692 Bridle Ridge Rd
Use BLUE or BLACK Ink
For Office Used
1 q C~ I
I Permit I~
4110, 1
City of Eanon
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
Phone: 675-5675 1
(651) I Staff:
Fax: (651) 675-5694 1
2011 RESIDENTIAL PLUMBI G P RI~'IT APPLICATION
Date: y-G Site Address: C i ~ C 1
Tenant: [ Suite
RESIDENT / OWNER Name: CG/rl { I Phone:
Address / City / Zip: _
CONTRACTOR Name: 1- D /f~L / License / (.a a
Address: 5-o v ~J +p(U' A G p, city::
State: A'l Zip:: 55 37~f Phone: 0l
Contact: C) bb Email:
TYPE OF WORK _ New Replacement Re/pair _ Rebuild Modify Space _ Work in R.O.W.
G oG -
Description of work: ~{5-f-(~/ ha
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, a d work is no sta ithout a rmit; that the work will be in
actor ece with the approved plan in thee se of work which requires a review and ap val of plans.
x \ ~666K 5~rh - tt
x
Applicant's Printed Name A pli nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
MAR 3 1 2011 I ~For off«e Used
j Permit
City of EIdIl 1 V-1-7, 7r
Permit Fee:
3830 Pilot Knob Road /
Eagan MN 55122 C Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: (~~/yy11
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( Site Address: l(I l~" I(X - Unit
(9 [o T 3
Phone: 51- 3
Name: z
RESIDENT / kc,
OWNER Address /City /Zip: D 11 ~ f ~ ~i
Applicant is: Owner Contractor
TYPE OF WORK Description of work: g 441 fvo-n V &m D J2J
Construction Cost: I-2 1 by~ Multi-Family Building: (Yes / NoK )
Company: --s" ntact:
CONTRACTOR Address: JL' Loq lW n~ cQ W City:
State: N, Zip: --J'30ta1 Phone: (95 `T5l p ' / 5
License Lead Certificate .1 l l 6'°3
Does this project require Lead Remediation? ❑ Yes 6o (see Page 3 for additional information)
If no, please explain: ~ y ) S N C_ (.J ~t w Al (9 V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-Public if you provide specific reasons that would permit the City to
conclude that 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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with. the ordinanc s 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 st ,wit a pe it; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X r j=+► ~r ` x
Applicant's Printed Name p icant's Sin r
Page 1 of 3
"I C, 16
DO NOT WRITE BELOWTHIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
,
WORK TYPES 130-7
_ 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 0 Occupancy MCES System
Plan Review Code Edition tj SAC Units
(25%100% Zoning City Water
Census Code / Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
"&t
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
From: 09/0912009 10:09 #855 P.0011001
i For OAlioe use
Permit
City of Ealan 1
I Permit Fee: I
3830 Pilot Knob Road I G~ l
Eagan MN 55122 I Date Received: j
r I
Phone: (651) 675-5675
1 Staff,
Fax: (651) 675-5684 1 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q- 0 01 site Address: (v °I a2. t~..~e. ~ e.
Tenant: °f Suite 0:
RESIDENT ! OWNER Nam • Phone; & 57- (PT9 --Y- 30
Address t City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:-/rte',z, rLe
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: S
Address:( ?4/ 0 TG!
<
City: State--')27 l~ Zip: S4 ~
Phone: Contact Person: - t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Catetiory 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes rNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone
Sewer & Water Contractor: Phone:
NOTE: Phis and sgq*or0V doacmnonO t/llat you*~ we oonsaAftmd to be pub* kafonneW&L Pla rfam of
Me hV*fflWdW maybe chilssfil6d as non-PUhft If yew P#VVkft SP0Gft ' WOKtN POMI t 60 CW to
conk de that OWY are hub somuft
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemtit: that the work will be to
accordance with the approved plan in the case of work which requires a review and approval of
< ! r--~ -
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
rlfd iaf G ec } I~itb.' i t; } ~ t} ar ._f'ij•,'p't
PERMIT SUBTYPE: TYPE 00 WORK: i } s
! r;; } i 1 I fill ! f R ? ;
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Cant. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 91~1~
Deck Final
i Well
Pr. lisp.
citp of clagan
Erporwmt of Suilbing Ju,prr#imt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
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.,
f
Use c1mifcation SF MIME, Bldg- Poroilt No- 19530 R3/M1 - Occupancy Type Zoning District FD =R1 Type Const. VN
!)MN-PIDIIM Mc 15136 GMAXM AVE, APEZ VATaLF.'Y
Owner of Buildin8692 ~~y-~~~y Address LIP Tit V t]TT
LSL!/~7u+ LSkJtiU 3, B2 ~p LtitLR.+r:i 191
Address - L=Hty
11/6/91
D.:
Bullding%OfTa
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN r + g
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 $
PHONE: 454-8100 1 1ti tt
It
BUILDING PERM Receipt # A6.
To be used for 'AV M/GAR Est. Value $157,000 Date AVG 7 19-91-
r.
Site Address 692 BRIDLE RIDGE RD 111i
Lot 3 Block 2 Sec/Sub. BRIDLE RIDGE 1S OFFICE USE ONLY
Z-3-tIn 1 FEES 1
Parcel No. occupancy
Zoning PD-]L-- 1
Name Ombi-PEDERSON INC
w (Actual) Const -N Bldg. Permit 1139.
a Address 15136 GAI.AXIE AVE (Allowable) V -V Surcharge 78.50
City APPLE VALLEY Phone 431-5000 # of stories
TQ• Plan Review 5•
Length
Zo Name SAKE Depth _A0' SAC, City 100.00
811 Address S.F. Total _ 654.00
SAC, MCWCC
City Phone S.F. Footprints 660.00
On Site Sewage Water Conn
W Name On Site Well 95.40
E w Water Meter
,
Address MWCC System 30
=Z Acct. Deposit • 04 y
aw City Phone City Water
PRV Required S/W Permit 30.
I 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 City of Egan 0 fiances, - Treatment PI 76.00
Signature of Permitee r~r { , APPROVALS 37o,
Road Unit ~
A Building Permit is issued to: 421!11]~1-PRIl ON 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
S
Building Official ? ` ' ! ` Variance TOTAL t 674.00
i
Permit No. pe"Wit Holder p Date Telephone #
1-7
WATER ~p~p`Q a
5EAKER
PLUMBING gG 9/ ,3'1'-`lJr3~
Q
H.V.A_C.
ELECTRIC rJ lp 9 O°
Inspection Date Insp. Comments
Footings 1 Al e
Foundation -Ps
Framing 64,W
Roofing S'
Rough Plbg. ~la--115111-
Rough Htg. Ilk 4",L~
Isul. /i~ AY/
Fireplace 2V y
Final Htg. f
Orstat Test
Final PIUg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final -
Deck Ftg_
Deck Final
Well
Pr. Disp.
SEWER4 WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # VgV'10 `3 PERMIT DATE 08/09191
3830 Pilot Knott. Rd.
Eagan, MN 55122-1897 CHIP # 9 5-6 PERMIT # 12207
`METER SIZE B.P. RECEIPT # C 14860
rAUG 7 , 1591 ISSUE DATE -'3E' 7 B.P, RECEIPT DATE 08/07/91
DATE
- PRV -BOOSTER PUMP
SITE ADDRESS 692 BRIDLE RIDCE PERMIT REQUESTED
LOT % BLOCK 2 SEC/SUB >X 1!) LE RIDGE I.ST
SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM/IND <`X RESIDENTIAL
CITY, STATE ZIP X NEW EXISTING
PHONE:
/ r Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: P 0 BOX 23 Credit_ WILL NOT be given for Deduct Meters.
CITY, STATE V} RltILLI CN tdN ZIP 5.50':5
PHONE: 437--7532 X~ lL", ..e...1, t . .
1 AGREE TO COMPL),(AT CITY OF
OWNER: CZ!,iM1d-PEDERSCtd TIRC EAGAN ORDINANCES
ADDRESS: 1513+6 GAL E AVE
CITY, STATE APPLE VALLEY 1%
ZIP 5 ' 1 2L
PHONE: x.'31-`;rigr; SIGNATURE WHEN METER ISSUED
PLE4SEALL64 TWO %N&I(IMG DAVS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEVuE-R AIVATER PERMIT OFFICE USE ONLY 11 CITY OF EA:GAN METER # PERMIT DATE
"~0~ w 1
3830 Pilot Krick Rd. 12?07
Eagan; MN 55122-1897 CHIP # PERMIT
`METER SIZE B.P. RECEIPT # C IkJ4~L
. 1'v 91. ISSUE DATE B.P. RECEIPT DATE 0:3 /O 7 91
DATE ~►i!{1 7.'
PRV BOOSTER PUMP
SITE ADDRESS '22 Bj111i ?J: RIDGE r:l1 PERMIT REQUESTED
LOT -2 BLOCK ~ SEC/SUB RII)CE IST
=SEWER X WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: P 0 BOX 23 Credit WILL NOT be given for Deduct Meters. ,
CITY, STATE VERMiI LLION t0! ZIP `.'iC; 7 ;
PHONE:
1 AGREE TO COMPLY WITH CITY OF
OWNER: UzMtfN-.PEDERSCN IN'O' EAGAN ORDINANCES
ADDRESS: 15136 GALRx1 , Aa=:r
CITY, STATE APPLE VALLEY ON
ZIP 5 5'
1•1 --5oonj SIGNATURE WHEN METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: AUG 9, 1991
692 BRIDLE RIDGE RD (OZNUN-PEDERSON INC)
RE: 4
X
Ygur Sewer & Water Permit for the above property has been completed It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer &-Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN N~ 19530
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # l (y,I4?10/ D
To be used for 'SF DWC/GAR Est. Value $157,000 Date AUG 7 tg 91
Site Address 692 BRIDLE RIDGE RD
Lot 3 Block 2 Sec/Sub. BRIDLE RIDGE 1S OFFICE USE ONLY
Parcel No. Occupancy R-3 M-1 FEES
Zoning PD-I=1
X Name OZMUN-PEDERSON INC (Actual) Const V-N Bldg. Permit 839.00
Address 15136 GALAXIE AVE V-N
o (Allowable) Surcharge 78.50
City APPLE VALLEY Phone 431-5000 a of Stories
Length 70' Plan Review 545.00
z~ Name SAME Depth 40' SAC. City 100.00
gg Address S.F.Total - SAC, MCWCC 650.00
City Phone S.F. Footprints -
On Site Sewage Water Conn 660.00
w Name On Site Well Water Meter 95.00
x3 Address MWCC System M
OR Accl. Deposit 30.00
<W City Phone City Water ~L
PRV Required SAW Permit 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge -5
0
information is correct and agree to comyly with all applicable State of
Minnesota Statutes and C of E gA 0 r_. sTreatment PI 276-0
n
Signature of Permitee APPROVALS Road Una 370-(l
n
A Building Permit is issued to: -PE SON 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
Building Ollicial I &J101 Alta I ThA Variance TOTAL 3,074.0
Addr~ass: 692 BRIDLE RIDGE ROAD Lot 3 Blk 2 Sec/Sub BRIDLE Riper 1ST
These items' were/were not complete at the time of the final inspection.
q Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage Z s~..~ u, 7
Porch
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.
.aK«o M~
White - City copy Yellow - Resident copy Pink - Contractor copy
50738 io~~y7
Request Dale File No • Roug -in nsp • n /
Regunetl'+ ❑ Reatly Now I~'~VIII Nohty Inspector
es C No heI Rai
I AIlcensed contractor Downer hereby request inspection of above electrical work at:
Job Andress (Street Box or Route o 7 City
Sectmn No. Township Name or No Range No County
A'OY4
OccupintlTl Phone ho
~ O O 149 1211
Power Supplier Md esys ~
071D e/ 7 ! ~Irlr A
Electrical Contractor ICompany Nomel Contractors Uc rose No
vead ~l /lr co cq Y!/3;e-
Marling Atl re (Contractor or Owner Making Installation,
.Z ~~.0 vAi! t,,tp•}/ 6,T ~ v~,ts'^f0 (e~
Authonze0 S u `iGOmractor ner Making ~Vltl Phone Number
G~~/2-
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
eway Bldg. St Room &173 BE ACCEPTED BY THE THE STATE BOARD
1821 University University Ave. St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0900 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION r"..~ Ee-oooot oe
11 %
P. See instructions for completing Ibis form on back of yellow copy } -5
Q 7 3,8 X' Below Work Covered by This Request
ew Add Reef - Typeot Building AppllancesWired EguipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specifyi Comrectorh Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircudslFeeders Fee
Swimming Pool 0 to 200 Amps J:OV ` o t0 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only. '7 TO1A_L
Irrigation Booms 7!!/
Special Inspection .Ix
Alarm/Communication THIS INSTALLATION MAY BE OR TED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector. hereby Rough-m
ev a/
certify that the above inspection has Final oats
been made.
OFFICE USE ONLY
This request wid 18 months from
PERMIT cc)
,,~6ITY OF EAGAN q-~-~s
3830 Pilot Knob Road PERMIT TYPE: U I L D I N G
Eagan, Minnesota 55123 Permit Number: 021678
(612) 681-4675 Date Issued: 09/07/93
SITE ADDRESS:
692 BRIDLE RIDGE RD
LOT: 3 BLOCK: 2
BRIDLE RIDGE
P.I.N.: 10-14996-030-02
DESCRIPTION:
12 X 12 & 14 X 16
Build rig,,Permit Type DECK
Building Work Type NEW
i
i
0C
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $1.00
Surcharge $.50 Total Fee $31.50
Lie. Search Fee $5.00
Subtotal $30.50
TAB ffP AT.I9NRD pp 14275573 0005253 CFIRAjT7L JAY
11830 W RIVER 692 BRIDLE RIDGE RD
CHAMPLIN NN 55316 EAGAN NN
(612) 427-5573 (612)688-8330
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 Nn.
Statutes and City of Eagan Ordinances.
L
JA X-d
APPUCANT/PERMITEE SIGNATURE ISSUED W. SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021678
Eagan, Minnesota 55123 Date Issued: 09/07/93
(612) 681-4675
SITE ADDRESS: LOT: 3 BLOCK: 2 APPLICANT-
692 BRIDLE RIDGE RD NOORE, RICHARD
BRIDLE RIDGE (612) 427-5573
PE5F fl SUBTYPE: TYPE OF WORK: NEW
DESCRIPTION 12 X 12 & 14 X 16
INSPECTION TYPE „ INSPECTION TYPE DATE INSPTR.
FOOTING FINAL
_ J
L
REACfIVATE`_ CITY OF EAGAN
PERMIT # G hC~~~Mf ~ 1993 BUILDING PERMIT APPLICATION
~ ~ AUG 0 5 1993 681-4675 - p g140 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date K J S l 3 Valuation of work 0,31,v, 0
Site Address: e~ 9;. /34/G?d1A4ML74
STREET SUITE /
Tenant Name: (commercial only) p
LOT ~s BLOCK Z SUB ~fL P.I.D. k
Description of work: - f U L I' c-k
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name LNM3;r1L J-19 y Phone d88' 8'33e
Property LAST FIRST
Owner Address 157 )~AIyEx /aGE
STREET STE I
City ~Cr~}Al State MlVi Zip
Company A1I M,0PW ~NTi4'i9cT/N~ Phone ,27 SS73
1 3131 lcf s
Contractor Address l/8 3D w AIPl A A4. License # 5~ 53 Exp. S
City z?N)qM/01-1N State MAlf zip _F3,
Architect/ Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE G
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. /1X 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length IZ Y,/ Z On-site well Census Code
Depth i4)(1 On-site sewage SAC Code
APPROVALS f
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site R1 Footing ❑ Framing ❑ Insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee 2 5, D~ Valuation: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies J• ao
Other
Total:
SAC %
SAC Units
i
?4221: of r.rpiise Drive l
PIONEER LAND SURVEYORS -CIVIL ENGINEERS Mendota Heights, MN 55120
yengineering. LRNOPLANNERS•LNNU"..C IIPEARCHITECTS (612) 681-1914
l1 Y
T Certificate of Survey (or:._ OZMNN PED IeSo.___
(NORTH
goz•o
0 i
Oil' 1 20~ 00
b3P O ~ -11
I
JNI
i p tr1l( n ~yz.o ; ' IA
r
d 1 - r
J V,
0 lY N V1 0 v~ i ✓e j s Q i 1 A
V
.,.t a _ 622' gv}.u7
C AGAN ENGI EE NG DEPT /
N 9oo.o Denotes Existin¢ Elevation PROPO-IEO NouSE EUMFIOM
oo•o Uenoles Prapoged Elevalionn [owes lour Eleva ion g u,. sle
DenolesDrdiiw eiUfilil basement Topq,"'Blockilevalion 814.6(,
Denotes DrYrivoe rloDireelion Gara0e Slab E/evatioil 3
U Denotes Monu ent Bearings shown are assumed oDeno es ojjse fib
LOT 3 AOCAl 2 BRIOLE RIDGE
COUNTyr MINNESOTA JJ)
hereby certify than (his survey. Plan or snort warms ~Pr Parerf by under my dt.rct supervision ind that I am duly rlegistrrrd Surveynr
under Ifte laws of the State of Minnesota. Dated IN, ~Ca day of n D. in 7-__
- 4) 14e Rr1RClt~~llf: f•1l1. 14991
~
►b~ Scale : l - 9~ Z19. o, _ _
CITY USE ONLY 1 1 p 3
SUBD BL ID- RECEIPT#: I _l
'RECEIPT DATE:
PERMIT# ~5? -206
1999 PLumBiNe PERMIT (RESIDENTIAL)
CITY OF EALCLkN
3930 PILOT KNOB RD
EAGM, UN 5512E
(651) 691-9675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x f = $
Floor drain 3.00 x = $
Gas I In Outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x - $
Laundry tray 3.00 x = $
Lavatory 3.00 x 2 - $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x / - $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surcharge .50 > $ .50
Total > - > $ 3
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -
nformation Is correct, and agree to comply with all applicable Cityof Eagan ordinances
I hereby acknovAedge that I have read this application, state that the -Information-1-s-
It 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 City property/right-of-way/easement.
SITE ADDRESS: t`J q Z D~ r ~!e t try to Fc`
OWNER NAME:: k1A C h YC~ S}i ( TELEPHONE
I ~N I r (AREA CODE)
INSTALLER NAME: VryC /~~J/LUG' l~~ TELEPHONE 190-
STREET ADDRESS: 6O &-C'CA4~ 0c' /Vo t (AREA CODE)
CITY: STATE: ZIP: SJ~S2
SIGNATURE OF PERMITTE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681.4675
New Construction Rauhements Remodel/Regak R aukeme I ( a
D 3 registered site surveys showing sq. ft, of lot, sq. ft. of house 2 copies of plan
and gll roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam b window sizes; poured Ind. design; etc.) 1 site survey for exterior addltioru b decks
D 1 set of energy calculations
➢ 3 copies of free preservation plan it lot platted after 7/11/93
DATE: N / p CONSTRUCTION COST. 3
DESCRIPTION OF WORK: o wFit fc=✓F~-i.~is/{
STREET ADDRESS: 6 92-
LOT- ~'~7~°~ r- flGn / /i✓ X723
`Z BLOCK: SUBD./P.I.D.
Name: Z- fi Sua Phone 6-57- 4~454~3 -X33 a
PROPERTY Last First
OWNER
Street Address: 69 2 '4 AA o
City ' 44401) State: e- Zip: -S/22
Company Phone 612 QBO - OG "S 3
(area code)
CONTRACTOR
Street Address:- License If & ' SZ E tp 3 a o
City G~ State: ~'99 - Zip;
ARCHITECT/
ENGINEER Company: J Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer a water licensed plumber (required for new construction only new construction only
Penalty applies when address change and lot change Is requested once permit Is Issued.
i hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Yes No
NOV - I 1999
Tree Preservation Plan Received Yes No Not Required ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ X18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ~ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ X32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
-33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 1-13 N
(Allowable) Main level sq. ft. SAC Code 0 1
UBC Occupancy sq. ft. No. of Units I
Zoning sq. ft. No. of Bldgs 0
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS rtrt
Planning Building UG Engineering Variance
Permit Fee 60s o Valuation: $ S,DUo
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: 0/0-so
SAC Units
% SAC
13A'/luA W~L l~"
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date: Permit #
Date S
Receipt /0 6, /40
Commercial: $25.50 + water tap if required. (City installs all taps up to 1' If
adding new service, a water permit will be required, as well.
- Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
- Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
(Address to be sprinklered
Homeowner/Plumber: ezi-e
.
Phone
Street Address: 7/:L-
City, ' , .
State, Zip: 244 ~ ,
Owner Name:
Street Address:
Phone [Pd ~'~'3~O o / I
Irrigation Contractor: C L~ W
Phone 9S - go
I hereby acknowledge that I have read this application and state that the information is
come and agree to com ly with all applicable City of Eagan Ordinances
cc: Engineering Department p / /
+
1991 BIII I G0 LIGATION
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:'%PIAMS '
/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 - I'
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUII.DING 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
157, ooo
Lot 2 Block ES
/y Occupancy Bldg. Permit 83~
~i Zoning rP 9,-% Surcharge 8
Parcel/Sub Actual Const V-N Plan Review Is"y' ,£w
Allowable V-N SAC, City OL)<.C7-
Owner # of stories SAC, MWCC =v,0
Length 50 - Water. Conn:, GOplcM
Address ( Depth 40-' Water Meter- ` 9'soCo5
S.F. Total Acct. Deposit '"3D40
City/Zip Code C C~ i N Footprint S.F. S/w Permit 3~ioo
Surcharge, - ,0
Phone On site sewage Treatment, Pl2?h..th0
On site well .Road Unit
Contractor MWCC System Park Ded.- ,
City water 7 Trail Ded.'
Address PRV Copies
Booster Pump _
City/Zip Code It SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ,,Elm
Arch./Engr. Bldg. Off. GS$.~ e/
Address Variance
City/Zip Code
Phone #
Sewer ate L ensed _ ntr.
agrees that all work shalLbe done, in,a'cnordancerwith
(S gnature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.,
VA L CA AT! O N
Ca ARAGE
12x23= ;Z,)(.
15 x ZI : 399
b~sx is = 1oI2-s"
v"f
Esm-r -
24 x 2 . H rS 839-001-
78-50+
IV x 12=~ 545.00+
2 211.50+
2$O X/yam ~ZO ~ o ^ 3»'74.00':
IST -RLOOK £339.00+
18.50+
545.00+ I
r35mT= 12`6 I 2,211-50+
3,674-00*
Z9y X 53 = ssz r.o
SGKe~►J ~DacH
r2><r2= r~ry x~o, z
ZN'D FLOO(t
28x 3~ = 1n6y
(o -7 x 53 = 059/13~~
IS(,,6y! n>2 IS~~a•=
~ * * ~ 2422 Enterprise Drive
r}* PIONEER UNp......OR~-Z ENGtr1EERS r Mendota Heights, MN 55120
yngllt~eeP inC~ . LANp eLANNERS~LANIKvr:aPE aRCr11TECi5 I (6121681-1914
T ~ Ty I
Certifirate ofSurvey for: OZMNN PEOCI-C50 y
(NORTH
\ 902.0
00(,f "E ism ~le
i
1. 00. °o /
W a3P/ A-1
\ ~,ru~ may e: ~39~6 ~ 0
ION
O M 1 t, I n ~r2.el; M /
N y dYYt b
0 _
-4 v e~ 1A 3° 9,33 I m
~C it Y1 D v,i VC 4y Q i / 0
N I
Ui? 622
EIdCaI EE P3G I7EPT /
• .900.0 Denotes Exisdin¢ Elevation PROPOSCO HOUSE EtEv4ria)y
oo.o benndes eropo3(ed Elevalion Lowest loor Fleva iori etz6.5&
DenotesDrolna eEUfili~lyy Easement Topof~ ftek£levorhbn 834.6(.
Denotes DrYri d~er FlOW 0ireelion Garaoe Slab Elevalon a 33
o Denotes Monul)'ient Bearin~s shown are assumed aDen D es gj1;e fib
DoT 3 RocAl 2 8WIDLE RIDGE
COUNTY, MINNESOTA
hereby certify that this survey, plan or report wes~qr pared by m or under my dii er.t supervising and th 1 I am duly Dagis tr'r erl _ Surveyor
under the laws of the State of Minnesota. Dated this 7FSn_ day of A.D. 19 .
162 LCa: 1~t40teCI~t4oIeL -II Z19.(91 RNnF_ni A. SIKICIII S. nC(:.N .]A991
Ozm
un- Pederson, Incorporated
Avera a 'U'.00 m utation
Job Site Address
Legal Description:
Lot 2) Block 2 Additionf2r I ( L't Dat J ' I
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
Main Level
Lineal' ft of framed wall above gradel~l x height of wall,- rJtl~
.Second level
Lineal ft of framed wall above grade IL4X height of wall,-
Vaulted Area
Lineal ft of framed wall above grade x height of wall -
Rim Joist Area. -
'Lineal ft of rim x height of
Lower level _
Lineal ft of framed wall above grade xheight of wall ~J - ~roZ
Lineal ft of framed wall above grade x height of wal-
Lineal ft of masonry wall above grade ho,aboVe•:gr4de -
Total Uall -area above grade including windows and doors - 2✓
WINDOWS: Brand and Typeo G,
5
Area x "U" value
q.ft. ~ x "Uu ~ •I - I~ ~
l0 q.ft. x "U" -
II 2
rasqq.ft. q. ft. x oUn q. ft. "U" .ftx null ftX nUu C,
q.
null
x null -
' III
s ft.
q• X U = r
sq.ft. x "use -
sq.ft. jc "U"'='q.ft. x nun
sq.ft. x nU"
sq.ft. x U.. -
DOOR~: Ar x " vaue GI~I.7~
'/j S.l~l2- 5 L sq.ft 3 x null sI = _E2 sq. ft ' X "U" -
sq.ft'. X nU" -
sq.ft. X "U" -
OPAQUE WALL.CONSTRUCTION: Area x"U" vi=e 3 ,~D
Fraiiing' members sq.ft x "U" ( - 133
Framed wall sq.ft x "U'
Rim Joist Area DDD~~~ III
Masonry wall sq. ff it t X "U°,~n~ -
. I~ ,CYO ~J2•
Total wall area including
Windows and • Doors a. b I~
Total(U) Values. b. 4,I- - Avg."U"
Divided byDivided totaareaarea a. 307 5~
AVERAGE "U" .Minimum .ll:or less.for 1 & 2 family dwellings
-@XfERIO1z !-liz FILM . 17
gIDIN~
'SHEATH I NCv 2.OCo
5V'22 SOFT woop !o .875
I/21 &q P. $D 46
II-ITEIZIOR ?-I R FILM Lm>3
J
Torm
U F I/~ u ; 0=( f
~R~M ED MALL
'J IV,*TaIZ10L- PIFR FILM
i'; ~U ?ITT I NSUL
&IF- 5P.
l IHTERIOE p.l R• FI LM ,~y8
'TOTAL {Z.
t4 ~ I/ rL L4 , 04
RIM JoItT AI-EP1
EXTElzlolt PdR FI LM . 17
51DINla •Co~
IVVI SoFr woov 1,85
(oll 11~5uLhTIOW I~ , pd
_ IItTERlolz pIR FILM (mS
cr_
us I/FL u° 0 1
~f~~l-l RY WP• l-l_
F)w
.17
u' ICI GONGi~'1•E ~I.OC.W 2.e}g
' o ICI ~OaM Iµ~uL,A7lOIJ /g,pp
y
aµ fEalarc P1~ FI.LM ape)
TOTAL Iz = ' °1 33
i ~xT~Rlot~- PIR FILM ,Col
, a I~ 0 ~ n-kra,c,l b~c, I I~t1Ls~'rl~l.~ 4Cd • ~
1 1 / S'S' ay P v 5!0
I wrER t oIz N ;F- r-I LM
J -PTA-L I-
~ •---1- ~ l• _ t EK~lok- ,+s~l lz ~I LM .Co l
' ' r 1• 1" ~ ~,Ir.~ip i u5u~71aN !o, cep
Ii r (Imo' F.~. 11.I~u~.A'11of-t ~t3.G~
~ ~ ~ !x'81 GYP• 1!,D•
IPrERIo1z P19- FILM ~I
L1=1/1z U= ,022
r
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # a
t{ECHATTZCAT.$BRMIT; DATE: G /
SIDBNTIAZ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
D OF 1 PER PERMIT
OWNER NAME: O 4~
$2-7L-
SITE 00
SUBTOTAL: ADDRESS: ~0 9~ /5XM 9~r/ / STATE SURCHARGE: .50
LOT: -3 B CK gS SUED. d_4p TOTAL: $6'750
INSTALLER: ti
ADDRESS: . SIGN PERMITTEE
CITY:7~ ZIP: PHONE /
"
#:~7 - IS-3
£44 ERCTAI.jINDUSTRTAV'* PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
l:1TI ur ru%v" ruK 41TI UDC UNLI ,
3830 PILOT KNOB ROAD
` w - EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 1 a
HiATC2'ERl DATE: 1
SIDNTIAZ`s PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON L SHOWER 3.00 3•d v
REPAIR -.a- WATER CLOSET 3.00
BATH TUB 3.00 900
OWNER NAME: D 7p S 72~ LAVATORY 3.00 !o•o O
KITCHEN SINK 3.00 3,00
SITE ADDRESS: n LAUNDRY TRAY 3.00 3.00
T r1 01~ HOT TUB/SPA 3.00
WATER HEATER 3.00 3.oo
LOT: _:L B CK T SUBD. FLOOR DRAIN 3.00 3--0&
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 9•00
1 ROUGH OPENINGS 1.50 3•00
ADDRESS: OTHER _
: g 5 WATER SOFTENER 5.00
CITY ZIP: Lj 5 ^ PRIVATE E DISP. 15.00
PHONE 37~15-3 U.G. SPRINKLER 3.00
0i
SUBTOTAL $
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE 5 50
TOTAL:
iAfEBG*;AI./INA7STRTAla PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100775
Date Issued: 08/29/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 692 Bridle Ridge Rd
Lot: 3 Block: 2 Addition: Bridle Ridae Ist
PID: 10-14996-02-030
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Scherer Brothers Lumber Company Jai D Chrastil
9401 73rd Ave. N 692 Bridle Ridge Rd
Suite 400 Eagan NIN 55123
Brooldvn Park NIN 55428
952 277-1600
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA101482
Date Issued: 10/11/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 692 Bridle Ridge Rd
Lot: 3 Block: 2 Addition: Bridle Ridae Ist
PID: 10-14996-02-030
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Valuation: 6.000.00 Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Holmin Heating & Cooling LLC Jai D Chrastil
900 Park Knoll Drive 692 Bridle Ridge Rd
Eagan NIN 55123 Eagan NIN 55123
(651) 405-383
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA101664
Date Issued: 10/19/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 692 Bridle Ridge Rd
Lot: 3 Block: 2 Addition: Bridle Ridae Ist
PID: 10-14996-02-030
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Penny Firkus
2650 Minnehaha Avenue
Minneapolis. MN 55406
612-276-1680
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
Crew2 Inc Jai D Chrastil
260 l\Iinnehaha Ave 692 Bridle Ridge Rd
Minneapolis NIN 55406 Eagan NIN 55123
(612) 276-1680
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131638
Date Issued:06/30/2015
Permit Category:ePermit
Site Address: 692 Bridle Ridge Rd
Lot:3 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jay D Chrastil
692 Bridle Ridge Rd
Eagan MN 55123
(651) 688-8330
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131638
Date Issued:06/30/2015
Permit Category:ePermit
Site Address: 692 Bridle Ridge Rd
Lot:3 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jay D Chrastil
692 Bridle Ridge Rd
Eagan MN 55123
(651) 688-8330
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158907
Date Issued:11/07/2019
Permit Category:ePermit
Site Address: 692 Bridle Ridge Rd
Lot:3 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jay D Chrastil
692 Bridle Ridge Rd
Eagan MN 55123
(651) 688-8330
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164965
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 692 Bridle Ridge Rd
Lot:3 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-030
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jay D & Susan G Chrastil
692 Bridle Ridge Rd
Saint Paul MN 55123--168
(651) 955-5556
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature