742 Bridle Ridge RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 742 Bridle Ridge Rd
Lot: 13 Block: 9 Addition: Bridle Ridge 1st
PID:10- 14996 - 130 -09
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Permit expired without requ
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
ed inspections. 12 -1 -09 CE
ME - Permit Fee (Replacements)
Surcharge -Fixed
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Eagan Hills Farms Joint Ven
742 Bridle Ridge Rd
Eagan MN 55123
Issued By: Signature
Mechanical
EA088748
04/16/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
"• °' ,x 3830 Pilot Knc
.
?? .
? 'BUILDING PERMIT
To be used for tA$it ?`i/GA$ Est.
x
Site Address 742 $[itIDILE RYDCE I
Lot t 3 Block 9 5ec/Sub. NM
Parcel No.
W Name DAtt A #_UNE p Ml3
c o Address '?+1,?_? FA('•??tf?_gt.
I'-= ; Address
V
a W Clty
l heseby acknowlege that I have rea(
information is correct and agree to
Minnesota Statutes and City o( Eagan
Signature of Permitee --
A Building Permit is issued to:.RAY
on the express condition that all work
applicable State of Minnesota Statute;
CITY OF EAGAN 15
? ? ?
oad, P.D. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ? ?
??
Receipt # .
e $175*000 Date JUL 2 2 199t ?
,
a
OFFICE USE ONLY
OCCUpancy Rr3 I" FEES ?
Zoning PD 24 9
? (Actual) C4nS1 Bldg. Permit
' 1,14 (Allowable)
Surcharge
I-UQ IA 2 # of Stories
Length Plan Review
pepih 421) SAC, CitY
B.F. Total - SAC, MCWCC
S.F. Faoiprints
On Site Sewage _ Water Conn W w i
On Site Well Water Meter 95,?
MWCC System ? 30«?
CitY Waler ?( ACCL Deposit
PRV Required - S/W Permit 30*00
nd state that the Booster Pump - S/W Surcharge •? ;
plicable 5tate of
Treatment PI 276+00 ;
APPROVALS
Road Unit '
370•00
RU$??NU Planner - Park Ded.
cordance with ail Council
Ordinances. Bldg.Off. _ Copies
Variance ? TOTAL 3, 787'C*
_ui.c.. ,.., .„_....... .....e „?...._....J.r.u:f.i...s.?ti.u.:.:...i... ...,_?,v,._...`u.?w..,..,y.. '
e...::t'..a:'u:....a..a...,w,..?.,,x
Permit Na. Permit Holder Date Telephone #
WATER
SEWETi
PLUMBVWG
H.V.A.C.
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation ??? 2zz .
Framing bm?
Roofing
Rough Pttrg.
Rough Htg.
A n ,4
4l' ivi
ISUl. ll 'S " / OS A G'k
.]
Fireplace
Final Htg.
drstat Test
Final Plbg. Pibg.lnspector - NotifyPlumber
Const. Meter -ZQ'- `
Engr./Plan ?
Bldg. Final
Deck Ftg.
Deck Final
Weli
Pr. Disp.
r - .0
f :?S
7
(grr#?f'tra#r of (or???aury
,
Citp of Cagan
? iotpt'ttt[m rrf lwditT 3ttopkytimt
77ris Certificate rssuead pursuant w the reqldremenu of Sertian 306 of the Unifarm Building
COde certifyinS rhat a1 the time of issuance this saucture Kws i?r compliance witla ihe variaus
ardinunaes of [he City regulvlrng building co7slrucuon vr use- For the following.
Ux dusi&arion DRUIW Blda. RYmn Na 19454
O-V-7 TS'P- Zoaii+g i)&tict ++% ?•, t T_ f',r.a VN
L-
POST IN A CONSPICUpUS FlACE
I 3830 P
Eagan,
.
I DATE
SITE ADDRESS 742: BR:_ t'IE E
LOT L' BLOCK 9 SEC/SUB _
APPLICANT:
ADDRESS:
CITY, STATE '
PHONE:
, .,. ,... . .,
,. . ., :,
aFFICE USE ONLY
METER ? PERMIT DATE 07124/91
CHIP # PERMIT # 12174
5
METER SIZE B,P. RECEIPT # G 14u4
ISSUE DATE B_P. RECEIPT DATE
- PRV - BOOSTER PUMP
PERMIT REQUESTEO
i - X SEWER -% WATER _ TAPS
COMM/IND ? RESIDENTIAL
X NEW - EXISTING ,
Lawn Sprinkler Meters are to be Installed
PLUMBER: C-EA'.Z--UAN Pi.tt?:BING Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 ''i ROBIiR'C T_r, Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP 5 5;:it: ? •
PHONE: 423--11.44 ? ?_ •? :... t ? 4' :?C ,
I AGREE TO COMPLY WITH CITY OF
OWNER: i'.A' I i:Yrs?:aL EAGAN ORQINANCES
ADDRESS: 3055) LAGANDAI?:; PT, APi 734
CITY, STATE EAGAN MW ZIP
f;3--?: 1:3`?. 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; aUL 24, 1991
a
RE: 742 BRIDLE RIDGE RD (RAY & LYNP1E PERNSTEINER)
X
Youir Sew$''r & Water Permit for the above property has been completed. It will be hetd at the
PubliF,.l+Vorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAUi. PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
f
Your Sewer & Water Permit for the above property cannot be completed for the fallowing
i 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 Inspector5 - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GQS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WQTER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122. $97 GHIP #
DATE .' 22 . ? 9;:?i
CITC nnnoCcc 7G? RP 71'13.Fv-^K?7n1_1.. , - .! .
LOT 13 BLOCK 9 SEC/SUB b.' fib 1, i= R Ti?GE 2>?'
APPLICANT
ADQRESS:.
CITY, STATE ZIP ?
PHONE:
PLUMBER,, G?.=•N7-RYA?I 1.'11?i?'i'?i1;(?
'
ADDRESS: 1G+7?+5 S ?.CB?:?ZT T.lt
CITY, STATE I?(?5E3?ibUN"' _?h ZiP 55068 -
PHONE:
I OWNER:
L CITY, STATE
PHONE: -
, F.
?.{+,R???.? f+y. I?,j..: ?. ' . . . .
ME7ER
#
METER S?ZE ?/'?
ISSUE.DATE ??f -
ti -
.
ZIP
usE oNLv
PEFyAAITDATE 07%f24/91
PERMIT # 12174
B:P. RECEIPT # C 1464 5
B.P. RECEIPT DATE 071241 91
PFIV _ BOOSTER PUMP
PERMIT REQUESTED
X_ SEWER -'? WATER - TAPS
- C(7MM/IND : RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr?dit WILL NOT be given for Deduct Meiers.
?' . .
I AGREf TO COMPLY WITH CITY OF
EAGAN ORDI _ CES
LA-
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW 'TW6' 1NOItKING DAYS FOR PlkOCESSING. GALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, GONTAGT ENGINEERING DEPT. .
RESIDENTIAL
BUILDtNG PERo IT?GP?PLICATION
'
3830 PILOT KNOB RD • 55122
657-681-4675
New Constructron Reauiremenb
• 3 regislered site surveys stwwirg sq. tl. of lot, sq. ft. of hause; and ell rooted areaz
(20% mazimum lot wverage albwed)
. 2 copies of plan showing beam & window sizes; poured tound desgn, etc.)
. 1 set of Energy Cakulations
. 3 capies ol Tree Preservatian Plen if lot planed after 711193
. Rim Joisi Defad Optbris selectlon sheet (61dgs w%h 3 or less units)
DATE 'J -?)& - U `
JOB SITE ADDRESS i-LL
IF MULTI-FAMILY BUILDING, HOW MANY
PROPERTY OWN
? W. 66
Called 5-31-61
RemodeUReoair Reauiraments b"
• 2 wpies af plan '
• 7 set af Energy Calculatbns for heated additians
• 1 site surrey for exteriw addilions 8 decks
. Indicate fl home seived by septic &yslem tot addiliore
VALUATION ? 4 qQ E CM
TYPE OF WORK ':? ),.,Y-\ , ?cb
APPLICANT 2 Okq Th S V\Sk lY\ey"' _
ADDRESS
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULF.S 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted
U
_ MINNESOTA RLTLES 7672
- New Energy Code Wotksheet Submitted ( L
Plumbing Contractor. Phone #: I"Y
Plumbing System Includes: _ WaYer Softener _ Lawn Sprinkler, Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
FIREPLACE(S) >L 0 _ 1 _ 2
_ PHONE# CO Sl ` I?% __(J
ZIP CODE S 5113
Phone #
Phone #
Fee:
$70.00
All above information must be submitted prior to processing of appiica6on.
I hereby acknowiedge that I have read this application, state that ffyq, information i rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r inances. 1
Signalure of Appl(cant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1N1
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 07 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex ? 20 Pool ?
? OS 06-plex ? 18 Fireplace ? 21 Porch (&sea.) ?
? 09 07-plex ?17 Garage 00 22 PorchlAddn.(4-sea.) ?
? 10 OS-plex ? 18 Deck [7 23 Parch (screened) ?
? 11 10-plex ? 19 Lower Level q 24 Storm Damage
? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 37 New
* 32 Addition
? 33 Alteration
0 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
d?
-?
?
? 35 Int Improvement ? 38 Demolish (Interior) ? 44
O 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45
O 37 Demolish (Bldg)' O 43 Reroof ? 46
•Demolitlon (EnUre Bldg oniy) - Give PCA handout to applicant
k'" S
Occupancy MC/ES System
Zoning City Water
Stories f Booster Pump
Sq. Ft. PRV
Length ? Fire Sprinklered
Width
REQUIRED INSPECTIONS
y Footings (new bldg)
Footings (deck) FinallNo C.O.
? Footings(addiuon) Plumbing
Foundation HVAC
Drain Tile
? RooF Ice & Water Final
?J Framing
? Fireplace _ R.I. _ Air Test _ Final
Insularion
{
?
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi
Siding
Fire Repair
W indowslDoors
Other
_ Pool Ftgs AulGas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By U44 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W PermN & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
total
FinaUC.O.
?
Gl'GU /- lS'/o 5
? /
?-
-
.
? M73
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
NewConaWetion Reaulrements
• 3 registere0 site surveys showirg sq. ft. of lot, sq. R of house; and II rooted areas
(2096 maz'vnum lot covewge atlowed)
. 2 copies W plan showirg bam & window s¢es; poured lound desqn, etc.)
. 1 set of Eneryy Calculatiore
• 3 copies of Tree Preservalion PWn if lol platled aRer 711193
. Rim Joist Deba ODt= seleclion sheet (Wdgs wilh 3 orMSS ivWS)
DATE
JOB SITE
IF MULTI•FAMILY
PROPERTY OWNI
TYPE OF WORK_
APPLICANT ?
ADDRE55 ?.
PAGER #
MANY UNITS?
CELL PHONE #
?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Conhactor. _
Mechanica] System Includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
All above informaGon must be submitted prior to processing of applicaHon.
aemongl/ReoairReauirements 1-5-01
. 2 roPies uf We^ ' L_
. 1 sN of Ereigy CalddaUons for heated add'Rions f? YV1
• t sile survey for mderia additbns 8 decks
, intlicate d hame sened by septic system Mr sdddians
Phone #:
Iawn Sprinkler
No. of R.I. Baths
Phone S
I hereby acknowledge that I have read ihis application, state that the
with all applicable State of Minnesota 5tatutes and City of Eagan Or<
Signature ot Applicant
Certificates of Survey Received - Tree Preservation Plan Received -
fIREPLACE(S) _ 0 _ 1 _ 21 ?
?c(' ?? PHONE#?
((J?,A,-IkJ ZIP CODE
FAX #
VALUATION / ?6R?
??.
-9 63N- ?b
Fee: $90.00
Fee: $70.00
I` ?'1? PVq
? #
n`i"s correc and agree to comp\
J
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 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg Y or_ N O 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 AddiGOn D 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 ? d
?60d ?
Occupancy
le -3 MC/ES System
Census Code ? Zoning ? CityWater
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?F- Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
1 F'veplace _ R.I. _ Air Test _ Final
-E ? Insulation
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By Lz , Building Inspector
ease Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
? FinallNo C.O.
_ Plum6ing
HVAC
?3?o xoao h-c _ ???U? 6?9-2I?GC
Addrass: 742 gRIDLE rUDM RDM I,ot 13 Blk 9 Sec/Sub gRTT7f.F = ]Sf
These items were/were not complete at the time of the final inspection.
01/31/92 Yes No
Finel grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry 1,7
Permanent driveway
Permanent gas W"'
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck + LA
Please varify with the builder the removal oE roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
va
Rcvfo..Rn
White - City copy Yellow - Resident copy Pink - Contractor copy
?
5
f
8 616
1
Request Date Fre No Rovghre?in Insp
Reqmtl?
? Reatly Now . tll No?ty Inspeclor
75 ?(ves C N. When qeatly+
?e licensed contractor 0 owner ? hereby request inspec4on of above electrical work at:
Job Natlress IStreet Box or Route No ) City
T r
Section N. Townshp Name o? No Renge No Counry
Occupant(PRINT) . Phbne No
+rc Iv e-Y N stE wE(L 6 - 1 L
Power Supolier Adtlress
Ele al Comraclor ICompany Namet ConVador's Lroense No
! C./
Maning Aaaress iLOnt ctor or O
!.vner Making Installatwn) / SY
-7
(
`
?
,
w
V ? r /V VVZ
?
c Nho z Sig aWre iCOnlracto ?Owner Maki Instai ion?
?-_.. -1-- Phone Number
MINNESOTA STATE BOAHD OF ELECTRIGTY IS INSPECTION FEQUEST WILI NOT
Griggs-MiOway 81tlg - Hoom S173 E ACGEPTED BY THE STATE BOAFD
1831 Ilnrversi[y Ave., St Paul. MN 55100 l1NLE55 PROPEF WSPECTION FEE IS'
Phane (812) 662-OB00 ENCLOSED
°?,??4 /e ?oi qa
REQUEST FOR ELECTRICAL INSPECTION ''a
? . ? y
? ? See insimdions far compteung tM1is brm on back ol yellow copy
' 1 RF) "X" 8e/ow Work Covered by Thrs Request
ew Atla' Rep "^ TypeoiBwidmq AppliancesWued EqwpmentWired
Home Range Tamporary Service
Duplex Water Heater Elechic HeaLng
Apt Bwltlmg Dryer Other (Specify)
Comm./Industrial Fumace
Farm Av Condi6oner
Othe, (6y¢OdV) ConVeC10/$ RemB/ks
Compute lnspechon Fee Below'
# Olher Fee # Service EntranceSze Fee # Crtcuns/Feeders Fee
Swimming Pool I 0 t 00 Amps - 0 to 100 Amps Y
Transformers ?
9gns Above 200 _ Amps Above 700 _ Amps
inspectors use onry TOTA
Irrigation Booms
Special InSpection -
Alarm/CommumcaLOn
THIS INSTALLATION M ORD DIIEON CTED IF NOT
__ Other Fee COMPIETED WITHIN TFi
I, the Electrical Inspector, hereby
td
h
h
i R°uyn-in ? oeie ? Q
'
cer
y t
at t
e above
nspecllon has
been made. F,,,,i
81B o
? .?6
OFFICE USE ONLY
This reqvest voia 18 montns Irom
CITY OF EAGAN N2 -19454
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING P.,ERiNIT
Tobeusedfor ? SF DWG/GAR F?qt vai„P $175.000
Site Address 742 BRIDLE RIDGE RD
Lot 13 Block 9 Sec/Sub. BRIDLE RIDGE iST
Parcel No.
W Name RAY & LYNNE PERN EINER
o Address _3055 EAG AL AP 134
City EAGax Phone 683-9132
2,o Name SAME I
yQ Address
? City Phone
b,W Name
5? Address
12 City Phone
I hereby acknowlege that I have read this application and state that the
infortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and ity oi Eagan O inances.
SignatureofPermitee??.-
A euilding Permit is issued to: R1Y OR LYNNE PERNSTEINER
on the express condition that all work shall ba tlone in accordance with all
applicable Slate of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
Receipt # (- r -7 v rS
oate JIJL ZZ , tg91
OFFICE USE ONIV
I
Oaupancy R-3 -M-
Zoning PD JL-,1
(Aclual) Const ?=N 81dg. Permit
(Albwable) y=N Surcharge
# ol Srones
lenglh
DepID
S.F.TOtal
S F. Foolpnnts
On Sile Sewage
On Site Well
MWCC System
cdy water
PRV Required
Booster Pump
APPROVALS
Plenner
CouncA
BWg. OH.
VerianCe
681
42'
X
FEES
Plan Review
SAq City 7 (r1(1 _ ()
0
SAC,MCWCC 650_0
o
WaterConn 660.00
Water Meter 95.00
Acct. Deposil 30.00
Shv aermn
0
30.0
SNJSurcharge .5?
Treatment PI
Roatl Unil
Park Ded,
Copies
O
TOTAL 3e787.0
RESIDENTIAL ?
BUILDINC PERMIT APPLICATION
CITY OF EAGAN i
3830 PILOT KNOB RD - 55922 i
651-681•4675
NewConaWction Reautremand
• 3 2gistered ste surveys showing aq. fl. af lot, sq. fl. of house; and aIl roofed areas
(20% maximum lot averege allowed)
. 2 copies of plan showing beam 8 wuMow shes; poured fouM design, eh.)
• 1 set of Eneryy CalcWatbns
. 3 copies of Tree Preservatlon Poan if lot platted after 711193
. R'un Joist Detad ODtions seledbn slceet (ddgs wilh 3 or kss unb)
DATE
' Z-c2
JOB SITE ADDRESS /_.? /-
IF MULTI-fAMILY BUILDING, HOW
PROPERTY OWNER
TYPE OF WORK ec?.r6a?
PIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT SE_e R FWn R RFRefIflFl INr, ;n j'PHONE# Ca( Z-SZ LS-04.,
ADDRESS 4100 EXCELSIOR BLVD. ZIP CODE
PAGER # &ACQQ41ME # V FAX #
rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Vendlation Category t Worksheet Submitted
- Energy Envelope Caiculations SubmiKed l
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contraetor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler I
_ Water Heater _ No. of U. Baths
_ No. of Baths „
Mechanlcal Conhactor. _
Mechanical System Includes:
Sewer/Water CoMractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #i
Fee: $90.00
Fee: $70.00
AII above infortnatian must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is corre t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. i
Signature of Applicard 1 Certificates of Survey Received _ Tree Preservation Pian Re ived _ Not Required _
uPaaeed 2002
RomodeVRewir Rcauin
a V V A'5-
• 2 COpies of plan
. t set of Energy Caladatlons for heated additions
. 1 sde survey for exterior additiore 8 decks
. Indicate'rf home seNed by septic system for additions
VALUATION ?IP I3' (g0. ?
UNITS?
,RVEYOR'S CERTIFICATE SIENNA CORPORATION
' REVISED 7-1591 TO SFIOW
? PROPOSEO HOUSE FOR RAY 9
LYNNE PEM?R
__ LE RIDGE ROAD
- - oo-r,..- -
902-4 - - N
?19.e7 ?03.3 -. 902.5 R=717.90e-? N _g000 N 830 47 40 E'?
p.1°35'091 19oz3, o.,.
902.9 ¦ . O ' \
? I
-15 A/
0 5?1 iPROPOSeD ? -? ?OENCH MARK ?V
PIPE
! DRIVEM?AY , q.EOP OFV.?90L08
\ i
BENCH MARK? O
eiev. 9oa sa sos.s (906,°) _--- ;---'¦F. , O I
p 251-66 0 906.0 'y e m
co
GARPGE i 13.0 126 81f? m ?ioxGi ?
>
1 / / M I W i
( 1 i N m -- PFOPOSEO in N 'm z ..
'?? ? ¦ ia r HW?aEp N?
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N I c?' 'a$%?4SIC t ?
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m - '
1 Vaov_9_ -- - - - -' 'N
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O 905.4 6
m - - '
N I I?i
m
m 1 pRAfNAGE 9 UTILITY EASE6f£NTC
? ?,(pER PLAT ?
LOT 13 5
.? ,
1 ? 0 "90P.0
von, ? "','`?i?« C?O ,-." '4 . ? • ? ? Y4
82.58 S 84°42'55" . W :. . .. •?
?.i 1-1-1 071-
lJll ? I_?J ? " t::?. :.:,i i.' •-•
NOTE: BULOING DIMENSIONS SHOWN ARE FDR HORQONTAI. NOTE' NO SPECFIC SOILS INV6TIGATION HAS BEEN COMPLETED
9 VERTICAL LOCATION OF STRUCTURE ONLY. SEE ON TFIIS IAT 8Y TME SURVEYOR. TFE SUITABILITY OF
ARpiITECTUAI PLANS FOR BUILDING 9 FOUNDATION SOIlS.TO SUPPDRT THE SPECIFIC HWSE PROPOSED IS
OIMENSIONS. • ' NOT THE RESPONSIBILITY OF THE SURVEYOR.
?- DENOTES PROPOSED SURFACE DRAINAGE •
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9ote.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Qoo,7 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - yu8.8 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 13 . Block 9, BRIDLE R(DGc I ST ADDITION, according to the recorded
plat thereof, Dakofa County,` Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS ZI 57 DAY OF JANNRRy , 1989.
APPROVf•.D FOR STEMNA SIGNED: JA L. INC. n
f.ORPORA'f iOtV
^ ? J
t...
IlY : BY:
HAROLD C. PETEFSON, LAND SURVEYOR
f1ATC(1, MINNESOTA LICENSE NUMBER 12294
m o , " °
?N ;II I I I I? J° James R. Hill, inc.
.;
PLANNM I ENQINEW ,
?• S ? ? ? W?1 JA??y?'?'„?,
. . _v,Fi.c -•- ... . Q??.'L. , -
SINGLE 1 FiLY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
?
MULTIPLE DWELLINGS I COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 'R
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
/
(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 i
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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:
Site Address
valuation: IM-000' Datel: 11 qqI CUV Lot J,? $lock q
p1 DGe Is% AMITf O!J Occupancy
Zoning
Parcel/Sub Actual Const
? Allowable
Owner # of stories
Length
Address Depth
S.F. Total
City/Zip Code a"lani w'i SSiZl Footprint S.F.
Phone On site sewage
On site well
Contractor MWCC System
Ci
OFFICE USEIONLY
EES
R-3 1Y1'1 Bldg. Permit Oz,aO
PD R_1 I Surcharge 7,50
V-N Plan Review 5'6(o,00
V-N SAC, City Oa.oO
SAC, MWCC ,OD
$ ii Water Conn. 60,0
0
? 'Water Meter 5) 00
Acct. Deposit 30.00
S/w Permit 30,00
IS/W Surcharge ?50
_ Treatment P1, a ,0,:P
Road Unit
? Park Ded.
ty water ITrail Ded.
Address 3C)I-1 PRV _ Copies
•( Booster Pump _
City/Zip Code`T. Oah SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
C Council TOTAL ?
Arch./Engr. TIC-A-\(n -zv-\C. Bldg. Off. D77/$•O/j I
, Variance
Address'-?4S 5 wa?SVqn?m ?yI \je
City/Zip Code
Phone #
C-? -E- ? agrees that all work shalllbe done in accordance with
( i at e f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
' ? . =.
1991 SUILDIN P IT APPLICATION i
CITY OF EAGAN
r • VRLLtw? *•40 ilm
'4ry
U?? ?
;? 6x21 = 6Z`F
INXQ,= l?z
736 X 15= f l,oY o
SSM T,
zrx??= 33c
?LSy2 x??= r? yl
13 -4(,
Id K Z ? ?-o
l?x?v= 2,52
?-
1395 x !4 = 19)53D
I`J'T ? l?oo
??? T ? ? 3ys
a'/zns= f2
?-
C)-7 x tg- ?L/ s-7 1
2w°''
lb?2i = 336
.?, g'/G x 13 - 3'? a
32? 13 = 4t?,
?3ou n S3= 69??z
i-- -- n -.
902•00+
87•50+
58'0•00+
2,211•50+
3; 787•OU*
902•00+
87•50+
5ao•oo+
z,2ii•so}
3)787 •OO-r-
lr Ll 253 on I?s,o??"
SURVEYOR'S CERTIFICATE SIENNA CARPORATION
REVISED 7-1591 TO SHOW
PROP03ED HOUSE FOR R4Y 9
LYNNE PEMSTENER
,,..- -
__ LE= IpGE ROAD
?- N
_ __90Y.4 U .
R=717.90'r-, *
p=I° 35' 09' ,
(GoL?S) ! ;
OENCX MARN-? TOP OF FIf \ = ?,
ELEV.•904.6q ?
0
r
t?
?
?---'- ?
?PROPOSED
DRIVEWAY
(qo6,01
5
(9og,?) . I g
iso •
?
,Y
?
N
GARAGE 1 126
P ?
I J 6 M
M
? --- PHOU Eeo - N
Jo ?
, a W
? p ?N ? 4?? /
so?._e - __ -----
! 908.1 ) ? I
.
I I
1 I
? ORNNA6E 9 UTILltY EASEMENT,?. ?a
? r?PER PLAT
5 ,?,? LOT 13 ?
?.o °
r_??- - -
N '
lBENCH MARK
/ TOP OF PIPE
,p 0.EV.•907.06
O i ?
r
3 =X '
Oa I
¦ N -? ?
tn ?
W
?
WN
m _
.
'
soa, - , ???t?°,`? r td
82.58 S 84° 42 55,'? j
.? ? . .
T
?
NGiN?.t`?I??G I?EF
'
?j E
NOTE: BUILUING DIMENSIONS SHOWN 4RE POR HORIZONTAL NOTE% r
.
NO SPE6*j`?'S INVESTIGATION HAS BEEN COMPLETEO
9 VERTICAL LOCATtON OF STRUCTURE ONLY. SEE ON THIS LOT BY THE SURVEYOR. TFE SUITABILITY OF
ARq11TECTUAL PIANS FOR BUIIDING 9 FOUNDATION SOILS.TO SUPFORT THE SPECIFIC HWSE PROPOSED IS
UIMENSIONS. - ' NOT THE RESPONSI&LITY OF THE SURVEYOR
+---- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9ob.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 900.,7 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9o8,8 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lnt 13. Block 9, BRIBLE RiGGc I ST A6DITI4N, occording ta ihe recorded
plci ihereof, Dokota County.`Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z/ 57 DAY OF JRNUARy 1998.
APPROVEp FOR SIENNA SIGNED: JA L, INC. n
C(1RPOflA710N ? J
IfY : BY:
HAROLD C. PETERSON, LAND SURVEYOR
nnrEnr MINNESOTA LICENSE NUMBER 12294
m
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 812-884-3029
MINNESOTA STQTE ENERGY CODE CAICULAT1aNS
' BASED ON CHAPTER 5 OF THE
- MODEL ENERGY CODE - 1983 EDITiON
1 Owner
Site Address
Contractor
Phone
Building Classification: Type A1 (Single Family 8 Duplex)ype A2(Residential)
(3 stories or less
NOTE: Complete paqes 3 and 4 first. (Other) • ' (Over 3 stories)
GENERAL INFORMATION I
1. Bui iding Perimeter ?fJ?L?jyfTft. ?
2. Wall height (ground to eave) ft. ,
2
3. 1. x 2. (above) gross wall area. ft.
4.
S.
6.
Building dimensions (L) X(W) =_ 1.3?4 ft.Z roof b f1o6r area
Square foot area of rim joist Floor Joist size (2 x ?? Y ) ? 14 *
id1 X Perimeter = Rfm Joist area = '7 CJ !ftZ
12 2J?Z, -.L=t--
1 . ' ' , 1"If I (?-i• _
Doors - Aeea ?t V/
Thickness in
Type of Construction
Manufacturer
ll factor i I k, 7 Perimeter ft.
7. Totai door's perimeter ft. - •
8. Windows: ManufaSturer GGj??'r State approved
. U factor
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET Z
• EACH UNITS
t .
? 9. Total ft.2 Glass ?ZI-Z?
10. Fireplace at-ea: Width X he)ght = X =
11. Exposed foundation: Height X Perimeter i(I/60 X
COMPLETION OF THIS FORM IS REQUIRED FOR ALL E CONSTRUCT ON, MAJOR REMODELIN
MOVED WHERE ENERGY, OTHER TNAN THE MINIMAL CODE ALLOWANLE, IS USED.
SI'LI/4
q 1-/,q Z
Adoption Effective I/l/64
'
4-44-9)
Phone Date
.,oGk ? ?21flLT--_ L T -/afatTnN
Ft.2
Ft.2
BEI
I'2. Framing area = 10% of gross wall area.
13. Gross wal l area?, ? '>; ' I. f t.2
Window area A t427i ft.2 U windows = / ?7i U x A =1j5,o4
- Rim joist area A ??) I ft.2 U rim joist = ? D U x A =1Zi34
'I
l` Door area A' 7`'1
' ft. 2 I
U'door area = U x
A
= r01
pO z
?499pftbe area A ?Z ft.
U fireplace = U x
A
=14._
Exposed foundation A • ft.2 U foundation
(gO 7 uX
a
=
Framing area A 13oco ft.? ? U framing area U x A = Z,
Met wall area A V I / ft. U wall U x A m??7 gg&
' (13B), TOTAL . . . . . . . . . . U x A =
j
14. Gross wall area z 0.11 (A-1 single family 8 dup lex = aliowable U x rl/Code
(13. above) .
x 0.23 (A-2 other residential) .
x .23 (Other buitdings)
' ^
??. •?u?.i , .; ?,
.
x .28 (Over 3 stories) . .
!
U
e
, BTUH Must be larger tha
138 above
sj p x
Cod
._--
!
15. Ceiling framing area (Af) equals 10% of ceiling area Cor the s ame as)
15A. Gross celling area =(l) x(W) _ /3(,7 ft.2
158 Joist are0 (Af) = lOX ceiling area - ? Zj ? ft.2
15C. Net ceiling area (AC) (15A - 158) =•' 77d it.2
U ceiling x A C_ ?fJliZ x
= 3 f
U framing x A p= x 03
150. TOTAL'U x A ................................... ..
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A
x 0.033 (9-2 other residential)
x 0.06 (other) "
/2?7(t/ _? ?/)?(Q ? BaUH Must be larger than 150 (above)
A(15A) X U(code)= ??•? F (or the same as)
NOTE: Use U and A values obtained from pages 1,-3 and 4.'
CERTIFICATION: I hereby certlfy that I have calculated the "U" factors and "R" values
herein and that the bu11d(ng here descrfbed meets or exceeds the State of Minnesota
Energy Conservation Act. te Signature
. j?f? ? % ?4-l1?? 1 ? 1?7r?? -
--
-?i?,- Z?xr?o-J I 2 ,? 50 - /a?
----
_
4G - -
Z?X40
zw zv x4;P,
3---
Z
3 ° Z1
_ 3 °D?.c?S L 3v
---? -- ?1(jt 7
uALL '
SECTION
STiJD
SEC7ION
n enLuc U YALUE
inelda ait film .68 '
Interior xalt .45 (Nall) U. A ?
Insulatlon
Shea[hing Z p(p .(?;4
Slding r-
Outelde alr film .17
R TOTAL Zy?" , O aj ,
1 pC?
Sldlng .?1 4
+?
. ?_
Outatde alr film ' .17
Insldn.a[r film ( .68 '
Intetiar wall .47
4" ¦tud . R= .6e?3 (P,tj (Framing) U - A -
- ?
Sttesthing R TOTAL ? O. r7 ?j-
..
SECTiON.
?
R IFI
JOLST
A
?
Interlor Matl
Inaalatlon ell ) U . R .
z
Ex[erlor wall cover n •
Extertcr alr. film A ..17
R TOTAL _
lnterloc alr film
lnaulatlon
'I? lnch eoEt waod
Slieathing
Ezterlor wat l cov4
Exterlor air film
A• TOTAL
Intertor alr film
lnsulatlon
R= .68
?q•00 -
R=1.88 (Rim
Joist)
2 , o(v
:rtng
Rn .17
:7-4. 4o
R= ,68
'I,v .
?
U=i=
r'
?
? Founcfatlon
(Fdn.) U a R =
? Extertor alc ftlm R= .17
< R TOYAL I 3? I?S ?--
? ?Expased Bluck
Grade 3.
R 'JALUE UE
', • ' FRAMItIG • CEILIUG
0.61 Air Film 0.61 '
__ ? ?J(p, O tnsulation ?t'? • v '
doist .
Ceiling
0.61 Air Film 0.61
?
7-•?EO Tota; R S-?g
. , ' ,023 U=k oZZ
r
fLAT ROOF OR CATHEDRAL CEILING '
R a ue R 'lALUE
F RAFI1 NG CE IL f NG
0.61
0.17
Inside air film 0•61
Ceilina
doist (studj
Insulation
Air space
Roof decking '
Insulation
Built-up roof Outside air f11m 0.11
Total
? U
Rs
R
lindow 1nf11tration .5 cfm/lineal foot of crack
lesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement
•lon-residential door infiltration 11.0 cfm/11nea1 foot of crack
)b 12" concrete block no insulation - .47 R 2.1
!b 12" concrete block insulated cores a.26 R 3.8
1b 12" liglitxeiglit block =.32 R 3.1
Jb 12" light?•,eight block insdlated'cores ?.12 R 8.3 •
1 single glass = 1.13; with storm window .54 •
1 double glass = .55 ..
J triple glass = .41
all exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
:apor barrier must be on the inside (heated side) of aiall.
tapor barriers of the polyethelene thin film have no R.value.
4.
` CZTY OF EAGAN
.. 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
?;;
FOR CITY IISE ONLY
PERMIT #
RECEIPT #-15?
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------
-----°-----------------
WORK DESCRIPTION ----- -°__--------- -------°-- ----------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON j SHOWER 3.00 qj?)
REPAIR _ -
6 TER CLOSET
WA 3.00 aL2_!?
? ,
BATH TUB 3.00 ?
LAVATORY 3.00 /?
DWNER NAME: ?QT S? ?-vT t ? ?QlS7N/rJE-rL ? KITCHEN SINK 3.00 ??
? LAUNDRY TRAY 3.00 c,3eC
SITE ADDRESS: 7 -/ L- 1E• i cr 410 HOT TUB/SPA 3.00
' •
? Z WATER HEATER 3.00 ?
LOT:?? BIACK ? SUBD. ....,L FLAOR DRAIN 3.00 ?OC
GAS PIPING OUT.
INSTALLER:?? - (MINIMUM - 1) 3.00 F
? ROUGH OPENINGS 1.50
ADDRESS: 14f4r. 'T- o?") R?GGI lrr ??.L _ OTHER _
WATER SOFTENER 5.00
CITY: ZIP: .}'521f50 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
AIJ076)
SUBTOTAL $
ST. SURCHARGE .50
SIGN RE 0 PE TE ?
d
TOTAL: $ ? J s
CbMMERGTI?I'.?,?il,DLiST?TAI:t: 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:
OWNER NAhiE:
SITE ADDRESS:_
LOT: BLOCK .
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
SUBD.
FEES
18 OF CONTRACTiFEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICEix 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
? CITY OF EAGAN FOR CITY USE ONLY
.? 3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
DATE :
PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME:
Y ,
SITE ADDRESS:
LOT: BLOCK J SUBD. %"
_
INSTALLE ?
?
%
ADDRESS. Y7qS J
Jo . n
CITY: ZIP:
PHONE //7 y
FEES
ADD-ON MINIMUM $15.00
J- HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
3- GAS OUTLETS - MINIMUM 3.00s13 f0
OF 1 PER PERMIT
SUBTOTAL: $y33 a'
STATE SURCNARGE: .50
TOTAL: S..J 3. St?
SIGNATURE OF P RMITT E
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
:. ...... ..:.: .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT. I
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PkOCESSED PIYING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY USE ONLY
PERMIT #: ?t lO ? I? RECEIPT DATE:
RESIDENTIAL 1NECHANICAI. PERMIT APPLICATION
crrYog FAsm 1
ssso PaoT Kxos ttu r
EAfiAft EIRN 551'EE
851-6$1-4675 I
Please complete for: ? single family dwellings '
townhomes and condos when permits are required for each unit i
Date:
SIT
E AC)DRESS: F}`vO
OWNER NAME: IZftq 19L-i2rJS'f1Zl KP Y2- TELEPHONE #: &61 (OS I-0?'?P I
(AREA CODE)
INSTALLER NAME: (Se D-Z -?2 TEIEPHONE #: q225 - I ) (AREA CODE)
STREETADDRESS: I WIL?[?-) 5,YD TYLL- ?
CITY: ??l,wX???1?l r STATE: VU rJ ZIP:'. '4:?'?nfpa
Place a check mark next to the oermit werk tvee
New residential dwelling unit under constructionand not owner/occupied ? $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• fumace replacement I
• air exchanger
• air conditioner
• other ?
Nature of work: XQa d qr o i:? i,2 i h o ?!- Qa 0 ?
?
I
State Surchar e ?
$ .50
rotal ? $ So s-°
Reminder: Cnll for inspections.
'EJUL 1 3 2001 f ?
Updated 1/01
?' .
. 4
SURVEYQR'S CERTIFICATE SIENNA CORPORATION
REVISED 7-1991 TO SHOW
' PROPOSEO HOUSE FOR R4Y d
` LYNNE PERNSTEINER
__L_DGE ROAO_--
?-
902-4 N
. i
R=T1091
7.9 4a1°35 902.9
KNGX MAqK-?
TOP OF AfE• 1
ELEK • 9 0 4.64
? Q
? i
?
6? p??
N?
L
1soza
? 7 1r -_"- g
DR V?AD --
?906.s (40b•°1 - ------ ?:
??? ? I
26.66 y. ,906.9
; W ( 9c8, ?? ? a
GARAGE 1 13.0 ?y12 p
W I
a?? 1 ?
? ? ? ---- ra?E? - N
W
. ?
? 'g ? ? ? 16.0
,
?
N
?
(ID
m
._..,-
,---BENpI MARK ?
/ 70P OF PIPE
,p RFV.•907.08
0 ?
1 y?\
?
-----(908 { ) ? "_ ? ?W
? I
1 oRA1NAGE d UffL1TY EASEMENTC ?
? r/rPER PLA7'
5
? LoT 13 ?.
o
.. / 4 "- 82.58 S 84042155" W"
• ?=r
lJ%l
? ??(OZA)
,
NOTE: BULDING OIMENSIONS SHOWN ARE FOR NOP.l20NTAi. NOTE= NO SPECFIC SOIl3 INVESTIGATION HA3 BEEN COMPIETED
9 VERTICAL LO:.ATION OF STRUCTUREONLY. SEE ON THIS LOT 8Y THE SURVEYOR. Tlf SUITABILITY OF
ARCHITECfUAL PIJWS FOR BUILDING 6 FOUNDATION $OIl3 • TO SUPFORT TME 3PECIFIC HIX13E PROPOSED IS
OIMENSpNS. _ • ' NOT THE RESPON31&IITY OF THE SURVEYOR.
f DENOTES PROPOSED SURFACE DRAINAGE .I
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 4ob•3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - qoo,? FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - gu8.8 . FEET'
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 13, Block 9, BR10LE RIOGE 1 ST ADD(TIQN, accordtng, to the recrorded
plat,Jhereot, Dakota County, `Minnesotq. •
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEO BY ME OR UNDER MY DIRECT SUPERVISION THIS Z/ SY DAY OF JR/UN0994 , 1988.
APPROVE(1 FDR SIEMNA SIGNED: JA L, INC.
CORPORA7ION
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BY:
fiY :
HAROLD C. PETERSON, LAND SURVEYOR
DATEf1, MINNESOTA LICENSE NUMBER 12294
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MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
20NE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-6-2001
TITLE: 91-182
PROJECT IWr"unF1ATI0N:
RAY & LYNNE PERNSTEINER
ADDITION
COMPLIANCE: PASSES
Required UA = 669
Your Home = 492
26.5% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Yalue
----------------- U-Yalue UA
------------------------------------
CEILINGS: Raised Truss 1308 45_0 ---------
0.0 ------------ -----
29
WALLS: Wood Frame, 16° O.C. 2676 19.0 2.0 150
MALLS: Stress-Skin Panels 399 21.0 19
BSMT: Conc. 8.2' ht/7.6' bg/8.2' insul 1510 11.0 0.0 92
BSKT: Conc. 3.5' ht/2.9' bg/3.5' insul 28 11.0 0.0 2
BSMT: Conc. 4.8' ht/4.2' bg/4.8' insul 250 11.0 0.0 17
GLAZING: Windows or poors, Above 6rade 429 0.310 133
DOORS 80 0.330 26
DOORS 60 0.310 19
DOORS 20 0.230 5
FLOORS: Over Outside Air 17 38.0 0.0 0
HVAC EQUIPMENT: Furnace. 92.0 AfUE
-----
---------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described ------------
here is -----
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed ta meet th requirements the Minnesota Energy Code.
Builder/Designer ? Date
4/'
City atEkan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: . (4 '-%
-
Permit Fee:
l C)-5
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
1,
Date: Site Address: 7I7 7_,5r�'elei g.cf C.. Weif-Jr.S7
Unit #:
!
Rest." e
idnt!
Owner °
v
Name: �.,,
)er14,,,, P r Phone: fr 5/ Z 62 c - 59,4
i
Address / City / Zip: 7'/Z end P,* ?d. etijt BIZ 3
Applicant is: Owner X Contractor
t
Description of work: Re-reieir (, , 49µms etnd afro L I r - q e. .
g
Ira-A.4
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Construction Cost: 34 1)00 Multi -Family Building: (Yes / No K )
Company: Awe, 4-1/ R9erkrvi csf gad -1411 fn Contact: &ft - -Se, >- z' z - s 7 G r/
.
Address: /041 6 A4410 I- Lin. /V(if City: ?od e...Skil
State: /0/1 Zip: 5.5'f0 4 Phone: 7-Z9f -esiAS Email: pb&Jea j fi-oe a' mdtr)s coni
License #: V.5 iS3 L ( Lead Certificate #:
If the project isse�emp/tt
it
from lead certification, please explain why:
e 4 (r.
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans d s f • orting do ®u ubmit a e%cons! fo be p
the information m6 be class � no-publrc if you provide spec ea ns that would • r Cit ito
k:.y. xi
trade O �.
rcr .
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.qopherstateonecall.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 plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B Iding Code must be completed within 180
days of permit issuance.
x $ten( i h av�tgP f
Appli nt's Printed Name
A
ignature
Page 1 of 3
ONE OWENS CORNING PARKWAY
TOLEDO, OHIO 43659
419.248.5500
September 23, 2016
Re: WeatherLock
To Whom It May Concern:
4/L 1/1 (42 CIE 1Z, 0
This letter is to confirm that it is acceptable to place WeatherLock up the rake edge
prior to installing the roofing shingles.
Owens Corning's Limited Warranty on Roofing Shingles will be valid within the terms
and conditions stated in the written warranty. Owens Corning does not cover
workmanship or application, only manufacturing defects in the shingles. Please give me
a call if you have further questions regarding this issue.
Sincerely,
oid
Mel Sancrant
Technical Inspection Leader
Roofing and Asphalt LLC
Owens Corning
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170424
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 742 Bridle Ridge Rd
Lot:13 Block: 9 Addition: Bridle Ridge 1st
PID:10-14996-09-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Ray A & Lynne L Tstes Pernsteiner
742 Bridle Ridge Rd
Eagan MN 55123
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176046
Date Issued:04/28/2022
Permit Category:ePermit
Site Address: 742 Bridle Ridge Rd
Lot:13 Block: 9 Addition: Bridle Ridge 1st
PID:10-14996-09-130
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Ray A & Lynne L Tstes Pernsteiner
742 Bridle Ridge Rd
Eagan MN 55123
(651) 269-5908
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature