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4663 Parkridge DrINSPECTION RECURD Control No. C4 6j CITY OF EAGAN PERMIT TYPE: ??1111-01Ms 3830 Pilot Knob Road Permit Number: *0A666 o6/z9/a. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 10Y = 3 4663 PAkkRipOE Di? PARkCIIFF 1Np PERMaT;??p,T,YPI?? 1 stt H{ ack -; APPLICANT: pr- tERsaN (b12) 456-01i15 TYPE OF WORK: DESCRIPTIUN SNELDON AI.TL pATIQN HATHROdM & SAUNA a :? - J"r l _r 1tPMARIcSs RFCEIPT t IMSTALL BATHROdII WxTN SAUMA IN BASEMEMI PormR Mo. Pe?mk Holder Data 7elephora # 5/VII PLUMBING HVAC ELEcT" / , ?P 9 9 c?OoL' ? ELECTRIC , Inrpoctlon Dde Insp. Commento Footings I Foundetion Freming ., p RooAn9 R°ugh PIb9• qoueh Fkg- rc tr Isul. Flrepleoa Final Htg. Orsat Test Flnal Plbg. 7 Plbg. Inepector - Natify Ptumber Const. AAeter EngrJPien Bldy. Final 7 -/ o I Deck Ry. ?I Dedc Finai weu Pr. Dlsp. CITY OF EAGAN Remarks ?'- Addition PARKCLIFF 2ND ADDN Lot- 3 alk_ Owner street 4663 PARKRIDGE DRIVE EAGAN IrDV 55123 tmprovement Date Amount Annual Years Payment Recaipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 293.00 A014485 8- - fF SEWER LATERAL WATERMAIN $b $ ].$. A01448 8-2B-84 WATER LATERAL WATER AREA STORM SEW TRK 1984 642.60 128.52 5 514.08 A01448 8-28-84 S70RM5EWLAT -? 198 283.60 56.72 5 170.16 A014485 8-28-84 CURB & GUTTER • SIOEWALK STREET LIGHT ROAD UNIT 260.00 5-8-84 WATER CONN. 470.00 ?? 9UILDING PER. 9043 sac 525.00 PARK 0 CASH RECEIPT ? CITY OF EAGAN P. o. sox 21-199 EAGAN, MINNESOTA 55121 DATE 19 reecarvEo FROM AMOUNT $ ? -- ? ? & DOLLARS - fOD ? CASH ? CHECK FOR ? .. -' `:' . ?. - . FUND CODE AtAOUNT L 7 ?S ? r i t ? . ? ?,7i Than ? ?,? - ? BY i V/? 1 /7U . c, ?U 5??. ?•G ? VYhite-Payers Copy Yeliow-Posting Copy Pink-File Copy . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9043 • PNON E: 454-$100 BUf LDING PERMIT Rece;pt --r- ??. Te be Yad ior .`; F' DWG f GAF: Esr. Val?m $123,000 n„rp tdAY 7 84 SiteAddiss Lot Block ?3v + - c/Sub`yp?KCLIFF 2ND . Parcel No. 10-56701-030-03 oc Name r?R & 11RS LOYD BENSOi" z Address 4651 CHANDLER RD City `,HOREWOOD phone ' ZF$` Neme L-I N-PED RS N INC 15136 AVE oU Address U? '. -77 .l 1- City Phone 431-5000 pc F W Name ?? Address " ?W City Phone Erect C Occuponq `•`' Alter ? Zoning Repoir ? Firc Zone N Enia?ps ? TYpe of Const. V Move p # Storie Demolish d G ? Length D - ?? ro e Q epth Sq. Ft. Appro vals Feea Asussment warer 8 sew. Police Firo Enfl. Planner Councfl 1 hereby ocknowledga thot I have reod this opplication ond stote that Bldfl. Off, the informotion is corred ond ogree toaomply wifh all applicable ^P? • State of Minnesota Stotutes pnd ity qf gcn Ordinances. Slynoturc of Permittee • ?"a`'` A Building Pe?mit Is iuued to: OZ UN-F:-:r)I:'-'.SOtv :Ci\;C oll work shell be done in accordoncl ?rifh oll applicoble Stote of Minnesota . Buildi??o Official Permit 490.50 Surchorpe 61.50 Plon check 2 4 5. 2 5 gqC 525.00 Water Conn. 470.00 Woter Meter 63.00 Rood Unit 260.00 rotai • . 5 on tM exprcss condiNon Ihnt Statutes and City of Eaflan Ordinonces. Permit No. Permit Holdar Misc. Permit No. Holder Plumbing 3 ?-? i} r? H.V.A.C. y 5 5 i ? 1 << w.u w?. Oisp. Sawar Electrie LA.(V-,qC'. L'1(-Sf (07.0D Inspection Date insp. Other Footinqps - f $ (,41 Foundation FraminQ ? Rouph Plbg. f ?? ?/ • /I-?' Rough HVA Insulation Final Plbq. Final HVAC ' Finsl Water Dascrf6e L tion: 4Yell ? Sewer Pr. Disp. Receipt MECHANICAL PERMIT CITY OF EAGAN Permit No. ( J? Fee Fill in numbered spaces S/C Type or Print legibly i Tot. 1. Date 2. Installation Cost / 1 ri6t< Q ? f .? L 3. Job Address X!.J ot Bllr;? Tract ,r . " _ _7C • ;-f 4. Owner 5. Contractor - ? "` • Phone . 6. Address i %'? i - ? 7. City ' State ` Zip 8. Building Type: Residential b"? Commercial ? Institutional ? 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No. Equipment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dl Mfg. r an ing: 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt '- r 1 PLUMBING PERMIT Permit No. CITY OF EAGAN Fes 1 Fill in numbered spaces S/C Type or Print legibly -? / Tot. ? 1. Date ? 2. Installation Cost ' 3. Job Lot ' Blk. ' Tract ^.. ? , ,r- 4. Owner y ? - ' ?- ?; • -c 5. Contractor ? - • Phone 6. Address '-d) ' • ? . • 7. City •!- '-?-fi' ' State Zip`? i 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair O 1 10. Describe 1 11• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel l Kitchen Sink ? Urinal/Bidet Other + 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 Raugh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN WpTER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: =- -' ZO^i"9: R1 No. of unirs: ? I pwner. Ozm,un-Pedei-son Inc ' Address: site Aadress: 4563 Parkridge Drive L3 B3 Park Cli -r -2nd Plumber: Peine i'1D Meter No.: Connection Charge: 4 . DO pd Size: Accaunt Deposit: 1 S. 00 :?cI Reoder No.: Permit Fee? 10.00 Pd I a9rae ta complr wuh tha Cilr oE [agon Surchorge: •50 Pa Ordlnaeus. M(sc Charges' 3• pd fIIeteVA ew Date of Insp,: Total: Date Poid: TY OF EAGAN SEWER SERVICE PERMIT 39 Pitot Knob Road , 0. Box 21199 PERMIT NO.: gan, MN 551DATE: R+r+O: tdo. of Units: ,..e.. :'?.^.mun Pe 3 e'r;w:l ?t1C. Address: w°O3 rarKricige LriVe H S001L L'JV• VV F)C: t aone M coinply w1lh !ke Gty of 6agon Connection Chorge: 425.00 pd Ordinaea". r4ccount Deposit: 15.00 pd Permit Fee: p Surcharpe: _ nc? 8Y Misc. Gforpes: Dote of Insp.: Totcl: Insp.: Date Paid: -- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knnb Road P. Q. Box 21488 PERMIT NO.: Eagan, MN 55121 ]-1?-84 DATE: Zoning: ` No. of Units: !'zmun-Pecier.son Inc ner; ress: St e Addrcss.??-?e?rive_ L3 B3 Park Cli n? umber: ? ? dl? IOi.ct eter No.: - _ ? _ ?; , ? ` i • ?'" - `?"J ection 470. 0 j?d ``;'???y Chorge: Sixe: 'c°?k ?-' --3 ? ??4 ? 4- ?unt Deposit: I. - . .. . Reaaer rvo.: " - Permit Fee: ? I ngroe to eomplp wkh lie Ci1p of Eegan Surcharge: ?. Ordinonoss. ? Misc. Choryes: Total: BY ? Date Pcid: _ pa meLer Dote of Insp.: -n//? Insp.: if CITY OF EAGAN ? 3830 Pilot Kno6 Road, P.O. Box 27-199, Eagan, MN 55121 ?T 1?1 ? 9043 PHONE: 454-8100 BUILDING PERMIT Rece+Pt # Te M und hr SF DWG/GAR Est. Voiue $123,000 Date MAY 7 , 19 84 4663 PARKRIDGE DR g R3 SiteAddress Ere<f u Occupancy Lot 3 sloc k 3 Sec/Sub. PARKCLIFF 2ND Alter ? Zontng R1 Parcei No. 10-56701-030-03 ? Repair ? Fire Zone N/A Enlarye ? Type of Const. V a Name MR & MRS LOYD BENSON Move ? # Staries i Address 4651 CHANDLER RD Demolish ? Length 7 City SHOREWOOD phone G.ade ? Depth 36 Sq. Ft.- ? OZMUN-PEDERSON INC Avvrorala Fees O Name Addres 15136 IE AVE Assessment Permit $ 490.50 ? CitV ? Phone 431-5000 Water 8 Sew. Surchurge 61.50 Police Plon check 245.25 Gw Name Fire 5O 0 SAC SZ . 4? Address Eng. Water Conn. ? 0 ?Z City Phone Plonner WaterMefer63-90 Council Road Unit F (1- ? 0 1 hereby a[knowledge thaf I hove read fhis applicotion and state thal Bidg. Off. the inlormotion is correci o d agree to omply with oll applicable $ 2,11 rj . z5 Stafe of Minnewto Statut nd i y E49on Ordirances. APC Totol Sipnature of Permittee A Building Permit is issued fo: O 17N-PEDERSON INC on tha express condition thnt all work sholl be done in accordo wi oll opplicoyl(eme of Minnewta $tatutes ond City of Eagan Ordinances. Building Official ., o • Ei 49G•SG+ - 1 • ` J + 245?25+ 525 00+ 47G?GC+ 63 .'J+ 26O ..?+ k 1 1 5^ 2: 9 2 ? CITY OF? Include 7 sets of plans, 1 Gertificate of SurvEy &. _ BUILDING PERNffT APPLICATION 1 set of_ energy calculations. ? _ /?? OV-0 Zb Sr! Used For Valuation - Date ? -4.-?t- Site Address 46,?=?j??-'%? - OFFICE USE ONLY Lot _-2, slocx 3 sx./sub. Parcel #: Alter Repair OWR2x': ??(p__ Z ?1?l.1?? EI71dYCJ2 - -r move Address: Delrolish City/Zip Cocle: 6L,V2 Grade Phone #: Contractor: Address: %. City/Zip Cbde: A*2VAX.,.NS.l.X?Y N1?1. Phone #: A31-'So?o r? Arch./Eng.. Address: City/Zip Code: Phone #= occ,?,? _ ? Zoning Fire Zone Type of Const. # Stories Fxont 7 ft. Depth ft. APPROVAIS FEES Assesstnents Perntit Water/Sewer Surcharge Police Plan Check ? y,s- as Fire SAC gng. Water Conn. Planner Water Meter Council Road Unit alp °?- Bldg. Off. P.PC TOTAL .? 1) 1 s• ol S / , Ss 7 3 ? ' y9 a ? a ? 1-137s1 ? ? ? ?3 f REQUEST FOR ELECTRICALVNSPECTION ?0 a'arA 9 ry,: A See insvuc4ons 1- comptaLn? ihrs tortn on back ol yellow copy "X" Selow Work Covered 6y This Request J49208 ew Ad& Rep. -? TypeofBuilding ApphancesWired EqmpmentWired Home F7ange Temporary Service Duplex WaterHeater Electric Heating Apl euilding Oryer Other (Specify) I Comm /Industrial Furnate Farm Air Condrtioner Other (syxiy) Conttactor5 Remarks Compufe Inspection Fee Below: # Other Fee # ServiceEnirenceSae Fee # Crtwrts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transiormers Above 200 _ Amps Above 100 _ Amps ^ SgnS Inspector's Use Oniy TOTAL Irrigation Booms ? ? 3Q , S? Special Inspeclion LL D D Alarm/Communication ISC`3114114-11-- THIS INSTALLATION MAY BE IF NOT f Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby if R°°qn-in (Q cert y that the above inspection has been made. Finai o 7 f ?- OFFICE USE ONLV This requesl void 18 montns from ' m y s a--- ' ?`?? ? ??o° • J 4 208 - Request Oala 51 9 9? 2 Fire No -in Inspxtion eqw I ? Aeatly Now 6WAf Notity Inspector wn R tl + ? es G No en ea y I censed contractor ] owner hereby request mspection of above electrical work at: Job Atldres:ii(Streel Box or Route Noj? I/ ?( 3 Y' ? n i py ?^ / Q ???( r a ?Y P r??P .! C Seclion No TownsMp Name orNO • Ra e No Coun? " • ? Occupant PR T? ?A ? r, Phone ? d JU S Q? rSO? ? { l. ^ Power Suppiier Atltlress / f EleVncal Conv.ac% (ompany Name, d c / c / ? Conirector5 License N. ,u ve .ec . IAading Adtlres5lComraclor or Owner Making Instaliaoonl 1785?! u6,te? (,l)?? L4 K??? c? A) ?J ?S.5,60/ ?` Aut?orii naWre ?Gon wner Makin Instatlation? PM1One Number _/??? ey ri MINNESOTA STATE BOqqpOF ELECTPICITY THIS INSPEQION REOUEST WILL NOT Griggs-Miaway BIOg. -?oom 5-173 8E ACCEPTED BY THE STATE BOARD 1021 Ilniversiry Ave., 51 Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS PMne (612) 644-0800 ENCLOSED ??e r REQUEST FOR ELECTRICAL INSPECTION Es-ooooi.oa -t ? Sea instruc4ons lor complebng this torm on back ot Yallow coPV. ?q "X" Below Work Covered by This Fequest ? r AAJ Rap. Type of Bwltlmg Apoliancas W,roE Equipment Wiretl X Home Range Temporary Service Duplex Water Heater Liyhnny Fixtures Apt Building Dryer Electnc Heatin Commercial Bldg. fumace Silo Unlonder Industnal Bldg. Art CondiUOner Buik Milk Tdnk Farm ihew Deci Y L'ther (SUemfy) ? er Sueci y Ner Oih.i Compute Inspection Fee Be/ow A Fee Service EntranceSize p ixe Fenders/5ubleeders b F. Grcurts 12.00 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qm p5 31 to 1 UO Amps 31 to 700 qi S Swimmin POOI Above 100-Am s Above 100_Amps Trenstormers IrrigaLOn Booms Pertial.'Other Fee Signs Specialinspection ' S T 6 Rerrarks 67.50 fQ flou8h-in Ddte L I he ctncal spactor, hereby n above Final ^ ? De k pecUOn has Ceen /1) -?F da. This reauest vmO 18 moMns imm Tnis request vold ??7? Q? ?N f_ r?? ??,/ 18 mo n[hs fram i -1 I ?r ? 434 9 L:3 P?? ?&,ita a?-a- ra -1.60 Reqae6t Date Fyfi-. No. Roueh-in Insuection fle ved7 ?v ?Ready Nuw ?pWt11 NoLfy Inspec- 5-14-84 ? [orWh R Yes ?No en eatly (z Licensed Electcical Contrac[or I heraby request inspecLOn oi above ? Owner electncel work installad at Sheel Address, Box or Route No. Crty 4663 PARK RIDGE NRME DRIVE EAGAf?f ectron o Township Name or Na. RanAe No. County DAKOTA Or.cuvantlPPINTI Phone No. OZMUN - PEDERSON, INC. 431-5000 Power Supulier AAtlress DAKOTA ELECTRIC FARMINGTON, MN EI¢ctncal Contractor (Company Name) Contractor's License Nn. LAKEVILLE ELECTRIC, INC. AQ41802-9 Maflin0 A.ddress (Contrnc[or or Owner Makinp InstallaYion) 20480 JAC UARD AVE. W. LAKEVILLE MN 5044 Authoneetl ignawre (Contrac or/Owner aking Installatfon) Phone Number 469-4939 MINNESOTp STATE 80APD OF ELECTRICITY ? THIS INSPECTION NEQUEST WILL NOT Grigga-M,dwav Bldg. - Hoam N-191 BE ACCEPTEO 9V THE STATE BOAFD 1827 lJniversity Ave., St. Peul, MN 55106 UNLESS PflOPEP INSPECTION FEE IS Phone 1812) 297-2711 ENCI.OSED. . ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55722 651-681-4675 21 I Lt-? `? ? New ConsUuction Reauirements • 3 registered site surveys showirg sq. ft. of lat, sq. ft. of house; and all roofed areas (20% maximum lot coverage allaxed) • 2 copies of plan showifg beam 8 window sizes; poured found design, etc.) • 1 sel of Eneyy Calculatbns • 3 wpies of Tree Preservation Plan if lot plaried afler 7/1193 . Rim Joist DeWil Options seleclron sheet (61dgs with 3 orless units) DATE SITE ADDRE: TYPE OF WC APPLICANT RamodeVRaoair Reauirements ? • 2 copies of plan ?~? • i set of Energy CakWations for heated a ns ?D_ • 1 site survey for eztenor additions 8 decks • Indicate i( home serve0 by septk system for additlons VALUATION ?at?000 STREET ADD . TELEPHONE # C E L L PHONE # 14t?'*Wt'?? FAX # GIJoG ?/?? aaJu yy?9 PROPERTYOWNER ?, ? ?XdtJ ? d??6n TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVgSOTA RULr:S 7670 CATEGORY l MINNti50'1:A RULES 7672- (J su6mission type) . Residen6al Ventlla6on Category 1 Worksheet Submitted dew-Erte de Workshe?t,Si ? } If U 1-6 • Energy Envelope Calculatlons Submitted , D[? l"?' i_6 u ' 1 Of-T 2 9 2002 Plumbing Contractor: Plumbing syslecu includcs: Mechanicai Contractor: Mcchaiiiril system includes: Sewer/Wcrter Contractor: Air Condilioning Heat Recovery System Phone # I'cc: $70.00 Phone # I hereby acknowledge that I have read this application, state ihat the informatio ' orr , a agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Sfgnature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ VVater Softener _ Water Heater _ No. of Baths Phoae # Lawn Sprinkler No. oF R.I. Baths A OFFICE USE ONLY , ? 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex Ip 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Tnct?oeS iD e,f Y-- ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 91 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteratlon ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg onM - Give PCA handout to applicant Valuation ' flvo Occupancy U? MC/ES System Census Code 1q] ? z Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const _v A Width REQUIRED INSPECTIONS _ Footings (new hldg) FinaUC.O. _ Footings (deck) ?O FinallNo C.O. aq Footings (addition) _ Plumbing ZO Foundation HVAC Drain Tile Other Roof -,r, Ice & Water )4) Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final s-0 Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By Building Inspector DOO ?sli?•?rr Z 2 X/Z 7( l40. Bc> CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4663 PARKRIDGE OR LOT: 3 BLOCK: 3 PARKCLIff 2ND DESCRIPTION: REMARKS: BATHROOM S SAUNA Buildfng Permit Type BA5EMENT FINISH Building'Work Type ALTERATION UBC Occupericy R-3 . . .:? tl?_ RECEIPT AC-C}1 2?9'? INSTALL BATHROOPI WITH 3AUNA IN BASEMENT BUILDIN6 990656 05/19/92 FEE SUMMARY: 8ase Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: ° OWNER: - APPlicant - PETERSON SHELOON 4663 PARKRIDGE DR EAOAN pN 65123 (612)456-0105 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 f9n. St'atates ?nd City of Eagan Ordinances. ) ? J ' APPLI /PE MITE SIGN E IS UED V SIGNATURE :J Control No. 0469 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD I Control No. 0469 PERMITTYPE: BuiLDiN6 Permit Number: 000556 Date Issued: 0 5/ 19 / 9 2 SITEADDRESS: L07: a 4663 PARKRIDGE DR PARKCIIFF 2ND PERMIT SUBTYPE: BASEPIENT FINISH F L BLOCK: 3 APPLICANT: PETERSON (612) 456-0105 TYPE OF WORK: DESCRIPTION SHELDON AITERATION BATHROOM & SAUNA 7 I r??,? ii? c..??r.? n:•A ?; ? nu,?•??nii ?ioi?• ???, C!I it??iii,i ? m ?y?•??f ??.,?i??? ? i,,t?•. i;1i, Id R? i?ni •i. i;ll iln11 . :',V'll??l?: ' I I i : ` :;1 I1( ¢ . OF.1fd?i+ t:NH'rf'?• N?ILf ItIt4?' i !~ RENARKS: RECEIPT A INSTALL BATHROOPI WITH SAUNA IN BASEMENT ? ? PERMI7 8W454 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 jAY r' ; RECTJ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. . COMFIERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of er?ergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested o ce ermit is issued. Date Yaluation of work )uvo? Site Address:_?c 3 -PAR4,0 t,3(9f 1?Y1°L-J _5-S122? STREET STE M Tenant Name: ?XI?L-poN LOT ? 3D BLOCK SUBD. ?(Zk?',,,Lit+- 77Z?I P.I.D. ! lO .S(o 7ot U 3 O 4o3 Descri tion of work: gcwem-vv,*- b6,1),RO-a? c..? 0L_ The applicant is: Owner ?Contractor ? Other cces«tbe> Name PS?e.rzseX S4Phone GfS7o -O/O'S' Property uST F1RST , - Owner d 4/ ? )? pddress ? . ^ 0 , ej_4 e-.. STREET ' STE f City State m kj Zip ,. Company Phone ?fS7? alU?' Contractor Address License # - Exp. City State ?-IZip Company ap? _SV?@-/ /z? (l,n cLlei hone LI ? /- Architect/ Engineer Name c?u7t- ?._/ __? Registration M Address ?,P1LPX??'tAJ?_ 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 informatian is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Si t f A l gna ure o pp icant: urrwt uZor.. unLr BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish W02 SF Dwg. ? 06 Garage/Accessory O 30 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck O 12 Comm./Ind. woRK rrPe ? 31 New ? 32 Addition ;11 33 Alterations ? 34 Repair 13 35 Tenant Finish ? 36 Move ? 37 Demolish ? 99 Undefined GENERAL INFORMATION Const. (Actual ; Basement sq. ft. (Altowable lst F1. sa. ft. UBC Uccupancy !11-3 _ 2nd F1. sq. ft. Zoning Sq. Ft. total i of Stories Footprint Sq. ft. Length On-site well Depth On-sitc, sewage APPROVALS Planning Builning ?S 3' g s2 Eng9neering Varfance 1? ? mr . ??13"P?i ? ac. ? 14 Agricultural O 15 Miscellaneous MF'CC System CiS.y Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments 4 REGIUIRED INSPECTION;, ?-IhsraU_ 54-NAoaA wITW SAUNa IN ? Site -Igakw"n ;0 Framing 11 Insulation O Wallboard P Final ? Draintile ? Fireplace Permit Fee 35, 0 o vaiu.csan: Surcharge Plan Review License M4!CC SAC City SAC = Water Conn. liater Meter Acct. Oeposit S/M Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. - Trails Ded. Copies Other Total: 1610 e SAC % SAC Units L? 6L CITY OF EAGAN ^ PLUMBING PERMIT SUBD.? ? /? (612) 681-4675 RESIDSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # /012/413 DATE 5 8 ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST N0. ADD ON REPAIR OWNER NAME: ??fY1 SITE ADDRESS: AV& 63 INSTALLER: - ADDRESS: cixY: ja??'4? zir: ?`S aL 8 - PHONE OF COMPLETE THE FOLIAWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 /S JU SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 r L6UR iSkal"vI 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 ?- r ? TOTAL: $ /? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SIIRCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) - 2/84 ? CITY OP' EAGAN ? APPLICATION FOR PERiNIT ' .? - SEWF.R AND/OR WATER CONNECTIODI J, (PLEASt PRINT) '- - - -,,? 1) PaoPERrY AoDxess: LEcat. D?scarpriox: 03,ca-?,e 3 ,?'.:.u:' ?? z ? ?? (Lot/Block/Subdivision or Tax Pazcel I.D.4Nim?ber) ! IF EXIS:=`X; STRUCITIRE, DATE O° ORIGIN}1L 6UZLDING PE.w1IT ISSvAIQC.c:: i l hbr.t-i/Year) ^ i PRESE."7I' :;(',=irVPRDPOSED CtSE: L§ R-1 SINQ,E FAMII,Y , 0 R-2 DLiPIE{ ('IFAUbtITS) 13 R-l ?C.VN"rF '76PF7 + ;?v'T,TC' ? R-4 APAR'Il?'R?NI'/COfIDOh1IIdIUM I UI`IITS) p Co44ERC7AI./REfP,i'L,/OF'F'ICE 0 INDUSTRZAL - , p INSTINfICPAL/CyOVERfAff NI' 2) APPISCANf PLEASE PRINT ) ?- NA''?: ? U? r ? ° qS ! X< tz v a 1 i ! r,MRess: CZTY, STATE, ZIP: f}? ,S s- /?? Y = PF1bNE: 3 - /ef'%? ? 3? PLEASE PP1NT PIUMIDER FOR CITY USE ONLY.?` DAME ; P?UM S LICEXSE: ? ADDRFSS: ' Ad tu? ? ?%?:c.rMl•t?re'.i' active , CITY, STATE, ZIP: -1-t[ r m ? 70 •• {w. J n ?, L ?] Expired ?'-???'[Fi Q Not o Record PHONE= PlUMBER LICENSE /J a ni 3a 4) OC.Q,h,FuN'I,/a,7[,III2 PLE E PRINT) "IA?+';: t 5o zm 4- ? ? ? ?r_ ? JL _ AUI)ItISS: ?''.??, ? •r cz7^r, srA-rc, ziP: PElCNdF•.: 5) INDICIITE WEIICH PF13?1IT IS BEIW, RE]QUFS'ffD; ` M-?COIvT=ON 'IU CZ7"( SE,WER ? NECPION 'Pn CITY WATT:R OTIHEF2 (PLFASE DFSCRI13E) 6) ^:iJlf_A= C..C.: E3 1':EIOT-ID APPR(MY; PI7L'•tZT :'flR PICF:-i7P BY CRF. bT AFCR'F QIP!?T,SE mAIi. ;1PP i'E1Z.%1IT 'IO 1, 2, 3, OABO/E ik (Circle •?r.r?; ,. f? r 7) ( ?AlY. ` ??- ? I I ? . ' ? 2/84 CITY OF EAGAN ? < « . APPLICATION FOR PE:hMIT -" SELdER AND/OR 4dATER CONNECTIO.T (PLEASE P4INi) 1) PF2CPEFYI'Y ADDRESS: r.FrAr DFS(:FtI?'TZC:I: (Iot/31ock/Subdivision or Tax Parcel I.D. Nturber) IF :G STRL'CP^:2E, Da' ,' 0_° ORIGi:AI, :,uIL,:I?:G P?;?ST ?SSZ;?NCE: ! PR^.7L ? ."?n.:l(:/'r-..w{?i.PC.C.? V.CiE: ? fZ-1 SLvGI?.r, C.+7Vf1LY ? R-2 DUPLE.`{ (?Wp LNITS) El R-3 TCI.v1iII-ICt.'SE (TH2EE + UNITS) ( Wi ITS) ? R-4 App,RT.E?7/CCDIDCh?1NILry1 ( Wi ITS) ? COfV,T2CSAL/RETAII,/OFFICE ? L3J(;STRTAL Q INSTITUTIONAL/GCVER!\RyE[vvI` 2) APPLIGaM (PLEASE PRI4T) NFbIE: ADDRESS: CITY, STATE, ZIP; _ PHOiNE: j} pj,[J;+jgEq NF4%]E: (FLEASE PR1Ni) FOR CITY USE ONIY ADDRESS: PLUHBERS LICEHSE: ? pctive CITY, STATE, ZIP: [?] Expired uSic, PHOiNE: ? Hot of Record PLUMBER LICENSE i/ att nitia 4) pccJp.wr/(x-zmR NAME: (PLEASE PRINr) ADDRESS : CITY, STATE, ZIP: PFi0:1E: S) INDICATG W[-]ICIi PEPaNLIT IS BEING REQUESTEp: ? CCAIDIECTT_ON 'Ib CITY SEZ^)E,R ? CCC.TItXT2CN TO CITY Lti'ATER ? CI'-IER (PLFIISE DESC3IDE) 6) LNDIG,1:: C::E: ? PLEASE Y.OLD APPROVID PERtiLiT FOR PICi:-UP BY Oiv'E OF ABWE L ?°I.FASE ?AIL APPROVEp PER.%LIT TO 1, 2, 3, 4 ABWE . (Circle `one) - 7) SI(M7[."RE: DaTE: lRNililsJai?al?al?!-fa?tfaht . . /' • • FOR C I"TY U S E ONLY PERDIIT °- ISSUED F°ES: $ /a, a-o ^S / / . J'__Ll $ S $ ? $ $ $ tF l0. ?.?-D $ $ S $ S $ Sr,,= n?vtirri (7'1CL::0E SU°C?I?r.GE) WATE2 PERf1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER waTER TaP (zvcLonv- coRPORATZCV sTcP) SEWEp TAP ACCOUNT DEPOSIT - SET1ER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK :VAT°R ASSFSSi-1E.;T TRCi.IK SEivER ASSESSMENT LATERAL BENEFIT/TRUNK SEtIER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL AAIOUNT PAID/RECEIPT ,'lr 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 THc NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUIIJECT TO TIIE FOLL0:IING CONDITIONS: APPROVED BY: TITLE: ?j& DATE : ?/a ?F fJ? !i? w? ir AtA !? ra ?Fr? t? Fie ? w fiF ws? ?t? ?t? w?J? ?•s? w.a ?E ? 7! f.w ?La ?t? ?l w r? ?? Lp 2 4' g 3 2004 RESIDENTIAL BUILDING PERNIIT APPLIC City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5 New Construclion Reauirements RemodellReoav Reauirements 3 registered site surveys shauing sq. ft. of lot, sq, h of house, end all roofed areas 2 copies of plan (20% mazimum lot coverage allowed) 1 set of Energy Cakulations for heated ad 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & dedcs 1 set of Energy Calculations AddrUon - mdicate if onsife septk system 3 wpies of Tree Preservation Plan if bt plaHed after 711193 Rim JoistOehail OpLons selec4on sheet (bidgs wiN 3 or less units #7? a ? Offce Use Onlv Cert o(SurveyReoi _Y _N Tree Pres Plan Recd _ Y_ N Tree Pres Required _Y _N On-siteSepticSystem _Y _N Date 3 Construction Cost ? Site Address 6' UniUSte # Description of Work "'-7 Multi-Family Bldg _ Y? N S? Fireplace(s) _ 0 _ 1 _ Property Owner ShQ,l?trv? ? -Tc?V pQ?e ('SOY "' Telephone # ) Contractor V?US1,n R ? C ,,` G'1"Or C. Address ??30C-3 nk.&y _ City !?-:oc- L0. State n Zip j537 a Telephone #( '3(o0 - 7 I-7 L-( COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential VenUlation Category 1 Warksheet (q submission Type) Submitted • Energy Envelope Calculahons Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING • I New Energy Code Worksheet Submitted Y?-- N If so, 25% plan review Telephone f ( Telephone t ( Telephone # ( ' I hereby apply for a Residential $uilding Permit and aclrnowledge that the info that the work will be in conformance with the ordinances and codes of the Ci Statutes; I understand this is not a permit, but only an application for a permit, permit; that the work will be in accordance with the approved plan in the case of approval of plans. ation is complete and accurate; of Eagan and the State of MN d work is not to start without a )rk which requires a review and Co r-ec). ?0'4'r'z, nz App- li an Printed Name OFFICE USE ONLY Sub Types ? Ot Foundation 0 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Canst Width _ Footiags(new bldg) _ Footings (deck) _ Footings (addition) Foundaaon Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utitity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other , Total REQUIRED INSPECTIONS _ FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ....-r .rT_.. .. . . . ? p ' ' _ , EXTF.RIOR P:NVIiL01'E AVERArE "U" COMYU'PA'fION I i e r Address:__:-?-,??? ? Phone ? ? Date ;;al Description of Froper[y: Lot_-- Block J Addition o?CC l?- ? ? te Address_ AVERAGE LINEAL FEET OF t EXPOSED WALL ARHA ABOVE GRADE 1 in level Lineal rt. of framed wall above gradeAS?Lx height of wall ? ---,--- -- ? i m joist area Lineal ft. of rim x height of rim_ ? ,wer level ? Z`jt7 Lineal ft. of framed wall above grade::?o x height of wall?L?`?. Lineel ft. of masonry wall above grade?Lx height above grade V a TOTAL wall area above grade including windows and doars =J1? INDOk'S: Are X nU(U) (A): ske & type ft. X nU= (U)(A) n . n ft. X (U) (AZ'. ? ft.X ??U.. (il).ZA) ft. sq. ?? ?? ?L') (A ) ft. ?>rX? x ?'U"??y1 ft.==`?? u U n ? ??4 (U).(A). (U) (A) _ `.? fC. (U)(A) , ft. x ?UX flUn. ? _ 1,?{u? (A). . of ?p, sq. ft. XU11-- zS? ?(U) (,A) 11 . , ft.CEX (U) ?A) it . . ft. (u),(A) . ft. X ?? (U) (A) u n . ft. x "U" X nU= (U)(A) _q. ft• x U(U)'LA) ' sq. ft. _ sq. ft.?? Xx Ull _ (l') (A) ',. of n sq: ft.?X nUn = sq. ft.? ? )OORS: Area X "U" v81ue (U) (A) iake & type S1 sq. ft. X "U11 ,223 (it)(A) 11 11 ? ?sq. ft._?s ? ? ?_ 1 ft. 7! ?' t? X U??.-°.-?.?---= 2-- (U)'(A) sq. ?? .t.?.?- 7 ??-x'?S• _ (U)'(A) „ ,sq. fY.?.___?_ ?°L? 9.P?2 OPAOUE WALL CONSTRUCTION; Area x"U" value _'-x ?1;) (p) sq. ft.__________----- ??IU) (A) t. ? X „V??? (U) (A) ,ay,n?c 1? sq. f ? lletail refer sq, ft._ ??-??;- ence from mL L s ft. ??--x U 7-?- -- 9•?? (U)(A) k r-lt! 9? n?? (1?) (A) attached sq. ft. 1 dC? Xo U„?-= (tl) (A) sheets sq. ft.xX , L„ - (U) (A) aq. ft. TOTAL Wall Area Including ? TOTAL (0)(A) J? Windows & Doors - ? . AVG. °0" TOTAL (U)(A) VAGUES DiVIDED BY T'OTAL WALL AREA ?n -` , AVERAGE "U" Minimum .17 or less for 1& 2 family dwellings Minimum .22 or less for all other buildings v Code requirements, the,' *1nTF.: 1f avPraRe "U" values as calculated a6ove do not meet the Energ "Alernate Envelope Design" as indicated on Page 5 may be used. d.iiL J.. .C ti Tc_?View uio cl opa4ue K&11 aT6F i'or f'rawi mec.bere T ? FRAMING MEMBERS IN WALLS _ Exterior_ air,,.film.._.._ . _... . .. _ .._ _ _ _S i d in R.__._ ?_?_?- - -- - ----- -- - - - -- Sheathing q4Wsoft wood ___-__._ V" dr.y wall Interior air film _ _FRAMED WALL Exterior air film _ RIM, JOIST AREA Exterior air film Siding TOTAi R U= 1/R U- 'n Sheathin 1 " soft ? ? R-Value ,r - - - Z_o7 _ ? ,45 68 19.C .45 .66 i 2 ?- - ,7? --? 1.88 P1. ? .68 Interior air fi m ?l) TOTAL R U = 1/R U Siding ti Sheathing .aw batt insulation Y' dr wall Interior air film TOT.AL H = ?., "1 ?Z- U = 1/R U C'7 MASONRY WALL? . Exterior air film 17 ____._?- --- - 12" concrete bloc_K Insulation 7I interior air film --'?'S -' ' TOTAL R ? -'----- - ?- -? ?'7?'?-- - -. U = 1/R Ll _ ?? ( `F . -« , ROOF CSILING ---- r- -" , -?,?c ??Tj•j i :4'r T-- ?r --- U = 1/R r .61 _. -45 ---- .61 TOTAL R ?- ? U - ' C ?) uc: 7. >-- Outside air film __.61 _ Outside_airfilm Insulation - - ---- ? ? . - ------ - 11" Drywall Interior air f11m Insulation -_ _-_ _. _ _ - Drywall ,. Interior air film .45 .61 ? TOTAL R = U=1/R U° Outside air film ai,i 1 r nP-s'anfImLy -- - -- -- Insulation .17 __.r.33..__ .. Wood decking ---- ------ --- - '. ' Interior air film _ _.61 i ?. TOTAL R = U = 1/R U = ROOF/CEILING: TOTAL AREA: `Z2ni sq. ft. _ (U) CA) nU^ x sq. ft. - netail reference (II)(A) "Tv cr nU?? :1 .--, x sq. ft. irom above. U„---/---?- x sq. ft. ('J){P: DescYihe openings (U)(A) "u" x sq, ft. _ in roof _ nU,, x sq. ft. _ ('') (A) -,pt"x sq. ft. (L)(A) - ?fU" x sq. ft. = CU) (A) TOTALS A7?2? sa. ft. i 1. Z (U)(A) TOTAL (U) (A) VALUES a 2. AVG„L,,, PIVIDED BY TOTAL roor/ . CtiILI[.C ARP.A 12??`" AVE1tACE "U" .95 for ventilated roofs I N(YfF.: ,10 for all other construction If averape """ values as calculated above do no[ meet the Engeray Code requirements, 'the "Altcrnate f:nvelope I)esign" as indicated on Page 5 may be used. li) . ? ao' o" I _--- - ? i f .?• . , .? 15-G i , ?- -- - ? I!il? ; ? -??--_---- ?, OMCr. pEGy., • 2. ? 5r?. Piqr- ww#,ofi" uR? qr- Nathp, - i ?, ti,.,?rr?r'"'h ?wr-s'D I ee A.+ a?u?.a?ne wL.Y. -- ` ---a?... ? --- - -- - - - ---- - rvv i --- -=-- - :. ...-?.-_ _ . . y?, .. . 'f .F .•- , '- -' , ?'-.'4?2,E?R'? . , . 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' i ~ ~ ~ ~ i} ~ l" _ ~ ~ i' , f~, ~ ~ ( . > _ __.A , \ ~ ~ l~ _ _ / -r~ , I ^ ~ ~~~:12 . i ~ ~ ~ ~ ~ _ ; ~,~f i ~ ~ A'__ / - ' I _ _ _ _ ~ y _ ~ _ ~ ~ ~ ~ ~ ~ _ _ ` ~ i ~ / ~ ~ ~ ~ , - I ~ i ~ w:~= ~ t~.`r~:~ ut~.~ e.} ro'~ ~ ' ; ~ ~ ~>tr'1~ c~,} ; ; , ~ ~ _ , ~ ~k~ ~ r~~a~. V~'~, P ~ ' ~ _ _ ~ ~ ~ ~ : ~ -~~-5 - , - - ~ _T _ . . ~ ~ - ~ _ _ _ _ - _ _ . _ _ ___..L~ ~ _ - - :u~.:,~ F~" ~ I .R. _ _ ~ _ _ ~ ~ i ~ ~ ~ ~ ~ , ; ~ ~ {I ~ i ~ ' ii a~" i ~ , ' ~ ~ ; ~r c,~ ~ ~ , , E. i , _ ~ , • . , _ i ii ~ ~ ~f t ~I r - ~ - I ii . ~ C~ . . C~ _ _ I ~ , _ . . j 1 ~ / ~ / _ ~ ~ r ' , ~ 1~ . ~ . ~ . . ~ _ ~j~~ ~ q ( ~ ~ I - - . I i~ ~ , i , i - ~ ~dIE'. i. ~ ~ . ~ _ _ ii~ i~ ~ ' . . . . . . - ~ ~ ' ~ + ~ - - ~ r, I , 1 ~ • _ ~ 1 ~ II i, r _ ,1~; ~ ~ ~ I r r n . ~ ~ ~ IL ~ ~ . i ~ ._..w.: u.~. .m.~ ~ \ 1 ~ ~ , ~ i a~,~Eu, . j~~ , ~ I~ , G~"(v ~ ~ ! ~s t ~,~4,~~n ~ ~ ~ ~ ~ ~ ; - ' ~ I I ~ ~ ~ ~ i i ~ ! ~ ` ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i4( ~ ~ ~ ~ ~ ~ ~ I ~ ~ i~ ~ ~ ~ . ~ . . i ~i~fj r~i~~~~ ~p~! I' ~ ~ r -~~.!:~-'-~~.!.t ~ _~____r _ ` ~ ~ ~ ; ~ _ ~ ~ ; ; , , _ ~ ; ~ i ~ ~ ~ ~ ~ ~ ~ ( ~ ~ - ~4' I ' ~ ~ , ~t~~ ~ r _ ~ ~ {...~Fv}~~ . ~ P~'~,'~,_ - y,• . j }yt i~.:.`~`^~1~.t4+~ ~J;+'',4tv~";'.~A;rF"c'"f ' ~ ~ ~ ~ ~ - ~ ~ ~ . ~F ~ , ~ ~ . 3 ~ , ~ ' ~ ~'„~-~k ~"b~"~~~~ i . 4~ ` I t ~ ' : . ; ; _ . F _ , _ _ ~ i" C~~G~'i~"s,~ ~/.~,Cu~'.(~l~: ~`E?E:, /'f/' ' ~ ,,.r' ' j ~4 ; 'a~«~~.<M-.s~t ~Y~'~~ ~ : ; ; t i ; 1~1 ~ I i ~ "-~(G~G~ ~'-~S , ~ ~ ~ ~ ~ ~ , ~ ~ R ; ~ ~ ; ~ i ~ M~ 4~~ ~ ~ - ~ , ~ ~ , , ~ ~ ~ A~ t I , ~ ' . ~ , _ , _ _ ~ , ~ ~ ` I ~ , ~ , i ~ ; !~~4~ L.~J~ <~i,} -f{,E~, ~ I I ~ f . I :~~'~~l ~t~~3 I ~ ~ ~ ~ ( ~ ~ ~ ~ I ~ ; ~ ; d ~f ~ ~ ! I / , , , ~ ~ _ - ~ - . ' _ x , _ , . ~ ~ ~ , ~ µ F ; . ~ j ~ ~ m L~+ ~ . t ~ ~ ~ I . . _ . . . , . ~ . , . . I ~ ~ ~ i i ¢ I i I } . ..._..-.,_._~~._.,..___.~.,,~.r_ r . . ._.t..-...._._~~....~.,................ . y ~~,~...r..... . , ~ ~ ~ ' ~ a , ; ~ . 1 ~ 9j~r ~ , ~ . ~ ~'~`fi ~ w,,~~ ~ ~~~y j ~ ~ ; ~ ~ ~m~*n.a~a.'"°°"v.m.mrore~ Ymia rx+..r.....+"'"m'"o"mc+~ v...~.,.e.~,..'° ~ r ~ ~ ~ a .w~ j m~~~~F F.~wm~~ ~ ~ ~ ~ _~4..~Y~,~~.- , .~„~,,.~a_~~.~,,~~. ~ ,1~I , ~ ' ~ m~..~-~--~~ _ . . , ~ ~ , PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118037 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 4663 Parkridge Dr Lot:3 Block: 3 Addition: Park Cliff 2nd PID:10-56701-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Brockman 21210 Eaton Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Sheldon T Peterson 4663 Parkridge Dr 4663 Parkridge Dr Eagan MN 55123 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118874 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 4663 Parkridge Dr Lot:3 Block: 3 Addition: Park Cliff 2nd PID:10-56701-03-030 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. Heather Brockman 21210 Eaton Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Sheldon T Peterson 4663 Parkridge Dr 4663 Parkridge Dr Eagan MN 55123 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126918 Date Issued:09/16/2014 Permit Category:ePermit Site Address: 4663 Parkridge Dr Lot:3 Block: 3 Addition: Park Cliff 2nd PID:10-56701-03-030 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. Brian Jacobson 13305 Penn Ave S Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Sheldon T Peterson 4663 Parkridge Dr 4663 Parkridge Dr Eagan MN 55123 The Plumbing Guys P.O. Box 2066 Burnsville MN 55337 (612) 746-5545 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151639 Date Issued:09/05/2018 Permit Category:ePermit Site Address: 4663 Parkridge Dr Lot:3 Block: 3 Addition: Park Cliff 2nd PID:10-56701-03-030 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 - Sheldon T Peterson Tste 4663 Parkridge Dr Eagan MN 55123 (651) 357-2122 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinoinspections(citvofeagan.com Date: f For Office Use REG ET SEP 2 7 2019' Permit #: / Sff/7 y Permit Fee: /:?2. 9 Date Received: Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION c%".) -i -f 91 Site Address: /66 ` P@'1(11) c 4 G ‘h /.? Unit#: Resident/ Owner Name: J4 4/01t1, -k f e' 11 -".k+ -N Phone: Address / City / Zip: L/66'3 A/11' %' o/r Applicant is: Owner Y Contractor Type of Work Description of work: l ePh c +c 4...01- 14, 4, `J/{j Construction Cost: 12 OW Multi -Family Building: (Yes / No X ) Contractor Company: a 4 ofn « (c., 3t4,-(4•1 .r•• c Contact: T i •Address: /0' &/ ..t �,,,,'� 9 ,�� ti -,,City: 8/ear",:-0 ,4.., State:AA/ A/ Zip: 55 V3 / Phone: 9SJ-y3/-5s'2' Email: S'1 i&',K c t. rr Q�A �odG'v� � , ASA 3 % Lead Certificate #: T- //' 6 f3 License #: k_-O96£t'11/.4 If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not • 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 x e era r� iN 4 lei !1' Applicant's Printed Name x ignature i-ftt 3 .DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation y- Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% fes) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level rkrt��.e or Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair itYfi REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows _ Egress Window _ Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous _ Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy T,� 4_1 Code Edition Zoning Stories Square Feet Length Width Azi114- 12- MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required Backfill HVAC _ Service Test Gas Line Air Test Hood Pool: _Footings Air/Gas Tests _Final Drain Tile _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: t` 1/) , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL -23 27 if y 41-1 Page 2 of 3