4688 Parkridge DrCASH RECEIPT
CITY OF EAGAN `Y3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19_
AMOUNT $ I
& UOLLARS
, oo
? CASH CHECK
??_ .:: ?
sr ,..a-; •, f_ <
White-Payer3 CapY
Yeilow-Posting CoPY
Pink-File COpy
ThankYou
CASH RECEIPT ;
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RCClI V EC
/ROM •
AMOUNT $ I .
6 DOLLARS
I oo
? CASH ? CHECK
FOR
BY
White-PaYen C.oPY
Yellow-Postinp Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0. 1
41
• , _ . ?_ ? ` , r? (
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm. ? --= ?
01-2155
Surcharge r- --?
? r a ?
?.>...?
17-3$60 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter .
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL ?? J c/ a I?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt
To be used for SF DW;/GAK Est. Value $111.OUC Date OCT4BEli 13 '19 87
Site Address
Lot 4 E
Parcel No
4688 PARlC1t I DCB DA
Z
Sec/Sub. pARKCLI FE' 2N0
Q Name KEN'S C0175T iNC
; Address 340 9 152PID ST
a City .R'VYLLf: Phone 435-20C)
¢
0 Name. S[1M
? Q Addrets
City Phone
U W Name_
?_ w
F W
_ 2,
Address
U
Q W ?'.It?/ -
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.
Signatureof Permittee
A 8uilding Permit is issued to: ???? ??-4????__ '• -?4
on t he express condition that all work shall be done in accordance wit h all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,??_ i-C' ?
OFFICE USE ONLY
On Sfte Sewage Occupancy F 3
MWCC System x Zonfng R 1
On Site Well (Actual) Const yt1
City Water x (Allowable) Vil
PRV Required * of Storiss
Booster Pump Length 61.5
Depth 32.5
S.F. Totel
Footprint S.F. `
APPROVALS FEES
Engr./Assess. Permit t-A-34.50
Planner Surcharge W- 0
Council Plan Review 277.73
Bldg. Qff. SAC, City 100. UO
Variance SAC,MWCC SZS.UIl
Water Conn. _525.00
WaterMeter 67.(l4
Road Unit 30S_Db
Treatment P1 180•09
Parks
TOTAL ;2•591•33
, - CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ; ' -A Est Value $ Z 1 ? ' ? " Date ,19
2
Parcel No,
¢ Name .. ..._ .? ...s. . . , ..
W , -,0 S
z Address
o ritv 6' V1 LLF Phene 43 5--200,
, a Name
? a Address
? City Phone
yVj W Name
? W
Address
u
cW City Phone
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.
5ignature of Permittee - ,
A Building Permit is issued to:
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning _ ?-
On Site Well (Actusl) Const =' ?+
CIty Water (Allowable) Vn
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ? 5 ? 4 • %'4
Planner Surcharge 5b . ?1
Council Plan Review 277, ? S
Bldg. OH. SAC, City 113U .()o
?ariance SAC, M WCC Ak_5 • '
Water Conn. ' 6X1
Water Meter ?• f • ?%
Road Unit }L?
Treatment P1 i:?' • ?
Parks
TOTAL ?5
- Permit Ho. Permit Holder Dats Talephone
Piumbing ?U. ? ?j'` ?7..1t??. ??.?u^. '/ ?; ?•?
Frv:ac.
ElectriC '?.??,3? z
;_.:.? ? ??? t ?•,Y'!?,? ;? ? / t-z ,
Softener %' ??• ' ' ° Cz
.?-
Inspection Date ? Comments
Footings I
Footings 11
Foundation
Framing 1
Rooing
vugh Plbg.
R
Rough Htg. ,7
Isul.
Fireplace
Final Htg. %
Final Plbg.
Bldg. Final
Cert Occ. /
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
K
?., .
HERMIT #
' • MECHANICAL PERMIT
' RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ?
CONTRACT PRICE PHONE: 454-8100
Site Address 4- ?? ? '-j ?' ' ' ? ;
. ? ' BLpG. TYPE WORK DESCRIPTION
Lot Bloc ;Sec/Sub
k? T Res. New
? '
Name / ? , ! •
.+ /J ,, Mult Add-on
Address Comm. Repair
c Cit ' Ph
n Other
y o
e
FEES
Name RES. HVAC 0-100 M BTU -$24.00
Address - t' -"'\ ADDITIONAL 50 M BTU - 6.00
3
O Ciry ??-?% /'
_ ?'
Phone (RES. HVAC INCLUDES A/C ON NEW
?,.. . r=
- CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMI
1
50
A
-
n -
.
.
E
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air
,-t M BTU
? • APT. BLDGS. - COMM. RATE APPLIES
B
il TOWNHOUSE & CONDOS - RES. RATE APPUES
o
er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. - M BTU MINIMUM COMMERCIAL FEE -- 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM PERMIT PRICE GOES
Gas Piping Outlets # ? BEYOND $1?ppp)
Other
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 P{tOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT # ? i
DATE: '
?
m
?
N
c
Name , r 4' ' L,', (!)' - I
3 Address
0 CityF. ?. ,,"• Phone
COMM/IND FEE - 1oi6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. HATE APPLIES
MINIMUM - RESIDENTtAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMtT PRICE GOES
SIGNATURE OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
_3-Water Closet - $3.00
'5" Bath Tubs - $3.00 ?
A Lavatory - $3.00 y ?
Shower - $3.00
=Kitchen Sink - $3.00
- $3.00
,U,inal,Bidet
laundry Tray - $3.00
Floor Drains - $1.50
1 Water Heater - $1.50
Whiripool - $3.00
--/._Gas Piping Outlets - $1.50 ? '- ?-(MIlVIMUM - 1 PER PERMIT)
Softener - $5.40
Well - $10.00
Private Disp. - $10.00
-15--Rough Openings - $1.50
FEE:
?•
STATE SJC: `
GRAND TOTAL:
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
wil lot!"•?
(612) 681-4675
SITE ADDRESS: t: r. APPLICANT:
(if NN i c
i?-f ?. i?? ?'1 , V{? •i ??1f1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. ..
I i +` •? ? ? •
{ri NnNi
F
L
9?, 1 4 1 OrA k i ai I I)t1F 11
A'••t: {'AItAIL !'F(+M[ I t`• f'F0111R1 D iM: I1NY 1! f+ Iktl AI tfri
7
I
Permit No. Permit Holder Date Telephane #
S/W
PLUMBING
HVAC
ELECTR /
ELECTRIC
Inspection Dete Insp. Comments
Footings I ?/4
/
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
ConsL Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
%t.`64
S?rti
?G I
(gerttf tr?te of (Orr??aury
titp of (fagan
arpartttuetif nf luilaing jwrrfwn
T!u's Certiftcate issued pursuant to the reqtrirements of Section 306 af the Untform Building
Code eertifying that at the dme of rssuance this struciure was in complianee with the various
ordinances of the Ciry regulating building construction or use. For the foUoiving.•
Use C{aaifiatioe MIl'vApi Bldg. Rmtit No.
O-An-CY'fype R3 Zoning District Type Cnnu
o.vner of Buaaing 7'-w , Add= E 152M) '??
Building Address `?' `,j?''j•'.?'''?`?`i r `)?' I'- LacaGtyS.(; 9H2, PlAJa`S:; '.:'!: ?. ??J..
Dart: JAMIkW 28s 1988
Building OlEaal
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks '?'''f' }/ 6 J?
Add'+tion PARKCLIFF 2ND ADDN Lot 4 131k 2 Parcel 10-56741-040-02
Owner Street 4688 PARKRIDGE DRIVE state EA6AN MN 55123
Improvement Date Amount Annual Years Payment fieceipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?-
SEWER LATERAL
WATERMAIN 1984 35,22 7.04
WATER LATERAL
WATER AREA ? 1984 366 -25 73-75
STORM SEW TRK 1984 642.60 128.52 5
STORMSEW LAT ?- ' 98 2$3.60 S6.72 5
CURB & GUTTER '
SIDEWALIC
57REET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 2119$..
Eagan, MN3i121
Owner nftis t
' Site Address: 4 658 E
Permit No' ' Date: '
B/Mq' - Dste:
1
411At .
irldridge Drivs I,4 $2 r2rk Ciiff II
' Plumber. Matthew Dahlels, ir..c.
. MWCC: ?2 5 • ?? Zoning•
- Ciry Chg: 100• aOFd No. of Units: ?
?. Acct Dep: 15 . ;50P:'.
1 ?y . 0t-,;,,; I agree to complr wfth the City of Eagan
Permit Fee: -
Ordinances.
? Surcharge:
CITY OF EAGAN Permit No: 9149 Date: Io-14 c7
3830 Pilot Knob Road Me?er No: ?? 9A .? S 7Size: ??g /Po c?j
P.O. @vx 21199 Reader No: 0 8?7- 74Date:
Eayan, MN 55121
Owner. Kens Const.
Site Address: 1.4 B^ P;.rik Cl t iz 77
Plumber.
Conn. Chg: 325. f?^ --- d.o? `?ornrig:
AcctDep: ?-`.00-'9'1'f51864g9?ngcaf?e'ntunits:. -` 1
Permit Fee. ,41J IVE - FLEC! fY i;; • :;,?,y - .
5urcharge: •5' I?qtl?t ly with the City oi Eagan
Tr. Plant lt'?• ?? ? n ?
Meter.
MISC: By ii -
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date: 10-14--: 7
3830 Pllot Knob Rped Meter Nof ? Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN $5121
Const.
Site Address: 4638 Parkr_ idge I3r 've T u B2 Park C:1 if f II
Plumber. !`att}tew E'.raztjgls n -
Gonn. Ch9: 525• Q0wpg - Zoning: ?i
t
Acct Dep: 15• d0pd - No. of Units:
Permit Fee: 1)• OoP?
Surcharge: -5l) d I agree to comply with the City o1 Eagan
Tr. Plant 0 .0 012 d Ordinances.
Meter.
WATER SERVICE PERMIT
_ _ __ _?
CITY OF EAGAN N_ 14 2 9 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDINGPERMIT Receipt# 'Y? 0 1
Tobeusedfor SF DWG/GAR Est.Value $117,000 Date OCTOBER 13 19 87
SiteAddress 4688 PARKRIDGE DR
Lot 4 elock z Sec/Sub. PARKCLIFF 2ND
Parcel No.
c Name KEN'S CONST INC
3 Address 340 E 152ND ST
° City B'VILLE Phone 435-2030
,e Name SAME
?Q Address
m
P City phone
F
W W Name
?W
x z. Address
a w City Phone
I hereby acknowledge that I have read this application and state lhat the
information is wrrect end agree to comply with all applicable State of
Minnesote Statutes and Cit of Eag n O inan
Signature of Permittee
A Building Permit is issuetl to _ICEN _ N T.
ontheexpresscondition[hatallworkshallbedon ? a or ncewithall
applicable State ot Minnesota Sta tes an /f?E?ag p r?dinances.
Building Official -•C?4 ?+?/
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem X Zoning
OnSiteWell (ActuapConst
Ciry Watei X (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length
Dep[h
S.F. Total
Footprint S.F.
APPROVAIS FEES
Engi./ASSess. Permit
Planner Surcharge
Council Plan Review
81dg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Uni[
Treatment P7
Parks
70TAL
R3
_ .RL
Vn
Vn
61.5
32.5
*2,592.25
This request void
18 mnths Irom . ?
?5'26/0' ?yci4f
?
?2 ,
Re.que ire No. Rouph-ir 0.nsoection
Requrt ?
?Heady Nuw [??Nolity, Inspec-
?
7
es ?NO
I IorWhnRr Qy;
p-er-'en Ele Vical ConVactor . vT i c?
1 heraby request inspact.on ol aboy??
??/?7 0-0
? Owner La 9(?d elecbical work inatalled at ??
Street Address. Box Houle No. ' City ?
?
" ?
N
ecUOn o. Township Name or No. j ffano. o. CeLnl?
PuN
J??
/
OccupunllPpINT1 one No.
t
N`? "f 'Q
Power Supplier Address
SfOd 7
N
Elecnical Convacto (COmpony Name) ncractor's License
TC- No.
a:?,? ,? ? . e0q1'-'E7n ---5'
Mailine AtlJress 1 onvactor or Owner Maki e ??st ilationl
7 '? 2
Authorize ignature 1 ontracmr ner a i ny Installauon) Phone NumEer
] " / (V
MINNESOTA STATE BOARpOF EIECTRICITY THIS INSPECTION flE0UE5T WIIL NOT
Gripgs•Midway Bldg. - ??6om N-191 BE ACCEPTED BY THE STATE BOAND 1821 University Ave.. St. Vaul. MN 55104 UNLE55 PPOPEX INSPECTION FEE IS
Phene 16121 297-2111 ENCLOSEO.
/?? ?l REQUEST FOR ELECTRICAL INSPECTlON J /E?a /00/c`w1 .04
j?? l??7I $A7 , Sea instructiona for completing this form on back ot Veliow copy.
r1g_? 7 7 "X" Be/ow Work Covered by This Request
RlweiAAdI Rep.I Type of BuildinB I AoDliancea Wired I Equiament WireA I
on
p Fee Service Entrance5ize A Fee Fexders/SUbfeeders b Fne Circuits
0 to 200 qm s
- 0 to 30 Am s O 0 to 30 Ane
Above 200 qmps?. 4 i 31 to 100 Amps L . 0 31 to 100 Am s
Swimmin Pool Above 100_Amps Above 700_Amps
Transtormer5 Irrigation Hoonis PartiaLOther Fee
Signs -? -? Speciallnspection
m TOTAL
%,,,j7 ? ?he Elact.ica?
?nsoector, ne.eby
ertify thet the abova
?t& q? inspaction hes bean
? as s
K64 51
REDUEST FOR ELECTRICAL INSPECTION
le $ea insimctions lor completing IDis brm on back oi yellav copy.
"X" Be/ow Work Covered by This Request
as? s'?
? ?.
ew Ad Rep. Typeol8uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Otner (syeciry) Convaaor's Remarks ?f
3
Compufe Inspectian Fee Be/ow:
# O[her Fee # ServiceEnirance5ize Fee 8 Circuits/Faeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? 6ove 700 _ Amps
SignS Inspector5 Use Only: ? 70TAL S"Q
Irrigation Booms
Special Inspection .
Alarm/Communication - THIS INSTALLATION MAY B ORDER DISCONNECTED IF NOT
Other Fee COMPLETEU WITHIN r
I, the Electrical Inspector, herehy Rough-in ? oaie
certify that the above inspection has
been made. pwe U
?r 7/2 (
OFFICE USE DNLY '
Thi3 request voia 18 monibs fiom
E9 64?51,C? a • ana ? o?
Repuest Oah ?
? Fire No. . Rov
(Va npsection flequiretl
?u Il inspaebr when reedy?
,?Y? Ves . ? No Inspaction Other TM12n oug?-ln
? qyatly Now II Notily InspBClor
Date Rea
I O licensed contractor Kowner hereby request inspection of above electrical work at:
.bb Atlqress (Siregt. Box w te No.)
%? ct? So
//_ ?` rkrl?d Ciry
Section No. TownsOip Name or No. . Rarge No. County
0 IIPRINTI
e.ru,is ?e-no2 Phone No.
Power Supplier Atltlrq55
ElecVical Con a or ICoenpany Namel .
or>'i 2o w ? ' ConVacbrS License No.
Mailing H ress IGOnvactor or Owner Meking Instellation)
tm_
Au(hor tl ignature il?onVattor'Ow r Making Instatialion, Piane Number
?
MINNESOTA STATE 60AHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-MiJway Bldg. - R. S-173 8E ACGEPTEO BV THE STATE BOARD
1821 Univarsity Ava., 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 642-0800 ENCLOSED.
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
n
*X': PAYMFNP OF FEE AT TIME pF
APPr.icATIox DOEs Nar aOrsTTTUTE
APPROVAL OF PET441T.
IIySPDCrION OF SEWM ADID/OR F41TER
TTLS`f`Ai7.ATTQNS 4nL NOT BE SCHED-
uLEn tnariL PERMIT HAs B?
apPxwID. .
. Lot B ock Subdivision or Tax Parce ID )
IF EXZSTING STRC'CILR2E, DATE OF ORIGINAL Bi!ILDING PERMIT ISSCANCE: . .
(Mon Year) ..
PRESENT ZONING/PROPQSID L'SE:
0 CONY4ERCIAL/REfAIL/OFFICE
Q IAIDIISTRZAL
n TNSTI=ONAL/GOVERNMENp
? R-1 SINGLE FAMILY '
Q R-2 DLPLEX (Ztap Cfiits)
C] R-3 70WNiOL?SE (Three + Units) ( Units)
0 R-4 APARZTENP/CONDOMINIUM ( Units)
2) ?
ADDRESS:
CITY. SfATE. 2IP:
rxoxE:
3) • r ?•
ADD
CITY, STATE,
PxorE: tfz 3-?-7 n M+sTm LIcerrsa# _3099 H
4) •• ? i?-
rAnE:
_ ADDRESS: • -
C1`CY, STATE, ZIP:
PHONE:
Active
Expired
Not recorded
st?f Inital
'5? ' a' • ?• : ? ? a?
IA,I CONNELTSON 10 CITY SEVM ? CONNDCTION TO CITY WF1TIIt a o1'fm '
T
6) m • • r E3 PI,EASE HOI.D APPROVFD PERMIT FOR PICK-UP BY ONE OF ABOtIE
? PI.EA2rz'/` APPROVID PERMIT TO 1, 2, 4. ABOVE , .
(Circ e one)
7) r. r• • _ . ? •?'VT-M /rIZ -7 /0'7
, .
.'FOR CITY USE ONLY
PERMIT # ISSUED
I I
Pd w/Bldg. Permit
e
s
s 6?•v2
$
$
$
$
S ?Z Suv
S
S
$ -
$
$
s /?D UZ?
$
FEES:
$
s ?D S?
$
c
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLLDE SURCIiARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ / 6^• G' Q ACCOLNT DEPOSIT - WATER
$ wAc
$ sAc
$ TRUNK WATER ASSESSMENT
$ TR[)NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRLNK SEWER
$ LATERAL BENEFIT/TRDNK WATER ?
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
S Q e7 7$ 67' G-o TOTAL
f 0 .-2? ? 7s.7 <? Z
RECEIPT RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
r__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
ROADWAY" MLST BE ISSLED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE: ?U1 / 7 / a ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
Naw Conatruction Reauiremeirts
• 3 registered site surveys shovnng sq. ft. M lol, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allawed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Eneyy Calculafions
• 3 copies of Tree Preservation Plan if lot platted aflar 1/1l93
• Rim Joist Detail Optlons selection sheet (bWgs with 3 or less units)
DATE G-Iq-C)Z
RemodellReoair Reouirements
• 2 copies of plan
• t set of Energy Calculations for heated additions
• 1 sife survey for extenor additions & decks
• Indicate if home served by seDUc system for additions
VALUATION t ql `(v
SITE ADDRESS &a D ??..rV_ f loP zz.C . bHf1U-Q. MULTI-FAMILY BLDG Y N
TYPE OF WORK??,YjL TIP_ iar? `2ev5Q?_?? FIREPLACE(S) _ 0_ 1_ 2
SELAROOFING.& REMODELIN+j. ti
APPLICANT 4100 EXCELSIOR Bi W
STREET ADDRESS ID #0001050 CITY STATE ZIP
TELEPHONE #CnILS?fZ3- CELL PHONE # FAX #
PROPERTYOWNER?swrt? S Z2.r16-e__ TELEPHONE93qC15
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'CA RLiLIiS 7670 CATECORY 1 MINNESOTA RliI,F:S 7672
(J submission type) • Residentlal Ventilation Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calcuiations Submitted
Plumbing CoMractor:
Plumbing system includes:
Mechanical Contractor.
Mechuiical systein includes:
Sewer/Water Conhactor:
Water Sofiener
_ Water Healer
No. oF Baths
tlir Condilioning
Heat Rccovcry Syslcni
Phone #
Lawn Sprinkler ,
No. of R.I. Baths
Phone #
Fee: $90.00
Phone #
Fee: $70.00
-------------°----°--------------°--°------°-----°------------------°--------------- -;J(7N-7-
I hereby acknowledge that I have read this application, state that the information is ect, and
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
Signature of AppUcant c y
._.._....___-------------._...__-------- -__.__...____._----------------------------°-°___---°°
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex 13 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FutaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
I
( -? -q-,?
1987 BQILDING PERFffT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IlQCLDDE 2 SETS OF PL6NS, 3
OF SIIRVEY, 1 SBT OF ENERGY CALCULATIOPS
t
NOTE: ADDRESSES FOE CORNER LOTS - CODiTRACTOR/HOME05iNER MDST DESIGHiATfi WHICH ADDRESS
IS DESIRED. NO CHANGfiS WILL BE ALLOWSD ONCE BIIILDING PERMIT IS ISSQED.
MULTIPLE DiiS[.LINGS - RFSIDENTIAL RENTAL U,9ITS FOR SALE i]A1IPS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SQRYSY - CFiECK i1ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: '7")o : /,Valuation: I// ?_? Date: /? " 7? ??
Site Address ;? ? OFF]
- 11?/OOO- -
Lot ? Block On Site Sewage_
? J MWCC System ?
Parcel/Sub On Site Well
Y? City Water ?
Owner
Address
City/Zip Code J'"a, t/?
Phone •?? '?-° )JR3 I APPROVALS
Contractor
Address 3?fj? L. /3?
City/Zip Code /%/7-
Phone y
> 1?
Arch./Engr. e5,? ?lye4
Address <,-Z; z 7; (-y- 4 t
City/Zip Code Ua/ *
Phone 0/ L/ /? j / /2
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Oceupancy
Zoning (Z-y
Type of Const
(Actual) V-N
(Allowable) V-N
ll of Stories
Length
Depth 3Z,s1
S.F. Total
Footprint S.F.
FEES
Permit SSN, 50
Surcharge 58.50
Plan Review z'1r),25
SAC, City 100,00
SAC, MWCC g Z5, 00
Water Conn 525' po
Water Meter (,'7,00
Road Unit 305,00
Treatment Pl I SO, ao
Parks
Copies
TOTAL
II? . ,,
`
,
2ZX'2y' SZg x IZ = 6336
HOU?St ?ki y? 3Srn7?
IOx?=
Z.6K 3£S? ?b?
ZA,-DFL-?e 66y69
?2G K 3 Fl = 9S8 xyv =?f 3 4'7Z
I!
I ?l I I N i I C 1 I D I! E ; t F 1 I B I i H I
i!
cl EXTERIOf2 ENV'E!_OPE RVERGfE "U" CUMPL1TATSQN 0
31
4Ii141NF_R
D6;UE A(VQ THE 7hl17MPSQh15 PLAN Nt7. 5-1223-5
5IST7c ADD RESS RLAh?! hlO. B-fT?.`_..i.c'-F
T
61 Ct7N7F?RCT DC
Y,EIV' S CGNST. DATE 3-12-8E PNQhIE
--------- ------ -----
--------
71
81 DETERt+IIiJc WORii'fhlG SC:UAftE FC]C7RGE
31
1011. Tot,al expnsed wa? 1 area 2595.38sy. ft. x.1i. 2n5. 49iFS
ilic'. F'o-al roof/ceilinq area '?Siss;,, rt. x,0cE 24.726
1213. Totat . f;.oor cant.area O=_.q. Ft, x.08 IZ)
i31 (ovAr t.inheated er,closErd areas)
:=r 14. Tuta1 f7.oc,r c<1rrt, area 15sy. ft. x.0: 6 .39
151 over uriheated cxposrd areas)
2E1
1715. Total exposed wa1l area aabove ttie f1oor............ ?.v..
181
191 a. Total wa3.1 wa.ndow area . . . . . . . . . . .. . . , . . . . 271.3556
201 h. Tntal doar .................... :37.8189
211 c. Tota2 si. iding glass daor• arra. . . , . . , a . . . . . 33.:35
22i d. Tptal fi.replat'e area ..,....n...e.,e........
23 i e. Tz>tal wa11 frarni.rra ar^es+a (ave. 10"./•) ,.. w. e„ e 221.728
241 f. Totai riet wa:1 area above the f:loor....... 1653a 0c:8
251 ?. 7"ti7:a1 r:iri; 7oisC ar'ea.„.....o...,....,....... 249.E15
261
27 i 1`OrRL EXPC]cEU F°OUIVDAI"IOM t-TRER....... , . , „ . . . . . 128.439
281
c"9f r,. i otaJ Founcat i<;n wincc;w area. ... e.,..,.... 3.5778
30I _. To+,?-,..1 net follYidcl4:LOn ar'ea. . . . > . .. . . . ., . . e . 124. 86].c
311
cl ? value ??f each wall serrner?t
De+ternfir,e "U'
33I y
I?e 1.7.L.a5r6YC "U' n4l..."' 113.9694
34I 17e 37.8189n ieUii .06= 2.269134
35I C. ._e,.'.+. .:aJ}( "U " , 4. /= .6 J., 6 7 4;..!
361 d. Ox "U1. @_ 0
371 E'e 221.722X IIUII 0917431- 20.34202
38 i ¢. 1653, 0c6x "tJ" o 04UC152= 71.43593
391 y. 249.66x "Ll" .+I140E835= 10.15704
42+ I r„ ,?s, ,.i7'7Elx "U'' a 4c- 1. 50c:G7ca
411 i. 124.8612x "U" .0924402= 3.0. c93..-?9
421
406.,.... .................o,....,,3otai 245.6442
441If iterii #6 i; tne sanu? _as ar 7.ess thar? item #1 you have met the c+.irr•ent
45I ener•gy c nde, 2 MCAR 1.16008 R FiNU iJ.
: a ii B ?i c I i r ii w ii F ii G 1 1 H i
VrJ I
641 i. Tot, aI skyl i yht arer:.. . . . . . . . . , . .. „ o . . . . .
651 k., Total filat r'oof/r:ei.'.irsg frarning aren,,.... 35.1.
661 i, 'rata.l net flat ronftcei 1:i.ng area. . e e,., ... 85Se 9
FJ7I
6A1
691
70I Deter•mine "U" r•a1ue f-or- each rnnffciq_. segriient
711 j . orc "LJ" 0= V,
7^c l ka 95. 1 x "U" o024 1533= 2.106779
73I I. 855e 9X "u" .0192790= ] 6o JCh0A?
741
7J
i
??
!?
fo
771
7+317e.,.e. soe.,..e.. e.....,....... --Tota't I 8.60765
79!
9Q+iIf item ?k7 is the same aa or lass than item #c ynu have met Ghe
Bi t2ftP_3^_j'tJ CC+de es MrF'iF; 1.16008 la AND 0.,
821
8W TO-i AL i'L 0OR CANT. faREA (eYYC1oSE!G) 0
841
OS( o. Total f:c,or cant. framing ar•ea tave, 10"/•7. @
ElEil p. `ro4:a1 nBt 1nSu1ated f1i7itY'/Cal^!t. flT'ea ..„... 0
871
+381 Def,er•rnine "°U" vzl.+.Ae Fc,r^ each f1oor
;
r??n t. segraer?t
891 []
?y?
0n ?Tx 11!lJIII •??JIv1:,???SLlYJ?J"
4+ ?{
901 p. Ox "U" .5347594= 0
911
9218e..,,.. ...,,..,.... .......,.....,..,..Totat cD
931
941 Tf item #5 is +he saF,iE aS orr• less than item 03 you h_ave met the
951 ener,gY coc3e 2 hSCAR 1.16008 A AND 0.
961
971 TOTAL F!_ QORICANT, ARCFt {exposed) 15
981
991 q. Total flnril^1rclT3t. framir;o area (ave. 10f}. 1. a
iool r„ ToCa1 net :insulateC f?.oor•/t_ant. area,.,..,, 73.5
Lo1 i
1011 Peter-rnzne "Ll" valua for ear.i't flor,rlcan t, segmerit
i03I U. '., 5x "U" . kE0.?96c= .092+5797
1041 r., 13.5x "LI" .0285714= .3857143
1051
1003,.,,e. en...,,e ... ..........a.,„,..D.Tc,tal e 4762440
1071
10811f item #9 i, the sarne as or^ less than item 44 you i-iave rnet +he
109 i E+nercy codex. 2 MCF?R 1.16008 A AhID C.
ifol
i2].I
1124I HERELaY C[=RTIPY THAT I HAVE CALCUL(a-iED TFI[ "IJ" f='r1CTOFS (awlU "R"
i i;;I VALiIES HEREI:It! AND THRT THE BUTI_D'iNV HtRE DESCRIE+LU MEETS C7F EXtvEF.,'DS
: 14 f THE ST: R 7E 01= Mh.l E h3EFiGY CGNSFRVATI17N AL'.Te
1151
1 1 E I
c.
??'
-
1171 (si.gnature)
;.181
1191 " --
1201 --------- ---- --
1:: ?. i ida4c)
i H i6 i i L ii ri ii N ii 0 i?
sm
21 0
?
J
1
(
?
!
Y 1
i H 1 i I
1 11 I! 'rC i; L 11 11 I f !V 11 0 I I
1.
21 Qi
31
til
JI
61
i FiR ii RB ;I RC il RD ii AE I! AF II AG il RN I
? I?. `(ota2 exposeC wa11 ar•ca.
c "'. i i= r• o
ri t e
31 cFx 9.67= 251.42
41 26X `3= 234 .
S! 8. 33H 3=: 74.97
61 4.E4x $.33= 40.3172
71 x - ?
8 i x - ?T
'31 tt =_ ?
1 k'.i I x - k
111 x = N
121 x - 0
731 x = 0
1.41 Yota l E.00, 7072
1. 1 I
-G I R14I'1", e
1.71 4L?1 /'
I? 3vCJ7w
L1u?{
{1??
(4
18 ! i 4x 9= J. 21 6
191 36x 3= 324
201 i?+x 5.67= 7'"?.38
21{ BH 5e E".a7'= 45.36
2i? I S. 17X 8_' 65.36
23I 8e51( 2o5= 21=C.J
i!iI 5X - j.. J= 7.5
=_5i 4x 9= 36
cE',E 4x 4.8:s= 19e;5c_'
0
281 x - 0
291 7r,ta1 93Ee 91
Je, I
37.1?eare
3iv I cGx 9- ;=:34
331 2, E,x 9= 234
341 I. . 66 x 9= 14.94
3;;f 2E,)< 5.67= f.r,,.7.42
.iE, i 1. Y. ,°.r'= 5
17! >s 0
381 x = 0
"9f x -- 0
40! f( _ 0
<a ; i u - tZi
42' ! x = 0
fl. : i ., 0
441 I"t ta1 635. 3G
`i J E
46 I Left :
471 3c,x 9- 324
481 4?; 9= 3E•
491 32H 9o 67-: 309.44
501 4x °. fi7= c:'LO E8
Gi f 4x 9==
? c.
'`'
Jc I 4H R.}n L3.3= 19.32
531 co>c 5. E7== ]. 13. ,+
Stt I 8.5x c, 5= tc? .-°
55I JX 1= J=^ 7e 5
5Ga I X - 0
571 x =. 171
58I Total 925a 59
5511. T(7TRi_.............. ............... 3098.567
GOI
6112. Total r^oor"/cei 1 ina area.
6cl
63I ?,E.x 26= 936
641 7e 5x 2- 15
651 36x 13= 46E+
661 19x 4= 76
671 7X 2. J= 17.5
681 4>r l. = 4
691 loH 1.5= j. i
701 7t = k'!
7,.1 x = 0
721 x = ki
?3I x = 0
7412. TOl"A",.,.e,,,....... e,...,.....,,e 1531.5
751
?61
7713. Total P7.oor•icnnt, area (enc.i.oaed).
781
791 3x 4- i;:_
SCh i x = q.)
8113. TOTAI_............. „o...en..,,,u., 12
ti2i
831
6414. Total f7.onrlcant. area lexpoGedi.
851
Rr i 7.5i( 2?' IJ
Bil .5x 1e°,= 12
604. -fQTA!_..,..,........ .. .....,.o..... 27
+39 1
901
9115. T'ot a 1 e><paserJ wai 1 ar°ea above t h7e f t caor,
9:' i e=. on} .
931 ;'GX 8= 208
?.-a.4l 26X 8= 206
951 8. ,:,3x 8= 66.64
961 8v JJ.'S 4n 17'-' 34.7361
971 >c = k
981 Y, - Q!
991 x = 0
? oo! x = 0
ioi! x -- 0
?.ICG i X = 0
103i x = 63
1041 Ti-ttclZeo.. 517.3761
105iRi ciht;
?
itiE,l ,_cx 8= 170
1071 14X 8-= 112
:081 36x 8= 2BP.8
10"`?!i 14x 5= 70
Ox z 0
a. a?x 9_ 65. 36
7.1c1 4x B= 32
1131 4x 4, :17= lE. n8
1;.41 x = 0
11.51 x = 0
0
1171 Tota1.e., 760e04
1 16 IRe a,, e
1:I. `y I 26 x $ w 208
1201 Lk;x ?,- 20H
luI I 1. F.,6 x E?- 13a :5
122 i 25 t< c- 1 13 4I
2.:1
1
1 1)? J= c
1
AL/?
"'Y i }S '•• K+
125' H = ID
1 L? E. I x = PJ
:27i x = 0
7.201 x = 1?i
1291 x = 0
]30 1 Tota.:i.a.. 564.218
;31 i Lei=t :
13121 36x 8= 28$
1331 <i x 9= 32
13
I qA 11 AP 11 AC 11 RD ! ! AE 11 RF 11 RG 11 Rhi ?
1321 36x &•- 288
.1331 4.x 8=
1.341 ,.c x 8= 256
1351 4X J= 20
l3fi1 hx 6= 64
1371 4x 4.17= iE>68
1321 csZlx S= 100
23?I x - 0
140 i >t = 0
1411 x -- 0
142 1 x = ¢i
1=:31 T-_i+,al. e,. 776, 5P
1 0"fP.L .. .............e.,......e... 2518.376
1451
14615a, Tota1 wall window c-irQa.
1471? ?f wdos. FtigFt wide
143l
1 ?=x _.,,1x c.3„
=
15.Si7
8
y?
3/?^Y?]E IX vJ+'JiJX /'?
?JeCIJ= p
12v7JJ
?J
150I 25? .:+e .-1.'JH ?Fn J= ?1
G.nJ. rJ7
SSL I c'x 4. 33x 17.32
i
152 2x 4a,:1.:?N, 2. J.'= c:1?1. Z77a
1531 .iX 4a 33H 4. J= 58.455
154 1 1 v, 4.33)( 6, 67= 28.8811
i
A51
a
'
L?
K
SvuJJH
L°
LluJC
J'
1JG1 y
tY( Sa'JJX p
JvClJ?" 20.4139
1 571 1 7( 5.33x 6. 67= 35.5511
1581 1 x 7. 33x 1. 5= 10.995
1591 x x = 0
1501 x x = 0
1611 x x - 0
1E21 x >< _ 0
1631 X }< -- 0
164I5a. fc-tal. ....e.......,..,a ......... ................. 271.3556
1651
iE.E, I S5. Total door area.
1671# of Gr^so high wirJe
1681 ix 6.67x 2.67= 17.2089
1591 1 si 5. 67x 3= ^cfd. 0l
1701 x x - 0
;71? x x = 0
172I5b. Tcotal. ,.a ...............e....... ........,......,.. 37.8189
1731
17415c, Tota: sl.zciino glass cEonr area.
1751# r-f drs. high wide
1761 1?{ 6. Fa7X J^ 33.35
1771 x x = 0
1781 x x = 0
2791 x x = 0
18015c. Tutal. ........... ,.......o...... ....,,............. 33.35
18!!
i8
2I5c. T??ta
l r,irn joist ar^ea.
n
1QJI r
LJ {
26 LL A?' C r
I?G
JIJ 1y
L??L,
1841 4 ?,c 4 36 I.SG aEI c
1.851 8
7865 283.E6
ta71
18817"C77A L FC]LIIV DATIOM GREA.
1031 GG G? 1°F rIl. i CO -:G ^t
190I 12 38 11.194 31.71E4 20 4 10
].9:i I
1921 213.4690
19.; I
1941
195f 5Pt. Total faurrdat i ori wdn. area.
19610 nf wdosa high L-T wide 1- 1971 i_ }C .V!K c? oG7^ 3.5778
1981 X H - 0
1991 3.5778
2001
20111IF CELL LOCA'TIOiV AF204 _ 0 7'H(aN YOUR CRLCULFiTIOhIS BRLLFIIVCE.
2021Ir CELL LOCF1TiOPJ GF204 DClES NOT =0 7HciV YOIJR Rlhl ,JGIST,
'._IZt ; I FiJUIVDS-lTIL7N R WGI._L AREA FIBOVE 7HE FLOOR D17N9 T= TIJTAL 4JALL RREFI.
:=:041.....w..,..,....o.....,....o....,.e.....4.. a001
2051
I PF7 II RH li EC: ?3 PD 1
;I "DFTERMINE "U" VALIJ ES"
ciTHRUI S7UD W.TTH SIDihIG R S.R.
JI
41Trrter•i.om Rir.,...e,,...e.... .e•n
J I Jheet ROCFf,. y v.... ... p.. e. e e .45
fi iTrit?1"fl1o-Rt'e2L(„ „ „ . „ , , , „ „ . „ . , . 0
715ti_id ....................e.. 6.93
e315heathing .................. 2,05
9ISicl:nra..,...aa..,,......... .78
101L-,xter,9.or Rir-.......,,...... .17
1117ota1 "R" Valtte..,...,,.,..?? 10.9
?li/ft = ??tJ?? 4'a1?_?e..a...,.n,.,
0 1 .0'717431
{
LJ1
141
15ITHRll IIVSULATTON W2TH STDING & S.R.
161
171rncerior Rir............... .68
1B1 ;hee1: Rock...,,,...e........ .45
19IThermo--Rreake.e..,.,.e...... L
20I IYt5 ulat]. C?Yl. e . o . . . . a . . . . . ,. . . i r)
ct 15heathi.ria. . . . . . .. ? ......... 2.06
22iSi.clii•ire e ................... .78
r3lExter^ior^ Aar„w....,.....,.,, .17
":I
251Tota7. "R" Vaiue.....e...... 23.14
2611!R _ "J" VZlue...,..,..... .04;'._i5c:
271
281
291THRU CEIi_ING MEMPF_R
301
?,f ! Intet•ior Rir . . ........ .. .. . .68
32! SI-ieat Fock .. . . . . . . . . . . . . .. . . . .58
3; I Cei 1 ing Meri36er . . . . . . . . . . . . . 4.35
341Insulation „.......a,.,,a... 35e92
35ISti;.1 Air.................. .51
361
3717ota? "R" Vaiue ............. 45.14
3811JR = "lJ"..........,..,.... .0c21533
391
401
411
kc'ITHRU CEILING INSULtaTIC.1N
431
1
441Interior• Fair^.. . , e . .... ... a . .68
451Sheet f2ack..........,,o...... .58
46I 1 YISI_t lctt1 Ltn . < . . . . . . < . . a . . . . . 50
4718t:zii Rir ................o.. .E1
481
491 Tota7. "R" Value..... ... .... 51.87
SC!?I1/R = "U"...,n.a......e.... .019c7917J
I Li=1 I i BB I I HC i ! Ni? 1
54I THRU CONCRETE HLOCY,
551
56! Sn+,er•ior Rir............... .68
S I I CCrYtr, Li J. }!. .. . . . . . . . . . . . . . . . 1.28
58 I 7 r; ,u1 r:at i orr. . . . . . . . . . . . e .. . . 10
591Shaet F2k> (Opt. ) . . . . . . . e . . . w
60)Exfier:ic<r Ai.r.....,.e.....,. a17
611
E,cITotal "R" Value......e..,.. 12.1:;
6:.''? 11i R = "U u . . e .. . . . .e , . . . . e . . . 08e=440w:
E4I
631
65 i THRU RS M.T0:5T'
E71
68llriterior• air. p,.,.......,,.. .E8
6''?!Tn_,ulatior;.a.,.,.,...e..... 19
70It2irn 3oisi,-„e,..ae....o,....e ?.89
"7iEShea.thirig.e,.,,.,o,..,...... 2.06
7el5i.dann.. a a... .... ..,. .,... .78
7;3iGxter^iot• A:ii^............... ,:17
74;
75ITota1 "R" Va.i+_ie............ 24o58
7E1t/R _ "ll"....,,,e..,........ .04058?,5
?7i
781
?? ? ??U" •yal ue F'or windnw....... .42
80I"U" .value frr doo7.,s.e,.a... OF
81 I"t.l" val ue for Pat ic, Di^s..,. .47
AcI
Si3I
84 I TNRU Cf-7NT. Q h?Eh7PEFZ (Enc1_,secl )
851
BSI?n'terior, Ai.r•,.,,...a,.,.,.. .68
s;!r-;.nisn -rlo„m,r,xng .,„,........, i.23
88' Undnr l,syn,ent ... . , e , . . . . . . . . 0
891P1.ywood ........eeee.e.,,.... 0
90!Joista,................... 0
9115neet Rock.......,....,,.a.... .53
920t4i.i, Ai,r..v,...,..,,....,,.... .E,;
931
94IiGLc"ll "R° 11e1.(uEa...,........ 3„1
95WR - n?u........aae.e..... aJ225806
96i
971
981THR1_i CAYJT. ? INSULA'I'I0N (Enc1c:secJ)
991
10Nilrite+r^:ior Fiir.,...,,...,..... .68
101iririish Firo7^ino............ 0
1031Uncierl<a.yraerit..,..e,,.....n,,. 0
103lnlYV,inod ........,o........,. 1t'f.
1041 tr?sul.ation ................. tZ+
1051Shcet tioc4. ................. ,58
106lSt:tl7. Fii.r..,w....,..,..,.... .61
1071
1081TF.ota?. "R" Va.:tue...,..,..... 1.97
.L 0`? 11! R = n U u . ...e . . . ..e o . .. . . . . 5347594
3 ?A H BB 11 Bc 1 1 Bu ;
1141THF?U Lflhl"!". @ MEMBER (Expose C)
1131
1141:Crrterior, Ai.r;....,,...n,,.,..,. .u,?
1151Fi.ni.s,h Ftoor-inra........,... ;.._..
S 16 i iJncerlayrnent. . . ... . . , . w .. . . . 82
1171Plvwoocia.a.,.... _ ..4..... .66
118ISo:is1;,.,,,.,...,.,..,,,...e..
i'!.56
119iS.h,ea.tt7inr„...,.n. .66
ciZtlSoffi.t.<<e..a.....,q,....., .78
1M:J.IEictet=:ior flir .n..e.......,.? ..17
122iTotal "R" Va.iue ....e..,..4. 16,58
12391iP, _ 'iJ'„e. „?a.,.,o..... .0603865
1241
W51
120T'HRI_i CANT. •d ZIVSlJ!..Ai SC114 (Ex t;er:i.ov,)
1271
12811i•iterior f-l:i.r•............... .68
1291F7nish 1=7.o_,rir:g ,........... t.'Wv
130i UnderJ.ayrEient. . . . , .. . . , . . , . , .82
1311€3iY4yood „..oe...a..e...A.,. .65
f 321 :195ulc'1tYoYi- a . . ,. . . . . . ... .. . 30
133Isr,?athzng ..e....,.,......e. .66
1341Soff;.'t. ..., ..... .. o........ .78
?.:?SiExterzor, Air ............... .17
:. ;Y
1=3717ota1 "R" Va1ue.o...?...... 35
138I iI?? _ "u,,. . . w . . . , a . . . . . . . , . e 0285714'
? CITY OF tAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Datelssued:
02313jNG
04/01/94
SITE ADDRESS:
4688 PARKRIDGE DR
LOT: 4 BLpCK: 2
PARKCLIFF 2ND
P.I.N.: 10-56701-040-02
DESCRIPTION:
(3-SEA50N)
B?iilch,ingx,.Permit Type SF PORCH
84ildinc} Wb;rk 7ype NEW
Building Leng1'ah 14
Building. Width ??..a 14
.. .n a' ? ?? . .
•?r
?-.,iv, ... .:.'....
r ,Y
PERMIT
c ??
????
REMARKS:
9'x 14' DECK INCLUDED
A SEPARATF PERMTT TS RFOIITRFfI FOR ANV FI FCTRTfAI I.IORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR:
OWNER: - Applxcant -
BENOE DENNIS
4688 PARKRZDGE DR
EAGAN MN 55123
(612)681-9340
I hersby acknowledge that T have read this
inforination is correct and agree to comply
Statutas and City ofi Eagan ortl-inances.
?.
?L/{?i9,1ftoE_
az/lvktd-
APPLICANT/PERMITEE SIGNATURE
?
appiication and state that the
uith ax;l appl3cable State af Mn.
?
'E ATU I `Nilql G2.2'*3S
, I
,D.? : SIG
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITEADDRESS: Lor: a BLOCK:
4688 PARKRIOGE pR
PARKCLIFF 2ND
PERMIT SUBTYPE:
SF PORCH
PERMITTYPE: euxLoaNG
Permit Number. 023137
Date Issued: p q/B g/g q
APPLICANT:
2
BENQE DENNIS
(612) 681-9340
TYPE OF WORK:
NEW
DESCRIPTION (3-3EASON)
REMARKS: 9'x 14' DECK INCLUDED
A SEPARATE PERMIT SS REQUIRED FOR ANY ELECTRICAL WpRK
?
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W ..?
U51
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
n,n- ryiAw?,r, 9-1
? 122• ??
htAR 2 1 t4aa I
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1-eopy•af-_ener.gy_
_
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 af month
in which request is made, 2) address is changed or 3) lat change is requested once permit
is issued.
Date .3 Valuation of work 46,0420
3ite Address: ? /, 0"aY'kNl?-?SP rce
?
ST0.EET
SU1TE ti
Tenant Name: (commercial only)
LOT V SLOCK z SUBD•?ir?Cli4t Z..x P Z D 0
?
Descri tion of mork: N- yLGt d LK
The applicant is: ,E Owner J$1 Cantractor ? Other (Deg«ine)
Name bPNxpbGY1Y11?S Phone6?( -9
Property LAST FIR3T n0 1(dl.f,
Owner ,
qddress Ke Nvcl^l
601,
STREET STE #
City _IqC[H State Ml?YI, Zip
Company Sa& ep Phone
C011t1'BCtOf Address License # Exp.
City State Zip
Company Jv?? Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state-that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
,
5
f A
li
ignature o
pp
cant:
OFFICE USE ONLY
?
BUILDING PERMIT TYPE
.,..,.?•>:
:.
.
??_._,
1
.
.
.
.
.,u-.,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
11 03 SF Addition ? 08 8-Plex 0 13 6arage/Accessory ? 18 Comm./Ind.
¢d'04 SF Porch ? 09 12-Plex D 14 Fireplace ? 19 Comm./Ind. Misc.
El 05 SF Misc. ? 10 Multi. Add'1. 12 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE Qorol, c.Q ?&,I_
123 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst fl. sq. ft. City Water
UBC bccupancy 2nd F1. sq. ft. PRV Required
Zon9ng Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y 3 y
Depth On-site sewage SAC Code di
Census Bldg ?
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site (3 Footing ,10 Framing CH Insulation
? Wa116aard )0 Final ? Draintile 12 Fireplace
Permit Fee veioaeim: g
Surcharge
Plan Review
License ?.0 yo
MWCC SAC
Clty SAC
dCGk- ?
Water Conn.
Water Meter
g a yo
Acct. Deposit ?
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
GZ6-2Z-g?
t
CERT/F/CATE oF su4vEr
i
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NOD
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o? I ,
I ,Z5 ?uSE
11 ?AR. SCA3 ?3•
?° i 2 A430UE o I
I M cU'rf?R nj
Z4.00 Scale: 1" = 30'
I o° ? Z4,00
13,50 ? r; I
i
, ?
5I ? - '15
?- -------?
0 0
? N 0°37'41''E
` M ?
PAze-Ri os-e v2ivE
-? -- -
DESCRIPTION
Lot 4, Block Z,
/ ME7PEBY C£RTrfr TMAT TN/S SuPV£r, itAN OR RfPA9T pAI2KCLIFF 2ND ADDITION
WAS PAEPAREO BY ME OR UNOER A!Y DtA£CT ,SupElPV/S/fdw
D a k o t a C o t y, M i nn e s o t a
AND TMAT I AAI A OULY R£6/STEREO LAMD SYIRVEYA9
GbYOfR THf LAMS pi TNE STATf QF M/NNfSOTA. :
Plat bearings shown
Z?2?' o Denotes iron monument
DAT£ 7 Wa ,yop 8140
III E2705 anginaaring ? lurvaying
OOd/ tfAll
lla, n?innaiota 55337
(6I2)4351966
G2b-n -87
vp h f
f:
cERI'/ncATE Of .swvEr
uv' . . .
NA:? ,. ;' d 4{!?1 W
? p i?
?
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w 5? --------?
il
cS• ? ?
i
0.4Ar I? a ?
Q ?a? ; I
4-7.(o)
iIr oo
?s?
E
SE 16RP, StA-9 13.
° i 2 AQ3DV6 o I
I ?y ?U'f f?ER Nj
Z4,oo I
I 13,So ° ? Z4.oo I
?o
i
i I
4 ?
o n?a°37'??'?E
M
?A-21?R_I OC-E 021 UE
I NEREBY CERT/fY tHAT TN/S SLNVEY, PLAN (1A' REPLWT
Wi15 PREPAREO BY M£ OR UNUER MY D/AFCT .Sol"ElPV/S/G4V
AND 7'NAT ! AA/ A DULY R£GIST£R£D LAND SURW'EYAR
UNAER TNE LAMS OF THE SrAtE Qr M/NNE'SO'TA,
OATE ?r I ?D7 REG MR $140
Ju
o-
M -?
O N
O
N?
V)
lrCO`cG"'p (
N
0
llFiSCRIP7'ION
Scale: 1" = 30'
Lot 4, Block 2,
PARKCLIFP 2Nll ADllI'PION
Uakota County, D1innesota
Plat bearings sliown
o Denotes iron monument
brandt anginaaring IL iuruayieg
2705 uuoodo tiail
burnivilla, minnaiole 55337
(612) 435-1966
G 26 -z2 -- 97
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114506
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 4688 Parkridge Dr
Lot:4 Block: 2 Addition: Park Cliff 2nd
PID:10-56701-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Andy Carney
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 -
Dennis Benoe
4688 Parkridge Dr
Eagan MN 55123
(651) 681-9340
Cmr Construction & Roofing Of Mn
2535 Pilot Knob Rd #105
Mendota Heights MN 55120
(763) 398-7663
Applicant/Permitee: Signature Issued By: Signature
' Use BLUE or BLACK ink
� r__--__—_--_.__�--,�
. I F0�OifiC@ US9 I
, . , r �� ,
� Permit#:_;__�,_� I
Clt� Of �� �Il � ... � .�� �
� . . I Permit Fee: I � I
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � I I
Fax: (651)675-5694 I Staff: � �
� I
2015 RESIDEN7IAL BUILDING PERMIT APPLICATION
Date: �U-�� -' -- ��Site Address: `��P� �J`��'�il��,l�r E �ie Unit#:
Name: ��ti�s'� ��d��D� Phone:�,��.�.���
* Address/Ciry/Zip:
�1�`3 �e4�1�b -,�-���. � ` �N .S�z`%2 �
Appiicant is: Owner ,�Contractor
Description of work: �f°� ��-� �4-t�1-�}� �9p r
Construction Cost; �l2-��=�' Multl-Family Buildi�g: (Yes /No
Company: ,_ . ; , arQ. �� , Contad:�?fE�C/����0.�-/1eh"
Gz � Address:,11�� �S'�.i� �U�—' �i .. � Clty: d�'4/�f•s
` State
��Zlp`. 7�� Phone: 2 � mall:
u��nse#: G,�O ��"04 8�-- �ead Ce�flcat�#: /✓�2'= 7 2 �7 3—�
If the project is exempt from lead certiflcation, please explain why: (see Page 3 for additional informa#lon)
�� ���
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pertnit for a slmilar plan based on a master plan? '
_Yes _No If yes,date and address of master plan: '
Licensed Plumber. Phone: I'
Mechanlcal Contractor: Phone:
Sewer 8�Water Contractor: . Phone•
CALL BEFORE YOU DIG. Call Gopher State One Cail at(651)454-0002 for protedion�against underground utliity damage. CaU 48 hours
before you lntend to d'p to recelve locates of undar8round utll�ies. i�mw.co�herstateonecall.ora . ,
� I hereby acknowledge that this informatlon is compiete and accurate;that the work will be In conformance with the ordinances and codes of the Ciry of
Eagan; that I unde�stand this is not a permit, but only an applfcation for a permit, and work is not to start without a permit; that the work wili be in
accordance with the approved pian In the case of work which requfres a reviaw and approval of plans.
Exterior work authorized by a building permit issued in accordance wtth the Minnesota State Building Code must be ompieted withtn 180
days of permit Issuance. . :,
X fy� �'�! � � X�� -�� �
ApplicanYs rinted Name AppllcanYs Signature �
, Page 1 of 3
. _47,4i It
For Office Use A.,
g
,, 1 t a a M
.,,,,,,,.:$ 44,,, ,I.,,
Permit#: /-'7-2 /l/V
Permit Fee: 1q7-5-;3'17-5- 3'
, ,--• Date Received: i C ' I0
3830 PILOT KNOB ROAD] EAGAN, MN 55122-1810
(651)675-5675 a TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoections aC�citvofeagan.com i'. 1, & 20188 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date /C /00is-Site Address: V6gf kilic c_olu'_.- Unit#:
f Name: DeAVIA S 8 YnOf Phone: 65! -‘ '/ 7311101
Resident/
Owner Address/City/Zip: $1? far/A `i � D,1((/' 55/;
' Applicant is: Owner Contractor . wir d®I Ti
Type of Work " Description of work: Deck. rep,v1 Irtew deck y , too 4 Lc7�(Cl�e
Yp / / , l
Construction Cost Multi Family Budden (Yes /No
h....�a aw.. .. ons ... ..... w . . . _�z _. �)� ,
i [
�
Company: Contact: 3
Contractor Address: City:
h f State: Zip: Phone: Email: S.4\
iR `
a
l License#: Lead Certificate#: i
l If the project is exempt from lead certification, please explain why: i
•
crl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
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:
:
i Mechanical Contractor: Phone:
,
I Sewer&Water Contractor: Phone: i
I
I Fire Suppression Contractor: Phone:
ii6YE Pians and supporting documents that you submit are considered to be public information. Portions of the information may be
palsied,as non ubhc rf ou rouide s ecific reasons that would ermif the Cit to conclude that the ere 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.citvofeaoan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approva plans. _
x OKA n i S 1,3e,i20(' x 44,64titsigeixe,<-
-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE — �t` 1� iG�� ��
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
C Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
(, Multi 14 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
?c Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION2p• _
Valuation LI 2 Occupancy ..�--Z'1-/ MCES System
Plan Review Code Edition N1 AZ o I S`^ SAC Units
(25%_ 100%? ) Zoning 2-- I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction U 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: fl !'r/ fr)' 17g• , Building Inspector
RESIDENTIAL FEES `
Base Fee
Surcharge
Plan Review ,1( 1 S.Dt) 5'. /'f.
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
