/Block/Subdivision or Tax Parcel I.D. NuTJer)
IF S'?RC'CT:,RE. '.)Ai : O_° OR?Gi ? !AL L"I'..P.-:G P-=I'T IS.?'Je?i\G:
PRESr .i Z`Ti.'r;/P?OPOSc"D. US?: ? R-1 S_1GL: Fp_.?r?.v
? R-2 DUPLEX ('IS•i0 [,tiITS)
? R-3 TCraNHOUSE (TI-IftEE + UNITS) ( UNZTS)
p R-4 APARZ:=/CONDCNLIlNIIM ( UNTTS)
? COMMERCIAL/REI'AII,/OFFICE
? I?,iTJL'STRTAL
p INSTITUTIONAL/GOUERbIITENT
Z) AppI,ICANT
NAME: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP: -
PHOLNE:
r
3) PLU.MBER NAME PLEASE PRINT) FOR CITY USE ONLY
' PLUMBERS LICENSE:
ADDRESS:
Q Active
CITY, STATE, ZIP; 0 Ezpired
MAbILH Q Not of Record
PHONE: PLUMBER LICENSE H
a nitia
t?) OCCjpAj.?/awm NANIE: (PLtASt PRINT)
ADDRESS:
CI1^l, STATE, ZIP:
PHOfIE:
5) INDICIITE WI-IICH PERNIIT IS BEING REQUESTED:
? QoNNE]CPION 'Ib CITY SEUIER
? CONNE;CPION 'IO CITY WATER
? 0'PIiQt (PLEASE DFSCRISE)
0) 11VU1UA'1'°:: ONE :
? PLEASE HOLD APPROVID PII2h1IT FOR PICK-UP BY ONE OF ABOVE
? PLEASE MAiL APPROVm PERMiT TO 1, 2, 3, 4 ABWE
? (Circle one)
?
7) SIGN]A'IL'RE: _ AATE:
•* ?ea:w?ws?
F 0 R C I T Y U S E O N L Y
.
t . . _.
PERMIT '-` ISSUED
FEES: $
$
$ ef?
S
$
$ la? ?--d
$
$
$
$
$
S
$ v
$
SEWE° nERMTT (2'dCLIiD: SUP.CHARGc)
WATER PERPIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (ZNCLUDE CORPORATION STOP)
SEivER ':AP
ACCCUNT DEPOSI'P - S°;IER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SETAER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT # 9 y
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFiE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: Z,-' 7
.a s? w? ie? ??!4? ?e ww ?? w? w??a ww ?l+? w?+? se ?? ? why w?? i4 s? wa+ ?? ia s? w?
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:--
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' },XTF:R70R ENVEI,OPE AVERAGE "U" Cf1MYUTATION
,,ner _Address Fhone
?
ddition
Z Block ..?'' A
-gal Description of Froperty: l.ot ' c•- p
Lte Address? ? / _ ?-•i-• C ? ??? ' ?
AVERAGE LINEAL FEET OF
ERPOSED WALL AREA ABOVE GRADE
7 'Z,
ain level ke?.
Lineal ft. of framed wall above grade/4!;?Z x height of wall
117
im joist area /
Lineal ft. of rim _11O?x height of rim
L,-4? ?"? stSl? ?/y?? 1?7
.nwer level
Lineal ft. of framed wall a6ove grade x height of wall
Lineal ft. of masonry wall above grade x height above grade -.. '
TOTAL wall area above grade including windows and doore
i
:1NDOk'S: Area x"U" value n n ? (II) (A)
tilake.6 type eZ.l1,? i 5 sq. ft.? xX "U.? 9 ?U)(A)
'Z 6 3 ?+ GC" 7 . sq. ft.?__X ?J, fi'? (Ll) (A)
r??_ ?? -? G o?00 ?, •c'. ¢- sq. f t. ??Ul. N) (A)
n ^ l Z 060o Gc? f sq. ft. Z? x nU.. = 3.c? lP)(A)
G'sq. ft.i?g nuu o Z, _(U) (A)
le 170?,-•?- Z sq. ft•?X „Ult =?'7, (U)(A)
/??'? sq. ft. x ?oU??_'t"___ f3/ (U) (A)
sq. ft. 2 S L (U)(A)
rr r? 10 6i..? SQ. ft. - (11)(A)
sq. ft. 6, Z R ?t ??-r---= (U) (k)
s?l- ft. x U-=, ---'
ft.?x (U)(A)
n ?? ZQ a,,? GG S9• (U) (A)
.l.? z- Sq. £t. n
_ ?Lt)
unT W
n ^ 2 p ?(c, i? ? ,_.^ $q. ft.== ? .- x nUu - (U) EA.
5.3 o/ u C sq. ft. X „U„ .3 (U7 tA:
07
te GG eq. ft.2?X U(L') (A:
aq. ft.?._. ?? ll (U) ?A:
sq. ft.-? lt U
DOORS: Area x "U" value SNS. 5Te""?. L I?E/}cd9C'c6 "!' ? ?x "U" , 0,: ;, = 4 ? .?'t'> (U) (A
Make & type 6 _sq. ft. ?rUll ?? /. 3?J (U) (A
19 o x? sq. ft.X (U)(A
11 sq. ft.X (U) (A
14 sq. ft.
,oZ
OPAOUE WALL CONSTRUCTTON; Area %°U" va1L2 gQ• ft• z,¢?..?x U
? I (U) 3(A
9 (
(o x L O
E2Amin?t "?•t`Yrt/_?: _sq. ft. Ul ? ? (U) (A
Uetail refer- rl /e+1 57' sq. ft. x„„ (p)(P
ence from - ?'- N sq. ft. u„
iYlA.Sortk=Y d ALL- ' X U
attached sq, ft.`?_.X (11) 0
sheets sq. ft.
sq. ft._,----X
1'OTAL Wall Area Including 0,1?? TOTAL (U) (A)
Windows 6 Doors
0 AVG. flVa
TOTAL (U) (A) VALUF.S
a
UIVIDED BY 1'OTAL WALL AREA `1
AVERAGE "U" Minimu?f ,k7' r less for 1 5 2 family dwellings
Minimuf_?2 or less for all other huildings
2d()TF.: If avrraRe "U" values as calculated above do not meet the
"Alernate Envelope Design" as indicated on Page 5 may be
Energv Code reauirements, the
used.
?
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r.?.? .
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N
.?,t,-;(?•_::.? :'x`:?-+?j?'???
R-Value
1'c?View
6:,LL z)::C'Piuho
l1(!ZL' i J6E 1V76 '
cl opaq;e
Kali area
far fraZin
` membera
Sheathing ?? ???K??-ZmV??
1 " soft
I 11 ?
Interior air m - -
1.88
-?----=-- ?t=--=.,.--' .`
.68
TOTAL R = ??'Z U = 1/R U - "Q42
MASONRY WALL_
Exterior air film 17 -
12^ concrete blocic
Insulation
, wa
Interior air film
`2) ?
'. U = 1/R
FRAMING MEMBERS IN_WALLS
Exterior_air._film.___.._,,.,
SidinR
Sheathing
IE& ik ?.----'--?--
sof t wood
Y" dr.y wall
U a 1/R U = ?OQrZ
_ RIM_ JOIST ARKk__.
Exterior air film 1'
Siding
Interior air film '68
TOTAL R = ??• ??S^ ? .:`
U a l/R u a •p8?'
FRAMED WALL
Exterior air film .iZ
Siding
Sheathing ^a!,/? ?? ??e ? ?? ? 1k'?'( rs ? •?? `
ij
14 batt insulation
?,,?•_Q_?_?_.".
.45
'?" dr wall ,
?6a
Interior air film --
• •
Cities Digital Qualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
IiSTERi(1R tiNVT1.OPE AVF.RArE "U" C(1MYU7'A'fION -
??-
?nec_ Address_ _______ Fhone
r
2 Block ..I AdditionIP
agal Description of Froperty: Lot
x Lte Address_ G 6:
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRAI1B
-? ?'Z-,
3in level l''1-iLi : "7• ',.',"- ?' . _ .. '?' ' __._!,%'- ?-?=----
Lineal tt. of framed wall above grade? z x heighC of wall <.-? 4?
-Z/'J.,f? . 7
E r
im joist area
Lineal ft. of rim f? ?_. x height of rim
? /f 7'
1/7
.nwer level ?" •
Lineal ft. of framed wall a6ove grade x height of wall _ ?f'? ?.???s
Lineal f t. of masonry wall above grade x height above grade
TOTAL wall area above grade including Windows and doors
;1hDOWS: Area x"U" value
-
7C,
, '
-x
ft.
sq
- uun = (U)(p+)
lake 6 t
,
,
CL-Z-A ? :.
ype
.
.
___
(A)
'lU.l ? (U)
_
- ft. ?-?-x
sq
n .
? X
O 3/.rGG .y
^
' ,lUll 9, (v) (n)
¢
x
u.,?_
„
; If " ? -> 06[J c.,:'_ 1 ft.
Bq. nU• (i?)(A)
Z C7 G? ? : - Z.' f
t.
aq• ---'_R fLll z, ?? <U) (A,)
20 ?%; sq, ft.? fUll - ¢,37 (11)(A)
X
sq. ft. X
f
ZS Z ,Un?`= ry,?r1 "(?1) (A)
-
t.
.
sq. _-j___-
(v)cA,
; ?? _ -7 "??? •,y?,.=G L- sq. ft. ? n ,t-T'-_ Z.Q$ W"?(A.
n u -r ?. GG sq. ft. ?, 7 X ?Un"?'._ ?---
%(U)(1??
n •? 7 p Z. ?.:Z• sq. ft. :,S
X
? .
(U)'(A,
?IUn-r'-? t?
? Zp a,?? GG sq. ft.
x lfUlf?`? S'.3! (U) (A
?? .
sq. ft.
_?-?--
x
nun-t-----_ l¢? (Ll)(A
o X
sq. ft.
f
`?
??(ll) (A
?^f1 ! t.
sq.
? ,lUll
X
sq. ft. 1- "Ull s (C) (A
sq. ft.--? X itu,l (U) (A
X
sq. ft.r _?_
DOORS: Area x"U" value 5TL'L.; L- Cc.??
s ft. x
? (U) (A
U
(A
U
?
Make & type XC
_
o x
ft. l? (
)
?- z>9
nUu .0[i,
(U) (A
n
? _ > X uUn =
n sq. ft. 1 =?(U) (A
, ? r' ?',? P?ri ,Od •
- X
sq. ft. 7? -
- ( ?, v2
OPAOUE WALL CONSTRUCTION; Area % °U" value q,r4-4 (1`) (/
'Z " Qx U?
f t
s
.
q.
(v) U
S6 x L , o a= ?
3
'
A
.v YG .
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ence f rom H1?1 5 m.tAY WRLL sq. ft. Z ; XX nU•
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„
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TOTAL Wall Area Including ??
TOTAL N ) (A) ?
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TOTAL (U)(A) VALUF.S
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UIVTDED BY 1'OTAL WALL AREA
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ll other buildings
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,
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NOTE: lf avrraRe "U" values as calcu lated above do not m
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"Alernate Envelope Design" as y
indicated on Page
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4659 Parkridge Dr
Lot: 2 Block: 3 Addition: Park Cliff 2nd
PID:10- 56701- 020 -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:
Khamnai J Sivongsay
4659 Parkridge Dr
Eagan MN 55123 -2130
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA085900
09/08/2008
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:Mechanical
Permit Number:EA136412
Date Issued:05/11/2016
Permit Category:ePermit
Site Address: 4659 Parkridge Dr
Lot:2 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Khamnai J Sivongsay
4659 Parkridge Dr
Eagan MN 55123--213
(651) 500-5781
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150900
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 4659 Parkridge Dr
Lot:2 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Khamnai J Sivongsay
4659 Parkridge Dr
Eagan MN 55123--213
(651) 208-1259
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152491
Date Issued:10/17/2018
Permit Category:ePermit
Site Address: 4659 Parkridge Dr
Lot:2 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Khamnai J Sivongsay
4659 Parkridge Dr
Eagan MN 55123--213
Applicant/Permitee: Signature Issued By: Signature