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4238 Boulder Ridge Pt Parcel Files Cover Sheet Unique ID: 1986 4238 Boulder Ridge Pt 101480014003 CAS4 ECOPT GiWb AGAN 3830 PILOT KNOB ROAD, EAOAN, MINN:FSOTA 55122 f } r MATE f ~4 Y, 19 } RECEIVW AMOUNT $ U ISO I & DOLLARS log p CASH ;-f,'AECK / k 3 Ea 1cEtc( - FUND OBJECT AMOUNT t Thank Yo BY f White---♦Yayers LbpY 392 Y-eltowr-Apsting copy SEWER & MATER PERMIT i ' OFFICE USE ONLY CITY OF EAGAN METER # W-6 0107 XiLL'-' PERMIT DATE 9,I ~df B9 3830 Pilot Knob 2-1897 CHIP # WATER PERMIT # 10906 Eagan, MN 55122-1: METER SIZE 0 B.P. RECEIPT # C 3920 9 ISSUE DATEB.P. RECEIPT DATE 9/19/8 Xx PRV - BOOSTER PUMP SITE ADDRESS 1?,OaA& PERMIT REQUESTED LOT /V BLOCK ?SEC/SUB ~K SEWER ` WATER -TAPS APPLICANT. r' ADDRESS: A « • goy COMMAND RESIDENTIAL CITY, STATE Ali& 111ry. ZIP PHONE: :I - ` NEW - EXISTING PLUMBER: ;C--A &OAI ADDRESS: I-14421 I AGREE TO COMPLY WITH CITY OF r CITY, STATff ZIP, L EAGAN ORDINANCES: PHONE:- OWNER: A1Pl'ZArV- ADDRESS: s ` 0 - AdX 1 2e 7 ATURE WH UED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. r SEWER f WATER PER11 - OFFICE USE ONLY CI7~F OIL°EAGAN METER # 6S07;2 3 PERMIT DATE 9!20/119 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP Ile / WATER PERMIT # 10907 METER SIZE L51 A C B.P. RECEIPT h C 3920 ISSUE DATE lI° Z Z" 9 B.P. RECEIPT DATE 9/19/89 XX- PRV BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT If BLOCKJ-SEC/SUB&a~ AtIA14-1 Z SEWER WATER - TAPS - APPLICANT: I i ADDRESS: COMM/IND RESIDENTIAL CITY, STATE `4" ' - ZIP PHONE: 91v -ZNEW EXISTING j PLUMBER: /11G 1- / 1 AGREE TO COMPLY WITH CITY OF ADDRESS: 447,2/ a CITY, STATE ZIP EAGAN ORDINANCES: PHONE: r OWNER: ~c .eY ADDRESS:' /3'!v TURE WHEN METER D CITY, STATE ZIP PHONE: 3' ~I -./.rep" !`i c• lG`N~ v A. !A./'.'"fr •i f PLEASE ALLOW TWO WOKING AYS'FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. rry ~~t SEWER 8f WATER PERMIT OFFICE USE ONLY CM*0F1EAGAN METER # PERMIT DATE 91201 9 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # 73 6 6 V WATER PERMIT # 10908 METER SIZE 5 B.P. RECEIPT # ,v 3920 ISSUE DATE B.P. RECEIPT DATE 9119/89 y XXPRV BOOSTER PUMP s PERMIT REQUESTED SITE ADDRESS LOT 1 BLOCK SEC/SUB A' dU ANT: '~f.~if'°+'IrA/ d SEWER r WATER TAPS APPLIC ' ' ADDRESS: COMM/IND ZRESIDENTIAL CITY, STATE ZIP PHONE: &-sy, _ZNEW EXISTING PLUMBER' ADDRESS: 1-17 -10Z 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: P14ONE: ..OWNER: ` y~ii~~,, 4"ATURE W TER ISSUED ` CITY, STATE ~'~~.~k • ZIP:: PHONE: r, 13 lamEfi PERMITS, CONtA PLEASE ALL6 ii *81411Cl DA A FOR PROCESSING. FOR STORM. SEW` ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. r SEWER & WATER PERMIT OFFICE USE ONLY CITY OF-kAGAN ` S)/20/89 PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # 10909 SEWER PERMIT # P.O. BOX 21199 _ METER # [!l5-a A4 9 B.P. RECEIPT # 3990 ' Eagan, MN 55121 REAtiEfi'# 0b 7 Z 10B.P. RECEIPT DATE 411191 9 METER SIZE ISSUE DATE xxPRV BOOSTER PUMP SITE ADDRESS Yes~°r PERMIT REQUESTED LOT t? BLOCK --X-SEC/SUB f l EWER eWATER TAPS APPLICANT`. AlVC4V 1 ADDRESS: COMMAND -RESIDENTIAL CITY, STATE ZIP PHONE: f7f' NEW -EXISTING PLUMBER ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN~ORDINANCES: PHONE: s".~c..OWNER: 4i f ADDRESS: S T 52 WHEN MET UED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. _ r (9trMitatr of rrupaur itp of eagart of idmg ,;prrti~m This Certif cafe issued pursuant to the requirements of Section 306 of the Uniform Bu rg Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Uk ClaziCieagon 1 W4 Bldg. Permit No.. 170M Oaupancy Type AO Zoning District Type coak owner of Budding - ' B w. Addre "BM 1367* MS ' B, A 4 WUJL M lityL17, B3, MMM M= MWM Date: 34, 1%9 Building. rcial POST IN A CONSPICUOUS PLACE' I _ I Trrtiftrat.e of tru purg City of (Eagan E a "Mt of uiibi jWpgdtVtt MY Certificate issued pursuant to the requirements e Section Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in comptiunce with the various ordinances oft City-regulating building construction or use. For the fol~wi,u Use Classification Bldg. pbrmit No. 17081 3 6- 1 pancq Type Zoning District R3 Type Const. Owner of Buddi Address'.lO . _ 136MM f Bu~ildingAddress 4242 MMIX ?To LocaliVL16* Ws DOMM RM(M ! XMM s ! ( ' 30,E }989 Budding 4fficiaw POST IN A CONSPICUOUS PLACE ' City of eagan Newtumt of la"hV4 JUS11krunn r This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying dW at the time of issuance this stewture was in compliance with the various ordinances of the City regulating building construction or use. For following; } u, Classification E! , i~rrnit tvo Occupancy TYN Zoning District R3 _ Tyke Cotter., W w t Owner of Buitdiug IM • Add,, 'P MR t3~a7~ Mk l -NW- HMM HOW, } Bum m Add. 4240 BCMM W. Lwwity TJIS- B& k. r Dtte: WVEMBER 30. 1989 ) BuiWng Ifici r POST IN A CONSPICUOUS PLACE L Citp of Qagan 9parimut Of 'guitdiug ns p ii { This Certificate issued pursuant to the requirements of Section 306 of the C4ffibml C r Code certifying that at the time of issuance this structure was in co liunce w I ariays ordinances of the City regulating building construction or use. For the following.- . t: Use Elassifimtim I OF R3/M1 4PLLEX 0 Occupancy Type t.Zoning District R3 'T+yype Cons[., Owner of Building Addres, lot& low Burg Address. `Yd.7t~ K.ucafit} +14, 97, Date: 14* Building OWK POST ItbU'A CONSPICUOUS PLACE l , PLUMBING PERMIT, y For Offices ZVI CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD% EAGAN, MN 55122 RECEIPT # PRICE P 49"E 4 - 100 DATE: Site AYT--) BLDGjYPE WORVESCRIPTION Lot to Sec/Sub Res. New Mult. Add-on hompson triumving Comm. Repair Elva Other Name Address C~A _ c City Phone 1 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Nj FIXTURES TO y If Mir Murtmazz 110mals Water Closet - $3.00 $ Name 12201 Bath Tubs - $3.00 33 'Address mtkt -c r Lavatory - $3.00 O City Phone - - Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet $100 FEES - Laundry Tray - $3.00 COMMAND. FEE - 1% OF CON[TRAGTFEE-- Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whlfipo4 - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PI=Ft PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EAC $1,000 OF ERA. FEE) Well - $10.00 T Private Disp. - $10.00 Rough Openings - $1.50 L SIGNATURE OF PERMITTEE PERMIT FEE: STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: . T. Ft. FOR-SAL UNIT LOTS IA-17 CITY OF EAGAN Al 17082 R w 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT,, ' Receipt # To be used for , I Of 4 Est. Value $72,x000 Date STS` 1s , 190 Site Ad ,q Ht>VL 1I1; RIDGE PT Lot `1 Block 3 Sec/Sub. LDER >:i1D OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name NEV HORIZON r I (Actual)Const Y"N Bldg. Permit 514.00 O Address P 0 BOX 1367 (Allowable) ~ surcharge 36.00 City HPLS Phone 933-2521 # of Stories Length 241 Plan Review 2117000 Name Depth SO' SAC, City 100*00 ;i2 Q0~ Address S.F. Total SAC, MCWCC 575000 ~ City Phone S.F. Footprints Water Conn "0.00 _ On Site Sewage 90~ W Name On Site Well .LU w Water Meter 21975 PORTLAND U_z Address AV MWCC System 30.00 Acct. aw City Phone 287 City Water S/W /W Deposit 20,00 PRV Required Permit I hereby acknowlege that I have read this application and state that the Booster Pump 1000 S/W Surcharge information is correct and agree to comply with all app icable State of Minnesota Statutes and City of E ~nances. Treatment Pl 228.0 Signature of Permitee APPROVALS Road Unit 30.06 A Building Permit is issued to: W HORIZON MKS, INC Planner parkDed. on the express condition that all work shall be done in accordance with aff Council 1 *00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 3 772#00 Building Official « Variance TOTAL Permit No. Permit Holder Date Telephone # WATER e,,~,q q~ SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing 2 US Roofing Rough Plbg. Rough Htg. Isul, Fireplace Final Htg.~ Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.JPlan Bldg. Final 2 '1 `k p,$, Deck Ftg. Deck Final Well Pr. Disp. r+as,,.y s i -.-v,~"..~es~ssagwFr•,aa• wr+xIR~'~'"'AR"°114N48x' " a'"e"rr"~.an .~e~ PLUMBING PERMIT For Office Use Onl X09` CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# 8' PRICE., C, PSI NE 54 1J0 DATE: Site Address BLDG. TYPE WORK~RgSCRIPTION ee/Sub Res. r New Lot /lam Mult. Add-on Name Comm. Repair ntvd Other ~-M 'Address - c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES O _'Water Closet - $3.00 Name 12201 Mtka Blvd Bath Tubs - $3.00 Gal33 'Address 'Lavatory - $3.00 Mt!ka O Shower City Phone - ink = Kitchen Sink - $3.00 Urinal/Bidet- $3.00 FEES - Laundry Tray - $3.00 COMMAND. FEE 1% OF GONTRAICT FEE Floor Drains- $1.50 Water Heater - $1.50 - APT. BLDGS. -COMM. RATE APPLIES - TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool-- $3.00 MINIMUM - RESIDENTIAL FEE $12.00- Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC P EACH ,$1, 0 OF PERMIT FEE) Well - $10.00 Private Disp. -$10.00 1-16e& Rough Openings - $1.50 SIGNATURE OF PERMITTEE PERMIT FEE: STATES S/C:,.~ FOR: CITY OF EAGAN GRAND TOTAL:''" . i T.H. FOR-SALE IWIT tATS 14-17 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING IT Receipt # ; To be used for " lop 4 Est. Value. $72 • tit Date 1818 , 1919 Site Address 424; 8tJ1FI DER RIDGE P' Lot 16 Block -3 Sec/Sub...- APIRAM RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning R-3 ' 00 W Name IZON RMS (Actual) Const "'N Bldg. Permit 3: Address 367 (Allowable) Y-K 36.oo City Phone "3-2521 # of Stories Surcharge Length 240 Plan Review 237#00 o Name- $AM9 Depth 500 SAC, City 100000 o Address S.F. Total SAC, MCWCC $73000 City Phone S.F. Footprints Water Conn .00 Lu G1tIS> QI, ~c ASSIX On Site Sewage W W Name on Site wen Oat w Water Meter 11973 PORTLAND AVE S Address MWCC System x~ XX 30,00 aw City 1t3I,Ti NSVII,U Phone 89"287 City Water Acct. Deposit PRV Required -W S/W Permit 20 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge I. W information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea9 n OOr ances. Treatment PI 223e00 r' t APPROVALS Signature of Permitee _ Road Unit 30#00 A Building Permit is issued to: HORIZON TIOWS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1030 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance - TOTAL 2,772.50 Building Official " Permit No. Permit Holder Date q Telephone # 2 WATER (9D 2 L / SEWER PLUMBING 3 H.V.A.C. ELECTRIC -Dry Inspection Date Insp. Comments Footings 1 93. 5-f l~ Foundation Framing Roofing Rough Pibg. Rough Htg. 8 Isui. laa Gv~' FkOace Final Htg. f Final Pibg. Const. Meter Pibg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. R.`I. LE UNIT CITY OF EAGAN A t7079 3830 Pilot Knob Road,`P.O. Box 21-199, Eagan, MN 55121 k PHONE: 454-8100 " BUILDING PERMIT Receipt # ~ To be used for I OF 4 Est Value $72 ,OW Date SIT to 19~~ Site Address 4238 BOULDER RIDGE PT Lot 14 Block -3-- Sec/Sub. BO=ER RI OFFICE USE ONLY Parcel NO. Occupancy R-3 -1 FEES Zoning W Name HORIZON HOMES, INC (Actual) Const V-8 Bldg. Permit 14, Address P 0 BOX 1367 (Allowable) V Surcharge 36.00 City MI NN jsY.S Phone "3-25211 # of Stories 24# Plan Review 257.00 Length zN Name S" Depth 500 SAC, City 100.00 U Address S.F. Total SAC, MCWCC 593`00 r- City Phone S.F. Footprints _ Water Conn ' GRISWtLD ~ ASSOC On Site Sewage U W Name On Site Well $0.00 Fw Water Meter x~ Address 11975 PORTLAND AVE MWCC System 30,00 MLLE aW City Phone City Water Acct. Deposit PRV Required S/W Permit " I I hereby acknowlege that I have read this application and state that the Booster Pump 1.00 information is correct and agree to comply with all applicable State of S/W Surcharge Minnesota Statutes and City of Eagan Ord' n&e Treatment PI k n3 APPROVALS 30o Signature of Permitee ' Road Unit « A Building Permit is issued to: NEW HORIZON HOM. If!?$C Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.30 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 2,11172.30 Building Official Permit No. Permit Holder Date Telephone # ATER SEWER PLUMBING *310 H.V.A.C. ELECTRIC 42 ef Inspection Date Insp. Comments Footings 1 ~ /1 Foundation ~o s ~i Ftami Roofing Rough Plbg• Rough Htg. Isul. ~O a S Fireplace Final Htg. -716 Final Plbg. Const. Meter Plbg. inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ~fflr T.H. ftlt-SkLE UNIT S 14'17 CITY OF EAGAN 170e0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r BUILDING PERMIT Receipt # To be used for 1 OF 4 Est. Value $72 a 000 Date 1s 19 Site Address 40 1 DUUM RIDGE PT Lot 15 BIt'Ck 3 Sec/Sub. 1 I~ R RIDGE OFFICE USE ONLY Parcel NO. Occupancy FEES Zoning X Name R01 120N mes, iNc (Actual) Const V-N Bldg. Permit $14.00 3 Address ~P O BOX 1367 (Allowable) V -N Surcharge 36.00 933-2521 # of Stories City Phone Length .241 Plan Review t p Name SAM Depth SAC, City 100'00 v04 Address S.F. Total SAC, MCWCC 575,®0 r- City Phone S.F. Footprints - 00 On Site Sewage Water Conn 90.00 F W Name 1 On Site Well Water Meter (RE Address AVE S MWCC System XX aw City MMNSVI- Phone $9442-87 City Water Acct. Deposit PRV Required " S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump 1.00 S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 30.oo A Building Permit is issued to: NEW HORIZON =s IN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1. 5 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ' t Variance TOTAL 2,772.30 Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING ® 3 H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I ~eZ Foundation Framing lB g Roofing Rough Plbg. I Rough Htg. o Isul. Fireplace Final Htg. 1/ 2 2 Final Plbg. f_' Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final l? W! Deck Ftg. Deck Final Well Pr. Disp. ,0.301 a si o PLUMBING PERMIT For Office U On CITY OF EAGAN PERMIT A CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MK 55122 RECEIPT PRICE P , "E 4 100 DATE- 8X G Site Adgr_us y I" { f CA8LDG ' WORKQ SCRtPTION LOt ec/Sub Res. New Mult. Add-on Name Comm. Repair Other Addres c cittket y Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: = y NOS FIXTURES ~bTyt,, Water Closet - $3.00 $ ~GJ(C- Name 12201 'Minnetonka 131vid - Bath Tubs -$3.00 cc) Address Lavatory - $3.00 City Phone - Shower - $3.00 ' Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEE - Laundry Tray - $3.00 FloofDrains =$1.50 70 COMMAND: FEE -1%OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES i' -4 WA4 Heater - $x1.50 TOWNHOUSE & CONDO- RES. RATE APPLIES ' Whirlpool - $3:00 - MINIMUM = RESIDENTIAL FEE $12.00 Gas Ping Outlets - $1.50 MINIMUM -`COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) - STATE SURCHARGE PER PERMIT,,. .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,00 PERMIT FEE) Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 SIGNATURF OF PERMITTEE (r PERMIT FEE: ' STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # ~f S • MECHANIC PERMIT RECEIPT # CITY OF EAGAN DATE ,/y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT' PRICE: j PHONE: 454-8100 For Office Use Only: Site Address- BLDG. TYPE WORK DESCRWTIItIBi L B ck Sec/Sub Res. New t~ Mult Add-on Name Comm. Repair Address HEATING & AIR CONDITIONING CO. Other c City "Ft6}NWQ IRS " 3I-90C3 FEES Name RES. HVAC 0-100 M BTU -$24.00 a~ ADDITIONAL 50 M BTU 6.0 3 Address (RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM`- 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE 20.00 Air Cond. ' M BTU `F- STATE SURCHARGE PER PERMIT .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ) BEYOND $1,000) Other FEE: , 5o • l- . 9 SIGNATURE OF PERNIITTEE s/c: TOTAL 1 1 FOR: CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT A 9~1 ~S CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PPJ E:- PHONE: 454-8100 For Office Use Only: Site Address 419L AA BLDG. TYPE WORK DESCRIPTKIN l:qt b Res. ~ New v**_ _ I c S Name Mult. Add-on C Comm. Repair Address 8910 WENTWORTH AVE. SO. City MINNEAPOLIS, hone Other FEES Name 77 7, RES. HVAC 0-100 M BTU $24.110 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU ' MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $REMODELS 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE 20.00 Vent. CFM STATE SURCHARGE PER PERMIT 50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # _ d BEYOND $1,000) Other FEE: S/C: 5 l/ SIGNATURE OF PERMI E TOTAL' FOR: CITY OF EAGAN PERMIT# • MECHANICAL PERMIT RECEIPT # 45 4TCITY OF EAGAN DATE: q OS PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: q OS PHONE: 454-8100 For Office Use Only: Site Addr ss BLDG. TYPE WORK DESCRIPTION qtr i.' a7 . , B Res. New Name T NG & AIR CONDITIONING CO. Mult Add-on ? 8910i1y Comm. Repair Address MINNE*PGLIS, MN 55420 Other c City Pi 1-9400hone L , Name FEES RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 1.50 FA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air _ c M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE r- ALL ADD-ON & Unit Heater M BTU REMODELS - 12A0 Air Cond. - M BTU MINIMUM COMMERCIAL FEE = 20.00 STATE SURCHARGE PER PERMIT .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets BEYOND $1,000) Other f 117 FEE: SIGNATURE OF PERMITTEE 1 S/C: TOTAL: FOR: CITY OF EAGAN Ot MECHANICAL'OkIRMIT PEAMfT # ~ CITY OF SAGAN RECEIPT ` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ~y CONTRACT PRICE: PHONE, 454-8100 DATE: k Site Address BLDG. TYPE ' Lot; ' ` Bock _ Sec/S WORK DESCON Res. / New Name Mult Add-on Addr4' I c Comm. Repay SO, c City n! _EN4vl' P~L~1-S, MN Oe Ether FEES 6 .00 Name RES. HVAC 0-100 M 8T - 6.00 Address Bad9y ~ , ADDITIONAL 50 M BTU - p City Phone (RES. "VAC INCLUDES A/C ON NEW CONSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUM -1 PER PERMT) - 1;50 EA, COMM/INAM * 1° F CONTRACT-EgE Forced Air _ M BTU APT BL13 , Q.W.= OA i# " T AP LIES Boiler M BTU TOWNHOUSE & CONK - RE& RATE APPUES Unit Heater NI BTU MINIMUM RESIDENTIAL FEE --ALL ADD-ON & Air Cond. c M BTU Lr2i' REMODELS - 12.00 Vent MINIMUM COMMERCIAL FEES . 21.00 CFM STATE SURCHARGE PEA PERMIT ' 50 Gas Piping Outlets # (ADD $.50 S/C PER EACH $1M 00 OF PERMIT FEE) Other PERMIT FEE: _A1, LJR s ,ATVRE SIC: TOTAL : FOR: CITY OF EAGAN INSPECTION RECORD 1.14 a CITY OF EAGAN PERMIT TYPE: Hif v c L) 3830 Pilot Knob road.- Permit Number: Eagan, Minnesota 55122-4897 Date Issued: (612) 681-4675 SITE ADDRESS: t, tr r 14 t. tit: APPLICANT: 4y H11U1 134 ter f()of'. P t` ('loo 1, RIFSTORA`f ION` A,!) 432-3444 PPERM RjX(F TYPE OF WORK: I U t' R t P A Y 8 0011614 IN 141ti F-THAt. Rf- MARt,, I WC),,UDE 440t, 24#1, , 44 Bclmvmti Rtno er o Permit NO. Permit Heider Date Telaphtrne # ELECTRIC PLUMBING HVAC inspection Date fir. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SI`C TEST INSUL GYPIBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAId PEA TYPE: x~ p 3830 Pilot Knob Road- PermO Wntber: $ 2 7 6 2 4 Eagan, Minnesota 55122-1897 pate Issued: (612) 681-4675 SITE ADDRESS: € .t c APPLICANT: Lot 14 L€at ; a. PERMIT SUBTYPE: TYPE OF WORK: W! U 4, A TT 014 f tit, NA1 4, t s A ~ t°ARAtr PE.:PK"I I a r~ tf14V,f a FOR ANY p!,4!pt4[N4tl OR ELFXTRICAIL WORK 1 i y Y t Permit No. Permit Holder Date Telephone # ELECTRIC aye PLUME31NG HVAC Inspection Dole 110P. Comments FOOTINGS FOUND FRAMING t i ROOFING ROUGH I PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL k GYPBOARD FIREPLACE 74 FIREPLACE < I Ii AIR TEST f FINAL PLBG i FINAL. HTG i [ ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 4/ INSPECTION RECORD CITY OF EAGAN PERWWr TYPE: s. ' 3830 Pilot Knob Road Permit Number: 0 306 Eagan, Minnesg,a 55122-1897 Date Issued: 0 " '(612) 681-4675 SITE ADDRESS: APPLICANT: _ z ! a F WIM tic It 11" Ohl- PERMIT SUBTYPE: TYPE OF WORK; , i i i p tar; 1 : 14 7 v 0 T t, lif r4 f t A 14 14 Q 21 r. Permit NO. Permit Holder date Tiieptlone ELECTRIC PLUMBNG HVAC t lase FopTlt as FOUND FRAMING ROOFING j ROUGH PLUMBING Ply AW TEST ROUGH HEATING GAS Svc INVSUL GYP SOMD FlFdD LAC1- P3f~tACE AIR TEST FINAL PL13G FINAL HTG ORSAT TEST BLDG FINAL BSMT R.1. SSMT F04AL v PECK FrG DEM FINAL Ma j1 I 1 j CASH RECEIPT f CITY OF EAGAN 3830 PILOT KNOB ROAD 'a EAGAN, MINNESOTA 55122 DATE t.i } ( i r 19 ~ t i t RECEIVED I ' i 7 1 FROM f AMOUNT $ C 1 8 DOLLARS ,oo ❑ CASH '-Q-CHECK 4 t /3 k,- bar pp FUND OBJECT, AMOUNT I i { t I Thank You k ■,/1j- White--Payers Copy W, 20 C Yellow-Posting Copy Pink-File Copy CASH IIECEIPT %Wool CITY OF EAGAN 3830 PILOT KNOB ROAD " EAGAN, MINNESOTA 55122 DATE 19 p 1 t 1 ' t'. 'y{ ~ii RECEIVED FROM ~ f AMOUNT $ C & DOLLARS 100 ❑ CASN J-, ECK FOR IC) ~ 41 ~ 1 ~ I ~7 1 ~ l✓ ~ 4S l ~'.4'. F~ l ~J, r I Sy'l A f4 FUND OBJECT AMOUNT i 4 I f i Thank You BY 2 o White--Pay- Copy 6 Yellow--Posting Copy t Pink-File Copy. SEDGWICK HEATING & Al CON DITION ING CO. fem. S , HOUSE HEATING TEST RECORD c ADDRESS "!r?,? CITY OCCUPANT _ OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY jy~ Electrical Work BY' y Gas Line By tp TYPE OF HEAT GA_ FA _ HW_ STEAM S,?ACE HTR. UNIT HTR. OTHER _ GAS DESIGN CONVERSION MAKE q'>? MAK1- OF BURNER Model 1 " r) 3 vl r,'~ Moo, Serial %Lf t) # = Max. R-TU Rating INPUT MAKE OF FURNACE Model-_~.----- CONTROLS } THERMOSTATS Heat Plug Vent Size Valve 1 ,)Hi ' -T ti'F;t"~f r7 _ KIND OF LINER SIZE - NONE O Regulator Limit Slf*--__- Draft Hood lW 94 Limit Setting Filters Size _ umber Fan Setting Chimney LocaJon Inside Outside Pilot Type Chimney Construction Pilot Make Pilot Model L Smoke Bomb Wiring Pilot Timing a A, L"a Draft Test Tag Door Pressure-- Lighting Inst. si Pressure 2-0) IJ Percent CO2 ' Date Tested Input CFH Percent 02 -_A Company Testing Stack Temp. Percent m CONae of Tester -C.-- Form 235 SEDGWICK HEATING & AII}CONDITIONING CO. HOUSE HEATING TEST RECORD 30, ADDRESS--L),` DDRESS LJ CITY F d OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY EJLi INSTALLED BY J l e tt ~t Electrical Work By--Z~-k Gas Line By `SIC„ TYPE OF HEAT GA_ FA_ HW___. STEAM S,''ACE HTR. UNIT HTR. OTHER - GAS DESIGN CONVERSION MAKE MAK1= OF BURNER Model Serial L~ Max. R-TU Rating INPUTd `r MAKE OF FURNACE Model - - - CONTROLS THERMOSTATHeat Plug Vent Size Et Valve = ! _ KIND OF LINER pp SIZE NONE Limit_.____~ _ Draft Hood 4-71)2 rat.. Regulator Limit Setting G Filters Size. mber Fan Setting Chimney LocaJon Inside Outside Pilot Type Chimney Constnaction Pilot Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag L.W. Cut Off~_ Door Pressure-- Lighting Inst. Pressure • Percent CO2 A Date Tested - 1,-? VV Q Input CFH Percent Oz -1' Company Testing Stack Temp. f) Percent CO ~~i~}. Name of Tester "i~ a Form 235 SEDGWICK HEATING & AIICONDITIONING CO. HOUSE HEATING TEST RECORDf ADDRESS CI-_(5''n CITY__ OCCUPANT ' HEAT LOSS OWNER DATE HTG. INST. __t_ SOLD BY 1= Yll. I , Electrical Work By INSTALLED BY TYPE OF HEAT -~I Gas Line By 1(,4L GA = FA____ HW_ STEAM__ S, ACE HTR. UNIT HTR. OTHER 'f GAS DESIGN CONVERSION MAKE Model MAKI= OF BURNER Serial - c Mooa i INPUT Max. BTU Rating MAKE'gF FURNACE Model CONTROLS THERMOSTAT- -Heat Plug` tt Valved , i Vent Size Limit - KIND OF LINER A_ SIZE NONE X41 etc ulator Limit Setting Draft Hood Reg Fan Setting Filters Size Fan Pilot Type Chimney Locajon Inside Outside Chimney Construction Pilot R4ake Pilot Model Pil Smoke Bomb Wirin 0 t Ti mi n 9 9 Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure Percent CO fit I, Input CFH_ 2 Date Tested P Percent ~ O2 Company Testing Stack Temp. Yr3 Percent CO a_ --f-~~ ~ Name of Tester- Form 235 ~F SEDGWICK HEATING & A14,CONDITIONING CO. - 3 HOUSE 'HEATING TEST RECORD ' f r( ADDRESS Ir,..I ° } ~ e CITY - OCCUPANT HEAT ' ` HEAT LOSS OWNER BY ATE HTG. INST. SOLD Electrical Work By I: INSTALLED BY ~U Gas Line By TYPE OF HEAT GA_ FA_ HW_, STEAM Si' ACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE 14A CONVERSION Model 1' MAKI- OF BURNER Serial .~4 ~ ; u Ij ~`j Moeo,,f INPUT .~UD Max. BTU Rating MAKE'UF FURNACE Model c ONTROLS THERMOSTA 2 u Valve y I ~ ,p~g Vent Size .1 Limit I t l`✓!:~ ,.1 KIND OF LI~5'~ SIZE NONE Limit Setting Draft Hood t ' Regulator Filters Size Number Fan Setting Pilot Type -C 1 C Chimney Locaiion Inside Outside Pilot Make Chimney Construction L Pilot Model Smoke Bomb Wiring Pilot Timing L.W. Cut Off Draft Test Tag Door Pressure Lighting Inst. Pressure Percent CO2 Input CFH Date Tested Percent O _ Company Testing ? Stack Temp. Percent CO 2~`" Name of Tester Form 235 9/20/89 DATE: RE. 4238, 4240, 4242, 4244 BOULDER RIDGE POINT xx Lots 14, 15, 16, 17; 83, BOULDER gIDG>4 Your Sewer & Water Permit for the above property has een co'r~pleted. 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. jour Sewer & Water Permit for the above property cannot be completed for the following asons: r Sewer & Water Permit for the above property has been completed, but the meter cannot lied or occupancy allowed until further notice. &ME"R L PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGI CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY L. CONTACT COMMUNITY DEVELOPME , DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. OFFlCE U E ONLY This request void 18 months from validation date printed in this box. 273-256 PLEASE PRINT OR TYPE 1111,,62 Request Date Rough-in inspection required? Yes ❑ No In ection Other Than Rough-In: ❑ Ready Now Will Call (You must call the inspector when Body) Date Ready: I, ❑ licensed contractor owner hereby request inspection of the above electrical work at: r~ Job Address Str Box, or Route No.) City Z;pLo I i/i► vUb tjjl c oft ~ '~nl L/_ z Section No. Township Name or No. Range No. Fire No. County RA- 4 ~g cupant PhoileNg. PAfiq Power Supplier Address Elect'caI Contractor ( imp ame) Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Ad es Con Actor or Owner Performing Installation) Authorized Sig n ct r or. Wner inInstallation) Phone No. TV/ EB-00001A-10 6/95 OARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY t REGIUEST FOR ELECTRICAL INSPECTION o5~ _ I,IIII I ~I ~~I I I~) Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 * 0 A7 25 6 8 * Phone (612) 642-0800 ,'I31 felo Home uplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 tQ_1 Amps Street Ltg./Traffic Sig. Above 200 Amps bove 00 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTA Sign/Outline Ltg. Xfmr. ' DD Alarm/Remote Control Swimming Pool I hereby ce that i inspected the electrical ins on described herein on the dates stated Irrigation Boom Rough-1 Date Special Inspection Final Date Investigative Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. ~ f~Sc~ S F 70677 Request D le Fire No. Rough-in Inspe ' C Require ? ❑ Ready No Will Notify Inspector s El No When Ready? I icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address Street, Box or Route No.), "DL City Section No. Township Name or No. Rai a County O 1(PRINT) Phone No. ONp tint - P wer Supp ie Address Electrical actor (Compan Na e Clptm~00 =Ictor~(Owner Maki g Installation) - t Authodz ature (Contractor! r aking Installation) P Nu er T-a MINNESOTA S E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwa Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION'. EB-00601-07 10- See instructions for completing this form on back of yellow copy. 97" s a F 4 577 "X" Below Work Covered by This Request ew Add Rep. - TypeofBuilding Appliances Wired Equipment Wired Home -ftnge Temporary Service Duplex Water Heater Electric Heating,,, Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Contractor's Remarks: - Compute Inspection Fee Below. # Other Fee # Service Entrance Siz Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 100 Amps Transformers Above 200 Amps Above A06 Amps Signs Inspector's Use Only: TOTAL f Irrigation Booms I r Special Inspection- Alarm/Communication Ir Other Fee Rough-in r _ /7-y I, the Electrical -Inspector, hereby certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from 9/~~ so 989/ H Requea('Dat€ ire No. Rough-in Inspection Required? Ready Now ❑ Will Notify Inspector C1 D ❑ Yes o When Ready? I )Pcensed contractor ❑ owner hereby- request inspection of above el I work at: Job Address (Street, Bgxor Route No. O~ Section No. Township Name or No.. Range No. Co my Occupant (PRINT) Phone No. (P83 Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Harrison Electric Inc. 421867 Mailing Address (Contractor or Owner Making Installation) 2525 Nevada Avenue No, Golden,Valley 55427 Authorized Signature (Contractor/ ner Making Installation) Phone Number 544-3300 MINNESOTA STATE HOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION P 9 y py, EB- 981900001-OS //11 ► See instructions for com letinthis form on back of ellow co ;a //i 8 L o 0 X' Below Work Covered by This Request /a /~T`'' w Add Rep. Type of Building Appliances Wired EquipmentWired ome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm 1,001 Air Conditioner Other (specify) Contractor's Remarks I'LSC) ~Mfi Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A Amps Signs Inspector's Use Only: / ! r~ m~ TOTAL Irrigation Booms 15~~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical inspector, hereby Rough-in Date certify that the above inspection has Final Da~ been made. OFFICE USE ONLY II This request void 18 months from - - - s ~ - y - °o y _ _ - 9sos t Dat Fire No. Rough-in In ect Required 0 Ready Now ill Notify Inspector j k p No When Ready? 12 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Stre I, Box or City `l c Section No. Towns ip Name or No. Range N(Z County Occu a (PR T) Phone No. P Suppli r Address Electrical ntractor (Company Name) Con cto License No. L Maili ddress (Contractor Owner M ing nstgllation) A u[hQrized Sign ntragor/owner Kpftg 1 tallation) Ph MINNESOTA STATE B RD OF ELECTRICITY THIS INSPECTION. REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS - Phom (612) 642-0800 ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 10- See instructions for completing this form on back of yellow copy. 9~s~ S F' r? X" Below`Work Covered by This Request e Add Rep. TypeofBuilding Appliances Wired EquipmentWired Home ge Temporary Service Duplex Water Heater Electric Heating,,,. Apt. Building Dryer Other (Specify} Comm./Industrial Furnace Farm r Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - ° o 100 Amps Transformers Above 200 Amps bove 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms t r 1-7 Special Inspection Alarm/Communication Other Fee l I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final been made. . ° l OFFICE USE ONLY This request void 18 months from Request Dat Fire No. Rough-in Ins ectio Req - d? 0 Ready Now ill Notify Inspector Yes ❑ No When Ready? I icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (S reet Box or No.) Fin City an Section No. Township Name or No. Range o. County Occupa it (PRINT/) t Phone No. I P Xru li r y Address Eleotr' ontractor (Company Name) Co actor's License No. o Eift- I Mailing Addrg ( lr r Owner Maki g I i~ Authorized Sig a (Contractor/Ow Ma ' g Installation) Phboa Number MINNE A ATE OARD OF ELECTRICITY THIS IN PECTION REQUESTWILL NOT Griggs-Midway BI . - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 64200 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee 00001-07 ► See instructions for completing this form on back of yellow copy. s~ F 78 -`X" Below Work Covered by This Request e Add TypeofBuilding Appliances Wired Equipment Wired Nome ange Temporary Service io, Duplex Water Heater Electric Heating _ Apt. Building Dryer ther (Specify) Comm./Industrial rnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ` T 0A Irrigation Booms s~. 1 Special Inspection { fAlarm/Communication i Other Fee I, the Electrical Inspector, hereby Rough-in v e certify that the above inspection has Final 49 been made. _✓r,' OFFICE USE ONLY This request void 18 months from - 8 P ~g3 MWIL 4 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 9q,75 City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 fo 0 New Construction Requirements Remodel/Repair Requirements Fice Use On 3 registered site surreys showing sq. it. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd - Y _ N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd - Y T tNI 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required - Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system OnAe S4 c Sys! m _ Y _ N 3 copies of Tree Preservation Plan I lot platted after 711!93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date Construction Cost D b Site Address Unit/Ste # Description of Work -rP-D \/V ! fld OVW.S Multi-Family Bldg _ Y N Fireplace(s) - 0 1 _ 2 Property Owner Telephone # Contractor W,&Y Cr~y Address 1 b V City State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? -Y -N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( j Sewer/Water Contractor Telephone # ( j I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed N e Applicant's Signature OFFICE USE ONLY , Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) 0 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior -0 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 -Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final./C.O. - Footings (deck) _ Final/No C.O. Footing's (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total COMMERCIAL 2002 BUILDING PERMIT APPLICATION " CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always** • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec.' Power & Lighting Form (1) not always** • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 1 . Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • MGES SAC determination letter MVES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WO TY E: NEW IREMODEL ai$T UCTICN COST: SITE ADDRESS: TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WO K I I IA61 6OW Name: Phone PROPERTY ast First OWNER Street Address: City: tate: 'o Zip: C~ Company: Phone CONTRACTOR Street Address: City: State: Zip: ARCHITECT/ ENGINEER Company: Phone ~ 2 11., I C _ ' I Name Registration J~~) SEP 0 9 2002 Street Address: City: State: ~y Licensed plumber installing new sewer/water service: Phone ( ) I hereby acknowledge that I have read this application, 'state that the information is r I with all appli ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: pdated 7/02 OFFICE USE ONLY SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ❑ 32 Addition ❑ 36 Move Bldg ❑ 43 Reroof ❑ 47 Repair ❑ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total BOULDER RIDGE 14800 APPROVED 1998 PAGE 3 OF 3 PERMIT DATE & USE LOT BL ADDRESS 7/89 DUP 090 02 4249/BOULDER. RIDGE PT 100 02 4251 110 02 COMMON AREA 12/88 4-PLEX 010 03 4277/ BOULDER RIDGE PT 020 03 4275/ 030 03 4273/ 040 03 4271 12/88 3-PLEX 050 03 4220/ BOULDER RIDGE PT 060 03 4222/ 070 03 4224 11189 6-PLEX 080 03 4226/ BOULDER RIDGE PT 090 03 4228/ 100 03 4230/ 110 03 4232/ 120 03 4234/ 9/89 4-PLEX 140 03 4238/ BOULDER RIDGE PT 150 03 4240/ 160 03 4242/ 170 03 4244 180 03 COMMON AREA 5 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 p ~J 651-681-4675 n L New Construction Reaulmmer Remodel(RemkPaaukemsn • 3 registered site surveys showing sq. ft of lot, sq. ft of house; an*il roofed areas 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions • 2 copies of plan shaving beam & window sizes; poured found design, etc.) . 1 she surrey for exterior additions & decks • 1 set of Energy Calculations • indicate If how served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1/93 • Rim Joist tetall Options selection sheet (bldgs with 3 or less units) DATE ID `I9 -0( VALUXION JOB SITE ADDRESS ~L( ~u IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER tt = TYPE OF WORK 4 FIREPLACE(S) Q 2 APPLICANT A-- OrSDvI PHONE#" ADDRESS qa tb- &ItU04, ZIP CODE PAGER # CELL PHONE # F l3Le 9la~j !?a?-~' NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su ed - Energy Envelope Calculations Submitted ( C'T" i'~j ZlX7( MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted By Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener - Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Y Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: 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. Signature of Appllcant J &./!L OA - U - . Certificates of Survey Received _ Tree Preservation Plan Received Not Required updated vo1 OFFICE USE ONLY ❑ 01 Foundation 0 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory' Bldg ❑ 02 SF Dwelling ❑ 08 06-plex 0 16 Fireplace O 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 of_ plex ❑ 09 07-ptex 0 17 Game © 22 Porch/Addn (4-sea.) ❑ 33 Ext. Alt - SF 0 04 02-ptex ❑ 10 08-plex ❑ Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ir19 Lower Lev 0 24 Storm Damage ❑ 06 04-plex 0 12 12-plex Plbg or N 0 25 Miscellaneous' ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) 0 44 Skiing ❑ 32 Addition ❑ 36, Move Bldg. 0 42 Demolish (Foundation) 0 45 Fire Repair lj 33 Alteration ❑ 37 Demolish (Bidgr ❑ 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Dornoiltlon (Entire Bldg on» - Give PGA handout to applicant Valuation DU0 Occupancy ~ MC/ES System Census Code 3 Zoning _ City Water SAC Units d f Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.©. Footings (deck) Final/hlo G.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final _ Other Framing Pool Ftgs Air/Gas Tests Final . Fireplace k R.I. _rAir Test K "Final r Siding _ Stucco _ Stone Insulation Windows (new/replacement) Approved By ' j Building Inspector Base Fee Surcharge Plan Review r s A t3 MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies 1.~ Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 r-1 c) C~ h 651-581-4675 Now Constivctlan Romilromeft I - V • 3 registered site stn reys OvMng sq. ft. of lot, sq. It of haee; and 4 rood areas • 2 copies of plan (20% maximttrn V coverage dowd) . 1 set of Energy Calodatiors for be" additions • 2 wpm of plat showing beam s windowstift poised turd tom, at-) • 1 site swW for witerior additions & decks • 1 set of Energy C*Wadons . Indkate if tome served by soptic system for additions • 3 comes of Tres Preseniation Plan H lot platted after 711193 • Rim Job Detail options selection Wed Midge with 3 or less traits) d DATE I --2- 0 VALUATION 4-3 D-2 0 C9 . JOB SITE ADDRESS IF MULTI-FAMILY BUILDI G, H W MANY U ITS? PROPERTY OWNER TYPE Of WOR j` FIREPLACE(S) 0 1 2 APPLICANT 01 U,11WM *4- AJOe~~ PHONE# 60 F~~'- 1!~ ADDRESS ZIPCODE, 6122 PAGER # CELL PHONE >F FAX # N= RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINMSOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 9 Worksheet Submitted - Energy Envelope Calculations Submitted NIINNESOTA RULES 7672 New Energy Code Worksheat Submitted Plumbing Contractor. Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Batas No. of Baths Mechanical Contractor. Mechanical System Includes: Air Conditioning $70.00 Heat Recovery System Sewer,Mlater Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the i ation . c ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga es. Signature of Applicant of Survey Received Tree Preservation Plan Received Not Required Certificates Y Updated 2002 I OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool D - 30 AccessoryBidg ❑ 02 SF Dwelling 1 08 06-plex 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ piex ❑ OS 07-plex ❑ 17 Garage ❑ 22 Porch/Addn.<(4-sea.) ❑ 33 Fact. Alt - SF 0 04 02-plex 0 10 08-plex X18 Deck ❑ 23 Porch (screened) 0' 36 Multi 0 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level O 24 Storm Damage ❑ 08 04-piex 0 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New 0 35 Int Improvement ❑ 38 Demolish (interior) 0 44 Siding X 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration 0 37 Demolish (Bldg)- ❑ 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) -Give PCA handout to applicant Valuation Occupancy 3 MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprnklered Type of Const V- (L/ Width REQUIRED INSPECTIONS Footings (new bldg) F nal/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC T Drain Tile Roof Ice & Water Final Other Framing Pool Figs Air/Gras Tests Final Fireplace R.I. Air Test Final Siding Stucco Stone Insulation Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MG/ES SAC C'~"~ ~ City SAC Water Supply & Storage v G Vim" S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1 a v IV85°40'E -71.62 '4iQ~Qss' 'H N N 89°2447"W 83.50 00 C3 L p 23,17 28' ro r.-.0 22.53 p N \ N B/ W/o / N N N Oi- Olt 30 PROPOSER °i N 2347 5o.33 -~o'O qp 19J7 60.33 14' .gyp ~~L'D/NG - t~ O M B/ W/0 ~N N N a~ f a / 22. 33 v ~l .ti 28' 'a 14' ion / 2 2.3 3 p M L N / P,pOPOSED o m l9•/7 50.3 3 14 /0' d N 23./7 50.33 /O ` -O O N N ti N 8/ WHO /`v o` N N O N Z2 ool ~o Z3.17 (928.9) 3.5 O //i 90Z4.47 W ~ r r I PERMIT # 1 O RECEIPT DATE: USIDENT[AL, PLUMING EMIT APPLICATION CffYOF EAGM 8$30 PILOT KNOB RD EAGAN, MN 5518$ 651-6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for irrigation system SITE ADDRESS: `fail 1~'._ I orrc OWNER NAME:: ~f TELEPHONE -2 (ARE0. CODE) INSTALLER NAME:'' TELEPHONE # ~30 "7 KB - (19-93 (AREA CODE) STREET ADDRESS: <:jk7o zLk CITY: _I GA st Ian STATE: AVI ZIP: 5S/ 01 Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: _ Septic System, new/refurbished - $ 225:00 l • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total; Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. ft is the applicant's responsibility to. notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within property/right-of-wayteasement. SIGNATURE OF PERMITTEE Updated 1/01 T.H.. FOR-SALE UNIT LOT$ 14.17 CITY OF EAGAN N0 17079 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # C°-~ To be used for 1 OF 4 Est. Value $72,000 Date SEP 18 ~g$9 Site Address 4238 BOULDER RIDGE PT Lot 14 Block 3 Sec/Sub. -BOULDER RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 MM1 FEES Zoning R-3 Cr Name NEW HORIZON HOMES INC (Actual) Const V=N Bldg. PermitZ►n0 o Address P 0 BOX 1367 (Allowable) V-N Surcharge 36.00 City MINNEAPOLIS Phone 933-2521 # of Stories 257.00 Length 24' Plan Review z~ Name SAME Depth 5t7 r SAC, City 100.00 0a Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage c~iw Name GRISWOLD & ASSOC On Site well ww Water Meter 90.00 Address 11975 PORTLAND AVE S MWCC System XX 894-6287 City Acct. Deposit 30.00 <W City BURNSVILLE Phone v water PRV Required XX S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of E an dinan Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: NEW HORIZON HOMES, INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota {Statutes and City of Eagan Ordinances. Bldg. Off. Copies 1.50 Building Official Variance TOTAL 2,772. 0 ` s 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 10 "'THOLE FAMILY DWELLINGS LTIPLE DWELLIN COMMERCIAL ` OF PLANS 2 SETS OF PLANS 2 SETS Of ARCHITECTURAL <GISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL FLANS i SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL FOR SA[S MITS 0 OF UNITIM,.' NOTES ADDRESSES FOR COMIER LOTS CONTRACTOR/HOMEOWNER !LOST DESIGNATE WHICH ADDRESS IS DESIRED. SO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT IVES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIM FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME. MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 8EP 1 1 1989 To Be Used For: cS1fJEM%.9L Valuation: -/90C,) Dates Site Address 23~ ,Bouldxf ~E'•,of OFFICE USE ONLY Lot _L Block o? Occupancy R-5 M-1 FEES Zoning 2- 31 ) c Parcel/Sub 6.P O~ Actual Const \/-NJ Bldg. Permit OG/~ / B Allowable Surcharge cOwner look /7oO /aw 1444iS , =~4 # of stories Plan Review 7 . Length SAC, City Address Depth SY~_ SAC, MWCC` S.F. Total Water Conn c;'eo•ca y/Zip Code /~iV• ~~y Footprint S.F.Water Meter C.a Acct. Deposit 3 cro Phone a~✓~oZ~ On site sewage S/W Permit On site well S1W Surcharge '1'00 Contractor /~~y 1yoOPlzg V zmmoS MWCC System - Treatment 'Pl. City water v Road unit t O, oc~ 13 Address 11-5~a 'DX PRV required v Park Ded. / City/Zip Code Booster PAP Copies 1, 6D / . SUBTOTAL_ APPROVALS Penalty ~ Phone Planner ! TOTAL Council Arch. /Engr. Bldg. Off . 5f ~r Variance{ rJ Address ll f: !r fORT4,fND City/Zip Code 6L~ 4a~r~ l c~,a~ Phone #1 ~"a~7 AVI.: I'A' F 0"I'II IA'(I(iN tii EVv \ o ~ I Z c~ N rbMi✓S I o. 1~X I'~'1 I 4-7 - 4/ 0 „ .I i~ i~•n,~ I'i•i,,r•i it I r:I 111,,,1 A~Irlilini, I~:irr 4`25-a$ ~oULY7 4ei1~C ~ Mopc-- S1 Etjp AVI(I,'Ar:l. I I!-NAL I '1(I{I r!" •;I'U!:I'h 1JAI I. AI?I'A AIMVN, 1:1!API- rl v ll I i.wl-l nl I al....... prarlr C~( ~~`r r• ' I ~ „ ~I I .,I ri.i•-n~ •.;all nl,n•~r vr:,rlr• Ilr'll',IIP :,h,r,•r y•, :,rlr• n--•~ I I A1. v:i I 1 rr' d... vr p,, n,Ir• i nr I nrl i nl', i inlnv•: :niJ ,Inns ' L 1 ~ II'I .II.. n lrn• Of- C.Q ~n44 r)t1 MULL-;,l . I I 2 yfy 6 p „II S 3• o (I' ~i224 17N -.sq, rr .2 l2 `o "Il" SS Ito. cll. tA) 2ov4. t?tf I' [I 2C to = 10 II" SS - 'Z.g (1')(A) - ll..- (I') (A) nla IcNb FX_~;q • (I . 2 X 3 (0 V) sq. I'I. 00 (A) _ rl. rl x „Il ((I) (A) s (A) (t') (A) sq. r 1- (11) (A) (11) (A) sq. rt . "11" . sq. rt Y r,ll„ (i') (A) ('1) (A) sq. rt . (0 t ~ ~ II v:, l nr ..11.. _06 1.9 (11) (A) .b, .,I GHT►Z NV^NTI q, rt eL+ Y. 61 2( (o) (A) nl;,unlC t'AI.I. CONS'flillfl'}011; Arr, ,c "II valor I'i MED WALL (total area less n1,r•ninl:. rrnmin{; mrmbors it, I'll, ail rr lrr wall, rim foist ar,•r, t. masonry) wc ,i i arln•rI ~I I'raunnr, mrmbc En In wa 11 1• l_ MOM area--ab9YC_ cr;lt(c 'q, rt I x findo I Area Windows Lncludi„{! G M ws F, I{orrr'; 'I'rl'rnL (0)(A) 1 S3• Z ~ • ~ 777 I,IVIhP.II BY IMAI. WAIL A111;A n1'I'I(Ata' "11" Hinim"m .17 or Ivss for 1 f. 7 family dwrlIIn r•!: 4i"Im"m .77 „r Iona: ror all other buildinle•; nl'I I( r,npr "11" values as raloulated above do not naeot the Enr,gv ('ode rr•r1,,irpme"1s, Ihr. •'11 -1l r Envy l ohr Ilia P& a i nrl i ral.ed on PrIge 5 may hr ,curl. 1',0O!' CE IT,] Nc', J OuCs.idn air film bl Lnsul tinn Interior air film .61 101 A1, R - U i / It I, . G1. Outside air film lnsulatinn !j" Drywall - 4 n I 1I I " Interior air film .61 To'rA1, It U ]./R ll = Outside air film .17 Built.-n1).-roof i.nr _...~7 Insulation Wood necking - % Interior air film .61 u 1/it u " ROOF/CCI1.'LNG: r0I'A1. AREA: _ sq. It. Detail re.ferenci,'.___.__ U' .p25 x sq. (U) (A) from above. - -----..Un-'-_ r, sq. ft. (1!) (A) Describe openings !x sq. rt,_~J~_ (1)) (A) i„ roof - „u„ x sq. rt. (I') (A) lull sq. (A) - - U .x sq. (U) (A) - _-,,U., x sq. fl:. (U) (A) TOTALS 1 \1 (n so. ft. (U) (A) TOTAL (U) (A) VALUES _ DIVIDED BY TOTAL. :OOP/ AVE. "G" CEILING AREA / (O~y AVERAGE "U" .05 for ventilated roofs .10 for ill other construction OTE! If average "U" values as calculated above do not meet the linperpy Corte requirements, the NI "Alternate Envelope Desipn" as indicated on Nape 5 may be used, T.H. FOR-SALE UNIT LOTS 14-17 CITY OF EAGAN N2 17080 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for 1 OF 4 Est. Value $72,000 Date SEP 18 19A9 Site Address 4240 BOULDER RIDGE T Lot 15 Block 3 Sec/Sub. BOULDER RIDGF. OFFICE USE ONLY Parcel No. Occupancy R-3 MM1 FEES Zoning RR-3 W Name NEW HORIZON HOMES INC (Actual) Const VVN Bldg. Permit 514.00 Address P0BOX1367 (Allowable) VV=N Surcharge 36:00 City MPLS Phone 933-2521 # of Stories Length 24' Plan Review 257.00 Zo Name SAME Depth 501 SAC, City 100.00 (04 Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints - Water Conn 5$0.00 On Site Sewage UUJ Name CRISWOLD & ASSOC On Site Well 90.00 ~w Water Meter xZ Address 11975 PORTLAND AVE S MWCC System M W City BURNSVILLE phone 894-6287 City Water XX Acct. Deposit 30.00 PRV Required XX S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of E an rdinance . ~ / Treatment PI Signature of Permitee l~ APPROVALS Road Unit 340 00 EW HORIZON HOMES, INC Planner Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official 1 J ~1t Jt ` Variance TOTAL 2,772.50 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 0 8 (612) 681-4675 Date Issued: 08/28/96 SITE ADDRESS: 4238 BOULDER RIDGE PT LOT: 14 BLOCK: 3 BOULDER RIDGE P.I.N.: 10-14800-140-03 DESCRIPTION: Buil.ding Permit Type STORM DAMAGE Buiidir}g Work Type REPAIR Census Cade 434 ALT. RESIDENTIAL REMARKS: INCLUDES: 4240, 4242, 4244 BOULDER RIDGE PT L15 L16 L17 FEE SUMMARY: CONTRACTOR: - A p p lic a n t - ST. L I C-OWNER: RONEL RESTORATIONS 14323444 0002158 BOULDER RIDGE T.H. ASSOC. P 0 BOX 240744 4206 YEW PT APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 432-3444 (612)687-0465 I hereby acknowledge. that I have read this application and state that the information i. Lurrect and agree to comply with all applicable State of Mn, Statutes and Cite of Edgdn Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE 1989 BUILDING PERMIT APPLICATION CITY OF EA AN SINGLE FAMILY DWELLINGS lRTLTIPLE DWELLINGS COMMERCIAL SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL `"'2STERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS OF ENERGY CALLS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS I EET OF ENERGY CALCS. . / 1 SET OF ENERGY CALLS. MULTIPLE DWELLINGS RENTAL UNITS FOR SMILE 'NITS i. OF ON sfi-r NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER !MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH TEE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAIS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. SEP 1 1 1989 To Be Used For: Valuation: L C0 _ Date: ..ue Address yv2l!~0 L~~k'/rie~ OFFICE ME ONLY Lot Block Occupancy I FEES Zoning Parcel /Sub aU Actual Const Bldg. Permit Allowable y-N Surcharge >.~3 Owner f0A& „7 2t/! a of stories Plan Review s 5,-), vc, Length/ SAC, City 0.00 Address z A ~ /7? Depth !5- ' SAC, MWCC _S 00 S.F. Total Water Conn 0,t?0 A? 10 City/Zip Code ! Footprint S.F. _ Water Meter c elD Acct. Deposit 30,ci) Phone On site sewage S/W Permit ._cl AA On site well S/W Surcharge I, C>0 Contractor A/aw 3 4M1'2O~t W4zWWe!rMWCC System ! Treatment Pl. ; ,&C~ a City water C - Road Unit 3 00 Address /dam ~OX IAl ge PRV required Park Ded. Booster Pump Copies City/Zip Code AM. ` 30T'OTAL APPR A1S Penalty Phone Z-4 -21 ?lam, TOTAL 2 n, 64 eil Arch. /Engr. 4:~5P/ zlelo Bldg. Off. v- &I';rzo~ ll0*4 Variance Address City/Zip Code Phone e I..III'I' 1;1\FII'17 'dl1f1.1. "II" r(ull'I;I~\11(71: h.~(-. b'~) ~...1f7 ~~7..~ 1C71`~`~.~~ .\'li ,r. ~ 1P_0r\ 1~`•'7~i..7 I II,~•i 40 I':I1 ~"~-5'a$ ,I I.. I r~.,l..•~t.,. I,.I I'I,~I 71J71,.n r\\'IRU:I I I!:r..\I. I1~.1'.I17'Iy,•r,l f '17. I I'll''I'o I, ;,I I. r\I?I'.A %MOVF r:1:Al7h I 8r sbo s-F-~. :nII , I , . I I -I ~ n,.. .I I I :II~.,~,•. :I,I~~ -10 h-i p,hl of 2Vt ~ I,r i,•hl „f r im ,t ~.tr '1 ~7 s-?",'. I i 1. I p., t 81 S~t'• nl.., . p_In.l~, 2V hvii"I'l of ,::III I i , ..I n, I I r r:uL• lw i ph I nb,.ar , r .,.L• i n'lu.li„ ,.rln.l, :rli,l J,u~l ~,)pr Go ~22~Y ION Mu~~'(1. i ~ 2X._1 C) w) (11) (A) 'S22~} hN 1 fI. X „11.. (r) (A) Aq. (11) (A) 1. I L. „II (I') (A) _ I fI (1')(A) 11 (11) (A) „ sq. If- Y (11) (n) esq. (I (1)) (A) q. W) (A) sq. fl (0) (A) fl.. n _..(11)(n) sq. It. (1') (A) srl. f.t "till (11)(A) --cr f I (A) sq, fl _ _ (I) (A) x 1 .srl . f t 9 C) lu,l,l... r\I ra II• "nlol• ~V ~'v~' ) n n C (11) (A) S I f (It)(A) V L-_sq tL __1t7~ Wit'-~'• .'I'„nlif: I:'A I.I. lalll'; fl?IIC [ION; Arvn x "11" vrt l.ur rRAHE11 WALL (tntnl area less o I'rning, It:nmi.nl_ mrmhors i.n 17x1 i 1 i r'I r'i x,;711 rim 'oInt (11) n 1 t I "n m tr.our -C3 Sz .04S - Pt amt n); mrmbr t.; artwall sq, fl - Rim Joist area II ) sq. Ilasonl y. Prep - 8)10YC_ C.l'ilt)C . TOTAL Watt Arra Including ~~1 yy Windows F. Itoor _ Qf 1, I11'1 nl. (It) (A) \.1 . AVC. 7--=77 17I li I I11j) BY I OI Ai. WALL AREA AVII?A(:I' 'III" tlinimm .17 or Ivss for fnmfl.y dwr'lllnl',': "I"Im"m .77 or It , for nll other hulldioh as r"I c" I need Ahoy do nnf m`r1: I -In' linr•I yv t:odr' t r•,nl i rrmrnt r , the 1!r7f1 I( :I''r•7:7pr, "it" valor." n" an indirMed on Orr 5 may he ""Pd. "A lr•i nnlr fnv„Ir,lrr Ilr`slI'. I 1'c)o: F: I I • { f1( • I, I ltutsidc all film 1. a I'll Inte.rlnr air film •f1 Ttrl'Al. ti - 11 - ti - it 6.1 OutSidr_ air film l.osulation l'~ tsr.~Urywnll to rior air fi.In G 1 OTAl, It 11 - ]./R 11 Out Side air f.i- lm .17 / ~luill:_-up roofinc, -1)...__._.._ I~! `^f/~~' Insulation Wood decking; ` lnl:ertor itr fIIm .61. 10'l'A1. tt U l /It tl Rom F/( {i11,1t1(;t MIAL AI?FA sq, ft.. _ - - , - 2~ CO hrt:Iil rc(, rcnrr sq. 0"t (13) (A) I roil) nbove. r. sq. f l (11) (A) Ih•^c•rihc opollinp's 2KY!-19 i~T "Un_~~_Q.___.--- x sq. it ill sq. It TOTALS- (A) 'fOTAI, (U) (A) VALUES - bivIDEU BY TOTAL 1100171 AV(:. CF.1I.III0 ARLA Avf:RACI: "11" .05 for ventilnl:ed roofs 10 for rill other construction .101 V: if iverngo "L'" vnloes ns calcol.ated nbove do not meet the f.npe, Corse rlqutrements, the "Ali toofo I(.nv"lope D(!s1 cn" as ind iCht0.(1 on Page .1 ma)• bc+ onod. T.H. FOR-SALE UNIT LOTS 14-17 CITY OF EAGAN N0 1 708 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 3~ BUILDING P MIT Receipt # el) To be used for 'OF 4 Est. Value $72,000 Date SEP 18 1989 Site Address 4242 BOULDER RIDGE PT Lot 16 Block 3 Sec/Sub. BOULDER RIDGE OFFICE USE ONLY Parcel No. occupancy R-3 M-1 FEES Zoning R-3 w Name NEW HORIZON HOMES (Actual) Const V-N Bldg. Permit 514.00. o Address P 0 BOX 1367 (Allowable) V-N Surcharge 36.00 MPLS City Phone 933-2521 # of Stories Length 24' Plan Review 257.00 ZF Name SAME Depth 50' SAC, City 100.00 (g Address S.F. Total - SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 W w Name GRISWOLD & ASSOC On Site Well Water Meter 90 - 00 Address 11975 PORTLAND AVE S MWCC System XX aW City BURNSVITJZ- Phone 894-6287 City Water XX AccLDeposit 30.00 PRV Required XX S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump - - S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea Or ances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 N HORIZON HOMES Planner Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official .t?iA, 11IT~ Variance TOTAL 2,772. 50 i 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 0 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL OF PLANS 2 SETS OF PLANS Z SETS OF ARCHITECTURAL rSTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS I SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR. SALE UNITS # OF UNITS tar` - ~E NOTES ADDRESSES FOR CDR= LOTS CONTRACTORAN)MEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. SO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLtNSBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: /diVt//qV' Valuation: .'7z.000-- Date: 10- 8 to Address OFFICE USE ONLY Lot -zj(z Blocky, Occupancy h1- I FE ing 3 Zon / A06 Parcel/Sub alol'ro) Actual Cons v- Bldg. Permit J 1~ l/ Allowable V N Surcharge 3 6 r Owner ~yr )a'e1zD.Y VOAt S # of stories Plan Review -Q vo Length SAC, City 100 - ~r b Address Depth S. _ SAC, MWCC -c S.F. Total Water Conn 5etD .c City/Zip Code a Footprint S.F._ Water Meter qc , N Acet. Deposit '-~3c, c`= Phone 9~s'- .v2,.c+,/j On site sewage S/W Permit On site well S/W Surcharge i, Contractor 40W ®,PiZ Al is MWCC System L Treatment Pl. 05, City seater L Road Unit L o Address ,G~► PR'V required L,` Park Ded. Booster Pump Copies 1,5z' City/Zip Code SUBTOTAL APPROVALS Penalty 4one Planner TOTAL ' r ~ Council Arch./Engr. Ar'40" Bldg. Ofi'. Variance Address City/Zip Code !/if/.t"l~/6L~;,A/r,.' 1~1n~r_~l r Phone # t I I' I, 1. I M I I rI YI-I:.A''.I. •,II•' rl,l ll'I:I.A I lrrt -7~, F.1E_`'1) ~ to ~ I~Z_v N t'!?MG~ \:II,, •F'. v. ~?,oX I'~'~ I I,,., . A'VI UACI 114:I.AI, (fi`.1' It'- LI L,II ( I I'U.'TD I. A121'.A AltltlT (TAM I S' s b o s-F~- . , I I i ~ ..n .I I 1 :il,r,.•~ vJ~• ~ o I..• i )•.h1 wa I I . , . I al 224 s~~-• l,r• i )tl,l n( gal l I i 1 ' ' I ' i .nm•1 vas l 1 I,.. ~r )71 n,lr, L8 I i . I ~ ..I ~ ~ ~ iii I I nl,~ . r• ~-1r1„ lu• i )CIII nhr~,•r .irlrIi•I V. : iII ~I•. . ):i n.lr in. Iu•Ii„). i..{nJ :n,.l ,i,n•, n" S5 33.b (1')tr ) I IC) CC) 9;,T2-q bH MULL--,1. 1:: .2 ss l~ S (1t)(A) ej ' _3D 322 bH :rl. l (I•) (A) Oil (A) (1') (A) rl. rl- If (II) (A) srl y 11„ (11) (A) s,l . f I (1!) (A) 5c{, f1 l1" (11) (A) ___n r1 f l 1 II) (A) , sq • _ rrll,~ (I!) (A) sq. Lt x _ ( ) „ (U) (A) sq. (r (l') (A) rl. fl (,.)(ti) 90 luu'I.'. i,Irn II ualurv~N,•t„' i (l .1 t 1~ sr f t - r "il 40 S ..f7 ..-.....(11) (A) vGL- I r r 2 "tl 61 ~-1. _q. - . cr f I ) it (11) (A) ICI rv)I11; IWA. C011511?I1CTloll; Arras Y "II" valor - ITAMI'D WAI,I. (Iota) ;i ea ).e.a^ ('p"')iIII,, Ir:unfoft u,r•nd,er!: -hi V,,II, rim olar at••a 1, ma!;ooly) f 1- .Z - "II „11 obi 3•~ (1') A) I'rnIll nf; mr ❑,hr t ._at) wall ._`rl. ft _ 7 ' 11 1 • ~J II:1(:Qnt 1'. i11 Cp_8L'QVC.. Ctil(C _..-.~9 0_-- '(n2'~ 10TAI, Id:0.1 Arco loclotlioh, CL` TM Al (11) (A) tJioriows 1. Door!; 1-,........ 10 1 At, VAIAIV,1,; AVG. I,IVIIU-11 Ill MTAI. WAIT AREA AVI IIA(T "It" 11{oinnntt .17 or lesr: for 1 1. :1 [mnfl.y rlwclliot;!: 'Iiit imom .7? or Iv,:s for all other hollrllol,r rd :have do nol meet, Ow Flwfl•v ('orlr• rr•rloiremclW!, Iltr' )'t)I'1 11 nvrtal•,n ••ll" as ralcolaC t "Alr•tunl fnvr lnpe I)rs{(•n" iotlirnivd on I'nl;e S mny hr• o•erl. PuLSM air 111m •:nlat inn c lit lnterlnr air film fil JOYAL IT II - It 11 ` .61 Outside aic rilm _ - ]it sulatioil Drywall - Lnfcrior air film 6 1. TOTAL R I1 .l/R U Outside air fi.)m 17 Bull t: --up roof i lit' - _\~1 ) . ` Inl:ertor air film .61. TOTAL R u ] lit imor/cEILIMU: 1M*Al. AREA: sq. rt. ;ii, 025 1 104 - 2 7 (v (t! WWI {I n~frWre„~•,. x >1 c• It )(A) r sq. fl (1!) (A I I'f)m :,hove. 'lull - - - - _ Mcrih,• oppninf;`' '?KY►-~c T ~'.~.'1.P_.~_-_x sq. It 1 - ~(IJ)(A) iii rna( 'lull )(A) 11 - ----x S1. f t . - - c?) (A) „11,~ U A TOTAL (U) (A) VALUES TO rA Ls-- (J. f 0 -(L;) (A), DIVA D BY TOTAL ItoOP/ '✓fv 0.032 AVC: "t", CEILINC AREA AVERM:E '11' .05 for ventilated roofs no for all other construction ;1f1rk If average "p" values as calculated above do not meet the Enperny Code requirements, the "Altrrnot,• MAW Mipn" as Indicated ou rune 5 may h,a used. T.H. FOR-SALE UNIT LOTS 14-17 CITY OF EAGAN N2 17082 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# c~ To be used for ? OF 4 Est. Value $72,000 Date SEP 1$ 1g$Q_ Site Ad(%SS 4244 BOULDER RIDGE PT Lot 'I", Block 3 Sec/Sub. BOULDER RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 M_1 FEES Zoning R3 W Name NEW HORIZON HOMES, INC (Actual) Const -Y--N Bldg. Permit 514.00 o Address P 0 BOX 1367 (Allowable) V-N City MPLS Phone 933-2521 # of Stories Surcharge 36.00 Length 2LLr Plan Review 257.00 Zo Name SAME Depth 90, SAC, city 100.00 j~ Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 813 Name GRISWOLD & ASSOC On Site Well 90.00 W W Water Meter =Z Address 11975 PORTLAND AVE S MWCC System XX oZ BURNSVILLE 894-6287 City Water XX Acct. Deposit 30.00 <W City Phone y PRV Required XX SM Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea Or inances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued t W HORIZON HOMES INC Planner o: Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City/0 of Eagan Ordinances. Bldg. Off. Copies 1.00 Building Official _ -AMA OA , ~ Il Variance TOTAL Z, 772' 00 9 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS i STRUCTURAL PLANS SET OF ENERGY CALLS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALLS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS AL 11fM FOR SALE OBITS # OF UNITM NOTEt ADDRESSES FOR GORIER LOTS - C'ONTRACTORMONEONNER MUST DESIGNATE VOICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES VML BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLOWER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 1989 To Be Used For: Valuation: Date: " - Site Address OFFICE USE ONLY Lot a Block Occupancy Nt_-1 FEES Zoning Parcel/Sub ,r/,~7/'A60 Actual Const 7N Bldg. Permit 51y, o0 Allowable y- N Surcharge G Owner fidu` M 3flg?OAV WOW.A ~ # of stories , Plan Review d511, a e--;, Length ~zy SAC, City , a V Address 1, *-A SAC, MWCC S.F. Total Water Conn 5 Y6-1,co City/Zip Code Footprint S.F.Water Meter C4 C, 00 ,feet. Deposit lb,co Phone cad. i~ An site sewage S/W Permit „ 0,, On site well S/W Surcharge Contractor dA01ZA& MWCC System Treatment Pl. .256, City water z/ Road unit , 00 Address op-14PRa required Park Ded. Booster Pump Copies /I CC, City/Zip Code t;--Two- SUBTOTAL r !,I APPROVALS Penalty Phone ?-?7-777 02 Planner TOTAL ~ 1. Council Arch./Engr. ~'lP tcao/~~h r4c Bldg. Off. Variance Address Af City/Zip Code Phone ~~f~J "II" 01 It',; I A I I(it, Nw 1 0 1 N r~M~~ P V~x i'1 ? 3- 4~~jjp S S ,I ii, , il,, i,•n ~ I'rLr•, t I r.i I•Inrl- A,Idi1 inn I'nlr 4~~-5'-gD p~oUt~S~~2 leI bc~~ MDpEA 51 END I:'•;I'US1;11 I,'A1 I. ARIA All11VL I:PAPI' rt l~p(t ( ih,. ,„1I,1 I ~ ~.i I,.nn,,,l nl l :,I,n~.,,• pt-a,lr 9 V( Irri,~,lil t,f ,.:nl l (,I ~U`"t' III 43 I ,i , ..i im 'Z2, ~ In•i,•Iti nl- , im 44~ I, „ ,I I' I I,.n„•.I _,,II :,1.,,.. ,•,,nrlr• 5~ In•iphl of ,.all I , .I I •I r,., :nl l :11"' prnrlr• lu•i,•,Irl nhr+,•,• }',arlr I,I I A1. -,1 I u, ,I,,,,•,• r•,r n•I,• i,r,- I i nl•, w i nJ, n.•^ :unl ,I..... 1, I _ 11' alnr NOjZC.Q "52--?,q VM fr.2K SIO GO S, 33.D (P) (A) 322 I rl 2.1( 15 So „ "It 5S 11v. (11)(x) It 2 K 10 2Q (11) (A) srl . f t _ 'T r1^ ye, p jfX sq. ft 2 X 3 ~ .440 (u) (n) sr ,•II (U) (A) sq. fl. „II" (I!)(A) f1') (A) - _ V ,r11 (It) (A) II (I!) (A) - - „ (;I) (A) sq. ff. . i. ft (I•) (A) I I ~II •dalur - - QQ •:c . , . .'.,I:, ! ; 1„• ~GtATzeE_ IsVicNT I 1 f 4 x "Ir. (11) (A) 1~_ Pv srl. ft - x „n 3S 13.0 (11) (A) - ft - It SI 2j { (11) (A) ,:q. fr. 11' (11) (A) u I'Alltlf; I'AI.L COW1 7IIIICFI(M; Ar(,;1 x "II vahw FRAPiIip WALL. (tonal area l.e~s r, l,rnin{;, fr:uuiny n:r•mbr-rs i.n wnll, r1m joi.^.t ar,•~ f, m:,~~rnr rIom y) rt 1no2 .045 4S. I (I!) (q framutt unvnbers in wall 1• _ , • h~ r•I t: ( t 'll 0 r9 } S (P) (A) It Ri yoisI. area sq. - IInsa111v alcaabvvc v.rad(2- -----_''q• f( x ..II" ((;)(A) 1.05(0 ~k 53 W _ 10lAJ. WnI I Area Ttic llid 1it IJindows f. hoor> •roul. (11)(n) IOIAI (I1)(A) VALUES 53.2. AVC. "Il" O 111 v l hr.h BY 10'I AL WALL AREA = f ' 12 (5 cs~~. API'IIA(T "0" MiIinnnn .17 or lesa for 1 F. ? family dwc MM,,s ?linitnm .22 )r it,rs for ail' ot-lher hoii(Iinys roll It :tvvlay'p "II" val,ie!, ne: ralcnlnted alcove do Iu,t Ineer flue I[nr•ryv Coyle I"ouiremvntr, 111r "hir•lnate Invr•lolrr. Itrsipn" a. indirnfed nn Prige 5 mny be wu; d. Outside air film Gl Dr )'W a UN UT~ Interim air film f'I TOTAL R _ ll - 1/It II Outside air film ~ lnsulati.on 4"Drywnll .45 - Interior air film .61 TOTAL R U s 1/R ll Outside air film .17 9uilt...mp..roof i.nr interior air film .61 TOTAL, R U - 1/It U R ROOF/CEILING: TOTAL AREA: sq. ft. Detail reference ,(YLES x sq. ft. - 27<<O (U) (A) from above. x sq. ft. _(t•')(A) Describe openings SKYVIC;~~- "U" x sq. ft. (U)(A) in roof lull r. sq. (t..... (I) (A) lull s q. (A) - „u,l - x sq. ft.__" ~(U)(A) TOTALS 1 1 I fv so. ft. TOTAL. (U) (A) VALUES DIVIDED BY TOTAL. ROOF/ 3Lo e 0.032 AVG. CEILING AREA 11~~0 AVERAGE: "11" .05 for ventilated roofs .10 for all other construction NOTE: If average. "l'" values as calculated above do not meet the Enperny Code requirements, the "Alternate Envelope Desipn" as indicated on L'ape 5 may be used. CITY OF EAGAN r c 3830 PILOT KNOB RD • 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4676 New Construction Reaulrements Remodel/Repair Requirements 3 registered site surveys ♦ 2'copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for tooted additions 3 copies of tree preservation plan N lot platted after 7/1/93 required: _Yes _ No a DATE: T--616 CONSTRUCTION COST: yd DESCRIPTION OF WORK: - t~ STREET ADDRESS: j 7 - q d v(,9e2 A4" Pr L-T (.-I y L (-i LOT - BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER Fa.. Street Address-, 6 City: ✓ State: Ll - zip. 1 CONTRACTOR Company: Phone I-L ~ ~ Street Address: eM6)4, fYV6 7 Yl/ License 4? l~ City: l2 V State: AL zip.-- JT? ARCHITECT/ Company: Phone # ENGINEER Name: Registration # Street Address City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. hereby acknowledge that 1 have read this application and state that the info do is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY R E C EWE D- Certificates of Survey Received Yes No AUG Q 7 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-piex o 12 Multi:Repair/Rem, o 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous o 05 SF Misc. 0 10 -plex 0 15 Deck WORK TYPE 0 31 New o 33 Alterations v 36 Move >a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance _.__...r._ Permit Fee Valuation: Surcharge Plan Review License MCNVS SAC City SAC Water Conn, Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment Pl. Road Unit Park Ded: Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030621 (612) 681-4675 Date Issued: 08/13/97 SITE ADDRESS: 4240 BOULDER RIDGE PT LOT: 15 BLOCK: 3 BOULDER RIDGE P.I.N.: 10-14800-150-03 DESCRIPTION: SCREEN PORCH & DECK Build:ina Permit Type SF PORCH Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - Applicant - ST. LIC OWNER: LAKER CONST 14473572 2005390 CANNON KEVIN 16011 WEST AVE SE 4240 BOULDER RIDGE PT PRIOR LAKE MN 55372 EAGAN MN (612) 447-3572 (612)681-9945 I hereby acknowledge that i have read this application and ~~tatc that the information is correct and agree to t-,(-)mpiy with all ~~pp15.cahIP ,Mate' of P+In.. Sta s and City of Eagan Ordinanceso C APP ICANT/PERMITEE SIGNATURE ISSUED B : SIG ATUR -,7 7 :P r A's 0 a ] AJ[i Fi 5}U~ l:i~ w ' t. 1:I~~~ I,~ 9tIL' i ~•~fR151~~'CI~~~~~1~ ~ ;,i r i!•! a .i. N.I ~n .,{1 U13 ~~lItVI:,.15i }~k4cl~ rise 5 y, - J a :5 1 DATE,,, HP - NAME" I AV ER CONST f t 4r?40 Ei.l1._DEF*,' RD 99 75 -0 9 7r" 2-155 9001 o j USER ID-, JAN F w 6, lqoA viIvll V,'1 I ► tV~~'F;r" S ~Rn ( c'~Iil~ fi %t J r. ` Iq jrtl7ft i130 1008 +t~`,A 1 '3VA,i~ ~L~• A AD A.1 k ' £ti'i f .i ff,,'~ °.a 4~ t)riPS 1<~ [ t r i (P}1E, Y II P r,07 "M C 1 L9:ft:.9~~' Rk~_1t,~ I I P. i CI .f L J '~1 l~f6U.7 tJ 99 l c.; b c, J ~ti•Y Etl3`' c 3•. I` ri(j ~.1~fk na t% cScjCl~;F:t7SF)_.O fi1`i~]ka'C ''1t7 V")~~..1 ~'!{r1t~ .-E3t#~~`?fb~~: r_, y 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No t 4d 0 DATE: )1 (3( -7 CONSTRUCTION COST: o DESCRIPTION OF WORK: C),Y,- 0 -`L acG~ S on c oAr -e ~ak_ STREET ADDRESS: v u d R R~~ e LOT l BLOCK SUBD./P.I.D. PROPERTY Name: _ k-e J (%Av' (::~7^I-I u t%) Phone ~or~l 9 9 OWNER LAST FIRST Street Address: 4 2- ~4 c ajo u- (i 9( jam- fi City: Z/I G A State: My) Zip: CONTRACTOR Company: ~f} P C() S 2 k cC f t kllL- Phone 't 4-7 -:3 Street Address: j 6 o f 1 W.QK I SC License _Qo 053 9 0 City: LV1_lQ-i L ~ State: N Zip: 3'7 Y? ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water Iicer.-~ed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information ' orrect and agree to comply wit II applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY [9 ow S9 D Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required -id OFFICE USE ONLY tBUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility X04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code 01 _ Census Bldg ) Census Unit _ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License - , MC/WS SAC` Clty SAC ' ~ ~ ~ ~ 3 f?U Water Conn. 'Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatment PI....' Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC LIft V CITY USE ONLY L ~ BL J? RECEIPT ' SUBD. DATE: 1i n" . 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551,22 (612) 6814675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 a = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 ;c = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 _ Water Softener 5.00 Y - Private Disposal * Dakota Cty. license 65.00 (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: U ~~COI~ OWNER NAME: INSTALLER NAME: IV Iy STREET ADDRESS: ` CITY: STATE: I11 ZIP:Z PHONE ( U I Z) q -No mom'., OFFICE USE ONLY L BL RECEIPT SUED. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercialrndustrial buildings. multi-family buildings when separate permits are not 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 FLUSHOMETER i TO BE INSTALLED? i YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT 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. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR SSA Co 15-so 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date y / / o _V~ Site Street Address Unit # 09 Property Own Telephone # (65) 9q V-gbJ ((~jSlj ~.b✓~~ Contractor L Telephone # Address city State i Zip The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge $ .50 Total JUL 2 6 2004 $-6' I hereby apply for a Residential Plumbin dge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. "ha k", 6 Applicant's Printed Name Applicant's Signature Flehlo. (To be filled in by board) Name: ~,t->(JLA Address: 244S 13~~Wv Cv W Phone: D,-!e: 1 i!.(qzt-- Landscape Request or Architectural Request Describe below the type of change you want to make: Sketch and give dimensions of the proposed change or add drawing or blueprint detailing how and what you propose doing: Total Cost of Change (Optional) This project will be complete Q_ days after written approval. The board is evaluating architectural changes on the basis of aesthetics alone with no responsibility witkrespect to building code compliance and structural integrity. According to the Declarations and Covenants you will be expected to cover the cost of added maintenance to the association for the change. This request will be acted upon within 30 days. Your request MUST be signed and dated to be considered by the Board. Send completed request to: *BE SURE TO CHECK THE DECLARATION OF COVENANTS AND RESTRICTION- TO SEE THAT YOUR REQUEST MEETS COVENANT STANDARDS. Bo r By H eowner's Signature Date 97 ACKNOWLEDGEMENT, RELEASE, INDEMNITY AND HOLD HARMLESS AGREEMENT The undersigned, by his/her/their signature below, acknowledge `.rr that they have applied to the Boulder Ridge Homeowners Association Architectural Control Committee for permission to make the following exterior additions, removals or alterations on structures maintained by the Association: In consideration of receipt of permission to make the above additions, removals, or alterations, the undersigned hereby agree follows: 1. The undersigned hereby agree(s) to indemnify and hold harmless the Boulder Ridge Homeowners Association, its officers, agents, and employees from any claim, suit, or liability for any injury or damages arising from any exterior additions, removals, or alterations permitted by the Association and made by the undersigned. 2. The undersigned hereby agree(s) to release the Boulder Ridge Homeowners Association, its officers, directors, agents, and employees from any claims, suit, or liability for any damage to any personal property caused or in any way related to any exterior addition, removal, or alteration permitted by the Association and made by the undersigned. 3. The undersigned further agree(s) to repair any damage caused by the permitted exterior addition, removal, or alteration at the undersigned's sole cost and expense. 4. The undersigned acknowledge(s) that the undersigned's receipt of permission from the Boulder Ridge Homeowners Association to make exterior additions, removals, or alterations..is not intended to be nor shall be construed to be, any waiver by the Association of authority to undertake any future improvement projects whether or not such improvement projects whether or not such improvement projects are inconsistent with the exterior additions, removals, or alterations for which the undersigned has received Association permission, nor of the Association's authority to assess the undersigned for the costs of such future capital expenditures, as set forth in the Declaration of Covenants, Conditions and Restrictions for the Boulder Ridge Homeowners Association, or the Association's Articles, By-Laws, Rules and Regulations. DATED: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 6 2 4 BUILDING (612) 681-4675 Date Issued: 05/31/96 SITE ADDRESS: 4238 BOULDER RIDGE PT LOT: 14 BLOCK: 3 BOULDER RIDGE P.I.N.: 10--14809-140-93 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $59.99 Surcharge .50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - REDPATH DANIEL 4238 BOULDER RIDGE PT EAGAN MN 55122 (612)456-9845 I hereby acknowledge that. T hav, read this application and state that the information is correct and agree re, comply with all applicable State of Mn. Statutes and City of Ei-igan Ordinances< '*#APPCA T/PE IT E SIGNATURE ISSUED Y: SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0 , j o 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Rgrnode fflMir Reguirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ t energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7//93 required: -Yes _ No DATE: CONSTRUCTION COST:UQMX QQa DESCRIPTION OF WORK: e_STREET ADDRESS: fl a .3 2: 1'~tlw/ rd_c LOT BLOCK SUBD./P.I.D. no*10 RIM 140 03 PROPERTY Name: 1 ncrh - ~c ~iz° / Phone* OWNER nRBT Street Address- IV-2-Si 620v 1 Yc d' & %J& City: Stater zip- CONTRACTOR-.. Company: n,'©n~ Phone Street Address: License City: State: Zip- ARCHITECT/ Company: A/~u/.,5- Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: ll.A il~ VJ ~i 111&AMC Penalty applies when address change anc change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEWED Certificates of Survey Received Yes No MAY 1 5 1996 Tree Preservation Plan Received Yes- No OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20- Public Facility ❑ 04 SF Porch ❑ 09 12-plex ~z 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 -plex o 15 Deck WORK TYPE ❑ 31 New IZ3 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq._ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City. SAC Water Conn. Water Meter Acct. Deposit SAN Permit SM/ Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 4 (q City Of Eagan ►MA.O+ ccl~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y N 1 set of Energy Calculations Addition - indicate ff on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Ci Construction Cost 4d o , 0 Site Address Unit/Ste # t7~ EXI~~'fNfr f~lQi2l~ffJfQU ~/Dlit7Ct' JN~STfl{,t.- V`r~L ISJT'~sc:t~ Description of Work Multi-Family Bldg Y - N Fireplace(s) - 0 - 1 - 2 T` CbLou Property Owner Sw(-Mx 910(vL RUNNY - WOWN HOryV--S Telephone # (66( ) ~(~Z 6049 Contractor 8 L'0C' C CW STRV GTIon1 °I~' E~S ;"0 iZ 4 ►~l INC. Address 1.7-07-q TIIGKEI, Ab City QQ (sf_fzs - State ggEdim iA ~ Zip 37 L- Telephone # (612,-) ZSZ' i Sr COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( j Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 aPP=plann e of work which requires a review and approval of plans. NNIeL A 9LQ(,, K, Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs r Air/Gas Tests _ Final - Framing _ Siding _ Stucco ^ Stone Brick Fireplace R.I. _ Air Test - Final _ Windows - Insulation Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota! `Ati~,61 EVER~~ NmLANE ltibl N$5°40'E X1.62 9SrS N890?-4'47"W 83.50 $°o o p 23.17 /2B' ro o 0 ~ ~22.3s N ~~N 8/W/0/ NNN PRoPOSeo N $0 0 Denotes Iron Monument 2347 50.33 70' _r0'0 Denotes Wood Stake 9•~7 50.33 14' X000.0 Denotes Existing Elevation r u/L'DiNG o i o W (000.0) Denotes Proposed Elevation Denotes Direction of Surface Drainage C ' Oz 22. 33 r t a Lam R P rz , A rr r ~s, 28' 14 ~0-0 m sProposed Garage Floor Elevation: Lot 14 = 929.5~nx~ 1> 19.0 ,'ct o Lot 15 = 929.5 C= 22.33 CV' Lot 16 = 929.5 W c,' N " 8/ W/0 ~ a N Lot 17 = 929.5 BY ' 7 'PO 56 m 19.17 50.33 14 to Date - 2 31I7 50.3 3 701 -p Proposed Lowest Floor Elevation: Lot 14 = 930.0 LO I a N BU/LD/NG o N Lot 15 = 930.0 AGAN ENGINEER Y~G DEPT Lot 16 = 930.0 ~ N IN ~ /(1j 8/ W/0 M N Lot 17 = 930.0 2 2.3 3 We hereby certify that this is a true and correct representation of a survey of ` (928.9) 83.5 0 the boundaries of: N89024'47!V Lots 14 through 17, Block 3, BOULDER RIDGE, Dakota. County, Minnesota. And of the location of all buildings, if any, thereon, and all visible ~ encroachments, if any, from or on said land. It also shows the location of the \ stakes as set for a proposed building. As surveyed by me or under my direct supervision this 6th day of September, 1989. McCOMBS FRANK ROOS ASSOCIATES, INC. / Paul A. Johnso Land Surveyor, inn. Reg, No. 10938 - - SHEET REV, DESIGNED CHECKED I HEREBY CERTIFY THAT THIS PLAN WAS PREPARED BY ME OSCALE UNDER MY DIRECT SUPERVISION AND THAT IAMA DULY REGISTER McCombs Frank Roos Associates, Inc. "=30 CERTIFICATE OF SURVEY ED PROFESSIONAL ENGINEER UNDER THE LAYS OF THE STATE OF DRAWN APPROVED MINNESOTA. I: BOOK PAGE for 15050 23rd Ave. N. Engineers NO. DATE BY REMARKS Plymouth, 11N M55447 Planners NO FILE NO NEW HORIZON HOMES OF J DATE COMM. I_ 612/476-6010 Surveyors 8/26 REVISIONS DATE REG.NO. L--y u' Use BLUE or BLACK Ink For Ofice Use a ~I Permit I City of Ea Ed~ ~ Permit Fee: ~J ' I 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 j I Staff:. Fax: (651) 675-5694 2009 RESIDENTIAL PLUMBING P MIT ?~LICATICAL 4 Date: CO I ~ Site Address: Tenant: Suite RESIDENT/OWNER Name: Phone: Address/ City/ Zip: CONTRACTOR Name: C ti License Address: City. State: 4 Zip: S ` S Z Phone: - o a `contact Person: TYPE OF WORK -New -Replacement -Repair _XRebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbi g, Fixtures Lxl~~ RPZ / _ PVB) 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 Urcharge) $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 $ 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.-gor)herstateonecall.org I hereby ackn ge 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 nd tand this is pdf 'a p it, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance th th approved on in the se of work which requires a review and approval of plans. 2 ~x/i/0 S ~L X Applicant's Printed Name piicanlVs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final C• Use BLUE or BLACK Ink v.. For Offce Use Permit City of Eajan ~3q ; Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 n Z 6 ©q Site Address: q Z3 `e 1301 L bcdL P-dk - 107'° Tenant: Suite#: RESIDENT / OWNER Name: Phone: (051- ~ " 16 Address / City / Zip: 600 L p i~YL. 0 / n4E PT-. Applicant is: Owner Contractor TYPE OF WORK Description ofwork:ZA5Vtu - o b-o -S E16I1ft. 3_1 6b . Construction Cost: ` 0j . C Multi-Family Building: (Yes / No CONTRACTOR Name: hd&rTq License#: 24X----2- _7q0-7 Address: / 6 E30 cU':~! IL eTc~ W City: State: Zip: Phone: 1 Contact Person: / 144-7- - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora 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 the 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. o herstateone or I hereby acknowledge that this information is complete and accurate; that the work will be Lnformance with he ina s and codes o f the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wart ftho ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvaX r X Applicant's Printed Name r Y ' nt's,Signature D ~ Page 1of3 O CT 2 6 2009 It. -CL"-~ qz) i&k, DO NOT WRITE BELOW THIS LINE ~07 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) J 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 WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation dpfJ Occupancy lfieG -1 MCES System Plan Review Code Edition A00-7 SAC Units (25%_ 100% Zoning pa City Water Census Code Stories Booster Pump # of Units ~--Square Feet PRV # of Buildings Leggth Fire Sprinklers ` Type of Construction - Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: 117 tR , Building Inspector RESIDENTIAL F Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TP X¢ TOTAL Page 2 of 3 Sep-25. 2013 3:56PM Property Claim Solutions No.1299 P. 1 Use BLUE or BLACK Ink I For Office Use - T I City of Eap 2 j Permit I J 140 In. Permit Fee• 3830 Pilot Knob Road 1~~ Z • Z I I Eagan MN 55122 ` Date Received: v[ j Phone: (851) 675-5675 I I Fax: (631) 675-5694 1 Staff: 2013 RESIDENTIAL, BUILDING PERMIT APPLICATION Date: Site Address: Unit g!.;4 `'ss Name: Lp i1 In DYYij!5 Phone: tsideniJ~ Li23 er. ` Address / City /Zip: t v; Applicant Is: Owner Contractor x Description of work c1 jam homes Nkxj Construction Cost:( 1 Multi-Family Building: (Yes I No .J~y,~<(•.•.. •r':~~~<c~<-r.~)~ 1 it t~~` 1 JI~~ I L~'~ , Company: Contact: ; 4 w Address: City Chin rpcasM; State: Zip: Phone: license#: Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A jVJ9W 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: i Licensed Plumber: Phone: I Mechanical Contractor: Phone: j i . i Sewer & Water Contractor: Phone: i NOTE: P aril and su " l pportin' do u Tents that you submifare.'considered:foae. public:lnfornration..".'Po'rt/ons of . the. rnformatlon may tie classi A d as:non- ubllcl if you;'proyidespeC c[easons tfia(.would permit the:C/t conclude that'the are trade secrets, C LL 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.gooherstateonecall.arg 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 i 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, i 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 S x Q&JF Applicant's P nted Name App icant's i n ture Page 1 of 3 ' ....."...Nov, 6. 2013_..11:03AM ....-Property Claim Solut ions . No. 1669 P. 7 Boulder Ridge-1013279 Use BLUE or BLACK Ink For Offlce Use j Permit CD j City Of EaEan Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 6755694 1 Statf: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _11-4=13 Site Address: 4238, 4240, 4242.4244 Boulder Ridge Point Unit#: Name: Boulder Ridge Townhomes Phone: 612-290-3055 Ift" Address /City/ Zip: 4238, 4240, 4242, 4244 Boulder Ridge Point P. ~ 's Applicant Is: Owner X Contractor l ,21 Description of work: Repair only siding peices that are damaged. 55C! ii-it lVaiK!I' cziµ?'u 's 5ivyS„ ;;A Construction cost: 2,204 Multi-Family Building: (Yes / No X~ :t a axe>`rx;;_ Compan y: PCS Resideatia_L_ Contact: Patty Hanna ti 7 Address: X1115 Pin Oak r)rive city: Fagan State: IVIN_ZIP: X5122 Phone: 651-255-0609 `u' License P BCS93158 Lead Certificate If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: j Mechanical Contractor: Phone: i Sewer & Water Contractor: . one:::.... 1iCO.TE.: Plans and sup .9 P . docufite~its :th t Lisa rt'aret ;cvrlsldecad .to:.a utili iifor a on too a: !:of : formallan maybe c/ssslYted gs;non^ptrl~l~ A.124 ptrad specrfic reasons.tftat w.opld: pertrlt ilia `pity to r .t. - ~ ~e;:Erade~ secri..~ s 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 utllftles. www.aopherstateonecall.org I hereby acknowledge that this Information is complete and accurate: that the wolr 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 psrmlt: that the work will be In i accordance with the approved plan in the case of work which requires a review and approval of plans. I Exterior work authorized by a Wilding permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. I x Patty Hanna/PC5 Residential r% A. f)A6a Applicant's Printed Name Appllcan ' Ignature Page 1 of 3