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4670 Parkridge DrCASH RECEIPT ? . ? ? CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 neceiveo ' FROM AMOUNT $ ` I DOLLARS 100 ? CASH [] CHECK ? P 01+ FUNO CODE AIADUNT Thank You ? White-Payers Copy Yellow-Posting Copy Pink-File Copy - A SUILDING PERMIT ? -"AR Rece+a # $11n,0d• . h„*? Z ... ; Site Addms Erect LJ Occupsncy Lot Block 5eclSub. Remodel ? Zoning Parcel No. Repair ? Type of Conat. Enlarge ? No. Stories Mova ? Length ? Name v Demolish ? Depth Address Grade ? Sq. Ft. City Phone Install ? tt Neme ul Addresa ? City Phone 1 hereby ocknowledpe that I have read this application ond stote ttwt the information is correct ond agree to tomply with all npplicoble State oi Mirxwsoto Statutes and City of Eagon Ordinonces. Sipnoturo of Pertniftas _ A Buildinfl Permit is issued to: all work sholl be done in ocoordanca with all cpplioable Stote of MiN Buildinq Offlciol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 454-8100 Assessrnent Water a Sew. Polite Fin En0• Plonner Coundl Bldg.Off. ' APC Var. Date Permit Surcharge Pian Review. S/1C Woter Conn. Water Meter Rood Unit Parla . Total on the expras cwdiNon that Stotutes or?d City of Ecpan O?dinanus. ??Q?S P?rmit No. P?rmit Holdx Dat? TN?phone # ???„a? 6 S? 3- H.VA.C. 5?P? ?6 E E?.?.?? t k? a ' d `? I X?' g2??3 ? Irtfpaction Dats Insp. Other Footinqs ?y Foundation ? • Fnmin9 Roof Iny RouOh Plbo. Rouph HVAC . Inwlation Fm.l Plbg. G. v2j F i, P-l Final HVAC Final Cw't/Ox. Waur Wscribe location: NNII Sewer Pr. Ditp. --? Reaipt MECHANICAL PERMIT Psrmit N CITY OF EAGAN F? FiII in numbered spam S/C Type or Prinr /egibly Tot. ' 1. Date 2. Installation Cost 3. Job Address ' Eot Blk. Tract 4. Owner 5. Contrac 6. Address 7. City - 8. Building Type: Residential 0 9. Work Description: New O State Zip Commercial ? Institutional ? Add O Alter O Repair ? 10. Describe Fuel TYpe 11. No. Fpujppept BTU - M. Ea. Forced Air No. Eauiament CFM Air H diin : W9• y an Boilers Mfy. Mech. Exhaust Unit Hester Mf9• Other Air Cond. Mf9• Gm, P'iping Outlets 12. I hereby certify that the above information ia true and oorroct, end I ayree to comply with alt ordinances and codes governing this type of work. Signed : for Rouyh F fnal Inspections: Date Insp. Date Insp. This is your permii when numbered and approvad. Approved CITY OF EAGAN 464-8100 . ?s?l;. Reaeipt ?- ' PLUMBING PERMIT ? CITY OF EAGAN FiII in numbered spacas Type or Print /egibly 1. Date ` '• ? 2. Installation Cost ? . ?. 3. Job Address?- 7t..' Lot = BIk. .; . 4. Owner.?"?- j•.-c'i ? ?- ?. _t??-?---.? 5. 6. Address 7. City , 8. Building Type: Residential ? Perntit No. -?-- Fes S/V 1 Tot Phone ?'?'?„'_,?-,:?`,: ?r.; ' , •? State Zip Commercial ? lnstitutional 0 9. Work Description: New ? Add O 10. Describe 11. Alter ? Repair ? No. ? Fixtures Water Closet No. Fixtures C l/D i fi l 1 Bath tubs esspoa ra n e d Septic Tank ? Lavatory Softner Shower W ll ? Kitchen Sink e Urinat/Bidet O h Laundry Tray t er 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 alt ordinanc,= and codes governing this type of work. , . Signed: ?.•a.?-c?_?'-;j.for Rough Final Inspections: Date insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Addition pARKCLIRA 2ND ADDN Remarks Lot 8 aik 1 Parcel 10-56701-080-01 street 4670 PARKRIDGE DRIVE state EAGAN MW 55123 Improvement Date Amount Annual Years 95 Payment Receipt Date STREET SURF, STREET RESTOR. ' GRADING SAN SEW TRUNK 219.75 C010409 6-2 -g SEWER LATERAL WATERMAIN 77 7.04 21.1 If of WATER LATERAL WATER AREA 7 STORM SEW TRK Ia 1984 642.60 128.52 5 5.56 STORM SEW LAT i'j O 1983 283.60 56.72 5 113-44 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. SM) n n BUILOING PER, n n SAC n n PARK I ? k- ?? ?- ?.. CIY r o: EAVAtJ WpTER 3ERVICE PERMiT 3830 Pilot Knob Road P. O. Box 21199 PERMIT h10.: ? Eagan, MN F51 s1 DATE: Zoniny: '-? No. of Units: OWI1er: r)ZSIDYLi re,torsnn Tn Nddross: Sits Address: 467p p-ar',ridF e. ilr ive r.ts r,t rr'K ct i ff 2 Plumber. }' 14ta AAeter No.: Conneetion Chcrye: 5-: t)_!lQ R?.! Size: Acoount Deposit: I5. ??n pe_ Reoder No.: Permit Fee: 1 ,)nd 1 ym to aanply whh tl» Citr of Epwn Surcharge: . 50 ,d Ordi.esaw Misc. Chorpes: 1 .00 Fd TotaL• 61 _ 00 „d =o* Pr By Date Paid: Dote of Insp.: Inep.• _ , . ? . . ? . ? .r?. . „ CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21133 Eagan, MN 55121 Zoninp; 21 pwner: ')2mun Address: Site Addr Plumber: rban SEWER SERVICE PERMIT PERMIT NO.: 7 `? ,._--•, DATE: No. of Units: Z 1sqne to wmply wilh Mhe pry of Eww Ordinasas. Rv Dote of Insp.: ? ?? ? ?F Lr•671t1A ConnecHon Chame: 425. 00 pd /lccouM Deposit: 15.00 pu Aarmit Fee: 1 C. 0 ') v d Surcharpe: .59 pd Misc. Charpes: Totol: Dnte Poid: 3830 Pilot Knob Road P. O. Box 27199 PERMiT NO.: Eagan, MN 55127 DATE: Zoniny: No, of Units: Owner: - Address: `$ite Address• _ ? ? ?' •? r???I? ?f#?;??i(iA?i ? 4f4''' 1?1li1 ItlfpSir ;' 1 ' _ : ruumber: MeMr No.: Qior tzedor : ? ? t No.: ? (S L ;U 7 d ?-?- Permit Fee: • ?' = I yrot to oanPy wielk Ilw City of Eoqen Surchnrge: Oril"ncru. Misc. CFwryes: 132 ,00_? TataL• F'1_ QQ By Dar. Po1d: Dcte of I nsp.: ? I nsp.: ??, S __ BUILDING PERMIT r_ " ....a i,,. SF CITY OP EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55721 PMONE: 454-8100 RecNpt # _ 116.000 n,,., APRIL 2 19 . 85 4670 PARKRIDGE DR Erect [X Ocwpency R.i SiteAddrm $ 1 PARK CLIFF 2ND Remadel Q Zoning Rl Lot elock SeclSub . Repair ? Type of Conrt. C7 Parcel No. Enlarge ? No.Stories OZMUN-PEDERSON INC Move ? Length 63 Nme Demolish ? oepth 36 ? Z Address 15136 GALAXIE AVE Grade ? Sq. Ft. City APPLE VAL phone 431-5000 Install ? ? SAME APprovols Faas F Name Address ? City Phone ?W Name i? Address Z i tu City Phone I hereby acknowledge thot I hove read this npplicotion ond stote that fhe inlormofion is correcf and ogree toyq mply with oll apDlicable $tote of Minnewro Stotute?ond ?ity q(,fp9pn Ordinonces. Assessmenr WaMr $ SeW. Pol7ce Fire Erp. Plonner Council Bidg. Off. 3 Z 9 APC Var. Oate Permit '" • ?_ SurcMrga 5 8_ ()0 Plan Review 736_ 5 0 SAC 925- ? O WaterConn. 5(10 .OQ Water MMer F. Z!1 Q Rood Unit---2$,Q..ro O b#XT_P_ 132_00 Total G9,26;7 FQ Sipnature of Permittee ?? `? ? I A Buildinq Permit Is issuen M• OZMUNADERSON INC . on tha express conditbn 1hal all work sholl be done in acwrdonce with o?l /,e)ppliwble St of innewta Statutes und Ciry of Eapan Ordironcas. Buildinq Officinl N2 10025 _5'D5%7 6((,20 REQUEST FOR ELFCTRICAL INSPECTION Ee-00001A4 ' See iastruetions (or completinp ehis form m baek of yellow copy. 828 8-43 "X" ge/ow Work CoveTed by This Request ?I?? M Fee ServiceEntroncaSize p Fee Peeders/SUbieeCers N Fce Cvcwts f /2 0 to200A s 0 to30Am s ) ??.? to30Am Above 200 Amps 31 to 700 Amps 31 to 100 A Swimming Pool AAove 100_Amps Above 100_Amps Transformers Irtigation Boorrs Parual'Other Eee<. Rerre,ks Sigis Special Inspection TOTlGL FEE? Il ?'' L.••• ?'y^?M/v / ( I II ! 4? I1. the Electncal Inspacbq hereby cenify that the above Final insPection has bcen ? ? meda. This request vold 6 1 ? ? ?.?"Rgl 3 ` ?f 6( 5-13-SS P&,k 5 y.S (-) Re.QUwst Date J I 7 Fire No. Bouah-i ir¢d> Yes OecGon ?NO ?p¢aAy N Will NotityInsPec- ??, When Ready Licensed eclrical Conhactor I hereby reQUes[ inspecHOn of above Owner electncel work iretalletl at: Slreel Atldress. Ba%? or Roare Na. y ectio o. 7pwnsh,p Name w No. Ranpe No. Coua Y V? Occupant INtINTI Phone No. ? ?/." 1-13 Po er Su oher A d es ? I EI 7 1 Co r etor (Co pa ama) Z Con aetnr s Liee;nse? . r i1i.8 Atldress ICOn ctor w Owner ki ,Insiailationl ? Au arizetl Si ture (Conva r king Inst a[ioN Phone umber . . . . _ . _ . _ . ? YINNESOTA STqTE BOARD OF ElEC7RIC17Y THIS INSPECTION REQUEST WILL NOT Griggy-Midwrey Bldp. - R. N-797 BE ACCEPIED BY THE STq7E BOAND 1821 Universily Ava., St. Paul, YN 55106 UNLESS PROPER INSPECTIDN FEE IS Phom 16121 29]_211t ENCLOSED. 5?? g I REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°''°°? ' Sae irqtrmtsons for complatirg [his imm on baek o/ Val low coOV. 0 H 8 N "X" Below WoU64g&twed by Thfs Request if BuitEinO Aopt.angpe WireC Equipment Wired Range Temporary Service Water Heater Liyhtiny Fixtures ildmg Dryer Electnc HeaUn cial Bldy. Furnace Silo Unloader iat 81Ag. Air Conditioner Bulk Milk Tunk o:nr, oe? v otnF, tsourifvi yec.fy ther Oiher Fee Be/ow M Fea ServiceEntrenceSize d Fee Feeders/SuGfeeders N Circuits 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200 Am s 31 to 100 qmps 31 ta 100 An4ts Swinunin Pool Above 700_Amps Above 100_Am s Transiormers Irrigation Booms ParLa6'Other Fee Sigis Special Inspection ` Reme.ks 5 fb •?j TOT lO / I Me Electr,cal ? / ? Inspacbq hewby tertiTy Ihat fhe above Final . Date[ msPeetion has Ceen . .? ?' ?tl v made. This request witl ? D Q 0? ?7.?A 2 in L? ?? I ?__? l-(-( -? -8?5 Y '0 'l\ 1 () . 0 V Rea v Now -II Notily InsDer.- ?//( Q9es ? No ror When HeatlY ?cem„ed Elec[ncaf CnnVacmr I hereby requast inspection of above Dwner " electrwal work mstelleA aL Stree Address, z or Houie No. C'ty 4J ? ecUan o. TownshiD Name or Hange No. C. ny W ? Occu 1N a:Mn t I?M 1 T) Phone No. ? ? ( ? / y ? -SupDieer Address ? r? r"aru 7` u Electrical Convaclar 1 L/?- ICOgmpan -*mel Contr. ctos'.c/L?icense? ?/ ? O L? ? CLJ [J Mai ing Address IConVactar or Own¢r Mak np Instailatwnl Au ori Sienamre ICO ac or Owner Ma inq Installationl ??? 'L"/U;f4u - Phone Numbm L/ 5 a-s?av YINNESOTA STATE BOARO OF ELECTflICITY TNIS INSPECTION REQUEST WILL NOT Grigps-Midway BIAg. - Noom N-191 BE ACCEPTED BV THE STATE BOARD 1821 University Ave-, St. Paul, MN 55104 UNLE55 PflOPEN INSPECTION FEE IS E N C LOSEO. PbM (672) Z97?111 ; ,pCivA 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 CqlLk-d- New ConstruIXion Reauirements RemodeVReoair Renuirements Ofike Usa Onlv 3 registered site surveys showing sq. fL of lot, sq. ft of house; and all roofed a2as 2 wp'ies of plan Cert of 5unrey Recd .. _ Y_ N (20%mazimum iot coverage allowed) i selof Energy Calculadons forheated additbns Tree Pres Plan Recd Y N 2 copies of plan showing 6eam & window sizes; poured found des(gn, etc. 1 sfle survey lar addlGons 8 decks Tree P2s Required Y N 1 set of Energy Calculations AddRlon -indicate if onsife septic system OmeBe Septic System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 111193 Rim Joist Detail Optlons seteaion sheet (bu0dings with 3 or less uniis) Date ? Construction Cost I? O? r Site Addr s'?CO7(?i Unit/Ste # ??, Description of Work J Multi-Faroily Bldg _ Y ?N Fireplace(s) ? 0 _ 1 _ 2 Property Owner Telep6one # ( ) Contractor rLLfi{,JlLQ ?lj?' Address ?CJ(9(P UrLP State 161 A) AJ?PLJ CiTy RE op Zip GJ5_ ??_ Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -"' Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Cafegory 1 worksheet • New Energy Code Worksheet (4 submissiontype) . Submitted Submitted • Energy Envelope Calculetions Submitted Have you previously constructed a building in Eagarrwith a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone # ( ) ? Telephone # ( Ti ? I hereby apply for a Residential Building Permit and acknowledge that the informati is? e and accurate; that the work will be in conformance with the ordinances and codes of the City of y d the State of MN Statutes; I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work w?ich-necjkres # re%iWw and approval of plans. ,'? R?j L... ??u'ep' Applicant's Printed Name ? OFFICE USE ONLY Sub Types ( -`a ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF [1 04 02-plex ? 10 08-plex x- 18 Deck ? 23 Porch (screen/gaze6o) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pIOx Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 71 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Afteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entfre Bldg) - G ive 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 Const Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: 2 REQUIRED INSPECTIONS Final/C.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i-"" ? 14962t'? ?17v - Y i ' , _ _ ? . ? -?? - • • ? _ 4(oT0 PfkRK9106E t7RIVE M N_ 5 51'L, 3- -i i=o G ? ? z ! 1 g4 VIEEGK oo-. . L joJ Q <I Y ? --^ £tx. c?E • 1'4? ? i f'HY.FGE ? -? 1G ??. ? ' ---- - - ; r ? ? . 4P?'? 1 ?. ? ? 6- ?-- n? _g d 'A p L07- F: .d?nr LoT 6, LLc*ctc I, PARKc-r-/FP .7 "f° ADL 1 Tf ON MA ?. 0-51 scA%L.:t> r"-zo' RESIDENTIAL ? BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Construction RauuiremaMs • 3 regtstered sile surveys shovring sq, fl. of lat, sq. R. of Iwuse; and ail roofed areas (20% macimum iot coversge allowed) • 2 copies of plan showing beam & vnrMax s¢es; poured found desgn, etc ) • i set of Eneryy Cslculations • 3 copies of Tree Preserva6on Plan'rf lat platled after 711193 • Rim Joist DNail Opdons selection sheel (Wdgs with 3 or less unib) DATE SITE ADC TYPE OF STREET ADDRESS( 4- d S 1ELEPHONE # CQ67 cFS 7601'CELL PHONE # PROPERTY -4 5 od [ULTI•FAMILY BIDG _Y :::-? FIREPLACE(S) J 0_ 1_ 2 FAX # O'd .. ZIP TELEPHONE# ------------------------ ------------------------------------------------------- -------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MI'VNESOT:1 RliI.ES 7670 CA1'EGORY 1 iVIINNF.SO'fA R ' " (d submission lype) • Residential VenUlation Category 1 Worksheet Submitted • D?„7+e(g?r ?de?N?sIE • Energy Envelope Calcula[ions Submitted ?C' u n ?uN 2 5 2002 Plumbing Contractor: _ Phone # Plumbing syslem includes: Wa[er Softener _ Lawn Sprinkler _ Water Heater _ No. oF R.I. Baths _ No. of Baths Mechanical Contractor. Phone # N'lcchanical system includcs: Air Conditioning Heat Recovery System Sewer/Water Contractor. Phone # ° ----------°-------•-------°-------°-°-•--------°--._.. _.... _ I hereby acknowledge that I have read this application, stat? with all applicable Stpte of Minnesota Statutes and Cliy of Signature of OFFICE USE ONLY RemodeVReoair ReauiremeMS ? . 2 copies of plan . 1 set af Eneryy Calculations for heated addiUOns 7 site survey for exnerior addidons & decks ? . Indicate rf home served by septic system for addi6ons VALUATION Pee: $70.00 ---------------------------------- is correct, and agree to comply Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 ,NT,Oe- 155e ( W in/?irl?rl ? ?l?i2C. OFFICE USE ONLY 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water _ Final ` Pool _ Ftgs _ Air/Gas Tests _ Fmal _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By 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 Building Inspector Total , o . :, ,73•+ se• + 236• + 2?•5+ 500• + 63 • + ?_80• + 7-5?.+ 'fG67°5* , m t •- ? ? ? ?- 1985 BUILDING PERFIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS tLUST BE LICENSED NITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: SFD Valuation• ((ro,cco. ¢` Date: V Site Address: 4670 Parkridcie Drive OFFICE USE ONLY Lot: g Parcel tk Eaqan, MN - Block 1 Sect/Sub Park Cliff Erect 2-n-d AM. Remodel Repair Enlarge X Owner Bradley J. &.Nancv'C.,Kennison Move _ Demolish Address 13599 Fexris Ave o Grade City/Zip Code Apple Valley, MN 55124 occupancy 12-3 Zoning Type of Const ? 11 of Stories Length (03 Depth Sq Ft Phone 431-6645 APPROVALS Contractor Ozmun-Pederson, Inc. Assessments Permit G?'? ? Water/Sewer Surcharge ? Address 15136 Galaxi.e Ave Police Plan Review Fire SAC City/Zip Code App1e Valley, MN 55124 Engr Water Conn 5(29.°? Planner Water Meter (0'3. 00 Phone 431-5000 Council Road Unit ?, Bldg Off 3 ?5 g'S parks Arch./Engr. APC Treatment Pl 1'?Z N Address Variance TpTpI, ?o 6 /? 5/? l/ City/Zip Code Phone 11 3Zx?c=? 24 x Zz # fZ? K 32Z x ?2g, x ?¢-44?z8 ? . At 5?oa 3 Z.x 28 ^°o G? n?c -3673(?, 2o 4 K4( l??j?-z 4 ? . ? I -! 1,_o' ..`, ? ? ? i ? i i r'. ? ?h_• C v '-(-) - T +' P ' A!,! j_UT 6, LtoCK 11 PAKK44-IFr ?,v?' ?Di?IT10N MA?,Z:?, 1785" sca??? r'=zo? " ? ? ?21 ? ? % 0 m ? i ? p • -'S'r ?_ 7 ?1 ? p21'?a! ! <I ? - 2'"r ?.?' . 2/sa CITY OF EAGAPd APPLZCATIGN FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASt PRINT) 1) PROPEA'I'Y ADDRESS: ?46 7 O U 0. h- Akhi &e D!^, LEIGAL DESCRIPTICN: (Int/Blo ck/Subdivision or Tax Parcel I.D. Ntanber) IF E{IS'='=C', STRUCP,JRE, DATE O£ ORIGIIML BUILDZNG PE-IIT ZS&)APcr: .?., lMor:til,'Yea.r) .?. f; PRESE.*7P Sc'.'7I?ZX:/P!a7POSED LTSE: ?KR-1 Sn4GLE FAMILY O R-2 WPLEX ('IWO UNITS) E i O R-'i 'tC"Fmrr rI^!oqT . •*n,"^ct I "*t7"? O R-4 APAFYIlMffNT/CaZa4INn" t UNI15) p OObfgIiCIAL/REtAIL'CFFICE Q IIv`DUSTRIAL p INSTI'!SJ'PIQ9AL/C'?OUF3NMffSiP 2? ?PLICANr (PLEASE PRINT) NAME: _ ADDRESS: 7? 1?•?.i h? crrsc, srnTe, zIP: ?} n ?, /? • ?/,, //.? ?, Af s s- i PHONE: 3? P?? NAME: )PL ASE/ PRIMT FOR CITT USE OII?.Y 9= .1 n - PLUM9EPS LICENSE: ADDRESS: Actire CITY, SfATE, 2IP_ 'f vL cermi {'?. y ExDired _ ?,F, Nok of Record PI-KXdE: !//?3 -d73t; DLIlNBER IICENSE p a ni ia 4) O(,'CUP74'vT/dI+'i•IE32 (PIEA* PRINT) NNW.: _Ee?(?a.t"r • •? .Z•vc?,_- i _ ALUI2LSS: CTTY, SI`AT6, 7,IP: PFiCNG: 5) INDICIITE WfiICH PFRIIT IS HEI2x; Rf7QUE.STID: ' M-CCINNIX."1ZON TO CITY SDTER • ?- Q7NNE7L'TION '1D CZTY WATLR [] C7I'lD12 (PLL'ASE DF.SC."RIBE) 6) :'?SE fi0?1) APPRCTJEIJ f?E'f?11T tt7l2 P1CF?-L1' f3Y ONE OF F180?'?: ? I't f'11?1.SL: MAIL APPRO= PF1',?Il'," 'tU 1, 2,0 4 ABOJC (Circle one) 7) s.c:X1.-?E: - - - Daae: ??l b:R.?MJlJO:! i!! tl.gfaf?! t i'1t piY?# ii Ilq i iia:i:l? a!!!!'.?1?yla 1r S???i?igi? t . FOR C I T Y U SE ON;,Y ? PE2MIT '-` ISSUED FEES: $ $ $ !a-3 S S $ $ $ $ $ $ $ $ S°;^iER TJOT;\RT'y^ (INr_L:;nE sua=.RC_?) WATER PERU4ZT (IiICiuDE SuRCFIAc'2Gc,) WATER METER/COPPE?2HORN/OUTSZD° READER WATER TAP (INCLUDE CORPORATZON STOP) SE'.dER TAP ACCOUNT D.F,PpSIT - WATER WAC SAC TRliVK SVATER ASSESS:-IE:1T TRli:7K SEWER ASSESS:IEDiT LATr.RAL BENEFIT/TRUNK SE[•:ER LATERAL BENEFIT/TRUNK WAT°R OTHER ' $ TOTAL $ •?.1?/. °-? P,MOU:IT PAID/Rp,C°IPT 7 OOES UTILITY CONUECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR 'AOR?S WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSION. LIST AS A CONDI- E2 TION_ SUBJ£CT TO TfiE FOLLOj4ING CONDITIONS: ' APPROVED BY: cee-D TITLE: ,1/e ?J DATE: --6- /?s'- ft s:M 0*:Mo wt v:96 MW? ac= pa a*?+ Ors wMw sog wsg w_a RW wGW?W 6a" w.-M wE M sa s?W Maa WkWwt NWr wM ?----- ? l •r-•` i 2/84 CITY OF EAGAN ? Illq APPLICATION FOR PERMIT SEWER AND/OR WATER CONVECTIODT (PLEASE PRINT) 1) PROPEr1I'Y ppDRESS: r.Fr=+L DES=?TICN: (Lot/Block/Su:ciivision or Tax Parcel I.D. NLurber) ? u.-..:IS=-G S'?;oC==, Dr12:. 0F ORiGi LAL 'r.i;IL7I:.G ISS,:r ?C : _ . PPESr-`..T --.,7=T,/-PaOPCSZD C'S: O R-1 Si1:GLE- FP'sSLY _--az, ' ? R-2 DUP= ('?:tio L^?ITS) ? R-3 TCf.vi?I'-?^LSE (mr= + L'::ITS) ( Wi I'^S) ? ic-4 t7NIT_J) ? CCMn1ER=/RE.TP.II,/OFF'T_C-z Q ?1'DL'Si?2I.?S, ? NSTI':LTIC:IAL/GOVE.$?!ME:?;T 2) AIPPLICL?+'P (PLEASE PRt7ii) NAi•? • AEDIRESj: CIi'Y. S'?'ATE, ZIP: . PAONE: 3) Fj,Z,:'?P,F;,v I?' IE : (PLE,ISE PRINT) FOR CITY USE OYLY A.DpRESs. PLUMBERS IICEYSE: ?. ? Active CITY, STATE, ZIP; 0 Expired PfiONE: A3 "?' Q Not of Record PLU,YBER LILENSE ft afr lnltla NAME: ADORESS: CI'PY, STA'I'E, ZIP: PfiO`1E: 5} 1NDICAiE Lv'HICH PERidIT ZS BEING RDQUESTID: ? CONNECTION 'Ib CITY SES9ER ? CLNPIECCIO;V TO CITY WP,TER ? ?'[ER (PLZ']1SE D.SCRIBE) 6) P,:DIG,.? C.ir.: ?R[uJt YHlii1J ? PI.= ASE I:OLD APPRCJVEp PERMST FOR PICIC-L'P BY O:IE OF AEGVE ? PLEA-5'E 6aIL APPR9,71) PEPMIT TJ 1, 2. 3, 4 AFpVE (Circle one) 7) Sm=?'IT,'Rv,: DATE: PLUNIBING (RESIDENTIAL) Permit Applica6on City Of Eagan ('-7 Q?r-i? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts aze required for each unit Date 17 / 4? Site Address 2?2 ? f(?( E' Unit k Property Owner Telephone # (? ) Contractor 41 Add z- Cit ress y State zo- Zip -?Telephone # The Applicant is _ Owner ? Conhactor _ Other Sep[ic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Eaisting Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of sepGc system _ Water turnaround (+ 5l8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? Water softener _ Water heater $ 15.00 ? replacement _ additional ? - l $ .50 State Surcharge . ? Total L- $ I hereby apply for a Residential Plumbing Permit and aclrnowledge 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 Plumbing Codes; that I understand this is not a pernut, but only an applicarion For a pernut, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case f work which requires a review and approval of plans. 4-1 A?anYs Prited ame pphcanYs Si ature C1tleS Dlgl ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. , I.?'PI'.I:IUH I?"JVFLOPE AVERFlCE "C" COMI'U9'A9'tON - ' Ad?ress Thc?rie -- -- :nti°r J I- .,, h_f`lnl ----------- ?---- - ? ----- ------ ---`- , - - :g.,1 D?1 .1?' tiiptiOn uf Proper[V i!( =ddress l.ot `C? Block ? Additionle? Llt?rJ??7C?IY--l)ate_':??-?._??,5 --'.' AVF,RA(:E LINEAL P1sET OF EkPQSHU WALL ANEA ABOVE GRAUF. ltl lBVBI -4:1 '. ! ineal .'*_. of framed wal: abnve grade_/%'. x height of wa11 _ -__----'=?'=--- in jcisc araa Lineal ft. of rim x height of riw _ i_` ---- / ower level ' 1? I.ineal Ft. of framed wall ahove grade ? L. x height of .------ Linedl ft. of ma5nnry wall abov e gradex heigh[ above g.rade ___-___ --_----_---- TOT'AL wall area above grade inr_ludin g windows and doors ?C:UOL;S: Area x "U" value „ _ U„ , -- -(?'?)A take 6 type ., ? -- -=-'-1==- yq ----- ==-- ? f.t -- ' - -- Ul. ? = U lA ) _sq. ft. ~ X ? -- ?? sq. ft._ ' 4? ?X ? ??= ? l A) sq. ft. x I U I U ?tl')(A) sq. ft. x l ?(U) (A) n ,? -- 5._ sq. ft. -n x . ? (lt) (A) ?2 -4 sq, ft..- , ? " x -- ll _ 'l ---(U) {A) - -_ - - - -- sq. ft.- X ----- U - " Cl1)(A) sq. ft. x X U 'lUll _ (i!) (A) sq. ft. -__ "LIt _ _____(P) (A) --- -------- X lt" " (U)(A) ?, ?? - sq. ft. x ? ? x - ?(P) (A) ft. (U)(A) ft• X U (i')(A) lsq. ft. x -: - "U" -' (U) (A) - ----54" ft.- -------- x (l')(A) ?? - ---- --- sq. ft - X "Up, -- ?(L')(A) - ------ _'9• ft.? X - - ?; ,-_, - ? ?,?? G•' G? :0ORS: Area x "U° value r f t s z0,z5 x )( ?66 t A) „ull (L L - ---" __ -- y,ike b tYPE _ , ,? .,..:? •,,. _ ._ ? q. --- -- -- < f t. ??q. ?- ._ r ?u,_?, ?o x ? ll . _ l , . (ii)(A) , (D) (A) ..L : _ . . : _ _ .. ?l?? < ? L - sq• f t. _- _ . - ---`'??-=?? -X T- ????? - -• _`I''-_ • _--?-- . ._. --?1'.) (A'. ,. ,. . _ . . ? ------------ sq t. - ---------- - ----- --- ?:5 ,.?. .. •• " 011.",0UF ldA1,L CONS'fRCCTION; Area value • U x ? x "U" (i!) (A ---- - % ? f t 5 -?z5 x _ (U)(A ? --- . q' .__ --- _ ??U??' ?l')lA ?r ?-?ai1 r. _59• Ft._ X -_ X (l')(.4 ? .?ucr frc,m `?=--- sq. ft._ 7.3,0 ll .l ? (?`)<A ::t[ached - ---- sq. f X ?r- - _---------(0)?A sl?eets -------------- --.??_ sq. ft. - _ x --- U - nLr?i ' ------"(U)(A _ ---- -- - ---------- f t . sq. ---- -- - X ? -- ? - -- 1 ?, ?, J `? i ? `a ?, ?- iOTaL lda li Nrea InciudiuK TOTAL N)(A) {Jin?lc?ws & Doacs )'1'AL (l;l ( :a)_ VP.I.Uf:S AVG. V I 1) Gf) BY "]'l1T.AL WA.LL AHI:A J, ? ? iJ2:iG1> >finimum .17 or less fur 1 S 2 fami ly dwellings Minimum .72 u r less for a11 uLher bui?dings = de C requirements, the I 'U " values 'Is calculated ahove dn ' not 1fiecG 1he o Energv i ',^.I .?? ?•iaRe . ,,„ir.c i.nvrlopo flesign" as indic:it??d nn Page 5 m,,y bc• u sed. To Vieu ? ? o1 cpa4le aail are2 f'cr i'rami metcbera 11 ? . i siain$ r? .- Sheathing ? x?5 -t _ _ ____ 2• ?_.? t?..??7 iw sofc wood > y2 -s?-?-----?+h.^ if " dxy wall • _ _ .45 _ .-.-...r-. Iptexl9r air film _ .b8 Sidin¢ ti Sheathing zs?32r ' 7` 6 6 ?-" batt insulation 6 .43 , 11" dr wall - - .68 Interlor air ?i?m U ° 1/R _ RIM_ JOIST _AAfik Exterior sir film SidinB ylt/I PA n1/L-17 . ? Q 8 - Sheathin ' ?...-•--=-?a ?""-_ 1 sof[ r, f q. Jl7 I ? .68 In[erior air fi?- - TOTAL R= Z Y•? 7 u = 1/R U MASONRY WALL_ 17 Exterior air film I=-=S-- -- 12" concrete blocK ---- Insula[ion Y-Lj-[, j) r1l?G /,r (1) FRAMING MIIdBERS IN WALLS --T- Exterior air._??lm,._---• -_--. ..._._ _. _: T_.._, . .17.. _,.._ Interior sir film TUTAL R= 1 O,I O . _.._..?.-?--_ _ . __-_... . . u=i/s o? ,0,9 ROOF CSILING ,- ??. ,. ??'/'??i I I ll : ? _.Outside_air fam- _ .. - ---- - ' ?Q l db Inaulation c C%? 11" Drywall .45 Iaterior air film T .61 T4TAL R - 4-1, G 1J u outaide i* f?? ^'.6l, Insulation .l?3 1g?? Drywall Interior air film TUTAI, it ? . . ...._ U a 1/R ?.._.----?---- Dutelde sir .17 - ? Euilt--UP.?f? /- Inaulatimn_ --- ?-? ? t ????i? ' ? - "---- , ROOF/CLILINC: 'f'GTAL AREA: _ netail reference from ahove. r,escribe openings in Youf -- POTAL (U) (A) VALUES D1VIDED BY TOTAL RUOF/ c:LiLIt:(; AREA Wood decking_ Interior sir f11m .61 TOTAI. R ° U = 1/R v- SQ' ft. ??llT? ' x ^ sq• ft. ? ..-- (U) ?A) llUls-? x - sq. ft._ `-------"'"'(U) U) ? x sq. ft. °._------ ? (L) ?A) X sq. ft.- (A) „??? x sq. ft. - (A) (L) ? 'T.U" X sQ. fi. u (A) -,??T" x sq. ft. ------- TOTALS______? SO•' ft a s L? ,,:' - AVG. ----' ? (1J AVEitAGE "W. .05 for ventilated roofs .10 for all other construction Gode requirements. ? NiiCE: „nlt??rna[e F;nve]opeEDesigna'as' indic ted noPage 5 may be used ry l3i Use BLUE or BLACK Ink F-F o-r O-ff-ice-- Use ~ I j Permit j City of Eagan 4 # 1 ` Permit Fee: 1 3830 Pilot Knob Road' -~1~ 2 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 I Staff: Fax: (651) 675-5694 1 - - - - - - - - - - - - - - - 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name:. /pt~q ~p C IG-LN t Y7~ _ Phone: X4:e 1( A52, 27 RESIDENT / 4tl o ?WiD~t - o kArA SS l z3 OWNER Address / City / Zip: 1 JC Applicant is: Owner Z5'~ Contractor TYPE OF WORK Description of work: Construction Cost: - i Z_so Multi-Family Building: (Yes / No ) Company: N" S L It Contact: V* CONTRACTOR Address: b 46Z_ 6 ' 1"i ~ City: ►~i+ State: ~ ~ Zip: 1 l~ Phone: (oQ 1 - Z l (~P License ~ Lead Certificate N h-T - 6 I-3n-1 I I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Ffpy~ C6~ x Applicant's Printed Name Appli nt's Sig ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE vLM SUBTYPES (9-70 -be' - Foundation - Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool - Miscellaneous Accessory Building WORK TYPES W c, I.VJS-. New _ Interior Improvement _ Siding - Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation .0 Occupancy MCES System Plan Review Code Edition c> J) SAC Units (25%_ 100%_YJ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction (f/'X Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required F _ oundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge( Plan Review qq~~ MCES SAC 1,,I tplL City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant / Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA104840 ~A~ Date Issued: 06/13/2012 of R nR Permit Category: ePermit Site Address: 4670 Parkridge Dr Lot: 8 Block: 1 Addition: Park Cliff 2nd PID: 10-56701-01-080 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Courtney Monson 15535 Medina Rd Plymouth, MN 55447 763-473-2267 Fee Summar : PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Sabre Plumbing Heating & A/C Inc Mary In Graham 15535 Medina Road 4670 Parkridge Dr Plymouth MN 55447 Eagan MN 55123 (763) 473-2267 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA105991 Date Issued: 0810612012 itj of 0n Permit Category: ePermit R Site Address: 4670 Parkridge Dr Lot: 8 Block: 1 Addition: Park Cliff 2nd PID: 10-56701-01-080 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dayna Gardner 505 RANDOLPH AVE ST PAUL, MN 55102 651-228-9071 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Bonfe's Plumbing & Heating Mary Jo Graham 505 Randolph Ave 4670 Parkridge Dr St Paul MN 55102 Eagan MN 55123 (651) 228-9071 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120123 Date Issued:01/17/2014 Permit Category:ePermit Site Address: 4670 Parkridge Dr Lot:8 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-080 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Mary Jo Graham 4670 Parkridge Dr Eagan MN 55123 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142289 Date Issued:04/25/2017 Permit Category:ePermit Site Address: 4670 Parkridge Dr Lot:8 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-080 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 - Mary Jo Graham 4670 Parkridge Dr Eagan MN 55123 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:Mechanical Permit Number:EA166038 Date Issued:12/08/2020 Permit Category:ePermit Site Address: 4670 Parkridge Dr Lot:8 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Mary Jo M Graham 4670 Park Ridge Dr Eagan MN 55123--213 (651) 454-2219 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171061 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 4670 Parkridge Dr Lot:8 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mary Jo M Graham 4670 Park Ridge Dr Eagan MN 55123--213 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 1 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC Mr. Jacob Niebur HVAC Team Lead Bonfe Plumbing, Heating, Heating and Air Service 455 Hardman Avenue South St. Paul, MN 55075 Mobile Phone: (612) 919-6208 Email: jniebur@bonfe.com RE: Limited Structural Engineering Evaluation and Design Services Report Structure location: 4670 Parkridge Drive, Eagan, MN 55123 Structural Resource Center LLC (SRC) Project Number SRC21244 Via: Emailed this date. Dear Mr. Niebur: Per our August 18, 2021, consulting agreement signed by you on that date, and your authorization, Structural Resource Center LLC (SRC) has been retained by you, (CLIENT) to provide structural engineering services relating to the residential property identified above. See Image #1 for relative site plan. SRC provided limited structural engineering evaluation and design services of the existing deck edge beam. The goal was to provide an evaluation of an existing deck edge beam that had a penetration (hole) cut through the beam to determine if the beam was adequate as is or if additional steps are required to address the new opening through the existing deck edge beam or to determine if additional information is required for the evaluation. This evaluation and design are limited to the areas defined within this report only. Site Observation: There was no site observation performed for this evaluation. Image #1 Relative Site Plan NORTH ↑ received 08/19/2021 Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 2 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC General Information, Conditions, Comments and Recommendations: 1. You told me that your company was retained to install a replacement furnace in this residential structure and that a penetration (hole) was required through the existing deck edge beam to allow a vent pipe to go through the beam. You wanted to have me confirm the structural capacity condition of the edge beam with the new penetration. 2. The penetration through the beam has already been done as of the writing of this report. 3. The structure orientation is not a factor for this evaluation. 4. You provided various information on the penetration size, location, and beam information for me to perform this evaluation. 5. There were no existing drawings available for review. See recommendtations later in this report regarding obtaining existing building drawings. 6. See Image #2 (provided by you) for a view of outside face of the deck edge beam showing the post spacing and vent pipe location, (white pipe). 7. See Image #3 (provided by you) for a view of the inside face of the deck edge beam showing the vent pipe penetrating the beam and the dimensions of the depth of the beam. 8. See Image #4 (provided by you) for a view of the deck ledger board at the house showing the new pipe coming out of the house. 9. See sketch SK1 for the layout of the penetration on the deck edge beam as viewed from the outside of the deck edge beam. Image #2 Image #3 Image #4 Vent Pipe Deck Edge Beam Deck Posts Deck Edge Beam Vent Pipe Vent Pipe Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 3 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC Existing Building Drawings: There were no house building drawings of this area available for review at the time of this report. I do recommend to any homeowner that they make all reasonable attempts to obtain the exiting building documents including the original building drawings and specifications and any documents pertaining to any building additions and/or remodeling of the building structure. Possible sources for this information are the previous owners of the property, the City building department, the contractors that performed the work (sometimes the neighbors know who the contractors were), or other sources. These records may assist to determine the existing construction systems and materials that may reduce exploratory work and costs in the future. General Conclusions and Further Recommendations: See the General Information, Conditions, Comments and Recommendations section for additional information. In my opinion, the deck edge beam should be able to accommodate the penetration through the existing beam if the conditions are as stated within this report and all conditions stated within this report are verified prior to use and occupancy of the structure. The remaining beam structure has adequate capacity to meet the shear, flexure, and deflection requirements of the building code. The relatively short span of the beam, the beam member section remaining above and below the penetration and the penetration distance away from the beam bearing ends are factors allowing this member to be adequate with the noted penetration. You shall verify all conditions stated within this report and notify me in writing if there are any discrepancies noted. Design Information and Parameters: The following is the design information and parameters relating to this beam evaluation: 1. Current building code is the 2020 Minnesota Residential Code, effective March 31, 2020. See https://www.dli.mn.gov/business/codes-and-laws/2020-minnesota-state-building-codes for various Minnesota building code information and see https://codes.iccsafe.org/content/MNRC2020P1 for the current residential building code. 2. I am using 40 PSF for the deck floor live loading and 10 PSF for the deck floor dead load for the evaluation of the deck edge beam with a new penetration. 3. The existing deck edge beam is a triple (3) 2x10 dimensional lumber, (each member should be 9.25” deep and 1.5” wide). 4. The span of the beam is approximately 5’-0” between posts, (clear span). Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 4 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC 5. The beam supports deck joists that are spanning approximately 10’ between the deck edge beam and the house. This provides approximately 5’-0” of tributary floor loading width upon the edge beam. 6. The beam penetration is approximately 2½” in diameter. 7. The center of the beam penetration is located approximately 2’-0” from one end of the beam and 3’-0” from the other end of the beam (total of 5’-0” span of the beam). 8. The top of the penetration is located 2” from the top of the beam. 9. There is approximately 4.75” from the bottom of the penetration to the bottom of the beam (9.25” depth of beam minus 2.5” of penetration diameter and minus 2” of distance from the top of the penetration to the top of the beam = 9.25” – 2.5” – 2” = 4.75”). 10. The penetration is a clean cut through the beam without splinters, cracks or large chips radiating from the penetration cut edges. 11. There are no walls bearing over this beam. 12. All dimensional lumber for the edge beam was taken as douglas fir #2 or better. 13. The condition of the beam material used for this evaluation is taken as good. Any conditions of the beam material that is not good shall be brought to the attention of SRC in writing prior to using the beam for loading purposes or occupying the area and shall not be used until a written determination that the structure is adequate is provided by SRC. 14. All framing relating to this report shall be as per the building code and follow the prescriptive requirements of the building code. General Comments This evaluation and design is limited to the one time use at this single location only as stated within this report. Reuse of the design and information contained within this report for additional locations within this structure, other structures and/or any other use without specific prior written consent from SRC is strictly prohibited. Complete existing building drawings were NOT received. Analysis of the overall building structural design, components, or systems and building code compliance, other than as specifically defined within this report, was NOT included as part of this evaluation and design. The original structural engineer of record and/or building designer remains responsible for the structural design of this building. Evaluation and design notes will remain on file with SRC. The file notes may contain observations of the specific design item and other items that may be related to the specific design item. No items other than the specific items listed within this report are addressed by this evaluation and design. Safety measures are not included within this report and shall be provided by others if required. Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 5 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC Notify me in writing of any changes to the stated and/or assumed conditions and parameters listed within this report. Changes to the conditions of the existing structure not specifically stated within this report are excluded from the scope of services. All dimensions given within this report are approximate and shall be confirmed by you. Notify SRC in writing of significant (over 5%) changes (increase or decrease) in dimensions stated within this report. Any information provided within this report is not intended to contradict any design drawings and any comments by the city building department. Future additions or modifications for this area or adjacent areas were not provided to me for consideration for this report unless specifically stated within this report. This report does not include a code compliance evaluation or structural capacity verifications/calculations or repairs of any noted conditions and/or damage of the existing structure that is not specifically defined within this report. Review of any submitted items was limited to those items within the scope of this work only. This report should be kept with the building documents for future reference for considerations of future modifications. These findings are based upon the current conditions. Future modifications in adjacent areas may be limited or restricted by the conditions stated within this report. This report does NOT include any review of fire ratings and/or fire separation issues, mold, asbestos, lead, radon, or any other environmental conditions. The CLIENT shall be responsible for obtaining the proper professionals for these items. CLIENT is responsible for verifying electrical, mechanical, utility locations and obstructions. Significant issues including additional costs and schedule interruptions may occur due to these items. CLIENT shall have a utility location performed on site prior to any digging on the site. Notify the proper utility location entity prior to digging to schedule the onsite location. ADA conditions and/or site safety are not reviewed as part of this report. Insulation, flashings, and moisture protection are outside the scope of this work but should be done correctly as directed by the appropriate design and/or installation professional. Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 6 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC Decorative cladding and finishes over the structure are not provided within this report. Care should be taken to not create any condition that may trap moisture against framing and/or assemblies that may promote rotting of the wood and/or the growth of mold. The modified areas and areas adjacent to the modified areas should continue to be monitored by the homeowner as part of a routine home monitoring program for signs of changes and take appropriate steps if changes are noticed. Changes may be additonal movement, cracks in the finishes in the area, etc. As part of the routine home monitoring program, it is important to document what is noticed and when it is noticed and to take photos of the change with an appropriate date stamp. Photos of various dates can be compared to see if there are changes in the images. The findings of this report are based upon the field information provided by you to SRC. Field information provided by you was used as the basis of my opinion. I have endeavored to perform the services for review and report with the level of care and skill ordinarily exercised by members of the profession currently practicing in the area under similar budget and time constraints. No warranty, expressed or implied, is made. The opinions made within this report are informed by my training and career experience with building design, analysis, and construction and are based upon the information that has been made available to me as of the date of this report. I reserve the right to modify or supplement this report as additional information, or other expert reports and/or other information becomes available. Thank you for allowing me to assist you with your structural engineering needs. Please contact me directly at (651) 352-1052 if you have any questions regarding this matter. Sincerely, Structural Resource Center LLC Douglas L. Fell, PE Managing Principal cc: Project file encl: SK1 END OF REPORT I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the state of Minnesota. Signature: Typed or Printed Name: Douglas L. Fell Date: 08-19-2021 License No. 16176 . Bonfe Graham Residence Deck Beam Penetration Limited Structural Engineering Evaluation and Design Services Report 4670 Parkridge Drive, Eagan, MN 55123 SRC Project No. SRC21244 August 19, 2021 Page 7 of 7 1016 Autumn Alcove St. Paul (Woodbury), MN 55125-9199 WWW.StructuralRC.com Phone: (651) 352-1052 Structural Resource Center LLC PERMIT City of Eagan Permit Type:Building Permit Number:EA173208 Date Issued:11/03/2021 Permit Category:ePermit Site Address: 4670 Parkridge Dr Lot:8 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-080 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Mary Jo M Graham 4670 Park Ridge Dr Eagan MN 55123--213 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature