696 Bridle Ridge Rdi'CIT'V` OF EAGAN
3830 Pilot Knob Road ,
Eagan, Minnesota 55123
(612) 681•4675
51TE ADDRESS:
svs SAxOcI
•#IIDtE R%B9E 11{7
PERMIT SUBTYPE:
?01tCN
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
tetr 6 t??ocK? 2
ASA4FE ?D
P
f?
f
APPLICANT: ,
M Q p k g. RiC'"11'$
(811i 427-394"
TYPE OF WORK:
I Control No. 0082
,
lNl?li
+u
INSPECTiON
FIlt?TI11Y D. .
?itNMIWp .. -
?
AMi?fitAT?QM FItYAI
Permlt No. Permil Holtler Date TeMphone e
S/W
PLUMBING
HVAC -
ELECTRIC Y. p?ja j f?fO
ELECTRIC
InspeMlon DaM Insp. Commenis
Footings I ?
FOUnda[wn
Framing
Raafing .,
Rough Pibg.
Rough Htg. "
Isul.
7
Fireplace '
Final Fttg.
Orsat Test ? .,
Final Plbg. Plbg. Inspector- Notify Plumher '
Conrt. Meter
EngrJPlan
BId9. Final 7/7IF-2 ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
BLDG. PERMIT NO.
? o t- ?-? Q.t r- zZ,,,;ccjo?, Z'o
01-3210 Bldg. Permit -70 Y
' 01-3422 Plan Check 35 4
. 01-3445 Surch./Adm. ?
01-3446 SAC/Adm. ?L
?J
C1 01-2155 Surcharge
)075-3860 Road Unit 3 ? 5
" 20-2275 sAC 5 '+
? 20-3865 Water Conn. `55?
J 20-3868 Water Trmt. a"? ?"
? 20
3716 W
M 6-c?
•
- ater
eter
?
420-2252 Acct. Dep.
20-3713 Water Permit -
?
J
20-3743
Sewer Permit
y
`
y 793866 Sewer Conn. C)
28-3855 Park Ded.
5?-
TOTAL ?' ?, ?)-
CITY OF EAGAN NO 17939
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERNrIT Receipt #
To be used fori DECK Est. Value $1, 000 Date JUNE 1 , 1g2Q-
Site Address 696 BRIDLE RIDGE RD OFFICE USE ONLY
Lot 5 Block 2 Sec/Sub. BRIDLE RIDGE iST
Parcel No occupancy - FEEs
. Z
i
ng
on
a Name CHUCK BLACK (Aquaq Const - Bldg. Permit 25.00
W
o 696 BRIDLE RIDGE RD
Address (wbwabie) -
Sumnarqe .50
City EAGAN Phone 687-9044 s oi siones -
L
h Plan Review
engl _
Name RICK MOORE Depih - SAQ City
?a Address 11830 W RIVER RD S.P.Total - SnC
MCWCC
? Ciry CHAMPLIN Phone 427-5573 S.F. FootDrints - .
l
O
S
S Water Conn
ewage
n
i
e -
?
ww
Name
OnSiteWell
-
WalerMeter
i= AddrBSS MWCCSyslem -
?u Acd. Oeposit
aW City Phone arywater -
PRV R
i
d SAN Permil
equ
re _
I here6y acknowlege that I have read this application and slate that the Booster Pump - yyy Surcharge
inlormation is correct and agree to camply with all applicable State of
in
Mmnesota Statutes and CilyS?f Eagan rd
an
c
es. Treatmem PI
7
?
,
.
?? `/'/?}? APPHOVALS
SignaNre of Permitee ' 1' Road Unit
A Building Permit is issued to: RICK MOORE Planner - park Dad.
on the ezpress condition that all work shall be done in accordance with all Council --
COP1B8 1.50
ta Statutes arW City of Eagan Ordinances.
applicable State of Minnes
o BIdg.Olf. -
?
?
BwWirgOHicial {??1IX14_ImA Variance - TOTAL L7.00
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? lrj7,?,4
PH ON E: 454-8100
BUILDING PERMIT Receipt# TjR-D1t77-7 S?7,30
To be useC;or SF DWG/GAR Est. Value $141, 000 Date OCTOBER 14 ,19$$_
SiteAddress 696 BRIDLE RIDGE RD
Lot 5 Block Z Sec/Sub. BRI?LE RIDGE 1ST
Parcel No.
W Name MARK .TOHNSON CONSTRUCTION
3 Address 4149 STRAWBERRY LN
0 City EAGAN Phone 454-0623
a Name SAME
.o
?a AddreSs
.
P City phone
?
W W Name_
FW
iz. Address
aw City
I hereby acknowletlge that I have read this apphwuon and state that Ihe
information is wrrect and agree to comply wilh 11 appl?cable Staie ol
Minnesota 5tatutes and Ciry on dma .
Signature of Permiltee
A Bwltlin9 Permit i5 issued to:_?11 !$K _.T413N$1DN_fiONST
on the express condrtion that all work shall be done m accordance with all
apphcable Slate of Minnesota Statutes and Ciry ol Eagan Ordinances.
BuildingOffical_ 18Ml? "Adl?_
OFFICE USE ONLV
On Site Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD R-1
on Site Well _ (ACtuaq Const V-N
Ciry Water X (qilowable) V-N
PRV Required _ # of Stories
Booster Pump _ Length 771
Uepth 28 '
S.F. Tolal
Pootprin[ S F.
APPROVALS FEES
Engr./Assess Permit 708.00
Planner Surcharge 70•5?
Council Plan Review 354.00
Bidg.Off. SAQCrty 100.00
Variance SAC, MWCC 5$0.00
waterConn 550.D0
Water Meter 67•9Q
RoadUnit 395_00
TreatmenlPl _204_00
Parks
TO7AL 2,928.50
/Dllol!Y- SSfS%/ -_;[-
E 5 9-5 8 4 ? . -1?t e °;'
RequeY Dele
J?J
?
I D - Flre M. Rougn-in
q iretlT
? sp " n
? Reatly Now
19'?VIII Notlry Inspecla
Wh
R
d
?
t ?
(/
? / Ves ? No en
ea
Y
,
10 licensed coMractor ? owner hereby request inspection of above electrical work at:
Job AtldreBS ree1, Box W ? City
SeWOn No. Towmhip Neme or Na. Ranga No. Counry
Occupa
N
'? Phone No.
,J
/
?
/J?RG 6AJ$ e)
Power Supptier / AdErew
?L
Elech' C (Company
Na CoMrecrorS license No.
Me Atl reas rector ar ng Inslallation) ? R
ms
Authorized S e(COnireclor/Owner Maldng I Ilation) Phone NuHmber
MINNESQrA $TqTE BOARD OF ELECTHIGTY THIS INSPECTION REQUEST WILL NOT
Orlgg"lCway Bltlg. - Aoom S779 8E ACCEPTED BY THE STATE 90ARD
1827 Unireralry Ave., SL Poul, tdN 55104 UNLE55 PROPER INSPECTION FEE IS
Phare (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-00001:97
? See msM1UCeons (w completing this (ortn on Iack of yellow copy. •????(?
E 504Z) O 4 "X" Belaw Work Covered by This Request
e AHtl Rep. TypeofBUiltling AppliencesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heatinq
Apt Building Dryer Other (Specfij)
Comm./Industrial Furnace
Farm ' Air CondiLOner
Other (spedry) Coniractor§ Remerks'
Compute Inspectian Fee Befow:
# Other Fee # Service Enirsnce Size Fae # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspeciws Use OnN. TOTAL
Irrigation Booms
Special Inspection
Alarm/Communicarion
Other Fee
1, the Electrical Inspector, hereby
certifythattheaboveinspectionhas
baen made. pou9n;n
F1ei
-?D'a 1-Yll
OFFlCE USE ONLY
This requas[ wid 18 rtwnlhs irom
10974513j" -..? it "04 ,V/117?
Requesl Uste
(^ r?? ??
_
d Fire No. RougRin In bn
Requlred9
Ves ? No
? Ready Now k'Will NoUly Inspeclor
rihen ReaMv
I? licensed contrac[or ? owner hereby request inspection of above elecirical work at:
.bb Adaress (Slreet Bm or Roule Na.)
od
R
O
b
i Giry
NcL
o
r
a
to o-
Seclbn Na. Township Name w No. Rarge No. Counry
Occupan[(PRIM)
av& Jbh??1Soh nSfvuc?i o Phone No.
Power Su iwr
?a.Kof? ?Iec?nL Addreea
Eleclncal Conhaclor (COmpeny Neme)
La er Ftedri'c, r. ContraclOrk Licansa No.
041R35- 8
MaiLng AGtlre Cortlrectn or Owner Mekirg In Ilation)
?383 y???J NE, 15. mrJ %1143a
/wffiorized 7(COrihecla/Owner Makng InshYeoon)
? r? ?p.?c,?.- Phorre Number
MINNESOTA STATE BOMD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
GAgge-Mitlwey Bpg, - floom 6779 BE ACCEPTED BV THE STATE BOARD
7821 UNVerslty AVe., SC PaN, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phme (612) 662-0800 ENCLOSED
c)/?? REQUEST FOR ELECTRICAL INSPECTION Ee-ooom-m
12"7// ? see mst?iore ioi c&„oiatioe tms mm oo ewk or Yeoow cocv. 'J 90o2/?
E O 1 09 7 X" Below Wark Covered by This Request
ew Add Rep. Type of Building AppliancesWirad EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Buiiding Dryer Other (Specify)
Comm.Andustrial Furnace
Farm ' Air Conditioner
Other(speafy) Comrectar5fiemarks:
Compute Inspection Fee Bebw:
# Oiher Fee # ServiceEnhanceSize Fee S Circuits/Feeders Fee
Swimming Pool 0 W 200 Amps D to 100 Amps .00
Trensformers Above 200 _ Amps 00 _ Amps JQ.p-p
Signs insnectora use onlY: TOTAL
Irrigation Booms
Special Inspection
Alarm/COmmunicetion
Olher Fee ?
I, the Electrical Inspector, hereby
certify that the above inspection has beBn made. RO1gn-in
s
OFFICE USE ONLY
This request wb 18 monihs irom
? 017
8?i
I 43462 - °
?o
Request oat Fve No Roug InspecLOn
Feq etl'+ ?Mnil /
? Reatly Now ?,7 Nooty Inspactor
? Ze ? w C N. When ReatlY'
1hcensed coniractor Kowner
. hereby request inspechon of above electncal work aT
Job AOtlress (Slreet. Box ar Raute N. )
6 ?/ ?J Gry
?'0
Section No Townsnip Name o. No Range No Cou
?Q
?
-
/ 10
OccupantlPRINT)
1es
?? Phone No
G`G?- aYC
Power Svpplier Atltlress
Eleclncal Conlraclor IConpany Name, Contrac[or's LsBnse No
Maiiing Atldress ICOnlrachor or Owner Making Inslallation) -
nze gna?
Autbo o:ou0wn Ins?alla?i on?
?r-
Phone Nu 6W
MINNESOTA STpTE BOARD OF ELECT Y ' THIS INSPECTION REQUEST WILL NOT
Grigge-MiCway Bldg. - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 Umverslty Ave.. SL Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Ppone(612)602-0800 ENCLOSED
?/a0/g a REQUE:,Y FOR ELECTRICAL INSPECTION
`? 11, See mshuermns Ior.cQfnplenng this brm on Dack of ysllow copy
' /I S ^ "X" Below Work Covered by This Request
?t?
i* EB-OD001-08
`?,. ..
ew Add% Rep. TypeofBmldmg ApphancesWved EquipmentWvetl
Home Ranga Temporary Service
Dupiex Water Hearer Electric Heating
Apt Bunmg
d
6ryer
x
Other (Specify)
CommJlndustrial Furnace Q
Farm Air Condmoner
Ot,er(specny) Conitactors Remarks.
Compute Inspection Fee Below
# Other Fee # ServiceEntrance 9ze Fee # CircurtslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Onq TOTAL
Irrlgation 8ooms ?w.
v "O
Special Inspechon ?
Alarm/Communication THIS INSTALLATION MAY BE ORDE ISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 78, NTHS.
I, the Electrical Inspector, hereby Rou9n-m // ., oare
cerLfy that the above inspection has
been made. Fnal Da1e
"9
OFFICEUSEDNLY -; T:;
This request voitl 18 monlhs irom
?r?emBn?
0
- 0 -955 4 a
ia 9S ,
LS,
Requesl Dei Fire No Ro h-In I ectian Reqmretl Ins
io Iher Then Rough-In
y ,;?'o /?? (YOU m,?uy? Call mspeclor when ready) ? Reetly Now ,?ill NoOy Inspeclar
[?Yes ? No OatB Featl
I? licensed contractor 45nwner hereby request inspection of above electrical work at:
Job AtlUress (Strcet, Route No ) -
'
' Qty
F(o r
It;
Secticn No TownsNp Name or No Range No
? Counry
Oc ant (PRINT) Phone No
/
?k Lkck Qc. {c-
Power SuppLer AAtlress
ElecMc I traclor (COmpeny Nama) ConVactor's L¢ense No.
YNpD WYI
Mailing Atld s Conirador or Owner Making Instellation)
o V
Authonz onir Owner Making InstallaUOn) Phone, rN?umber
ICRY
O I I II I
I
r
N
v
? II II ? I I I I ? I I I II I I I I III B?
R
18
, MN 55106
2f U
verelty A
e, 5t
Paul B
N
LE S PROPER NSPECTION
EE
S
Phone 16121 642-0800
U
? G
G?? ??i? (I
REDUEST FOR ELECTRICAL INSPECTION 7ea-00001-09
, See inslruqions (ar compleUng ihis fom on back of yellow cvpy ;2-
"X,,.Below Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Buildin Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specily) ConVactofs Rema
? "-_?5?'*?f? ?-
Compute InspecNon Fee Be/ow:
# Other Fee 1F Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Am s
Si ns InspecYOr'sUSeOnly pV TOTAL 5O
Irrigation eooms uQ • Q
S ecial Ins ection
Alarm/Communication THIS INSTALLA710N MAY B DER CpNNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 S. y,
I, the EIBCifiCel InspeCtor, hereby
certify that Ne above inspection has
b8Bf1 fI18d8. Rough,n
Final G
?
1 ?
OFFICE USE ONLY .
This requesl v01tl 18 months hom ,.
CITX-O? EAGAN
3830ot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
? ?7j1 cs G?
BUILDING
024789
10/28/94
SITE ADDRESS:
696 BRIDLE RIDGE RD
LOT: 5 BLOCK: 2
BRIDLE RIDGE
P.I.N.: 10-14996-050-02
DESCRIPTION:
(ENTRYWAY)
Bdilding..Permit Type SF (MISC.)
?uilding 144-6.rk Type AODITTON
j'Construction?Type V-N
r
:_„_?,.*?? --•?-r'??
, qti s
REMARKS:
FEE SUMMARY
Base Fee
3urcharge
Total Fee
VALUATION
$72.00
$2.50
$74.50
$5.000
CONTRACTOR: - Applicant - s-r. Lzc. OWNER:
MOORE, RICHARD 14275573 0005253 BLACK CHUCK
11830 W RIVER 696 BRIDLE RIDGE RD
CHAMPLIN MN 55316 EAGAN MN
(612) 427-5573 (612)687-9044
?
2 hereby aaknowledge that Z have read this app2icatibn and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan brd'znances.
APPLICANT/PERMITEE SIGNATURE
?Un &'a 1 w
ISSUED :51 ATUR
I
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date -1 / 5 / 05
Site Street Address tAU 3?dLQ (LiCt? V-4? Unit #
Property Owner Ll -L 4.-, Telephone # (0-?"i ( ) 4 5lP-'573%
Contractor N?pr? S aAvwA o?Y??,?.lC,fh` /i.f SXJfaCQS-'Teiephone# (?p51 )Z'L?`1(y0
Adtlress City State Zip
The Applicant is: _ Owner R Contractor _ Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fuctures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new -,,Jrepiacement
Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00
State Surcharge $ .50
Total $ IT t;D
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved pian in
the event a plan is required to be reviewed and approved.
? L-DL?), Ca-2Q.elG.v?d C lx\ml, Q ?
ApplicanYs Printed Name Applicant's Signature -
7?JUL 1 1- 2005
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
? „(?il\ City OfEagan
ts`- ' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pamits are required for each unit
Date 1 / 'rJ / 0S
Site Address- (AP Rr?,IP. ?? Vek Unit #
Property Owner Li Z IAIrA-C.rS Telep6one #(?Sll )LV&0 - S654
Contractor 1 ?
AQr'{1'(M qr
S?l\71?QS :WC ?
StreetAddress •X?C- City slyor.JL
State MY\ Zip ?5 5102- Telephone #((0 SI ) 2,L5 1 I 7v
Bond #: L7Cl C?? Ezpires:
T6e Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to exiating dwelling unit $ 30.00
? fumace _Additional Jt Replacement
air exchanger
airconditioner _New _?(_Replacement
other
State Surcharge $ .50
Total $ zo •1;0
I hereby apply for a Residential Mechanical Penni[ and acknowledge that the information is complete and accurate; tLat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
perntit, 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. _
rmN-e, rIe:vLtaVa ' u ? - v
Applicant's Printed Name Ap icant's Signature I???
14q19
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION $1Q0
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 Val uati on of work .5? ocr?
Site Address:_
STREET SUITE /f
Tenant Name: (commercial only)
LOT BLOCK ?
.II
SUBD. ",a.Ll??t
P.I.D. #
Descri tion of work: U'G L QLPynI6 T 1Y1+yNCE `?ju5 ? ?-
The applicant is: ? Owner 0 Contractor 0 Other (Deseribe) 6ar?" q?N y?
Name C/{G(Gfo{ Phone
Property LAST FIRST
OWn@C Address G2j? /-?!' I
S7REET STE M
City ???/?A/ State /w/Y Zip
Company APP_1'VC1< mb014's C.b/YT Phone ?'a7^ SS7?
COntYaCtOr Address l/VU W/ 1!?/Vk/2 94 , License #3;?53 Exp. 9-?
City e_'&YAV,4141 State Zip
Company Phone
Architect/
Engtneer 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 State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 foundation
? 02 SF Dwg.
11 03 SF Addition
? 04 SF Porch
)T 05 Sf Misc.
woRK nrPe
O 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
0 08 8-Plex
? 09 12-Plex
O 10 Multi. Add'1.
O 33 Alterations
Cl 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 F1replace
? 15 Deck
? 35 Tenant Finish
O 36 Move
Canst. (Actual ?
3 Basement sq. ft.
(Allowable lst fl. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
2oning Sq. Ft. total
# of Stories footprint Sq, ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
&?noting
A Final
4EF-4raming
? Draintile
?
`6-Insulation
0 Fireplace
Permit Fee r,a„tia,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
0 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC % I
SAC Units \
1--< . .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-14996-050-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
696 BRIDLE RIDGE RD
LOT: 5 BLOCK: 2
BRIDLE RTDGE
cU4I4O
auzLozNG
025039
01J17J95
DESCRIPTION:
B}tildingL_Permit Type
Building Wo.rk 7ype
?
\
'•--?-?,?C???. -??-?''
?
BASEMENT FINISH
AITERATION
,
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.80
5urcharge $.50
7ota1 Fee $35.50
CONTRACTOR:
MOORE, RICHARO
11830 W RIVER
CHAMPLIN MN
(612) 427-5573
- Applicant - ST. LIC
14275573 0005253
55316
owNeR:
BLACK CHRRLES
696 BRIDLE RIDGE RD
EAGAN MN
(612)687-9044
I hereby acknowledge that T have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and Gity of Eagan tlrdinances.
APPLICANT/PERMITEESIGNATURE ISSUEDB SIG TUR
I
CITY OF EAGAN
1105 9 1995 BUILDING PERMIT APPLICATION (RfS1DENTIAL)
681-4675
New Construetion Reouiremenfs RemotleURemir'Reouirements
? 3 regislered site surveys ? 2 copies oi ptan
? 2 copies of plans (include beam & wintlow sixes; poured fid. design; etc.) ? 2 site surveys (oterior addi[ions & decks)
? 1 enrerpy wlculations ? t energy calculetbns for heated additions
? 1 Uea preservation plan 'rf Wt platted after 711183
reqwred: _ Yes No
DATE: //// 17_??-s CONSTRUCTION COST: ?J?i DOO
DESCRIPTION OF WORK: F/N/S/f
STREET ADDRESS: IgXl'eLIC 41064 Ad r
LOT _-6 BLOCK SUBD.,.8P.LD.#_
PROPERTY Name: ??? (rY4A1-r5 Phone #:
owNeR S, FA°,
Street Address: e?:,9'6 ? 461"2d4E
City: ?A:?A4' State: N „?+ Zip:
coN'rw?croR Company: R14%Ai7YJ MDOfZA? Phone #: '127 SS7-3
Street Address: I l$? 0k4, 4/vjEA 44 License #: 5.Z
ciri:
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #-
Street Address-
City: State: Zip:
Sewer & water licensed piumber. _
are requested once permit is issued.
Penatty applies if address change or lot change
I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certiflcates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
Yes _ No
, Yes _ No
-
JAN 1 1 1995
PERMIT ' ControlNo. 00II2
CITY Of E1kGAN
3830 Pilot Knob Road pt13MITTYPE: euiLDiNG
Eagan, Minnesota 55123 Permit Number: 000086
(612) 681-4675 Date Issued: 03 /23 J92
SITE ADDRESS:
696 BRIDLE RIDOE RD
LOT: 5 BLOCK: 2
BRIDLE RID6E 1S7
DESCRIPTION:
Btiildiitio„ Permit Type PORCH
rBuild€ng Uork Type ADDITIQN
, f
`\r.`.?r- ' Y _.
oij??E? ,?
-
(f
-,,.,"=, _ -' C.,'' C..:?
r i°..
REMARKS: C O !7 o,?;-
FEE SUMMARY:
VALUATZON $6,000
Base Fee $SS.O@ LICENSE SEARCH $6.00
Surcharge 3.00 Total Fee $89.00
Subtotal $84.00
CONTRACTOR:
MOORE, RICHARD
11830 W RIVER
CHAMPLIN MN
(612) 427-5573
- Applicant - S7. ID1NNER:
14275573 0005 63 BLACK CHARLES
696 BRIDLE RIDGE RD
55316 EACaAN MN
(612)687-9044
?
Z hereby acknowiedge that Z h•ave read this application and state thBC the
informatian is correot end ayree Ca eomply with,all applica6le Stete of Mn.
Statutes anQ City o'f Eagan prdinanceo.:
-SUEDv'SIGNA IJF
APPLICANT/PERMITEE SIGNATURE IS
PERMIT #
cmr oF eaGaN
1992 BUILDING PERMIT APPLICATION
681-0675
NAR 1 8 REOfJ.
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 when typing of permit is requested, but not picked up by last aorking day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date 3/ Yaluation of work 5, $?O
Site location: 69{,
STREET STE F
Tenant Name:
L0T f_ BLOCK ? SUBD. LL P.I.D. ?
Descri tion of work: S SO N C
The applicant is: ? Owner 2 Contractor ? Other <oe6«ibe>
Name *6 ? 4 G!< GHhA 1.ES Phone 6$7- 5?D
Property LAS, FIRST
Owner Address 696 C'•q/Z2416 XJ2?6-)F /?d,
STREET STE ?
City State /y? _ Zip
Company /C!< M Da9k Phone 412 /"- 55 7.3
Contractor Address '330 I.cl. ,Qlll,PA License # 6a53 Exp.
City cHA Mpj_ /N State MA?t 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 State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory Iff ll Res. Add./Porch
? 02 SF Dwg. ? 01 Fireplace O 12 Comn./Ind. New
0 03 Two family ? 08 Deck ? 13 Comm./Ind. Add
0 04 Mult9-fam. T.H. ? 09 Basement Finish O 14 Comm./Ind. Rem
? 05 Apt. Bldg. ? 10 Swim Pool O 15 Public Fac.
woRK nraE
? 31 New O 34 Remodel D 37 Move
0 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy
Zoning
Const. (Actual)
(A1Towable)
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
JB Final
0 Framing
? Draintile
f? 3y
.D Insulation
? Fireplace
Permit Fee
?OOo
v.iu.s;p,: $
Surcharge
Plan Review 3 ?-
License
MWCC SAC
?
? `??
City 5AC D '?__
-------
Water Conn. z 3 7,r ZS ?
Water Meter
?
Acct. Deposit
S/W Permit -'o 6e
S/N Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: ?
SAC %
SAC Units
? ui /f_ o f/eP AeC',N`
.n .,*?
Yti ,
n
? 16 Agricultural
? 17-8uilding Move
? 18 Demolition
O 20 Miscellaneous
MWCC 5ystem
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
5AC Code .
Assessments
? _? CfTY USE ONLY
L BL RECEIPT #>=J;6
? 95
SUBD. ? DATE:
7995 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required foreach unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen 5ink Y c ^
Laundry Tray,
7)
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprinkler " home under const.
Alterations * to extstiny
Water Turn Around
EACH NO.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
x
x
x
x
x
x
x
x
x
x
x
x
TOTAL
_ . .,,
?-'
.50
- 0. 5v
SITE
OWNER NAME: (.? L"'L'k ff14c-/_?
INSTALLER NAM
STREET
CITY: ?4??'7( STATE: ?
PHONE #: ((9IL
I /?J ')
ziP:
?
C 1 T Y O F E A G AN '?*7°T`' ` DA"-*E"ir oF rr? xr ? or
. I?.. APgtscATIoiv DoES rzrr corsrr_E=
** APPROVAL OF PERM.
APPLICATION FOR PERMIT *
* INSPFxTIGN OF SEWrR ADID/OR FL4TI-:R
? INSTAILATIONS WII.L NOT BE SOIID-
BE?7
SEWER AND/OR WATER CONNECTION ?UL=) UNTIL PERI"ffT HA`
y?. APPRQVID.
?
?
*
- - . '?x?:r**t?,rx*x+*x:ex?*a:rx*?-r*??:***:r?,
(YlEd52 YL1Rt)
1) PROPERTY ADDRESS: /?;%
LEGAL DESCRIpTION:
(Lot B1ock,Subcivisior. or Tax Parcel- ID ;)
IF E?'TSTItiG S2RCC?LTRE, DATE OF ORIGZNP.L BC'ILDI\l", p&'R;yIT ISSi:?Y?:
' (t-b:ith Year)
PRFSc1TP 7,ONING/pROF05ED C'SE:
[] CO•=CLAL/REI'AIL/OFFICE
Q IbDCST4LA.L
? Ii?STI'?LTIONAL,/GCVE2NN=\T
2) tv,?
NAhfE :
pJ]DRESS:
es
6.-,K R-1 SINGTE FA?AILY
? R-2 DL'?TF.Y (Tro Units)
? R-3 2D47NHOUSE (T;ree + tinits)
? R-4 APARTMfT7'I',lCODID0,,IINIC'M
CITY, STAT'E, ZIP:
PHONE: 7?(0 ? S?o-v 7
3) " u rix:
NAME -- ? °??
?,DDRrSS: _
? CITY, STA'iE. ZIP:
PHONE:
rAszER LzCENsEtt ??.v19
( Units)
( Lni'ts)
Plumbers License:
? Active
EScpired
23ot recorcec
StatT Lnicial
4) ?e.u•_,I ?,^.q'lii? N.?:___?a:?. Tolir,san C:r.?f. ?'
_ aDDRESs:_
CIT^l, S':'A'!'E, ZIP: .S'?r'12_.3-
DxoNE: Sls? G?d ?
S) 1 1 [v: Y: .:1C4:. • ]1•! ? • : Jti? ' ?a ll:i.^1Y?>}.
? CONNEC.'TION TO CITY SEWII2 ,?K CCNNECrION TO CIT-V Kzk T?? Q CJI?-?r'12 '
6) PLWASE HOLD 1LpPROVED PII221iT FOR PICK-L'? BY ON.: Oc^ t1BOVE -' -'- --
-
PL=LSE MZ1IL APP20V=?JT PERMIT 1 2, 3, 4, :-?VE
Circle one)
7) ?0 -•d 7_ Q J
vi:;.?\il?: .T3:ix;.,T-a?? '
???I??1 pl, ?)??I I III II i
?..:
FO.R CITY USE O'NLY,
PERMIT # ISSC'ED
/D D 2
Pd w/Bldg. Permit
s
<
$
$
$
?
$ Q-o
$ ? ?76 - d-0
S
$
$
$
$
FEES:
$ 4o-Sa
S?
?
$
$
S / rS?O?J
?
S
s
$
$
$
$
$
SEWEF FERMIT (INCLL'DE SC'RCHARGE)
W-ITER PEF.24IT (INCLCDE SL'RCHARGE)
WATEP. METER/COPPERHJRN/OCTSIDE RE?.DER
WATER TAP (INCLCDE C03POR:_TIO': STOP)
SEWER TAP
-=OUNm rJFP Tm ' Sx';'7.T'?.ri
=kCCOLI`T DEPOSI`I' - WFi`T_?:.R
lh'AC
sAc
'"RL'NY WATER ASSLSSMENT
'i'RL'N:: SEL4ER i-1SSESSMEN`?'
?,ATE2AL BEh'EFIT/TRCNK SEWER
LATE'iA=, EEidEFIT;TRC'L:R WA:ER
WP.TER TREATMEhT PLANT SU?2C :P.P.GE
OTHER:
$ IY ?T ?'•?O $ TOTAL
?v- v-
RECEIPT 3 RECEIPT
DO ;5 L)TILIT`! CONNECTION REQC.'IRE EXC=_VA'_^i0N IN PUBLIC RIGHT OF WrY?
? YES IF YES, THEN A"PE3i•+.IT FOR WORK tQITHIN PC3LIC
ROADWAY" MOST BE ISSii:D 3Y THE BNGI.T1DE3IPiG
? NO DNZSION. LIST 1?5 A CONDITIGN.
SDBJECT TO THE FOLLOWING CONDITIOVS:
P.-,'_??20VED E`_':
TITLE:
n,mF_ .1U/z ?./ .it
?._ .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN +r
SINGLE FAMILY DWELLINGS
169114
INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
M[JLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 8 OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS
To Be Used For: ")e A2,,,; I.V Valuation: 4$ap-6-,op Iate: 9130l8'8'
Site Address (0°I( &?I(e %e Qd
Lot $ Block 2
Pareel/Sub
Owner
Address
City/Zip Code
Phone
Contractor 1122,.C ?kiG?„ro..
Address 0q9 al?u,,heg., Ag"g_
City/Zip Code &53'i2 z
Phone 4/Sy_ e9kQ 3 '12v-V?r34-'
Arch./Engr.
Address
City/Zip Code
/??? OFFICE USE ONLY
? '/
On site sewage
MWCC system ?
On site well
City water ?
PRV required _
Booster Pump _
APPROVALS
Decupaney R-3 M°/
Zoning
9etual Const
Allowable V-N
N of stories
Length 9 -
Depth 2&'-N"
S.F. Total
Footprint S.F.
EEES
Engr/Assess
Planner
Couneil
Bldg. OfP. 4M-
J?7 or7
Varianee
Permit 7,bp
Surcharge
Plan Review 5!514,00
SAC, City ) 00 -OC?
SAC, MWCC
0
.650,0
Water Conn
Water Meter ??.0D
Road Unit ? zrt,
Treatment Pl Z, 041, 0
a7
Yarks
Copies
TOTAL ?
C?
Phone #
7?7p ? ?yg
j . _Ir-l'AT-LLnArrioN
CsA 1Z A-6r E . ,
25 XZZ = 55C7 X 1y = r)?vv =..
SASEMEIJT
wOX28 = r,2v
12X1o r- 17-0
1 7-4 n X I3 :l?l2U
1 ST ??dnR
?
6smr = lzuo
2''lz'x"7 - Ie
i sZ ? x4q ? 61Gy2
Z N-------?0,2'
4/011is ?. ,r ?..' xNq^ sS+SrYo
?----
! ?J 0 3y -2-
'p't
a
. i
kq?,
70a•oot
? 7o•su+
354•OU+
? 11796•00+
?d -2 ,928 • 50*
? ?
??
SINGLE FAMILY DWELLINGS
144.54
1990 BiTILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
. W%
COMMERCIAL
2 SETS OF PIANS 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 CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FQR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, Bi]T NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WFiICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - 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.
/m oo
?/ ibAY_ 2 ? ?
Pr Date:
To Be Used For: Valuation: 9
/ H/a /9d
Site Address Ss6 -'6R)'0« OFFICE USE ONLY
Lot ? Block ' FEES
Occupancy
Zoning
-2-5
Parcel/Sub _LJ4, ?AAJy' ?A Actual Const Bldg. Permit
Allowable Surcharge ,-SC
Owner # of stories Plan Review
Length SAC, City
Address 696 -?RIpL?' /21a(r? 4441 Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone [?`67-9PyY On site sewage_ S/W Permit
On site well S/W Surcharge
?
Contractor A /Gf-( MWCC System _ Treatment Pl.
Address 1 J 83D Lc). A& City water
PRV Road Unit
Park Ded.
Booster Pump _ Copies C SO
City/Zip Code CH/}MI?L.I1?! 533/6 SUBTOTAL
2 7- 5373 APPROVALS Penalty
2
4
00
phone y Planner _ TDTAL .
-
Council
Arch./Engr. 5,,9M CAJr 4,60l/E Bldg. Off.
Variance
Address
City/Zip Code
Phone #
JRVEYOR'S CERTIFICATE SIENNA CORPORATION
REVISED 9-16-88 TO SHOW-A PROPOSED
/ MOUSE FOR MARK JOHNSON
N BR/DL. E- R/ pGE
\ C9 9? 575/ 80AD
aa .? R ° sS.Op /
aeoo,4l,32„?3
o
6 ?,• i .... : ...:...::: 5 0
4j o -_ aa7o (93{,5
C.) ?M g? ro? ? 8 0 40.33 s3s.e 1 ? ?
?aN N ?ARAGE N / •,? ?O c
tn ?
/ 0 PROPpSEO 'h tP ?
?? 933.8 ??`'^• 25.67' R1,0 / HOUS M N
1 d'
jm W
N
N ? %n
40.33
0 29.T4 ; ?
(92.9.6? aaa.s
/? hr6i ` L? 1 i.
ll
? ? O ~
4OZ4AA66Z;rqqp? `11 a c0
--- ?.
916,o ) Lo r 5 ,
-
•? ??
193. 29
o •? ?
ep°
? ? ? _ ? -?- f `•, ? ;
_--
?-- DENOTES PFOPOSED SURFACE DRAINAGE t'14621131;};RiNG DI;PY'
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONl1MENT FOUND PROPOSED GARAGE FLOOR - 934.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 926.4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 935•2 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE SOUNDARIES OF:
Lot 5, Block 2, BRIDLE RIDGE I ST ADDITION, occording to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EICCEPT AS SHOWN. AS
SURVEYED BY ME UR UNDER MY DIFIECT SUPERVISION THIS 21 57 DAY OF SANUFlRY 19853
APPROVEO FOR SIENNA SIGNED: JAM INC.
CORPOR11T1f1N
fiY BY .
DATED'
m
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Z
HAROLD C PETERSON, LAND SURVEYOR .
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 56431 • 672-884-3028
EKTat20R EIJVEIAPE AVb-iAGE "0" COMl'IITATION
9wtla PLAN N0.
I'tE ADDRESS LOZ Sl7LOGr2. BRImG DATE
JOA1•15DN
Ip"
petermine vorking square footage of each
1. Total exposed wall area...... L1L+10sq.ft. x,?
2. Total roof/ceiling area...... sq.ft. x .Ry-e= Z?
3. Total floor/cant. area....... 3Q•ft• x. -
Total exposed wall area above floor ZjVma
'd • TOt.81 W8ll WiI]dOW $P98 * ........... ? ? ? ? ? ? ? ? ? ? • ? ? / w,
b. Total door area .............................. 11 7l7 '
c. Total sliding glass door area ................
d. Total fireplace wall area ....................
e. Total wall framing area (average 10%)........ ?
P. Total net wall area above floor ..............
g. Total rim 3oist area .........................-
Total exposed Poundation area 1(04°O
h. Total foundation w3.ndow area................•
... ??-
i. Total net fovndation area above grade.....
Determine "II" value of each wall segnent
a. X „u" ,35 = N6I
b. ? x "U"
x "0" _
c.
d. X nUn =
- - ----------
6. e X "0"
f. x nA" = r
164-1
g. ? S °II° _ 00+1
h ?O x ^II°
i. IGDr x °U° c ?
4 . ................................... Totam =
If item #4 is the same as$ or less than item #1, you have met
the intent of SBC 6006(c)2.
? '-
_.,
Total exposed roof/ceiling area I7J15FZ10
J. Total skylight araa.....................................
k. Total roof/ceiling Praming area (aver. (.10016"o/e),,.,,
(.0625824n0/c)...
1. Total nat insulated roof/ceiling area ..................
Determine "U" value for each roof/ce113ng segment
J. X nUII -
k. x flUp t0
1. 0751-1V x U 0O (.
I;
5 . .................................................
Tota1=
If total of #5 is the same as$ or less than #2, you have met the
intent of SBC 6006(c)1.
Total exposed floor/cant, area
m. Total floor/cant. framing area (average .30%)..........
n. Total net insul#.ed floor?cant• 8?8???????????????????•
Determine ^U"'value for each £looricant. segment
m. x "U" _
n. x "U" _
6 . ................................................. Total
If total of #6 is the same asg or less than #3, you have met the
intent of SBC 6006('c)3.
NI.Tr3ZNATE BUILDING FNVEIAP, DESIGN
To utilize the tota.l envelope system methal, the nalues established
by the sum of items #+, #5 and $6 shali ngt be greater than the sum
of items #19 #2 and #3.
1. 35o,7A- z. 32,55 3.
4. 331 '11 g, 6.
Prepared bq ?
Date
f IR
SURVEYOR'S CERTIFICATE SIENNA CORPORATION
REVISED 9-16-88 TO SHOWA PROPOSED
HOUSE FOR MARK JOHNSON
N
BRID4 E R/DGtr R
\ ? a.? gT3/ Ory D
DO
`(q?2'
a• ??;.,;' : o ? ?
?
f0 ro°? o
°'
?
hjy h? O?? 25.67 p'_ sa7o ?934,g 1 ? ??1
?j ?% M? / o 0 40.33 93e.8
? ? e=
?pN GARAGE
?If.p p?P •?c ?
833.8 25.67 ?'11 Fi ?SEp 'N,
•0 / OUS/
/ _' '}-(9345 o E 0 W
N 1 0
W 1C?
?' 833.8 40.33 (P
,° ? 69)2,y saa.a, ? 24.74
?,. r - , 933 g ; ,
' ' ? ? ..
„ o
w
"°P'''?-
o
.o, Lo r
193. 29
?
N 80°/B' n 2 n l D?
W.
?.
E1?`CiN;_;liRiNG DEPT.
?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH ffi 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 434•8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 926.4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 935•7- FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 2, BRIDLE RIDGE IST ADDITION, according to the recorded
plat thereof, Dakota County. Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION 'I HIS 71 S7 DAY OF .7ANUpRy , 198i3.
APPROUEO FOR SIENNA SIGNED: JAM I , INC. ?
CORPORATTON '
RY c BY: ?
DATCfIt
?
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HAROLD C PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029
PERMIT # J 1 U lo ? .--RECEIPT DATE:
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
cirv:
2002 R$SID£NTIAL PLUMSINfi P£Itbi1T iRPPLICATIOR
CtrY oF E?snx
saso eu.oT Kvoa itn
BR6AR, bIA b61 ES
e51-e81-4675
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
TELEPHONE #:
(AREA CODE) ' .
TELEPHQNF. #: , s-( G' Y6, 1? YG
` (AREACODE)', ' ..••.
STATE: ZIP;, ..SJ B 7?
_ SEPTIC 3YSTEM, new/refurbished (requires two sets of plans and MPC license)
$
100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: "
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50:00
_ AbandonmeM of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter'rf needed -$118)
Other:
.1-f?PZ: new installaUon/repaidrebuikJ
? (a I? ?
5 $ 30.00
D
_ lawn irrigation system
?.
MAY 3 1 2002
U
ReplacemenUadditional: _ water soRener _ water h $ 15.00
st
te s
n
??" t? so
a
urc
arye N
Totel ?
I hereby acknowladge that 1 have read this applicetion, state that the information is conect, and agree to comply with all appliceble City of Eagan ordinances. It
is the applicaM's responsibility to notify the property owner that the Ciry of Eagan assum? no Iiability for any damage caused by the Ciry duringits n8rm9l ?`?
operational and maintenance acUvRies to the facilities consWCted under this pertnk Wjlh(n City propertylrigb4of-"asamenyn /11?
SIGNATURE OF PERMITTEE . ? 1102
?,.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: i ; , f
;??? ? i?? r s; ri???? .
PERMIT SUBTYPE:
? I r f1 i.. j
N
JcoRD
PERMIT TYPE:
Permit Number:
Date Issued;
V[13 I 1 1 i ? f{!y,
!? ?; ? ,,, ? •, APPLICANT:
TYPE OF WORK:
f7l....,11ti f11 1' 14I114
A 1 :110 , i 1 ON r
( E. iN t i•' 'r 1.3l4 Y' 1 t
INSPECTION D• • DA
. ' ?
. i
J
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC I
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace .
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
81dg. Final
Deck Ftg.
Deck Final
C9'D op "'
Well
Pr. Disp.
?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, 1 tR l .. I I'i.i;
PERMIT SUBTYPE:
APPLICANT:
C?.
TYPE DF WORK:
INSPECTION DATE INSPTR. INSPECTION TYPE D•
PERMIT TYPE:
Permit Number:
Date Issued:
V A l<A l 1 i'1' kTH el11 1 14 I: 11 1. €)i':, d+Pl`t f' I t114ts l Ni, c?lv 1'a P F I I,' i 1' F11 t•ltllil
?
Permlt No. Permit Holder Date Telephone #
SNV
PLUMBIhiG I?
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footingsl
Foundation
Framing
Roofing
Rough Plbg.
f
Raugh Htg_ v
Isui. ???/?? ? ?
?S
Firepiace
Final Htg.
4rsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
?•' ?.J
Deck Final
Well ?• ? Z ? ?GVw%?f.?G ? I /
Pr. o'isp.
IZZI r
ft
71
/ -cv.
SEDGWICK
r HoI
z ?Ji1 ? -P
OCCUPANT °-
HEAT LOSSdATE HTG. INST._
SOLD BY
Electrical Work By'?_
TYPE OF HEAT GA____ FA_ HW_
GAS DESIGN
MAK F-- C': a.i I'i i:.
Model . 'L ° .?;
Serial ? - u. 1:;'Z . ? a -3 F_?,!f ;
,. .
INPUT -, : IO '1
CQNTROLS
7HERMOST/ 1T '-"'?' .Heat Plug .
,. ,
Valve
,
Limit?
?
Limit Setting
Fan Setting `"-
Pilot Type ,-
?
Pilot Make
Pilat Model
Pilot Timing =-
L W Cut Off
?
! Pressure ? ' ? '? `?' • =- iPercent CU
Input CFH ? r> Percent OZ
'.4L Percent CO ._LL•L
itack Temp. S'
5
CITY
_ OWNER
_ INSTALLED BY
_ Gas Line By_
CE HTR. UI
OFBURNER _
TU Rating
OF FURNACE _
iey Location
iey Construc
e Bomb -
JG C0.
OTHER_
CONVERSIOAI
SIZE NONE
Regulator
Number ?
nside Outside
,• ?;
Wiring
Test Tag
Lighting Inst.
> Y
C1TY OFjjEAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Permit No:
Meter No: _
Reader No:
.,
Owner. 7nhnscsn: Cargt.
Site Address: ?' "•1:? ?-'? F,'FJ. ;?ia Rd
Conn. Chg:
Acct. Dep:
Permit Fee:
Surcharge:
Tr. Plant '
Meter.
Date: '
Size:
Date:
:- ?
Zoning: '?--
No. of Units:
1 agree to comply with ihe City of Eagan
ardinances.
By
WATER SERVICE PERNIIT
?
CITY OF FAGAN Permit No: 1' ' '7 7
3830 Pilbt Ifnob Road g/P No:
P.a. Box 21199
Eagan, MN 551?4
Jotnnsen Const.
Date:
Date: Site Addrese V - twiG _:u t:? ir.c
Plumber: Schmu1_ti.es -P3.tnahir-i
MWCC: 5 S0. O(3pe
City Chg: 100" o(lr"
Acct. Dep: ` ?5.
Permi# Fee:
5urcharge:
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
Misc.: By
SEWER SERVICE PERMIT
. q`
Citp of eagari
BPpal't11tPltt Df Nlttlbtltg lttopPtttDtt
This Cenif cale rssued pursuartt to the requiremenls of Section 306 of tke Unifonn Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building eonstruction or use. For the following:
Use Qam6catioo SF DWG/s??? Bldg. hrmit No. IS72lF
OccuPg-Y ?'Pe ?/ 1 j i Zoning Dishict PDr "1 TYPe Conm VN
ow„er os suaaing MARK BDMSON 09IST. addm 4149 SIRAWI3EYRY I.AW, EAC',AN
BuildintL Addrem 696 BRIDLE RIDGE TW LacxlitY ?? ?0 BRIDLE RjDGE I`7?
???'? ???:-"?:?5?'" oete: MARM 20 1989
auaaing
'"0 POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Raad, P.Q. Box 21-199, Eagan, MN 55121
PHO N E: 454-$100
BUILDING PERMIT Receipt# "
To be used for SF DWIC j?'rj?R Es#. Value $161,000 Date OCTOMTt 14 ,19 ti
Site Address 69$ BRIDLE T{IIIfnE RD
Lok 5 glock 2 Sec/Sub, BRrDLE R-???? ItoT
Parcel No,
m Name MARTC Jl7FDaSON CC1NS'fi'R1UCTIOt7
? Address 4149 STRATMRRY LI'ti
a City EAGAN Phone ? `?v •?:,:' :i'`.
°C
O f`ame _
.
z?
? a Address
? 1scitv
r
u¢
W
w
?w
z
s?
vZw
¢
a
Nama
Address
City -
I hereby acknowledge that I have read this application and state that the
information is Correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Qrdinances.
Signature of Permittee
A Bailding Permit is issued to:_+?AIPPY yC'RNIS Li _MRST_
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Qfficial _
OFFICE USE OMLY
On Site Sewags Qccupancy IZ-3
MWCC 8ystem Zaning ?D ??l
On Site Well (Actuaq Gonat ij_ z`
City Water X (Allowable) 4'-N
PRV Required # of Stol'ies '.
Booster Pump Length 77° i
DEptI'1 2 ej'y ?
S_F. Total
Footprint S.F. i
APPROVALS FEES
Engr./Assess.
Permit ?
706tl00
Pfanner Surcharge 70•50 i
CounCil Plan Review 354.00 j
91dg. dff. SAC. City 100*00 1
Variance _ SAC, MWCC 153+? ?
WaterConn. 550+0? .?
Water Meter 67.00
?
Road Unit !05.l'? .;
TreatmentPl .?0A.oo ,
Parks
TOTAL '? ? °??? " ?'?'?
GITY QF EAGAN fi(2 17939 :
, 3830 Pflot Knab Raad, P.O. Box 21-199, Eagan, MN 55121 ;
?• PHONE: 454-8100
BUILDING?PEFjFJ?IIT
i Receipt #
To be used for 'I)8CK
? ` Est. Value $1,000 Date JUNE 1 , 19 90 ?
Site Address ?'96 SR I
d? ???E RD
?
L
t g Block 2 BRIDLE AYM lft
Sec/Sub OFFICE USE ONLY ?
o . - FEFS ?
P31'CBI N0. Occupancy
CR?'iKAl.LACK zoning -
Bld
P
i 3
25.00
Name (Actual) Cons1 - g.
erm
[ 3
Address ?IDL? LDGE RD (Allowable) _
Surcharge +? ;
i
City EAGAN Pharte 687-90" # ot Stories - ?
Length _ Plan Review ?
*/?f??.?M??p i91/VlliW
?1\ii?
Name
oePm -
s,aG City
?
Address I1? d ?1 $IVE8` RD S.F.Total -
, MCWCC
SAC
City C?='YN PhOne ?T' 73 S.F. Footprints _ ?
On Site Sewage _ Water Conn
Name on sice weu - water Meter ?
Addres5 MwCC System - j
qcct. Depasit
City Phone ciry watar - ;
RV
i
d S1W Permit ?
_
P
Requ
re
by acknowlege that I have read this application and state that the Booster Pump - SM/ Surcharge f
ation is correct and agree to comply with all appifcable State of ;
sota Statutes and City,9f Eagan Ordinances. k) Treatment PI ?
_'4' !, -- ' j `'.. 14,F jf ?O APPROVALS ?
SignaWre of Permitee Road Unif ?
A Building Permit is issued to: R'LCK NWRE Planner - park Ded. ?
on the express condition that all work shall be done in accordance with all CW^cil -- 1.50 i
applioable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ COp1eS 27.00 ,
Building Ofticial ? r? ? Variance - TOTAL ,
Permit No. Permit Holder Date Telephone #
WATEA
SEWER '
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings 1
'
A-in
Rough Fttg.
Isul.
Freplace
Final Htg.
Fnal Pibg.
Canst. Meter Plbg. InspeCtor - Notify Plumber
Engr./Plan
Bldg. Final
oeck Ftg.
Oedc Fnal
Well
Pr. Disp.
. . .... ?' .... ..rr ?..- , . .. .. . .. . . . 1. . .-.?....,.
• ?' GITY OF EAGAN : . .. . ..
. , . ,,.
}: ?
,S ?•'?-?'' X 38?10 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDINGrPrERMIT Receipt #
.
.
To be uselfor $F OW(;/G" Est. Value $141 1wC? Date QC'ft3W R 44 ,1988
Site Address ??? ?AI17$,E RIDtsf: RI) OFFICE USE ONLY
??UMS RIDGE AST
Lot Block 2 SeC/Sub On Site Sewage Occupancy R"3 a1"'1
. MWCC System Zoning
Parcel No. On Site Well (Actuap Canst y- V;
a Name ???K JttNVsK.ON ?.'ONS CityWater X (Allowable) V-;<
W
Address 414,.' S'i?:?f-??j aT,1Y",
.;'?Y ?
PRV Required
# of Stories
3
o City ? i
?;?l4,.>?.$J Phone ?..r ?$-??ir?"? Booster Pump Length 77'
Depth ? ? ?
¢o
, Name s M'X S.F. Total
0 Q Address Footprint S.F.
? City Phone APPROVALS FEES
?a Engc/Assess.. Permit ??'?°?
Planner Surcharge 7u• ?`0 '
~ Z
?x Addre55 Council Plan Review 354•00
aW City Phone 81dg.Off. _ SAC,City 100.00
SAC
MWCC 55O" N
I hereby acknowledge that I have read this application and state that the Variance _ , 5
1
v
00
information is correct and agree to compIY with all apPlicable State of Water Conn. .
.
1
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00
Signature of Permittee __?------___ Road Unit 325.
A Building Permit is issued to:_.?'?'^? 'tiCHM-?? ?ONST Treatment P1 *04*00 -
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
- • ?t..
a F 92
Building Official_ __-- TOTAL
---.?_
.
mbing
%
HAJ.A.C.
Electric
9/0 '7 &-cf
Softener
Inspectfon Date Inap. COmments
Footin9s I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace 11 _
Final Nt9•
Final P{bg. at_
Bldg. Final ?
Cert.Occ. 3 2 ??
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
,
t>-
' ?
CITY pF, EAGAN Permit No: 10037
3830 Pilot Knob Road Meter No- l?43 /p
P.'€7: Box 21199 R er No: 6f7 fn -706
-?
Eagan, MN 55121 ?
Mark JchnsQn Const.
Site
Conn. Chg: 550 ° Oopd r ?
Acct Dep: j-% M 00pd
Permit Fee: 10 ? ??opd
Surcharge: ^ 5ftd
Tr. Flant 00Tkci
Meter: r, 7 - E'11?n .
Date: 10-26'"88
Size: ??"e-A?
IJat917? _
Zoning: rI
No. oi Units: 1
I agree to
oi Eagan
WATER SERYICE PERMIT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109708
Date Issued:03/28/2013
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Jocina Hammer
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112431
Date Issued:08/13/2013
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126502
Date Issued:08/27/2014
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137180
Date Issued:06/21/2016
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137722
Date Issued:07/19/2016
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink Jo
r For Office Use I
Permit#: /LI1.%6 ,��� I,
City of Eaau Permit Fee: c>"
��
3830 Pilot Knob Road /�
Eagan MN 55122 RECEIVED Date Received:
Phone: (651)675-5675 ..
Fax: (651)675-5694 MAR 1 5 2017 Staff. �i►�
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3—I S— 1� Site Address: bib 1 -1 DLL= '21 pot RD Unit#:
1 Name: LI 2 WM-LIt�' +''i'I I trY A V K a� Phone: b 12- ' ) �O-�z LIG
1 Resident/ 1 Cci( g RipLt g 1p6t Y i
1
Owner' Address/City/Zip:
Applicant is: Owner Contractor k„---- I
_ J
. i
Type of Work 1 Description of work: REPtCk r I teAl t- GP �%IStIN6 1)EC k Fewn-- N L w cT AI25''- H f'siti
Construction Cost: l0 6 CG oo
Multi Family Building: (Yes /No )
1 Company: 7RE.m.g LL )NC Contact:
-164,) I P DV liGt k
i 8-s12 act.c+e'i 1_4 n. L ktv� tr.:Contractor Address: City: _
State: !U Zip: 5 G � Phone: Email: '2.
2 C?���
}
l
a License# 13C 51 Zy45C1 Lead Certificate#: re-a _ l.4 _1C_ 0G 15, '
If the project is exempt from lead certification, please explain why:
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor:
Phone:
3 NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
` the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets a,..�,,,_ , ___, .r. _ �. ,_.d
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x M)ctgtt_ J2uD1-4 x G
Applicant's Printed Name Applicant's Signature
Page 1 of
c� ((-- 70 bb NOT WRITE BELOW THIS LINEif�i/
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family �n Garage Porch (4-Season) Exterior Alteration(Multi)
_ Multi ) Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding — Demolish Building*
_ Addition Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ` 76 to. Occupancy zi_g .") MCES System
Plan Review Code Edition //11 2c (5 SAC Units
(25% 100%l4 ) Zoning /2- ( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VB Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/ C.O. Required
Footings (Addition) 26 Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: / Z 14/) /i (V• ( y rddr
, Building Inspector
RESIDENTIAL FEES
Base Fee 3 2 NY y5/g Sf•i'T
Surcharge /iey 4– .57-1977t = Co', 5f. ff-
Plan Review
MCES SAC ic. 2:.9 S.? . .
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
JRVEYOR' S CERTIFICATE SIENNA CORPORATION
,� j REVISED 9-16 88 TO SHOWA PROPOSED
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DENOTES PROPOSED SURFACE DRAINAGE �.f�ll`i!'1 t;l`y% jvii;; !1' �jL '1'
O DENOTES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR @ 934.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR m 926.4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK — 935.2. FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 2, BRIDLE RIDGE 1ST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY OF 3AIVUFIRy 3
, 198 .
APPROVED FOR SIENNA
CORPORATION SIGNED: JAM6 , INC.
f3Y. BY: L,r„
HAROLD C. PETERSON, LAND SURVEYOR
HATE(!' MINNESOTA LICENSE NUMBER 12294
cn
zJames R. F-liII, inc.
m Q) m W 7 <
m Z 0 M ° O_, r_ a, ,.... a) ,_,
D Z PLANNERS / ENGINEERS / SURVEYORS
m XI • 0 ZO to m c m = <
Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
N
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165407
Date Issued:10/29/2020
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
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 -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171574
Date Issued:08/23/2021
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
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 -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179176
Date Issued:09/21/2022
Permit Category:ePermit
Site Address: 696 Bridle Ridge Rd
Lot:5 Block: 2 Addition: Bridle Ridge 1st
PID:10-14996-02-050
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Elizabeth K Waters
696 Bridle Ridge Rd
Eagan MN 55123
(612) 810-9246
A Pane In The Glass Construction Llc
8478 Long Lake Rd
St. Paul MN 55112
(651) 329-4815
Applicant/Permitee: Signature Issued By: Signature