661 Bridle Ridge RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
INSPECTION ,. . ..
?
I I
I
?
??------------•--- ------------------- ?
Permit Holder
PLUMBING Date Telephone #
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
70
d
FIREPLACE
AIR TEST
FINAL PLC3G
FINAL NTG
ORSAT
TEST - - - - -
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDLICTIVITV
TEST
i
hIYDROSTAiIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
t M r"; D I i J
?
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
L?
? 9 l? Permil Holder Date Telephone #
SEWER/
WATEFI
PLUMBING
HVAC
Inspectlon Oete Insp. Commenta
FOOTINGS
L
FOUND
FRAMING
ROOFING ?
flOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
/
GYP80AR0
FIREPLACE
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
. 3830 P.ilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
,.. ?is I , , .;
PERMIT SUBTYPE:
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
-1
? - - ?.
Permit No. Permit Holder Date Telephone #
5/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC / rJ 3?5 pO
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Aough PIb9.
Rough Htg. s ZS G-? ?
isul.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ffg.
Deck Final
Well
Pr. Disp.
I
?7A
CITY OF EAGAN Permit No: Date:
3830 Pilot Knsb Road Meter No: Size:
P.O. Box 21199 . Reader No: Date:
Eagan, MW 55121
Owner.
Site Address: Plumber.
Conn. Chg:
Acct Dep:
Permit Fee:
Surcharge:
Tr. Plant
Meter.
Zoning: _
No. of Units:
I agree to comply with the City ot Eagan
Ordinances.
ey
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pi,lot Knoki Road
P.O. Box 21199 '
Eagan, MN55721
Permit N
B/P No:
11340
11 tiE CO^tST
Date:
Date:
Owner.
S+ie Address:
Plumber.
MWCC:
City Chg:
Acct. Gep:
Permit Fee:
Surcharge:
No. of Units: t.
I agree to comply with the Ciiy of Eagan
Ordinances.
Misc.: By
SEWER SERVICE PERMIT
BLDG. PERMIT NO. 01-3210 Bidg. Permit 01-3422 Plan Check
01-3445 Surch./Adm.
01-3446
SAC/Adm. ?
- U
1 ?
01-2
55 Surcharge
„
75 -3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded
TOTAL I,G
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 32 j
PHON E: 454-8100 p
6UILDING PERMIT Receipt#
To be used for Est. Value Date ,19
Site Address
Lot _ Block 5ec/Sub.
Parcel No
ir Name .?pi•7
W
z Address
3 -
0 City Phone
lx Name _
.o
zi,_
o Q Address
'! City _
WW W Name
?z, I Address
v=
Q W City Phone
I hereby acknowledge that I have read this appfication 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 Permft is issued to:
on tYSe express Condition that all work shall be done in accordance with all
apphcable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual? Const
City Water (Allowable)
PRV Required # of Stories
Boaster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Pianner _
Council
BIdg.Off.
Variance
FEES
Permit & • 00
Surcharge _ • 50
Plan Review - • 00
SAG City - • 00
SAC, MWCC __.05?
Water Conn. _ .'' . 00
Water Meter _00
Road Unit . •00
Treatment P1
Parks
TOTAL
wcn iA'cFDFm DEcK o8/09o CITY OF EAGAN
PAL'L DYKE • 452-94703830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # 0 !
To be used for Est. Value Date ,19
Site Ac"ress
Lot 5 Block Sec/Sub.
Parcel No.
¢ Name
z Address
3
0 City Phane
¢
,o
z?-
Ov
Ua
¢
?
?¢
UW
W iy
?Z
x?
U
¢ Z
Q w
Name _
Address _
City
Name _
Address _
CItY
I hereby acknowledge that I have read this appfication and state that the
information is correct and agree to compiy wdh all applicable State of
Minnesota Statutes and City of Eagan Ordlnances.
Signalure ot Permdtee
A Building Permit is issued to: -_-
on the express condition that all work shall be done m accordance wi[h all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buildmg OffiCial
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const _
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr.!Assess. Permit
Planner Surcharge
CouncH Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL _
' Permit No. Permit Holder Dats Telephone #
Plumbing
--
?-
`.:- " / ?' ??'/? 1 '• ?/??S ,, n
-
H.V.A.C. ,??C/?, ?
Electric c/
`?i)'•_-. 'Y ?
-f , -?,
? ,'`--/? ` ,•.} t».-
?
Softener
Inspection Date Insp. Comments
Footings I ? I Q
Footings II
Foundation
Framing
!12WO ?oo? - Sifi/z?
Roofing
Rough Plbg.
Rough Htg.
-
- -
Isul. ??-. - ?? -
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ_ ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr: Disp.
(Err#ifira#r nf Orrupanry
Citp of (Eagan
Prpttrtmmt nf Builbing Jriiipprtinn
This Certificate issued pursuant to the requiremenu of Section 306 of the Unijorm Building
Cade certifying that at the lime of issuance this slructure was in compliance with the various
ordinances of 1he City regulating burlding construction or rrse. For the fo1[owing:
Uu Clascification S I? DWG :' Btdg. Rrmii No. 15942
Oa:uPencY TYPe } Zooing District R_ 1 Type Coitu. VN
OwnerofBuilding SUNSHINE CONST pdd,,s 2121 :;L1FF RD., #224, FA(:Ah'
L5? B5, BRIQI?E RiDGE
BuildingAdthess?6l SRIDLF, n7nr'.? ;?-? ?lity
p,u: MAY 12, 1989
Buading Otficiel
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE.
Site Address
Lot Block
?
?o Name
Address
c City
? Name
c Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT # - '- `
DATE: -
For Office Use Only:
BLDG
TYPE
.
WORK DESCRIPTI ON
Sec/Sub Res. New
Mult Add-on
Comm. Repair
Phone Other
FEES
RES
HVAC 0-100 M BTU $24
00
.
ADDITIONAL 50 M BTU -
.
- 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMIT 1
50 EA
-
) -
.
.
COMM/IND FEE - 19/o OF CONTRACT FEE
M BTU $ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU $ REMODELS - 12.00
M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
$ BEYOND $1,000)
?
FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILQT KNOB ROAO, EAGAN, MN 55122
PHONE: 454-8100
SiteAddress ' >=idler. i<isrc
Lot Block $eciSub
Name r:,hin
ro Address 1 ? 0 1
c City ? Phone
Name ; ._ ? ?rls t
c Address ' I C 1 i f. f D 7'
3
O
Ciry
Phone 4 5 ?
FEES
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS - CaMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
SIGNATURE OF PERMITTEE
CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
BIDG. TYPE WORK DESCRIPTION
Res. New
M ult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N9. FiXTURES TOTAL
? Water Closet - $300
J $
?Bath Tubs - 53.00
_4ELavatory - $300
? -• Shower - $3.00
? Ki?chen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
/ Floor drains - $1 50
Water Heater - $1 50
/ Whirlpool - $3 00
? Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT)
? Softener - $5.00
Well - $10.00
Private Disp. - $10.00
'
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN Permit No: Date:
3830 Pilol Knob Road Meter No: __V/ FF 7 7 g.5 Size: OvR4e-e
P.O. Box 21199 _t _:,,?er Na000O Date:
?
Eagan, MN 55121(???
SUNSH1tiB COiVST
Site Address: '
Plumber.
Conn. Chg: Zoning:
Acct Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with Ihe City ol agan
Tr. Plant Ordin qces.
Meter.
Misc.: g
y
WATER SERVICE PERMI
CITY OF EAGAN I
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55127 N? 15992
npoI
BUILDING PEliMIT PHONE:454-8100 Receipt # f/ /y7?
To be used fo"v SF DWG/GAR Est Value $131,000 Date DECEMBEk 22 ,19 88
Site Address 661 BRTDT E RTD E RO
Lot 5 elock 5 5ec/Sub. BRIDLE RIDGE 1 ST
Parcel No.
a Name SUNSHINE CONSTRUCTION
3 Address 212 1 CLIFF ROAD 11224
0 City EAGAN Phone 452-0995
a Name SAME
0
Z.
Address
m
City Phone
rp
w w Name
?
x z. Addre
aw City
I hereby acknowledge thal I have read this appliCatiOn and 5tate that the
information is correct and agree to compy with au appiicabie State of
Minnesota Statutes and City 1f a?ga/nrd?inances.
Signature of Permittee --Jf?(?/=?_ -_
A Building Permit is issuedto/ ?
ontheezpressconditionthataliwork allbedoneinaccortlancewithall
applicable State of Minnesota Statutes antl City ol Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewflqe _ Occupancy R3 M 1
MWCC System X Zoning PD k 1
On Site Well _ (Actuap Const VN
Ciry Water y (Allowable) VN
PRV Requiretl _ # of Staries
Booster Pump _ Length 62 '
Depth 36 '
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 674.00
Planner Surcharge 65.50
Council Plan Review 337.00
BIdg.Off. . SAC,City 100.00
Variance SAC, MWCC 550.00
WaterConn. _550•00
Water Meter 90 . 00
Road Unit 325.00
TreatmentPi 204.00
Parks
TOTAL 2 ,895.50
0- 8°-961 9 ??y???
` `
D .
/i ? ?
Requ st Da '
// /? /?'
/ gy Fire No. Rough-In spection Fequired
(YOU mu call inspector when ready)
Yes ? N. Inspeclion Olher Than ugh-In
? Reatly Now Will Notlty Inspemor
Data Reatl
I? licensed contractor,?Kwner hereby reques[ inspection of a6ove electrical work at:
Job Atltlress (S' x orROUte N. r I
4Q.
ri?le :p e Ciry
Secfion No. Township Name or No. Range No. Counry
I(pqW ? Phone No.
o?a l
Pow r Supplier Atltlress
Elecid el Contrador (COmpany Name) ConVactor's License No.
OMBOwn
n
M'Ming Atltl ss ConVeclor or Owner Making Instaliation)
0t/
Aulhorized ure ( Vacbd ?lation) Phone NumUer
41S6 -'9025/
MINNESOTA STATE BOARU OF TNICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-MlJway eltlg. - Room 5-02 BE ACCEPTEO BV THE STATE, BOARD
1821 UnlversLLy Ave.. SL Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
VM1nnw ffi19 669.11fl011 . . ENC.LOSFn
REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
0? Sce inslmaions for compleling Ihis lorm on back ol yellow copy.
"X" Below W Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indushial Fumace Other (Specify)
Farm Air Conditioner
Olher(specly) Conlreclor's RenfiXev-7 •?'S
p ? & • /
Compute Inspection Fee Be/ow: !S Iqc,eg E irt 7- iS 4Qd
N Other Fee N Service Entrance Size ee # Circuits/Feede
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Am s 0_Am s
Signs insPector': u:e oniy: TOT
Irrigation Booms 7?'
Special Inspection
Alarm/Communication THIS INSTALLA710N MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby
h Rough-in oete
?
certify that the above inspection
as
been made. Final Da1e
OFFICE USE ONLY
This repuesl witl 18 monihs from ,
a/r?/g 5 ?? Ta
Z S'ir s v
? 85841?,? ,
Request Date y Fire No. Roug?l specl'
. equiretl?
Yes ? No Batly Now ? Will Nmify Inspector
When Heatly?
l
I licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Strest, Sox or Route No.)
` p e
i?? e7 Cily
i
? _
Seciqn No. Township Neme or No. Range No. Co?nty /
OccupaM PRIN? , Phone No.
GYI ?? ??Lr rc'7'J
Power S/u ar / AtlErase ,
/ ? -??????
Elecvical ontrector (Company Neme) Conira r5 License No.
Mailing Atltlress lCOntrec[or or Owmr Makirg Installation)
AuUOnzed S' nature (Contrac,?s? /Owna?r" eki,n,e Installatbn
? Pho um n
?4G??C {? St°
/ t/.f r n
? 1
MINNESOTA STATE BOARD OF ELECTflIdTV iH1S INSPECTION REQUEST WILL NOT
Griggs-Midway BW9. - Baom S173 BE ACCEPTED BYTHE STATE BOARD
1821 Vniveniry Ave., St. Paul, MN 0104 UNLE55 PROPEFl INSPECTIDN fEE IS
PMne (672) 842-O800 ENCLOSEO.
p?//!P/89 REQUEST FOR ELECTRICAL INSPECTION EB.00001 -07
? See instructions iw completing ihls brtn on back ol yellmv copy. • ?// S/'
E p
, O5 8 4 1 "X" Below Work Covered by This Request
e Add Rep. TypeofBUilding AppliancesWiretl EquipmentWired
Home Range , Temporary Service
Duplax Water Heater Electric Heaiing
Apt. Building Dryer p[her (Specity)
Comm./lndustrial Furnace
Farm ' Air Conditioner
Other (speclty) CoMractor5 Remarks:
Compute Inspection Fee Ba/ow:
# Other Fee # ServiceEntranceSize Fee Circuits/F?ders Fee
Swimming Paol
Transformers W
Slgns nspecmrs Use Only:
Irrigation Booms
Special Inspection
Alarm/COmmunication
Other Fee :5-6
I, the Electrical Inspector, hereby
certifythatthea6oveinspectionha5
heen made. Rougn-in
F;mi oaie ,01
oMce usE onU
This request wiC 18 monNS hom
OF
K 4 5118
ia9/9?- AnfU ?
Request Date
I a s/9? Fire No. Rougn-in Inspetti
fl Rtl?
?
? RBeCY Nowll NouN Inspecror
- Yas G ?b Wlien ReatlyT '
I p licensed contractor Xowner hereby request inspection of above electrical work at
JoD Adare? Slreet Bo?
F?e'NO.I d ? CM
r
(p I I
.
$ection No. Townstiip Name or No. Rarge No. Couny
cupa RINTI Phone No.
kLk I
Power Supplier AdOress
Elxlrical C ntractor (COmpany Name, ConVactor5 Licensa W.
DMEoWr) £ r
Mailin9 A es;,C
acior or Owner Maxing Installaiionl
J
R) ?
Aut zetl Si ure nVacton Ma --
'ir Installalionl Phone zu /1§ y?
J IJ'r^ (02
MINNESOTR STATE BOAND OF E?TRICITY
OtlqysMiEway BIE9. - Room sYt7?
1821 Unlvaraily Ave., 51. Pnul. MtT ssioa
Plwne (612) 60241800
THIS INSPECTION PEOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLES$ PROPER INSPECTION FEE IS
ENCIOSED. '
9/9? REQUEST FOR ELECTRICAL INSPECTION '4+a? eeooomaa
F
K 4 5118 See instrucnons ?completing mis form on Dack ol yellow copy.
"X" Below Work Covered by This Request
er4 A8U qep". TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Commllndus[rial Fumace
Farm Air Conditioner
OtM1er (speciy) CoMretlorS Ramerks'. /
Compure /nspection Fee Below: ---? $ vI I $ W
# Othe? Fee # ServiceEmmnceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Trensformers Above 200 _ Amps ve 100 _ Amps
SignS Inspector5 Use Only: TOTAL 5'O
-
' Irrigation Booms (2
a ?
Special Inspection ,
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NT .
I, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rouyn-in
F;,,ai oac ,. G?
oa?e ?
OFFICE U6E ONLV
This requesl voitl 18 monNS from
PERMIT
G1TY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 6814675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
661 BRIDLF i2IDGE RD
LOT: 5 HLQCK: 5
6RIDLE' FtIDCit: 1ST
P.I.N.: 10-14996-050-05
DESCRIPTION:
Bu?ldi'nq,'1?:ermit Type
Bui.LdinqWo? k 1"ypE-
k:?Pf1SW8 COdN
\
i
. ir
SF PQRCFI
NL:UI
434 ALT. RESTCJEN'i'IAL
Bl1iLL1ING
ti3409:'i
1.1/23/58
RENPIIWsk e v z E w e o
CAI.L 445-2540
FEE SUMMARY;
Base Fee
Plan Review
Surcharge
1"ota]. Fec
Ev cftFirG ivovar.zvr;.
RE6AROING ELLfTRICAL PERMI'i" AND INSPECTIOPIS.
VALUFkTICJN $14.000
$212.25
$137.536
.. r. 7_.. ?
_ _ 11
e--
_
$;i6/.11
CONTRACTOR:
BAILEY/CARLSON
798 GOLOEfJ
GA6AN
(6p1) 681-9399
- Applicanl.: -
16t3:1.9399
hli=AI)6W i4D
MIV 551?3
s T. i_zr.. OWNER:
20097666 KING
661
EAGAN
(G 51)
AL
6RIDLt=. ftIDGG RIJ
t9N 55123
I hereby acknawledqs that I have read this
i.ntormatibn is cat°rect and aGree to compiy
L Statutes andY Ean 0 di.nancas.
?
APPLICANT/PERMITEE SIG?°lATURE
1
aPPLicaCion and state that thp
wa.th a:Ll ap+alicable Stnre nf mn.
-1
, P A 6) ktw)
SUED eY: SON TU
1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
_ •«
- CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
° ? ?? C) `13 681_4675
New Construdion Reauirements
? 3 registered s@e surveys
? 2 wpies of plans (inGude beam 8 windaw sizes; pouretl fid. design; etc.)
? 1 energy calculations
? 3 copies ot tree preservation pian H lot Nlatted aRer 7/1/93
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK: ?
RemodeVReoair Reuuirements Lea-"
? 2 copies of plan
? 2 sRe surveys (e#arior additlons 8 decks)
? 1 energy calculations for heated atld'Rions
?-?
CONSTRUCTION COST;
STREET ADDRESS: FM- , r< `D6.!Z' ?? -
LOT: ? BLOCK: ? SUBD.IP.I.D. #:
?
Name: le9 L- ? L- phone
PROPERTY Last Firsc
OWNER
SReet Address:
City State: Zip:
?J"
Company: r? /a wJ Phone #: Cs? c? ?`'7 3`? q
CONTRACTOR /
Street Address: 7 S6 c-z Ei.! yk-7-G?Py--,'?6.,? K0 License #??0 97 G
?j-°?
City (--' ?p'?,..f State: 1/1??^/ Zip:
?
ARCHITECT/
ENGINEER Campany: < <?
Name: a?
Phone#: l 0-7--?
Registtation #:
StreetAddress:_???.5 ?? s???.-,r`?sa'o--? ??Z•.?C
11 .
City L-1 State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once pertnit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the intortnation is cowect'aP
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applican. ?-
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received _ Yes _ No _ Not Required?
? 1?
alt applicabl
OFFICE USE ONLY
?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweiling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
X04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
?•
ta
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
? 31 New ? 33 Alterations ? 36 Move
X 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy ?- 3 P6" sq. ft. ? Fire Sprinklered
Zoning ? sq. ft. PRV
# of Stories sq. ft. Bn,ister Pump
Lengtn sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit
APPROVALS
Planning ?
Building l,V(
? Engineering
1 Variance
0
-?
O
Permit Fee
Surcharge rl . O O
Plan Re`view I 3'? _ 9 lo
License
MC/WS SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
7'reatment PI.
Fark Ded.
Trails Ded.
Other
Copies
rotal: 35 7 - a l
Valuation: $ ?3 230 2.2-
% SAC
SAC Units
..-;VEYOR'S
. ?
CERTIFICAtE
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4 Q
SIENNA CORPORATIQN
REVI9EO 12-15-60 T09HOW A PROPOSEO
HOUSE FOR $UNSHINE CON9TRUCTION
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BY
DATE ll•2o•`f? .
?--°- DENOTES PROPOSED SURFACE DRAINAGLBUiLDING INSPECTIONS DEPT.
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O DENOTES IRON MONUMENT SE7 SCALE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PflOPOSED GARAGE FLOOR - 929.0 FEET
X000.6 l7ENOTES EXISTING ELEVATION _ PROPOSED LDWEST FLOOR - q?.1,3 FEET
(000.0) DENOTES PROPpSED ELEVATION PROPOSED TQP QF BLOCK- q 29 ,t} FEET
WE HEREBYGERTIFY TO SI ENNA CORPORATION THAT THIS 15 A TRUE AND CQRRECT
REPRESENTATION OF A SURVEY CUF TiiE BOUNDARIES OF:
Lot s. B1ock s, BRlDLE RIDGE I ST ADDITION, occordinQ to the recorded
plat fhereot, Dakota Counfy, Mlnnesofq.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEP7 AS SFiOWN. AS
SuRVEYED BY NiE UR UNDEH MY DIRECT 5UPERVISIUN THI5 2IS1' DAY OF JANkRRy , 1988•
APPROV[D F(1R STENNA iTl ?
SIGNED: JAME}4'xi.'H??INC. ?
coaPOIsnTtnN 1. f
BY:
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BY:
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16
HAROLQ C. PETERSQN, LANI7 SURVEYOR
MINNFiOTA LICf_NSC NUMBER 12294
James R. Hir{, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S, o BLOOMINOTON. MN. 55431 9 812-864-3029
n
u.
? ENERGY CODE _WORKSHEET FOR 1& 2 FAMILY DWELLI?NGg? D
SIT$ ADORE9S
• 2 'y? C2TY
COMPLETfiD BY? ?? IJAILU ?Ljp 110N6?.N.?,..,, .. ?. . ' DATQ
. ?LVi . ° . RITBRIA
n Ineulat3on-R10
rade Ineulation- R10
r unheated epacee-R24
n Windowe 1/2"
Glaes. in 1 Frame
?
1(etandard) or
Walle G Wiadowe
(§ee table on reveree eide
for allowable percentages)
- STBP 1 Window & Doar Areq
A. .Total Window & poor Area in 8q. Peet
-WINDOW3 (Including Foundation Windowe)f
Y7INDOW MAN[IPACT[IR8 NAHSi
FtZNDOW !fAlNPACTORB TYPSi 6SM'1, - WINDOW MAITOFACTURH Ll FACTOR t . ?(p
R. 0. Quantity sq.fC.AYea
Dimensione .
? M X ?
W XeQ
? X "1-41 ll
x
X
X
X
` -
X
X
X
DOORS:
X
X &V I / ; ?2 -
1'otal Area of A I2 uy'ft.
Windowe 6 Doore 7
e. Tot.al Wall Area in Sq. Ft. .
Wall Total IleightArea,Perimeter 7b[al Area oE Halls I II°?C( t??.ft
._..._...._.i`_:.?:..?.__..._._'
RooE Attla Inoulationt
R44-With Attic No fleel
R38-With Attic Raieed lieel
R38 E RS-Solid Raftofe
STBP 2 Calculate area ae a peroent o£ wall
C. From Step 1 divide box A(47indow 6 Door Area) by box B(total wall area) timen l00
equale tlie window and door area asa
percent oE wall area (box C).
@oX A 133 X 100 e F I----
Box
Is .
ST6P 3 . Deeign Featurou
ASSCFiBLY
PRAHING TYPEt '
STANDARD FRAMINQ x etuds 16'- o.c.
ADVANCEO FRAMING otude 29" o.c
'
.
CAVITY INSULATION ?
38SATHItl4 TYPBt
LESS TIIAN < R-5
R-5 > OR MORE
U-FACTOR p
From the table, (reverae eide) determine [he
maximum percent wihdow 4 door area for.thedeeign opEions eelocted and enter tha } valuo
Sn Box D below based on tha window mfg. U-
Eactor: _
C? °
The t value Erom tlio Cable in Box D ehall bo
equal [o or greeater thnn tlio } in Dox C
. . r ..
,
A
•
ONE- & TWp_ppMILY RFS[UGNTIAL pUJI,pING pRESCRp.WE (COOK-OOOK)
API'ROAC}I
MAXIMUM WINDOW qNp DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
A"1llonal ealcvlated val??Pa
--?..?.,
Notea:
Window area equats rough opening minue Installatlon clearances.
Window U-fsctor must be detetmined by either the National Fenestrat(on Rating
Council etandard 100-91, or ASHRAE 1993 Handbook o[ Fundamenlals, Chapler 27,
Table S.
PonbM• Fox Noie 7871
0
Ftnm Minn R?I s part 7670 Od7S w+_n
n?.rmr
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 P 55122
I
651•681-4675
Cona6vedo
? 3 reglMered aite aurveya showing sq. R o( b; sq. R of house
and ell roofed sreea 0Y. maximum lot eoveraae albwed)
? 2 copiec of plana (show beam & window sizas; pouretl (nd. deslgn; etc.)
? laetofenergycaleuletions
? 3 copies of Vea preservatlon plan H bt pletled after If1193
DATE:
,
DESCRIPTION OF WORK: I pco(
srREEr anoREss:
LOT: J?-- BLOCK: ? SUBDJP.I.D. #:
flgmodelfReoair ReauiremeMs
2 copias of plan 1 set o( energy calculatlons for heated addNiona
1 ske survey for exferior addkione 8 decks
CONSTRUCTION COST:
PROPERTY
OWNER
?
,?t? Ll"'A(i
Name:
lest ? `st
Street
i
^(
? -SF- - ;
Phone#: ?
r'
c;ry r
U State• /^/',? zip: rc
. ,
Company: l C?? ?, i ?C . 1 ' •?,r, ?
, ?, .::? Phone#:
CONTRACTOR -: ,
o Q ?' C ? (area code)
?? 1C? C
^
? ?
StreetAddress: ? ??? ?J' 1? ? , ?'• License# ?Exp. -•
City c?c. nn,:).nl1U"?, State: 21p: JS(i?L '0
ARCHITECTI
ENGINEER Company: Name:
Telephone #: (
Street Address: Registretion q:
City
State:
21p:
? Sewer 8 rrater Ilcensed plumber (new construcdon onNl: Talephone t.
Penatly applies when address chanpa and lot ehange Is requeated onee permk ie Iasued.
1
? 1 hereby acknovAedge fhffi I have read fhis epplkatlon, sfate Ihat the informetion ia eortael, and Egree to cpn1ply e0 appikable State of Minnesota Stetutes and CR
of Eagen Ordinaneea. ? 7 I ?, ? • L
SignetureofAppliraM: k
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes No _ Not Required
' ? ? ? l
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
0 34 Repair ? 38
GENERAL INFORMATION
Const. (Actuaq
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length ,
Width
APPROVALS
Tenant Impr ? 39
Move Bldg. ? 40
Demolish Bldg.* ? 41
Demolish (Interior) ? 42
` Give f'CA handout to appl
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee L?e -7 -4-S
Surcharge -
?-! • S-0
Pian Review
1_icp-ng?
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• 1-] (
Valuation:
Gas Line Only ? 43
Gas Insert ? 44
Wood Stove ? 45
Reroof
cant for demolition permit
Siding/Soffits/Fascia
Windows/Doors
Fire Repair
Census Code
5AC Code
No. of Units .
No. of Bldgs
MC/ES System
City Water .
Booster Pump
PRV
Fire Sprinklered
Engineering
Variance
5AC Units
% SAC
PERMIT
CITY OeEAGAN ? 3 .
3830 Pilot Knob Road PERMIT TYPE: ? u:? ? u i n e
Eagan, Minnesota 55123 Permit Number. 020281
(612) 681-4675 Date Issued: 01. / 2 9/ 9 3
SITE ADDRESS:
c i;l. Bfi1:Ci1.P: RTU(iE K11
LOT:? 00415 NLUCK: 0005
;iR 1:.0 kJ:OGf'.:
p eI.pl_: 121 -..7.q 996-0 5a-G?';;
DESCRIPTION:
Buildix;?? PermiL Type:
Bu.ildinq'JA ork - Type
8E19ti"IEPIT FtiN1SH
GL rerzA rr0 N
? ru
•. ? ?.> ? \;-.: A?? ? ? ? \?.?'.: ??
REMARKS:
fZLLLLPT }I
SEPARldTE PIBG L ELEC PkRIhTIS IREDU7REU
FEE SUMMARY:
k;t3,,e. Fee $35.i0
S u ir., ha r? y e --?-----?- =?-,. !:i 49
'f 0 G U l F (-: e N
CONTRACTOR: OWNER: - r7pp1.i.ccine -
D1'h;L . PAUL
661. RF;TC)LF, fil:!)GE F2D
GAAIV Mfd
T hereby arkriowledye 'Chat I have read 'chis aoplicsCioit and ST.ato tll ai': I.-h.,
i.nfioi°mati.on is correct and agree to comply with al.l applico 6tD Sto tn of Mn_
SCatiatas end C?ty of EaqEiia Drdi.nanoes.
? -
APPLICANTlPERMIT SIGNATUFE ISSUE BY: SIQ URE
REACTIVATE _
PERMIT N
?o4/
CITY OF EAGAN
47
1993 BUILDING PERMIT APPLICATION ?_s -S . S?
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Z-S Valuation of work
Site Address:
STREET SUITE 9
Tenant Name: (commercial only).
IAT ' BLOCK J SUSD.
Q (1 ?n//vo
Descri tion of work: E' ? 4
The applicant is: Owner ? Contractor ? Other (Describe)
K-f- _Ta?t Phone Y56 - ?Qz y
Name ?
v-
Property ?
r
LASY FIRST
Owner Address 7,?,?'? ??- ?- ? ???-- ?? •
-
T STE #
STREET
City State /A Aj Z i p 5 S I
Company Phone
Contractcr Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable Sta of Minnesota 5tatutes and City of
Eagan Ordinances.
li
?G?
f
cant:
Signature o
App
PERMIT
CITY OF EAGAN
• 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14996-050-05
DESCRIPTION:
661 BRSDLE
LOT: 5 BLOCK:
BRIDLE RIDGE 1ST
RZDGE RD
5
GAS FIREPLACE
1cJiYi-j'a,_Permit T'ype FIF2EPLACE
Iding 4ork Type NEW
sFFs'CRde"?'?,,.. 434 AIT. RESIDEN'ilflL
Bl1ILDING
033242
69/il/98
REMARKS:
INSTALL 6AS FIREPLACE WITH PIPING.
CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING.
FEE SUMMARY:
Base Fee $50.00
Surcharge _ .50
7otal Fee $50.50
CONTRACTOR: - Applicant - OWNER:
GAS LINE PLUS INC 12266220 DYKE PAUL
4806 RUTLEDGE ST 661 BRIDCE RIDGE RD
Pf2I0R LAKE MN 55372 EA6flN MN 55123
(612) 226-6220
?
I hereby acknowkedge that I have read this application and state that the
intormation is cprrect and agree to comply with all appJ;a:cable State oY Mn.
Statutes and City of Eegan Ordinances.
APPLICANT/PERMITEE SIGNATURE
PERMIT TYPE:
Permit Number:
Date Issued:
?ISSUED BY: SIGNAT?
CITY OF EAGAN .
q?3830 PILOT KNOB RD - 55122
19 7`TIREPLACE PERMIT APPLICATION
681-4675
DATE: 7 ll0 by
DESCRIPTION OF WORK:
V
STREET ADDRESS:
_ CONSTRUCT NM FIREPLACE
_ INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
? OTfER: az
(0(p 1 1
°I-
LOT ? BLOCK
APPLICANT: (circle one onfy)
hJr
? SUBD./P.I.D. #:
OWNER / O NTRACTO
??_?
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
al] applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: PC:-vJ' Phone #:
OWNER ,,,,,
Signature:
Street Address:
City: State: Zip:
FIREPLACE „g
Company: Gas Lin
I Phone#:
INSTALLER e
as,
ne.
4808 Bntledge 8treet
Signature:
Prior.bitkcMN--v5a *2-
Street Address: License #:
City: State: Zip:
GAS LINE Company: Phone #:
INSTALLER
Name:
Signahue:
Street Address:
City:
.C?D
PERMIT FEE: $50.50
_ ALTERATIONS TO E)USTING
I
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
.
?
.,
SINGLE FAMILY DWELLINGS 1559 oolmw`
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS IF OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: /?".t?ly?L-y Valuation: 131'
Site Address /G / Qd?D?E?2M?f k0 - OFFILot _S-- Block 5--
Parcel/Sub ?ZdtCQiA/>i l ?
Owner s cffi i cr-
Address L--?e?et?
City/Zip Code Fq,t,qal? t-,Si1,2
Phone Mt-,2 Qqy_?
Contraetor . S;%y? /h Aqv"?
Address
City/Zip Code
Phone
Arch./Engr. ,TAHfs k- uiLL. /10?! •
?
Address 91S/p/ ?%gyjFS.Qi?6 ?o• i Y!7
City/Zip Code utAAyi,?/GTO.t/ TSy Z,[_
Date:
OEG 19 1ggg
On site sewage_ Occupaney ?
??
MWCC system ?/ Zoning f
?r 1
On site well Actual Const 1?- N
City water Allowable
PRV required !P of stories
Booster Pump Length (o zi
`
Depth '
S.F. Total
Footprint S.F .
APPROUALS FEES
Engr/Assess Permit
Planner Sureharge ?05. SO
Council Plan Review 3 ,DD
Bldg. Off. I2 za SAC, City b3,
Variance SAC, MWCC 55 o, QD
Water Conn ' r'QO
Water Meter Iti , 00
Road Unit ,O O
Treatment P1 OD
Parks
Copies
TOTAL ?2kQ5 .5
b
Phone Ik 88y-,3 oa?
.
;
GfI-J2A?c
VALuA-D o?J .
3t??C 22= (6o k l y=12Y c?
T3Sw?T
3 Z?t
? b X +?! = xr?-`?-°
1056 x ?3= I3721j(
IS? ?oart
?
>
t? Smj = )(7S4
g4-4 s s &
yA ?x2= .?'
)? izxqk - Syu?S??
?hrn7 ; /nT6
L?`IX2= Z?
1b454 Kyq= s311?
130S7Z,
L .
SURVEYOR'S CERTIFICATE
? 'J
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SIENNA CORF'ORATION
REVI3E0 12-I5-88 T03HOW A PROPOSEO
HOUSE F6R $UN3HINE CONSTRUCTION
t ^ ?r
p ? ,-, -
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.'b 10 p
4K
0
0s,
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18.00<• I:i 4?? \ ryh' Q
? Q• /' li' ?/' ??,? - .`?.p ? ?
p ? ?a2n
d ?
I O flq } /0 Nb.
A
x i ? W \ w 4 IN
? N h ?
13.66 ?Q\g P g ? o ? ?
`a 0 "in W 00 N Y.??yyf
, O \m
2r'
-?i ? ? ? _ \ M U (Q' LLJ
\? ?Q\ M
K \m Qv ` ?O ? a
J
,
28.33
N \ y i?023.0 9i7q} v ?
?9\ m
J
A6
? Y? ? ? Aa 6Z 63 0
i•I ?
O
? `35
Vr
+ DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SE7 SCALE: i INCH - 30 FEET
• DENOTES IRON MONUMENT FOUNp PROPOSED GARAGE FLOOR - 929.o FEEi
X000.0 DENQTES EXISTING ELEVATION pROPOSED LOWEST FLOOR - 92t,3 FEET
(000.0) DENOTES PROPQSED ELEVATION PROPOSED TQP OF BLOCK- q-49,4 FEET
WE HEREBYGERTIFYTO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOIJNbARIES OF-
Lvf 5. Bloek s, BRIDLE RIDGE I ST ADdtT10N, according to the recarded
plat fhereof, Dakoto County. Minnesotq_
IT DOES NOT PURPORT TO SHDW IMPROVEMENTS OR ENGRQACHMENTS, EXCEP7 AS SHOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SIIPERVISION THIS Z) 57 DAY OF 'J'AN L(RRY , 1988•
narROVCn Fan srENNn SIGNED: JAME3'A.'H?/INC.
conPannTtnN ?;
, l i,?t.?,C;:?,
nv: 4 sY: ?
onrEoI
r
?
O r ??
<
'? o W
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rpr?
'
n.°?
m y
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0 0 z m y o w
? m ?Z
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m ? z oo c) ? oo a?
O m dD ?
HAROLD C. PETERSON, LAN[7 SURVEYOR
MINNESOTA LICENSE NUMBER 12284
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. * BLOOMING70N. MN. 55431 o 812-894-3029
_ , ,,, , . ?.-c....?;?.? •?•'1.?12
CITY OF DUILDINC DEPARTMEP.'^. '
- • EXTERIOR ENVELOP AVERACE "ll" COPIFUTATION'
(To be submi[ted with Uuilding permiC applicatlon)
One or 'fvo Family Dwelling Owner
All O[her
Contraccor n-:A?-r ,
LINEAL FCET OF
! EXPOSED 6lALL
?i
?-lJPAQUE VALL CONSTP.UCTION: "U" Value X Area'
Si[e Address 1,1921?5 -V _
?Be r pc. 1 157 N•
Date Phone
ft. nbove grade a If `
TOTAL L'XPOSED tJALL AREA SQ. FT.
De[ail X SQ.
41reference X SQ.
'from '2? X SQ.
?attached ---fT V---A 'U" X SQ.
;sheets. "U" x Sq:
•r nUn X SQ.
:?.
. ?.
. "U" Value X Area
r•r. 46 Z'3,(45;0 (u)(n)
I'f.?.. ? (U)(A)
I"f. ?. m C•t , (u) (A)
CT.? =(U)(A)
FT. = (U)(A)
FT. _ (U) (A)
k S T ?lUll SQ. I'C. iAt, (A)
e yre
ke 6 Type "U" X SQ . FT. (U)(A)'
ke 6 Type X SQ . FT. (U)(A)
ke S Type ?lull . R SQ . FT. (U) (A)
ORS: "U" Value X Area .
ke S Type ';:';T:
. , (Q4?J :C
L..... SQ . I•"f.
(U)(A)
?2j 7 e
ke S .
Type _
X SQ . FT. (U) (A)
ke 6 Type "U" % SQ . FT. (U)(A)
ke 6 Type '"U:' X SQ . FT. _ (U)(A)
TOTALS Z?(!::PQ- I gq- sq. •rr. (u) (a)
. AVERAGS "U"
?!TOTAL (U) (A) VALUES Z `T ' (
tDIVIDED BY TOTAL WALL AREA Zl?;'
VERAG° "U".11 or less for 1 6A1 family dweli ngs
LOF/CEILINC:
?'TOTAL AREA
?Detail reference"U"_??? X
£com X
iattached sheets. "U" x
I Describe openings "U" X
I'in roof. X
?iTOTAL (U) (A) VALUES DIVIDED BY
iT(ITAI. ROOF/CEILZNC AREA
1:
iAVF,R,A,F "U'.7025 for venciluted raofa.
FT. (U) (A)
FT. _ (U)(A)
FT. = (U)(A)
FT. _ (U) (A)
FP.• _ (U) (A)
LS ?[??SQ. FT.G 7J )(A)
, --wnr.r. sECmiox-= . .
' Determining "IIll valuea at Roof, Wull, Rim, und Conc. Block
ROOF/CEILTNa
1.) Interior Air r'ilm
2.)
,''f''j 3.) Tnsulation ,
4.1
5.) Exterior Air Film
(STILL)
i-OTAL (R)- 4;
• wALL .
6.) Intorior Air Filw
7. )
8.) Insulutio
9. ) 1P; lt.,.`r-
to. )
11.) Extorlor Air Film
R VALUE
0,61
d0'o0
.61
R VALII ?
O_68
:
1 q,c?o
.1?
uUn = 1/g= O?W` 20TAT. (R)=
RTM
12.) Intorior Air Film
•.13.) Tnsulation
14.) l'k!'T--IR. 15`(,
15 . ) IFXJ Il.'C-Lz 1
16.) M45o1--41T? SrCN60
17:} Exterior Air FY1m
(R) VALUE
o.68
cn?
g
.t7
nUll = 1/R- i 0,40 •TOTAL cR)=24.44
FOUtIDl1TIoN
18.) TntGrior Air Film
79.)
20.)
z, . zz. )'?t:z-?,N=`l" ro;:?1?l1
23.) Extorior Air Film
(R) VALIIE
o. 68
r? , 00
17
iIuII = 1/R= i 1 4 C/ TOTAL (R) _-Ii I"'?
?
f
?4?` k ,(io`1? ??,??
?ft'A sQc?-r
` g(tv ? k I (eP97
...
2c?:-C? ? e4l:` k lo7?o=-
v? s
. ?
4,_? k2.?
2Q-k(cP?= . IP?,? x L? ?
2$k?,8-- ??F?1
?
? ?--
APPLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
,
? NC7PE: PAri? OF FEE AT TIME OF
i APPLICATION DOFS NC7f CON- $
t SPIISR'E APpRGVN, OP PF7tMCT. "
e
? INSPECPIIXN OF SEWh12 A!ID/O2 WA7II1
; xNsxac.urioru waa. rrOr ez SCErxnFn *
.*? [!PT1ZL PIItPIIT NAS 8@1 ApPROVID. ;
fii#'kktff»f M#/lfMt;?kf}MM#ieNRff/iftf
OF cagCaQ9
(PLEASE PRINT
1) PROPERTY ADDRFSS:
T,FY;AT• DESQ2IPTIOI9;
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMiT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q CONMERCIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
Q INSTIT[JTIONAL/GOVII2NMENT
,XtR-1 SINGLE FAMILY
E:j R-2 DUPLEX (7WO Units)
?.R-3 TOWDIIIO[)SE (Three + Units) ( Units)
Q R-4 APARTMENT/COPIDOMINIOM ( C'nits)
2) NAME: -!?.wi Srf/Nk- 42Uv_<7-
•
ADDRESS :
CZTY, STATE, ZIP:
PHONE:
NAME: /9a -
ADDRESS: G 1/00 /,3! 'E S7- C % •
CITY, STATE, ZZP: ApQLE bIALG.E ? Mwi, cY/ga S?
PHONE: y„?? y+O7g MASTII2 LICENSE # 36 9l M 9
4)
NAN1E: . Si4M?. l?.S ?Z
A?DRESS:
CITY, STATE, ZIP:
PHONE:
5)
ij Active
Fxpired
Not recordec
St Ia n?f itial
r ?'?" •'? '. ??!? STORM SEWER PERMIT - CONTACT ENGINEERING
- ^{?CONNECTION TO CITY SEWII2 -ffEONNECTION TO CITY WATII2 ED TAPS
6) 11
****t*?+*?***?**?*****x** ? *?**?* ?+****?*******«**+**************x*********?+*+**,r*****??*,r??***?
,*k THE GOLD COPY OF THE PERMIT WILL BE SENP DIRECTLY TO PUBLIC WDRRS To FACILITATE M= PICK-UP. ?
* PLEASE ALSAW 'IWO WORKING DP,YS FOR PROCFSSING. .SOMEONE FROM TfM CITY WILL CONPACI' YIXJ IF 7HERE *
* ARE ANY PROBLEMS.
$*+,r***?*****?*+****??***,e***:r******************+*?******,++?+,r***+r?***********+r****???*?****?******:i
F'OR CITY USE ONLY
,
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ 96 $
$ $
$ $
$ $
$ ? Sl $
$ Y S v $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SL'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLDDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRONK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SL7RCHARGE
OTHER:
TOTAL
?51L3
RECEIPT RECEIPT
DOES OTILITY CON[VECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 6-r IN
.
December 28, 1988
SUNSHINE CONST
2121 CLIFF DR., #224 .? LgQ - R?C?
EAGAN, MN 55122
REs 661 BRIDLE RIDGE RD.t L59 B5, BRIDLE RIDGE 1ST
WARNINGs SEFORE DIGGINGt CALL LOCAL UTILITIES - TELEPHONE9 ELECTRICI a9SP
ETC. - REQOIAED BY LAW
XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is picked up. BE SURE TO CALL PDHLIC WORSS (454-5220) FOR
YODR PERMANENT RATER TIIRN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or oecupancy allowed until further
notice.
Sincerely,
Jan Severson
Secretary
JS
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length IqX13'
Depth II X g
S.F. Total
Footprint S.F.
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
X To Be Used For
y Site Address
l?
Lot 5
. Valuation:
?
Date:
OFFICE USE ONLY
Block >
Parcel/Sub 'C?'izm('E 1sr A;?4N,
? Owner
Addres
City/Z
Phone Druq : /7 Z- ?'`17e)
X Contractor 6WVU¢4^
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
COMMERCIAL
FEES
Bldg. Permit
Surcharge
P1an 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
APPROVALS
Planner
Council /__ ? ?
Bldg. Off. _??r?Z
Variance
Phone m
?T
l? \
EYOR'S CERTIFICATE
SIENNA CnRPORATIQN
REVI 3ED 12-iS-80 T03HOW A PROPOSED
HOUSB FOR SUNSHINE CAN3TpUCTtON
:-J
i
; --
?? ?i
?
--'
?
--'
N
t ??
/o /?•?n ezo 0O
C2?
?h
i
0 ?M
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0 /o /
x ?
i
O 1 a" /1 rw
M V
O \m j L ? o
C r? 4<T'
N N
?1D27
I%
? Ih
m I?
?
.A
0) 1 y, I.?? bq ? o A rO
\ DO
J`
;
,-
-;,: ;.
ss3o ,.,
s? ?6? a.s',
s0pF
?
10.0
?
w `i
O?M
= M ?I
O?? '
?M ?i
°
?33 i
z
0 22.67
q W?
'
ery n W Q
?a p? PGOvO?
Q\
?
Ig?
!s ?s
. • r?
?? ..` ':'?- ?q4c 2c
V ?
/
1 q 7
ry 4
? oo °'
?O
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d
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?
?
V
?
?
LLJ
?
?
?
?
y OENOTES PROPOSED SURFACE DRAINAGE
D DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 929.o FEET
X000.0 pENOTES EXISTING ELEVATION PROPOSED LQWEST FLOOR+ 921,3 PEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TpP OF BLOCK- 929,4 FEET
WE HEREBY CERTIFY TO SI EN NA CORPORATION THAT THiS IS A TRUE AND CQRRECT
REPRESENTATION OF A SURVEY OF THE SpUNbARIES OF:
Lot s. Block s, BRIDLE RIDGE I ST ADDtTION, according to ihe recorded
plqt fhereot, Dakoto County, Mlnnesotq.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCR4ACHMENTS, EXCEP7 AS SHOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS Z( s7 DAY DF ?'ANkARy ,, 1988.
hPPROVC•D FOR STENNA SIGNED: JAMEB'xt ?/-1
CORPORATION ?INC. ?
' ; •, . ..- ?' ? `
aY ; ,. BY:
OAT?O,
m
? ?1 T
p? O m
N? W
??p p
? -
N O
nn
m
p ,., m
? v O
?
ui
DZ
0 z
0 m y ?"
' D m '0
„ m mz m
c
) z m m
(n O m -C
? "
HAROLD C. PETERSON, LANO St1RVEYOR
MINNESOTA LICENSE NUMBER 12294
James R. Hi!{, ir?c.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. o BLOOMINGTON, MN. 55431 0 672-864-3029
\IQ?. .
? ?0
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AhID
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES
SHOWER
WATER CLASET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - I
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • neiLcry. iio.
U.G. SPRINKLER • nome unaer const.
ALTERATIONS • to a?ung
WATER TURN AROUND
STATE SURCHARGE
EACH TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
TOTAL:
SITE
OWNER
/$ 5 0
INSTALLER: 6 ,
ADDRESS:
CITY: STATE: MAl ZIP CODE: S 12
PHONE #: ((pl2) ?? 6 - `?D "Zy
SIGNATURE OF P ITTEE
1993 PLUMBING PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN SS122
(612) 681-4675
PERMIT# '-// ?5 -7
RECEIPT DATE:
4° 8008 RE.SIDENTIAL PLUM$1Rfl PFJgMIT APPLICtkTION
crrY og EAem
? 9$30 fII.OT KNOB RD
i:AeM, MA 55188 D??? O U f?
651-6$1-4675 ?S
MAR 2 l 2002
Please complete for: single family dwellings, townhomes and condos when permits are required for eac t, ?
backflow preventer for irrigation system
BY ?
SITE ADDRESS:
OW NER NAME: :?ynn? ?Q TELEPHONE #: CD5I - CP? ??PJ3
(AREA CODE)
?
INSTALLER NAME: ? TELEPHONE #: Qr
iQ-931- R(?Jb
MCGI' 0fis (AREA CODE)
STREET ADDRESS: 605 12Tft Ave(wE SUUtP
ioplans, 4
CIn': STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee ?
I
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fintures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - ewsting dwelling unit (+ 5/8" meter If needed -$118)
Other:
_ RPZ: new instaliation/repairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater $ 15.00
StateSurcharge $ .50
Total `?---?1 $ ? S
I hereby acknowledge that I have read this application, state that tlie information is correct, and agree to complywith all applip6le City of Eagan ordinances. It
is Ne applicanPs responsi6ility to noUfythe property owner that the City of Eagan assumes no liabil' or any damages caused bythe City during Ils normal
operational and maintenance actlvities to the facilities consWCted under this pertnit wifh ity pr rty/nghtaf-way/easement.
SIG ATUR OF P MIJE 1/02
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN 152016
r
Use Ell_ UE or BLACK Ink
L
For Office Use
Permit #: �i 1 t
Permit Fee: .00 • W
Date Received:1 ` II-- 1...9
staff 2
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1 i1 / -( Site Address: 1 ` [ S2n1
Tenant:
Resident/Owner
Contractor
Type of Work
Permit Type
Name:
TCi h 1\
Suite #:
Phone: 1,f'5 t Q'�f� d�
Address / City / Zip: L \ .1,t (t1/ Vc Ca V\
Name: t 1n ,4 C\ License #:
Address: '310116 V?. ` City: L
, L(S r )
State: \J 1 Zip: L0 Phone: —1V2
,,) ?Dl " , l Q &)
Contact t_ r"N Email: l r L1�r
_ New 'jeplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ;N 1wrr 4
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main /_i Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ ( C
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.
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.
x\,�1 l ,
Applicant's Printed Name Applicrrs Signature
_ph)Li• .e
FOR OFFICE USE Reviewed By: Date:
Required inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157098
Date Issued:08/02/2019
Permit Category:ePermit
Site Address: 661 Bridle Ridge Rd
Lot:5 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Muhammad D Kahar
661 Bridle Ridge Rd
Eagan MN 55123--167
(763) 464-0663
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167620
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 661 Bridle Ridge Rd
Lot:5 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Muhammad D Kahar
661 Bridle Ridge Rd
Eagan MN 55123--167
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171573
Date Issued:08/23/2021
Permit Category:ePermit
Site Address: 661 Bridle Ridge Rd
Lot:5 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Muhammad D Kahar
661 Bridle Ridge Rd
Eagan MN 55123--167
(612) 986-1968
Adinkra Home Services Llc
1882 Nebraska Ave E
St. Paul MN 55119
(612) 978-0037
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174272
Date Issued:01/13/2022
Permit Category:ePermit
Site Address: 661 Bridle Ridge Rd
Lot:5 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alex Aduobe
661 Bridle Ridge Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature