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4683 Parkridge DrPERMIT City of Eagan Permit Type:Building Permit Number:EA128478 Date Issued:11/14/2014 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 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 - Kimberly A Turner 4683 Parkridge Dr Eagan MN 55123 (651) 994-1218 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature -A_-. A ? ? CASH RECEIPT 01. CITY OF EAGAN 1, j 3830 PILOT KNQB ROAD EAGAN, MINNESOTA 55122 , DATE - / - 19 REceFVEo ?- rnw 1 AMOUNT $ ' i ; & DOILARS ,ao O CASH CHECK r L_ BY C 017?83 . WN,O-Pe,?? ? Yesow POS&V Copy Pink-fNe Copy Thank You RWI&M FDR MM 06/11/93 CITY OF EAGAN ',3AX MOttK $21-6537 ¢ ; ? ? t ?? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?.+ 1PHON E: 681-4675 BUILOING PERMIT Receipt # To be used for SF DiiC/GAR Est, Value $l 5 t, fi00 Date LED 12 . 1912-- Site Address 4683 FAitKltIDCE DR Lot I Block 4 Sec/Sub. 1PAR=LITP 2ND Parcel No. Name _ Address 18133 CEDAR AYE S c4ty FAR!!IltGTOli MN p,,,,,,, 431-2001 NNf'12 _ Address Cfty - Phane _ that I have read this and agree to comp ZP SSO44 ?rp i and state that the applicable Stale of on the express condition that all work shall be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Ordinances. Building Ofticial , CE USE ONLY Occupancy R-3 M-' Q t FEES B 1 a • ? eid P ic Zoring - g. erm (Actual) Const V-x $urohargg 7 s. X1 {Allowable} Plan Rayieyv OQ 532, # of Stories L h ? ? S 0? engt Depih ? SAC, City 100900 ' S.F. Total - g,e,C, MCWCC 700•? S.F. Footprints On Site 5ewage - _ Weter Conn 675.00 On site weil X wacer Meter 93•00 MWCC System Ciry Water x ncct. oeposit 30,00 34.0?? PRV Required x SJW Permit Bo08ter Pump - g/yy Surcharge APPROVALS Planner - Council ? BIdg.Ofl. - Variance - Treatmenl PI 300'00 Road Unit 380•00 Park Ded. Copies TaTAL 3.74t.00 '' Permit No. Permit Hadsr Date Telephone # PuuMaWG Hvnc ELEcrRic ELEcTRIc Inepection Date Insp. Commenta Foolings I 2-, _ Z Foundation Framing Roofing 1 Rough Pibg. 3-y-f 1 S Z• L " -v 92 Rough Htg. Z . j, rc+ ,•., F r u I-u Isul. n Fireplace final Htg. Orsat Test Final Pibp. Plbg. Mspedor - No6fy Plumber Const. Meter EngrlPlan B?. F??? Dedc Ft9• Dedc Fnal Well Pr. Oisp. - //-9Z 6 2?S 3 - c -Fz Y-L-AA -W g"T r ? ., ... ?. i ? (gtr#if trate nf Orrupanrit titp of (eagan Epoftmt Lrf guilditug iwwrtiou This CerUficate issued pursuant !o the re.quiremenrs ojSecaon 306 of lhe Unijorm Building Code certi, fyin8 that at the time of rssuanre this structure wws in conipliance witlc t/re warious ordinauces of tke Ciry regulatixg building conwuation or use. For the fotlowrng.• u,e aaaTouan SE' DWG/GkR etds. Pamit t+ro. 20 1[lf. 0-ma-7 'rya R3/M 1 y..ig Dwj, R 1 TYW C- VN JOSEPH M NIIL FR OWS!'. A&t"= 181?3 ?'F??AR AVF. S- FAf?fI?ICY+I P0.ST IN A CONSPICUOUS PLACE • CITY OF EAGAN Remarks Addition pARKCLIPF 2ND ADDN Lot 1 Blk _ Owner streec 4683 PARIQ;IDGE DRIYE Parcel 10-56701-010-04 EAGAN MN 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRAOING SAN SEW TRUNK SEWER LATERAL WATERMAIN ? S61 1984 35,22 7.04 5 WATER LATERAL WATER AREA STORM SEW TRK 1984 642.60 128.52 5 STORM SEW LAT 10 1983 283.60 56.72 5 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? SEWER & WATER PERMIT OFFiCE USE ONLY CITY OF EAGAN METER # PERMIT DATE 02/ 19 f 92 3830 Pilot Knob Rd. 12551 Eagan, MN 55122-1897 CHIP # PERMIT # METER SiZE B.P. RECEIPT # C 017283 2,-6_92 ISSUEDATE B.P.REGEiPTDRTE 02/12/92 DATE _X PRV -BOOSTER PUMP Parkridge SITE ADDRESS 6.?'83 ?u-?'4'°- Drive F PERMIT REQUESTED LOT 1 BLOCK 4 SECISUB Park-C--U 2nd ar c x SEWER ? WATER -TAPS APPLICANT: Joaeph Mfller ConotxncEion, Inc, R ADDRESS: 18133 e ar Avenue 80 - COMMIIND RESIDENTIAL G{TY, STATE a? ngGon, - ZIP R NEW - EXISTING STATE muaamvuiiL 1 1110 ZIP '?••"" E: 471^1 4 L• 4 _ STATE Lawn 5prinkler Meters are to be Installed Ahead of Domestic Meter. on Water Line. Cre¢it WILL NOT be?given,fo? Deduct ?+leters. I AEE 70 COMPLY WtT"ITY OF EA AN ORDINANCES SIGNATURE WHEN METER ISSUED ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM PERMITS, CONTACT ENGINEERING DEPT. <---'_-?, :---, ? :_-,::- _?„*r , I SEWER & WATER PERMIT ? ? C17Y OF EAGAN i 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 2'b-92 OFFICE USE ONLY li ???!c?' r1 METER #?I iP PERMIT DATE 02/19/92 CHIP # PERMIT # 12551 ? METER SIZE B.P. RECEIPT # C 017283 ISSUE DATE q G r B.P. REGEIPT DATE 02/12/92 X PRV _ BOOSTER PUMP Parkridge SITE ADDRESS 4683 24*k_.R4.d.qe Drive LOT 1 BLOCK 4 SEC/SUB Znd Parkcliff APPLICANT: Joseph Miller Construction, Inc. ADDRESS: 18133 Cedar Avenue So CITY, STATE Farm ngton, MN ZIP 55044 PHONE: 431-2001 PLUMBER: """-`•?' °" ADDRESS: 14745 S. Robert Trail CITY, STATE Rosemount, MN Zlp 55068 PHONE: 4 ?.2-.3.-11.4.4 OWNER: - ADDRESS:_ CITY, STATE PHONE: - ZIP PERMIT REQUESTED X_ SEWER x WATER _ TAPS - COMM/IND X RESIDENTIAL I NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meteron Water Line. Credit WILL NOT be,yiven;fo Deduct Meters. : TO COMPLY OROINANCES SIG METERISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIQNS. FOR STORM SEWER PERMITS, GONTAC ENGINEERING DEPT. .. • Frt:. Fr ?c t r : . , _; ?zu- ti RESIDENTIAL ? BUI4DINC PERMIT APPLICATION 91Z 15 ? 5? CITY OF EACAN ? LOT 3830 PI651 68/46 5- 55122 Calfed 5'S-bl J NewConsWCtionReauiremen4s RemodeUReoairReaviremeMS - 4-?/}7 • 3 registered site suneys showing sa. R o( bl sq. R M house; and II roofed areas . 2 wpies of pWn (20% maximum bt caverage aliowed) . 7 set af Eneryy Calculations for heated additions . 2 copies of plan showing 6eam & window srzes; poured found Aesign, ek.) . 1 site wrvey for e#erior addihons & decks • 1 set of Energy Calc,.lauons • 3 copies of Tree Preservation Plan H lot platted after 711193 • Rim Joisl Detail Optlons selec0on sheet (bldgs with 3 a less uniLs) DATE VALUATION (EXCLUDING LAND) .iJB SITE ADDRESS i?1o83 P-C-,Pae - b+' ° IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ? Yy/B?fG TYPEOfWORK FIREPLACE(S) _0 _1 _2 _3 APPLICANT _???, ?tels PHONE # 290-1s«a p c-xrA2.d ADDRESS ZIPCODE PAGER # CELL PHONE # .lc/a 1219 - 05 S7? FAX # VSa - ,S'9fe- ?-1I-3 S? NtIV REStDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing S}'stem Includes: Mechanical Contractor: blechanical System Includes: Sewer/Water Contractor: Phone # Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5(gnature of Applicant ? 1 ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ FVater Sof[ener _ _ Water Heater _ _ No. of Baths Phone I.amm Sprinkler No. of R.I. Baths ? Air Condiuoning Heat Recover}• System Updated 1/01 OFFICE USE ONLY V, . ? Ot Foundation O 02 SF Dwelling 0 03 01 of _ plex ? 04 02-plex ? DS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 77 Garage ? 10 OS-plex ? 18 Deck ? 11 70-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N 0 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 0 36 Multi P, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 AI[eration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demoiition (Entire Bldg only) - Give PCA handout to applicant Valuation Ga 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 ? Width Footings (new bldg) 4p-- Footings (deck) Footings (addition) ? Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Au Test _ Final _ Insulation REQUIRED INSPECTIONS _ FinaUC.O. _ FinallNo C.O. _ Plumbing _ HVAC Other ,,p Pool 20 Ftgs Au/Gas Tests inal _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? Building Inspector ? RESIDENTIAL BUILDING PERMIT APPLICATION CRY OF EAGAN 3830 PILOT KNOB RD - 55122 (/ J 657-681-4675 New ConstructWn Reauirements • 3 reg'stered sNe surveys shaaring sq. H. of tat, sq. fl. oi house; and all rooted a2as (20% mazimum lat coverage allowed) • 2 copies of plan shovnrg heam & window s¢es; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree PreservaGon Plan tl lot platted after 711193 . Rim Joisl Defaa Oplians selection sheel (bldgs with 3 ar less units) DATE gflp JOB SITE ?;37y, ?b Call-ed RemodeURaoair Reauiremenb ? -a r -V I • 2 copies af pWn • 1 set of Energy Calculatbns Por heated additions ? • lsitesurveyforeztenoradditions8decks • Indicate'rf home served by septic system for additians V LUATION 300, vc-.) o 6 (1 t L}P IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?St PROPERTY OWNER ??f M h,,, '41? TYPE OF W( APPLICANT ADDRESS _ PAGER # fIREPLACE(S) _ 0 it? 1 _ 2 PHONE#62?S6 ZIP CODE S 2- CELLPHONE# ?(L- 3ra`? ?73 FAX# 6r2r^LI5? 16Plf NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPIETELY energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residentiaf Ventilation Category 1 Worksheet Suk - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Wafer Contractor: _ Water Softener _ _ Water Heater ? No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 AIi above informatfon must he submitted priorto processing of application. I hereby acknowledge that I have read this opplication, state that the with all applicable State of Minnesota Statutes and City of Eagan On Signdture of Applicani Certificates of Survey Received - Tree Preservation Plan Phone Lawn Sprinkler No. of R.I. Baths Phone # Updated 1101 OFFICE USE ONLY `- ' ? 01 Foundation 0 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 76-plex O OS 08-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Poroh (3-sea.) * 22 Porch/Addn.(4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. AIt - SF ? 36 Multi v 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bidg onl» - Give PCA handout to applicant Valuation OCO cn ? Occupancy le- MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. J_3 S PRV Nbr. of Bidgs ? Length Fire Sprinklered Type of Const W idth ry, REQUIRED INSPECTIONS _ Footings (new bldg) Foorings(deck) FinallNo C.O. Footings (addition) Plumbing Foundation HVAC ? Drain Tile Roof Ice & Water Final Other Framing- - ? Fireplace _ R.I. _ Air Test _ Final ? Insulation ? Approved By Building Inspector ease Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ Pool Ftgs A'u/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) o.P 7-1-0,6) a?Sk?- ?- S lK FinaUC.o. ? CITY OF EAGAN P?O2O ? O?4 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 . PHONE: 681 -4675 ? O'--1 ? 3 ? BUILDING PERMIT Receipt # ° To be used for SF DWG/GAR Est. Value $151,000 Date FEB 1 2 ,1992 Site Address 4683 PARKRIDGE DR Lot 1 Block 4 Sec/Sub. PARKCLIFF 2ND OFFICE USE ONLV FEES Parcel No. Occupancy R-3 M=1 R 1 &dg. PermR 818.00 Zoning = Nype .IOSEPH MILLER CONST INC (qctuapConst V=N g=twge 75.50 W Addmw 18133 CEDAR AVE S (Allowable) SL-N PLan Reviey 539-0 C4 FARMINGTON MN ZjP 55044 ? nglh?0f1eS ? ?,? 5.00 PhIN18 431-2001 Depih 42' SAC, City 100.00 cc N2R1e SAME S.F. Tatal - SAC, MCWCC 700.00 ? Address S F, Footprints St S O Water Conn 0 675.0 n e ewage _ Clh! Zp on srte Wall - Water Meter 95.00 ? Phone MWCC System -? A?? Deposit 30. 00 ? Ucense k 0002431 City Water PpV Fequired - ._x SNJ Permit 30.00 I hereby acknowlage that I have read ihis application and state Ihat the ' eooster Pump - SnN Surcharge • 50 mfortnation is correct and agree to com ly th all applicable State ol Mmnesota StaWtes an ity of Eagan Or nces. r TreatmeM PI 300.00 Signature of Permite APVROVALS Roatl Unil 380.00 A Budding Permit is issued to: JOSEPH MILLER CONST Pla^^ar - park Ded. on the express condtlion that all work shall be done m accortlance with all CouncA applicable State ol Minnesota Statute s and Ciry of Eagan Ordmances. Bldg. OfL _ Copies J Buiiain9 Oificial ??1,(?lA. 1 A4 Vanance - TOTAL 3, 741 .00 DATE: FEB 19, 1992 l RE: 4683 PARKRIDGE DR (JOSEPH MILLER CONST INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed tor ihe following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until furlher notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) betore issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. S5/ 9,2 REQUEST FOR ELECTRICAL INSPECTION `? ^ ? Sep.:wlri2}?Ei$ for com0leung this form on back ot yellav mpy ? 14 $(a 9 "7C" Below Work Covered 6y This Request ew Add Rep TypeofBuiltling AppliancesWVed EQuipmeniWiretl Home ? Range Temporary Serwce [ia plex Water Heater Electric Heating Apt. Builtlmg Dryer Other (Specify) Comm./Industrial mace Farm Air Conditioner Otner (syeciry) ConVactorS Remarks. Compute Inspection Fee Below. # ' Other Fee # SerwceEniranceSrze Fee # Crtcwts/Feetlers Fee Swimming Pool 0 to 200 Amps 13 D to 100 Amps s Translormers Above 200 _ Amps ? Abova 100 _ Amps n5 Si f?spector5 Use Onry: TpTpL 9 Irn ation Booms Special Inspection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLE7ED WITHIN 18 MQNFFHS. I, the Electrical Inspector, hereby certity that the above inspedion has been made. "gn-'" oare I,!? 4 Final oe?e ' OFFICE USE ONLV Th?s requBSt void 18 moMAS /mm J14 29 J $ 8 ,?? ? ?9 Repuest Oate Fire No. Iug -in InspecUOn fQ.Q2Lf 2?, 1992 p. 2 LC eCuiretl'+ ?ReatlyNow ?A E?or ,R ° bikS G No n ea Y I1,lieEnsed contracror ? owner hereby request inspection of above electrical work at Jap AOtlress sheeL Box or qoute No ) dty 4683 1 ¢rc%2idge t7uve £¢yan SeMron No Towns?ip Name ar No Range No County Dakota OccupanryPRINT) Phoire No oe (UUe1z flomee 431-2001 Power SupPlier pqpress • Dalcota ELecf2ic ra2mingfon,(7N 55024 ElMreal ConlrecMOr (COmpany Name) Coritrim1a5 Lc¢nsa No P]idPaad Eiect2ic 049690 Maning AEAress (Comranor or Owner Mabng Insrallatron) 7803 172nd St, lJ. Lakeuilie,r1N 55044 Aufionze0 Sign onhact aki slallaLon) Phone Number 43Z-6688 MINNESOTA STATE BOAflD OF EL THIS INSPECTION REQUEST WILL NOT Grigga-MlAway Bldg. - qoom 6E ACCEPTEO BV TNE STATE BOARD 1621 Unlversity Ave., SI Pa . 55104 UNLESS PROPER INSPECTION FEE IS Phonet612) 6412-0800 ENCLOSED Address: 4683 ppRMiTttM DPIVE Lot t Blk q Sec/SubpAEgaIFF M These items were/were not complete at the time of the final inspection. te: 5 27 92 Yes No W Tnqljprror, Final grade (6" from siding) L/ Permanent steps - garage ? Permanent steps - main entzy Permanent driveway Permanent gas ? Sed/seeded grass 7? Trail/curb damage Porch r/ Basement finish y 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. ? amamnwx White - City copy Ye11ow - Resident copy Pink - Contractor copy 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN REQUIREMENTS: O?O SINGLE FAMILY 2 SETS OF PLANS, 3l'iEGiSTERE SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. TO B8 USed FOr: New Home Valuation: -11;2;2r40 Date: n Site Address 4683 Park Ridge Drive Lot 1 Block 4 Parcel/Sub Par k Cliff zna ? OWn@rJoseph Miller Construction, Inc ACICIf2SS 18133 Cedar Avenue So C.Ih//Zlp Farmington, MN 55044 Phone 431-2001 Contractor Same as above Address C'rry/Zip ok Phone License 0002431! Arch./Engr. _ Address _ City/Zip Code Phone # !S1 ovo'' Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On-sfte sewage On-site weil MWCC System Ciry water PRV Booster Pump Council Bldg. Off. Variance 2-6-92 R-3 M-I Bldg Permit I?-? Surcharge v-N Plan Review V- N Ucense Fee SAC, City 60 SAC, MWCC y27 Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ?j - Road Unit ?- Park Ded. ? Trail Ded. Copies SUBTOTAL Penaity Lot Change TOTAL Ds z ;,? 02. FEES R/R.Oo n Sewer/Water Licensed Contr. ce°Z Rya° Processingtime fo ewer/wat r 7uot is tvio ays once area as en approve ?'• agrees that ali work shall be done in accordance with nature o vermiriep) all applicable State of innesota Statutes and City of Eagan Ordinances. ? . \ vALua'rioN Cy A'I'L AGE .?....??a I Z X2Z.. ? Z46 4 ?? ..?? .. ?a.s 3 ZoXZy? ?-I?o ? yx6= (ay) ,?? , ` ? 15= <O,Sao SS?titT, .___,.?....??. 29 j< S I 2 l8 x ?S= 3zLI __..----- 1rNiui4= rs-,9?4 I Sr FL oo r?, Ii?M'r' = I I yI __-----? ,- I?sS z N D 17 c? ?_-- ? r??w 13 ? x 7 = i?f 3!-Z.?----- 11?? xs3 = G2.1381 150/ 3r?0 0? ISl,oac) '_ Orm c r Sllc AdJress I r -?9o-3a3 . ? U a [ c __?_ . . ? i ." ' ?- 11. U???ding Jlmenslons (L)________ ? ----}' • G. UoofS - ni'eS (actor_?.?_._ c ? Contractor I'1'1 Tyre A2(Ilesldentlal) e AI (SIn91e Fomlly G Duplex) 13 storles a? ess? • tlullding Classl?(Icatlon: Ty'p , , . . ? ?i . (0ver 3 storles)__? IIOT _ : Com Icte ia cs 3 a6J f l r st . (other)J-- CEU[RAL IIIFOIUTATIUII . . 1,r v . . . Dulldlny Pcrlinetcr_ t eiounJ tb eave) ? ?t' • ' ' 2. lJall I?cl??ht ?J 2 ' . , -??? - 3? rc. }. 1. x 2. (aLo,v,e) 9ross ,wal I arca ?U3 ? ? • / ' ' . X ft.Z I'oof •G.floor eraa f LZ 6 rlm Jo?s? ??°O1x ?,etlmcleY (Z RIm JUfst area - ' 5,• Square (oot area 0 • , ' tz 15(0 . . , ,.,? ? ?? ? ? '?'? ??r • ' ylilclcness - I ?-- i Perlmeter ? ' Typc oF Constr'uctfou • . IIaOU(ac[UfcY . • '. . ]. Total Joor's perlmeter . ? . ,. , , G ?L (r? $tote approveJ?_ ? ii p, 1JInJows: 11anu(aclurer_ . U(actor ' ToTAL FE T 2 . . Anen (ri .z) uuiiaEn oF . ? ! . 1YI'E ' S12E . EnGll UIIITS ' ; . . • ? N? ??? t N '??----- --------?' 9. Tolal ([.z Glass `??>?~? 7. •? Ft,? 10, flfcrlacc ai'ca;' lf,dth X helgh[ °______ x•---- . /'? ' Ft.2 i n???r-h€?,??????? ntDlrtturIlG5 0i 11. Exposcd (o?u?Jotlon:? I{elght X Perlmeter 1 P CUItPlEY?011 OF 11115 FURIf IS REQUIRED F00.ALL IIE?1? II?ItUL7 UI , 110VED %IIIFRE FIIERGY, DIIIEII TllAll 111E IVIIl111AL CUbE ALLOVAIICE, IS USED. ? niuur.suin_sinit: r.ltLikcv couCillL tnruioiu .' -'---`onsEU oii cIIIV I I:R ? oi pll. 101l , • ? , - , • IIDUEL CIILIIGY COUE - 1903 E • . , C oprion`Cffcctl-ve 171/G??? ' . . , _ . , . ? Phonc r . ? .. ____...-. -.-. '•-- _ 12.^ F,roiuiny arca ? lUX u( yruss uall ??i°O f1.2 . • ?? ?j? I ?7?? ?jl ?'j vr 13, Gross +??11 arca 'Z, U'x ?°?-• li?Jori? a ? J . • ?l? -P?'; ft_ ll x 411i?Jo:i arca A ? ' • ?u x n? ??•?. .. °? . •, ?t . . • - I ?L? ,>??7 ft.2 U rtm .lolst Illm Jo,ls[ area U'.x A'''???•''?? t. U door area a ? ?J ' • Door arca' A ?CI ?U • 2 41j U x A ° •,_I ?_-.L 7 -? ft. .? UfLpep1aL'e•' h O ? U . 1 F?1'eJila«-,area d lQ ' U x ?° •_.__? --. QL -j ?j ? f t.z U (oundatlon Exposed?(ou'nJallon•A 2 U x A.° ?? ?;?? ? ?(t. U (i-aml?ic? area Framing ai'ca A? .• ?{. ll x ?" Uwall?°_-'?-1? " L t ° t ' Ilek eiall area 11 . . 7u 1OT11L '. • . • . • . • • • .il x . _ ? ?. ) . ? - a1loMiable U x A/Code •. amllY Jupl IA. Gross wall area x 0.11 (A-1 s1i?91e f 1 ex .. ' ' i (1]. aboveY "• . x'p.2] (A-2 oUher resldenClal) . :x 23 (Ollier bulldings) ' ' lhan •' x,Lp tOver J slo?•les) • , DTUII, 1?iust be larger 1311 aLove?_ . ?....:. ],?? • ??? ? x U CgJg.? ? -- ''`---- ?• or tlka sama as) . ' 15.C'ellin9 framin9 arca (nf) equals 10% of cellln9 afea „ ?J = (L1 ??? -, ? • ' • . 15A. Gross cellln9 aYea . / 0 ft.Z. ' 154 Jolst are5 (nf). ° 10% cellln9 arca ft.z ' • Ilet celling area (nC) ) ° •? . • . ir ?c. (15A - 1511 • • c. ? ? tv? . U CClljll(J %A c6, x 1_--- y n , U (raming x ? f 9 A. n...? • .................... 15u. Tolnl' u x n ... . . . . . • . . , , , . . S du lex - codc alloriablc U Y. A' , IG. Cc111??9 a?'ea (15l1) x 0.026 (A-1 511191e famlly ?' • . U : , . . g .033 (R-2 o[her resldential) Lj? OaUil bkisE be larger lhan.•15D ?abov? x p;p6 ?olher) I ?, ?OZCO i ?: (or tli,e• samc?.as ) , , . x 5 ? I . ? ''i5:?) ' i ?? . , • , . U.and A values olb[alned (i'om pages l?•) °11? 1• IIOTE: Usc ?.U" fnc[ors ond "R'? valuas , • ? or excccJs thc State of Hln1tes°ta ' LERTIFICAl1011: 1 I1ereby cei-t{(y lhat I have cnleuln[ed t?e . fereln anJ ll?ut lhe Lulldln9 heru ilescrlbeJ w?cls , Encrgy Cunscrvallqn Act. . , . • ? Uale ' . , ?Jynature . ? . ? _. . + , . ? ... ...__..------......._. - _ .. ?- , i G? , ? ,?? "? Pi,?SU _=L?•.,? G\fs" - ?-? -.. ? : ... .... ........: : ... .........: •--_._" • ?+ (J •_ _ ,.r- Z ? j G .1..`.^ L? ? I ???f.._ _.a....._... _?-... ?? r' ` • .._....._--- ?; .1??5'`?x? ?``-'.'?? ??-.?-..z?.-l.. ? • --- . v ? - . •? .r ........ •-- . . .. ? . ? , . , . _..._-?----- ? ...___ ........:.......?_ , , . _. ..? , ._.. __..._._._. . , ..... --..-._____--.... . .._ . , . . ? _..._......? ._. .. . _.._..... -. ?. ...... . . ......__...---?-- ? " ---- .----- ? ....._._......_.. ._._._..?.....__ _. _.. 1???l?lil ? vix?l? ? . ._...._..._ ; .._ , ? . .I ' .??x3?P.--?1'o y?1.=. ?7?? .... ..........._. ---?• . ....__.:----- .--_..._.___;. __ : .. -- •?f. . „ . . 1Q I l i .2 X?{? ? Z ? ?j f1 ? --:- • • _ .. ....' v _.. _.. ,._...X. ._ ... . ?___--- ? --??- . . ZS :. ?:...a--._.. ? ...----_..------ '_'-"_?- I ' .r Rg ..I-.."_' : '? ?1 i _. .. ..__?......_ . - ... ... ._..... . - •-.-. "?--- "'_; _"""" • . . . . .... i .. ....... . . . ?_.._ ? ?_ • ? ? ? _ , ? ...?_.... . . ' .. : . , , . ..........? _ ? = z ? v ... __ ._. ... .. _._..----.._,- . , . ----,--?• ? ?.` .:. . ? --- I' . .--..:....?,_.._..._._.' ..._ __ _ .._.._..._. ........... ._.._._. ..,. ? ., . . . . . . ._ , , . i . .._..__.. ..... _ , . ......._... -- - ?- ? ._:...._.__ . ?_ - ?. ? ?... ....?. - -- ? ,. .._..... _.._._.... ............ . .._.._.... ? . ? ? , .__.._._. _.._. _. , , . ...__._.----?. . , , . . _. _._... . .. . . .. ----- . ? --...__...----?---- ... , .__. _ _.. . . . _ - , . ..... __ _...__._ . . . , . _..... . . _.--.-?-----. . . ? ? -=-=?------...., _.-..---- --? - _ . . .. . ..--- -..._ ?. . . ...._. ._...._.____...._... , ., -,- , ----- ..,. , , . ? .........._.-----?--_...._ , ._..... .._ ?, ...___---..----. --- . ..__ I , , .. . , - ?- . .._ ..?.....? .. . ? .. . ......_ ....___.. .. . ? ? . ._. ... . . ..__...._?---. . ,I . .... .._.._ . . . . .. ....... .. . ,. ..... . . .. .._i...?--^•_. . . ...._ .......... .... „_._.."""""_' • .. ?.._"'-??'.. • ' II ? . .......... ...? ... . . ......-.????. 1 .. ..;?....1.. .. ........ .. __ .. ._ ?... ? •. . . ? ? ;• ' i •? ? ? • ( • ' ? ? I . . - ? ? I 1 Il 'IAUiL ? I CULIIIG • I IV?{ l 111? ; ' , . . Ahl? Fllut U.G? • ... : . ?? ".00 . . ' •. 7 ? Q IIisulallolt ?_.?p . . j 41 ?-? .lolst .' . , ??P Cc111n9 • / ? ' . . • U?.G1 AIr ?11in _i_U?G1 • IoLal _-------- ? . ? , ozz . ?_?--07;?7 u ? ? ? L flnr uqur !nt cAlllCUUnI. cElLtllo n ynuiE: . v?7?7?? "I't 4?lue cEILIIIG ? ? J U.6, ? . Lf?L • u.Gl InslJe a11• Illm - •-----?- C c I I 1 n? ? •----`- lusulatloli ? '----'---'- N r s pa cd ituuf Jeckillq ' 1iisu1al4ai? , . . . ' ----------- Uullt - up r ooC _------ ., ..-------• autslde d1?• film o.ll . r,^-_.?.-..--..--- u .,__-.-1 l ?__--. • I' . • }olal lt , {In?o?l ?nllllrollon 5 cfnillluenl (ouf o( ct'?ck " • 1esldc?lI, 1a1 Juor InflllrnElon 0.5 cfm/square loot ar Jaor dn?linlnLnwu codu YcqulremenF. :. .. h racY. ?n -I' esldcull?l Jupr.lufllU'al.loi1 II .U c(In/llucal '(ool u? c • • . ?ZI? toncrclG bl1uc1: iio 1nsul?llun ? ?. .4 2 1 G n ?L 2].1 .U ?2 tuncrelc Llock lnsulaicd c?t'LS , elJ2 It ].l , . . . . ' lb • 12" 1 191itwc I(Jlit Llock •. . 1L l2ll llyhluelylit I,luck Insulale?`cures ^?12 R 0,1 1 lln? ?? ylass tiillh slorin t+lndo?d .5d . ' ? , ? . • • . . (lati 1 lrl??le glass ? ° .41 ici'uo In3x.) t . • . . 111 ?xlerlo?? ira11s niik) cell4nIs iuUsl ??ave ?1 v???or 6arrler (U.10 ? . ? . fa??or I)an'ler wusC Le on Lhn nslJc ?hcale, s JC} of tia?? ? ISpol' Larrlers ?f llic pulY?ll?cleue ll?ln (11in 6aJd no,ll velUe. ' ' • , ' ? ? . . , ??. • . . ? ? . ? . . . ' i . . _ , ' ? • , . , ' • I A. I' • . . : ?' . , ,i. c • , ' i CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNST. ----------------^------- -------------------------------------------- WORK DESCRIPTTON FEES NEW CONST V ADD-ON MINIMUM ADD ON HVAC 0-100 M BTU REPAIR ^ ADDITIONAL 50 M BTU DWNER NAME: SITE ADDRESS: LOT: I BLOCK / SUBD. O?- , G??eli INSTALLER: CMZ-RYAN PLUMBING & HEATING COMPANY ADDRESS CITY 14745 South Robert Trail Rosemount Zip; 55068 PHONE #: 423-1144 pAMMEkC2AT.fINpIIS't'?tZAL. PLEASE COMPLETE THIS PORTION FOR _ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUIL?INGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: 3 - GAS OUTLETS - MINIM[IM OF 1 PER PERMIT FQR CITY USE ONLY PERMIT # RECEIPT # DATE: S DWELLIN4S & $15.00 24.00/ 6.00 3-do 5 , aa SUBTOTAL: $ 33 d71 STATE SURCHARGE: .50 335 °- TOTAL: $ .??? SIGNATURE OF PERMITTE FEES 1% OF CONTRACT FEE. STATE SURGHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. FROCSSSEu PIFiNG = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN „ CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 .... . .... ................. ? ....................... . m FOR CITY USE ONLY PERMIT # RECEIPT # DATE: $ o`Z PLEASE COMPLETE iJPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WHEN PER2iITS ABE REQIIIRED FOR EACH DNIT. ------------------- WORK DESCRIPTION NEW CONST V" ADD ON REPAIR OWNER NAME: / SITE ADDRESS: ?loS?.? ? tl?1L a LOT:_L BLOCK _Y SUBD. iTaA INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS: 14745 South Robert Trail CITY: Rosemount, MN ZIP: 55068 F-:ONE # OF -1144 COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 I SHOWER 3.00 3 ? WATER CIASET 3.00 7 oZ BATH TUB 3.00 6, q' -7 LAVATORY 3.00 /7?7 / KITCHEN SINK 3.00 3 "_' ? LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 T WATER HEATER 3.00 3"v ? FLDOP. DR4IT 1.00 GAS PIPING OUT. ( (MINIMUM - 1) 3.00 3"v ROUGH OPENINGS 1.50 y o° _ OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S V'?" S 0 ST. SURCHARGE .50 TOTAL: S 6-a ? CDMMEFf?????Ilil$T&T?.Ti:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND NF. .. .....p?.biss:......W H.Y MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 19 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN REACTIVATE _ PERMIT N CITY OF EAGAN 1993 BUILDING PERMIT AP , ED 681-0675 7JUN0Z1993 SIN6LE b MULTI-FAMILY 2 sets of plans, 3 registered site sur " ' gy y calcs. COMMERCIAL 2 sets of architectural & 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 -9 s /'?_8/ 9j Valuation of work ;61,5-00 Site Address: -Il0$3 /?iheK2?OGE 1?2 STREET SUITE N Tenant Name: (commercial only) IAT I SIACK SUBD. ??RKCuPa P.I.D. N Z"iD A?D. n o ? Descri tion of :-!ork: The applicant is: M Owner ? Contractor ? Other (oescrtee) Name M aY-- Iau Phone y6z-1z-75_ Property L.ST FiR T 9y -?L37 mAn.?.? Owner Address -1&83 PA(?_ Ke?nse ?2. STREET STE M City Er+eAa State M#j Zip 55Iz3 Company Phone Contractor Address License # ' Exp. City State ZiP Company s? Phone Architect/ Engineer Name Registration M 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: I OFPICE USE OfVLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 Sf Misc. WORK TYPE ? 31 New 32 Additlon O Ob Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. L7 33 Alterations O 34 Repair - - - _ "ti+, ? 11 Apt./Lodging?,. O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ''15 Deck 0 35 Tenant Finish O 36 Move GENERAL INFORMATION Const. (Actual) - (Allowable) UBC Occupancy 2 - 3 Zoning N of Stories 43 Length --277- ' Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ?Footing ? Final ?.16.8asement Fin:ih O 17 Swim Pool ? 18 Comm./Ind. ,? 1'9 Comm./Ind. Misc. ? 20 Pub11c Facility O 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code / 0 Rssessments ? Framing O Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 'AJ, D+ I wtwttm: $ , sro SAC % SAC Units ** * * PIO * eng F' ? or-?Eer tne ? neer i ne Certifir.ete Oi SUrvey AtiDFQESS , Mo?EL- . ? NORTH qb?; 3o.a ?' 42.°i3 °?' :xr ?=" -°q;71.q X q-•c-.., 963 96 p 1 l0 • 44 co? y 9 r?G,? , ? 3o 89°z-2' f9?r - oa1948? F.O< 2422 Enterprise Urlve Mendota Haignif, MN 55120 1612l681-1914 %53 PA7KRlD&6 i7fZ1YE-i EACoAN? Mi.vn. VAKDEfLB1l_T 2 30 ? ' yS9°z2' t9"E. ? qptia q„ti. "?.o t10.44 9???17 X965,? 42.33 ? - - Q ? al I ?d p? l M M ? ??.v zq.s 9b8.o w dw ??1 ?.? ? N S € Q Q <J ? O y? ? I??1 s.? o m t o ?a LL l767 Q ? 2Z.b7 1167, y NI ti' 0 Z_,_ ? DEP ? i --- -`` ? ?Q ?S ? . .+ S 0 Z ; ? e i a ? j7? ? ? \ ? ?g? ?ARt«ZtDC-?. -?----- 95 ? w _ F4. o N? b -- r o Q N ? ?.? ? x c ? DtWE - --??y cR v.s 0 i oQf?? ? ?` lo ' ? ? ? j4.a + ?! ?Y 24 ?rePoSe? }?SC. 's v? F?sll Fiasewtw? 2o.v_L_ 4b.0 ,o ? ^3no ?. rr?td$ l? N ? 0 N d ? w A& ? -0 J A iiO.DO H a• 3,1` 4r" E . ? ? ? a ? .? 5bo i ??qq, 30 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiremenh • 3 regislered sde surveys shovring sq. ft. of lot, sq. ft. of house; and all roofed areas (20°5 maximum lot coverage allowed) • 2 copies of plan shovnng beam & vnndow saes; poured found design, etc.) • 1 set of Energy CalcNahons • 3 wpies of Tree Preservation Plan if tot platted after 711/93 • Rim Joist De[ad Optbns selection sheet (bldgs wiN 3 or less units) DATE ID-3i-a2 1-7I'-7-5 RemodelfReoair Reauiremanis . 2 copies af plan . 1 set of Eneyy Calculations for heated additions • 7 site survey for ezterior additiau d decks • IMicate if home served by seplic system For additbns VALUATION6 ZJ" I W ? SITE ADDRESS 4(083 PPRKR??6E. D R MULTI-FAMILY BLDG _ Y OLN TYPE OF WORK TE}R oFF f; RaoF- FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT Atv.tt?a?,cs,J g„ ?.n.•?-z, t T.inc STREETADDRESS 1'7-Z4`I hI<<-aLc.'7 CITY6u2ruvit-t-C- $TATEMtJZIP SSz3-7 TELEPHONE #c152-10-i-6959 CELL PHONE #', FAX # i52-. •?'' 'Q PROPERTYOWNER SAy M,oRiZ TELEPHONE#ds/-'451 ` i2'75' COMPLETE fOR "°NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 Ri1LP.S 7670 CATEGORY I MINNL•'SO"I?1 RLJL.FS 7672 (q submission type) • Residenhal Ventilatlon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ___________________ _ Phonc # Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00 Water Heater No. of R.I. 13aths No. of'Baths -- I? ? -- -? ---- MechanicalContractor: , Phor?e;J#?? r;:? Vtechimical system includes: _ Air Condi[ioning ? r„ Feei '$70.00 I _ Heat Recovery Systcai 222 ? Sewer/Water Contractor: Pho?e # ? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. T ?. ?b Signature of Applicant ?l!-t?/l!?' a OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundatlon ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 04-plex 13 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garege ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg 13 31 Ext. Alt - MuRi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Atteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EnUre Bldg only) - Give PCA handou4 to appiicant Valuation 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs A'u/Gas Tests Final - FraminB Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ** * F'ior'i=ar tna, riaeri ns 6E:1948? F-b2 * * ** PIONFORR_ * eng? eering.. 2427 EntCrprise Drlve Mendota Fleights, MN 55120 tANO SVwv[YaRS • COWL [HpINLER7 Ano rLwm+CUS - lwHOxR'e nwcuI+tc" (B 12) 881 -1914 Certifir.ate ot Survey ! AZ7DF-ESg : MoU?I- - L I > qptia ? Q 30 4b0i3 PARKFZtD&E £>G-1YE I EACvAM1I? ?v( i+r. VARtie[tBtit-:T 2 ? e'a rZ2-I i /j1E µb?,?\ yA`P ti?''a? ?q t1o.4' ?9?p1?17 w?I ? 0 I ?d ( ?66,9 O o ? Q 2?0 ? O ? N Q 0 Ab?? Q i ? ? q'Oy' 30 ? I 0 ?I . M? 1 Z q.5 N s ?Q 0.93 m tl ? ?S.b6 4 eD f 1- a4 d ? (7.67 d? y?N ? .b7 ry ? 0 pQ"66 lt0• 4? S 89° 22' ? 9b?•? ' ? Jk I q Ir ( I ? -sJ i;• ?. 97 Y c ? ? ???AIV EN gbs?b W ? 0 Z lobb. NORTIi a' '.vi y ? r ?e .. E$INa DEPT .-,?.?-- -- --- - `?A?aQIo REQURED • 9000 penates Existing Elevption PR(]POSEO 110U5E ELEVAEON ? Denotes Proposed Elevation Lowest Flovr Elevation: j"1(0 Denotes Drainoge dc Utility Easement Top of Bfock f:levotion: qbg,? ------?enates Drainoge Flow Oirecfion ---o- Deriotes Monumeni Garage Slab Elevation_jWw,. -B Denotes Oifset Mub gearings shown are assumed LOT t, BLOCK 4, PAKKGc.IFF ZND AtiDrTtoN TJAKOTA COUNTY. MINNESqTA ---' 1 herebV CCrI{/Y thet thif furwY, plnn or r.pnH wBb prtpn.M bV me qr un&r mY Mter.t tUpRrvieion and thnt I nm diilY nPViafaieA I.nrrf15tIrveYOr un(tcr the lem of the Stete o1 Minneeoro. oeteA tbls Ao? aav or ??b!'dQ`!T n,p. tg 9,?? ?f ''~? ^ / OC e? 0?°"-- o E ICH 1_.5 npf:. O lal91 ,? '16M f ? -? 34.0 ? 963 00 ?` 96 y 9 ? ??? f 1 V????? C111 ? ll?lf ? Ily vv? »rr PIO # en9. GNifioate o1 Survsy f4DDKF.SS : MoDE? : tAND 2422 fnterprise Drire Mendota fleiyhb, MN 65120 o?f • pv?? cwwMUwt .?4nvsc..a+we?*rc?? (612) 981•1914 9b83 PARKRIDGE DQ1YE-j EAG?API? N?i+n• vANti?s,?r z 30 U3 ? . 44 O ? w S 4? 2 j 64qr Q ' Q? 7 589°ZZ' t9??E qpp 4° 110.44 Jq,,jo5 l M I O p 1 Q I ? I 4a L-ibly d 1'1.6 ir o d' ?y ? ..b7 ? *A? .--?- o •a Zq.S N S ?? 0 o.af ? Q ? ti I? 4 IN N? o.o f ^? 42.93 r 96jooU`? p6y9 30 • roo.o Denotes Existing Flevallon E,1 EVAiION PRqI'OSEUIIOUSE .?M?\ ?1?nl?ilO Dr/?n(?CPl? FIPV11??11n „ " -??..? a?cnw?ca r?vyuxu ucvaiwn Lowest Floor Elev0lion: 960.:* Denotes Oroinoge dc Utitity Eosemant 7op of 81ock Elevatlon: q68 ,?j ---Denotes Drainoge Flow Oirection . -o- Denotes Monument ' Gorage Slab Elewlion:??9 ig--Denotes Ofiset Mub gB0f1ngs ahown are assumed LOT. I , BLOCK 4, PARKGLtFF zNO AOorCroN PAKOTA caiNTr, Mir?NESMA ?--- t M.ry? cerpfy IAat lAN n/rv,ry. plee or r•pnrl w/T! ?p.rna•vA M me a• uM^r my Ahec, suMrwMlnn onel lhst I •m duly nrol.arM I.sml 3o.v+ra --fMy ol c r! vv 0 v q.D. 19.37--.. VMl, l? Ihv{ Oi the SINe OI MInnAOM. Dl1M tAil._.; II ,QeV; 2/l/l92- LoWr,-../ f+6vsB •/?? ?A CO/C lac = 30o^tcE. ?I W? ? I 9hs b W ? NORTH Q M ?e -. o 2 - - ' 1tiq,,,4 r`sGt,61& 110.4?- "? I SS9°ZZ' f9" E I r----------------- FOF U{fIC~_ USQ, j City of EDELVED Permitl~ RE I i 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 NOV 2 9 201 Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694. 1 Staff: L - - - - - - - - - - - - - - - - -I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1117.2-1 (D - Site Address: Jay Mork Tenant: 4683 Parkridge Drive _ Suite Eagan, MN 55123 RESIDENT/ OWNER Name: 6514521275 Address / City / Zip: CONTRACTOR Name: NORBLOM PLtJMBIN-Xn_ License#: O(P[52j Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK _ New - Replacement _ Repair _ Rebuild - Modify Space - Work in R.O.W. Description of work: rmtac6 V V Ct+,e (oafer PERMIT TYPE RESIDENTIAL I Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) C_ Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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 thecase ~goff wo.,rk' which requires a review and approval of plans. Applicant's Printe Name A icant's Signa ure FOR OFFICE' USE Reviewed By: Date: Required Inspections. Under Ground Rough-In ; _Air Test Gas Test Final ---------------i For Office Use 1 03 1 21 1 Permit I I C-0 My of Eatan I Permit Fee: ~V I 3830 Pilot Knob Road 1 -z'--2'1' [2 I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 1 Staff: - j Fax: (651) 675-5694 1 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Z~- Z Site Address: ~108'J lr14.2~ e Tenant: 1~r Suite RESIDENT / OWNER V Name: ~Q~A mz ' Phone: LV 4-Ci ` Qc 0Q Aislis Address / City / Zip: Name: -Appliance installers , License hic- CONTRACTOR Address: 14105 Rotors St. NE City: Prior Lake, MN 55372 Phone: q5~ ' ylQq" ~3~~ State: Zip: Contact: Email: TYPE OF WORK -New ~-Replacement _Repair _Rebuild _ Modify Space - Work in R.O.W. Description of work: 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 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 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.g_opherstateonecall.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. x 4~ x Applicant Printed Name Applica s Sign re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In ____Air Test Gas Test Final Mar 13, 2014 04.20 PM 8885487039 To. 16516755694 Page 1/3 From: Todd J. Adams 14 RESIDEN TI /AL BUILDINGPERIMIT APPLICATION Site Address: 41433 `3 �cifkr{-r7 JNA Unit#: Name: 3 -ay /Mori< Phone: 6 57--i�Z •-1Z2; Address / City//Zip: - 1 (, t} 3 Pc%r dg 1r. r��A�. it A/ 5.72-3 Applicant is; _ Owner Contractor Description of work: /e,3-7 o ve 1 Rep Construction Cost: C CVO Multi -Family Building: (Yes / No 1/) Company: cvwq5,11e,, g e I [-- l i Contact: /Odd G/'''f Address: (;' 5---- 3, , ltd Ad, Gil City: tJt%cX! by,/y State: Al Zip: T E5 S/`<,Z �'7— Pine 6/a – z2'('- /4(/ / License #: 6. 6, 6/ 0 Lead Certificate t#: f `✓. "' 12 / ! / !' l is ;exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING months, has the City of Eagan issued a permit fora similar plan based on a master plan? N;o If yes, date and address ofmaster plan: Phone: rrpplr. Phone: ^-- Phone: 4544002 for.`protection against.underground utility damage; ,Call 48 hoi :aopherstatednacall orq Generated by CamScanner from intsig.com PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121779 Date Issued:04/15/2014 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 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. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jay E Mork 4683 Parkridge Dr Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126298 Date Issued:08/20/2014 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 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 - Jay E Mork 4683 Parkridge Dr Eagan MN 55123 (651) 485-2098 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154438 Date Issued:03/21/2019 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 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 - Kimberly A Turner 4683 Parkridge Dr Eagan MN 55123 (651) 485-1406 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature o of Office Use /y ��I, �� Permit#: J C E AGA N Permit Fee: /P Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinclinsoections( cityofeagan.com L 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 ` 01 / l Site Address: Unit#: Name:/4/r /� L /U/e,c� R Phone:6 s/ 4/851 4(o 6 R # i+nti /� Owner Address/City/Zip: 683 l%A' cKI • Applicant is: Owner A'Contractor T of Work " Description of work: ' — ) oo/ ype' Construction Cost: / 3 " 3� o Multi-Family Building:(Yes /No ) Company:/Wu., 1:;(44 6 74- r.5 L L c Contact: /1.4)7,<4.0.A; 274 v 9A�Z Contractor Address: 3 o o o 5-7.9.�'"O/r/DGT /'C- City: ✓/v/ � w�� StateA.A/Zip: C-5-/ Lt Phone: CfZ 5-3?goo 9' Email: /Lla-/oi - h a/ ' & License#:C f3 5Ce3.55 I Lead Certificate#: 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':Plans and supporting documents that you submit are considered to be Public infermation. Portions of the Information may:be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 daof pemit CALLys BEFORErYOUissuance.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.aooherstateonecall.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 ithout 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. ��// `ice—ii Applicant's Printed Name A. . icant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161351 Date Issued:05/19/2020 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 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 - Kimberly A Turner 4683 Parkridge Dr Eagan MN 55123 (651) 994-1218 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170872 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 4683 Parkridge Dr Lot:1 Block: 4 Addition: Park Cliff 2nd PID:10-56701-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Michael & Kimberly A Turner 4683 Parkridge Dr Eagan MN 55123 (612) 352-7559 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature