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4686 Parkridge Dr' CASH RECEIPT ; ? . ` CITY 4F EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wecervm PROM AMOUNT $ l ? 8 DOLLARS +oa ? CASH ? CHECK BY 1Nhita-Payers Copy Yellow-Posting Copy Pink-File CopY Thank You z CITY OF EAGAN 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- PHONE: 454-8100 BUILDING PERMIT Receipt # 11471 5F taWG/GAR $1U91OOU `7ANL3f'KY 24 b6 Tobeusedfor Est.Value Date .19 SiteAddress 4686 PARKRIDGr: DR Erect ? Occupancy R3 Lot 3 Block 2 Sec/Sub. PARK CLIFF 213D Remodel ? Zoning R1 Parcel No Repair ? Type of Const j/ . Addition ? No. Stories - KEl11' S CONSTRUCTION Move ? Length 5b ? Name = 340 E 152ND ST Demolish ? Depth 37 o Address Int Impr. ? Sq. Ft. city BURNSV4.?" 435-2030 Insta?l 11 = o Name SAM£ Approw 00 ¢ Address AsseSSment _ ~ City Phone Water & Sew. W W ?_ U? o? W_ t FEEHANS RES. ARCH Police Name Fire _ Address 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 Permittee REN' A Building Permit is issued ta: all work shall be done in accordance with all Building Official Eng. - Planner Bldg. Var. Permit '' ~ -#'' - "' Surcharge 54.50 Plan Review 227.75 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. pi. 156.00 Parks Copies -- • .25 on the express condition that ofEagan Ordinances_ PermN No. PKmit Holde+ Dtle Tslaphone k PIum6lnp H.V.A.C. Ekchic Sal'lenm Inspecrion Dsb Insp. Commenb Footinys I N*J(y FooUnps II °Z/ ? Foundation Framinq Roofinq Rouyh Pibq• o?S ,C?J ? 3:S?li - 'C a NOU9h N14• '? ? 0 ?naul. -Y-" - G ?/ FI?eploee Final Hty. y 0116- Final Plby. , 17_ Bldg. Final y Cort. Occ. Deek Fty. Deck F?my. Well Pr. Dbp. PERMIT # CITY OF EAGAN FEE "5 ? MECHANICAL PERMIT s/C RECEIPT # 454-8100 -F / MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL •? ?? • ?? ? DATE -? ?' ININIMUM COMMERCIAL FEE • $20.00 +$.50 1. Bldg. Type: Res ? Comm Inst 2. New _ Add Alter T- Repair ? ? .. ? .. ??. , 3. Total Bid Price 4. Jab Address I Lot ? Block ? Sec 5. Owner 6. Contractor :JU (,? 'J,, (Name) ($treet) (Ciry) ?f l 7. Contractor Phone # (Zip) RE5IDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 B7U's or fraction -$6.Ud RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00, Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee Ly. HEATING VENTILATIMG HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF 70TAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # ? ?? 9 CITY OF EAGAN PLUMBING PERMIT RECEIPT G e?O 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res J__ Comm Inst 2. New )? Add _ FEE SIC TOTAL Alter Repair 3. Total Bid Price 4. Job Address ur r; d Lot Block ? Se ?? 5. Owner s`??? S l C/i `f ?` /iA/ 6. Contractor h+ 1NTTc-LJ A '-K111e? '` LI c-/ , (Name) (Streeq (City) (Z(p) 7. Contractor Phone # NO. FIXTURES 2-Water Closet - $3.00 -s -,Bath Tubs - $3.00 -6---Lavatory - $3.00 Shower - $3.00 -1-Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES -J-Laundry Tray - $3.00 1 Floor Drains - $1.50 L Water Heater - $1.50 -Whirlpool - $3.00 -Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 JLRough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ? ? ? ? Permit Holder Date Telephone q SEWER/ WATER PLUMBING H VAC Inspection Date Insp. Comments FQOTINGS . FOUND FRAMING ROOFINO ROUGH PLUMBiNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ? FIREPLACE AIR TEST ? f , FINAL PLBO .?- " ? ?• ?• FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METEH FLUSH MAINS CONDUCTIVITY TEST HYDAOSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL &1* CITY OF EAGAN Remarks J)' j'ti 'r, '' ?'- • Addition PARICCLIFF 2ND ADDN Lot 3 elk 2 Percel 10-56701-430-02 owner Streec 4686 PARKRIDGE DRIVE state EGAN MV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK -? j SEWER LATERAL WATERMAIN ? ?(p WATER LATERAL WATER AREA STORM SEW TRK '6- STORM SEW LAT 1983 283.60 56.72 5 . CURB & GUTTER ' 51DEWALK STREET LIGHT Road Un1.t WATER CONN. 500.00 13UILDING PER. 11471 sc,c 575.00 PARK TY OF EAGAN 34 Pilot Knob Road 0. Box ?ti 999 aan. MN 55121 Zonirg: _ Owner; Address: _ $ite /IddrlSS: ?f ?f ?._1_ n1 t t L ?1 Tnc _ . :.? c; • .. ? 1.! . ,? ,. r ta oo.oy .viK Hi. c.ihr of ao.. connscNo.i aorge: '*' ?. cl{1,.? 00a& Account Deposlt: Pennit Fee: d Surdarns: Misc. Choroes: of Irup.: Total: Dote Pold: CIT-Y OF EAGAN WATER SER VICE PERMIT 3830 Pilot Knob Road P. O. Box ?1199 - PERMIT NO.: Eagan, NiN 55121 DATE: Zonirg: No. of Units: Owner, Addross: 51te Addross: ' • _ ' T ' - - Plumber. Meter No.: - - ConnecFian Charpe: Size: AaoouM Deposit: Reader No.: Permit Fee: ? 1 prN es avesiply wob flw Ci1y ef lypm Surcharpa: OeAwwer. MIsC. Chames: TotaL• - • ;- By Date Peid: Dote of Irxp.: Irnp.• ' OF EAGAN Rilot` iCnob Rcad WATER SERVICE PERMR -aoX 21199 PERMIT NO.: n, Mlri 551 31 DNTE: V: en s 7on s No. of Units: . SFWER SERVICE PEJtMR PERMIT NO.: DATE: Na of Units: CITY OF EAGAN - 11471 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 Np PHONE: 454.8100 ?2 r BUILDING PERMIT Receipt a ,J J To6eusedlor SF DWG/GAR Est.value $109.000 Date JANUARY 24 19 86 SiteAddress 4686 PARKRIDGE DR Erect ;b Occupancy R3 Lot 3 Block z Sec/Sub. PARK CLIFF 2ND Remodel ? Zoning R1 Parcel No. Repair ? Type oi Const. V Addifion ? No. Stories p KEN' S CONSTRUCTION Move ? Length 5$ Name? = 340 E 152ND ST Demolish ? Depth 3p Address Intlmpr. ? Sq.Ft. city BURNSVITpXj& 435-2030 Install ? a Name SAME $ ¢ Address ? Ciry Phone Fw Name FEEHANS RES. ARCH _z ?a Address a W Ciry A. V Phone ! hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ol Minnesota Statutes antl City of Eagan Or Ina ce,5, GT Signature of Permittee A Bullding Permit is issuetl ta: KEN' S CO CTION all work shall be done in accordance with all a p icabl e of Minnesota Bullding Oflicial Assessment Water & Sew, Police _ Fire - Eng. - Planner Council Bldg. Off. 1/23/86 Var. Date Eagan Permit Surcharge 54.50 Plan Review 227.75 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 Road Unit 290.00 Tr, pi. 156.00 Cop(es--$?? 5 Total on the express condition that C[TY USE ONLY PERM[T #: ?I RECEIPT DATE: 2002 RESIDENTIAL M£CHANICAL PEftMTf Ai'PLiCATlON CITY OF CAfiAN S$SO PILOT KNOB itD i:A6AN MA 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: -7 _Ct_ O-l. SITE ADDRESS: lzh" OWNER NAME: KrIa Jl ,Q K,1v2d?-?'_ TELEPHONE #: INSTALLER NAME: La kAC TELEPHONE STREET ADDRESS: ?4(_-)k4 Cx?S\ C'_.rvP?l ?? CITY: STATE: _0Y? ZIP: '9!;'7D? Place a check mark next to the permlt work type ?j Add-on, modification or alteration to existina dwelfing unit $ 30.00 • furnace replacement • air exchanger e!!F?bir conditioner • other ? Natureofwork:?nlalo0, -mC_ JUL 11 OOZ ? By State Surchar e $ 50 Total $ ? ? ?-Agig v Si ATURE O ERMITTEE iroz PERMIT #: APPROVED BY: CITY USE ONLY INSPECTOR RECEIPT DATE: 2002 COMMERCLAL MECHA1VICAL i'£RMIT Af'PI.ICATIOIV CITY OF EAfiAN 3$30 P1LOT KN08 !tD EAHAN, bIN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROV EMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construdion Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, ca11 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $ 1,000 Base Fee TOTAL $ S[GNATURE OF PERMITTEE Updated 1/02 G / - CITY OF EAGAN NOTE: ALL CONTRACTORS FlUST BE LICENSED WITH THE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DNELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF Sl1RVEY SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND le ICJq,CoU To Be Used For:s-y? e, /Cam• Valuation: L??` ?U Site Address G p OEFICE USE ONLY ? ?o Parcel/Sub Owner I?Ch ?4 ?iohs Adtlress ? 'tF. /,S city/zip code Phone Contractor Address City/Zip Code Phone re /Engr Address Erect ? Occupancy Remodel Zoning Repair ? Type of Const Addition # of Stories Move ? Length Demolish Depth Int. Impr . Sq Ft Install APPBOVALS FEES Assessments ? Permit Water/Sewer ? Surcharge Police Plan RevieN Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Offj-&-gti Treatment P1 APC Parks Variance Cvpies TOTAL ^ '? S City/Zip Code 4?1e- /ld,e Z Phone # 2?x3c?'=*'93?x ?? 54Z88 14x 14 ? l??o?, ? ? I?3t?g 2Zx- 22 ? 48?1- x ?2 = SSo? = 1344 co 8 x: ? ?cl-y- 4?- ` ?44-1(o 21? l2 - Z4 (<--' Io"3,0 f d? 3?? i p f I B I 1 C I I D f! E I i F I I 6 I I H I St 31 EXTERIOR ErJVELOPE fUERRGE "U" CC]MPIJ"CATIOtJ 0 friOWRIER CHICAr,O SPECIRL PLRN N0. 8-0110-6 51SITE ADD RE58 - ---- ------ -- - --------- ---- ------- - 6ICCiNTfZACi" - -RT-E QR PNdNE N'S CONST. KE-----1-?? -B b ---- D - - ----- 71 91 DETERMIIVE WORK.IhIG 5QUARE FOOTAGE 91 1011. Total expoaed wal l area 3015.987sq. ft. x.].1 331. 8E,96 1112, Tnta7, ronflceiling area 1183.66sq.ft. x.026 30.77516 1213. Total Fl oor^ cant, area Osq. ft. x: 08 0 131 (ravei• unheated E+nclo ?-..ed at'eas) 1414. Total . 0 f1oor cant. area 76sq.fte x.0cE 3.976 151 over• unheated exposed area>i 361 1715. Tnts1 expnsed wa1l area above the fl.oor------------ 2679.88 181 191 a. Tutal wall window area .................... 247.0595 201 6. Total door area................. . . . . . . . . .. 37.8189 211 c. i"otal sl iding glass door area. ........ n... 80.04 221 d. Total fi.replaca area. . . . , . . . . . e . . .... . , . , . 231 ee Total wa11 framing area. (ave. 10°J.) ..,,.... 267.988 241 f. Tot zl net wal l area aGove the f2oor....... 2044. 974 251 g. Tota1 rirn jof st area...................... 269.17 261 271 7q7AL EXPCrSFD FCIUIVDqTI0N H1REFd............. .. . . 68. 1189 281 291 h. Total fcn_tridat ion windoW area . . . . . . . . . . . . . . 1„ 7EYa9 301 i. Total net fr_,tindat inn ar^ea . . . . . . . . . . . . . . . . . 66o 33 311 3^cl Determine "U" va.lue of each wall segrnerit 331 a. 249.0595x "U" .39= 97.13327. 341 b. 37. 8109x "U" . OE,= 2.269134 351 c. 80. 04x "U'' . 36= 28.8144 361 d. Ox "U" 0_ 0 371 e. 2E7.988x "U" .0917437= 24.58606 38i f. 2044. 9?4>< "U" .0432152= 88.37397 391 9. 269.17X "U" .0406835= 10.95077 401 h. 1.7889x "U" .39= .697E71 411 i. 66. 33x "U" .0844402= 5.466261 421 4315 .... ... .........a..,............,,..,..Total 258.2935 441Sf item #6 is the sarne as or• less than itern #i you have met the curt•ent 45lenergy c ode. 2 MGAR 1.16006 A AND 0. I Ft I I F I I G I I D I i E 1 I F I I G I I 621 TpTqL E?(POSL"D ROOF/CEILIN6 GRER 1183.66 631 E41 j. Total skylioht area...... ................ 651 k„ Tota1 fla+, roof/ceiling ft'arnir7g area.,.... 118.366 EEI l. Tota1 net flat roUflceil.ing area.......... 1065.294 E71 E81 691 701 Determine "U" value for each 711 1 . Ox "U" 721 k. 118.366H "!J" 731 l. 1065. 294x "U" 741 751 761 ?7I 7817 ...... ........... ..................Total 791 80I1f item #7 is the sarne as or^ less than item 81 I energy code 2 MCRR 1.16008 R pND 0. 821 831 TOTAL FLODR CRNT. RRER (enclosFd) 641 851 c. Total floor^ cant. framing ai^ea 8E1 p. Total net insulated floor/cant. 871 H roof/clg. segrnent iZi= 0 .0221533= 2.622198 .0192790= 20.53777 23.15997 #2 you have rnet the 0 (avc. 10%). 0 areae..... 0 891 Deter^rninE "U" value for ear_h 891 0. Ox "IJ" 901 p. Ox "U" 911 92I8 ......................... .......... Trta1 931 941 Tf item #8 is the sarne as c+r less than item 951ener•gy cr,de 2 MCRR 1.16008 Fl AM1ID 0. 951 97I TpTAL FLOOR/CANT. pREA (exposed) 981 991 q. Total floor/cant. frarning area 1001 r. Totai net ir?sulatcd floor/can•l:. 1011 flooi^/cant. segeiient . 5347594= 0 .0274650= 0 0 #3 yo,_{ have rnet the (ave. 10Y.) . ar•ea..... . 1021 Determine "U" value far, each 1031 q. 7.6x "U" 1041 r. 68.4x "U" 1051 imsis ................ ..... ..............rotai 1071 10811f item #9 is the sarne as or less than item 109I energy code. c MC RR 1.16008 R RRID 0. 1101 Y 11 I ._.-_ 11211 HEREBY CERTIFY THRT 1 n I HRVE CRLCUL'A7ED THE` 113IVRLUES HEREIN AND THAT 7HE PUfLDAG HERE DE 1141 THE STA'TE OF IhIV E NERGY COtJSERVRTlTON AC}%?, 1151 11E1 ? 1171 {/ signa? il@I f 1oor/cant .056401G= • 0i82JJFJ= 76 7.6 68.4 segment .4286520 1.932749 2.361401 #4 you have mei: the "U" FFiCTORS AND " DRIPE? MEETS OF E re 1].sI 1201 1211 (date) I sp ii B» ii sc iI sn i 11 "DETERMINE "IJ" VALl1 ES" c 1 THRU STUI? WITH STDThIG & Se R, 31 41 Triterior Air^. a ..... .. ..... . .68 SlSneat Rock ................. .45 F, I "fher^mo-Break................ 0 71stLid ............. .a......a. 6.,93 81Sheathirig.e...........,,.... 12 .0 6 915iding..........e.......... .78 10lExterior^ Ait^............... .17 111Tr-ta7. "k" UalLie.,.......... 1fd.9 1.2I1/R = "U" Val«e..„......... ,@917431 131 141 151THRU IIVSULR'TION WITH BIDTNG K S, R. lEl 171Interinr Rir ............... .68 181Sheet Rock. ................. .45 19 I Thermrj-Preak . . . . . . . . . . . . . . . 0 20 1 jTiSuZclt].nn ................. ir'J ci IShea'thirig .................. ce 0F 2219iding.........a.e,..,..... .78 23lExtericnr^ lir.,...........,. .17 241 cSilptal 'R' Ual.ue....,.,..... 23.14 2611/R _ "U" Value... .e , ...... .0432i52 271 281 291THRtJ L'EILING MEMRER 301 ullEriterior Aira .............,, .68 ;;^clSheet Rnck ................. ,58 331Ceiling h1emuer ............. 4.35 341Irisulatic-n.,,.,e.....e..,.., 38,92 3516till Air .................. .61 361 371Total "R" Valtle.......... .,. 45.14 3811fR - "LI'................... .02c11533 391 401 411 421TNRU CEILING INS'L'LATI(JN 431 44! Tnter•ior^ Air ............... .68 451Sheet Rnek.......e......... .58 46lInsulation ................. 50 47IStill Rir................... .E1 481 491Tota7. "R" Value............ 51.87 5011!R _ "U ...........e........ .@192790 I BA II EB II RC I I PD I 981THRU CRNT. @ INSLIL.flTION (Et^i c7.n5ed) 931 100IT.nteriom Air ............... .68 101 IFi.nish Flooririgo . o..... ,... 1e23 102IUnderl.ayrnent........o..o... .78 1031 Plywood . . .. . . ... ... ........ .47 104I Insul.at i.on . . . . . . . . . . . . . . . . . 32.06 105ISheet Rock.....>............ .58 1061Sti11 Air .............,,... .E1 1071 1081Tr,ta1 "R" Value............ 3E.41 10311/R = "lJ.......... ......... .0274650 1101 1111 112ITHRIJ CAN7'. @ MEMPER (Expose d) 1131 1141Interior Air^ ............... .68 1151FlYtlSf1 FionY'lng ............ 1.23 1 LSI Underlaymer•it . . . . . . . . . . . . . . . .78 1171P1ywood .................... .47 1181Joist ...................... 11.56 119iSheathi.ng .................,. 2.06 1201Soffit ..................... .78 1211Exterior Air ............... .17 122ITota1 "R" Value............ 17.73 12311/R = "U................... .@56401E, 1241 1251 1261THRU CRNT. @ INSULRTION (Ex terior^) 1271 1291 Inter-ior• Air . . . . . . . . . . . . . . . .68 1291Finish Flocrzng............ 1.23 1301Under7.ayriient ............... .70 1311P1ywood .................... .47 13211nsu2ation ................. 31Zi 13315heathinge.....,..,...e,... 2.06 134ISoffit,.................... 78 1351Euter-ior Air ............... .17 13E1 1371Total "R" Valuee,......e.e. 113.39 13811/R = "U................... .000819i I HA II P$ II PC i l PD I 541THRU CONCRETE bLOCK JJ ( 561 Interior^ pir . .. . .... . . .. .. . .68 57 ! L'onc. E+1 k. . . . a . . . . . . e e . . . . . 1.28 581insulation.e............... 10 59ISheet Rk. (Opt.).e......... 0 E0IExter•ior• Gir^ ..............., .17 Eil 62ITc,tai "R" Value.. e... e..... 12.13 6311/R _ "U",.......e.,....... .0824402 641 651 661THRlJ ftSM JOIST 671 68fInter,i??r qir..„....,....... ? .66 E91I Yi5u1 at Y CiM . . . . . . . . . . . . . . . . . 19 70IRirn Soist ................. 1.89 711Sheathing.........,,........ 2.06 72ISid'xnn.,......e.......e... .70 73IExterior, Fir^ ............... .17 741 7517ota1 "R" Value.........,.. 24.58 76111R = "U"e,.,,..,.4........ „04068?,5 771 781 79I"l1" value for window........ .39 84+1 "U" value for doors . .. w,... .06 811"U" value for Patio Drs.... .36 $cl 831 841THRU CFINT. @ MEmHER (Enclosed) BJI 86lIriterior Air ............... .6$ 871Firir.sh Flooririge......,.... 0 88 i tJriderlavraent . . . . . . . . . . . . . . . 0 891Plywoo d........e,.......... 0 901Soist, .......u ............. 0 91IBheet Rc,cl<.. . . „ . . . . . . . . w . . . . .58 92EStill Air.......e..e....... .E1 931 941Tntal "R" v,,rue............ 1.e7 95I 1/R = "U................... . 5347594• 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - S5122 S (o Cj 1 l I ? ? ? 851-881-4675 ('? New Cmsfiuct on ReaulremeMa Remode?VReoair R?BrnilremeMS \O ao ? a 3 reglsleretl Nte wrveys ahowinp sq. fL of lot, aq. 8. ol houae 00-lJU and gq rooled areaa C10% maxlmum bt coverap9 allowedl > 2 coplea o( Plana (alww beam A w(ndow aizas: Poured fnd. dealgn; efc.) n 1 se1 of en9rgy cdCUlanan ? 9 coplee ol hee preaarvaflon plan B IW piatleA diter 7/1/93 DATE: b bi / oD _ DESCRIPTION Of WORK: STREET ADDRESS: LOT: ? BLOCK: ']i-_ SUBD./P.I.D. N: Name: NOV/? /jVW"'t16) Phone t: Lan First PROPERiY OWNER CONiRACTOR ARCHITECT/ EN6INEER Sheet 2 coplea of plcn 1 set of enerqy cdculatlons tor heated addlHons 1 sIfe aurvey ror extedor addlnona & decw CONSiRUCT10N COST: .4" Dr- 64 yvxe (W 6S`/ - .503 - 3SbV Clly State: 21p: M2-3 Company: Phone #: (area code) Sheef Address: Ilcense # Ezp. CitY State: Company: Name: Telephone Y: ( ) Sfreet City State: Sewedwater licensed plumber Uf installirw sewerMraterl: Phone #: Zlp: Zip: I hereby acknowledge ihat I have read ihk applicatbn, atate thal the infomwtion is cort , and agree to comply wiTh atl appqcablo S1ate o( Mlnnesota Stahites and Ciy of Eagan Ordinancea 1 Signalure ot AppGcanY. OFFICE USE ONLY Certificates of 5urvey Received , Yes _ No JUN 1 9 Tree Preservatlon Plan Received _ Yes , No _ Not Required ]!?;c pSL Registration N: OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling 0 OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 Ot of _ plex ? 09 07-plex i$ 18 Deck ? 23 Porch (screened) ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage O 05 03-plex ? 11 70-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex 13 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 14 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to appl icant for demolition permit GENERAL iNFORMAO ON SAC Code No. of Units (0 No. of Buildings I_ Const. (Aciuai) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump . PRV Fire Sprinklered Variance ? 31 Ext. Alt - Multi ? 33 Ext. Att - S F ? 36 Mufti ? Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: valuation: $ Io2, 0 ID SAC Units % SAC n ., ?•'?.? -.F?(..d,::«? '? ".:I'??',' ??•n`•?iY?:[.c.?_ .::? ?t-crl;'?.::?r• .. z.?:-, r'?.... :._/. :1 ?. .. 6.irip.liai:.ry i... f':1;=.V..i'? (t i I.:...r?n. n..?.. ., ...,... . 0.'.i.u :i. OC'.i :.':5.... •: ?f;k; . .:4 Jr !Fh,,'i'Fvt a I?Y ,:k .:r;k ? r .. ?<;,V, , w M -;.?'.:fF.yr??'.',A'?n' PERMIT CITY OF EAGAN 3830 Pilot Kno; Road Eagan, ylinnesota 55122-1897 (651) 681-4675 PERMITTYPE: surLoiNG Permit Number: 034207 Date Issued: 12 /11 198 SITE ADDRESS: P.I.hI.: 10-56701-030-02 DESCRIPTION: 4685 pARKftIfJGE DR LOT: 3 BLOCK: 2 PARK CLIFF ZMD .-?1, ` Bu? ldinv 'Permit Tvpe Epildinq Woh`k i"ype ,Eensus Code ? i ? . v_, llC7 ?? - BASFMENT FINISH AL'iERATION 434 ALT. RESIDENTIAL 1 ??. ' ' ?. . '. . - ..._ REMARKS: PI_AN RFVIEWED BY WAYNE MSLLER. SEPEF2ATE PERMIT NEED FOR ANY PLUMBING WORK. CHLL 445-2840 REGARDTNG FI Ff.TR7(`AI GPRM'f'T AM1ifl TNRpFr'.TTnnIC FEE SUMMARY Base Fee $50.00 Sui°charqe _ .$_50 l'otal Pea $50,50 CONTRACTOR: , AR OWNER: - Flpnlicant - M1lEVIN HOWARO 4686 PARKRIDGE OR EAGAN h114 55123 i651)686-4428 I hereby acknowledoe that I have read this ini'ormation is correct and raqree to nomplV 5tati.ites and City o'4- Eaqan Ordi.nances< L rf? l 4 ? APPLICANT/PERMITEE SIGNATURE applicnt.ion and state rMai' t:hP wi.tih all aoplicabLe StaLe oT Mn. -1 ISSUED BY: IGNATUfiE 1938 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN .? t'?? 3830 PII.OT KNOB RD - 86122 681-4675 ? -? New Conshuetion Reauiremenh ? 3 rogiatered site surveys • 2 copies o/ plans (inGude beam S window saes; poured fntl. design; eta) ? 7 energy wlculations • 3 copies M tree preservation plan H bt platted aRer 7/7193 required: _ Yes _ No oATE: l 6L/i0/5Z DESCRIPTION OF WORK: Name: 1 )lf p ul A 2J last F'uri STREET ADDRESS: Y(o?G LOT: -' BLOCK: ?-- SUBD./P.I.D. #: _ Street Address: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER City -?) u . ? RemodeVReoair Requirements q cj? ? 2 wpies ot plan ? 2 site surveys (euteriw adCitions 8 tlecks) ? 7 energy plalatlons for heated additions CONSTRUCTION COST; l ?w.. ._. ._ .. , O Stace: Company:_ .5 Q111%, Phone #: Street Address: License # City InN a- D?? -7 iV-??-l? . Phone #: c, 5 (, ' oZ 2e Phone k: Name: Registration #: 3 -3Soa Zip: Zip: Street Address: City State: Sewer & water iicensed plumber (new construction ony): and tot change is requested once permft is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this appliqtion and sfate that the in6ortnation is correct and agree to compty with all applicabl State of Minnesota Statutes and City oF Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Pian Received Yes Signature ofApplicant )Y D _ No ? _ No _ Not Require State: DEC 10 I998 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 02 SF Dweliing C] 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ?33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning . ? 11 Apt./Lodging l? 16 Basement Finish ? 12 r Muiti RepaidRem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscelianeous [3 15 Deck 13 36 Move ? 37 Demolition Basement sq. ft. MC/WS System _ Main level sq. R. City Water _ sq. ft. Fire Sprinklered _ Sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unk Building ? Engineering Variance vsy 0/ Of Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units CITY USE ONLY L? gL a.. RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit FIXTURES ggCH NQ TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 ;c = Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 x = T- i Floor Drain ' 3.00 x = Gas Piping Outlet " minimum - 1 3.00 ;t = Rough Openings 1.50 x = water 5oftener 5.00 x = Private Disposal • oakota Cry. iicense 65.00 (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Afterations ` w exisang 20.00 = 6 0 b Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL C:-La So SITE OWNER INSTALLER s: a r ? a wo.rd 1 CC Y' 2d 1MF• ? 1 1 X,,- ?-? h ', N STREET ADDRESS: I6 S Z 0? o N Q tn ; I 'q -) CITY: 1`\ e- Vr, I!? STATE: -0 ZIP: ?s- U ? PHONE #: ( (? ? ej ? 9 ) Q Fi1RRTTEE Ce gln - ?f5?? ? v I 1\1 OFFICE USE ONLY L _ BL _ SUBD. RECEIPT #: DATE: 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for. • all commercialfindustrial buildings. ? multi-family buildings when separate permits are p4t required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERa TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' 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. SPRINt(LER PEfcMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgCmjt fee due on all pettnits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ cirr: STE. # STATE: PHONE #: SIGNATURE: OFFICE USE ONLY APPLICANT ZIP: METER SIZE: DATE: INSPECTOR: **?************************************ CITY OF EAGAN CASHIER: JS TERMINAL NO: 691 DATE: 08/28/00 TIME: 07:41:29 ID: NAME: JOHN HALEY #1 ROOFER, LLC 3210 9001 4686 PRKRDGE DR 125.25 2155 3001 4686 PRKRDGE DR 3.00 Total Receipt Amount: 128.25 CR136530 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???gr a ? cirr oF 6acaN 5 3830 PILOT KNOB RD - 55122 651-881•4875 New ConshucXon Reaulremenh Rertrotlel/Reoalr Reauiremenls n 3 reylarored Yro wrveys dawlny aq. tl. of loi, aq. tl. o( house 2 capies of Plan ana gIl roorea areas csox mawmum im coveroae anow.ed> > ser a ener9y caaaanons ror nearea admnons ? 2 caplea ol plana (show beam & wlndow aises; poured fnd. deslgn; etc.) 1 site wrvey for extedor addlHOna & decks > 1 tet o1 energy CalCUlallau > 3 coples of tree Prewryallon Wan n lal platted aRer 7/1/93 ?0 DATE: CONSTRUCTION COST: ? U? DESCRIPTION OF WORK: STREET ADDRESS: 07 LOT: 3 BLOCK: ? SUBD./P.I.D. #: G1 Name: IV F?.L),I/? 41t)AC;E_ Phone PROPERTIf taa flrst OWNER Sheet Address: ` ? ? ? C8y 44/lz State: _A 7_ ComPcnY ?7f' Phone #: (area code) COMRACTOR She9i Address: ?2 Zc-t'-'0 IJcense t?-LA-ba-, . city S%zzxr;s P.4%.? stpra: ??ll LP: 5S1ZIA ? ARCHITECT/ ENGINEER Company: Name: Telephone M: ( ) Sfreet Address: ReglshaHon Y: qy State: vP: Sewer/water licensed piumber !if installina sewer/water): Phone M I hereby ackrawledfle ihat I have read 1hb applicalbn, atafe lhat ihe IMortnalbn is cortecf, and agree to comph with a0 appOcabla StafE o} Minnesaia Stalutes and CHy of Eagan Ordinances. Signalure of Applicant OPFICE USE ONLY Certificates of Survey Received Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex ? 20 Pooi 0 30 Accessory Bldg. WORK TYPE O 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 36 Move Bldg. [3 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Inte(or) ? 45 Fire Repair O 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to appllcant for demolltion permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length wiam Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building sq. ft. sq. fl. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance ? 31 Ext Alt - Mufti ? 33 Ext. AR - SF ? 36 Muld Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Oed. Other Copies Total: Valuation: $ SAC Units % SAC PERSONSi REQi}IiRING,ADDSTIONAI, COPIFS WZLL, BE, CHARC',ED A$20:00' FEE' TC)- COVf CITY OF EAGAN APPLICATION FOR PERMIT SEWEE2 P.NID/OR WATIIt CONNECTION 1) PROPERTY ADDRFSS: T•FY:AT• DE:,CRIPTION: (Lot Block S division or Tax Parcel I.D. Number) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDZNG PERMIT ISSOANCE: (Nbnth Year PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DC'PLEX (ZWO L'nits) R-3 2C)WNHOC'SE (Three + L?nits ) ( Lnits ) R-4 APARTMENP/CONIDOMINIL'M ( Lnits) COMNJERCIAL/RETAIL/OFFICE IPIDL'STRIAL INSTI7LTIONAL/GOVERAA'IENT 2) rAME: .?eti aDDx$ss: 157 CITY, STATE, ZIP: fl'KA1PHONE: 3) ' r?• NArE: ADDRESS: CITY, STATE, ZIP: PHONE: 10AlTIII55c-, L71ils J/)G°' n?& tw d.? eSC??qcu> i?" #,7 .?.?0 (e r ?23 - 3 l-? o rAsTEx LzcEvsE #;a°q ,tf For City Lse Plumbers License L,'`1 Active O Expired O Not Recorc Staff Initial 4) NAME: ---5 5wrnC GS :? ADDRESS: CITY, STATE, ZIP: PHONE: 5) ? a'?• a• a? CONNECI'ION TO CITY SEWEE2 ? CONNECTION TO CITY V7ATII2 Q OTHII2 (Please Describe) 6) u • • ??,/ PLF-ASE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF ABOVE L? E MAIL APPROVID PERMIT TO 1, 2, 63\ 4, ABOVE ? (Circle one) 7) %L. FOR C I TY U S E ON:,Y pERMIT °- ISSUED F°ES: $ $ S $ o $ 2) $ $ S S S S ??l • r_? . $ S SE:•iLR nEBn1rT (I`ICLuD.: SU2C :?RGE) WATER PERI1IT (INCiIIDE JL'.?.CF:ARGL) WATER DIETER/COPPERHORN/OUTSZDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:4ER TAP ACCOUNT DF.POSIT - P7ATER WAC SP.C TRliNK WATER ASSESSilE:dT TRiiN:C SELvER ASSESSMENT LATERIL BENEFIT/TRUNK SES?iE4 I.ATERRL BENEFIT/TRUNFC [qAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AM0[7:;T PAID/RECEIPT # (?;ccc 3 DO£5 UTILITY CONNECTZON RE4UIRE EXC.aVATION IN PUBLIC RIG'riT OF WAY? [_] YES IF YES, THEN A"PERMIT FOR bVORK WITHIN PUBLIC ROADWAY" MUST BE ZSSUED SY THE ? NO ENGZNEERING DIVISION. LZST AS A CONDI- TION. SGTEJECT TO THE FOI-LOS4ING CONDITIONS: APPROVED BY: TI:LE: DAT°_ : .& -I Wy Ol ELLian 3830 Pilot Knob Road Eagan MN 55722 Phone: (657) 675-5675 Fax:(657) 6754694 ?----------------- , - ? ? Pertnit# I PertnB Fee: ?vn I ? Date Received: ? stw, - -- ------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? G o Site Address: 7? !XJ Tenant: SuiEe #: RESIDENTI OWNER Name: 112d44w1? Aef ,OU?Tz Phone: (,51--`??-' ?g83 Address / City I Zip: Applipnt is: _ Owner Contrador IYPE OF WORK Description of vrork: /68e O?/G :? &de4)01'E Construction Cast 1" , J1Pf? Mulh-Famity Building: (Yes ____ I No ? ? CONTRACTOR Name: I)IICF-Ll T"72F)2/6J2,S License #. 3p?5 J 9 Address: /e?z d7j/ /'1Pt ? . City. /'1 ,4A&C C? ? ?? State: AZZ ZiP: ? Phone: L2I,??47zJ CoMact Person: L?l?l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rutes 7672 Eoergy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Cdtegory Submitted Submittatl (4 submission t)pe) • Energy Envebpe Calculations Submilted In the last 12 months, has the City of Eagan issued a pennit for a similar plan based on a master plan? _Yes _Na If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Comractor. Phone: NOTE: Plans and supporting tlocuments fhat you s[ibfnit are considered to be publrc.iirfamiafion: :Portrons of the in/ormafion may:be c/assh!ed as nonpublic if you provide speciirc reasons that woufd pennit'the Cify , conclude riiat fhe `are'trade secrefs. I here6y adcnowledge ihat this infortnation is complete and accurate; that the work will be in coMortnanca wi[h the ortlinances and cades of tha City of Eagan; that I understand ihis s not a permk, bu[ onty an application for a pertnH, and work is not to start withouta parmik Mat Me wafc will be in aocoMance wi[h the approved plan in the case of work which requires a review and approval of plans. x /y1//lF /vl?"G?/d ApplicanYs Printed Name X ApplicanYs Signature Page 1 of 3 cERriFicArE oF sERWr , ,, ? T \ S 390zZE ' \ 1-76.57 Ln in '?fZAINfi?E ? ? ? 23.UU 1 ? i 30 1 u ? ?-r? m 13.So A R SU+R r ' i , , s ACt?v= r I Q j J i >UTT=_2 ? i r- ? c? ? ? S,?• n . C7 t ?1 0. M I Z i ' Ci - - ? u' v' 3 U I ? f44.43 ? I 3911 ZZ Ig "E ` I Scale: 1" = 30' l H£REB1' CER77FY THA7 7H/S StK'VEY, fiAN OR RfPORT tYAS PR£PRfrED BY SI£ OR UNAER k!Y DJAfCT S!b°EFrYlSlpM AMD THAr fARI A DCJLY R£GIS; £REO CAMD SUFV£YD?P UN!!ER THE L AWS Of' THf $rA 7£ GF Rs/NNESO rA. ?/ / ?-?.I'? Lt? r./G'-^ - ? -G/ o,ar£ )9 RCG. ?vo. 8140 , DESCRIPTION Lot 3, Black 2, PARKCLIFF 2ND ADDITION Cakota County, Minnesota Plat bearings shown o Denotes iron monument brandt angincee??g P. euruaU?ag 2705 ujoodt trail t burniville, fainnerota 53339 (612) 435-1965 \. _A& ,? ? \ .? . VJV? ? , ? ??•-r, _ 2_ , ? ?. -. ? ? ? ?- ?-? ?;- ? ? DAA N 0 CMeGKlO OAT?t}..,? ? ZGALF i -?-d Jos No. YMYiT ?. OP ??., '8Mi@T? Use BLUE or BLACK Ink I For Office Use ~j I Permit /C/ 7& j City of Ea Ed~ I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: 2 J f Phone: (651) 675-5675 ? I I Fax: (651) 675-5694 I Staff: I LG ~ ~ ass 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4y1'AV_'4.'Unit Name: Phone: RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 4p0!4A- wA*rtg*_ `Jww-e•c. iv*"1~~•d►1 (rte ~ Construction Cost: .rB D• Ps Multi-Family Building: (Yes / No aC ) Company: df-AV'2 ~ ~iye p/ /a-ic Contact: ''•t7 err•-. i..~ CONTRACTOR Address: 7 Low / 446t, 7r- City: State: -4 Zip: Phone: LA-'2 219 A~3 17. License 6 0d//o0_!5_2 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) _ I- I t ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. M~ 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.ooaherstateonecall.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. 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_ l /'~O y d Mys R rJ . x Iva, A licant' Printed Name Applicant' Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE A~) 746 9 SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building ;,q 1 f WORK TYPES li`~ ; V f 1 N A X x- 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 Occupancy MCES System SAC Units Plan Review Code Edition IAI) (25%_ 100%X) Zoning City Water Census Code 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ,<a Plan Review I,Af` ; MCES SAC, City SAC Utility Connection Charge r S&W Permit & Surcharge r Treatment Plant Copies )z TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139723 Date Issued:11/04/2016 Permit Category:ePermit Site Address: 4686 Parkridge Dr Lot:3 Block: 2 Addition: Park Cliff 2nd PID:10-56701-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Renee < Norman 4686 Parkridge Dr Eagan MN 55123 (651) 450-5900 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink i For Office Use � C 4/1° / (/ g7 City of Eaaaii Permit#: Permit Fee:/// - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: B�2017 RESIDENTIAL BU/ILDING PERMI_TAPPLICCATION Date: 7 '7f 7 Site Address: (i(O AG'`/' 4 / !a% Unit#: Name: ,Cn Lam. C... A,1 ty3 r'es" Cr[/1 Phone: Resident/ e.. e Owner Address J City/Zip: � �� q .�''4L,/1 „` . Applicant is: Owner Contractor e Type of Work Description of work: / 4110 Construction Cost: (" Y ( p Multi-Family Building:(Yes /No K) Company: e-/e-C3,1si Ltas4v 1 Contact CA?"'A S /e Zei01 ) Contractor Address:7 el jr�/ 14-A . 5 City- /C �i2eL cO o State/ L4ip: 7 _ 2( )Phone:6/ ® f'3 C. -- r'e �+C � , License#:4G.cr2 Lead Certificate#: /� ¢ "I / (/c� 0, 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 V 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 information. 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. 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.aoDherstateonecall.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 `f - :uild- g Code must be completed within 180 days of permit issuance. /{ x /11'41t14#0,07, 0 x /,,/// Ap rcant's Prine Apply • is Sig Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145488 Date Issued:09/12/2017 Permit Category:ePermit Site Address: 4686 Parkridge Dr Lot:3 Block: 2 Addition: Park Cliff 2nd PID:10-56701-02-030 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 - Renee < Norman 4686 Parkridge Dr Eagan MN 55123 (651) 450-5900 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151294 Date Issued:08/17/2018 Permit Category:ePermit Site Address: 4686 Parkridge Dr Lot:3 Block: 2 Addition: Park Cliff 2nd PID:10-56701-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Renee < Norman 4686 Parkridge Dr Eagan MN 55123 (651) 450-5900 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature