4679 Parkridge DrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor S F DtaG/GAR Est Va1ue $138,000 Date MAY 1 S 19 86
SiteAddress 4673 PA:.*titRIDGE DR Erect CJK Occupancy RJ
Lot 10 Block 3 SeclSub. ?''ARK CLIFF 2lyD Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const.Vn
Addition ? No. Stories
Name Jt);;L.'s'h cti i•11LLER CONST Move ? Length
Q
= 1t?133 CL•'ll1?2 AV? 50 Demolish ? Depth
o Address Int Impr. ? Sq.Ft
Ci? F.?ZIiIN?'.?QN 43 -1007, Instau ?
a cv?,? Approvab Fees
o Name
oQ Address Assessment Permit $ 52F3.00
~ Citv Pnone Water & Sew. Surcharge 09• 0u
U¢
W W
? W
?2
v?
a=
{ W
Name -
Address
Police _
Fire -
Eng. -
Planner
I hereby acknowledge that 1 have read t
information is correct and agree to co
Minnesota Statutes and City of Eagan
Signature of
A Building Permit is issued to:
all work shall be done in accc
Var.
J08EFH MILLER CONST
all
- Plan Review 264.00
- SAC 575.00
Water Conn. 500. 00
Water Meter 63.50
- Road Unit 290.00
V-8- Tr. PI. 156.00
- Parks
_ COpies
Total $2,445.50
- on the express condition that
Eagan Ordinances.
State of
II IPWMN No- I wrnn Hda.. I o.a I r.wna,. r I
Date
Rouyh Plbp.
Rouyh Nip.
Hty.
Piby.
Final
Occ.
MECHANICAL PERMIT
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
nu^ur. .r• n.nn
Sfte Address
Lot Biock
? Name
.q Addra
c City _
? Name
c Addre
O CitY -
TYPE OF WORK
Boiler
Unit Heater
Alr Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
RECEIPT #
DATE: -
TYPE WORK DESCRIPTION
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
14es. ? New _
Mult Add-on
Comm.
Other Repair.
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL fi M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
< < _. --
SIGNATURE OF
FOR: CITY OF EAGAN
7 -r.r...,..,...?,
7]?
CONTRACT PRICE
Site Address ?
Lot J '- Btock - ? Sec/Sub ?
-
m ,
Name
m Address ?
.r
c
Ciry Phone -
Name ? ' -
3 Address
O City -? ? Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MI?VIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PWMBING PERMIT RECEIPT #
CITY OF EAGAN ?• ??;
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHOHE: 454-8100
BLDG. TYPE WORK DESCRIPTION
_ Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
_.?i_Water Claset - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00 ?
Shower - $3.00
?Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
,,
Floor Drains - $1.50 ?
Water Heater - $1.50 ?
Whirlpool - $3.00
Gas Piping Outlets - $1.5010
Softener - $5.00
' Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
\ GRAND TOTAL
'
:
---rn--.
IN
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
;, , , •.
SITE AQDRESS:
F l. f 1 I i (d!'1
PERMIT SUBTYPE:
I I MiNt;
f tPtAi
nl 1F RnTrn1a
Ftf f'! A(: 1- 0 i PtiiclW% (?}
ON
TQRD
PERMIT TYPE:
Permit Number:
Date Issued:
i0a - i+r -?r.•
t t? f? t i. c ? r APPLICANT:
. . , . {,?' AIVI?t !r•,1 #1
TYPE OF WORK:
Permit Na Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD ,
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
W,," , q z0 ?j?1
V+L N,
i
CITY UF EAGAN Remarks ii-'i , ~
Addition PARKCLIFF 2ND ADDN Lot 10 81k 3 Parcel 10-56701-100-03
, Owner street 4679 PARKRIDG$ DRIYE scate EAGAN MN 55123
? Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
5AN SEW TRUNK 1984 366.25 73.25 5
SEWERLATERAL
WATERMAIN \{v 1984 35.22 7.04 5
WATER LATERAI
WATER AREA ? ?(p
STORM SEW TRK \'93 1984 642.60 128.52 5
S70RM SEW LAT 1983 283.60 56.72 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I
CITY OF rAGAN WATER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Ea9an, MN 55121 OIhTE:
. ,
Zonirg: wa. o# Unfts:
OwrNr:
Mdrosa:
Sih /lddrem . ? . • ' ? ;; ; a ., _
PllJfTblr: • - - i? -
Nkftr No.: .2 3
Size: ?? "'A
Rsad.. No.:d 1 ?+ t'
:t
?°
c? .
i .s... ft ?.?, ,?+? ?e
?
??y
pdw ? Misc. Garpes: -
Total: - -
gy Do% Paid:
of Insp.: Irop.:
io
CITY OF EAGAN SEyyER SERVlCE PERMR
3830 Pilot Knob Road
P. O. Bor 73199 PERMIT NO.: .
Eagan, M.. ;5121 DATE:
Zoninp: No. of Unlta:
Owrwr:
Address:
Site Address:
Plumber:
? 1now M wifll wilh !M Ciy oi fmpw
?
By
Dcft of Insp.:
30 Pilot Knob Road
0. Box 21199
man, MN 55121
CornwcNon Ciwrpe: ` r,
Accoun+t Deposih -
PermR FK: -
Surciwrpe:
/Asc. Q+orya:
Total:
Dob PaW:
WATER SERVICE PERMR
PERMIT NO.:
DATE: - No. of Unlta: wnnecc,un ...w.ffye. - - --?-
I?OUflt DEpO3it: i t . ?'i?l?:
Permi1 Fee:
SurcFwryr - 5 nFt?-
Mix. Choroes- 1 5? ?•?, ;?? .,••'
Taol:
Doh Poid:
No.:
to ea.oy aMb Nn Citp .f f.y.w
of I nsp..
CITY OF EAGAN N o 11951
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55721
Ytl V NC: 4S4-if 7 UV
BUILDING PERMIT Aeceipt u
7a be used (or SF DWG/GAR Est. value $138,000 pate MAY 15 19 86
SiteAddress 4679 PARKRIDGE DR Erect 12F Occupancy R3
Lot 10 elock 3 Sec/Sub. PARK CLIFF 2ND Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. up
Addition ? Na. Stories
? Name JOSEPH M MILLER CONST Move 13 Length R3
3 Address 18133 CEDAR AVE SO Demalish 13 Depth5?
° ciTy FARMIN??'oQ?1 _ Int.lmpr. ? 5q. Ff.
Install ?
o Name SAME Approvals Fees
$? Address Assessment Permit $ 528.00
? Gry Pnone Water & Sew. Surcharge 69 . 00
264 00
- I
W
Name
F
? ? Address
a W Ctry Phone
Police
Fire _
Planner
Plan Review
SAC 575.00
Water Con n. 500.00
water nneter 63. 50
RoadUnit 290.00
Tr.PI. 156-00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld9
information is correct and agree to compl 4v th all applica6le State of
Minnesota Statutes and? of Eagan Onces, APC.
Si9nature of
Parks
Var. Date I Copies
7otal $Z.445.50
n suilding Permit is issued to 4 JOSEPH MILLER CONST
all work shall be done in accordance with all applica f Minneso tta
Building Official I Sta
- on the express candition that
of Eagan Ordinances.
3-QUEST FOR ELEC7RICAL INSPECTION EB-WIX71-04
(P •+
? See instrvcOOns br completing 'his form on back of vellow copy.
"X" Be/ow Work Covered by This Request
[ 16833
Nft4 Addj Kefi-. t Tyoe ol8uiltling ApPliancea Wved EquiVmaN Wved
. Hom£ Range Temporary Service
? Duplex Water Heater LighLny Fixtures
Apt Bwldmg Dryer Electnc HeaLn
Comnereial Bidg. Fumace Silo Unloader,
Industrial Bldg. Av Condrtmner Bulk Milk Tank
Farm tne, oeoi v etne, isno'Irv1
t er Suen v Other Other
ompufe lnspection fee Below
p Fee ServlcaEnhenceSize H Fee Faeders/SUbfeeders 9 Fee Circurts
0 ta200 Am s 0 to30qm s C? Otn30Am s
Above 2 0 qmps 31 to 100 Amps pp 31 to 100 Am s
Swintining Pool Above 100_Amps Above 100_Amps
Transtormers IrrigaLOn E3ooms . D PartiaLOther Fee
Signs Speciallnspecuon S TOT
emarks ?b SO FEE
? ?
flough-in ( Date y/ I. t Electr
I6
ft sDec , hereby
certily that the above
Final nspection has baen
thia reGUast vaiG 18 moMha irom
This request voitl
78 rtwn[hs tmm
C 16833 L U
ReQtsst Uate Fire No. Rough-i Inspecu nU
Fe 1red7
0Reatly Nuw
?Will Noufy
lnsoec-
S??g y
es ?No .
[or When ReaGy
LicenseG Electncal Conhactor I hereby repuest insoechon of ebove
? Owner electncal work matalled at.
Street Atldress, Box or iloate No.
4'7 I &k'r i cr e
L?i??V 2 Cov
Eo a-?
ecuon o. Township Name or No.
I'd Fange No. CouJnty A
?
LCJ
/
OccuGent(PRINT) ?
Joc /YI, G f cV Phone No.
?3 / -a-oc?
Pow r SupoI?er Addres
Elecin al Convactor ICOmpany Namel
_ /Y?,o?/a?? /e. Contr,actor's License No.
-a-
on)
MailinB AdJress (COnVecror or Ow?ner Making Insta47
y g
7
l
{?
q6
['c
err ,
Authonzetl Signature ICo tracmr/Owne akin0 InstallaunN Phone Number
MINNESOTp STpTE BOARD OF ELECTNICITY THIS INSPECTION FEQUEST WILL NOT
G.nggs-Midwey 91de. - Room N-191 BE ACCEPTED BV THE STATE BOAND
1821 University Ave., SL Peul, MN 55100 UNLESS PflOPEN INSPECTION FEE IS
Ph,.no 19121 297_2111 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New CanaWCtion Reauirementa
• 3 mgistered site surveys shovnrg sq ft. of lot, sq. ft. oi house, and all roofed areas
(20 h mmunum lot cove2ge alloweC)
• 2 copies of plan showing beam d vnndow s¢es; poured found desgn, etc )
• 1 eet of Energy Cakulations
• 3 copies of Tree Preservation Plan it lot platted after 7l1193
• Rim Jaist Det2J Options selecbon sheet (bidgs with 3 or tess units)
DATE a'a$'?
_ Water Softener
Water Heater
No. oF Baths
SITEADDRESS 51,16779 PArkrf'oAae zv• MULTI-FAMILYBLDG _Y ?N
U, -
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 61-4ken ROiO'Ana
STREET ADDRESS `1'700 1-4 Ae- A) CITY &?A STATE AUIZIPIWVI
TELEPHONE # CELL PHONE # FAX #
PROPERTY OWNER ?6 ? I?X2o TELEPHONE#
COMPLETE THIS SECTION POR "°NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIVNE501'A Ii[iLL•,5 7670 GATEGORY L MlN\ESOT:\ RtiLP:S 7672
(d submission type) • Residential Ven[ilation Category 7 Worksheet Su6mitted • New Energy Code Workshee[ Su6mitted
• Energy Envelope CalculaGOns Submitted
Plumbing Coatractor. _
Plumbing system includes:
Mechanical Contractor:
N-[cchanical system includes:
Sewer/Water Gontractos:
.1ir Conditioniii-
Hcat Rccovcny Sys[cm
1-6, - aL->
Fee: $90.00
Fcc: S70.U0
Phone i?U? ? ? ? u T
•--------------------------•-----------------....--------...__..._...------...
I hereby acknowledge ihat I have read this application, state that ihe information
with all applicable STate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Phone #
VALUATION S2 -I6• 73
-r
_ Phone 4
?Lawn Spritil:ler
No. of R.I. Baths
RemodellReoair Requirements
• 2 :opies of plan
• 7 set o( Eneyy CaICWaUOns (or heated addihons
• 1 sde survey for extenor atltlitlons d decks
. Indicate d home seneE by septic system for adOrfions
-R? ----------------°--- ------
correct, and agree to c mply
z.,
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? Qg 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex q 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12_plex Plbg_Y or_ N ? 25 Miscelianeous
? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of'Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footiags (deck) FinaUNo C.O.
_ Footings (addinon) _ pluinbipg
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs A'u/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test i _
Final _ Windows (new/replacement)
_ Insulahon _ ReCaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
license Search
Copies
Other
Total
Building Inspector
(
1986 BDILDING PEIi!!IT APPLICATIOH - CITY OF EAGAN
NOTB: ALL CA9TRACTORS MOST BE LICENSED iTITH THE CITY OF EAGAN
SIAGLE FAIULY Diiffi,LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - RESIDSNTIAL RENT9L ONITS FOR 59LS DNITS
INCLUDE 2 SETS OF PLANS, CEETIFICATE OF SDR9BY - CHE($ iRTH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMRCI9I:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
.
To He Used For: 97 g oV 1A6r»•0 Valuation: Date:
T-T-
Site Address 41L 7 g IP 4 r a, OFFICB IISE ONLY
Lot 0 Block ? Erect ? Oceupaney 93
p J
2
0 1 Remodel Zoning ?
Parcel/Sub
G? G- K C /
2 Repair _ Type of Const 7l,(/
Addition # of Stories
Owner Move _ Length
Demolish _ Depth SL
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone ? ArraovALs
Contractor
9ddress
6 eda?
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
iOTAL
Phone II u,17.6LP
NOTE: ADDRESS6S FOR CORNfiR LOTS - CONTRACTOR/HDMEOiiNE9 MDST DESIGNATE WHICH ADDRfiSS
IS DESIRED. NO CHANGF.4 HILL BE ALLOTiiED ONCE BIIILDING PEAMIT IS ISSIIED.
Assessments Permit 52
Water/Sewer Surcharge ?
Police Plan Review
Fire SAC 5 7 ?
Engr Water Conn ?_
Planner Water Meter 3.
Council Road Unit z¢?
Bldg Off,,jj Treatment P1 ?
APC Parks
Variance Copies
55z!
20?
< 7?'
l',c /? l C?' J v= ?
z1 '
7
,-
' CITY OF BUILDIIiQ llEPARTI-ILI7T
' EXTERIOR ENVELOPE AVY;RA(3E "Ulf C014PUTATIO14
I`
(To be suhmitted tivith building permit application)
Une or Two Family Dwelling Owner z"5,rrr-P-4
All Other Site Addresa
ContrACtor sce
a24 da,uFp- e/wST
Date
Phone
LIIZEAL FEET OF J
EXPOSED F7ALL _?F6 1oCP-.C_ ft. above grade - 3;, 6? 0Z
TOTAL EXPOSED 4YALL AREA SQ. FT.
0°AQUE IVALL COt:STRUCTION: "U" Value x Area
Detaii. I'P.plnUn ??{3 x s2.
reference flutt ?a7f? x SQ.
from P!Ir f tfU" •040 x SQ.
attached ifUlt x SQ.
sheets
npn x SQ.
FT. Z(v 17, O? I? Z-Z(D(U)(A)
FT. Iivo.Slm Z' .O(U)(A)
FT. Z , =J . (U) (A)
FT. _ (U) (/C)
FT. - (U)(A)
FT. _ (U) (A)
'NZIdD0'NS: "Ull Value x Area
Plake & TYPe IIUStJL-? J4/II1T npn •4'$ x SQ. FT.3&,3,7_O - 7.3 (U) (A)
n n nUn
x
SQ.
FT. _
_ (U)(A)
n n nUn x SQ. FT. _ (U)(A)
it " "Uft x SQ. FT. - (U)(A)
WURS: "Ull Value x Area
r.lal:e & TyT'e G7Z. 11NY u(.. ::U:, .14- X SQ•
n u 54770,?, 4YPlil/1> nU n
n n . r7-7 x SQ.
npu x SQ.
nun x S@.
TOTALS SQ.
AVERAGE "U"
TOTAL (U)(A) VALUES 3m 9 Z _ ' °
DIVIDf•,'D BY TOTAL ?'lpLL AREA o-
AVLkAQli "Ut' ,11-5 less for 1&2 family dwellinge
ROOF/CEILIN?
TOTAL AREA: _L2?
FT. 42,oo = dQg (U) (A)
FT.142 o c)--??(U)(A)
FT. (U) (A)
r-T. (u) (a)
Detail reference IJU" •OZl x SQ, FT. I? _2> (U)(A)
from flU11 x S2. FT. ?
(U)(A)
a
ttached slieets. liUll x SQ. FT. - (U)(p)
Describe onening., flUff x S9. FT. _ (U)(A)
in roof. nUn x SQ. F.T. - (U)(A)
TOTAL (U) (p) VALUES DIVIDED BY Zc71z? _ T-rAtv7 -L=J2 i`te,ft ?rZ,?CUrA>
r•
TOTAL ROOF/CE b1Ii9 AREA 1372
j •dZ.AVERpGL llUr!+02 fbr oentilnted roofe. --
?
IB•z?s X (4?t4-?+ ?+?g? _
g.co X 40 _
G'oAvC ,
. co7 X ?,46 ?-¢fv t
?_ooXC 9?-s+7, _
n? YorsT
I.?? x (4?+9(a+3?+?a? _
3,o7q. ¢?
3Zp-cr>
/SS, op
3(oaz.14
48,ao
Iloo.sfv?
zTB.gS?
WiNj>oc-S
zax ?- = 4•7 X 4= !8. 80
zlnx4a = 7-z ?C I$ = IL9.(oo
°
/. °
87 ? 4 = ?
o
?i?3• Z o
x?' S
5M- 6/Yr = Zt,oo
yTLI SER. _. Zl.oo
6, ° A-feauw? = 4Z, v o
`7 ° Vte 00
?2,00
189, oc, ?-,
dET G-Rtr:E-b cvpu- F"sFC..S
L?yS G?ove., f I?D.Slo
rr Jer ?a 1 z ?g, s s
l,vDt?'S 363, a
u Iao?2' S r gp, op r_
Z(v10.po?
-k
ZBx?? _
9Xiz =
l4.sx ig =
`} X 4 =
I aog, o0
rog.oo
Z!o/ . o0
1, 393. oo ?.
?
(
.• Determining "U" values at Roof; Wallo Ritnt And Conc, Block
ROOF/CEILINQ
t.) Interior Air 2'i1m
2.) 5/81, (iYP. Bd.
3.) Ineulation
4.1
5.) Exterior Air Film
(STILL)
(R) VtiLUE
0.61
.56
44, 00
.6i
uU" = 1/R= I OZ.? 'POTAL (R)= 4?,7Q
v
__---
WALL
6.) Interior Air Film
7.) 1" GYP. Bd.
8.) Inaulation
9.) .PwIu-f,> I r6
10,) Masonite Siding
ii.) Exterior Air Film
R VALllE
0.68
.45
19,00
? 6'1
.17
upn _ 1/R= p?j TOTAL (R)=Z^0!
RIM
12.) Interior Air Film
13.) Insulation
14•) 2" Fir Rim Joiat
15.) LvruT- r+r05-
16.) Masonite Siding
17.) Exterior Air Film
R VALUE
0.68
117,00
1.88
Z6?
.17
upn = 1/R= TOTAL (R)= z4•4f
.f
FOUtiDATION
18.) Interior Air Film
Zo. ) ?-N STIei?P?D
21.) 72" Concrete Block
22.)
23.) Exterior Air Film
R VALU
o. 68
J/,vo
1.28
.17
„ull _ ,/R_ .o7 (, ToTAL cR>=/3,1?
k4%XK44;0 1vV3 ?:A>k%Y•?); axW..Y,!#
(A I y I?rl.. I..i-d.'P,i
: 3q?1
ll:l;rll:t•!A! u(.)
il.i*.!:i;; .14
.,;G ':'a?_??il. 4r,.•?? c?4f?i(ti:I::i.,P: ;'N a r'ii
;`I'?:-i <iil(1'!. •j.t,r") ?'(5R?'I'tJ ?If;f I ?`i(}
y, ;?._"?}y. ":?n 9, i:iFs ",:Y,:', ;: ?r %? ,;<:i^? ?k $ •':?' X:YH>i'>k$yn t°?i:>y ??kX?
, . , PERMIT
CITY OF EAGAN BUILDIN6
3830 Pilot Knob Road PERMIT TYPE:
Eagan, MinneSOta 55122-1897 Permit Number: 0 30 412
(612) 681-4675 Date Issued: 0 7/ 11 / 9 7
SITE ADDRESS:
4679 PARKRIDGE DR
LOT: 10 BLOCK: 3
PARK CI.IFF 2ND
P.I.N.: 10-56701-100-03
DESCRIPTION:
REPLACE
Btiildiny Permit Type
j$uilding W'p,rk Type
>.
('Census Co¢e
--?
?
?.
? - ? F _
P ?`t P xy4"?
tS
WINDOWS (2)
SF (MISC.)
RLTERATION
434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge $1.50
Total Fee $76.25
CONTRACTOR: - Applicant - ST. LIC. pWNER:
RENEWAL BY ANDERSEN 15717816 2004063 BRICK SHARON
'01700 BUERKI.E 4679 PARKRIDGE DR
WHITE BEAR LAKE MN 55110 EAGAN MN
,(612) 430-7255 (612)571-7816
? I
I hereby acknowleiige thaC I ha?ve read thi,,s
information is correct and agree tojpqmpljr
Statutes and City of,Eagan Ordinancas.
APPLICANT/PERMITEE SIGNATURE
ap,plicatian and,state,thdt the ,
with all, a.Pplicahla State of Mn.,.
ISSUED :SIGNATURE
'30 ?? Z 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD .55122
B81-4675
? 3 rogiffierod eite aurvoys * Zcopipy o{ plan . '
• 2 copies of plans (indude 6eam 8 wiiMow afzea; poured fid. deaign; etc.) ? 2 site aurveys (exterfa addkWns & decks)
• t energy calwlatlons . ? 1 enargy eekulatlons for heated addidons ? 3 copres of tree preservetion plan H IM plalted after 71/93 . '.
reqWred: _ Yes _ No DATE: 01 O"1 • q^7 CONSTRUCTION COST: a? 385 •?
DESCRIPTION OF WORK:
STREET ADDRESS:
`
LOT BLOCK
PROPERTY Name: _ P)R1 CK. 3 Slrr A"?C)t,1 Phone #: l o%a•(081 9 D'l a
OWNER ,,,., M„
StreetAddress: '''tlo `lq P('rRV:-Et1cs[-,E DR .
City: la?RGKCV-A State: M N Zip;_5 51 a 3
CONTRACTOR Company: B?pLG?1 AL 2>?( (?N'C?tZS?i Phone #: (0 ti a5"71 •-18 &
Street Address: aE p • NqE, NQ License #: SOo`?0 ko'?)D
Ciry: PRNOVel State: Mtil Zip: 65?I,?a
ARCHITECT/ Company: nf f rk Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this applicadon and state that the informatio is correct a agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?? n
Signature of Applicant:
_ OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
- Not Required
JUL 10 1997
`-' SUBD./P.I.D. #: L""?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition ? 08 &plex
?" 04' SF Porch a 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New
0 32 Addition
? 33 Alterations
0 34 Repair
t.. ,
? 11 Apt./Lodging o 16 Basement Finish
0 12 Multi Repair/Rem. ?. 17 Swim Pool
? 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace ? 21 Miscellaneous
0 15 Deck
0 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
- APPROVALS •
Planning Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee '-l -"15
Surcharge l . So
Plan Review
license
MClWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: rl la , 95
Valuation: $ a, 3ss- "
°k SAC
SAC Units
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS: C/ e,?; /
*K7PE: PAYMEKr OF FF.E AT TIME OF
APPT.TCATIori noFS Nar aorsizTUIE
APPROVAL OF PII2MIIT.
INSPDCTION OF SbWER ANID/O2 F]lMEt
IPOrALL.ATrONS WIId, NOT BE SCHED-
[n.m cNru. PERMIT xA.s aEEN
r,pPxwm.
r --
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID
IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDIM PERMIT ISSL'ANCE:
(Mon Year)
PRRGENT ZONING/PROPOSID LSE:
q ca+MEacIAw/REI'xir,/or-FZCa
Q IPIDPSTRIAL
n INSTI2L'TIONAL/00VFRAA7EN'p
P?__R-1 SINGLE FAMILY
Q R-2 DL'PLEX (Two Units)
? R-3 7DWNiOC?SE (Three + Onits) ( Units)
q R-4 APARTME34T/CONIDOMINICTI ( Uni.ts)
2)
NAME:_??i?c.?
ADDRESS: -
CITY, STATE, ZIP:
PHONE:
3) u r s-
NAIE:
P,DDRESS:
? CITY, STATE, ZTP: ?c.?/'.ij!'`? ?-A.d'1?` y?/i/)/1 t
PHONE: ?? ' MASTER LI(EfISE#
4)
NAME:
ADDRESS:
CITY. STATE, ZIP:
PFIONE:
Plinnbers License:
Active
H Fycpired
Not recorded
Sta Initial
5) ? r• ? ? r• ?• : o • s? - ??
-')x CON[?'(.'TION TO CITY SE4?E2 ?CONNE7CfION n7 CITY WATf]2 Q OQ'Eff?t-'
a-
6) `l {'? •'??•,?-}? [? PLEASE HOID APPROVID PERMIT FY)R PICK-CTP BY ONE OF ABOVE '
MAIL APPROVID PIIiMIT TO 1, 2. 3, 4. ABOVE
(Circle one) /
7) rem'vm "-,
. F'OR CITY USE ONLY -- - - -? _ .
PERMIT # ISSL'ED
7?o S 7-73
.r
Pd w/Bldg. Permit FEES:
$ $__ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLCDE SORCHARGE) .
$_ (n3SZ? S WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S o-o ACCOUNT DEPOSIT - SEWER
$ $ c' ACCOL'NT DEPOSIT - WATER
$ CJ ? $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ S OTHER:
-
p TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN P[JBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK 6VITHIN PLBLIC
Q
NO ROADWAY" MLST BE
DIVISIO ISSUED BY THE E[VGINEERING
N. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
PI ROBE (OHSUlTINO l41fS1f1EEflS
NGINEEAING pLpIINEAS and LHHd il1flVEY0f15
COMPRNY, INC.
1000 EA57 1461h STHEET, BURNSVILLE,IItNNESOTA 53337 PH 432-3000
pit
Lgg4 Cf'4?p tosL.' LOT !0, BLOCK. 3, PARKCLIFF 2ND ADDITION,
DAKOTA COUNTY, MINNESOTA
h An i v
\ \
?
3y
\ o
\
pRAINAGE AND
UTILITY EASEMENT
30' FRONT 13UILDIN6
SETBACK LINE
?
i
NORTH
SCALE: 1" = 30'
? S 6je
`V,
O? mV
r°•n ,? y, )
? ? /?. a,a a,•/ ,?l / (q1°?
Q ? ?/ ? v w
I`0•
j 41?{1.3
0
S J
C
? ?
`Vi=s=? DENOTES ExISTING ELEVATIQN 941 ?
(9?i,5) DENOTES PROPOSED ELEVATIOnI -,S`
INDICATES DIRECTION OF SURFACE DRAINAGE
It.9,So= FINISHED GARAGE FLOOR El_EVf1TJON
I hereby certify that thia is a true and correct rnpresantation of a?tract of
land as tho+m'and deecribed hernon.• Ae prepnred by me on thit 5rto day of
m? - . 19 S? .
? ? Hinn. 1?e6. No. 146ts
?
?\1L 1
?
i
?
n
M
N
1
--.1
fVl
L1!
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4679 Parkridge Dr
Lot: 10 Block: 3 Addition: Park Cliff 2nd
PID:10- 56701- 100 -03
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:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Barbara J Schmitt
4679 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
EA087196
10/30/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110653
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
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, 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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
(651) 686-0249
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120608
Date Issued:02/24/2014
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
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 .
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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
(651) 686-0249
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127279
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
(651) 686-0249
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
101lb
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
1-3L-PaLb--
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/6 449 Site Address: 6 9 0.1(' Kr; Pte.
Unit #:
Name: / / �'LZ
Address / City / Zip:
Phone Jul ✓kRia z 7
Wi 7 7 ?o.y / kids Dr -,-A/ 575-7 0-z.
Applicant is: Owner �' Contractor
Description of work: i?ep,bae C,Ctiej7:A01/—
Construction
/—Construction Cost' 306 > . Cd
Multi -Family Building: (Yes / No )
Company: /7,ci)',() e--; 6 * re::r y Le Contact:Si4C ' 5421 411 -1 -Cc e:✓ -
Address: 5240/ 456)10/tJe 14"e /f47 City: MdS
��
State/OA/Zip: ‘,.....5--i4261). Phone:/t�� cc����5v2" gxmail:
License #: "1.013 5-2)6 Lead Certificate #: T- 373--/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
4J , L-64-
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:
:, :T)i • 11e !�°1�1 / � ;a ®Oh' .: of [ i4 ° 1%t rd! I(, 14,- oft t° - A ' °�'�;® e�Yl.• 1'� 1 ®��1 •
!f4! 1 ° 1 J1 � � R 1 ���'1t ? ! • f t/k.(1%;�� " ill R �i '7 V/( rx l f �' �'n u • • "c�;f C r`(0°....:
,x"1�1��1i71 ,(Y�c'��s r
a'l r a $
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.00aherstateonecall.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.
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 5f>;c-' tv t ( �
Applicant's Printed Name
x
Applicant's Signature
S,
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153660
Date Issued:01/10/2019
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156712
Date Issued:07/15/2019
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
(651) 686-0249
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature
G v
1
CP\
1-1
For Office Use 7✓
♦��• ••,mssE AGA T T
C Ei v .. Permit Fee: / ' •: ".6
JUL 0 8 2019 Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 1 TDD:(651)454-85351 FAX:(651)675-5694 Staff:
buildinginspectionstecitvofeaaan.com ___
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 8 f Site Address: 9t,79 PMPJiiJ4fD/� • Unit#: A—oril}
Name: 77ø'thL317trfc•� //�// / Phone: C �
;widow
Owner t#" Address/City/Zip: 1142 5,47,1,../111P6:,i 24. 1,421,tnii WA) 0451'
-5
Applicant is: Owner X Contractor
Description of work: P>74fel.Id ieI
Typo of Work
Construction Co /jn 44'dee, Multi-Family Building:(Yes /No Se-)
Company:5eizal ���Contact: � ,040
713ô7 ,,3 J/" 1i CitycontractorAddress: 0"
r`7/- Zip- /�5��J Phone: ?ill/•02 Email:/'/�P �‘4 �i �il✓Va'Y •
47.04,1
License#:Ee,,ete4V/5/ Lead Certificate#: >—36)5,,6?
If the project is exempt from lead certification, please explain why:
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 Rem and samara* Ira= 4m saasidemerfn bei ialien, I vdans lterinftraistion may be
ciatisModast:netipr #`1 the-City la camaWa thatthey Ametardesacreta..
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.citvofeanan.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 issuance.
CALL BEFORE YOU DIG. Cali 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.gooh erstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit,and work is not 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.
Applicant's Printed Name .11"`cant's Signature
L
. / '6,s.qz/
.-, q6,7 eiltrai6Kid&E hie_
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ ulti — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
Addition — Move Building _ Reroof — Demolish Interior
4‘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 (?( (p0 ) Occupancy MCES System
Plan Review Code Edition ytj1 / )i (SAC Units
tit/(25% 100% ) Zoning City Water
Census Code Stories ' Booster Pump
#of Units Square Feet PRV
#of BuildingsLength Fire Suppression Required
—
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) X Final/No C.O.Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
?c,
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
/ _ Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Firs Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: II., ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 0171,I,
(r)
Plan Reviewft_6111 G
MCES SAC Ve- '°�
City SAC
Utility Connection Charge
S&W Penult&Surchargei
"1
Treatment Plant 0Y 2 0
( (0 0 0
Radio Meter Read /1
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159773
Date Issued:01/16/2020
Permit Category:ePermit
Site Address: 4679 Parkridge Dr
Lot:10 Block: 3 Addition: Park Cliff 2nd
PID:10-56701-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Barbara J Schmitt
4679 Parkridge Dr
Eagan MN 55123
(651) 686-0249
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature