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
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?
I
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?
?
?
i
?
i
i r'.
? ?h_•
C v
'-(-) - T +'
P ' A!,!
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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
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from the original page.
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I.?'PI'.I:IUH I?"JVFLOPE AVERFlCE "C" COMI'U9'A9'tON
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AVF,RA(:E LINEAL P1sET OF
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ower level ' 1?
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iOTaL lda li Nrea InciudiuK TOTAL N)(A)
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)'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
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o1 cpa4le
aail are2
f'cr i'rami
metcbera 11 ?
.
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siain$
r? .-
Sheathing ? x?5 -t _ _ ____ 2• ?_.?
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11" dr wall - -
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. ? Q
8 -
Sheathin '
?...-•--=-?a ?""-_
1 sof[
r, f q. Jl7
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.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
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Iaterior air film T .61
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outaide i* f?? ^'.6l,
Insulation
.l?3
1g?? Drywall
Interior air film
TUTAI, it ? . . ...._
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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.
?
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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