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737 Bridle Ridge Rd Use BLUE or BLACK Ink } ~v • I----------------- City of Eap ; Permit a ; Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 5 I Date Received: i 5122 9 211 I i Phone. (651) 675-5675 ~ I Staff. I Fax: (651) 675-5694( I 2011 RESIDENTIAL PLUMBING ERMIT APPLICATION W ,z J Date. f 2Q / 1 Site Address. . 9 r) Z Tenant: p~ Suite RESIDENT I OWNER Name: - v 1 d y~ 1! on l I o am e r ~pQ ~nPhone: Address / City / Zip: ? r d1% I'S V l/t o•n 5 /,9 - D/E CONTRACTOR Name:,MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 SOTM ST EAST City, INVER GROVE HGTS, State: MN Zip: 55077 Phone: 651 4S1-2241 Contact: BILL. MILBERT ; . Email: TYPE OF WORK _ New eplacement _Repair -Rebuild - Modify Space , Work in,R.O.W. Descri tion f work: e. PERMIT TYPE RESIDENTIAL ater Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / _ Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State, Surcharge) 'Water Tumaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Cali 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.cooherstateonecall.oro 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 pla' in the case of work which requires a .review and approval of plans. x 1, x Applicant's Printed Name Applicanrs.Signature { FOR OFFICE"USE z r e y Reviewed By U' a4.As: y Date s rh , a, c j RequlredJnspections,UnQrC ourid 'r Rough-In ,_Air~ est Gas;Test, Flnal~ F PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083192 Eagan, MN 55122 . Date Issued: 05/23/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 737 Bridle Ridge Rd Lot: 13 Block: 8 Addition: Bridle Ridge 1st PID 10-14996-130-08 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen David A Montgomery 1920 County Road C West 737 Bridle Ridge Rd Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature ^r ~ " ~ t, IM. fir 'rV^- :>a! T^'S".e:.T? LU,I- ':f. ~ ,MSS ,.."Fr np• r i ~~J . s--"+ CITY OF EAGAN '!Q 16397 3830 Pilot Knob Road, P.O. Box 21-199, Eagan,. MN 55121 PHONE: 454-8100 , BUILDING-PERMIT Receipt # To be used for SF 1)WC/Ga Est. Value $146,OOO Date AUG 4 19 84 Site Address_ - 737 BRIDLE MIDGE RD Lot 13 Block 8 Sec/Sub. ]BRIDLE RIDGE 16 OFFICE USE ONLY Parcel No. Occupancy A-3 I-1 FEES Zoning PD IRr-1 W Name BUTLER HOUSING CORPORATION (Actual) Const V-N Bldg. Permit 800.0 o Address 8901 L AIi.E AVE $ (Allowable) V-4 Surcharge MOO City NAMING" Phone 881-9166 # of Stories Length 661 Plan Review•oo Zo Name SAIKL Depth 36' SAC, City 100.00 ua Address S.F, Total SAC, MCWCC 575900 City Phone S.F. Footprints On Site Sewage Water Conn 5•~ UW ¢ Name on site Well Water Meter 90•00 ~W XX Address Mwcc system 30.00 jua <W City Phone City Water Acct. Deposit PRV Required StW Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1600 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit i5 issued to: BUTLER HOUSING CORP Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 3,237.00 Building Official ~ f Permit No. ll Permit Holder Date Telephone # WATER SEWET4 PLUMBING 9~5 % , c7v H.V.A.C. le2 2 a~ ELECTRIC (prJ~ 9 /9/89 O~ Inspection Date Insp. Comments Footings I Foundation Framing i Z 3- 9e 4~~ f Roofing 7 < Rough Plbg.~ Rough Htg. 71 S 9/$ Isul- Fireplace Final Htg. 1~- Final Plbg. d , Cons). Meter Plbg. Inspector - Nalify Plumber Engr.lPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. L M - PERMIT # PLUMBING PERMIT RECEIPT # i CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 77.42 Ri-i del Ridge BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Bridel Res. x New X Ric1ge 1 Mult. Add-on Name ' Comm. Repair__ Address... Rig West _ h - -r ; ` c city rL~,cotinngtor Phone 831-!,171 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Water Closet - $3.00 Name $ tle" 1 n""JU t Bath Tubs - $3.00 Address Lavatory - $3.00 p City -boQN4Agt0n Phone Shower - $3.00 Kitchen Sink - $3.00 L.T FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE I Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES I Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES --L -Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 -1 Whirlpool - $3.00 a %C 3 MINIMUM - COMM/IND FEE -$20.00 1 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 i SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 1~ PERMIT # r' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN t U DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE, 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block . S-/Qub Res. New lt. %l Mult Add-on Name Comm. Repair Address_ Other c city 1;. Phone` ~ FEES Name RES. HVAC 0-100 M BTU -$24.00 c AddressI' ADDITIONAL 50 M BTU - 6.00 F' p City' 1lnhone U `s ' (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) "ham GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE f Forced Air 4 Z'`~M BTU E}~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & t Unit Heater M BTU REMODELS - 12.00 20.00 Air Cond" M BTU $ MINIMUM COMMERCIAL FEE - x E SURCHARGE PER PERMIT - .50 Vent. T CFM (ADD $50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: • SIGNATURE OF'PEFiMITTrEE t r' S/C: , TOTAL FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3$30 Pilot Knob Rd. WATER PERMIT # 101:3 SEWER PERMIT # P.O. BOX 21 199 METER # B.P. RECEIPT # 311 P' Eagan, MN 55121 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT I ''f BLOCK SEC/SUB fZ_ 1 l2 l fL 011-1E. 14'r t r ' } _ ~ i I r .~h• t~~7 1 / o,,.A SEWER WATER -TAPS APPLICANT: ADDRESS: COMMAND RESIDENTIAL CITY, STATE ' 't`; 1 1 r` f~ 1 d r'}~` 21P1` PHONE: 6~ NEW _ EXISTING PLUMBER: a > er ADDRESS: °-'I AGREE TO COMPLY WITH CITY OF CITY, STATE - ! _ E."l 1' .l 4 `t e_:. Y7 , , tr 1P EAGAN ORDINANCES: f . PHONE: OWNER: ';}.,I;;_ ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE, f i r + (-r 1 ~'A ! (k'1 r ZIP ` PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. -tla 1 Xkrrtiftarate of (O.rJrupaury cite of Cagan a This Certificate issued pursuant to the requirements of Section 306 of the Uniform BuiOng Code certifying that at the time of issuance thism"wsure ms in compliance with the various j ordinances of the City regulating building construction or use For the following: I i tyx c ustmemiom SF PAWQR elan. Pamit No. Ib~ 0-"a7'TYPC R-114Zoning DiMriu-RII-T)V"- c 'N Ow- of Building MM ER MIR= Add= eua&m Ad*= BRIME lacatu~ 1 _ R, RA, ERTUF. RTnf7-_I 9T POST IN A CONSPICUOUS PLACE BLDG. PERMIT NO. 01-3210 bldg-Permit c 01-3445 Surch./Adm. r~ 01-2155 Surcharge 5 * 01-3422 Plan Review 79-3866 Sewer Conn. 20-2275 SACS 01-3446 SAC/Adm. ` 20-3865 Water Conn. f 20-3716 Water meter 20-2252 Acct. Dep. 0 20-3713 Water Permit - 20-3743 Sewer Permit 1 20-3868 Water Trmt. 75-3860 Road Unit s ` 28-3855 Park Ded. TOTAL SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # :1072' SEWER PERMIT # P.O. Box 21199 METER # 1 3 3 cf B.P. RECEIPT # E33, agan, MN 55121 ReAm #G a 3 B.P. RECEIPT DATE 8/718 METER SIZE FV9 ROC-Al' ISSUE DATE - - PRV BOOSTER PUMP SITE ADDRESS ^+7 PERMIT REQUESTED LOT JaBLOCK `>l SEC/SUIB, rL I" !t' 1 ! ).'=4F Oy1-XSEWER WATER -TAPS APPLICANT: r ADDRESS: COMMAND RESIDENTIAL CITY, STATE i 219 PI'f! i' ~ 1J 7 ~l { 1 v zip PHONE: NEW - EXISTING PLUMBER: ADDRESS: 1 AGREE TO COMPLY WITH CITY OF CITY, STATE (F''='t Y1 + I Lc ri 0 'kip C EAG AN ORDINAN~ S: PHONE: ` ~t; OWNER: ADDRESS: C.~ ~ Y1 G• Uf', ATURE WHEN "TFP IS ED CITY, STATE S nil Il fi fDYi, I L f ► . ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ` DATE: 819189 RE: 737 BRIDLE RIDGE ROAD, L13, B8, BRIDLE RIDGE let Your Sewer & Water Permit for the above property has been completed. It will be held at the Public, Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Y~ Your Sewer Water Permit for the above property has been completed, but the meter cannot be ssued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: r B!W89 RE. 73`1 BRIDLE RIDGE ROAD, L13, BE. BRIDLE RIDGE 1st: sx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. 1-0 Your Sewer & Water Permit the~a property cannot be completed for the following reasons: ~f Yodr Sewer & Water Permit for the above property has been completed, but the meter cannot be fasued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. ,edCt~:;.. jt Secretary, Building Inspections Dept. r 677 Request Date Flee No. Roughen m ion Regwre O'+ ❑ Ready NowIi Noah Inspector o [J o Yes ❑ No Wtre^ Ready' I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street Box city 737 ar J Sacbon No. Township Name or No Tang. No. County /l 1 A 07SZ9L, Phone No Power Supp~ Address Electrical nhactor (Comp Neme) Ca r9 License No. Mailing Address (Contractor or Owner Making Inalallation) Authorized ture (Co lower Makmg In 'on) one Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg"Wway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 Unlwmi, ty Ave., SL Peal, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-0eee1-07 See instructions for cnnplehng this form on back of yelb copy 40 9/L/O 7 X" Below Work Covered by This Request T e AcId Rep. - Typeof Building Appliances Wired Equipment Wired Home Range k,temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industriat Furnace Farm Air Conditioner 0". (specify) Comrectorls Remarks: Compute Inspection Fee Below. # Other Fee IF Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ve 1 Amps Signs Inspeclor9 Use Only TOTA Irrigation Booms Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-In oats certify that the above inspection has Rnal 2_ been made. ' /!JJ OFFICE USE ONLY This request void 18 months from /~/dly/ y 9~1~ /i 587 41 4- ~~a0° Request Dale Fire No. Rwghdn Ins bn Z I✓ R IhMd7 ❑ Ready N. dCM11 Notity Inspector tree ❑ No 11fWhen Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Ro No.) Clly, 737 r ~cP/ei Sedion No Township Name or No. ange No County r Y Occupant (PRI Phone No. Power 59plier Ad i Sedncal Contractor (Company Name) C or§ License No. / fs3 Mating AWr (COntrecmr or Owner Making Installel'pn) 7S- Authorized aWm (CoMradm/Ownar Ma irg Instal ) 44 A~Jcl- PhcF"u.tfer U MINNESOTA STATE BOARD OF ELECWIWM THIS INSPECTION REQUEST WILL NOT GNggo-Midwey Bldg. - Room 3-173 BE ACCEPTED BY THE STATE BOARD 1641 Un1YeMlty Atm., SL P8u4 MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. /p Z/8 j REQUEST FOR ELECTRICAL INSPECTION y. EB'-0/OM-07 ► See mstrucvons for completing this form on back of yellow copy. 58741 X° Below Work'Covered by This Request New A tl Rep -m Typeof Building Appliances Wired Equipment Wired Temporary Service Duplex ter Electric Heating Apt. Building Other (Specify) Home EAirConditioner Comm./Industrial Farm Other (specify) contrector§ Remarks. Compute Inspection Fee Below., # Other Fee # Service Entrance S¢e as # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 3 0 to 100 Amps Transformers Above 200 Amps A 00 Amps Signs Inspectortr Use Only: TOTAL Irrigation Booms 70 Special Inspection AlamVCommunication Other Fee I, the Electrical Inspector, hereby Rough-in Date, certify that the above inspection has fine,- been made. 36 419' OFFICE USE ONLY This request void 18 months horn . CITY OF EAGAN NO 1 6897 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ '13/ pe BUILDING-PERMIT 2 Receipt # o To be used for SF DWG/GAR Est, value $146,000 Date AUG 4 1919 Site Address 737 BRIDLE RIDGE RD Lot 13 Block 8 Sec/Sub. BRIDLE RIDGE 1ST OFFICE USE ONLY Parcel No. occupancy R-3 MM=1 FEES Zoning PD R-1 W Name BUTLER HOUSING CORPORATION (Actual) Const V-N Bldg. Permit 800.00 o Address 8901 LYNDALE AVE S (Allowable) V-N 73.00 City BLOOMINGTON Phone 881-9166 # of Stones _ surcharge y Length 6-61 Plan Review 400.00 fF Name SAME Depth 3' SAO, City 100.00 Address S.F. Total SAC, MCWCC 575.00 City Phone S.F Footprints - y. On Site Sewage Water Conn 580.00 UQ Name On Site well 90.00 W Water Meter z~e uAddress Mwccsystem X7L_ Acct. Deposit 30.00 g W City Phone City Water XX PRV Required SIW Permit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and CV of Eagan Ordinances Treatment PI 228.00 340.00 Signature of Permitee APPROVALS Road Unit A Building Permit is issue Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ~Alllll 1U1M- Vanance TOTAL 3. 237. ^O Address: 737 BRIDLE R= ROAD Lot 13 Blk 8 Sec/Sub BRIDLE RIDCC 1ST These items were/were not complete at the time of the final inspection. DM* OCTOBER 17, 1990 Yes No INSPECTOR: &2 ne Final grade (6" from siding) f/ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas ✓ Sod/seeded grass Trail/curb damage © Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy 2 G6 2004 RESIDENTIAL BUILDING PERMIT APPLICATION v a 7 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J a S New Construction Reauiremens Remodel/Repair Requirements office USe 66 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas 2 copies of plan N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Ptei'la(1.Recd; :4Y:_ksj 2 copies of plan showing beam & window srzes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition -indicate ifonsite septic system C7.ft l[sSept+cSys1eA5 _7' _..N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Opfions selection sheaf (bldgs with 3 or less units Date ZO / 04 ` Construction Cost A01, ` Site Address 93-1 Q2 Al EAV" ~ MC) Unit/Ste # Description of Work ,4JQ --7(-~J 17~r sc Multi-Family Bldg - Y ~N Fireplace(s) -0 _ 1 - 2 Property Owner L~r x- . r t G ~wx Telephone # ( ) Contractor Address }Cj3 q ~6c,4tt43vrt ?7L- City State ("N Zip UZIt Telephone # (S~() 3 ~C7 `tL D OL COMPLETE THIS AREA ONLY IF C STRUC BUILDING A - Minnesota Rules 7670 Category 1 _ ota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 257o plan review fee applies. Licensed Plumber Telephone } Mechanical Contractor Telephone # ( } Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name plicam s Signature OFFICE USE ONLY >•i Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 F)d. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage f--` 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plec ❑ 12 12-plex Ptbg-Yor-N ❑ 255l Miscellaneous Work Types j7E°C.( n[ V ~S 4. A 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 48 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code X13 Zoning R - r City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length t4 r Fire Sprinklered Type of Const N Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) FinaI/No C.O. Footings (addition) Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice& Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick _ Fireplace _ RI. _ Air Test - Final _ Windows Insulation _ Retaining Wall Approved By. Building Inspector Base Fee T) to c I~ 1~ Fl97-Fee c.->, 9. Surcharge I Plan Review ft~jzc,.f )q' goo " $'6991,t9® MC/ES SAC ~J City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total J f{„ t U R V E a ®n 9 S CERTIFICATE SIENNA CORPORATION REVISED 7-26-89 TO SHOW IN g •.n,.a•~AN PROPOSED HOUSE FOR D \ BUTLER CONSTRUCTION BY m DATE 1"TW I *=N `C n,- on o C6 '0' Cv (9 ~ N n rr o (L yy ' i( V o 60 do \ g5 ° 68 Rdo N k2o° s3p~ M ~ ~ 'ASi ~ o O \2 / FtGgo 23 0~ \ .0 \ ,tao 01 -I✓~ O,p O 91 tr o 6 po sF .o' sF o h v~ p N ~ \ Moir. 2g M~ O Ly \ 2 91 FYBVN z th ~ ~ l 1 MKS) N / x`230 a5, O `O \ f o323` QG`/ E D _ _(~ol•~ ` X40,65 8R\Q~ Y Date r DENOTES PROPOSED SURFACE DRAINAGE PAGAN ENGINEERING DEPT O DENOTES IFION MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 920.7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ® 913.o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9z 1, 1 FEET WE HEREBY CERTIFY TO SIENNA' CORPORATION THAT THIS IS A TRUE AND CORRECT 3EPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 13 , Block 8 , BRIDLE RIDGE 1 ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota- T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS iURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z15T DAY OF ,-TANUpP'y , 1988. IVED FOR SIENNA , 7'1 1 I'll 1RATiON SIGNED: JAMES F~ HILL,"INC. ' BY: yt'r HAROLD C. PETERSON, LAND SURVEYOR )1 MINNESOTA LICENSE NUMBER 12294 ti ~ T _ U4 o James R Hifl, inc ° o ~ Z > ° M m a PLANNERS / ENGINEERS / SURVEYORS N O m cn < 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN 1lot 3 1gs SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - pip JUL 311989 To Be Used For: n e i +41 Valuation: Date: Site Address ~j ~lZit~l G i~ TX OFFICE USE ONLY od~- Lot 13 Block Occupancy Ll.3 M-( FEES Zoning I Parcel/Sub tDL-r~ 12~ d5 O1rd Actual Const V - ll Bldg. Permit 00 Allowable V-YS Surcharge 173, o Owner &U tie r 4l~l f~ # of stories Plan Review D , a 0 Jai & n _ Length 66 SAC, City -0, 0 Address Mot P Depth Is(, SAC, MWCC sr )s 0 F. Total Water Conn SSp, a0 City/Zip Code , tprint S.F. Water Meter 910,00 Acct. Deposit 30,00 Phone r On site sewage 3/W Permit an,00 ~j On site well S/W Surcharge Sao Contractor f l' ® CC System 7 Treatment Pl. =29,00 o, City water v Road Unit 3L o, 00 Address An( PRV required Park Ded. Booster Pump Copies City/Zip Code f YIPi TOTAL APPROVALS Phone Planner J I Council Arch./Engr. vOCn4g l2i Al II Cl SINBldg. Off. 617_ Address 401 \J~lm Ave cot Variance City/Zip Code 1 lh n, ~1h~, f Phone # n NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a lioensed plumber has applied for a permit at City Hall. VALUATION GA,QAGC 7- 2-,A Sze r 114 K 22' = 308 a3~~c IS: 12590 27' x ~l"z 113,,1 12 X I 12 l lt4 X Iy = I(,ouu T3Srr1T <<SZ Xs'r:~= 59 L) 2 ND FL.-nrz 1152 X~= 57 (~~p I`f~2Ky SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 7-26.89 TO SHOW PROPOSED HOUSE FOR N \ BUTLER CONSTRUCTION ~ O Q ~ 10 O / \~6J N it u0 \ ° 33 o @ 98 na O 5y , l g3o O Ol h 01 m4V, D~ VO ~a~ O rq2 o \ p l ` `a /YO (JSF /SF2 "J 3° \ 0~~+~ \ \ p20 ~ ~ \ lam. 25 °~N ^ - 55 33 N 0 10 \ ~ ~ ~ 32 3 OG o D VED Date ' DENOTES PROPOSED SURFACE DRAINAGE gAGAN ENGINEERING DEPT O DENOTES 19ON MONUMENT SET SCALE: 1 INCH - 30 FEET O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 120, 7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR- 9o.o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 9z),1 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 13 , Block 8 , BRIDLE RIDGE I ST 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 Z15T DAY OF _-WN Uw1Ky , 1988. APPROVED FOR SIENNA CORPORATION SIGNED: JAMES kiILfL, INC. BY: BY: HAROLD C. PETERSON, LAND SURVEYOR DATED, MINNESOTA LICENSE NUMBER 12294 W 0 0 M- James R. Hill, inc. rm4M 0`m ; ° Z w -0 0 o ' m Z PLANNERS / ENGINEERS / SURVEYORS O - az 0 zw dm N O m 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884.3029 a N a N Page 1 OF 6 OWNER: BUTLER HOUSING CORPORATION SITE AbORESog 7.8.7 BRIDLE. RIDGE*. EAGM.,.. MINN_,. CONTRACTOR, BUTLER HOUSING CORPORATION DATE: 7/28/010 -...._._W.--m----.__.----..,,.,---W.a.,_.,.,„-,,._m,,.,w.,v- . DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL_ EXPOSED WALL AREA: 2821 SQ. FT. X .11 = 310.31 2. TOTAL. ROOF/CEILING AREA: 1134 SQ. FT. X .026 = 29.48 smoommommm A. TOTAL WALL WINDOW AREA: 328.36 B. TOTAL DOOR AREA: 37.80 C. TOTAL SLIDING GLASS DOOR AREA: 80.00 0. TOTAL. FIREPLACE WALL AREA: 25.00 E. TOTAL. WALL FRAMING AREA (AVG. 10%) : 282.10 F. TOTAL RIM JOIST AREA: 220.80 G. TOTAL. NET WALL. AREA ABOVE FLOOR: 1,846.94 ° TOTAL EXPOSED WALL AREA: 2,821.00 H. TOTAL FOUNDATION WINDOW AREA: 2.60 I. TOTAL NET FOUNDATION AREA ABOVE GRADE: 188.00 J. TOTAL OVERHANG AREA: 51.00 DETERMINE "U" VALUE OF EACH WALL SEGMENT: a. 328.36 X U. 0.367 - 120.51 b• 37.80 X U. 0.066 2.49 C. 80.00 X "U" 0.367 29.36 d. 25.00 X "U" 0.074 1.86 e. 282.10 X "U" 0.090 25.48 f. 220.80 X No 0.041 8.98 g. 1,846.94 X "U" 0.043 79.82 h. 2.60 X "U" 0.367 - 0.95 1. 188.00 X "U" 0.140 - 26.37 J. 51.00 X "U" 0.024 1.23 - 297.05 3 TOTAL "U., IF ITEM 03 IS THE SAME AS, OR LESS THAN ITEM 01, YOU HAVE MET THE INTENT OF SBC 6006 (02. TOTAL EXPOSED ROOF'/CEILING AREA 119 1,134.00 k. Total skylight area: 0.00 1. 'T'otal roof/cailino framing area (avg 10%): 113.40 m. Total net insulated roof/ceiling area: 1,020.60 DETERMINE "U" VALUE FOR EACH ROOF/CEILING SEGMENT: k. 0.00 X "U" 0.367 0.00 1. 113.40 X "U" 0.025 2.83 m. 1,020.60 X "U" 0.021 - 21.78 4 .......................TOTAL NU": IT TOTAL OF 04 IS THE SAME AS, OR LESS THAN 02, YOU HAVE MET THEE INTENT OF SBC 6006(0)1. ALTERNATE BUILDING ENVELOPE DESIGN: TO UTILIZE THE. TOTAL ENVELOPE: SYSTEM METHOD, THE VALUES ESTABLISHED BY THE SUM OF ITEMS 03 AND #4 SHALL NOT BE GREATER THAN THE SUM OF ITEMS 01 AND 02. 11. 310.31 1+2.. 29.48 = 339.79 297.05 1+4. 24.60 321.65 W. ~m ~:a :®m~~~~:: WM~~®::: m.^•^i^~ .:®c::.:a r: m:•~:ms mom.®P.: v m®a~.v:~.~p:r .:c ~ ~me:~~ Av:a:: I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R" VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS THE STATE OF MINNESOTA ENERGY CONSERVATION ACT. BUTLER HOUSING CORPORATION P NNIS F. BUTLER, PRES. GNAT'UR JEY DATE: 7/28/89 Page :3 O 6 - WINDOW AND DOOR SCHEDULE QUANTITY TYPE SIZE FACTOR WINDOW OPENING I BASEMENT 27 X 14 2.60 2.60 2 PATIO DR 6 X 6 40.00 80.00 S CASEMENT 20 X 36 6.80 34.00 0 CASEMENT 20 X 48 8.50 0.00 13 CASEMENT 20 X 60 10.80 140.40 2 CASEMENT 24 X 36 8.00 16.00 0 CASEMENT 24 X 42 9.00 0.00 2 CASEMENT 24 X 48 10.30 20.60 8 CASEMENT 24 X 60 12.60 100.80 0 DBLE HUNGS 36X24/36 18.30 0.00 0 DBLE HUNGS 24X24/36 12.80 0.00 0 DBLE HUNGS 32 X 24 13.50 0.00 1 OC'T'AGON 22 X 22 3.86 3.36 0 0.00 0.00 2 SIDE LTS. I X 1.3 6.60 13.20 3Q AREA: 410.96 TOTAL GLASS DOOR SCHEDULE QUANTITY -Y-TYPE--_---SIZE---FACTOR -"-DOOR- OPENING I PEACHTREE 31-0" X 6 20.00 20.00 1 PEACHTREE 21-8" X 6 17.80 17.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL DOOR AREA: 37.80 TOTAL WALL WINDOW AREA: :328.36 U--VALUE 0.367 TOTAL PATIO DOOR AREA: 80.00 U-VALUE 0.367 TOTAL BASEMENT WOW AREA: 2.60 U--VALUE 0.367 410.96 TOTAL DOOR AREA: 37.80 U-VALUE 0.066 Page 4 OF" 6 THRU EXTERIOR FRAME WALL! INTERIOR AIR - - - - - - - - - - - - - - 0.68 SHEET ROCK - - _ - _ - _ - _ 0.4:5 THERMO-BREAK _ _ - _ - - _ - - - _ - ® _ 0 STUD _ - _ _ _ _ _ _ _ - _ _ _ 6.93 SHEATHING _ _ _ _ - - - - _ _ - - - - _ - . - 2.06 SIDING - _ _ _ - _ _ - - _ 0.7B EXTERIOR AIR - - - - - - - - - - _ - - 0.17 _ TOTAL "R" VALUE _ _ - - ® - - 11.07 1/R w "U" VALUE - _ _ _ _ _ _ - - _ - - 0.090 THRU INSULATION WITH SIDING & S.R. INTERIOR AIR - _ _ - - _ _ _ _ _ - 0,68 SHEET ROCK - - - _ - - - _ _ - - _ - 0.45 THE:RMO--BREAK _ _ _ _ _ - _ _ _ _ _ _ _ 0 INSULATION 19 SHEATHING_ 2.06 SIDING - -_..:,m..._._,:,n_- 0.78 EXTERIOR AIR - _ _ _ - _ _ - - - 0.17 TOTAL. "R" VALUE - - _ _ - - _ - - - - 23.14 1/R m "U" VALUE _ _ - _ _ - - - _ - - 0.049 THRU CEILING MEMBER INTERIOR AIR - - - - - - ° - _ " - 0.6£3 SHEET ROCK - - - - - - - _ - - - - - - 0.58 CEILING MEMBER - - - - - - - - - - - 4.35 INSULATION 33.92 STILL AIR - - - _ _ _ _ - 0.61 TOTAL_ "R" VALUE -•,-d--_----_ _ _ 40.14 1/R = "U" VALUE _ 0.025 THRU CEILING INSULATION INTERIOR AIR - _ 0.68 SHEET ROCK - - - - _ _ - - . - - _ - 0.58 INSULATION - - _ - - - _ 45 STILL AIR._._.,_--_...- 0.61 TOTAL., "R" VALUE - _ - 46.41 1 / R = "U" VALUE' - w - - - - - - - - 0.021 Page S OF 6 THRU CONCRETE BLOCK INTERIOR AIR 0.68 CONC. BLK . _ - - - - - - - - - - _ 1.28 INSULATION - - - S SHEET RK. (OPT.) - - - - - - - - - - - - - - 0 EX'T'ERIOR AIR - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - 7.103 I/R = "U" VALUE - - - - - - - - - 0.140 'T'HRU RIM JOIST INTERIOR AIR - - - - - - - - - - - - - - 0.68 INSULATION _.-.,.--.-..--.a,- 110 RIM JOIST 1.89 SHEATHING - - - - - - - _ - . m - - , w - , v 2.06 SIDING - 0.78 EXTERIOR AIR- - - - - - - - - - - - - - 0.17 TOTAL "RH VALUE 24.58 I/R = "U" VALUE - - - - - - - - - 0.041 THRU CANT. A MEMBER (ENCLOSED) INTERIOR AIR-•-°-°-------.--°° 0.68 FINISH FLOORING - - - - - - - - - - - - 1.23 UNDERLAYMENT 0.95 PLYWOOD 0 JOIST 11.88 SHEET ROCK - - - - - - - - - - - - - - - 0.58 STILL AIR - - - - - - - - - - - - - - 0.61 TOTAL NR" VALUE - - - - - - - - - _ - - - 15.91 1/Rµ "U" VALUE 0.065 THRU CANT. A INSULATION (ENCLOSED) INTERIOR AIR- - - - - - - - - 0.68 FINISH FLOORING 1,25 UNDERLAYMENT- - - - - - - - - - - 0.95 PLYWOOD - - - - - - - - - - - - 0 INSULATION- - - - - - - - - - - - - - 19 SHEET ROCK-. 0.58 STILL AIR_.--_......-_.-----_.-.--. 0.61 TOTAL "R" VALUE 25.05 1/R w "U" VALUE 0.04:3 Page 6 OF 6 I THRU CANT. R MEMBER (EXPOSED) I INTERIOR AIR- - _ _ - - - - - - - - 0.68 FINISH FLOORING - _ - _ _ 1.25 UNDERLAYMENT-_,_---_---___-m-- 0.93 PLYWOOD 0 1 SHEATHING _ _ - _ _ _ _ _ _ - 0 SOFFIT °°__-_.w-_._.__. 0.47 EXTERIOR AIR- _ - - _ - _ _ _ 0.17 1 TOTAL "R" VALUE _ 15.36 1/R w "U" VALUE _ 0.065 1 1 THRU CANT. A INSULATION (EXTERIOR) INTERIOR AIR - _ - - _ _ _ - _ - 0.68 1 FINISH FLOORING - - - - _ - - _ - - 1.23 UNDERLAYMENT_• - - _ _ _ _ _ 0.93 PLYWOOD - _ _ - _ - _ _ - - _ 0 1 INSULATION- - - _ - _ _ _ _ _ _ _ _ _ 38 SHEATHING 0 SOFFIT - _ _ _ _ - _ _ _ _ 0.47 1 EXTERIOR AIR • • - _ - - - - _ _ - - - 0.17 _ 'TOTAL "R" VALUE 'TOTAL P 1/R = "U" VALUE _ _ _ _ _ _ _ _ _ _ _ _ _ 0.024 FILE NAME: ENERGY.BHC 1 OWNER: BUTLER HOUSING CORPORATION ( SITE ADDRESS: &Z MOLE RIDGE.... EAQA.N. MI_NN,- CONTRACTOR: BUTLER HOUSING CORPORATION OATS: 7/28/89 77-7777777-7777 CLAIM VOUCHER - REFUND RTgUF.ST CITY OF EAGAN CLAMANT JOE BRUCE PLUMBING ADDRESS 11442 GEORGIA AVENUE NORTH CHAMPLIN MN 55316 3829 RIVERTON AVE., 737 BRIDLE RIDGE RD., 4761 LONDON LANE Loration 4276 LVRA COURT. 3658 RIDGEWOOD DRIVE. LIO, B2, BLACKHAWK OAKS, L13, B8, BRIDLE RIDGE IST, L15, BI BRITTANY LOTH L1. B4. WILDERNESS PK. 2ND, L5, BI, WINDTREE 4TH Rereipt No./Date 6/25191-101928 Rrnann for Refun8 $3.00 OVERPAYMENT ON EACH nR 5 N.C. SPRINKLER PERMITS I'vpp of Refund Electrical Fermat 01-3211 $ Plumbing Permit 01-3212 $ 15.00 Mechanical Permit 01-3213 S Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ $ TOTAL $ 15.00 I declare under the penalties of law that this account, claim or demand is Just and that no part of it has been raid. _ 7/1/91 S' ture Date RESIDENTIAL 5w~o BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmctlon Requirements RemodellRegair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas • 2 copes of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail options selection sheet (W p with 3 or less units) DATE G (3--D VALUATION 6t 6A5-- SITE ADDRESS 773.7 &A' IErdSe- MULTI-FAMILY BLDG _Y 4/N TYPE OF WORK % QCfWr FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ~°4+urn AilDf`r~29 STREET ADDRESS a700 13~F!lte_ CITY PY/rraR?1__STATE /9:/ ZIP -55'W/ TELEPHONE # 74 3-Nt-a3 ai CELL PHONE # FAX # isr/yG- PROPERTYOWNER 6m-w- /tio. eart+~/ TELEPHONE# 631-361-Ot4^/b COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (q submission t)pe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # D Plumbing system includes: Water Softener _ Lawn Sprinkler D Water Heater _ No. of R.I. Baths JUN 1 3 2002 _ No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning - Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant - OFFICE USE. ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN a L I ! l r . ( 3830 PILOT KNOB RD, EAGAN MN 55122 f `i `f Sa 651-681-4675 New Construction Requirements RemodelfReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . i set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . indicate if hone served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE /I GL VALUATION SITE ADDRESS / i?:2 22 (dlP_ RI` 100 &d. -MULTI-FAMILYSLDG -Y N TYPE OF WORK;fn 7 A1jI CL P/ r1 S i YC~y(i,0,4fiic., owla ce~, (REPLACE(S) _ 0 - 2 a" y&?, gas 17h 2 ~xls119 APPLICANT F`(~P O C ' h 0-0610 llid QS% P STREET ADDRESS 57) 2,1. NG,'G I~ CITY SUr 2- STATE?Pdl ZIP S TELEPHONE # X507- C/~ O`ISpCELL PHONE # FAX # PROPERTY OWNER ~Cf U P - 0 y3 f 0 0 W 2V u -TELEPHONE # COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: L11' 0 a.jcA c al P L Phone # 014-P- ~ oz Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. f Signature of Applicant ^ r./a, * L~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Use BLUE or BLACK Ink For Offire Use City of Eanan Permit I , I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694 r Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ice' ! Site Address: 1 CSC Tenant: Suite i RESIDENT/ OWNER Name: Phone-,o!5)'' F 1-0 Address/ City/ Zip: 13 J3 OL G t' r e Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Z C~l Address: 13 LA 9~ ( c i-~'-<< - City: State: Zip: Phone:. 9c,( Contact Person: 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit"e 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. J t Fy f `~_f~ . , Applicant's Printed Name C b rpplicart's Sig ture Page 1 of 3 DEC 2-, 2009 S 7 " ~O~ NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage ~ingle Family - Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi - Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous 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 0,0- Occupancy a - MCES System Plan Review / Code Edition 00 SAC Units (25/0 ~ 100/o° Y Zoning - / City Water ~ Census Code Stories Booster Pump # of Units - Square Feet PRV # of Buildings - Length - Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final -OV,- Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows E~ Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee X 0, Surcharge Plan Review 3d - MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink K. For Office Use J E~ Permit q Ea City Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: I Phone: 651 675-5675 Staff: Fax: (651) 675-5694 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: /Suite RESIDENT I OWNER Name:Dallf OL e No,,, Y Phone: -726 Address / City / Zip: _733 Qif ,4- t',pt`Le- ~(A CONTRACTOR Name: rll1( h License Address: //J Adel d vF P ~j y G71 City: GA c State: h?k Zip: SSA h Phone: 23 7 - 011-5- Contact: Email: TYPE OF WORK _ New L Replacement _ Repair _ Rebuild - Modify Space Work in R.O.W. Description of work: le-01614-1 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in s . accordance with the approved plan in the case of work which requires a review and approval &Fp x 1`44 x Applicant's Printed Name Applicant's Signat FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final