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759 Bridle Ridge Rd ^INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: y Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS:, APPLICANT: C_ r PERMIT SUBTYPE: TYPE OF WORK: , INSPECTION TYPE DATE INISPTR. INSPECTION TYPE DATE INSPTR. I Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector -Notify Plumber cont. Meter Engr./Plan Bldg. Final Deck Ftg. 2 Deck Final y 7 Q Well Pr. Disp. II L x Trxttftratr of Mirupattry Citp of 'eagan ~l~~r#nte>ttt u# ~iuitdittg pr>ht~mt 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: use cbmifimuon SF DWG/CAR Bldg. Permit No. 10,438 ` Occupgwy Type R3/M1 Zoning District PLVR 1 Type Corm. Vn 1 Owner of Building BASIC BUILDERS Address 2810 145TH ST W, MSI'rDO U ~ ~ 1 s ~ y ~'E RIDGE RWI(hn Address 759. 11}2=1 M Locality 10/31/9] Building 0(6cia1i_POST IN A CONSPICUOUS PLACE r MIM CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # I To be used for S!V DWG/CAR Est. Value $161,000 Date JULY 19 19 91 Site Address _ 759 1WIlIDLE RIDGE BSI? Lot 23 Block _ a _ Sec/Sub. MlbtX 211 OFFICE USE ONLY Parcel No. Occupancy it 3 M-1 FEES Zoning ~c$-1 853.00 w Name BASIC YL S (Actual) Const Va- Bldg. Permit { o Address 2810 14STR ST W (Allowable) Y~ surcharge 80.50 City WSEMOU" Phone 423-3114 # of Stories Plan Review 554.00 I Length 6k- Name SAME Depth SL SAC, City 100.00 ;i2 0¢ Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints w On Site Sewage _ Water Conn 6.00 j a ow Name ' on Site Well 95.00 t? Water Meter X7 Address MWCC System 30•00 M z Acct. Deposit aw City Phone City Water XX_ PRV Required SrW Permit 34•~ I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge • 50 information is correct and agree to comply with all applicable State of Minnesota Statutes and Gity of Eagan Ordinances,.,` - Treatment PI 216.00 Signature of Permitee APPROVALS Road Unit 370.00 ' A Building Permit is issued to; RASIC'~'31111116MRS IMC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 7 applicable State of Minnesota S atutes and City of Eagan Ordinances. Bldg. Ory Copies Building Official X - Variance - TOTAL y Na. Permit Holder Date Telephone # WATER jPerm1t SEWER PLUMBING e O ' d -0 H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I (sJ Foundation Framing D s Roofing Rough Plbg. Rough Htg.e~ Isul. Fireplace Final Htg. _ A Orstat Test Final Plbg. /L"#'1'Plbg. Inspector - Notify Plumber Const. Meter 1 _ q( Engr./Plan Bldg. Final Deck Ftg. Deck Final ev well Pr. Disp. 0 _cf_c 7 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 07/24/91 3830 Pilot Knob Rd. Eagan, MN 55122-11$97 CHIP #61.,2 5 3 _ PERMIT # 12164 C 145: METER SIZE w5 B.P. RECEIPT # DATE JULY lg, 1.9 '1 ISSUE DATE B.P. RECEIPT DATE 07/2:'; Q PRV -BOOSTER PUMP SITE ADDRESS 59 BR DLI'• .21`)CE RD PERMIT REQUESTED LOT 21 BLOCK 8 SEC/SUB BR11)LE R7l3GE X SEWER x WATER -TAPS APPLICANT: BASIC BUILDERS 114' ADDRESS: 2$10 145.1H ST V? COMM/IND _X_ RESIDENTIAL CITY, STATE ROSEMOUNT ZIP 55068 X NEW EXISTING PHONE: GENZ-RYAN Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 14745 5 Roj-xr Credit-WJLL NOT be givenfiof Deduct. Meters. CITY, STATE ROSEMOUNT ZIP 55068 423-1.144 PHONE: 1 AQE TO C SLY WITH CITY OF OWNER: SA-?E AS, EA. NORDIN ES ADDRESS: 1 CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE .ALLOW 'TWO W6RK1lNG` DA'(S FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTAICT ENGINEERING DEPT. SEWI`A 4 WATER PERMIT OFFICE USE ONLY CIT1(0F MAN METER # PERMIT DATE 34 3830 Pilot`knob Rd. Eagan, MN 55122,,A97 CHIP # PERMIT # 11~h4 METER SIZE B.P. RECEIPT # C, 145=i-,' DATE JULY 19, lqg.l ISSUE DATE B.P. RECEIPT DATE t 7r PRV - BOOSTER PUMP SITE ADDRESS 759 RR70 ,E RIDO" RD PERMIT REQUESTED LOT 31 BLOCK SEC/SUB BRIDLE RIDGE X SEWER 'C WATER TAPS APPLICANT:- EA3111. B311L11I:.P al~3t; ADDRESS: 2810 ; 5TIl ST W COMM/IND ~ RESIDENTIAL RUSE,%U IT ~50fl,€5 CITY, STATE ZIP X NEW -EXISTING PHONE: 0ENZ-RYAN Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1.4745 S ROBERT. TR Credit.WILL NOT be given for Deduct Meters. CITY, STATE ROS-EHOUNT ZIP 5065 PHONE: 423-1144 1r1!J').' ;y I AGREJE O CO, PLY WITH CITY OF OWNER: tAt'1B A.S APPLICANT EAdAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: JUL 24, 1991 R % F 759 BRIDLE RIDGE RD (BASIC BUILDERS INC) % ' Your Sewer & Water Permit for the above property has been completed. It will be held at the Public*orks 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 ND 19438 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 (A ~ t Receipt # "1 1 To be used for SF=DWG/GAR Est. Value $161,000 Data JULY 19 1991 Site Address 759 BRIDLE RIDGE RD Lot 91- Block 8 See/Sub. BRIDLE RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3, M-1 FEES Zoning PD-,R-1 w Name BASIC BUILDERS INC (Actual)Const VQ_ Bldg. Permit $ 853.00 ~ 80.50 Address 0 2810 145TH ST W (Allowable) V~ Surcharge City ROSE MOUNT Phone 423-3114 # of Stories 554.00 Length 68 Plan Review to Name SAME Depth 52-- SAC, City 100.00 g¢ Address S.F.Total 650.00 SAC,MCWCC City Phone S.F. Footprints _ Water Conn 660.00 On Site Sewage w Name On Site Well water meter 95.00 Address MWCCSystem XX 30.00 g W City Phone city water XX Acct. Deposit PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge • 50 information is correct and ree to comply with pplicable State of 276.00 Minnesota Statutes an Ity E g. Ordmanc Treatment Po Signature of Permitee C~ APPROVALS Road Unit 370.00 A Building Permit is issued to: B I BUILDERS INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnas~ Lutes and City o gan Ordinances. Bldg. Off. Copies'§Q-00 Building Official Variance TOTAL T' Address: 759 BRIDLE; RIDGE RDAD Lot 21 Blk B Sec/Sub BRIDLE. RIDGE These items were/were not complete at the time of the final inspection. 10/34/91 Yes No Final grade (6" from siding) 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. I xaxuo nrw White-- City copy Yellow - Resident copy Pink - Contractor copy Request Date Fire No Rough-in Ins k7n ~j R cared? ❑ Ready Now Will Notify Inspector Yes ❑ No When Ready' I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No) city -7s9 (,c- ZL ~ E~ V'-A- f4 Section lb Township Name or No Range No County TA Occupant (PRINT) Phone No 1 w\ W~ o 1 2 cj Power Suppler Atltlress \be A ElecZal Coniracor (Company Name) Contractors License No [3 Mailing Address (Contractor or Owner Making Installation) LZI ~A- ll~ k~ Z. \7- ~ kl 16ll 0& t\\ SSOZ- Autho tl Signawre Co npwner Making Installation) Phone Number qGo- (oz( z NNESOTA STATE RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unharralty Ave., St Paul, MN 5510,41 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED 3 /geh- REQUEST FOR ELECTRICAL INSPECTION E8-00=.08 / ► See instructions for completing this form on beck of yellow copy 3 7 8 3 X" Below Work Covered by This Request' ew Add Fefh~ Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specrM Contractors Remarks Compute Inspection Fee Below: - Tp- , PS # 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 Impecrors Use ony TOTAL Irrigation Booms 0 .1 C7 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTHS t I, the Electrical Inspector, hereby Rough n t~ale certify that the above inspec - has Final , oats been made.- OFFICE USE ONLY This request wed 18 months from Reques, ,e Fire No Rough-in In ion r RequiredO NReady Now I] WIII Nobly Inspector J Yes / When Ready' $W I I licensed contractor 7 owner hereby request inspection of above electrical work at: JggAdas (Street Box or to No add c tr ~ ~G G/ r Section No Township Name or No Range No Couryty & f(///G c Occupant (PRINT) Phone NO laaizr/ S 4s~-iZy Pewa uppljlr L / Address 217217 4 E' /r r JY/ C/MS. ~3d0 27(/ S T ~/7~ /`4 ~'srt /.~l 1'/a+il Eledr ayCOntra ICOmpany ame) contractors License No i?t7 rc~/ S "-cr4 l4/mss <AIt Zo37 Mailing ArWress IDOntraclor or Ow r Making Installation) Au,nor a gna,ure actor Phone Number S3-zf $ f MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.170 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION E9+000e1-08 @ l ` / 4 3 3 7_ • See i'struNOns br completing mis form on back of yellow copy, K T X" Below Work Covered by This Request New Add Rep: Type of Building Appliances Wired Equipment Wired 'j, I Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Other-(Specrty) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conttrr norA§ R!e,1l^arks rr -r- Compute Inspection Fee Below: G W -,o,, k7 &4ne TCv C- I Cy j/ H ~.T^ # Other Fee # Service En trance Size Fee is Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 13 1 0 to 700 Amps /ZAd Transformers Above 200 _ Amps Above 100 -Amps igns Inspecmr§ Use Only ' 00 /jA~, ~ d Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ED ONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-m pale certify that the above inspection has Final Dare been made i .7 OFFICE USE ONLY This request void 18 months from u/~/si 1oalsi1F 13 13 7 OZpl Request F21e . JA /y` Fre No Pough-I Inspecao R Yee 9 [ No J Ready Now Wllhan NorReath, I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Atltlress ISireel Box or Route No 1 r City . 7 ST i e. S.aWn No rates or No Range o County Occupant RINT) ` Phone Power qSSuup)ppli/erJ / Address Electrical Contractor ICOrnpany Namel Contractor's License No but. cf ~G Co o / 2 9 Maibng d ess (Contractor or owner Making Installalr ) 041 lsJ 4 X C oa ~✓u Author Sign a ICOmr pro 'OI at Makng 1 lationl Phone Nu ber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unn enlty Ave.. St. Paul. MN 55101. UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED Ee-oaoat-oe REQUEST FOR ELECTRICAL INSPECTION ► See instructions for cOmPleonq this form on CaCK of yellow Copy "X" Below Work Covered by This Request fV1 New Atl Typeof Buk ing Appllances Wired Equi aniWired Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks 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 Above 100 -Amps TAL , Signs Inspectors Use Only 7 TO`7~I Irrigation Booms N-~Q Special Inspection D IS P+NECTED IF NOT Alarm/Communication THIS INSTALLATION MAY BE .ERE Other Fee COMPLETED WITHIN 18 M I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Finai + been made. OFFICE USE ONLY This request void 18 months from 0//S/?/ /oa& ~Ccwi- p 50727 tle/s°° Request pate rte No Rough- ,n Inspect Regwretln [f Reatly Now ❑ Will Nooty Inspector Yee o When Ready' 1 4lIcensed contractor D owner hereby request inspection of above electrical work at: Jab Address sheet. Box or Route ) City Ile 144e- 4,W Section No Townslvp Name or No Range o County C&rl Occupant (PRINT) Phone No Po*.ec S pier AOdrabs Electrical Contra., (Company Name) Oomractor5 License No J c~°•~ 4'C/%~ Mailing tl ress (Contractor or Owner Making InslapuoN Author, Sq ICOnva `der Makm ryctallaL ) Phone Number MINNESOTA STATE BOARD OF CTRICIT`r - 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) 602-0800 ENCLOSED _ urST FOR ELECTRICAL INSPECTION ~a EB-00001-08 ► See instructions for completing this loan on back of yellow copy 1, 1. "X" Below Work Covered by This Request" t/ 7 ew Add Rep. Type of Building Appliances Wired EquipmentWtred Ho Dume_ Range Temporary Service plex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other IsVecdyl Contractor's Remarks Compute inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cimwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only TOTAL Irrigation Booms (,If O _rC.~ Special Inspection Alarm/Communication THIS INSTALLATION MAY I ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough.in Dete certify that the above inspection has Final Date ♦r been made OFFICE USE ONLY This request vaid is months from 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair 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 Cent of Survey Reod _Y _N (20%mmimum 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 - indkate ifonsde septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Run Joist Detail Options selection sheet (buildings with 3 or less units) Date ~ / _6! _ / 0-)~ n Q Construction Cost #G 6~ Site Address 75 C7 &V)(vL kI iiep Unit/Ste # Description of Work 1/J)ML at,-.) 1A),7(x1 an-atV Al-A A'-6 Multi-Family Bldg Y l- ANA f Fireplace(s) - 0 A 1 _ 2 Property Owner r.J' O M04 S Telephone # ((,-)7 )(f' / -Of Contractor Ft M'lfJ V tJI~ l~ E Address 3,0SD City /3 ~c State P"i Zip 'S733)-) Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J 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 ) 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 ca e of work which requires a review-and approval ~~N ..11 '1 ~ ~ 1 17 ~ ~ ~N Y I~ ' :2005 ~f Applicant's Printed Name App -cant's Sign - . } RESIDENTIAL BUILDING PERMIT APPLICATION Flo • S CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ; a lag Oa 651-681-4675/ New Construction Requirements RemodellReoair Requirements U' • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas • 2 copies of plan (200% 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 if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE c~/17/a -2 VALUATION JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? Xl, ` it ~D- PROPERTY OWNER , TYPE OF WORK /XX / t /PJYt~ FI ACE(S) -0 _ 1 -2 APPLICANT Nf a) 1,~5,AF `,~Ut MZ9 PHONE#Al-Ke -C076 ADDRESS f /a"ts~er 6ze~~ Do-eQg(~ ZIPCODE S~ xl/ ~~96S PAGER # CELL PHONE # if~?rt~-::~(O -6070 FAX # 95:Z - VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Sub U I~ D - Energy Envelope Calculations Submitted u L _ MINNESOTA RULES 7672 FEB U 8 2002 - New Energy Code Worksheet Submitted O'er By Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fce: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Hcat 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 Or i ces. Signature of Appllcant t 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY - 4- t ❑ 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 x 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 /00170 Occupancy L~a MC/ES System Census Code Zoning City Water SAC Units L9 Stories Booster Pump Nbr. of Units Sq. Ft.~ PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const y Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) 4 Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _Z Ice & Water ✓ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R. 1. _ Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By T 2 Building Inspector - - - Base Feet Surcharge w /1fCl~/ = 104 0- 9,~r Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies d Other Total dill 41z-_9A0_W70) Job Site Address./ ENERGY CODE WOR SHEET FOR OcktVoFaagan- ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: Complete Patti 1, 11 and III. Cleuly mark plans with: insulation R-values: window and sljlight U-values; size and r.pe of equipment: equipment controls: and location of interior air barrier. vapor retarder and wtndwash barriers. Vlore detailed information can be found in the Minnesota Energv Cwk SuarntarySheers available ti'ont the %linitesora Department of Public Service. Part I. BUILDING ENVELOPE Check option used. ❑ "Cookbook" Method (complete worksheet below) ❑ .MnCheck method (anach report) ❑ Building Component method (attach calculations) Q Systems Analysis method (attach analyafs) "Cookbook" Worksheet M1(for "Cc ~ tlon rHe"afing system efficiency: Minimum 906.'9 AFUE INSML:CTIONS Doors: Ir/." solid wood or maximum U-value of n.40 Step 1- Check item(s) that design meets on Afhzbnwn Requiremew ghts: None rmitted list to the right. Must meet all items to use Cookbook option, Insulation: Minimum R-38 Step 2. Indicate proposed wail type on table below. oist I tion: Nfmimum R-10 Step 3. Indicate Window U-value and source. s over unconditioned aces: Minimum R-30 Step 3. Verify total window (including area of all foundation win- ation windows: F" insulated glass in wood or vinyl dows) & door area is equal or less than allowable percentage tame or maximum U-value of 0.51 TABLE FOR AETERINIIPIING NfAXIMUM V&NDOW AND DOOR AREA ivimmmutn Allowable Total Window and Door .Area as a Percents ofExposed Wall . i 10% 12% In.°h 16% I81/6 20% 22% 24% 26 8% Wall T R-5 w R-10 Fouoda 'on A e Window U-value exce or foundation windows p 7 2x1, R-13 insulation. < R-5 sheathin 0.37 0.36 0.30 0.26 0.23 0.20 0.18 0.16 -0.15 0.1 Q 2X4. R-13 insulation, 0 R-5 sheathin 037 0.37 0.37 0.37 0.35 0.31 0.28 0.25 0-23 022 Q 2x1, R-13 insulation. 11 R-7 sheathin 0.37 0.31 0.37 0.37 0.37 0.34 A0.33O.30 • 0,26 014 ~ 2x6, R-19 Insulation. < R-5 sheathing 097 0.37 . 0.37 037 0.34 0.31 - 023 0.21 ZI 2x6. R-19 insulation, 0 R-S sheathin 0.37 0.37- 0.37 0.37 0.37 0.37 028 ' 0 Q 2x6 R-2I insulation, <R-5 sheathin 0.37 037 0.37 0.37 037 0.33 23 - ~ 2x6,.R-21 insulation. 0 R-5 sheaf z 0.37 0.37 0.37 0.37 0.37 0.37 0.29 0.2-7- Wall T with R-10 Foimdation Insulation , Masiman A W-mdow U-value (except foundation windows Ca .1 Q 2X4 R-13 Insulation, < R-5 sheathin 037 . '-037 a ,.033 028 025 022 0.20- 0.13'A 0-17: O.IS O 2x4, R-13 inaulation, R-5 sheath' 037 : ' '0 37 0:37 Q 37 " 037 - 033 -0.30 - 027-4 l.-US Q23° 0 2x4, R-13 inaulati 0 R-7 she 037•• ••037 '*-031' 0:37 '0.37 •0.36 - 0.33'= 0:30 -029702S: Q 2x6, R-19 insulati :0R-5 sheathing 0.37 7 - 0.37 037. 0.37 032 0.29 0.27 -0.24 .•023,.- 2x6, R-!9 insulation, R-5 sheath 0.37 0.37 0.37 037 0.37 0.37 0.35 0.32 019 012.: O 2x6, R-21 insulation <R-5 sheathin 0.37 0.37 0.37 037 0.37 0.35 0.31 029 026 024'i Q 2x6, R-2I insulation. 0 R-5 shearhi 0,77 0.37 0.37 0.37 037 037 036 0.33 0.30 018 Wall Type with 7019 Fotsrtdation Insulation : Maximum A Widow Uwakte ex t foundation windows 4 S-6 s : Q 2x4 al' insulatio < R-5 sheathi 0,37 0.37 0.34 019 0.26 023 0.21 0.19 0.17 0.161 2x4, R-13 insulation 0 R-5 sheathin 0.37 tO.37 037 0.37 0.37 0,34 0.31 018 0.26 024 2x4 R-13 insulation, 0 R-7 sheathing 0.37 037 037 0,37 0-37 0.34 0.31 018 024 1) Cl 2x6. R-19 iruulauitlon. < R-5 sheathing 0.37 0.37 037 0.37 0.34 0.30 0.28 025 0.23- Q 2x6, R-l9 insulon, 0 R-5 sheathing 037 0.3T 0.37 0.37 0.37 0.36 0-33 0.30 0Q 2x6, R-21 insulation, < R•S sheathin 037 0.37 0.37 0.37 0.36 0.32 0.29 0.27 0.25'. Q 3x6, R-2I insulation. 0 R-5 sheat0.37 0.37 0.37 0.37 0.37 0.37 0.34 0.31 019 Window U-value: Mfty t/ Source: NFRC Q Code Default Table see Part 7670.0700 100 x ~'/(0 2- L' t3 = .aS!%01 :5 .,.i.. d..... h Anne.... nmee svmtrvl W211 sr.e rlcerrm At I ntire gal r. ea..... ..6t. shnVeS Id Wd£Z:SO 2002 SS 'qad 00SS 9PS ZS9 'ON 3NOHd S63G-Iine AHS-1 M3N : W06J 00SS 979 ZS9 ' r Facsimile New Leaf Builders LLC 3317 Breconwood Circle-Wayzata-Minn 55391 Off 952-745,-4858 Fax 952-249-9492 Gr:= 994 -06 70) From:--- j'4 A/ To:-----~_~~ sJs~ s~ Ir5~~4if _r Cz~ ~ Number of pages including cover: _ Zd Wdb2:T0 MOO TT 'qaA 00SS 97S 2T9 : 'ON 3NOH8 Sd3Q-IIf1H dd3l M3N WONd 612 546 5500 PROM :'NEW LEAF BUILDERS PHONE NO. : 612 546 5500 Feb. 11 2002 01:15PM PS 9V0 -06 70) ll\ lob Site Address^ 75-49 ENERGY CODE WOR SHEET FOR 11CRVoFaagan ONE & TWO FAMILY DWELLINGS l',STRCCTIOYS: Complete Paps 1. it and III. Clearly mark plans with: insulation R-values: window and sk~•light U-values: size and rape of equipment: equipment controls: and location of interior air barrier. vapor retarder and windwash barriers. %fore detailed inturntaaon can be found in the Atinnesoro Eneigv Code Stimmam Shevis a%ailable from the Minnesota Department of Public Service. Part I. BUILDING ENVELOPE Check option used: C) ''Cookbook" Mtethod (complete worksheet below) hlnCheck method (anach report) rJ Building Component method (attach calculations) p Systems Analysis method (attach analysis) QUnUMENTS k"g ioa) "Cookbook" Worksheet MINIMUMREoo for "Cowkboolc° Option) Hearne system efftciencv: Minimum 90% AFUE^ INSTRC'CT[ONS Ea Dewrs: lie." solid wood or maximum U-v3lue'of o.40 Step L Check item(s) that design melts on Minimum Regvbemenrs Skyli ts: None mud list to the right Must meet all items to use Cookdbook option. Ceili Insulation: Minimum R-38 Step 2. Indicate proposed wail type on table below. Rim Joist Insulation: Minimum R- it) Step 3. Indicate Window U-vahta and source. Floors over unconditioned aces: Minimum R-30 Step 4. Verify total window (including area of all fouadWon wits Foundation windows: ''A" insulated glass in wood or vinyl dows) 8c door area is equal or less than allowable percentage frame or maxima U-value of 0.51 TABLE FOR DLTERrIJ1VING MAXIMUM WLNMW &ND DOOR AREA Maximum Allowable Total Window and Door Area as a Per a of will ~ 104% 12% 14% 16% 18% 200/6 22% 24% 26 28% Will Type ( R-5 to R-10 f0tmdatiou Instal.. Muhnam A Window U-value (excem faundadon windows ev ❑ 2x4. R.13 insulation, <R-5 sheathin 037 0.36 030 026 0.23 0.20 0.18 0.16 0_I5 0-11 ❑ 2x4. R-13 insulation. 0 R-5 sheathin 0.37 0.37 0.37 0.37 0.33 0.31 0.28 0.23 D33 022 ❑ 2r4, R-13 insulation. 3 R-7 sheathing 037 0.37 0.37 0,37 0.37 0.34 0.31 0.23 026 024 - ❑ 2x6, R-19 insulation. < R-5 sheaihin% 0.37 0.37 0.37 037 034 0.31 028 0.25- 023 021 J 2x6. R-19 insulation, O R-5 sheathin 0.37 037 - 0.37 0.37 0.37 0.37 0.33 0.30 028' 0 * 2x6, R-21 insulation. < R-5 shcathin 0.37 0.37 0.37 0.37 0.37 0.33 030 027 23 ❑ 2x6. R-21 insulation. 4 R-3 sheathin 0.37' 0.37 0.37 0.37 0.37 0.37 0-35 0.31 029 027 A WindowUwalue foundation windows co Wall Tv ' with R-IO Foimedatioa ir+sttlatitas Maxiantin ❑ 214, R-13 insulation, < R-5 shembin 0.37 - 037- ;033 028 025 0.22 010 0.18 s ' 0-17; 0.lS D 2x4. R-t3 insuslation. 0 R-3 she 037 -037. -037: 037' • 037 0.33 0.30 - 017N :0.25: '023° ❑ 2xa. R-13 insulati 0 R-7 sh 037 "0.37;= -°037-• 037 037 -0.36 0.33:4 030 --027-= 025 ❑ 2x6, R-19 insulatio <R-5 sheath 0,37- 037. 0. 7 037 - 0. 7 0.32 0,29 0.27 • '034 . 0 i a 2x6. R- i 9 insulation 4 R-S sh 0 37 0.37 0.37 0.31 037 0.37 0.35 0.33 029 027.: O 2x6, R-21 insulation. < R-5 sheathing 0.37 037 0.37 037 0.37 0.33 -0.31 019 0.26 024'± 2x6. R-21 insulation, 0 R-3 shcashin 037 0.37 037 0.37 0-37 0.37 036 0 33 0.30 029- wait T with RO 19 Foundation lasulation : Maxim wn A Window U-value (excat (ourAadon windows ea 5.6 sf): - D 2x4. R-t3 insulation, < R-5 shauhin 0.37 037 0.34 029 0.26 023 0-21 0.19 0.17 0.16 ❑ 2x4, R-13 insulation, 0 R-5 sheathing 037 0.37 0.37 0.31 0.37 0.34 0.31 028 0.26 0.24 O 2x4, R-t3 insulation. 0 R•7 sheathin 037 0-37 037 0.37 0.37 0.37 0.34 0.31 028 024 2x6. R-l9 insulation. <R-5 sbeamin 0.37 0.37 0.37 0.37 0.37 034 0.30 0.28 025 0.23- ❑ 2x6• R-19 insulation. 0 R-5 sheathing 037 0.37 0.37 0.37 0.37 037 0.36 033 030 028 ❑ 2x6. R-21 irmulatieo. < R-5 sheathia 0.37 037 0.37 0.37 0.37 036 032 029 0.27 025'- 0 2x6. R-2l insulation. 0 R-5 shaathin 0.37 037 0.37 0.37 0.37 0.37 0.37 0.34 0.31 039 Window U-valor(: . MAWN✓ Sawee: NFRC a Code Default Table (see pan 7670.0700 Ahn 100 X ?.A_~ C OF-70,0 % window dt door area gross exposed wall area DESIGN ALLOWABLE (&om table above) ` ;ers inc. Sa'~ 195th Street / L ' ot., MN .55068 I ^56 DELMAR H. SCHWANZ ~K_ •W- Sp~~ LAND SURVEYORS. to RspNNnO UnDe1 l..* ,w~ of of Tho M S Sine of Mmna.da r~Y~_•J ~,~p 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 ,23.1780 SURVEYOR'S CERTIFICATE P(~ Z KDA [~i 1 Pt ^ Scale: 1 inch 30 feet Nay 360441 l ❑o Set wood hub f- deli e~) A 2 rqoA- Spot elevation, existing pr ly O CD= Proposed elevation 0 \ O .3V i ' 1 tc C~J Proposed garage floor elev. 904-5_ p Proposed top of block elev. 09 ¢.8 v IS I~g \ Proposed lowest level elev. 896.8 D tv I \0\ V' >P y t s ti~ ~ / /a <a°\V ~ O 10 \ \ Q t pf ~ c \ IJ e~\ \ ~ 'r1 p r ~Ur \ (b e D y,5 P r gal wtyz l n 9r- Ip m~ b~ f~ ,a Y~ S pAll' Fas~n~rr~T ~ ~ gq3 8~ {~~.,.r4~ 11 < tlt8 ID Pots M to rz,o8 rd7- 503°4e~92"b K TDn tvaA ~ lz~~ ygq.f. Cie L ,rtJE scription: Lot: 21, block R, BRIDLE RTDGE 1ST ADDITION, according to the recorded plat thereof, Dakota County, MN. ' Also showing the location of a proposed housa ?~5r>s~e1t@Siut~h'cYebtira ~ I hereby certify that this survey, plan. or report was _w \N prepared by me or under my direct supervision and [hat I am a duty Registered Land Surveyor under = DELMAfi II. BA' the laws of the State of Minnesota. SCHWANZ _ 8625 - Delmar H. Schwan Dated 07-15-91 %1' + is ~9•. : -O2':; Minnesota Registration No. 8525 'Gd•.. y PERMIT CPTY,bF'EAGAN -9 3 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021193 (612) 681-4675 Date Issued: 06/28/93 SITE ADDRESS: 759 BRIDLE RIDGE RD LOT: 21 BLOCK: 8 BRIDLE RIDGE P.I.N.: 10-14996-210-08 DESCRIPTION: 't B,ailding, Permit Type DECK building Work Type NEW Building LeAgrth 43 Building Width 16 W ac~* ju REMARKS: FEE SUMMARY- Base Fee $25.00 COPIES $1.00 Surcharge $.50 Total Fee $31.50 Lic. Search Fee $5.00 Subtotal $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: SPURGIN CONST 14634381 0004413 MORRIS JIM 4920 204TH ST W 759 BRIDLE RIDGE RD FARMINGTON MN 55024 EAGAN MN (612) 463-4381 (612)454-1291 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 Mn. Statutes and City of Eagan Ordinances. to SI U AIWLICANT/PERMITEE SIGN ISSUED W. SIGNATURE REACTIVATE R(~(~[~NED CITY OF EAGAN PERMITAU• 993 BUILDING PERMIT APPLICATION JUN 0 9 1993 681-4675 te I )I ~5,et,~Vj / 3 0, 11 e~ r SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work X800 Site Address: 75-9' /rael~, STREET SUITE 0 Tenant Name: (commercial only) BLOCK SUBD. P.I.D. M Description of work: TLa-IL UU(OOOOJ The applicant is: ❑ Owner Contractor ❑ Other (Describe) !~s-5~-iz 9 i Name 4&aerr s ,W7 Phone Property LAST ~j~ FIRST Owner Address 7Sl9 Gt>/'ic~ STREET STE 1 City o, State _//e zip Company f- 74.re~ o, 'f/o., Phone Contractor Address 5'9 Za 7 o yf Sf. License #1 E x p City 44 f;njjj i9 State Zip Ss az si Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has be n 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 U5E ONLY s BUILDING PERMIT TYPE ❑ 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. Add'l. fi]~15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE t, 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 Fl. sq. ft. City Water UBC Occupancy ~ 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump #F of Stories Footprint Sq. ft. Fire Sprinkler Length 03 On-site well Census Coder Depth On-site sewage SAC Code -7- APPROVALS ° Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 2S100 valuation: $ Surcharge Plan Review License T MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies - 1,00 Other Total: SAC % SAC Units ,Jers Inc. • •./'185th Street or At, MN .55068 155/6 DEL MAR He SCHWANZ LAND SURVEYORS INC Reglelered Under Lwn of The State of Mlnneente 14750 SOUTH ROBERT TRAIL ROSEMOUNT• MINNESOTA 55088 612/4231789 SURVEYOR'S CERTIFICATE N hjpv A Scale: 1 inch 30 feet V/---t M11 ❑ =Set wood hub ag1~ 141 Q Z4 oop'p= Spot elevation, existing Zy 0 = Proposed elevation o~ 3° '1 It ra CL Proposed garage floor elev. 9D4.✓~ Proposed top of block elev. 09 d•8 D o 9g ✓/1p.% - QD1a 71F~(f \ Proposed lowest level elev. 896.8 M Vi ~ bye 1\yc, • % l`l°P' ' ~ ,~y l0Z a ` a zo Ov % i o- el ~ :n \ \ g A r \ 0 `a \ a Z ~ a~,. nD zL oees•~ gq1 ey IS v \ rW~ o \ u n r 5 p ~a e Li ~ 9m Ipg%+ It W, l UT U,1Y1e ~y gIP)RC,C J S ~ASF~\~=~Y G/ o f4 ~ r ~y$. K 89 ~f5 g~y.3 IZ.OS L=lOZ.95 r SDK°Q~Bn nRg OFD 9q4 ~ E,e L~r.IE Description: Lot 21, Block 8, BRIDLE RIDGE 1ST ADDITION, according to the recorded plat thereof, Dakota County, MN. `eT '.r % ' ~1 Also showing the location of a proposed hous~ 11 hereby certify that this survey, plan, or report was 3~~: r prepared by me or under my direct supervision and that I am a duty Registered Lend Surveyor under r DELMAR H. 1.W the laws of the Stale of Minnesota. a I SCHWANZ - X// •9N ~j" " (,i(/N{J 4 1 - b625 - r ? Delmer H. Schwartz Dated 07-15-919\ Minnesota Registration No. 8525 yi fi arWlfu R ln➢tJO~h"" 1991 BUILD G I AA1~ CIT SINGLE FAMILY DWELLINGS N2LTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL \ . 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL'TIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECI`FIGATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OP.-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. r~ Q LTjBa Used For: Valuation Date: Site Address 7s /a1/ coo OFFICE USE ONLY Lot Block -21' FEES.'y Occupancy Bldg. Permit,, D ed'+ { Zoning Pp Surcharge Parcel/Sub ~ Actual Const V-N Plan Revieca'' ~!ee Allowable ~I-h{ SAC, City /OOrQ17 Owner s,Y~ryYIF_C ArAt'i k4rcr , # of stories SAC, MWCC; Length b8 Water Conn,'.,, Address LY6oZS /gj kcc- Depth S7 Water Meter S.F. Total Acct. Deposit © Gq City/Zip Code 1~? Ss~.3 7 Footprint S.F. S/w Permit 3D eC S1W JCL[ Surcharge ,00 Phone 7 / On site sewage- Treatment P1. 296, q Q On site well Road Unit 370;00 Contractor MWCC System ✓ Park Ded. City water Trail Ded. Address C;wl nn ) PRV Copies 4Q Booster Pump SUBTOTAL Codle City/Zip /o~< j 3117' { (9/ Z / APPROVALS _ Penalty ' Phone `f Planner Lot Change Council TOTAL Arch./Engr. P A4166 , yC Bldg. Off. L 7 -/9 p/ ~~T777 Variance Address City/Zip Codell Phone # Se /Water Licensed C r. , agrees that all work shall be.done isacc"ardance with gna re of o ractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. It I All* U' u c:o GGA2A`~ ~ - , 3z )e 2~ c ~~o Ib'= la Sdo T3SMT'„ ,32 ~y = `768 ~D x 3 = 30 ;2 ~e Ix1~-- 12 61't3 `7» )ST FLoora. r5 j r )S6Ll (i1zX9 = ~ , 15r1g K 53= $363W 2rvD F1.-,on- ay y $1~, I x 4~ 42 S z Y. T.3 1(D~Z1W o12 l6 f0~o Certificate For: ' Basic Builders Inc. 2610 West 145th Street a Rosemount, MN .55068 155/6 t DELMAR He SCHWANZ LAND SURVEYORS. INC Registered Under Lem of Tne Slam °r Minnesota 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 812/423-1789 SURVEYOR'S CERTIFICATE Z BOA N P/~~ v Scale: 1 inch = 30 feet ~q4 112 N\ 36004' t aI ❑ =Set wood hub ~t?I Njqj 41 0. Z ' xgo2 =Spot elevation, existing pt Zy (D= Proposed elevation 3V \ i Ir CL Proposed garage floor elev. 904.5 ✓ p- CI Proposed top of block elev. 09 4.8 15 g1 \ Proposed lowest level elev. 896,8 Ug h~ V/ 902.8 p.~ br, ; OR - 1„ 1b qo2 3 P Gov ~ ~ /4a''~ tom` t q~ ~ o ioi•~ i z el~ P ~ c \ ~ \tiv. \ q~. 6DZ OQ°~a~ ggq~y IS f'rai6 A \ ? ma" ~ n Y _ M S 8.8~n _91~ Ip ~g-- z \ ~ \ N3)L It~g~ P m £ ~TIV~~ \la \ Alh\R6E 5 _ FASFm~ o ° q,ll,., ~Qz LL9.80 843 ~h gyy,3 2,08 L° ldz.95' /I do ~tl 503°98~9z"E o t Ton oars % 70AP ga4b E,k7 LE04E Description: Lot 21, Block 8, BRIDLE RIDGE 1ST ADDITION, according to the recorded plat thereof, Dakota County, MN. 3 --azt~ c~ Also showing the location of a proposed housU< tTiezebn:./ ;f By agate tr rtG'S1t~ ~.x ~r,+.- Ixt I hereby certify that this survey. plan. or report w89 N E!~1..... J ' Ga~• '3 < ~ A j i' prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under r DELMAR H, ' = 1 the laws of the State of Minnesota. ~ i SCHWANZ s i = Delmar H. Schwanz Dated 07-15-91 $625 Minnesota Registration No. 8825 'o A m S I R t y t~ °`6 MINNESOTLSTATE ENERGY'CODE CALCULATIONS' - BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION J Adoption Effective Owner V I rn $ _ ~f)~ ~Q Phone ^ ~ Da e Site Address LOT 21, 6lot k S ~ ER , o.>: za>6& ISF A bm+ T~ Contractor -Phone Building Classification: Type Al (Single Family & Duplex) 711 ' Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Complete pages 3 and 4 first. GENERAL INFORMATION 1. Building Perimeters G~ IV WOF L5i4fiNft. 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimensions (L) X (W) = tU~(P sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor joist size (2 X 10 ) ~ X 1~3j (Perimeter) = r sq.ft. 12 6 . Doors - Area C~l Th4.c'.:n^rn in n_ factor i Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. L 8. Windows: Manufacturer Ii~~j~i~i~~!Yl ! S State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL h 0 EACH UNITS SQ FEET I~Jo2 9. Total sq.ft. Glass 10. Fireplace area: Width X Height = X = sq.ft., i 11. Exposed foundation: Height X Perimeter OL01 X 15~ = IZ5 Zty /sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE :ALLOWANCE, IS USED. 12. Framing area 10% of gross wall `'area. 13. Gross wall area ~~/d•1D sq.ft. Window area A-34~, ✓ sq.ft. U windows 5(0 UxA Rim joist area A ,21 sq.ft. U rim joist= r~ UxA = Door area A ~ sq.ft. U door area= UxA = 92 G Other doors area A10sq.ft. U other doors= ,4 7 UxA = q -5 Exposed fndn A 125'•Z sq.ft. U foundation= • O, UxA = q21'57, Framing area A~~ ( 1101 11 .ft. U framing area=,2v I5 UxA = "5z. Z, I Net wall area A~-Z"l,~sq.ft. U wall= '04✓ UxA = 1 ~o (13B) TOTAL . . . . . . . . . UxA = ~ I 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) v2, - BTUH must be larger than or same A x U Code I OF. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area = (L) X (W) _ = I ('0 L ~ sq.ft. 15B. Joist area (Af) = 10% ceiling area = L sq.ft. 15C. Net ceiling area (AC) (15A - 15B) _ sq.ft. U ceiling x AC = x 4 = 3z- g I U framing x Af = oz3 x I(S,5 = ; ,~5 15D. TOTAL U x A '35,14- 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) BTUH must be larger than or same A(15A) 0L(0 x U Code • OZ& = Z,Zg OF. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature -2- ~ j• ~ ~ ~ ~ ~ ~ due f tveyZ+z^- *ySa a ~ a s W o~ sir" _ - - - - - - - - 721 3, Z= - ~~Y - - SXC-Fz 35-35) , I o 1, I x~~o = 7,-o 7 II1 z 5X` Z~ ,5 T ry=~,oX,= C. , II Zpx3z - v.o~Z X2.,0 li IZX~? 5,5x Z - li~o g4 4ei x - n F. I a o- r J"r - z i Y 4 ~a .,e+ "h C411- : _ ~ ; Y'+^ _ ~Yr: .rG +.4M.4,,:".S. t ^ i~- try, m~^"~'S"~ . -.>v .^'fi, n .._r+: ~f A r..4,.;.a,,~.... •4r7 (hall) U R' a S'tCTIOtt i Interior well Insulation Iq,O , } Sheathing L o(n ! Siding (07 Outside air film l) R TOTAL L3 , O ~j Inside.alt film 68 STUD Interior will .4 7 SECTION 4" stud Ra 4d)p (0,~J (Ftaming) U Sl.eeR tlring Z.O0 Siding cq,5 Outside air film ,O R TOTAL I p , rjj Interior wail SECTION. Insulation ' all U r--~ TfgSe Z R ! xtetlor well covet n Exterior air. film' R ~ jI Nor R TOTAL interior ■Ir film R~ .68 Rltl a Insulation IT 00 JOIST J`-% l4 [nth soft wood R=1.88 (Rlm U Joist) Sheathing Exterior we~l toveting .(0-1 s Exterior alt film Ry .11 R TOTAL Interior air film R" .68 Insulation 11.0 \ ruundatlon (,L~ l (Fdn.) U ■ Exterior alr film Rs .11 . O1(o R TOTAL 3 . ( 3 xposed Block rada J, CEILING WITH VENTED ATTIC SPACE-ABOVE R VALUE R VALUE FRAMING CEILING 0.61 AirFilm ,{0.61 Insulation 44 - D 4.38 Joist 0.56 Ceiling 0.56 0.61 AirFilm 0/./661 OL_ . ~Z Tota1R • lj/ D2'J U = 1/R c Z window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 1211 concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT X V ma"Nom DATE: / NOW= 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 SHOWER 3.00 REPAIR e? WATER CLOSET 3.00 7y~ BATH TUB 3.00 LIE; LAVATORY 3.00 OWNER NAME: 0 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: ~S "-,V- HOT TUB/SPA 3.00 p WATER HEATER 3.00 LOT: 02/ BLOCK O SUBD. FLOOR DRAIN 3.00 INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. GAS PIPING OUT. (MINIMUM - 1) 3.00 ~ ROUGH OPENINGS 1.50 DSO ADDRESS: 14745 South Robert Trail _ OTHER _ _ WATER SOFTENER 5,00 CITy: Rosemount MN ZIP: 55068 PRIVATE DISP. 15.00 F;:ONE 612 423-1144 U.G. SPRINKLER 3.00 SUBTOTAL $ V& 5 24 ati ST. SURCHARGE .50 SIGNATURE OF ERMITTEE L/' dm TOTAL: S M- W 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: 18 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 CITY OF EAGAN L a1 B MECHANICAL PERMIT RECEIPT # SUTBD• (612) 681-4675 DATE (p - RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMESICONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: t) FEES STING $ 15.00 SITE ADDRESS: ` f 1le- ~I M. ADD ONWKMODEL CONSTRUCTION ONLY) INSTALLER: diY i"6r(oA, HVAC: 0.100 M BTU 24.00 PHONE 1466-0 ADDITIONAL 50 M BTU 6.00 ADDRESS: V~ r j ~I IJ~ GAS OUTLETS - MDNRMUM 1 Q $3 EA. Cny.- Vi -v7 11 UfYlS 6 ZIP:!55 33~ SURCHARGE $ SO SIGNATURE TOTAL: $ S0 COMMERCIAL S A PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE $25.00 OWNER: TOTAL.: $ SITE ADDRESS: TENANT- „ SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE SIGNATURE ~o.6° 1A11(69 2007 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 ~I 4 1 D Site Street Address ~l ~l'iC«e t5'G~ ~C~ Ea G~ Unit# Property Owner J o6~ N Nto v i S Telephone # 69(o7 Contractor DYouo Pro Pluv b~" Telephone# (01152) 461 6R4l Address 55(5 Zo q~ -5E City Lam v i H e State MtS ZipJ J5Fo4 The Applicant is: - Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the neo~nr~g appliance(s) you are installing. ll t II11 -Septic System Abandonment MAY 0 7 1007 U -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 - new _ replacement _ Lawn Irrigation _RPZ PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 3 co S U 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,^b``In//egreviewed and approved. E)ebDfrCL I~ Lo_v,5 of , ~ d4Q i Applicant's Printed Name A pf cant's Signature CITY OF EAGAN FOR CITY USE ONLY + 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE: SID N1IAh PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & 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 ✓ OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ 33 SITE ADDRESS: ~S STATE SURCHARGE: .50 ~o LOT: o,91 BLOCK S SUBD. TOTAL: $ 3 INSTALLER: GENZ-RYAN PLUMBING & HEATING COMPANY- ADDRESS: 14745 South Robert Trail SIGNATURE OF PERMI TEE CITY: Rosemount ZIP: 55068 PHONE 423-1144 09MMER0.14AN`D[P$TKT.ALS 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 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN O 3830 PILOT KNOB RD - 55122 v C~ C) 651.681-4675 ep~ I I - _ New Construction Requirements RemodegReoairReaufrements • 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; andall roofed areas 2 copies of plan (20% maximum lot coverage albwed) • 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 Indicated home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after MIMI • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) / DATE Id I VALUXION e-o~- JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW M4 4Y UNITS? PROPERTY OWNER- TYPE OF WORK 4"A 12&7,011= 1 FIREPLAC - 0 - 1 - 2 APPLICANT'Qjas I ~/F Lmvle ~LI.UI PH NE# /~-~{yU~~T~ ADDRESS ~j /!2 8A"49'f. GctC Q//c4_Q9AE, ZIP CODE ZS~ PAGER # CELL PHONE # lUlZ`~Z~ld -GYj9~) FAX #Z -4y~Z NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted r-.------~-n - MINNESOTA RULES 7672 New Energy Code Worksheet Submitted UGT 30 Q0Dl U Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler „ 3 Fee: $9" Water Heater - No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ 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 into Lion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or . nc s. Y Signature of Applicant C/~/~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required - Updated 1101 OFFICE USE ONLY ❑ 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 2toUO Occupancy _R MC/ES System Census Code L/3,1 Zoning T 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) FinaMo C.O. Footings (addition) _ plumbing Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final = Other - - Framing Pool Ftgs - Air/Gas Tests Final Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone - Insulation _ Windows (new/replacement) Approved By Building Inspector - - Base Fee Surcharge > Plan Review /f ( P( ~~~2~ ~2 MC/ES SAC r L City SAC Water Supply & Storage ~l S&W Permit & Surcharge 0 ~ Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Use BLUE or BLACK Ink `1G I For Office Uset q ~i I i Permit 1 07 I` D of Eajan I permit Fee: Coco I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: 2 l7i Phone: (651) 675-5675 l I~ I Fax: (651) 675-5694 fl O ,-o °E ih ~'~~u"► ib staff: - - - - - - - - - - - - - - - - - J 2012 RESIDENTIAL PL PERMIT APPLICATION Date: ~ Site Address: r Tenant: i%VW) Suite ~ Name: Phone: Address / City / Zip: o Name: License #:J bUl~l 11, r) Address: 33M Wry P) 'N~ City: JU 0S~-L C State: Zip: Jc. Phone: ~ J c Contact: QIUL ReAPW Email: New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. ` Description of work: Slaw hhad W RESIDENTIAL tW" ? w, Water Heater V i L i 1 ' Water Softener xes Lawn Irrigation RPZ PVB) ~R~Ifltt' Add Plumbing Fixtures (-Main Lower Level) *z Septic System New Water Turnaround Abandonments RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 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) 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plans ina the case of work which requires a review and approval of plans. n Applicant's Printed Name Applicant's ignatu is w fN 1- 1 ,,A,a S~~ 'yq R~ s 130 ~}f= u PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147070 Date Issued:12/07/2017 Permit Category:ePermit Site Address: 759 Bridle Ridge Rd Lot:21 Block: 8 Addition: Bridle Ridge 1st PID:10-14996-08-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David L Miles 759 Bridle Ridge Rd Eagan MN 55123--168 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature