663 Bridle Ridge RdBLDG.,PERMIT N0.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
G1-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3668 Water Trmt.
20-3716 4:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 5ewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
?
;IL
TOTAL }
CITY OF EAGAN Permit No: Date:
3830 Pilot Knc4b Road Meter No: Size:
P.O. Box 21 t99 Reader No: Date:
Eagan, MN 55121
Owner.
Site Address: ?
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Piant Ordinances.
Meter.
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No:
3830 Pilot Kn,Qb Road B/P No:
P.O. Box 21199
Eagari, MN 55121
Date:
Date:
Site Address:
Plumber:
MWCC: Zoning•
City Chg: No. of Units:
Acct. Dep:
I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 11 ` ,19 '
Site Address
Lot Block Sec/Sub. • ? I ?'?'?
Parcel No
, Name St:NSH1NF CC}H51"
; Address `9$5 1257'14 ST
0 City Phone 431-2200
¢ fv?&e ?AME
o
z? •
0 Q Address
? City Phone
rm
yVj W Name _
Address
U
QW C12y-
I hereby acknowledge that I have read this applicahon and state that the
information is correct and agree to comply with all applicable Stale of
MinResota Statutes and City of Eagan Ordinances.
Signature of Permlttee
A Buildiqtg Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official__
OFFICE USE ONLY
On Site Sewage OCCUpBnCy
MWCC System 2oning ?
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth %.33
S.F. Total
Footprint S.F.
APPROVALS FEES
5s4. ? ,
Engr./Assess. Permit
?$ • ?
Planner _ Surcharge
277'2$!
Council Plan Review
Bldg. Off. SAC, City
'
100.001
Variance _ SAC, MWCC 52 5 • 00 -
WaterConn. 525•00
Water Meter
Road Unit 5+-00
.
Treatment P1 ?00 •(9)
!
Parks
TOTAL - ? 592• V?t
, CITY OF EAGAN 16894 ?
:.- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
` PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for
Site Address 663 HRIDLE [2IDGE RD
Lot b elock 5 Sea'Sub. $pxDI.E RIDGE 1ST OFFICE USE ONLY
ParC21 No. Occupancy R"3 PEFS
Zoning
W Name SUNSHINE CONSTRUCTION (Actual) Const - Bidg Permit yU •?
Address 2121 CLIFF DR (Allowable) - 3•?
S
h
o arge
urc
City EArAN Phone 452-0995 # oi stories
12, PlanReview
Length
o Name Smm Oeplh i?? SAC
City
=
¢
O AddreSS S.F Totai - ,
L
)
?
City Phone
S F Footprints
- SAC, MCWCC
Waler Conn
On Sile Sewage _
?
?
Name
On Sile Well
-
Wal
r Meter
W e
_? Addr@SS MwCC Syslem _
? Z
a W
City Phone
ciiy watBr
- Acct. Deposit
,W P
md
S
PRV Required er
.
I hereby acknowlege that I have read inis application and sta[e that the Booster Pump S!W Surcharge
information is correct and agree to comply with all applicable Slate ot
Minnesota Statutes and Ci1y of Eagan Ordmances. Treatment PI
Signature of Permitee APPROVALS Road Und
SITNSH2NE CUI?ISTKUCTIO:V
A Building Permit is issued to: P+anner
-
Park Ded.
on the express condition that all work shall be done in accordance with all Councii
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld pff,
9 _ Copies
93.50
.
Buiiding OffiCial ' Variance - TOTAL
Permit No. Permit Holder Date Telephone t!
WATER
SEWER '
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I i
; , a -
?•.,?
Foundation
Framin9 Y? 36
Roofing
Rough Plbg-
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg
Const. Meter Plbg. Inspedor - Notify Plumber
Engr.IPlan
Bldg Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
DEac 03/02/90
?-????.;???L„ 683--0713 CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for
Site Address
Lot 4 BloCk
Parcel No.
m Name
W
z Address _
3
0 City
°C Name
.o
z?-
0 4 Address _
? City
V Ww Name
W
?
_ z
Address _
U
Q W clry
Date
,i9
Pho
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 Permittee A Building Permit is issued to:
on the express condition thaT all work shall be done in accordance with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
6uiiding Official
Est. Value
SeC/Sub
Phone '
S --I 'Cj 9'?.
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning '
On Site Well (Actual}Const
City Water (Allowabfe)
PRV Required # of 5tories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit
Planner Surcharge -
Council Plan Review _
Bidg. Off. SAC, City -
Variance SAC, MWCC _
Water Conn.
Water Meter
Road Unit -
Treatment P1 _
Parks _
TOTAL _
? Permit No. Permit Holder Date Telephone ?
Plumbing
? .
-
- ------ - - --
- '
-
_ ` -
H.V.A.C. : ,;' ,. - • a . ?.
Electric i
Softener
inspection nate insp. Comments
Footin9s 1
Footings II
Foundation
Framing _y,yr Cr.?r-!? ?chei rcG.e?cc/ on rfr.vnq,-_,l
ROOfing
Rough Plbg. A
Rough Htg.
isui.
Fireplace
Final Htg.
Final Plbg. f?
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. DisP.
-
- - -
- -
(gPxttfiratp of (Orrupanry
Citp of (Eagan .?
Eppttrtmmt nf Nuilbing 3ttspPriimt
This Certificale issued pursuant ta the requiremenu oJSection 306 of the UniJarm Building
Code cenifying thar at the time of issuance lhis structure was in complrance wiih the varrous
ordinances of the City regulating building construction or use. For 1he following.•
Usc Clnssifiauon - DW G? G A?? Bldg. Itrmit No. 14387
Occupancy Type P3 Zoning Distnct Typc Const. V%
Owntr of Building R?INE' 9 L'"Si . ,?? 5985 1? 11 i ST. [,IE?T, S?P[,E VAI 1?.Y
8uilding Addrar t h3 Lfi= Localin• L6, B5, ER.IDI.I: RIIX?
DBte: ??' "??i 7. 1`?>5C
Building Offi '
POST IN A CONSPiCUOUS PLACE
?, . . ,... .
. • PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -?`CONTRACT PRICE: PHONE: 054-8100
Site Address
Lot Block Sec/Sub
? Name
ro Address
c City Phone
Name
; Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE S CONDO - RES. ftATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C IF PERMIT PRICE GDES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. ? Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
-- Bath Tubs - $3 00
Lavatory - $3.00
Shower - 53,00
Ki?chen Sink - $3.00
Urinal -Bidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
' Water Heater - $1.50
Whirlpool - S3 00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
SoRener - $5.00
Weli - S10.00
Private Disp. - $1000
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
? . • PERMIT N
. MECHANICAL PERMIT
C
RE
EIPT # CITY OF EAGAN 1 ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ;..?.
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block _ Sec15ub
Res. New
Mult Add-on
Name
` Comm. Repair
co Address " Other
c City - .•Phone ,
' _
- FEES
? Name RES. HVAC 0-700 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM - 1 PER PERMIT
1
50 EA
(
) -
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air
M BTU j;;?
?? APT. BLDGS. - COMM. RATE APPLIES
B
il TOWNHOUSE & CONDOS - RES. RATE APPLIES
er
o M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SUACHARGE PER PERMIT - .50
Vent. CFM $ PERMIT PRICE GOES
Gas Piping Outlets # $??o BEY ND $1 00)
Other S
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
1"l?e?`'!ti'"
CITY OF EAGAN 18620
•, ?
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT
To be used for ? . F'NT pIKISQ4 Est. value '4' 1•5m
Site Ad ress ?IL)CE RD
Lot Block ' Sec/Sub. BRIDLE r
Parcel No.
Receipt #
narP
90
OFFICE USE ONLY
Occupancy - FEFS
Zoning -
35.00
¢ Name lActuaq Const - Bldg. Permit
3 Address IAllowable) - Surchar
e ,
o
City _ .A Phone ?'?? ' '-•- ? ?
# of Stones
- g
Plan Review !
Length _
o Name Depth - SAG City
?
0
Q Address S F. Totai - SAC
MCwcc
0
? F
i ,
City Phone ootpr
nts -
S F.
Water Conn
On Site Sewage -
UQ
W w
Name
On Site Well ?
Water Meter
w
?
Address MWCC S stem
Y -
? Acct.4eposit
iW City Phone citywacer - ?
S/W Permil 444
PRV Required _
I hereby acknowlege that I have read th(s application and state that the Booster Pump - &W Surcharge ,
?
inlormation is correct and agree to comply wdh all applicable State of ?
Minnesota Statutes and City ot Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit ?
A Building Permit is issued to: aQM Pianner - Park Ded. ?
on ihe express condition ihat all work shall be done m accordance with all Council
appGcable State of Minnesota Statutes and City of Eagan Ordinances. gid9pry_ ? Copies
Building Official - Variance - TOTAL
. permit No. Permit Holder Date Telephone it
WASER
SEWER ?
PLUMBING
?
H.V.A.C.
ELECTRIC
Inspectfon Date Insp. Comments
Footinys I
Foundatfon
Frammg
Rooling
Rough PIb9
Rough Ht9.
Isul.
Fireplace
Final Hig.
Final Plbg.
Consl. Meter Plbg. Inspector - Notdy Plumber
Engr./Pfan
Bldg. Final
Deck Flg
Deck Final
Wetl
Pr.Disp.
r
v
?-?
' . . ,. . ... . . ' ? ' V
?
PLUMBINa PERMIT For City Use Onty a
? '\
CITY OF EAGAN
CONTRACT
PRICE
PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT #
Site Address
Lot r?- - Block
? Name L` ?"uG ?:l v ? ? ;
? Address
c City
c ? Add
8 City
C
PHONE 4548100
Phone
FEES
COMM.IIND. FEE - 1% OF CONTRACT FEE
APT, BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE)
DATE:
BLDG. TYPE WORK DESCRIPTII
Res. New Const.
Mult. Add-on Icl-?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL
Water Closet - $3.00 $ ,
Bath Tubs - $3.00
Lavatory - $3.00 '
Shower - $3.00 ?
Kitchen Sink - $3.00 ?
UrinaVBidet - $3.00
Laundry Tray - $3.00 i
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT-NEW CONST.)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 '
Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00
? 7 • ? ,}
PERMIT FEE: ?
?
STATES S/C:
GRAND TOTAL: a . s
CITY OF EAGAN N2 16894
? 3830 Pilot Knab Road, P.O. Box 27-199, Eagan, MN 55121
•
PHONE: 454-8100
BUILDING P
33 (
ERMIT Receipt # c
0!?
To be used for 3-SEASON PORCH Est. value $7, 000 Date AUG 4 ,19-89-
Site Address 663 BRIDLE RIDGE RD
Lot 6 Black 5 Sec/Sub. BRIDLE RIDGE iST OFFICE USE ONLY
PefC@I NO. Occupancy R-3 FE ES
Zoning -
w Name SUNSHINE CONSTRUCTION (Actual) Const - Bldg.Permit 90.00
3 AddresS 2121 CLIFF DR (Allowable)
- 3
50
p Surcharge .
City EAGAN Phone 452-0995 # oi stodes -
121 Plan Review
Lenglh
Name SAME Depth 14, SAC
City
ip
0,04 Address s.F.rotai - ,
SAC, MCWCC
City Phone S.F. PootpnNS _
Water Conn
On Site Sewage -
?-
oW
w
Name
On Site Well
l
M
t
W
w
s?
AddfeSS
MWCCS stem - er
a
e
er
gw CitY Phone Cirywater _ Acct.Deposit
PRV Required _ S/W Permil
I hereby acknowlege ihat I have read ihis applicalion and sta[e that fhe Booster Pump - SNV Surcharge
intormation is correct and agree to comply with all appiicahle State ol
Minnesota Statutes and ity ol Eagan Or ances. Treatment PI
Signature of Permitia M r'"''S 1- APPROVALS Road Unit
a Building Permit is issue o: NSHINE CONSTRUCTION Pianner - park Ded,
on the express condition that all work shall be done in accortlance with all Council
applicable Slate of Minnesota StaWtes and Ciry of Eagan Ordinances. Bitlg. OIL _ Copies
Building ONicial Dxq1Ci
0! ? Variance - TOTAL 93.50
?
NO C.O. liNTIL ENGR. CITY OF EAGAN N_ 14387
APPROVES. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDINGPERMIT PNONE:454-8100 Receipt# --113910
To be used for - SF DWG/GAR Est. Value $117 , 000 Date NOVEMSER 6 ? 9 87
SiteAddress 663 BRIDLE RIDGE RD
Lot 6 Block 5 Sec/Sub. BRIDLE RIDGE
Parcel No.
a Name SIiNSHINE CONST
z Address 5985 125TH ST W
° City A.V. Phone 431-2200
W
.O Name SAME
Z?
oa
Address
: City phone
t¢
ww
Name
t
z z.
Address
U
aw
City
Phone
I hereby acknowledge lhat I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry gan fUinances.
Signature of Permittee
A Building Permit is issue t. Q$T
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota $yatutes and City of Eagyn Ordinances.
Building OHicial
OFFICE USE ONLY
On Site Sewage - Occuoancy R3
MWCCSystem X ZoninB Rl
On Site Well (Actual) Const Vn
City Water X (Allowable) Vn
PRV Required _ # of Stories
BoosterPump _ Length 74
Depth 30.33
S.F. Total
Foo[print S.F.
APPROVALS FEES
$ 554.50
Engr./ASSess. Permit
58.50
Plenner Surcharge
Council Plan Review 277.25
61dg.OH. SAC,City 100.00
Variance SAC,MWCC $25.00
Water Conn. 525.00
Water Meter 67.00
Road Unit 305.00
Treatment P1 180.00
Parks
TOTAL $2,592.25
^ CITY OF EAGAN NO 18620 '
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Q
BUILDING PERMIT Receipt #
7o be used for BASEMENT FINISH EsL Value $1, 500 Date DEC 14
Site Address 663 BRIDLE RIDGE RD
Lot 6 Block 5 Sec/Su6. BRIDLE RIDGE OFFICE USE ONLY
PefC21 NO. Occupancy - FEFS
Zoning
p Name $RUCE JOHNSHN (ACtual)COnst - BIdg.Permil 35.00
W
o 663 BRIDLE RIDGE RD
AddreSS
(AUOwabie)
- Surchar
e
1.00
Ciry EAGAN Phone 683-0713 r oi siones g
-
Plan Review
Length _
o Name SAME Depth - SAG City
,
°a Address S.F.7otal -
MCWCC
SAC
u
? City PhOf10 S.F. Footprints ,
-
Water Conn
On Site Sewage _
?
ww
Name
on sice wen
- waier Meter
z
z
Address
MWCC S slem
y
-
o
aw
City Phone
C?rywaier
Accl. oeposit
-
S/N Permil
PRV Required _
I hereby acknowlege ihat I have read this application and state that the Booster Pump - gryy Surcharge
inlormation is conect anC agree to comply with all applicable State of
Minnesota Statutes a
nd Ciry of Eagan rdinances. 7reatment PI
y
Signature ol Pertnitl
92 APPpOVALs Road Unit
A Building Permit is issued to: fir q Pia""ar Park Ded.
-
on the express condition that all work shall ba done In accordance with all Cauncil
applicahle State of Min
n
esota St
a
Wtes
and Ciry of Eagan Ordinances. giay, pfi, _ Copies
.(
?
,
p
1
BuildingOfticial !? ?? ?1.Q1lJl•?? Variance - TOTAL 36.00
qTY OF EAGAN Permit No: "- 1'i Date: '-' 1-1.2 _--'J
3830 Pllot ddnob Road nneter No: 39 ?' o?.s?fl giZy; Jr oc?/
P.O. Box 21199 Reader No: ? ,?2QG? Date: 3 - /'" ?`?
Eagafi, MN 55121 / / d" / v
Owner. Siins?:int CunsL'. „
SiteAddress: rr)3 '.rUle
Plumber. "tar "lv.d,lty
Conn. Chg: S^_? 't??d Zo mg:
Acct. Dep: ;.No?qf.Units: '-
Permit Fee: L '01,
Surcharge: llag?ea fo
tcromply wlth the City of Eagan
Tr. Plant ,
Ordina es.
Meter. c.? .
k
Misc.: By dy
WATER SERVICE
This rbqvesl void
??'`? / 7,3
18 moi,ths frqm r? /
65908 /?2
Hequesi Uale Fire No. I Rouph-in Insper.t;o
Reqmretl? E]Ready Nuw ?Will Noiity Inspec-
? Q 1'es ? No tor When Peatly
Licensetl Elpr,trical Conlrector
? Owner 1 hereby repuest inspecfion of ebove
electrical work installed ar.
Sveet AdAress, Box or Route No. ?ity
I£J
? ?.
ecuon o. Townshio Na e or No. q
o Cow y
OccuGnnllPfllNT) Phone No,
/ 2 ?'CCf?dYl
Pawer SupPlier
/\ ???
Atltlress ?
Electr'cal Conhactor ICOmp
any Namel Cnnhactor's License No.
?y
S('JP i?1 ?',!'P r?r
M i? ,?'? C. ? y/ 9
$ - 3
aJdnp.anuress ((,on[raCtor or Owner MakinN InstailatioN .
? C
? ?
/ /
1
Ith
ed $ignature (COnV cto ?Own Mnkinq Insrallationl hme Numher
c,
°?^coai?w siqlE tlOpqD OF ELECTHIGITY I hI5 INSPECTION qEQU[ST WILL NOT
Griggs-Midwey Bldg. - qoom N-191 BE ACCEPTED BY THE STqTE BOAFD
1821 Unive.sitv Ave., St. Peu1, MN 55104 UNLESS PNOPEP INSPECTION FEE IS
Phone(672) 642-OB00 ENCtoacn
REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os
y n ' See inst?uetluns br comoletine this form on Ceck of Vellow copy.
DD. 6?J O H ??X" Below Work Covered by Ihis Request
Add fle0. TYOa of BuiltlinB APPtidllCa! WifBG E9uiumem Wiretl
Home Fianye Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Buildinq Dryer Electric HeaUn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Condi[ioner 8ulk Milk Tenk
Farm thrr oeafy nmer ISoncny)
1 .r Specify ther Oihcr
Compute Inspection Fee Belaw _
M Fee ServiceEnbence5ixe It Fae Fentlere/Sublenders K Fee Circuits
1ILa, ? to 200 qm s 0[0 30 Am ps Z 9? 0 to 30 An s
Above 200 Amps? 31 to 100 Amps 31 to 700'Am
Swimming Pool A6ove 100-<lmps Above 100_AmV`+
Transformers Irrigation Boon--s ,58 PdrtialOther Fee
Signs Speciallnspection S TOTAL F
arks
Aem ?
?
Roue?-?n ???r . '? ? the Elac
? nspector, hereby
? carlify lhat the xbove
i'^al D te inspection hes baen
e . / ' S? maea.
Tnls reuuest vold 18 momha trom
?oy/5
a 3 4 0
K
Request Data Fire No. Houg In In
Repuiretl? -
? Ready NowXWill Notity Inspedot
?s ? ? When Reatly9
I O licensed contractorx owner hereby request inspeclion of above electrical work at:
JoE AtlOress (street. Box a Rane No.)
6 3 ? - R, u F
? CM
If ?4 c A ??
Section No. Tvwnship Nertre w No. F9nge No. CcminN
pakota
Occe M (PRINT) Poona No.
c N N fI? 6`b3-u713
Power Suppliar Mtlress
.Da o Eled,-yi
Ebcifical Connactor (COmpany NamB) Contractor5 Licenso No. _
O?
Mailing Atltlress (Conhactor or Oxrier Making Installalbn) '
AulhorizeE &qnaWre ICo[n?VacrorlOxnaryJ?1aking Instelletion)
? Phone Numper
? ""?'.'r-' G._.-_?
'?/?`?"'?/?/J? .__ ?? ??
X
MINNESOTA STATE B011RD 9ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GrlppoYldxay BIEg. - Room 5117 BEACCEPTED BV TME STATE BOAPU
1021 UnWmiry Ave., St. Paul, MN 5510! ' UNLESS PFOPER INSPECTION FEE IS
PMm (612) 613111800 ' ENCLOSED.
?,?lfo .
a 38403
REQIdEST FOR ELECTRICAL INSPECTION
? See inslmdions for campleling this lorm on back ol yellow copy.
"X" Below Work Covered by This Request
eii??
?
?.?.,
ew A9d' Rep. ` TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplea Water Heater Eledric Heating
Apt. Building Dryer O[her (Specity)
Comm./Indusirial Fumace
Farm Air Conditioner
OMer(specity) ComracmrYRemarks:?S??J
Ti Sf1'
Compute Inspection Fee Below:
# Other Fee # SernceENranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps 700 Amps
SignS Inspeclor5 Use Ony: 3 TOTAL t?
Irrigation 8ooms 6 p?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY RDE D? ?'IS¢ONNECTED IF NOT
Other Fee COMPLETED WITHIN t THS 704
I, the Electrical Inspector, hereby
certify that the above inspeclion has
been made. Rough-in
/
F?nei I oa?a`
5,
OFFlCE USE.ONLY
Tnis request vob 18 montOS Irom
S2 7 9?S RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauiremante RemodeURenoir Reouirements
• 7 registereA site suneys showing sq. ft. of lot, sq. R. of house; anC all roofed areas • 2 copies of plan
(20%maximum lot wverege allowed) . 1 Set of Errergy Calculations for heated aGaition5
• 2 wpies of plan showing beam 8 window sizes: poured found Aesign, etc.) • 1 site survey `or extenor additions 8 decks
• 1 set of Energy Calculations . InEiwte if hame sened by se0lic system for additlons
• 3 copies of Tree Preservalion Plan if lol platted afler 711193
• Rim Joist Oetail Optlons selection sheet (bidgs with 3 ar less unils)
DATE VALUATION rgl 6 ?
SITE ADDRESS
TYPE OP WORK_
APPLICANT_
STREET ADDRESS
TELEPHONE #
l??'se i2?
MULTI-FAMILY BLDG _ Y N
FIREPLACE(S) _ 0 _ 1 _ 2
-3r, liltr °? CITY gY! STATE
CELL PNONE # FAX #
PROPERTYOWNER TELEPHONE# 651-683- 0713
- - - - - - - - - - - - - - - - - - - - - -------^---.... m ................................ .------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSO'f:\ R[iI,L•'S 7670 C:1"CEGORI' I MIrvESOT:1 RC%LkS 7672
(J submission type) . Residentlal Venfilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submi[ted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
blccti:uiiril svsLem includcs:
Sewer/Water Conhactor:
:\ir Condiuonin, Fee: S70.00
Hcat Rccoven' Systcm
Phone # I II I??im
??I-_ II II__ 3 0.2002
----------------------------------------------------------------------------------------- -- -
I hereby acknowledge thaT I have read this application, state ihat th- e information is co Peci, and agree to c
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Y--=.?
Signature of Appllcanf
_ -------- ___--------- ---.»_--------- ______------°-"'--------------- ------ ------- ------ --------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water So(tener
Water Heater
No. of Baths
Phone #
Fee: $90.00
_ Phone #
Laim Sprinl:ler
No. of R.I. Baths
Updated 4I02
.. .. . ,? . . .. . . .. - _ . .. .
,... . _ ..? . ._..??,. .._ . ..,. : . :_ _
GAS WORK ORDER
1082 Payne Ave. STAIV DARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651 /772-2449 b H EAT I N GO 612/824-2656
& AIR CONDITIONING
A Blue Do[: Service Co. FOLIIPMENT INFORMATION
LAST ?oN,JSi.? FIRST 132v._c ?
ADDRESS (ola3 R,a r Ot'; R, (%-7,i,
CITY ZIP t a3
HM PH 451 - k3-071 3 WK PH
TECH L,2:-t+ R DATE 3 ?a / f o a
TYPE
MAKE
MODEL
SERIAL q p
INPUT
ORSAT TEST RECORD
C02 ? % METERED INPUT tS04s'a-Cfh CHIMNEY TYPE VF?s?
02 % LIMIT SETTING ) J° FLUE SIZE If1.
CO 0 % PILOT OUTAGr,s,.-9?vw-? sec CONNECTOR SIZE L4 in.
NET STACK TEMP 3 3( 0 TOTAL CHIMNEY INPUT ? 2? ??? btUh
CITY USE ONLY
PERMIT #: I I( l I RECEIPT DATE:
8008 iiE.SIDEPTIAL MECHlkNICAI. PEgMIT APPLICATION
cm' oF $neAiu
3830 Paor xxoa ito
$nsaxME ssisE
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when pertnits are required for each unit MAR 2. 9 2002
Date: By
SITE ADDRESS: "_3 ??& 6col k
OWNERNAME: 8Cu ,
? (p6se?
TELEPHONE #:C S , 0_;?- d:03
? ;?AiRr p? ?gITiGN1?1itg TELEPHONE #:
INSTALLERNAME: ?404ARDHEATIMG
_???? I_
???APOL iWB'2m
STREETADDRES5: R'-
CITY:
STATE:
ZIP:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existinq dwelling unit $ 30.00
• fumace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
TOtal $:?ba
( ?
SIGNA F P r?
1102
1989 BIIILDIDiG PERlSIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DiIELLINGS I toig
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
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NOTEi 6DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CBANGES WILL HE ALLOWED ONCE BIIILDING PEHMIT IS ISSiTED.
MITLTIPLE DiIELLINGS RENT9L pHITS FOR SALE ONITS I OF U9IT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURIIEY - CHECB WITE BLDG. DEPT.t 1 SET OF ENERGY
CALCULATIONS
COMB9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECI?FIr?CATIQNS AND 1
ul
To Be Osed For: a'
Site Address
Lot (4?1 Bloek S7
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: ?yYpCA/• Date: 4A &• ? j U7
-t•???-'-
Parce 1 /Sub :g? ?
Owner
Address 2m 6"?A:4--
City/Zip Code.x?
Phone 41EE? - 02Y?
Contractor 4S*yV`y'7-
Address
City/Zip Code `
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
4/? , ^'n?M- vr r i?.c w+
? VW
Occupaney R -3
Zoning
Actual Const
Allowable
S of stories
Length 1b 1
Depth iN'
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
APPROV9IS
Planner _
Council
Bldg. Off.
Varianee
Council
ONi.Y
FE6S
Bldg. Permit `10•00
Sureharge 3.Sa
Plan Review
SAC, City
S9C, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL 4. 0
NOTE: Sewer & Water Permit Pees and account depoait feea riill be ineluded in the building
permit fee. Processing tSme Por seWer and ?iater permits ia two daya oace a lioensed
plumber has applied for a permit at City Hall.
,
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AUG-01-'89 TUE 11:21 ID:JRMES R HILL INC
TEL NO:E12 884-9516 9883 P02
SURVEYOR'S CERTIFICATE'
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? DENOTES PROPOSED SURFACE DRAINAGE
O.. '. DENOTES IRON MONUMENT SET SCALE; 1 INCH - 30
• DENO7ES IRON MONUMENT FOUND PROPOSED GARAOE FLOOR -j27.3
X000.0 DENOTES EXISTINQ ELEVATION PROP03ED LOWEST FLOOR - 9 1?, (e
(000.0) DENOTES PROPOSEO ELEVATION PROPOSED 70P OF BLOCK -°)21,7
WE HEREBY CER7IFY TO SUNSHtNE CONST. C0. ? TNAT THIS 15 A TRUE AND CORRECT
AEPRESEN7ATION OF A SURVEY OF 7HE BOUNDARIES OF:
Lot 6, Block 5, BRIDLE RlDGE I ST ADDITION, accordlnq to the recorded
; plat thereof, Dakoto County, Minneaota. ''"` . .
tT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDEA MY DIRECT SUPERVISION THIS 297H DAY OF OCT08ER,1987.
APPROVEO FOR SiENNA 51GNED; S HILL, INC.
CORPORATION
BY • BY: l..r. ????Z? 7
HAROLD C. PETERSON, tAND SURVEYOR
DAtEDr MINNESOTA I.ICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • 6LOOMINGTON, MN. 66431 0 812-8649028
? S L BL CITY USE ONLY RECEIPT#: 1O5'1 S?
SUBD. /°`A-cc? RECEIPT DATE: ?°2y l?S
Y999 PLUMSIN? PERMIT (MlDEN'clAL)
CITY OF £AfiAN
s$sa K.oT KNOB EtD
BAI6kN, MN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i in Outlet ' minimum -1 3.00 x = $
Hot tu6ls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new instaliationire air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 100 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
ater ater 3.00 x = $
Water soRener if dwellin under wnstruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
rotal --> --> ---> .... > S . o
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby acknowledge that I have read this application, state that the infortnation is cortect, and agree to oomply with all applicable City of Eagan adinances.
It is the applinnPS responsi6iliry to notiTy the property ovmer that the City ot Eagan assumes no liability for any damages caused by the City during ifs normal
operational and maintenance activities to the faciliGes consVucted under this permit within City property/rightvf-way/easement.
e 1 _ .n I I A + 1 w I / r_'7
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
TELEPHONE #:
STREET ADDRESS:
crrv: STATE:
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
11(.2.0
1990 BIIILDING PERMIT AYPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
/2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
NSTI,TIPLE DiTELLINCS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCUTATIONS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
Date: /a ° f'f' 76
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS NADE.
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 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOk' A LICENSED PLUMBER.
o 0
To Be Used For: (?Sm ? /)eG Valuatiom:-°
Site Address 143 PRIp4E111dqe !1Q I OFFI,
i.oc o(fO Elock 05
Parcel/Sub _ -jh!L."??
(? ,
Owner ?ot 1?IJ Cc- ?J o H N.S F/?
Address (,(o3 I3R)p1E- Ctidqe ?
City/Zip Code l?rFF /tl , md $x-l a- 3
Phone 03 - o 7 l2
Contractor f,/m.ne Ow.7er
Address (0(03 aYIUkl rti4c'i
City/Zip Code C Dt/w
Phone 6 S 3- o? ? 3
Arch./Engr.
Address
City/Zip Code
Occupancy
2oning
Actual Const
Allowable
te of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
Mwcc syscem _
City water _
PRV
Booster Pump _
APPROnALS
Planner _
Council
Bldg. Off.
Variance
COMMERCIAL
2 SETS OF ARCHITECTURAL
6 STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SDSTOTAL
Penalty
TOTAL
3 S L?
? , da
Phone #
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*******?**#**4t***#*t****#f#***#**
*ATWI: PAYMRKf OF kEE AT TIME OF
APPLICAMON DOM NM CCNSTrIUM
APPROVAL OF PERNIIT.
INSPDLTION OF SEWEIt ArID/OR FIIATS2 ;
rnSmar.ramrONS Wliy NOif BE SCHED-- °
ULID ONTII, PERMIT HAS BFEN ;
APPROVID. ;
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- x,..xx=xx,.xx,.,.xxxx,.,.xwxxxxw,.x,.wx,.x,.x
P ease Print
1) PROPERTY ADDRESS: 6-'.3
LEGAL DESCRIPTION: 4Oi- (y R-e K S 1S¢i/IcE k.,ucialocx/aunaivision or Tax Parcel ID
IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: ." ?
?
PRFSEDTP 7ANING/pR0POSID L'SE: (Mon ear)
0 COMA'ERCIAL/REfAIL/OFFICE
F7 IND[.'STRII1i,
n INSTIIL;TIONAL/GOVERNMENT
2) ? R-1 SINGLE FAh1ILY
? R-2 DC?PLEX (TWo L?nits)
R-3 TOWNHOC?SE (Three + Units )( t?nits )
? R-4 APARTMED7f/CObIDOMINIOM Units)
NAME:
ADDRE$S:
ciTY, srAxE, zir: A0P1 E .
PxorE: -5! 3 i- a a C?
3) • o ?:?• _STin2 /-'
NAMEO- LUMLi/it/(r
ADDRESS: ^
i
CITY, STATE, ZIP:
PHONE:_ MASTER LIC.ENSE# 33.,2
4) ??• • • i?+•
NAME:
ADDRFSS: CITY, STATE, ZIP:
PHONE: -
Active
FScpixed
Not recorded
St?initial
5) ? v i i a: • ?• ? : ? • ?? - o-?
X CONNECrION 'PO' CITY SEWII2 g7.1 CON[JDCPION 1o CITY WATIIt ? OTMt_
?rt..
6) JIIK?
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O=P7JSA3E=HOI3? APPRtjV?-PERhHT'E'C?R=PICK=_[?P-BY-ONE'-OF-}1BBVE 02P E MAI APP PERMIT ZO 1.Q 3, 4, AHOVE .
(Circle one) . i
FOR CITY USE ONLY PERMIT # ISSOED 02 el.3
Pd w/Bldg. Permit FEES:
$_ S Z-) $ SEWER PERMIT (INCLODE SURCHARGE)
$ IO ' S? $ WATER PERMIT (I[VCLL'DE SLRCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ ?d ' (J''D $ ACCOUNT DEPOSIT - SEWER
$_ 0-0 $ ACCOC'NT DEPOSIT - WATER
$ O--o $ WAC
$ I•, Z?? ' UZ? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ S LATERAL BENEFIT/TRUNK WATER
$ //7G U ? $
WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ $
TOTAL
RE EIPT R
ECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN P[JBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK LVITHIN PLBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERI[VG
. AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?/-7
1987 BDILDING PEAMIT APPLICATION - CITY OF fiAGAN
SINGLE FAMILY DWELLINGS
IACLDDEQ SETS OF PLANS,Q CERTIFICATES OF SOAVEY, 6,)SST OE ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGAAYfi HHICH ADDRESS
IS DESIRED. NO CHANGES W'iLL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDSD.
MOLTIPLE DiiELLINGS - RFSIDENYIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COP47ERC7LL
RENTAL DPITS FOR S9LE 03YIRS
OF SQRVEY - CHECB iRTH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND
To Be Used For:
Site Address
iNbLE aHity Valuation:
/
/63 B21W
Lot 6 Block
Parcel/Sub g/ziOcE /CidG
Owner ?44NSHi /f CONSTR A TlU.1/
Address -S?$S- 42,?--5-r (,,? 7`
City/Zip Code _ APP[E l1AccEi1 ; SSl 2-Y
Phone '%j / - 2-? M
Contractor AS 4430dA-
Address
City/Zip Code
Phone
Areh./Engr. f H@5 Q- /-lree.
Address 91/O! ./AMES IIdE n City/Zip Code QappyjA&To /. ,rS'%3 %
Date: //-03-?'']
On Site Sewage_
MWCC System ?
On Site Well
City Water ?I
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off ? =? s
APC
Variance
Oecupancy R =,3
Zoning Q - I
Type of Const
(Actual) V - N
(Allowable) v-r4
# of Stories
Length
Depth _ 3033
S.F. Total
Footprint S.F.
FE&S
Permit $$q.SU
Sureharge 59,50
Plan Review 2jr7.•25
SAC, City 100.00
SAC, MWCC 525,00
Water Conn ,00
Water Meter
r?
6910
Road Unit
D
30510
1reatment Pl 180,0
p
Parks
Copies
TOT9L
Phone lk B$y-30?2.g'
VAI. u A1TlON
°?°-----'?
t•
GARAGE; 3oxz2= 660 ?X 12. = '197 0
SAsEMENT: 26X y4= I lyu
Gx?f = l?l
ti?/q= I( . 352
Is-r FLOoR; rssmr: t16C6
ZX 6 = I't
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2NO FLooR; yyxt?6-ia32?
r? X 1 LI = l7'3g?
SX3`- (I?')
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SURVEYOR'S CERTIFICATE SUNSHINE corvs-r..co.
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so DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a927,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FI-OOR - 9 1 9, (a FEET
(000.0) DENOTES PFOPOSED ELEVATION PROPOSED TOP OF BLOCK- 92-7.7 FEET
WE HEREBY CERTIFY TO SUNSHINE CONST. C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 6, Block 5, BRIDLE RIDGE I ST ADDITION, according to ihe recorded
plat thereof. Dakofa County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 29TH DAY OF OCTOBER, 1987.
APPROVED FOR SIENNA SIGNED: S. HILL, INC. n
CORPORATION y( J
BY
4Y : :
HAROLD C. PETERSON, LAND SURVEYOR
DATEDi MINNESOTA LICENSE NUMBER 12294
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PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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CITY OF EA6Ail/ .
DUILDING DEPARTMENT
? EXTERIOR ENVELOP AVERAGE "U" COMPUTATIOr
(To 6e eubmit[ed vith building permit application)
Oae or Two Family Dwelling .? Owner St=niSyiN? ?y_S T2u[Tiot/
,
All Other Site Address ?i0e4? ?aqd
.
LOT G R1K S /[/ 4E q
/C/O6E /EZ
Contractor Date Phone ?
LINEAL FGET OF
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ERPOSED WALL +
?(1?? ft. above grade = 1?.?`
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TOTAL EXPOSCD WALL AREA SQ. FT.
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OYAQUE NALL CONSTRUCTION; "U" Palue X Area'
p ' . .._ ... . .
Detail X SQ.
reference X SQ.
fLOm -, f'Ur' i X SQ.
actached _ ev0° x sQ.
sheets. "U" X SQ.
i• "U" X SQ.
MDOHS: "U" Value X Area - !lake 6 Type,,l 1--aA L G'?J«oU^ X SQ.
iake 6 Type "U" X SQ.
iake 6 Type ^U° . X SQ.
fake 6 Type !'U" X SQ.
)OORS: "U" Value X
•. Area .
.
..
...
.
.
.
lake S Type ..
.
....
.
. . , , ?(
nUn X
SQ
lake d Type
"U" X .
SQ.
take S Type "U" % SQ.
lake S Type "U:' X SQ.
TOTALS Z?7e54 i SQ
.a ' .
AVERAGE "U"
30TAL (U)(A) VALUES y'
IIVIDED BY TOTAL WA LL AREA
,VERAGE "U" .11 or less for 1 61 family dvellzg
IOOF/CEILING: `.'
OTAL AREA
etail reference "U" ip X SQ.
from ••U'• X SQ.
ttached sheets. "U" X SQ.
escribe openings "U", X SQ.
n roof. "U" _ X SQ.
FT. ?G•?7?iQ? Z3,?O (U) (A)
FT._. i1..1, (0)(A)
? .CCS c ; , - ?II) ?A)
FT.
Fr.l Am C-) (u)(n)
FT. _ (U) (A)
FT. _ (U) (A)
FT. , cu>cA>
FT. _ (U)(A)
FT. _ (U) (A)
FT. (U) (A)
? ?.., ? r... «
FT.
= J? (U) (A)
FT. (U) (A)
FT. _ (U)'(A)
FT. _ (U) (A)
FT. (U) (A)
FT. ?= Z . I(:-3P (U) (A)
FT. (U) (A)
FT. (U) (A)
e1'. = (U) (A)
Ff.• _ (U) (A)
' _.--TOT LS Q. FT.6???T,(U)(A)
OTAL (U) (A) VALUES DIVIDED BY
DTAL ROOF/CEILING AREA
7ERAGE "U"'?.025 for ventilated roofs.
, ?...._.
I r
--WALL SECTION---
1
Determiniag l'Q" value$ aC Roof, Wall, Bimo and Conc. Block
ROOF/CEILINC3
1,} Interior Air r'i1m
2.) 5-7 ?j1'
3.) Insulation
4.J
5.) Exterior Air F11m
( STILx, )
(R) VALUE
0.61
aQ?
.61
uQn = 1/R- ??'•:?.?? iOTAL (R);= 4;
wu.i, .
6.) Iaterior Air F11m
8.) Insulatio
9.
to.) -P
11.) Exterior Air Film
R VALU
O, 6$
.17
nUu a 1/g=,?? TOTAL
RIM
12.) Interior Air r ilm
- 13.) Insulation
14.) 16.? M4sO4..tt`f'"? StDN!a
17:) ExCerior Air Fllm
(R) VAI,UE
0.68
4 ?? Sg
~ I Q?
? ? .
.17
uu" _ 1/R= 1 040 •TOTAL (R)=?Z 4,44t
FOUtIDATION
18.) Intqrlor Air Film
19.)
20.)
2i.) 22. )"i1..?.,??;;!''' T:-.(?r.',1,11
23.) Bxterior Air Film
(R) VALIIE
0.68
1??2, e7
Cj ? rJ0 ,
.17
uUu TOTAL (R) =`I ,
f '
.T.?... .. . ..
?--
?--?- -
;
?-- -
F<.._...?._._
?-?-,- --
?_. .
. ?.? ?
es)
L M-? ..
?? X..(p0 =- 8?.3? k I 1=
I la x??= _ 4_?..c? k2 =
r
?;LU 1??Q?- ?. -?_ ? ?O k 'L =
-4-
?"?: ?' ktoa --2 O?Gt?
4?
.
cG q
_...?`T
?-
?
" 4g
?...-
'
. • ??
,
/
. ?
?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
ZSETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
? a
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
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
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS PfADE.
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 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.
osrTDem r{
To Be Used For: AEC iy'X xot Valuation:
Site Address 4,1,3 AIDGF /1oA0
Lot -4 Block ?J
Parcel/Sub ,gp1Dti- /7lD(oF LT nG9i%/on1
Owner 9R1JG F .l ? gni.sEInI
Address L63 13QI61F R16f>f A0aqn
City/Zip Code 6/9 64N . mpl sSl a-3
Phone ?p?' 3 - D 7 J 3
Gontractor 41pm-z-- 0,,,,,/6Q
Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone #
Date: 3 ? z - l- D
OFFICE USE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
nepct,
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVAIS
Planner
Council
Bldg. Off.
Variance
COMMERCIAL
FEES
Bldg. Permit = 101<?
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
1 NG
4
eDtO2,
S? 'b?9?6?
'y 1
' `y •?\?J 1o '
?
'J
/
?
,QO
?•_ 'Qp
9 t
•'L?A.? ° ??, ? ry C9'p T C J \ ?O .'Z
? ? ?92300 / ?
? ?
cii
?
,s'}.
J ?
•Y??i `'"? ? ' ?
06
?
.V
:? ~r
u<< h' ll
/ n c??o s t
a
/ `/ X
h?
I
tJ
_J
PNRGHA-S,< 1.7 .Sc+?' 8 /y?P 7
v
.-
"
;UhJaHINE ???!FJ5TR6h3'.ti?ILLE
.5 in.
!1
' 0 n
Gp-/rc '460 o F- -----
S R-0 o Tf O...M
c.Ro g-D
6 ??3loc? S
RTI$BE RL EFIGRtJ (9J50
n
??, 4
- 2x4 SPF ??'L o e iF??)
e7o Z-v OF,A +Od V-Wv?? lo n..
CLCo N14L-s?"T9'rA V 6/rc.H f'04IC-'
J v S T f3C.-t? P-E ^r n.-+ t., i N. cO i
f, .t 6 L- v E M.. ?
cd)-+TA-r-T Sv(?-C=ktES hi ITH .
?S o P- C E N o L (2-CsS i rJ C? l? u?.--
,
H3
1 hereby cetcify chac this plen, specificadon, or
«port wes prepared by me or undet my dire¢t
suprrviston and that [ am a duly Reglsceced
Pcoks-qional Engineer under thc lawa of dte
State of l-tinncvxa.
D, l
AiA Req, NO,215loL0B
ALCO L
?p-u S5 (ZE'Pih- I R-
_ ,I,c?f88
kg? ?,log 13SSo .
SUFISIIIFJE CUNSTR663
Si:HLE: .5 in. - 1
RD ERGRFJ 79550
?,M?•??
? r c)?a i3L2
----
'`
3
1 n
_ 0
r
I \_-
H3 ?'°ts0'?n Gi+c?Q
0
I h, rcby crrtify [hac this plan, epecificacion, or
report %v:x prcpnnd by me ot under my direct
>ura.i.ieu arx„ thac 1 am a duly Regiscered
Pr.,Er:s,iov:•! G::;i;icer unJer the laws oE the
stak< <,i
O
DRcK. No.°I5 (AV
, kidA : d?
c0,6' "
S?JS
? ; D&C
?
/?a6
2x(v 4641& (-O2 SPv:
'?pT? F4G?S ? 1?0? ?p w
L.A. tie 4,,
t.? PEW-
JvST BEFv?? rJki?I nJ 0,
-Lorl T At-c T? FN o l,
s??S. r ?
1/v 1 'i'F-?
' &LuE
TR-uS S ?E PA- -
Jo&#I3sSo PAP-7.
i?i? (e>8
CITY OF EAGAN Permit No: Date:
3830 Pllot Knob Road Meter No: 32 76 46--7 Size: S oC/
P.O. Box 21199 Reader No: -' Date: I'
Eagafi, MN 55121
Owner.
Site Address:
Conn. Chg:
Acct Dep:
Perrnit Fee: -' ?
Surcharge: R `' ? T`a*eA-,"mply with ihe City ot Eagan
Tr. Plant ? Ordina es.
Meter. 1
Misc.: By - '
WATER SERVICE PERM
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107575
Date Issued:10/17/2012
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Valuation: 2,200.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Bruce E Johnsen
663 Bridle Ridge Rd
Eagan MN 55123
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Oa/UO/2014
TUE 16: 25 FAX 612 U22 540U Al's Master
(C' (DO
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Plumbimg
333wi
U002/002
Use BLUE or BLACK Ink
For Office Us
Permit it
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:3' L'' 3 Site Address: tficii3 grid 1e Ri� d •
Suite #:
Tenant: ��hnSont (Br) fie.
.'.o;i,llll?j,I 'r... k,X.Name
;tE;e,R,ia„l �l;� j�'�” , ,. • • "
,n )ByLICQf Phone: 616/' (...6_5' 00313
": .
esidentJQwnel:
N ': �{ :SIi ; Address / City / Zip: / A / - if • ^ .f /A _ .P U 1
"1'.` w....�� _
q;,10i,"," rpt`
�; I;!i�a��IlljlfFiIl ( /2G 0q j 3
,, oA • "; i,;,, cCuiwtiort�, LLC
Name: Noah ALicense #:
1 �CI�II"����il^
'.l . ' :' :.'d'!'qli�,l,"••
4ht,ractol
uke-a otninrcinutn-ttit»Otns
1LV Std St N
Address: dtytpe,�pl:�Arr�{Jl City:
of
1?I;II;,,"'
// ��// aa Q
State: Zip: Phone: £iJ -.(9,9ra
, ;ilhki(,)i!1 ,t,
Contact .av I Emailliol I .B, ti # 111r
0'.l _ • 1111,4,('
;'il
"Ty
kll'Il!,.,,
• • r,;
ei,ot�,lA'I4rk
I, ,I; l Iili;l ;,;r, „••
New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: bC 1aCa� A d.t 7L _662 kr
I I'
li,i',,
'1Nater
RESIDENTIAL
Heater
Water Softener
•
: •a,,;�
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
Permit Type,,,;;
•Septic
_
System
Water Turnaround
`'il;,,^; li„i , i,, :
lili.1�;3 t,,, ,,.�t,�l.,"
11 •w.!"•py ,
h,"'l'I;;1_;i_y°r ' .
_New
New
Abandonment
R • NTIAL FEES:
60.00 \ ater Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
- 1.1 r Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround` (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 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.gooherstateonecall.orq
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
accor .' nce with th approved plan in the case of work which requires a review and approval of plans.
Appcant's Punted Name
X cTc In i L5/6
Applicant's SignalAre
85;�'•I eS�i
1atec: • t", lhl,i,,,l', 5.
•
inal'•
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116707
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Ben Hilde
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce E Johnsen
663 Bridle Ridge Rd
Eagan MN 55123
Millersberg Construction
208 County Rd 1
Dundas MN 55019
(612) 839-6783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163768
Date Issued:09/11/2020
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce E Johnsen
663 Bridle Ridge Rd
Eagan MN 55123
(651) 683-0713
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165787
Date Issued:11/19/2020
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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, Mark Anderson at (952)
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 -
Bruce E & Susan A Johnsen
663 Bridle Ridge Rd
Saint Paul MN 55123--167
(651) 683-0713
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165988
Date Issued:12/04/2020
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce E & Susan A Johnsen
663 Bridle Ridge Rd
Saint Paul MN 55123--167
(651) 683-0713
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177416
Date Issued:06/30/2022
Permit Category:ePermit
Site Address: 663 Bridle Ridge Rd
Lot:6 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-060
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Tankless Water Heater
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 -
James Mason Galt
663 Bridle Ridge Rd
Eagan MN 55123
(612) 900-8701
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature