659 Bridle Ridge RdCITY OF EAGAN N2 19636
3630 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-81 00
BUILDING PERMIT Receipi # c'
Tobeusedfor SF DWG/GAR Est.Value $132,000 Date SEP 3 , 7g91
Site Address 659 BRIDLE RIDGE RD
Lat 4 Block 5 SeclSub. BRIDLE RIDGE 1ST OFfICE USE ONLY
Parcel No. occuPancy R-3 ML-,1 FEES
PD R
1
Zoning -
w Name HOMES BY CHASE (ActuapConst Permit 752.00
BIdg
3 Address 1601 ICNOX CIR (Niowable) V-N .
66
° City BURPISVILLE phone 895-5337 xolStories .00
Surcnarge
681 Plan Review 488
00
Lengih _
F Name SAME oaPm 34'
0
100
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8
° Address S.F. Tolal
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ry
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QISy PhOf18
S.F. Footprinls
- SAC,MCWCC 650_00
660
nn
F On Sile Sewage _ _
Waier Conn
e= Name On Site Well 4 5
nn
- _
Waier Meler
x- Address MwCC S stem -L
Deposit 30. 00
A?t
<w Clty Phone City Waler ? .
7
PqV Required - 0.00
SNJ Parmit
I hereby acknowlege that 1 havSS..??ad ihis application antl stale that the
? 9ooster Pump -
0
SNJ Surcharge .5
information is conect antl agre
Ao comply wilh all applicable State ol
Minnesola Statutes and Ciry of 4gan Or a ces. Treatmem PI 7 7 fi_ 00
SignaNre ot Permitee ? APPRO4ALS
?
Road Uni[ 370.0
A Building Permil is is ued to: HOMES BY CHA$E Planner - park Ded.
on ihe express condi[ion that all work shall be done in accordance with all Council
applicable State of Minnesota
Statu
las an
d
C
ity of Eagan Ordinances. Bldg. OIC _ Copies
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Building Officiai f61,??1 ?1p1 AA .' y ? rli1
_ T- t Variance - 707AL 3 r 517. 50
'A3dress: 659 $PJDLE gip(E gpO Lot 4 Blk 5 Sec/Sub RRTiNF gIDCE IST
These.items were/were not complete at the time of the final inspection.
ll 26 9I Yes No
Final gtade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify with tha builder the removal o£ rooP test caps from the plumbing
system and the shut-off o£ water supply to the outside lawn £aucet before
freeze potential exists. ?
PECY[4f?WHR
White - City copy Yellow - Resident copy Pink - Contractor copy
? SEP 17, 1991
DATE:
RE'1 bg9 BRIDLE RIDGE HD..(HOMES BY CHASE)
x Your S 0?er & Water Permit for the above property has been completed. It will be held at the
Public?orks Garage (3501 Coachman-Road) until ihe 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:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
6e iss,ued or occupancy allowed until further notice.
V
- COMMERCIAL PROJECTS-ONLY: Please pay for meter'at Ciry HaIL Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing InspdEtors - 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.
7////Q ? OFFlCE OSE ONLY This reqoest vuid 18 monlhsHnQ? ? dine prmted m Ihis 6ox.
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IIIIIIIIIIIIII?'?a5?'?`°?C',? ??-J'
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9 0 4 3 7 4 2 9 4* PLEASE PRINT OR TYPE ' 40 ?
Reyuest Dvh Rovgh-In I?spec?lo? requiredz Yes ? N.
Inspechon Other Than RougMn: ? Reody Now Will Coll
?_q ? (Yw mos? call rhe inspecmr when readyI Dah Reody
I, 19 licensed conhactar D owner hereby request inspeciion of the above electricol work ot:
Job Addreas (Skeei, 0roa? out No ) Clry ?1.?. L Code
Senbn No. Township Name w No, nge No. Fire No. CoO?R1 ti-F94
Occopanr /?
N,?^ 1 Phone No.? /
Power So lier?/? ' ^R Addreu
Eleckicol Conhaclw (Com Name?
T
` Commdar Licanse No.
& Mnx2r Lic. No. (Plam Ebcl. Onlyj
s !
Abiling Addrass ICairtanor or r P rming Inslollalion)
r ?
N•
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Amhcrittd Ignowe ICmnodor ar Owno? Performing Inslailaiion)
8/96 gTlTF FMGNl1 Cl1PY - SFF IMRGII(`TOKC Oq PGf.I[ (1F VPI I(1W MVV
?/?//97
437.."429?
REQUEST POR ELECTRICAL INSPECTION '70
g-
? 1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
e Duplex Apt eld . Olher: New Addn
mercol
E Induslrial Frm Remod Re ir
D Ronge Elec. Heat Temp. Service
"X" above Ihe work mvered by Ifiis request Enter remarks in fhis space and on the bock oF Ihe white copy only.
CalculaM Inspecfion Fee - This fnspeclion Request will not 6e accepted withouf the corrxf fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps
Sfreet Lfg./TraHic Sig. Above 200_Am s ve Amps
Transformer/Generaror INSPECTOR'S USE ONLV ? T
Sign/Oudine Ltg. Xfmr. ? t?
Alarm/Remofe Conhol ..
Swimming Pool
I here6 cenil thor I ins al in Ilofian descd6ed harein m the doms
Irrigalion Boom RwgMn
Special Inspecfion
Invesligafive Fee F,noi oat,5 3
THIS INSTALLATION MAY BE O
RI]ERED Di . F FTED WI Minnesota State Board of Electriciry
THIN 1
R Mf1NTHC
i0/7/yi /a.s.si i
p 57235 ?? ,?P' 41`?a 00
Repuest Dai1 9 O/ O1/9: Fire No. Roqgh-;n pection n Reatly Now x] Will Notity Inspector
^.Ves ,- No When Ready9
IK licensed contractor El owner hereby requesi inspection of above eleciriCal work at:
Job Atlares?y5vaet Box ar qoute No.i Ciy
659 Bridle Ridge Rd. Eagan
Section NQ. lownshlp Name or No. Range No. Counry
Rakte Dakota
Occupant(PqlNT) Phone No.
Homes By Chase 895-5337
Power Svpplier Adtlress
Dakota Electric 4300 220 St. W ., Farmington, MN
Elecinc3l Convactor iCompany Namel JOQ$ El ectri c CO. Comractor's License No.
Mdiling AOaress ICOntraclor or Owner Makiny InslalleLOnl
2104 Great Oaks Drive, Burnsvilie, MN 55337
AutM1Orizetl SignaWrB ICOnVactonOwnar Md'Ain . rp Phone Number
431-4755
,?q.
MINNESOTA STATE BOAPD OF ELECTPICYfY THIS INSPEGTION REOUEST WiLI NOT
Grlggs-MiEway 01Eg. - qoom S-173 BE ACCEPTED flY THE STATE BOARD
1821 Universlty Ave.. St. PaW, MN 55106 . UNLESS PROPER INSPECTION FEE IS
PM1One(612)fi61-O800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See inSVUClions for compaUnB this lorrr. on pack ol yeilow copy.
I" Selow Work Covered by This Request
M ?.'? EB-oaoot-oa
%`'?iYW4?? ??? ???
NewjAdd Rep TypeofBUiltliny AppllancesWlred EqulpmentWlred
X I Home X Range Temporary Service
?Duplez Water Heater Electric Heating
?Apt. Building Dryer Other (Specity)
? Comm.llndustrial X Fumace
? Farm x Air Conditioner
OtberpsyecdyI
Compu[e /nspection Fee Below: Corhachor5 Remarks'
# Other Fee z Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 47
Transformers Above 200 _ Amps Above 100 _ Amps
SignS InspecmrsUSaOnly:
?d TOTAL ,2
50
Irrigation 8ooms O .
Speciallnspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 kj OAVTHS.
I, the Elecirical inspector, hereby AO°9n,° ,
01 p
certify Ihat Ihe above inspection has
been made. F;,,ai
?
OFFICE USE ONLY -
This :eGuest voitl 18 montM1S Iram
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
? City Of Eagan
ry 3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694
New CoreWCtion Reauiremenis RemodeVReoair Reaulremenfs
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all rooted areas 2 copies o( plan
(20%mazlmum lot coverage allowed) 1 sel of Enertgy Calculafions (or heated additions
2 copies af plan showing heam 8 wiiWOw sizes; poured found design, elc. 1 site survey for addifions & decks
1 set of Energy Calculations Addifion - Indicate if on-sde septic system
3 copies of Tree Preservafion Plan H lot platted after 7/193
Rim Joist Detail Options selecWn sheet (bidgs with 3 or less uni4s
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Date C) Lj
/ UH Construction Cost `? r v i""b
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SiteAddress ?? n \
i>'r'???e. lt?tac.c, 1?c? ??wv MN S S?a? UniVSte #
Description of Work N EWO&IG
Multi-Family Bldg _ Y?AN Fireplace(s) _ 0 2
PropertyOwner v ? D?Smcoct Telephone#??
Contracror ??c,V-C.G04,
Address 5 0 " {? A..r. M-*pY t City MinrKU
State TnN Zip ?S? I Li Telephone #(G 11) -j(4Cv St,S ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
i
Have you previously constructed a building in Eagan with a similar plan? _ Y N
fee applies.
Licensed Plumber Telephone # (
Mechanical Contractor
Sewer/Water Contractor
If so, 25% plan review
Telephone
i 2 2004
I hereby apply for a Residenrial Building Permit and acknowledge that the inforWA on-is"Cdm-PrTe- 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 planin the case of work which requires a review and
approval of plans.
Applicant's Printed Name Appli?t's igna u
,RVEYOR'S CERTIFICATE
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REVISED 8-28-91 TO SFIDW
PROPOSED HOUSE FOR
HONES BY CHASE
,? ? , -•- ? -.- -*- (°?? 4-01) 75.00 N84059143„
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NOTE: NO SPECFIC SOILS INVESTGATION HAS BEEN COMPLETED hV
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HWSE PROPOSED IS I
NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: BU0..DING OIMENSIONS SHOWN ARE FOR NORIZONTAL B VERTICAL LOCATION OF STRUCTURE ONLY. SEE
ARCHITECfUAL t'WNS FOR BVIl.01NG d FOUNDATION
DIMENSIONS,
go- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEf
• DENOTES IRON MONUMENT FOUND f
X000.0 DENOTES EXISTING ELEVATION F
(000.0) DENOTES PROPOSED EIEVATION F
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.1oy? i?EET
l.3 FEET
- 929•4 FEET
WE HEREBY CERTIFY TO $I ENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block S. BRIDLE RIDGE I ST ADDITION, aCCOrding to the recorded
plat thereof, Dakota County, Minnesota. -- '
IT DOES NOT PURPORT TO SHOW IMPROVEMENTJ OR ENCROACMMENTS, EXCEI'T AS SHUWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY OF JANUA Qy
i
APPROVED FOR SiENNA SIGNED: JAME , INC.
CORPORATION
OY: ?-` ?
BY:
??C/Ll?t44'Y`7
HAROLD C. PEfERSON, LAND SURVEYOR
DATED, MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BIOOMINGTON, MN. 55431 • 612-884-3029
SIENNA CORPORATION
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j CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE:
BuiLozNe
PermitNumber: 029552
Date Issued: 0 z/2$/g 7
659 BRIDLE RIDGE RD
LOT: 4 BLOCK: 5
BRIpLE RIDGE 1ST '
P.I.N.: 10-14996-040-05
DESCRIPTION:
Building?
,8uilding
11?Cens us,°Cb
/.
'
r ?
... 1\ ? e ? fijYY.w
VA `t dq
t` ?f
rmit Type
Type
BASEMENT FINISH
ALTERATTON
434 ALT. RESIDENTIRL
S ? f (
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - App.licant - sr. I.zC OWNER:
M?`#NLEY BROS CONST INC 19,611588 2005432 OSTERTAG DAVE
861 GREAT OAKS TR 659 BRSDLE RID6E RD
EAGAN MN 55123 EAGAN MN 55123
(612) 961-1588 (612) ?
?, . .. . ,. , ,s. . ._ < ._,. . .
2 hereby acknowledge that I have read this ap,plication and state that the
information is cprrect and agree to Comply with all applicable,State ot Mn.
? Stiatutes attd City of Eagan Qrdinanees. J
? ? - ?
APPLICAN RMITEE SIGNATURE SSUED
,??'D. Sv
??%rj 01.9 997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PIlOT KNOB RD - 55122
681.4675
Naw Construction Reauirements RemodaUReoeir Reauirements
? 3 registered site surveys ? 2 copias M plan
• 2 coples of plans (inGude beam & window sizes; poured fid. deaign; etc.) ? 2 site surveys (exterior atltlitions & dedcs)
? 7 eneigy ealculations ? 1 ene
rgy ealculations for heateA atlditions
• 3 copies of tree prexrvation plan if lot platted after 717/93
reqWred: _Yes _ No -
DATE: Z 2y CONSTRUCTION COST: 12, wv
OESCRIPTION OF WORK:
STREET ADDRESS: 6 SF 13r SI ? ??PGs? ??
LOT ? BLOCK ? SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: L6 fie- Phone #:
u.. ?...
Street Address:
City:
State: Zip:
?? ?.?? ro5 oYs7?u?fT?, phane #: g'?0???
Company:
Street Address: :M:G'Kaf Q3k l r. License #: zOOSy3 Z 7
City: LZVL, State: Zip: <S?/L3
Company: 1Y //¢ Phone #:
Name:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new construction ony): Penalty applies when address change
and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnaGon is correct and agree to wmply with all applicable
State of Minnesota Statutes and Cily of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Signature of Applicant:? ?/`-
j'V]i4?tte / Z
3J9- 7 700
_ Yes
_ No
Tree Preservation Plan Received - Yes _ No
- Not Required
24 i997
PERMIT 0
REAC? I Y:6 Ti
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
^D: ?.r? ??JJ
?EP a : sE"
SIN6LE & 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 working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ?z /GW / Valuation of work
Site Address:Ao?-f /P I ??G c f?t ?G? C?, GC
STREET
Tenant Name: (commercial only)
IAT BLOCK C SUBD.±L14a &A
L P.I.D. N
Descri tion of work: 1 ?/<
The applicant is: Owner ? Contractor O Other (Describe)
Name ,_-GI rJ,,/,c_ Phoi?e
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p y
O e l ,
s
wner
-
Address ?^0 5
?I G?YjI ? / ,ec'
STREE7 STE N
City State M'v
Zip
Company ' Phone
Contractor Address License N Exp.
City State Zip
Architect/ Company Phone
Eng(neer Name Registration #
Address
City State Zip
Sewer 6 Nater licensed plumber . Processing time for
sewer 8 aater 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 ta comply with all applicable St of Minnesota Statutes and City pf
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
11 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
11 04 SF Porch
? 05 SF Misc.
WORK TYPE
9 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? ? • ?
9?? ?.,•-.?"? ? Y ? . _ .
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T.
7YN4111?
O 11 Apt./Lodging ?`16 Ba'se ent finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory 0 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
0 35 Tenant Finish ? 31 Demolish
? 36 Move
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) Ist F1. sq. ft. City Water
UBC Occupancy F_-3 2nd F1.'sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
?f of Stories Footprint Sq..ft. Fire Sprinkler
Length ? On-site well Census Code y 3?
Depth 114 On-site sewage 5AC Code
Ce4516 yN,1?1055
•
APPROVALS
C?w.s*K uni?u* o
Plannirtg Building Assessments
Engineering Variance
REQUtRED IN SPECTIONS
? Site E3 Footing ? Framing ? Insulation
? Wallboard ff Final D Draintile ? Fireplace
Permi t Fee v,i,.t;,,,: g
Surcharge
Plan Review
License
MNCC SAC
City SAC
Nater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded. .
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
';A1/EYOR'S
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GERTIFICATE
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SIENNA CORPORATION
REVISEO B-26-91 TO SHOW
PROPOSED HOUSE FOR
HOMES BY CHASE
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INOTE: NO SPECFIC SOILS INVESTIGATION HAS BEEN COMPLETED
ON THIS LOT BY THE SURVEYOR. THE SUITABIIITY OF
SOILS TO SUPPoRT THE SPECIFIC HWSE PROPOSED IS
NOT THE RESPONSIBILITY OF THE SURVEYOR
NOTE: BULDING DIMENSIONS SHOWN ARE FOR MORIZONTAL
9 VERTICAL LOCATION OF STHUCTURE ONLY. SEE
ARqiITECTUAL R.ANS FOR BUILDING 9 FOUNDATION
DIMENSpNS.
= DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
0 DENOTES IFiON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
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WE HEREBY CERTIFY TO SI EN NA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block S, BRIDLE RIDGE I ST ADDITION, according to the recorded
plat rhereof. Dakota County, Minnesota. -- ' •
IT DOES PJOT PURPORT TO SHOW IMPftO'VEMENTS OR ENCROACHMENTS, EXCEPT AS SHUWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 S1' DAY OF JflNUA Ry .,,19.?.
i
APPROVED FOR SIENNA SIGNED: JAM =INC.-
CORPORATION
BY: ? ??i/LGLOdY??
BY : HAROLD C. PETERSON, LAND SURVEYOR
nnTEnt MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS 1 ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
,;?\0
? • ` ?' 1991 BUI 1404
EIT APCATION
N
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS MULTIPLE DWELLINGS CO?II4ERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCU TATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF P ERMIT IS REQUESTED, BUT NOT YICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: / ?j72.-Valuation
Site Address L A ?I h '9A'tb'q' Rd_
Lot
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-
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Parcel/Sub
11
Date:
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Block ?
Owner
Address
City/Zip Code
Phone - ?
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footpxint S.F.
OFFICE IISE ONLY
R-3 M -I
P D R-f
v- N
Y- N
F,$ .
34
On site sewage_
On site well
MWCC System ?
City water r/
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ,•/bs
Variance
FEES
952
Bldg. Permit , Oo
Surcharge 46,0.-
Plan Review 4/4°S,Oo
SAC, City /00,00
sAC, rtwcc b,so,o,:'
water Conn. 66O,00
Water Meter s o ?
Acct. Deposit ,oo
S/w Permit 30.00
S/W Surcharge ,50
Treatment P1 . 976,oo
Road Unit 370,00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL 9 n
Phone # ? 31
agrees that all work shall be done in accordance with
(Signature ntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
U-A`T'
32'? ZZ 0y x IS'= In,56 0
P?SMT,
r----
2B X36 = IopB
aK2?_ 5g
?---
Z,JDFL?106??t ?y= 1492?!
30= gaa ?v-3 = y7 700
? 57 F7
?--
B?M? = Ia6G
lyX2, z?a
llo? x,?3? 5?6/8
)3,21000 '
d• * I
SURVEYOR'S CERTIFICATE SIENNA CORPORATION
? REVISED 8-28-91 TO SFIOW
PROPOSED HOUSE FOR
HONES BY CHASE
?
i-, ? ?- i-? ,-•,-t- -r (q 75.00 N84°59143" W"
N (?Z3•?'?
?
/O ? -O
LO T 4 ? W
o
4) ,b ? 11
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a a
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3ge
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6 p0 ??
. ; , ,. OS, /0 6?6y' %?0 Q
so „ 43e , , h? ?pP
46, e ? ?lb? E
INOTE: NO SPECFIC SOILS INVESTIGATION HAS BEEN COMPLETED
ON THIS LOT BY THE SURVEYOR. TFE SVITA8ILIT' OF
SOILS TO SUPFURT THE SPECIFIC HOUSE PROPOSED IS
MOT THE RESPONSIBILITY OF THE SURVEYOR NOTE: BUILDING DIMENSIONS SHOWN ARE hVR FIORIZONTAL
9 VERTICAL LOCATION OF STRUCTURE ONLY. SEE
ARpiITECTUAI. R.ANS FOR BUILDING 9 FOUNDATION
DIMENSIONS.
+ DENOTES PROP05ED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
. flv`G
WE HEREBY CERTIFY TO $I ENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block S. BRIDLE RIDGE I ST ADDITION, ?cording to the recorded
plat thereof. Dakota Counry, Minnesota. ---
IT DOES NOT FURPORT TO SHGW iNiPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY OF JflNUA R4
j
APPROVED FOR SIENNA SIGNED: JAM
CORPORATTON ?
BY:
oV :
HAROLD C. PETERSON, LAND SURVEYOR
DATED, MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
FEET
FEET
R0'v)
Ol ll.i ?,l1:
t511[ Al1
CUIITRACTOIl: <Z` /1?`v I
OAiE: d' -?-U-?'110NE!
' UETERHIIIE NORY.IIIR SOUARE FOOTAfE OF EACII: . .
;.: ;
. , ,
,, , ,. . ,
. . .
1. . 1OTAl EXI'OSED NAII IIREA
'
. .. ? .... _2'
?_ sq f t x ?U?r
z. 1oTnL nooF/cEILIIIc nnCn.........._ sq rt x "U"?p??
tl
3. TornL exros0,11nLL nnE'n cnLcuLnrioIisI .
, . . „ .
7 otal exposed woll . . . .
' orco Above. Floor.' '
:...... sn
' ?SYq?'.
rt • . .
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:
!•
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Totnl vroll wlndow sreat •' ..
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.
,.:
g I a z e d '
. . . . . . ?3 ? s q
r c
x „
„u.. _ N y l/ "
?
glazed...... sq ft x Ituto
e .
.
b) To[al door oreo ....
'
' sq ft x "U"? d .'/ZO
....
.
c) Totol 311dInS1 pless'door *areai"j1.
, , . . .. . . :.,••,
---???9lnzod.0.• _ L) SQ .
Ft •
X• . , . , . .
IoU?
glazed.% .... sq, ft x uun . „ . .
d) Tota) Fireplacc wal) area _•• ?_ sq Ft x "U" e '
e) Total wall Frmfning area (AvcragQ 10?
)
' r,
n •
.
sq
........... rt x U ,
d
' F) Tota) net Wall orea above .
Floor (Insulatecl)....... Affa '7 sq rt x nUll ?0?,?
g) 7ota) rlm Jolst.area,...,, sq ft x "U'!
Totnl foundatlan ' .
arca (Exposed).......... sq .ft
h) Totnl founJatlon '
wlnJar urea ............. sa ft' x nulte
1) Total tict foundatlon. '. ' •',., ' • • '
area above.hraJa% ......._' Sq Ft' x
?e TOTAL e) thl'U 1)
Ir'Ite
• 5.O.C. m p) Is the same as,• or lals th0n ltrm 01, you h
Sectlon hOQh (
) z ovo met the Intent of
'
c
.
I
' iornLExrostu UF/CEILIIItS,CqLCUL/1TlpllSt
p1?•
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:
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,
,
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.
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.?r•' .
.. ...?
'Totol r.xposed ? • .. . r'
? roof/ccllinp area.......? sq Ft
J) . ToEal skyl loht. area.'..... sq ft x '•U"
k) Total roof/cclllnq framing ?' ' ' ' , ??•• •
.... sq
• , arca (Averaac 109,)
(t x ?
stut,
?'
?"
. '., ,.
..I) Total net insulated ?? • ?
• •
. :
i
., ? .
' • '• .
Yoof/colllnq area......._ fJ?D sq .ft'x .
"U" ?d • •?i?;?
. T01AL J ) thru I ) ;. ,? + ?•'
total'of Ph Is the same as, or Icss thnn 02.•-.you hove met the Intent of" . '":•`•
?
,
I.C. Sectlon 6606 (c) I. } . , • '
' °
.
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,
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'
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. . . ,
• PoLTE(UTATE? bUllblllf EIIVEIOPE bESIGII • . . " •
• .. ?? . ? •
. , . .
n utllizc the total
envejopc system methotl,
the v olues .estobllshed by tha sum
?? ?•
.
f Items pJ t?nd ph shall r?ot be qreater then the`sum of Items NI and p2. .
'
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3, • + IG .
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-1 hereby cel*tlfy*thnt I have eaiculated the "U^ factors'anJ "R"
values hcrcin :ind 1.I10t the hulldlnn here descr,ibcd meets or exceeds the SE6te
of:lllnnesota Encrp??'.f.onscrvotion Act. • . ?, , - .
' . , • i ? 4na ure
t' , ., • . , ' . . , ...
,
` • ? • . ? _?v ??? .
?
1I5T RUCT I ON
AMING SECTION:
lnterior air ftlm
""' ":TION (INSULATED)
5T SELTIOtJ:
Interior alr film
R VALUE •
Q.6R
r,
axierior air n im 0.17
TnTai a e n= .,
U e I/R ° .LY1.C
???; ,a.;•?.. ;,..:
? ? '? .•, ° a? ?. ?
.4 . „? .. ,U
'. .
?i.U,, 4
.?? ,•'A,
?•'q v
ffj"7?,? p !?. . ?n 4?• •` ?
ION SECTION:
Interior alr film r1,f,A
- / 00
.i
Exterlor air film p,17
TQ7AL R m f ,(3
U - 1/R ° .Q"
SLAB ON GRADE
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•
•
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7
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U ? 1/R ? o O
U = i/R ° •0Y6
VENTED
CONSTRUCTION R Vd?EUE. ,
tE 1 l I Iin SECT I Otl ( I tISULATED) :
- i Interlor Ir film
2 fl rrl' .>?.'
3
4 Extertor air fflm stlil ?.?1
CEILING FRAMING SECTION:
1 interfor air fiim • •?,61
Z
y0,Os
4 Interfor ai? fI im st . 0. 1
5 _3//'2,inches_soft wood
TOTAL R -//G;/g
CEILIf-T, ; Ef,TI0t1 (If15ULATED):
I Interlor air film r1,61
2
3
4 Exterin-r- -1 ir ilm still n, 1
TOTAL R =
U- 1/R-
TOTAL R
u - R
U° 1/ R°.a2g
CEILINr, FRAMINr SECTION:
1 Interior air film Q.(.1
z
3
4 F.xter or air iIm still 0.61
5 lnches soft wood
TOTAL R =
1
2
3
4
5
Inside al:• t tr
Ua 1/Ra
n.Ft
OutslAe alr fii.. n.17
TOTAL R =
' •• '/R =
J
.
y' . • .
.r .
r,.
r ? CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOS ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # l?
1€?G?bSTSCAT. ?'E?' DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME: CV c.SH J
SITE ADDRESS : V(2 cic, le,
LOT:? BIACK ? SUBD.
INSTALLER:
ADDRESS: K? C).
CITY:$ ZIP: `_JSC?J`I
PHONE
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 10•Co
STATE SURCHARGE: .50
TOTAL: $ C, 50
?SI NATURE OF PERMITTEE
GOMYtA,AY,JINU95TRAL?: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD,
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PI?ING e $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHP,RGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT lm?E
DATE: :. :.., ... ,.. .. <.. <......... .
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: 4DnuS &.1 ChQSt,
SITE ADDRESS: (OSq erIGtLC. K(.1.n
LOT:? BLOCK ? SUBD.
INSTALLER: A 14-6L? L..? •
ADDRESS: IoZ(OSL
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
? WATER CLOSET 3.00 cP
a BATH TUB 3.00 (?7
IAVATORY 3.00 /iX
? KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 3
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?
L FLCCR D°A?2I 3.00 3
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3 "'
ROUGH OPENINGS 1.50 i 1, _,5 Q
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUSTOTAL
, ?,,_w ?z? > "+ST:,?SURCHP.RG& .50
. <', . • -'TO:AL. , . _?,;. S , ?/ ?
GOMt?((ERGZAL?SNI?IISTRIAI..;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WF1EN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN
DWELLING UNIT.
_______________ °------------°----------°_____________---_______---------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 vF CGIaTRACT ; E::.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY: SU'('nSVIILQ. ziP: 55337
L 4 BL 5 SA' CITY USE ONLY
SUBD.??v,c _JE4?-bGf.?? ?=
RECEIPT#: 70G 9 71
RECEIPT DATE: 3I5Z9 7
1997 PLUMBING PERMIT (RESIDENTIAL)
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
? backflow preventer for underground sprinkler system
EIXTURES EA-Qd NIQL TOTAL-
Sliower 3.00 x =
WaterCloset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3:00 x =
Kitchen Sink 3.00 x =
Laundry Trey 3:00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3:00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 • 3.00 x =
Rough Openings 1:50 x =
Water Softener "for dwellings under consVUC[ion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' far dwelling under const. 3.00 =
U.G. Sprinkler 'torexistingdwelling 20.00 =
-- Alterations ' to existing residence 20.00
Water Turn Around 20.00 =
Private Disposal System ' Dak'Cty lia 75.00 =
(new and rePorbishedsystems)
.
Private Disposal Systems' Abandonment 20:00 =
STATE.SURCHARGE
TOTAL
.50
zOl.S-o
1 hereby adcnowledge that I have readthis applicetion, sfste ihat the infofmation is cortect;and agree to compy :with all appiicable City
of Eagan oMinances. k is the applicanPs responsibility to notify the propedy owner thaf?the Gity of Eagan assumes no lietiility for any
damages caused by the City during its normal operetionaland maiMenanceadiJities to the.facilities corvstructed underthispeTmit wifhin
Ciry propertylrightof-way/easement.
SITE ADDRESS:
OVVNER NAME:
INSTALLER NAME: 13rm ????(na TELEPHONE #: W 7 -?/ 7,3?
STREETADDRESS G4-No'lr/z?8 411STG?7 ./Ij
rjr??- r.ln?%-
CITY: ?r? La K? STATE: M/I/ ZIP:
iE SIGNAOF PERMITTEE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
I J??? f 3830 PILOT KNOB RD - 55122 ?'j O QQ
651-681-4675 ?
NewConstrudionReauirements RemodellReuairReauirements
• 3 registered site surveys showing sq. ft. of lot. sq. fl. of house; and all roofed areas • 2 copies of plan
(20% mazimum lol coverage allowed) . 1 set of Energy Calalatians forheated addi6ons
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for extenor additions & decks
• 1 set of Energy Calcufa6ons
• 3 copies of Tree Preservation Plan'rf bt platled after 711193
• Rim Joist Detail Optiore selection sheet (bldgs with 3 or less uniLS)
DATE I ' ( ? d ?
VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS Ce5 q ?yL i" I K- in& -E ?ZD .
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?O? DENS?vi,pl??
TYPE OF WORK
APPLICANT
T"1 V2-Stp (ALE
ADDRESS 156?)0 (?J2,?-L-?oaJ rA:n
PAGER # ?A CELL PHONE #
V?
FIREPLACE(S) _0 X1 _2 3
r' u? LC er,?_ PHONE #?q?"z? `l'`I7-7qo8
V4 (t ziP coDe 55rZy
(P<2,1 721 - 5733 FAX # ^J/4
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor.
Ylumbing Syslem Indudes:
Mechanical Contractor:
mcch.miral Svstcm Include,
Sewer/Water Contractor:
Phone #
Phone #
Pee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
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 li
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Sottener
Wa[cr Heater _
No. of 13aths
Phone #:
Lacvn Sprinkler
No. oF R.I. Batlis
Air Conditioning
Hcat Rccovery System
Updaled 1l01
INSPECTI4N RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan. Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number.
Date Issued:
SITE ADDRESS:
PERMIT SUBTYPE:
I F
APPLICANT:
TYPE OF WORK:
?
?
Permft No. Permit Holder Date Telephone #
ELECTRIC 7jff'
PLUMBING
?
,7
tfc??_(r7j
HVAC
Inspection Date Insp. Commants
FOOTINGS
FflUND
FFSAMING
ROOFING I
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TE5T
FINAL PLBG
,.
FINAL HTG
/
OHSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK F7G
DECK FINAL
,C-S/, ,E ?yl ,Q? -ao? AeRl'
HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCU PANT OIMNE R
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY -
EI•chical Wwk By _.Gas Lin• Br
TYPE OF HEAT GA FA Hw STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Mod.l Model
S«iol Mex. BTU Rotiny
INPUT MAKE OF FURNACE
A1od•I
CONTROI.S
THERMOSTAT H
r Pl V•nt Si:•
•o
up _
Volve KIND OF LINER SIZE NONE
Limie J Droh Mood '1 t"R•yvlawr
Limit 5ettiny FiItNo Si:• NumMr
Fan Settiny Chimney Location Inside Outside
Pilof Type ? ChimMy Construction
Pilor Moke
Pilot Model Smoke Bomb Wirinq
Pilof Timiny ? Draft Test Tay
L.W. Cut Off Door Prossw• " LiyhHny Inst.
Prossure Percent C0 Date Tested
2
Input CFH Pertenf O Company Testiny
Z
$tack Tamp. Percenf CO Narne of Tasfer
Form 235
{ ? z
.. . . t
` • ?
(Itr#if iraft of (IDrrupttnry
Citp of (Eagan
Epparhnrni of luilbing Awprriinr
This Certifrcate issued pursuant to 1he requirements ojSection 306 of 1he Unijornr Building
Code certifying that ar the time oJissuarice lhis slruclure was rn compliance with the various
ordinances of the Cfty regtelating building construction or use. For the jollowing:
Use (.lauifintion Bidg. Ptrmit No. 7rq
OauW-7' TYPe Zaaing Diurict
7?iL+. .lG?7ULL-
owne. or e„aa'? 559 _ nea?
?? , MI, _ .
Buildirg Addrc.ss I,aality
ate:
Building Official
POST IN A CONSPICUOUS PLACE
t.
?.
P.FACTzVA.:ED FOR DECK 09/25/92 CITY OF EAGAN
AI)YSON I.,1VDE 474-9017
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
T?
PHONE: 454-8100
BUILDING P`.ERMIT Receipt # ' ,.
To be used for : F Ll6,t; f GAF' Est. vaiue $132 . QC3U Date . 19?1-
Site Address 659 BRIDI.E 12IDCE ItD
Lot 4 Block 5 SeciSub. BRIp3.x; F.tfi01-, 15'd'
Parcel No.
W Name `3G'?.F? LA i,':t?,SE
3 Address 1641 KNOX CIF
° cc su?sviI,?
y Phone 895-5337
°a Name J 9`''•i:
i
0? Address
'- City Phone
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesoia Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: 1jt*.'-f S$Y CHASE
on the express condiGon that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
OFFICE U5E ONLY
Occupancy R-3U-I FEES
Zoning ? L- f
(Actuaq Const
G
Bldg. Permit 752.0
(Allowable) ??-4 Surcharge 616,?
# of Stories
Length 68' Pian Review
Depth SAC, City 100-?
S.F. Total -
SAC, MCWCC 650,?
S F. Footprirns -
On Site Sewage _ water Conn
On Site Well - Water Meter
MWCC System x
3
0•QO
Acct. Deposil
Cdy Water
PRV Required S'W Permit 30•oo
Booster Pump - S/W Surcharge - ?
Treatment PI 2 7 $? . ?7{I
APPROVALS Road Unlt 37U•00
Planner
Park Ded.
COuncd
Bldg.Oft _ Copies
517
50
3
Vanance - .
,
TOTAL
L
Permit No. Permit Holder Oate Telephone k
WATER
SEWEFt
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roof ing
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SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
I DATE
SITE ADDRESS
LOT BLOCK SEC`SUB
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: --
ADDRESS: 1: F?'il ZEN:'f'H AYE'.
i
CITY. STATE A`1 ;V I I_:L::, :`- ZIP 33
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
PHONE: ' -
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS: l.c:i:,i Gi: C' k j
CITY. STATE Fsl ZIP & ZY
PHONE: %6'NAfURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
SEWER - WATER
COMM;IND -
TAPS
NEW
RESIDENTiAL
q OFFICE USE ONLY
METER # 4? / JO?-5 PERMIT DATE
CHIP #D o? 3 99 Y/k PERMIT #
METER SIZE B.P. RECEIPT # ? -
ISSUE DATE 16 -Iy" 92 B.P. RECEIPT DATE
_ PRV _ BOOSTER PUMP
PERMIT REGIUESTED
SEWFR L VI;ATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-11897
e
DATE
PERMIT DATE PERMIT #
B.P. RECEIPT #
B.P. RECEIPT DATE
_ PRV -. BOOSTER PUMP
OFFICE USE ONLY
METER # -
CHIP #
METER SIZE
ISSUE DATE
SITE ADDRESS '"?
LOT BLOCK _SEC.-SUB R'. `''C ?' 1Z3T
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
PLUMBER: AL:A A!M_C:WtICAL
ADDRESS: ^• s i 21I3'?'H AVE S 5TE 1 1C
CIIY. STATE -: l+TL.i..;: T•J ZIP 7?3
PHONE: -'' 7 7"
OWNER: ` ? • ADDRESS: °
CITY, STATE ZIP
PHONE:
ZIP
PERMIT REGlUESTED
Y SEWER
_ COMM:'IND
NEW
WATER - TAPS
RESIDENTIAL
EXISTING
Lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
?
i . . ? -. f : .. , _-?-,,?E.•._
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121876
Date Issued:04/17/2014
Permit Category:ePermit
Site Address: 659 Bridle Ridge Rd
Lot:4 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-040
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 -
Shelly A Alexander
659 Bridle Ridge Rd
Eagan MN 55123
(612) 282-5908
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
� r-_�-_.--._....,____._.�,,
! I For Office Use i
i I I
�
� Cl�� of �a�an �����.����� � Pe�,;t#: . ;
� ,
� Perrnit Fee: i
3830 Pilot Knob Road AUG 2 8 2014 ; i
Eagan MN 55122 � Deie Received: ' �
Phone:(651)675-5675
Fax:(65'I)675-5694 $Y:.r._ __,._ I Staff: j
. � �
20'14 RESIDENTIAL BUILDING PERMIT APPLICATiON
Date: ? �5 ��1 SiteAddress: ��v� ��'»��L�= �� G- /�.�j Unit#:
� = . Name: �Ct�l..�, �1JC�l,f�.(..�IJ�'�.—
� Pnone:�Ir'�e.. L�Z c'��d�
�es►den�l �� / /�
; :�lNtl@r: < Address!City I Zip:,�o��_,��.>�tj�5 !�-r+��' ��A_l� �. . ,
' Applicant is: �Owner Contractor
Type nf WOt'k Description of work: �"� «-�C7C.7�'
Construction Cost:� '�'J' ,�C�J�r��..� Multi-Family Building:(Yes /No,�}
Company: Contac�:
CO11tt'�CtOt' Address: City:
State: Zip: Phone: Email:
;
i :' License#: l.ead Certlficate#:
i
' If the pro}ect is exernpt frorn lead certification, please expiain why: (see Page 3 for additional informatian)
,
i COMPLETE TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
' In the last 12 months,has the Ciry of Eagan issued a permit for a similar plan based on a master plan?
�
i Yes _No If yes,date and address of master plan:
Licensed Plumber: F'hone:
� Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�(0�� R/ans and sa�por��ng dp�umsrats i�hat�you:sub�1#�re�anslderei�l:�����ublic informafio�. Portior�s of
� tfie informafion may be'�/assffi�d��.nan public 3#'yoc�pra�fd`e s�xecific re�sons that wocr/d permlt the Cl�y to
�conelcrde fhaf the are trade.secrets.
CALL BEFORE YOU DtG. Call Gophar State 4ne Call at(881)454-0002 for protection against underground utllity damage. Cali 48 hours
i before you intend to dig to receive locates of underground utilities�www.godherstateonecall.orq
! 1 hereby acknowledge that this information is compleie and accurate;that the work wiii be in conformance with the ordinances and codes of the City of
' Eagan;that 1 understand this is not a permit, but oniy an application for a permit, and work is not to start without a permit; that ihe work will be In
� accordance wJth the approved p►an in tha case of work which requires a revfew and approval of plans.
Exterior work authortzed by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of per+nit issuance. <�
X °�la�ls=, ��C,N�- X �
App(icanYs Printed Nam'e A cant's Signature
. Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130790
Date Issued:05/14/2015
Permit Category:ePermit
Site Address: 659 Bridle Ridge Rd
Lot:4 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Shelly A Alexander
659 Bridle Ridge Rd
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147077
Date Issued:12/07/2017
Permit Category:ePermit
Site Address: 659 Bridle Ridge Rd
Lot:4 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shelly A Wallner
659 Bridle Ridge Rd
Eagan MN 55123
(612) 282-5908
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature