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1362 Berry Ridge Rd I SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH + MINNEAPPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS 13 C a '8e'^ rv 4Jy f etp-pl 1~0401 CITY A) OCCUPANT J c - r'- S/ W1'44 OWNER Sa~v►~ Q. SOLD BY 'e N" C'l INSTALLED BY MAKE t•/k Yl 01"k, MODEL G C U GLI7 -349 )9 - o-70 SERIALNO. INPUT THERMOSTAT /9,4193 63 VENT SIZE 141 ( VALVE d ~ ek k+ & TYPE OF LINER d LIMIT_ !r j LINER SIZE p LIMIT SETTING ' FILTERS: SIZE NUMBER FAN SETTING l M WIRING ba A PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING DATE TESTED PRESSURE PERCENT CO, i INPUT CFH l1' PERCENT Oz Gw COMPANY TESTING c STACK TEMP. 7 PERCENT CO e~ NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY • CITY 56370z6& Request Dale Fire N Rough-in In ection Required? O Ready Now IXWili Notify Inspector October 1 1990 [;Yes ❑ No When Ready? IN licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City :1362 Berry Ride Road Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Don Meyerson 454-8133 Power Supplier Address Dakota 4300 220th St. W. Farmington Electrical Contractor (Company Name) Contractor's License No. T ELECTRIC, INC. A-4074-2 Mailing Address (Contractor or Owner Making Installation) 734 Cedar Avent-m-_-So., Richfield, MN 55423 Authorize ignature (C ntractoN er Making Installation) Phone Number R69-3231 T}1 ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg ' sy Bldg. - Room 5-173 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 R"« EB-00001-07 F IN- See instructions for completing this form on back of yellow copy. " ~r 5r.16 3,5 0 "X" Below Work Covered by This Request New Add ftep. Type of Building Appliances Wired Equipment Wired X Home X Range Temporary Service Duplex Water Heater Electric Heating Apt. Building X Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner I Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool X 0 to 200 Amps 0 to 100 Amps 40 Transformers Above 200 Amps X X 7,00 Signs Inspector's Use Only: _ TOTA Irrigation Booms ~j t) 06 ~D Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date Gm l"~0 certify that the above inspection has Final Dat 1 J been made. / OFFICE USE ONLY This request void 18 months from F9/516368 .6 Request Date Fire No Rough-in In ion September 10, 1990 Required? ❑ Ready Now X( Will Notify Inspector ❑ Yes ❑ No When Ready? I CYlicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 1362 Berry Ridge Road, Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Don Meyerson M 454-8133 Power Supplier Address Dakota Electric 4300 220th Street West Farmington Electrical Contractor (Company Name) Contractor's License No. BOLT ELECTRIC, INC. A-40742 Mailing Address (Contractor or Owner Making Installation) 7344 Ave. So., Richf'e d, MN 55423 Authorized ature (Co ctor/Owner Mailing lnst C Phone Number III 869-3231 MINNESOTA STATE BOARD OF ELECTRICI 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 M- er3-00001 -07 / ► See instructions for completing this form on back of yellow copy. 9 F 5 6,8 X" Below Work Covered by This Request 7 O ew,Ad Rep: Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: Temporary Service # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTALv Irrigation Booms Special Inspection e7) - so Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat been made. OFFICE USE ONLY This request void 18 months from a CITY OF EAGAN NO 8325 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C-9 7 _75 To be used for SF DWG/GAR Est. Value $102,000 Date SEP 4 199Q_ Site Address 1362 BERRY RIDGE RD Lot 1 Block 1 Sec/Sub. BERRY RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 M1 FEES Zoning R1 i Name DON MEYERSON (Actual) Const V-N Bldg. Permit 647.00 3 Address 3811 HEATHER DR (Allowable) V -N o Surcharge 51.00 City EAGAN Phone 454-8133 # of Stories Length 601 Plan Review 420.00 ZF Name SAME Depth 34' SAC, City 100.00 LO) ~ Address S.F. Total SAC, MCWCC 600.00 City Phone S.F. Footprints L"r-,Address On Site Sewage Water Conn 625.0On Site Well 90.00 Water Meter MWCC system X Phone City Water $ Acct. Deposit 30.00 PRV Required S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply with all applicable State of Minnesota Statutes and Cit , f Eagan Ordinances. Treatment Pf 252.00 Signature of Permitee. APPROVALS Road Unit 355.00 A Building Permit is issued to: DO MEYERSON Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes andnCity of Eagan Ordinances. Bldg. Off. Copies ® Building Official t 0~ 1 11 i Variance TOTAL 3,200.5 Address:' 1362 BERRY RIDGE ROAD Lot 1 Blk 1 Sec/Sub BERRY RIDGE These items were/were not complete at the time of the final inspection. DATE: NOVEMBER 14, 1990 Yes No INSPECTOR: Final grade (6" from siding) i Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch l~ Basement finish" Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy Tie #rftratr of forrupattry Citp of tfagan Eppwwtnd of wanwo 3"Verfimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Cade c certifying that at the time of issuance this structure was in compliance with the various ordinances of the City reguk dng building construction or use For the following: Uu t7a o"fion SF MG//AR G~~~ Bldg.Permit No. 1$325 ~-Y TYpe _SW /M l Zoning Dj, r RI Type d-- Owv,a of $ad. nm 1NRYMgrW Address IS I I HEA - , SWAN Bw by A&k= 1362 ' " RM L a&y I. l i B1, M2RY RMCE Doc bURM 14, 1490 Budding Oe6l POST IN A CONSPICUOUS PLACE k. ~ - V 1'1E'1-x 50A/ / i t.9 C. 319 ~i CONSULT1140 (NUINWIS N ►INiwUINCr PUNNEIIS 011d LAND SURVEYURS Bwy- 05 E cQMPfllyf INC. ,~._,...-.....,.IUUU EAST 1461h STREET, WINSVIL LE, MINNESUTA 6633T P11 443z.9000 *-.ertificate_of Survey Legal D e 5 c r i p t ion : L,9 7- Z~tO fk VAKNA COUA/TY. Ml1vNE"SUTA. DENOTES EXISTING ELEVATION ( y , z) DENOTES 13I-10130SED ELEVAHUN INDICAVES DlhlEC1I011 OF SUVIFACE DRAINAGE 6) FINISHED GAI-IAGE FLOOR ELEVAI'IUN 889, BASEMENT FLOOR ELEVATION 871, *1 ~ TOP OF BLOCK E.LEVAUION - v> vSCALE t V v 30' T~ .0 , ~pL=o- c A5 'q, 05 63 8 '-P ~~93. z , o o 20 67-9,4C1-,::f L /A./E' S I `i ~ ~Bys•zj 1q 895, (Sy l,Z~_ M So (89z-,8' ZO.laD g 4-0.00 Zo•oo 6 ~ 0. I }~KCJf'C)~U U cog I}CXlSE a n o J m \t I r t ~ f 6v, o0 1AJ (88N5>~ ~ 0) W K r` 14 2o D~.a~n/A6E 4AJP UT/1/TYl t774SEN1Eti'T 9-- - ~ v s4 ,4) (13y3.8~ ~ /V B9 ~38' Z /-U I beteby --edify 11tat this Is a ttue and cottect teplesentallott of a 11110 of 11111d as sbowil . at►d deaotlbed liaison" As pleyated by tike oil 11116 Z- } 'lay of 9Q rnl~tlt, I~P~,. Ilo. f 1990 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 & STRUCTURAL PLANS l SET OF.ENERGY CALCULATIONS, ' (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 'F 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL'UNITS #'OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE: LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED.PLUMBER. !6 2 1 , To Be Used For: Valuation: ate 9--27- r0 Site Address LMN11 /0Z~ oo ,.rOFFICE USE ONLY Lot Block FEES . Occupancy Zoning Parcel/Sub Actual Const y-N Bldg. Permit y~,t70 `Allowable y-)mil Surcharge ~a,0 Owner Ox, Alet-S&-K- # of stories Plan'Review ZO,pO Length (f®' SAC, City. L00000 Address J~ g(~ ~eaj Depth 3y' SAC, MWCC (,p 00,00 S.F. Total Water Conn 6,25105 City/Zip Code :rv.7ti , 4N Footprint S.F. Water Meter 0,0 . Acct. Deposit. 30,00 Phone On site sewage S/W Permit 0,0 On site well S/W Surcharge 1410 Contractor MWCC. System Treatment Pl. SZfc City water Road Unit ,d0 Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Z~ Variance Address -City/Zip Code Phone # I2_X40+ ILI 1 b 1 Sri ~ ti~ ROSE ~oAl /"6 YES 5DN ROSE CONSUL,TINa ~N(3INEERS ' EN ~7~~~~fl~NO PLANNERS and LAND 5URV(YU S 13wy- 145 COMMINY, INC. ~....r.............I000 EAST 148111 STREET, BURNSVILLE, MINNESOTA 663'3I' PH 432•3000 Certificate of Survey Legal De 5 c ript Z_ 0T eZ-0Ck AA,ov T1©A1, DAKOTA COUAIT Y, MI NN!~-__5O7"A , Cg~3-o) DENOTES EXISTING ELEVATION (895, z~ DENOTES PROPOSED ELEVATION INDICATES UIREC'I'ION OF SURFACE URAINAGE FINISI-IEU GARAGE FLOOR ELEVATION 889, 80 - BASEMENT FLOOR ELEVATION 85'7• = TOP OF BLOCK ELEVAt-t(:)N SCALE V = 30' t4- 0 r89Z.ooi L = 85.71 R = Zbq'' 05 ~ggg 9~ x$93. Z ; a CB~~ 9, o 30' F90A1T BUIL.01 16 (89319 0 _ I ZO SETBACK L IA145 5 d ~ 1 'q ' ps ~ ~ (89S•z~ 34 895, So (s9z, 8 (897- z~ 8 w NI 40.0o Zp.oo g I P90PoSED o oIHW6 N 1 ~ 60,00 M 893,5 /-l3GV0 (6"~L 1 \ ( ~ 88`f5~ ~SS95>I ~ `n 895,0 90,0>~ - ( Zo PR,4 /A 4667 4AI49 U TIL / Ty 8-4SEMEW T ~ o 0 0893, 8) 4. 4) BS•oo /V 89° 38' Z/" /-1 I lheteby ceflify Mint this is a true and correct teplesentation of a tract of land as showy and described hereon, As ptepated by*1119 o11 1111, s"0107N day of AL)6UST '1990 1 Minn, Beg. 1,10. ~ boBS EXTERIOR ENVELOPE AVERAGE "U" CAMPUTATPON . ik l30 stTE nDDRUs: t-:c j a~L e_' I rOtITUCTOR: DATE; a - QA ___PH(ME: ' DETERMINE WORK I"G•SO.UAPJ -FOOTAGE OF EACH: j. TOTAL EXPOSED WALL AREA;..,........ ate, rr.. sq ft x '/U" J • 218,02 2. TOTAL. ROOF/CEILING AREA........ , ~ a••~ sq ft K. " U" • 02to r 37, 65• .•w 3• TOTAL EXPOSED WALL AREA CAMATIONS: , Total exposed wall area above f 1 oar. it 09 sq ft. e) . Total wol l window area: • • ..d4orruibq 1 a;i*d,,..... _ „J '69 ft x ~h 1►# Staudt.... sq ft x',teU## .t3 28 b) Total door area 38 sq ft .x '►it'"..~,,, • r„~,~,;,s,„,.,,,, C) Total sildinq glass door. area. . , ' ' 9laied...... .~O sq ft x "1,1" J • ou.b I ' ` ..w~O ..w-..r.. rr~~ri. s,Mr.rrr•~r.. Rlaxed...... sq ft x I/u/1 d) Total f replace wa11 area sq•ft x "U" • • 'e) 'Total wall framing area (Average 10%) sq ft x /lull " r Oq~ 12.5 f) Total net wall area above ; floor (Insulated).,,,,,, sq ft x "U►' .n 3 • 53.$3 9) Total rim joist area..►... I'72 sq ft x."U" • yi Total foundation.. ' oroa (Exposed) .........._r~,~0. sq • f t h) Total foundation window area......,........ sq'ft x "U" ~t~ • . 1) total net foundation ' area, above grade:....... sq ft x IlU11: . 1n..... 3r. TOTAL W hru 1), If item r3 is the sane a or lass than item fl, you'harve mat the intent of S-B.C. Section 6006 (c) 2. , r' •w• : _ TOTAL EXPOSED r.OG:/CEILING CALCULATIONS: , Total. exposed • roof/ceilinq area........ sq ft • J) total • skyl ich: area....... sq ft , x "U" " k) Total roof/cei1inq framing area (Averace sq ft x "U'l 02 1) Total net insulated roof/cei 1 inq" area.......,_ 1303;x_ sq ft x 2g• 67 4• , TOTAL J) thru 1) ~2. 15 If total of i4 is the Bare as.-or less then 02. yoU have met the intent of S. B. C• Section 6606 (c) 1 • . % • • • •MTERHATE SU 140 i NG 911VELOPE DES 1 GN To utilize the, total envelope system method. •the values established by the suns of items 13 and •04 sha I 1 not be greater than the sum. oUl teas l and 02.. 1. 3• + 4, . s RESIDENTIAL a~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consjf_g0 n Requirements RenodeVReaair Requirements • 3 registered site surveys stowing sq. ft, of lot, sq. ft of house; and all roofed areas • 2 copies of plan (200/6 maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate 9 hone served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (adgs with 3 or less units) DATE VALUATION 070, SITE ADDRESS 1360Q" kjae_ k4. MULTI-FAMILY BLDG -Y _ N TYPE OF WORK Rte FIREPLACE(S) 0 r 1 - 2 APPLICANT Tafh,t Ilk RI!Nliu: ~A '411196t, 04i STREET ADDRES: 49 SRllttl OWaSSO SIVd` Little Canada, Mil 55117 CITY STATE ZIP TELEPHONE # FAX # PROPERTY OWNER ffiwe'tn TELEPHONE # 41 52 - q5~9!7 __..._...............n......._....._._..............n._.._.............,.....w_................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (V submission type) . Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths D VJ No. of Baths ,lUL 1 5 2002 Mechanical Contractor: Phone Mechanical system includes: Air Conditioning Fee: $70 Heat Recovery System By Sewer/Water Contractor: Phone # 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 Applicant I:UIMti.f✓ ' / OFFICE USE ONLY a---~~._.~--------~- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY i ❑ 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ . 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 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 ^ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace , R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 2005 RESIDENTIAL M%CHANICAL PERMIT APPLICATION J City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address COQ&111t~ J/ V/,O~~z Unit # Property Owner Telephone # 46V ) Contractor SFr)rWICK C0NOIT,^ ,,,,3 LLC Street Address ntworth Ave. So City "Z~j is, 55420 State (952) 881-90 (pp Telephone # ( ) Bond Expires: The Applicant is Owner L/ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional L-- Replacement air exchanger air conditioner New -Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 b~ in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature v 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City ( ) State Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement Install Piping 'Processed - Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $50 for every $1,000 peplit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: 2005 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 r, Site Street Address Unit # Property Owner X~/?.~ Telephone # ('c~j) Contractor Telephone # Address k ' , > ~ City tr" ? ~7 _ State Zip. ~ The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _ Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener - Water Heater $ 15.00 _ new replacement _ Lawn Irrigation _RPZ _PV13 new -repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ~ I hereby apply for a Residential Plumbing 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 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 approve AA p icant's Printed Nam Applicant's Si atu e ~ ' 1991 B L 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 - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: Site Address OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit'`' ' a Zoning Surcharge Parcel/Sub $ Fi" E Actual Const Plan Review Allowable SAC, City Owner 1741.4-v jf # of stories SAC, MWCC Length- Water Conn. Address Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Footprint S.F. Sfw Permit S/W Surcharge Phone On site sewage- Treatment Pl. On site well Road Unit Contractor 0'-iv "j 'Cg-/G- MWCC System Park Ded. City water Trail Ded. Address / 7 S7x PRV Copies Booster Pump City/Zip Code r,~Ytr7 SUBTOTAL APPROVALS Penalty Phoned Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Co Phone # V~" agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. I SEWE1 8~V1+VER PERMIT OFFICE USE ONLY CITY OF14GAN METER # PERMIT DATE +09/28/"- 3830 Pilgt Knob Rd. Eagan, N 55122-1897 CHIP # PERMIT # 11658 METER SIZE B.P. RECEIPT # C 9971 ISSUE DATE B.P. RECEIPT DATE09LO ' DATE SE1' 2$. 1990 PRV BOOSTER PUMP SITE ADDRESS - 1362 BERRY RIDGE RJ PERMIT REQUESTED LOT 1 BLOCK 1 SEC/SUB BERRY RIDGE SEWER X WATER TAPS APPLICANT: ADDRESS: T COMM/IND --X- RESIDENTIAL CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: 1i Ahead of . Domestic Meters on Water 'Line.. ADDRESS: &i' - - . 'A', „Credit WILL NOT be given for Deduct Meters. CITY, STATE ~1 r ZIP ~PI ONE: I AGREE TO COMPLY WITH CITY OF OWNER: IxlN I3EYERSON EAGAN ORDINANCES ADDRESS: 3811 HEATHER DR CITY, STATE AN,, MN ZIP - 'I_5122 PHONE: 454-8133 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 06/12/91 DA OM21 CITY OF EAGAN ~ 15325 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT-' Receipt # To be used for ST DWG/GAR Est. Value $102,OW Date SEP 4 1990 Site Address 1 362 IIY RIDGIS i Lot' 1 Block 1 Sec/Sub. OEM RID" OFFICE USE ONLY Parcel No. Occupancy ' 3 H-1 FEES Zoning ¢ Name WIN NEYE M (Actual) Const ` Bldg. Permit 647*00 Address 1811 HEATHER I)R (Allowable) V^N 51 *00 ~ Surcharge City SAW Phone 4%-8133 # of Stories 42040 Length Plan Review k o Name SAM Depth; SAC, City 100.3 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints 625.00 On On Site Sewage Water Conn 90~ w W Name On Site Well Water Meter R3 Address MWCC System 30,C* 52 X Acct. Deposit - MI: City Phone City Water J + _ S!W Permit PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump i0 SM/ Surcharge information is correct and agree to comply with all applicable State of 25240 Minnesota Statutes and City Eagan Ordinances. Treatment PI Signature of Permitee -~e`d~,,,_ APPROVALS Road Unit 355,00 A Building Permit is issued to: WERS01 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies t Variance TOTAL 3s200.50 Building Official Permit No, Permit Holder Dateq Telephone # 7 G U WATER' XA / SEWER a PLUMBING e~11ee HN.A.C. c~/~ frt. q~~ /Cv ELECTRIC f M 50 - Inspection Date Insp. Comments Footings I Foundation Framing D Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. " f O .,&0# Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. 3/ 9/ Wfj- Deck Final 2b Well Pr„ Disp. t .rr a u. t, . Tf, PLUMBING PERMIT For City Use Only CITY OF €AGiiAN PERMIT# : ~ - CONTRACT - 3830 PILOT` KNOB ROAD, EAGAN$ MN 55122 RECEIPT # PRICE PHONE 454.8100 DATES Site Address.-JA -6 ~2- RRY &106e BLDG. TYPE WORK DESC IPTION Lot Block Sec/Sub Res. New Const.- Mult. w_ Add-on Name- Comrn- Repair I Other Address ,v ~J c RES. PLBG. ONLY - COMPLETE THE FOLLOWING: c city l it/ NO. FIXTURES OTAL Water Closet - $3.00 $ Name OAZ QQ C, Bath Tubs - $3.00 € 3 Address - Lavatory - $3.00 O City Phone Shower - $3.00 lew. Sink - $3.00 Kitchen Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50. MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT-NEW CONST.) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 *SINATVURE OF PERK E U. G. Sprinkler System - $12.00 PERMIT FEE: • - STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: - MECHANICAL., PERMIT For City Use Only CITY OF EAGAN PERMIT # - 3830 PILOT KNOB ROADy EAGAN, MN 55122 RECEIPT# DATE PHONE 4548100 DATE: Site Address ` ft' BLDG. TYPE WORK DESCRIPTION Lot / Block Sec/Sub Res. X New Const. Mult. Add-on Name Comm. Repair Other Address c City Phone FEES RES. HVAC 0-100 M BTU - $24,.90 Name s rF ADDITIONAL 50 M BTU - 6.00 Address (RES. HVAC INCLUDES A/C ON NEW oc 17b 11 1 g CONSTRUCTION) O CRY .JA/ Phone X54(- TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS (INCLUDES GAS PIPING) - 12.00 TYPE OF WORK Q.° GAS OUTLETS (MINIMUM - 1 PER PERMIT. Forced Air M BTU $ NEW CONST.) - 1.50EA. Boiler M BTU $ COMMAND FEE -1% OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ SJ Other $ Comm./Ind. Contract Price x 1% $ 'SIGNATURE OF PE MITT PERMIT FEE. f `50 S/C: c) FOR: CITY OF EAGAN TOTAL: t CASH RECEIPT Y y CITY OF EAGAN 3830 PILOT KNOB ROAD ` EAGAN, MINNESOTA 55122 DATE t9 k FNOM AMOUNT ❑ CASH HECK Ron. 10, FUND OBJECT AMOUNT t° . Thank You ~w ti BY "-ftyus copy 5 wb COPY C .977 Pink--File Cwy tER PERMIT gUl ZFIC 1 USE ONLY 3833ff1.F'il Knob Rd. METEP PERMIT DATE 01~8~9? a ,'MN 55122-1897 CHIP # } PERMIT # ~ x638 _ NETT k E B.P. RECEIPT c 9215 ' ISSUEDATE * B.P. RECEIPT DATt __9&49 9q 440ATE SEP 28, 19 Y°'PRV WOSTER-PUMP . 1362 BERPY.RIDGE RID SITE ADDRESS PERMIT REQUESTED 1 B>,RRY3 'RIDGE LOT BLOCK SEO/SUB X SEWER WATER TAPS :R r " APPLICANT: E . ADDRESS:. COMMA ,RESJM!4 AL CITY, STATE ZIP EXISTING PHONE: , . w~ Lawn 'Sprinkler Meters are to be Installed PLUMBER: ►~I 1✓,y 9c c, Ahead, of Domestic Meters on Water. Line., ADDRESS: . " Credit WILL NOT be given, for F e .M ductet rs. K CITY, STATE ZIP _10L. 4VJ A ZZ/1 ~PHONE: l 1 ACRE T,0 C0MPLY WITH City OF . x OWNER: DON MEYERSCIId EAGAN I3FOMANCE$ ADDFkSS:... 3811 HEATHER DR ~ CITY, STATE EAG!!N. MN ZIP 012 ~HOt 454-.•8133 SIGNATURE WHEN ME < PLL~L ©W:O KN~G DA A fR(QCErCALI.:454-5220 ~NS FOR STORM SE PERMITS, CO TACT E iNjEER1NG DEPT PERMIT City of Eagan Permit Type:Building Permit Number:EA113239 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 1362 Berry Ridge Rd Lot:1 Block: 2 Addition: Berry Ridge PID:10-13800-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Viktar Skirukha Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thuy H Vu 1362 Berry Ridge Rd Eagan MN 55123--140 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152284 Date Issued:10/08/2018 Permit Category:ePermit Site Address: 1362 Berry Ridge Rd Lot:1 Block: 2 Addition: Berry Ridge PID:10-13800-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian L Sandberg 1362 Berry Ridge Rd Eagan MN 55123 Built Strong Exteriors LLC 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature