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4674 Parkridge Dr �'�' Use BLUE or BLACK Ink � �________________� � For Office Use I ' �� j Permit#:��/ D � C1ty of �a �I1 �� ,�� ] �r � � � Permit Fee: � V�• I 3830 Pilot Knob Road � l (� 1 Eagan MN 55122 AUG 2 5 2014 � Date Received: ~�` �/ j Phone: (651)675-5675 Fax: (651)675-5694 ��, j Stafk:' I ___._.�__._. � I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � � 1� Date: �� y '1� SiteAddress: `�1�1�`'� �AtI.KQ.iD(j-G-� ��— Unit#• � F , y,_. Name: !`� N ��y�91�� Phone: �O tZr'�`�`I ' �2`� O Resident/ 1� Owner Address I City/Zip: -t�O�I y Q�Al�-�-�Z►0(n�, �� Applicant is: Owner �Con�ractor Type Of`WoCk '; Description ofwork: �1�l CS !-� ��St M.C:/�t 1� < Construction Cost: ��. C�L�� Multi-Family Buil'ding: (Yes /No� \,�,L , Company: A � � �,V S rU M �,,i,—f�'�U��1.�/�4�Contact: �'f IV1 (��(;(C. Contractor ' , Address: ��Z� 1 h1C;(1�i`J CT c�ty: l.A t��V� Lt ° State:�� Zip: �S U�I�I Phone: ��Z,'Z,,TjZ'��Email: �N.O �oa.�� '� C�M/{[(� License#: �� p� t�"lZ Lead Certificate#: If the project is exempt from lead certification, please expfain why: (see Page 3 for additional information) �j U��"� ��r`�ll. 1`1��' �vlC.i «J �'� /�—f 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`'�o If yes, date and address of master plan: 7�— Licensed Plumber: Phone: Mechanical Contractor: Phone:. Sewer&Water Contractor: *•° Phone:' NOTE:Rlans and supporting documents:that�rou s`ubjnit are cansidered�fo be public information. Portions of the information may be cla�sified'as non-public if you provide specific reasons that would permit the City to ' � . con�clude that<the �re 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.popherstateonecall 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 Minne ta State Building C e m t be completed within 180 days of permit issuance. � i' X .� 1 �`''� (�S��'�— , , X ApplicanYs Printed Name A plica Ys Signature Page 1 of 3 �-f(�7 /,�t�ctit �� /� DO NO�WRITE BELO�'�HIS LINE j��1C � SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck Parch (ScreenlGazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ 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 81�'Jt'� Occupancy � MCES System --� Plan Review Code Edition pto� SAC Units ^ (25%_ 100%� Zoning �t City Water --� Census Code l�3y Stories "' Booster Pump --- #of Units / Square Feet � PRV — #of Buildings � Length �" Fire Sprinklers -- Type of Construction __�� Width .�-� . REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES O�$� � � �� 3G yo rj Base Fee (� „� Surcharge f�s��ZSS ��k/ ��pU i Plan Review �D Jr�— �w MCES SAC 7C�p " City SAC Utility Connection Charge S8�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 CITY OF EAGAN 1 9016 - 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 - PHONE: 454-81 BUILDING PERMIT 00 Re ei t # p c To tre used for 5P DHG/GAR Est. Value :107 ,OOQ Date 21AY 6 , 19SL Site Address 4674 PARICRII3CE A!t Lot 9 BloCk i SeC/Sub. l?CLI!! ZND OFFIC E USE ONLY PefCel N0. Occupancy P-3-11=1 FEES ' Zoning j -? W Name 108EPN M!!I C?ON3?lilC7'IAM (Aqual) Const ?-? Bldg. e f 't ?? ? AddrBSS _ 18139 GEDAR A S (Allowable) -? ? ? City FARMIlI(.'M Phone 431-2001 # oi Stories _ 9 , e Sucha 432, AO Pl R i ngth le an ev ew ? Name g?1-' oepcn ?I 100.04 snc ci ? , ry c i Address S.F. Total 00 650 ? - SAC MCWCC ' City Phone S.F. Footprints - , b?•? ? " On Site Sewage _ Water Conn ? ?w Name On Site Well QS•? ? Water Meter ? ; Address MWCC System I ' i W City Phone Gty wa?er x ?.oo nccc. Depos;t 30 ? PRV Required _ S/W Pe?mit • I hereby acknowlege ihat I have read this application and state that 1he Booster Pump - S/ry Surcharge •? information is correcl and agree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 Treatment PI 27b*00 SignatureofPermitee ': . ' ?? `""'?•? APPROVAIS RoadUnit 370•00 A Building Permit is issued to: EPH bM1UM MOT Planner - park Ded. on the express condition that all work shall be done in accordance with all Co+ncil ? applicable State of Minnesota Statutes and Cily ot Eagan Ordinances. Bldg. Olf. _ Copies Building Official Variance - TOTAL ?•?1?? Per+,n No. Per..,n Hader one Telephone # WATER R SEWER ? q ?, ?s s s/ ?Ga - z r-+ W"e- p165, ??3 y y?3-ir ELECTRIC Mapsction Date Insp. Commsnts Footings I 60 Foundation Framing Roo(ing Rough Plbg. Rough Ht9• Tl-t! Z?1() Isui. Fireplace Final Htg. Orstat Test _ i-%? ? '? Final Plbg. %? Plbg. Inspeclw - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Oeck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , , , t , , i i l (t PERMIT SUBTYPE: tII „-I ?H,, ??rr rEi 111 t;rr :CORD PERMIT TYPE: Permit Number: CtFrfi I F N 1)E SI0N r ?.? •? s;•?? ? TYPE OF WORK: f I MAI i till ! f iI Permil No. Permk Holder Oate Telephone # S/IN PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Date Insp. CommeMs Footings i Foundeti0n Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace I Ffnal Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPian &dg. Final Deck Ftg. Deck Fnel Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1'lif?F ? I l i t 1,111 1'Ai+k R I tli,4? 11?t PERMIT SUBTYPE: :; 111 „: , I i, I Ji TYPE OF WORK: Hii It i,JW(A 0.•I i: !? 04 / 1 '0 146 i ri si arinN INSPECTION . . .• . .• I•rrllr,i{ f N I' I i:?. I: N!) I I - F- CTION EC ORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: f: i; ! 1..1 r flifl'• 1 (bl.') =13.' 'I/iti 1....? Permit No. Permit Hoider Date Telephone R ELECTRIC PLUMB G ?? ? ? ? /r •??3-3130 HVAC InspecHon Date Inep. Commanta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBtNG 3b PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP 80ARD FIREPLACE 6 /'! FIREPtACE AIR TEST ? FINALPLBG ??. FINAL HTG ORSAT TEST BLDG FINAL ?r BSMT R.I. BSMT FINAL DECK FT'G DECK FINAL I ? ' , ? ;,z-O -o (grr#t#ira#t uf (Orrupanry Citp of (ifagart Eppawtpttt id walM ittopPt'tiDtt Thir Cerlifiaate issuedpursuanr to the requirements of Sedion 306 of the Uniforin Bur7ding Code exrtifl'inS tJra1 at the dme of issuance this strzccture wrrrs in cbmplianae wilh the vaROUS ? ordinaxces of the City regulating building consduclion or use For the jollowing. i tse cwm,,6. SF ixEM Ed& Patna Nm 190 16 o-P--„t,,a R'i/Mt Zoning D44ict LR1 ?,??, VN .7?EPH M. NQI,T??.R ?JQdST. ?= 18133 ??AVE S, FAM'l?+'DON ? 4674._PAFXRWM DBIVE LO-k Lq, B, PA Date 7/31/91 Duadins ofricW ' POST IN A CBNSPICUOUS PIACE CITY OF EAGAN Remarks Addition PARKCLIFF 2ND ADDN Loc 9 elk 1 Parcel 10-56701-090-01 Owner 5treet 4674 PARKRIDGE DRIVE 02' state EAGAN MN1 55123 4674 PARKCLIFF DRIVE Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK lq(C SEWER LATERAL WATERMAIN \(p 1984 35.22 7.04 WATER LATERAL WATER AREA 1984 -366 25 73 - 75 . STORM SEW TRK STORM SEW LAT ? _19.8 2$3.60 56.72 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK OATE apri2 29 , 1991 OFFICE USE ONLY METER #?? 4 j 67 + PERM(T DATE OS/ 14/ 91 CHIP # 0;,D 7 ?YD/ PERMfT # 1f9$6 METER S12E ? iN B.P. RECEIPT # C 13394 ISSUE DATE - B.P. RECEIPT DATE 05 J 14/91 _ PRV - BOOSTER PUMP SITE ADDRESS 4 `? ' - ': - 4 - ' zP D r LOT 4 BLOCK 1 SEC/SUB a rk c l i f f 2 n d A d d APPLICANT: l.o; oph +,d. X43.1-.eT?. i-Ti$-- ADORESS:1 R 131 r Q.-1 a* a v S a CITY, STATua_r m i n g ton? !K n ZIpS 5 tl ? G PHONE: 43 1- 2 0 Q 1 PLUMBER: "- a s i s?a plumbi g^ ADDRC911110NEE&v? 1?1 R.a d siTTSi D r CITY, STATE a?5 p 1 p v;; 1 1 p U 14 n ZIp 5 5 A2L, PHONE:432-6898 PERMIT REDUESTED x SEWER X WATER - TAPS - COMM/IND X RESiDENTIAL --- x NEW EXISTING Lawn Sprinkler Meters are to be Installed Aheeld of Domestic Meters on Water Line. Credft WILL NOT be given foC Dedur,t;Meters. CITY OWNER: _ ADDRESS: CITY, STATE ZIP PHONF: SIGNATURE WHEN METER ISSUED PLgAS`E ALLOW TWOWORKING DAYS FORPROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ' ??`? SEWER PERMITS, CONTACT ENGINEERING DEPT. ( • ''?' , CITY OF EAGAN ' 19016 3830 Pilot Knab Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT c J 3 :3 jGy' Receipt # , To be used for SF DWG/GAR Est. Value $107,000 Date MAY 6 Site Address 4674 PARKRIDGE DR Lat 9 Biock 1 SeGSub. PARKCLIFF 2ND oPFlCE USE oNLv P2fCel NO. Occupancy R- 3_h-1 FEES mng Zo w JOSEPH M MILLER GONSTRUCTIQN Name (Adual) Const - N V Parmrt 664 _ 00 Bidg ? AddrB55 18133 CEDAR AVE S Allowable V-N . 53 50 ° . Surcharge Cjty FARMINGTON Phone 431-2001 eof stones view 432.00 Plan R Len th 9 e F Name SAME Depth 48' 100 00 SAGC i . iIy g Address S.F.Total - 650 00 ? . SAC,MCWCC City Phone S F Footprints _ 660.00 On Sne Sewage _ Water Conn ? w W Name on sne wen 95 00 tr i- AddrBSS MWCCSystem X . WaterMeter osit 30.00 Acd De a W Clty PhonO Ciry water X . p 0 30 PqV Reqwred _ .0 5/W Percnit I hereby acknowlege that I have read this applicahon and state that ihe ' Booster Pump - S/W Suroharge .5 ? informahon is correct and a ree to comply w th II applicable State of Minnesola StaWtes and Cny agartOrdina c.. q Tieatment PI 276.00 Si9nature of Permtlee APPROVALS qoad Unit 370.00 A Buildiny Permli i5lssued lD: J EPH ER C Planner - park Ded on Ihe express condition that all work shall be done m accordance wrth all Counai applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies p Buildmg Oflicial ?D1/1 i! 1Ill Variance - TpTAL .i. 361. UV Address: 4674 PAR[aiIDCE DRIVE Lat9 B1k ] Sec/Sub pAjW_ryIFF ao These items wete/were not complete at the time of the final inspection. D te: 7/31/91 Yes No Final grade (6" from siding) ? Pe[manent steps - garage ? Permanent steps - main antry V_1? Permanent driveway ? Permanent gas ?? Sad/seeded grass ? Trail/curb damage Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeze potential exists. ? xECmEOwrtn White - City copy Yellow - Resident copy Pink - Contractor copy 2 Q O?? 7? ? ? ? OFF E USE ONLY This requesl vaid iB monMs (mm voLdofion dare prinled in Mis box M PLEASE PRINT OR TYPE L 4 Requesi Dak Rovgh-in mspenion reqwred2 ?ies Inapecfian Olher Than Rough-In. 0 Ready Now ? Wdl Ca11 ^/ '? ?? ?Yoo mos? mlllhe inspecror when readyj Dote Ready I, EtrLcensed conimdor ? owner hereby request inspection of the a6ove electrical wark at Boi, lob ?r?se l? ? rRouh??2A C[ ?TT Y? / C7^? 6?/(l Zi?? / Secfion No Township Nom< or No Range No Fire No Counp 0-& tz 4 -F f- cg.AjA' PY.No Power pplier Pddrezs Elennm?l Cy^Imtlor (Compvny Name) ???%2ast ,?'rcCl,e_c Canvacbr Lcense No. G4 o2LJv Maamr Lc Na. (Plant Eled Only) NwilinB Mdress (Canic,ior ar Owner Pedortning InspllaM1On) 1?? yd? ?'rC Rhiq ,gJ c IAA? ?a //e l?r?r(.?J?OS? AoMarized5ignaNra(Conimcloror wnarPerfarminglnemllanon) ,?,?.,_ PhoneNa. 32 2- y/.I"S EB-OOOOIA-10 6/95 STATE60ApDC07V-SEEINSTNUCTIONSONBACKOFYELLOWCOW III) ?II II I i? REQUEST FOR ELECTRICAL INSPECTION ?*- ? I Minnesota State Board of Elactricity 1821 University Ave., Hm. S-128, St. Paul, MN 55104 ??4? * 0 2 8 0 2 7 6 7 * Phone (612) 642-0800 ? Hame Duplex Apt. Bldg. Ofher. New Addn Commercial Indus}rial Farm Remod Re air Air Cond. Hfg. Equip. Water H}r. Load Mgmt. Other: D er Ran e Elec. Heot Tem . Service "X" above the work covered by this requesf. Enter remorks in this spoce and on the buck of the white copy only. a %nJ;to e c*°A 1' Calculole Inspetfion Fee - This Inspecfion Requesl will nof be accepted without the correct (ee. Olher Fee # Service Eritrance $ize Fee # Circuih/Feeders Fee Mabile Home Park Stall 0 to 200 Amps 0 to 100 Amps O. c+.. Sheef Lig./rroffic $ig A6ove 200 Amps Above 100 Amps Ttansiormer/Generafor INSPECTOR'S USE ONLY TOT ,l' T Sign/OufLne Ltg. Xfmr. /A • V q I? ??v Alorm/Remofe Confrol v $wlmming Pool I here6 cedd Ihat I ms Mad the ele nsMl hon d 6ed on Ae dales s Irrigation Boam Rough-In - ? Daro $pecial Inspeclion Imesfigatrve Fee Final -- D e THIS INSTAILATION MAY BE ORDERED ISCONN TED IF NOT COMPLETED WITHIN 8 ONTHS. r, , ;;& : , to#(& 1991 BU I ING O ITAYPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 1SULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER iATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address ?CG 7'7 r / Lot tl Block O? Valuation: ? -7 Parcel/Sub G - VL? Owner Address City/Zip Code Phone Contractor ? Address City/Zip Code ,?PR 2 9 RECD. Date: 1071000 `OFFICE USE ONLY Occupancy T,?,'3 M 'i Zoning 9-1 Actual Const V- N Allowable V-N # of stories Length T Depth 48 S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water PRV _ Booster Pump _ APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. S=/ -?? Variance Addiess City/Zip Code Phone # FEES Bldg. Permit 6 6N, 00 Surcharge 539> Plan Review 4/3 2,OJ SAC, City pDiOJ SAC, MWCC SOiOJ Water Conn. ,OD Water Meter IS= Acct. Deposit 30,00 S/w Permit 30,00 S/W Surcharge _112 Treatment Pl. Zh(e,v? Road Unit 0,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL l, . n ?s ? "? r;;? ( agrees that all work shall be done in accordance wi ?.h Signature of Contracto rQ] all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA Lu ArT ,w;; Ga_sZ_A-(,E 22 xZ2 = y8t/ x?S= 726,0 Z(7 k 46= IIq(? 6, ? lc-> _ ao INk _.--- ( y S 2 X/L/ -; Zo 3z8i IST -FLO o ,z f?.St?nT - 13" _ All , 1452 rs l? 1- 95 X 53= 9 923.?r- . j •.ii r '0(2`? 23 0r2 107 000 •. F' i oneer Er'is i neer i ti? 6819488 F• 6`} - ?? 2422 Enterprise Qrive * PIONEE13 4/+naSURVEYORS?CIV?LENG?NEE?+S Mendota Heights, MN 55120 *engineQring LRNOVLI?NrvGM'II?NC/1CPP MRCHITECTS (viC12' 681'1914 * ?* ? Certificate of Survey fpr: NORTN ., qy? iTC/T3EP1 bH \ 9r. t? ?1 o?? kb ? J a? ? ? 4? • ? ? ' v 3.? ? ca9 ., A arQ s?41 a. ? qs4•r ? ° ?s -.?? ^ 9sss \ g,?•8? 40 ? ` q? `?? er?ry?1 98d•? ?"y?9?'?,? a^ `? ?479-,7 ? ?' • ° ? ? w o - 'epy ' ? ? _ J ? ? 9aa¢? ?•yy ?t?? izit??? ,? , . . .... x 5qo•o Denotes frxidin¢ Elevation P?oPOS?o H s? ELEVar r qp.a !}enofes Prapo3°ed Elevatian Lowes loor fleva ion -------- penotesDr'6ind¢eE1/fili(y[asemen?' Topo1'Blackf/evdtion -?--•- Oenales Dr?rina?Qe F/o?'Direetidn Gar* Sla6 Elevatiort o penotes Monu?'vient ?arings shawn are assum? , o Deno es oJjse hfib L(J7^. '? ,BLOCAI_1_.__) {?.??C'K?''L lFF 2A/D A1?1?. COUNTY? ?NINN?5o7A 1 I hefEby r,erUTy that thiE atirvey, plan or repoR W8R PrepBreA Ay me 51, undE• my 011W SuOee I bn end lhat I Bm doly Fsgiste• r,d SV"ByOr Tf? ui,ide, thp 18w3 0l the St8t0 0f Mlnnesote. Dat4d Mit /Jl -= dey at A.D. 19? ? Scal? el OBEqT S. IKI L.S. FEG. NO. 14 641 Zo ------ --------- ----- ()WNER : ., - EX'.CERIOR ENVELQPE AVERAGE "U" COMPU:CA'CION I ; SI:CE ADDRESS: CON'.CRAC'.COR: JDE MIU.? fIZ?ME?7 DA'.CE: ?'ZO D PhONE;' .? DE'CERMINE WORKING SQUARE FOO'CAGE OF _EACH: 1. ''.Cq'CAL EXPOSED WA1.J'., ARGA GPJB??O ? y SQ•.F'.C. X 'r11 `- ?LzS? 2. :CO'CAL ROOF/CEILING AREA 5Q. F'.C. X??,?,° /?r7 . i . 3. TO'.CAI:? EXPOSED WAI:,L AREA CA]:.CULA'.CIQNS: ,. ,.; ?? •• . ? I 'Cotal exposed wall ? area above floor f) '.Cotal net wall area above :looL (i.nsulated) c F' X "U",• , a) '.Cotal wall window ar.ea - , . SQ. ' , 0 b) '.Cotal?door ar.ea . ' . 7+l ?3 .C. SQ.F X I r c) '.Cotal slj.da.ny qlass door ar.ea ?OD SQ.F'.C,; X "U" i?= ?"-.. d) '.Cotal fi.):eplace wall atea SQ.F:C. X "U" - _ 0 e) 'Cotal wall framinq airea 1gq.o ,? , SQ. F ? (averaqe 10%) cI) '.;otal r.i.m joi.st ar.ea :Cotal foundati.on ar.ea (exposed) [656,0SQ.FT. x „U,. .Df?=7/,Z SQ.F'.C. 'X ??U" ?PF d ? qo.0 sQ.F'r. h) '.Cotal foundati.on wi.ndow area C) SQ.F'C i) 'Cotal net foundati.on area l0'0 SQ.F'C O X. ,l77 = 5,3 apove gr.aue '.CO'.CAL a ) througfi ,,'i. ) _ 'L ZT?61 If item #3 is the same as, or lecS than item ?kl, you°have met the i.ntent of 2 MCAR 1.16008 h and O•, , , „ ,•.? ' ?? ? . . .G ,. ???• ;; , PnGr 1 .. , 9. 'CQ'CA7' EXPQSED RUOF/CBI] ING CALCIDLA'.CIONS_: '.Cotal exposed roof/ SQ.F'C. ? cei.liny a?:ea' • ` , j) '.Cotal skylj.c(ht ai-ea D SQ.F:C. X"U" `- _ C) k) 'Potal rooP/ceiling SQ.F'.C. X"U",. framing area (avera_ye 10%) 1) '.Cotal net i.nsulated SQ.F'.C. X!'U" •?zZ = 215 roof/ceilinc( ar.ea , 9. ? '.CO'CAI:, j ) thl:,ough If total of #4 i.s the same as,•or less than #2, you have met ' the intent of 2 MCAR 1-16008 A and U. . . ' 23,?f , -, A1.,'.CERNA'.CE BUILDING ENVELOPE DESIGN , 'Co uti.lize the total envelope system method, the values . establi.shed by the sum of #3 and dk9 shall not be qreater than the sum of items #l and #2. ' • 1. . +2. _ . , .: 3. +4. _ ' CER'.CIFICA'IQN I hey-eby certi.fy that I have calculated the '!U" factors and ? "R" values hecein and that the bui.ldi.ng hej:e described meets or-exceeds the State of Mi.nnesota EnerRy Conservati.on Act. i•-'?!. ?ln.TAlli;.. ' gnatui?e I?f (Datl) _ I! PAGE 2 . "'' CITY OF EAGAN A 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: p.I.N.: 16-56701-090-01 DESCRIPTION: a,ui?i d'i?n"q 1BuildiYtg i .' { l \. Y t PERMIT PERMIT TYPE: Permit Number: Date Issued: 4674 PARKRIDGE DR LOT: 9 BIQCK: 1 PARKCLIFF 2ND Permit Type Wt,rk Type pECK NEW .j ? BUILD/ 021607 08/03/93 REMARKS: FEE SUMMARY: Base Fee $25.00 COPIE3 $1.50 Surcharge $,50 7ota1 Fee $27-00 Subtotal $25.50 CONTRACTOR: - Applicant - 5T. LTC. OWNER: BROTEN DESZGN & BUILp 18913875 0005768 PAULSpN DAVE 7664 142N0 ST W 4674 pARKRZpGE DR APPLE VAL4.EY MN 55124 EAGAN MN (612) 891-3875 (612)454-6077 # hereby acknowledge that 3 Itave resd thi,s ap{slicaticsn and state that the informatian is carrect arrd agree tca eampl,y with al.t applioable St.aCe of Mn. Statutes and City qf Ea9a.n Qrdirsa•nees. APPLICANT/PERMITEE SIGNATURE ISSU NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: L oT: " 4674 PARKRIDGE OR PRRKCIIPF 2ND PERMIT SUBTYPE: DECK ?_ ._ . . . ? 9 BLOCK: 1 APPLICANT: BRQTEN UESIGN & BUILD (612) 891-3875 TYPE OF WORK: NEW ?;n ,. , . .?!??; ;?•.??? b1:M ?•i ? r?., ?i ?...??i.,, ;nb?s ?iF?'y ?rjl{$Y?? i fli!1z I)I BUILDING 021607 0B/03/93 ::r1! i II : ?.. F : r ? '?. REACTIVATE _ IECEIIII ITY OF EAGAN ?ERMI?w? , JUL 2 3?931 3 BUILDING PERMIT APPLICATION 4.`?,u? l ' ?O? _ 681-4675 ------------•_ r.o SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2.sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made., 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: 4b7A 0.4 ?-?be?" 94t?• sM./l?? _ STREET .' SUITE N Tenant Name: (commercial only) IAT __?_ BIACK SUBD. rU? P.I.D. N Descri tion of work: The applicant is: ? Owner 0 Contractor ? Other (oe.or;x) Name PAJ1,50n1 Phone ¢5-4 60-77 Property LAST FIRST Owner Address 467t fz-Ld?? 6P\. SiREEF STE M C i ty A5'46An1 State MW4, Z i p 55 Company B(ZoT'EiU dESI6.U EOOc-d Phone Sit--sy75- COntrBCtOf Address ?064 «Z 5T. LAJ, License # doos76 S Exp.qtt City fl'PPLE ?ilt-l-Ey State W1N. Zip SS??4 Company Phone Archltect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ,Q 31 New O 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 O 33 Alterations O 34 Repair GENERAL INFORMATION Const. (actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging 13 12 Multi. Misc. 13 13 Garage/Accessory ? 14 Fireplace eW 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Buildin ' Engineering Variance REDUIRED INSPECTIONS ? Site ):?' Footing ' ,,0 Framing ? Wallboard ? Final 0 Draintile V3Y ? Insulation ? Fireplace Permit Fee v.iusc;on: g Surcharge Plan Review • License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge , Treatment P1. Road Unit Park Ded. Trails Ded. Copies ? Other ;; .. Total: sac x ? - 5AC Units , . .. ? 16 Basein€ht Fanish O 17 Swim Pool 13 18 Comm./Ind. 0 19 Comn./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments 6819498 F' . 0-t * PION * eng * *4t * F' i_.naar- Ens I neer' i nv LAND suRVEYORS #CI V I L ENGtHEEM LrNfiJLIARCNIrECT5 (612) 681 • 1914 Certificate ot Survey for: 4 AlORTH „. , •1.. ?? . ? O I .' 00 a " 7a? ? 9ybx- q??r. ? 1'? ?ba ? / A \ 9'?*? ? O a \3 fC s ? 459?G? " °yy Qo-?sy ? y84? ?' ^s N / ? 9ssg e gz7•?E? ' Yx ? 479• 7 0 ? a 99a• ??'? j ? ? w ` ?? ? ?o - ?y`? ?''?oyj3 ?i o ,` ? ,. ? ' 9se• ???.yy 1 J? x 900•o Denofes txi_sfin¢ Elevatio?? PrlaPOS?o H S£ ?LEVAT • oo.o benofes Pr-dpo?ed E7eva}ion Lowes /oor Eleva ior? ' 6 -------- penotes Drrrma e 1 Utili.Iy fasPmenf Top o,?Bloek?leva>ion ?3. -?--•- Denafes Dririn¢e Flo?n?'Direcfion Gara?e S/ab E/evatio? o pena?es Monu?'ienf BParr'n?s shown crre ssurned oDe,?o es o{ise f-?ib LOT.c/, BL OCl?l?) Pd ?KCL IFi? 2ND ?1 t?17. COUNT}'7 ?N lNNESOTA I heiEby rPrtHy that this ELItvey, plan Or rCpOrt yyqg pr¢pPred by me undCt my d?tECt Su[?ervlSlpn end lhBf I am duly Fegistelsg-l-ind Sv,?eyor o?der ?he IDws ol the StetP 0f Minnesota batsd ihfs?tA daV o1 ??1 L A-D• 19 9? - QFERTB. ICt, 1.5.REG.N0.71991 zZO fcale ? 1 40+- 9??g4 2422 EntlrpriSC DrivC Mendvte Heights, MN 55120 I ' - CITY OF EAGAN ? 3830 Ptlot Knob Fjoad Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: C?5557?v BUILDING 027325 04/19/96 SITE ADDRESS: P.I.N.: 10-56701-090-01 4674 PRRKRIOGE DR LOT: 9 BLOCK: 1 PARK CLIFF•2ND DESCRIPTION: quildi?i?g, Permit Type ?BuildiYtg "14ork Type Census Code \?' = 5. . - ? BASEMENT FSNISH ALTERATION 434 ALT. RESIDEN7IAL i??'?y,°r=.i't(., nx,f•,7 `. u.: -,_..L L. i.( 1 t _ REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Lic. Search Fee 5.00 Total Fee $55.50 CONTRACTOR: - Applicant - sT. LIC.OWNER: RAT2LAFF CONST 14329770 0002395 MARPE KARY 14551 COUNTY ROAD 11 4674 PARKRIDGE DR BURNSVILLE MN 55337 EAGAN MN (612) 432-9770 (612)454-6077 I h'erebXackiiowledge:ihat'I hava read Ckiis application and state that the': infiormatian is correct and agree to comply with all applicable Stats of Mn. . Statutes and,Ci.ty of tagan'Ord.$nan9es. ° m APPLICANT/PERMITEE SIGNATURE ISSUED B: SI ATUR CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdbn Reouirements RemodeVfiepgir ReauiremeMs ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of plana (indude beem 8 wlndow e@es; poured fid. design: etc.) ? 2 sile survays (eztedor addfions 8 decks) ? 1 eneryy celwlationa ? t energy caiwlatlons for heated additions ? 3 wplea ot tree preservatirn plan H lot plaUed after 711/93 . requhed: _ Yes o J. DATE: "-?? CONSTRUCTION COST: ?,? S7)U. 0`3 DESCRIPTION OF WORK: ul?`? ? STREET ADDRESS: lo-74 40P Fcs '2572-3 LOT ?_ BLOCK __J___ SUBD./P.I.D. #: T,UhR ?? ??" PROPERTY Name: Phone #: 4-S4??O'L OwNER ' T rmer Street Address c^ a-O ^^Q City: State: Zip: CON7RACTOR Company: _?zlm? Cond1?°L? W -nc. Phone #: Street Address: ST1 C,4 (L,?k +$ ll License #: LI: ODZ`'? S ciry. ;'e State: M^? Zip• S?733'1 ARCHITECTI Company: 01-?)(-Phone#: 43-D-??-)° ENGINEER Name: Registration #: Street Address S? ? cs--J''o)'R-- City: State: Zip: Sewer & water licensed piumber: ?? . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have tead this application and state that the information is crorrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: cx-- OFFICE USE ONLY ???? IIIED Certificates of Survey Received _ Yes No APIR i Tree Preservation Plan Received _ Yes _ No '°""'----"-'- ` OFFICE USE ONLY BUILDING PERMIT TYPE **: ? ? `?.. ?` •:?: ,7? ? ? . qrx?? a ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ---EY?16 Basement Finish a 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. o 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ? 31 New ,W-43 -Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. fl. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. 5AC Code Census Bldg Census Unit Variance 4,?r9l o? i ? I - °k SAC SAC Units CITY USE ONLY 5 Jc?a C, ? CJ g? / RECEIPT #: 7- a SUBD. ?K ? DATE: tIv 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD . EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAS.H NS2. TOTAL Shower 3.00 x 'vvaier Ciosei 3.00 x 1- - ?- Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 :< _ Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :< _ Floor Drain 3.00 :< _ Gas Piping Outlet ' minimum - 7 3.00 :c = Rough Openings 1.50 :< _ Water Softener 5.00 .c = Private Disposai ' Dakofa Cty. license 65.00 = (new and refurbished systems) U.G. 5prinkler ` home under const. 3.00 = Alterations ` m existing 20.00 Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ?40,5"D SITE ADDRESS: 4674 Park Ridge Drive OWNER NAME: Ratzlaff Constniction INSTALLER NAME: Matthew Danlels, Inc. STREET ADDRESS: 15230 carrousel wav CITY: Rosemount STATE: m ZIP: 55068 PHONE #: ( 612 ) 423-4-73o 'SIGA???1 /'?Il'T ik r?t OFFICE USE ONLY L _ BL _ RECEIPT #: SUBD. 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commerciatrfndustrial buildings. ? muiti-family buildinga when separate pertnits are n?2 required for each dweliing unit. DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINf:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of RgCmi1 fee due on all permits. CONTRACT PRICE x 1°h STATE SURCHARGE TOTAL SITE ADDRESS TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ aTv: PHONE #: SIGNATURE: METER SIZE: DATE: DATE: STE. # OFFICE USE ONLY STATE: ZIP: APPLICANT _ INSPECTOR: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4674 Parkridge Dr Lot: 009 Block: 001 Addition: Park Cliff 2nd PID:10- 56701- 090 -01 Use: Description: Sub Type: e - Underground Sprinklers Work Type: Backflow Preventer Description: New Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447 -5761 Dan Clough 3880 Willowwood St Prior Lake , MN 55372 PL - Permit Fee (Res Modifications) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Ann W Courington 4674 Parkridge Dr Eagan MN 55123 $30.00 0801.4087 $0.50 9001.2195 $30.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Plumbing EA077670 05/09/2007 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4674 Parkridge Dr Lot: 9 Block: 1 Addition: Park Cliff 2nd PID:10- 56701- 090 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Ann W Courington 4674 Parkridge Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA078708 07/09/2007 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA121840 Date Issued:04/16/2014 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131230 Date Issued:06/10/2015 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 (651) 336-4344 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink (C- For Office Use EaauPermit#4110111 : �City Permit Fee: /L/1- ,201.../( 3830 Pilot Knob Road /` Eagan MN 55122 ,r ; „e Date Received: / / t Phone:(651)675-5675 °�r�` `�� t buildinginspectionsAcityofeagan.com Staff: I AUG 1 6 2017 L 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name:Ann CouringtonPhone: 651-336-4344 Resident! 4674 Parkridge Eagan MN 55123 Owner Address I City I Zip: Applicant is: Owner X Contractor Type of Work Description of work: Master Bathroom Remodel C L.� c ,fl Construction Cost: $28831.00 Multi-Family Building:(Yes I No X ) Company: Serda Remodeling LLC Contact: Freddie Serda Contractor Address: 7807138th St W City: Savage State: MN Zip: 55378 Phone: 952-261-8208 Email: freddie@serdaremodeling.com License#: BC639151 Lead Certificate it. NAT-F173247-1 If the project is exempt from lead certification,please explain why: home was built in 1991 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: Fire Suppression Contractor. Phone: NOTE:Plans and supporting domanents that you submit are consktered to be information. Portions of the information may classified as non-puNic if you provide specific reasons that would permit the City to conclude that they, are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issue. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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. ,Freddie Serda x Applicant's Printed Name ' .nt's Signature Page 1 of 3 i* artki j`„t,t Di/ DO NOT WRITE BELOW THIS LINE / ' 33 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck — Porch(Screen/Gazebo/Pergola) ` Miscellaneous 01 of_Plex — Lower Level Pool _ Accessory Building WORK TYPES New `5Interior 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 5 - `}f ".--`'"-- ---2, , , Occupancy ‘..--, – MCES System Plan Review Code Edition ,Vi ut fie, 15 SAC Units (25%_100% zi Zoning )t–t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/G.O.Required Footings(Addition) to Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final y Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 1 Insulation Windows Sheathing Retaining Wall:—Footings_Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: C"c #VV 4'7 l /-t ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge _lh Plan Review Q `7 C`/l /1 @ C�bt$' X1 }”- r)' (-9 h 1-5 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use City of Eapll Permit#:Permit Fee: a- on 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 L Staff: 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (7/,2.,2cs,17 Site Address: 4/6-'77/ 7/ Tenant: „ �► Suite#: Resident/Owner Name: 4VV � �^, r f�ug Phone: !sa- / Address/City/Zip: � e Name: License#: 06-Y9'7?— A"79 b/, G' 6'e/`�'.76 —s`�C Contractor Address: /499 lJat.�/ ,-2i i //Iv”- City: State: / Zip: 5.-.5 '611°- Phone: /, 7 '— C'6 // '✓I i Contact: %— A &' Email: ' .dv:: _ - Type of Work —New _Replacement _Repair Rebuild \/ Modify Space _Work in R.O.W. Description of work: rr 0`" RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit`Type Add Plumbing Fixtures( Main/ Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 iy of a permit, but • ly an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approve. •an i the case hich requires a review and approval of plans. x x IV Appli ,' -rinted Name Applicants Signature FOR OFFICE USE ' Reviewed By: Date: Required Inspections: Under Ground Rough-1n Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer ' Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA152145 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 Smart Builders Inc 11672 Butternut St NW Coon Rapids MN 55448 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153926 Date Issued:02/04/2019 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 (952) 934-0005 Window Replacement Company 5153 Clear Spring Drive Minnetonka MN 55345 (952) 934-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170602 Date Issued:07/12/2021 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 (651) 336-4377 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170643 Date Issued:07/13/2021 Permit Category:ePermit Site Address: 4674 Parkridge Dr Lot:9 Block: 1 Addition: Park Cliff 2nd PID:10-56701-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Ann Kypke Wilson Courington 4674 Parkridge Dr Eagan MN 55123--213 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature