674 Bridle Ridge RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 674 Bridle Ridge Rd
Lot: 7 Block: 1 Addition: Bridle Ridge 1st
PID:10- 14996 - 070 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA085895
09/08/2008
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
H Glenn Renick II
Teresa Renick
674 Bridge Ridge Rd
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN Permit No: 101?$$ -? Date: 12r20l88
3830 Pfiot Knob Raad Meter o: ?/ L9 Sixe: S/E' P. r
P.O. BQx 21196, ??L der No: ?_?' ?TDate: `
EaBan, MN 5512?%"` '?T
Owner. SUNSHINF CONST
Site Address: 674 RRT13i .F. FY7 t3t;E RD., Li, B1 BRID;I E P21DGE iS'i'
Plumber. --- ni.-RFRf:
Cann. Chg: $550.00 Dr3 Zoning: k=
Aeck Dep:- 15.00 od No_ af Units: L
Permit Fee: 10.00 pd
Surcharge: - 50 pd I agree to comply with the Cit
oi E
y
agan
Tr. Plant 204- CI ncl Ordinances.
Meter. 67.00 pd
By ?
WATER SERVICE PERMI
CITY OF EAGAN Permit No: Date:
3830 fPilot Knob Road Meter No: Size:
P.O. Box 21199r, Reader No: Date:
Eagan, (NN 55121
Owner. S!.}mS-I1! ttt? 171NS t
S1te AddreSS: 674 31:;.Tb1 F RI13 Tt T.,,.?:3. s i.i'y BI' BRi
Conn. Chg: $550'00 pd
Acct Dep: 15.00 pd
Permif Fee: 10.00 pd
Surcharge: .50 pd
Tr. Plant 204.00 pd
Mefer. 67.00 pd
Zoning: P, ?
No. of Uniis: _
I agree to comply with the City ot Eagan
Ordinances.
Misc.: By
WATER SERVICE PERMIT
CITY OF EiiGAN Permit No: 11327 Date: 12120/%-3
3830 Piloi'1(nob Road 6/P No: Date: 12I? P:Oi:2
P.O. Box 21 f"99 ? Eagan,1GIN 55121
->IItT??;-il;:? Clr.?N , S
Owner. '
Site Address: 574 BR.IAI.,?; k'?.?GE fL? « IA+?, Fil , BRILtI?F RIVJG?' IST
Plumber:
$550.00 pct
nnwCC:
City Chg: 100•00 pd
_ 15.00 pr_i
Acct. Dep:-
-
10.00 pd
Permit Fee:
.50 pd
Surcharge:
ItI
No. of Units:
I agree to comply with the City o1 Eagan
Ordinances.
sy
SEWER SERYICE PERMIT
, .?... ,. ,? . ,i„ ? ? . . : : . ? x: ??,..- ?:;?°?.. - :,.:•,: _ :
. A? ?•-•?. .x
P
(Strtifira#t of Orr??auril
Citp of ealla?
?rpar#m,mt of lucld'nig 3wpriinn
This Certificate issued pursuant to the requrrements of Section 306 of the Uniform Brdlding
Code certifying that at the time of issuance thr;s structure was in compliance with the various
ordinances o}'the City regulating building co?rstructian or use. For the following.•
Use c7assificarion SF DWGJGAR Biag. r?rra„ No. 15982
OocupancY TyPe R3 Zanin6 District RI T Caut. ?
Owner of Buildins `M? ?`???? Addreas ?, 21 '-"- ` • ,EWM
?.. , -
_ -'-`?.._ , .. . ... .._ "'_'_ . _ ". ...__? .... .........? .....__. . ?. __.. ?: e?.. ... ........ . . . . . . ./
___ . ? .•a- ? ' •
POST IN A CONSPICUOUS PLACE
P E R M I T # "C:
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 bATE:
CONTRACT PRICE:. PHONE: 454-8100
Site Address U 14 ' x a` ge eLDG. TYPE WORK DESCRIPTION
`
Lot -r Block I?.,SeclSub - Res.
New
-s?` =.?• ??f .ti % =?
, Mult. Add-on
Name !tfl'a-p 9 0ti xtmb ri$ Comm. Repair
°-'
?c C ta B Vt_
Address 'y Ai
Other
c City 14tka Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NA, FIXTURES TQTAL-
3un3hirie COris t
Nama -7' Water Closet - $3.00 $
c 2121 C?. i:? f D ?'
Address ?gath Tubs -$3.00
Lavatory - $3.00
'? ? ' °` +7
?'
p
City Eaggn Phone
•??Shower - $3.00 . . ,' ? .
=Ki?chen Sink - $3.00 ! 77
FEES
COMM/INO FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
-7-Laundry Tray -$3.00 -
' '- --'
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
-7- !•'- r
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
7-
MINIMUM -_RESIDENTIAL FEE - $12,00
MINIMUM
COMM
ND FEE
$20
00 Whirlpool - $3.00
Gas:Pi
in
ts
Outi
$1
50
-
/I
.
-
STATE SURCHARGE PER PERMIT - .50 p
e
g
.-:.
:
IMINIMUM - 1 PE?t PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES ?
Softener -$5.00 ?
BEYONQ $1,000.00) Well - $10.00
Private Oisp. - $10.00
4 ? Rough O
enin
s - $1
50 ?, .
' SIGNATURE OF P?RMlTTEE. ; p
g
.
FEE:
STATE S/C
`' l..
, :. •._ :
FOR: CiTY OF EAGAN
GFlAND TOTAL: .3;
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _?.;`
PHON E: 454-8100 ;-'
BUILDtNG PERMIT Receipt #
To be used for Est. Value Date D?'-ck'g'?4-4 I
`?
Site Address 676' ???DU' PIXIF RD
Lot ? Block 1 Sec/Sub. BRIDLE RIDGE ISi
Parcel No.
rc Name SBNSJE I?B Gi7ddST
z Address 2121 f.3,IFF DR, • #224
Q City EACU01 Phone 452"'099 ='
, p Name SAr"`?
? ? Address
? City Phone
Name
City
I hereby acknowledge that I have read this application and state that the
inlormalion is correcl and agree to comply with all applicable State of
Minnes,ita Statutes and City of Eagan Ordinances.
...•'
Sjgnature of Permittee
A Building.Permit is issued to:_-`' IT,
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buflding OFficial_ , ?'__
OFFICE USE ONLY
On Site Sewage Occupancy r. 3
MWCC 5ystem Zoning
On Site Well (Actual) Const V n
City Water
(Allowable) ,
PRV Required # of Stories
Booster Pump Length 5'?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 666'
Planner Surcharge 64•
Council PlanReview 333•
BIdg.Off. SAC,City 100.
Variance SAC, MWCC ???%•
Water Conn. .5?`?•
Water Meter >> 1 ?
RDad Unit 325,
TreatmentPl
Parks
TOTAL
BUII
To be
Site Add
?RK.BUX 8/17/89 CITY OF EAGAN
W-CK 33&7k?M0 Pilot Knod Rpad, P.O. Box 21-199, Eagan, MN 55121 ??•
- PHONE:454-$10Q ?
71Nr. PFRMIT Receipt#
>r . p
'•'rtL
I
City :, '`:`
SRT%aL.E RIili;E i,,.T. Qn SRe Sewage Occupancy R3
' . v
MWCC System .,
Zoning 4?1
, p
n Site Well (Actual) Const
Ciry Water '
(allowable) ' ?`?
4 ;
w2 PRV Required # of Stories
?
. ?
Booster Pump Length
...:.....,.. _.
.... : .,.
t_,, ,
?.,. , ..:.,:.
.: Depth
,
• ' ?' S.F. Tatal
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
. o Name
0 4 Address
? City I
Name v,.00
Address Planner Surcharge :
Council Plan Review '??'`?
City Phone
I hereby acknowledge t
information is Correct ?
? Minnesota Statutes arn
$ignature of Permittee
A Building Permit is iss
Building
Est. Value ?1??•?;r?0 Date ? f??'• ;i. I ,19 U
RIDGE
Bidg. Off. SAC, Cdy
"? ?0
?'t
read this application and state that the
l
with all a
licable State of
t Variance SAC, MWCC •
rx,
5 51?
y
pp
o comp WaterConn. •
3gan Ordinances.
Water Meter n? ? ?
- --- ?? ?
?
°ONST
' Road Unit
Treatment P1 •
2.04.
?
be done in accordancewith all
orkshall
itutes and City of Eagan Ordinances. Parks ;
TOTAL
Permit No. Permit Holder Date Telephons #
Plumbing
KiAc.
W- Alu
Electric ?fI.J '?- ' ? i•,., c?/4??., °'
Softener
Inspection Date insp. COmmBnts
Footings I
Footings II
Foundation
Framin9
3
?
6?oGk
Roofing r??, .?s QrQ P
Rough Plbg. . -4
Rough Htg. -4 -L?`T
a-cor
Isul. ?vG OK- 40,''0,
lCy? ? ,i -
Fireplace
(?/
h
V
? /,V'a- i'7jn? r°
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. ? A S
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Y` pf«µ' ".:.r. x.: i . «n... n.'a:E •-..:,-... ,. .
' „_nr ..n',.:
??...,? ? ..?.. ..,
' ".'' '-'. . . .. . . :F}4iitt$, V,. iAFR
T
M FI..
4 .
#
I
PER
' ' • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN f` /? f?' *?
3830 P ILOT KNOB ROAD, EAGAM, MN 55122 DATE:
CONTRACT PRICE: PHQNE: 454-8100 For Office Use Only:
Site Address , 17 : k. '; . 4_
Lot ?
Block
u
cL
S,
b
BLDG. TYPE WORK DESCRIPTION
?
-
-? ?
?
New
Res. ,e-.
' Mult Add-on
Nam
? ? • Camm. Repair
m Addce&s
Other
c Ci 's'+t`?'++J t
ty. Phone
S ?
Name f AJ.", FEE
RES. HVAC 0-100 M BTU -$24.00 , r
c Address ADOITIONAL 50 M BTU - 6.00
;
p Cil
Ph? (RES. HVAC INCLUDES A/C ON NEW :
y
a ne GONSTRUCTION) ? o
50 EA
GAS OUTLETS (MINIMUM -1 PER PERMtT) - 1 ?;
TYPE OF WORK
• l .
.
COMM/IND FEE - iQ/o OF CQNTRACT FEE °
,
?,
Forced Air ?? •
M BTU r,+?
tiy APT BLDGS. - CQMM. RATE APPLIES `i
TOWNHOUSE & GaNOOS - RES. RATE APPLIES ?I
Boiler M BTU MfNIMUM RE51dENTIAL FEE - ALL ADD-ON
? Unit Heater M BTU $ REMQDELS - 12.00
; Air Cond. M BTU $ MINIMUM CQMMERCIAL FEE - 20.00 :
STATE SURCHARGE PER PERMIT - .50
Vent.
Gas Piping Outlets # 9 CFM $ (qDD $.50 S/C IF PERMIT PRICE GOES
BEY4ND $1,000)
Other $
FEE:
SIGNATURE OF PERMITTEE
S/C:
?G:
T4TAL: `- FQR: CITY OF EAGAN
_ ... ?. , . --.__ _. ..:?.. ?...u?W.?:>.;.
B
v
t
Ot-3210
, 07-3422
01-3445
01-3446
01-2155
75-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
?
50
7-0
oa
/rioo
ie/ n.
TOTAL
CITY OF EAGAN ?T 15982
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 1?? PHONE: 454-8100 c? r-1 'l l j7
BUILDING PERMIT Receiptx "9 ??a c)
To be used for SF DWG/GAR Est. Value $128,000 Date DECEMBER 19 1988
Site Address 674 BRIDLE RIDGE RD
Lot 7 Biock 1 Sec/Sub. BRIDLE RIDGE iST
Parcel No
w Name SUNSQNE CONST
z Address 2121 CLIFF DR., //224
o city EAGAN Phone 452-0995
o Name SAIIE
?a Address
i- CitY Phone
a
W Name_
? Address
a
W CItY_
i hereGy acknowledge that I have reatl this apphcation and stute that the
information is correct and agree to comply wiN all applicable State of
Minnesota Statutes and City of Eagan Aidinances
Sgnature of Permitlee
A Bwlding Permit is issu to: N E_ CONSZ_
ontheexpresscontliho thatall orks all6etloneinaccord?
applicable State of Mmnesota,itatules end City of,E;,gan 01
Builtling Oflicial
OFFICE USE ONLY
OnSfte Sewege _ Occupancy R3
MWCCSystem X Zaning Rl
On Site W811 (ACtual) COnst Vn
Ciry Water X (Allowa6le) Vn
PRV Required _ # ot Stories
Booster Pump _ Length 54
Dep[h 36
S.F 7otal
Footprint S.F.
APPROVALS FEES
Engi./ASSess. Permtl $ 666.0(
Planner Surcharge 64.0(
Council Plan Revrew 333.0(
Bldg. ON. SAC, City 100. 0(
variance sAC, MwCC 550.0(
WaterConn 550.0(
WaterMeter _67,0(
RoadUnrt 395-0(
7reatmentat 204-0(
Parks
TOTAL $2,859.0(
'C? ?' 7-U yi/ ?i v
E 85873
?? ,
Request Date * Flro No Fiough-
Re9uiretl? nspechon
?fleedY Now q?ll NoliN InsPadar
R
E
?
/ ? NT
es ? No en
ea
y
Iq'licensed contractor ? owner hereby request inspection of above elec[ncal work ak
JoC Atldress (Streel, 6mc or e No.)
G-7 ? Ciry
ri
Secnan No. Township Name or W. Range M. CouMy
I?-C-C ?.Q•(?.
Occu (PRI" Phorie No.
,
G
Powe? ppller Atldress ?
Eleclrical ortlroctar (COmpeny Neme)
? Contracbr5 ' e No.
Mailiig AGdresa (ConVaqor or qnrer Makiig Installatan)
Aar/Owmr Instellafion) Plwne Number
' D-
MINNESOTA STAIE 60ARU OF ELECTPICffV THIS INSPECTbN REQUE5T WILL NOT
GAgga.Mitlway Bltlg. - Poom &173 BE ACCEPTED BV THE STATE BOARD
1821 UnlversLLy Ave., SL Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (812) 8424800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee ooomo7
B. See insVUCl`on4 for mmpleiim7 Mis /am on back ol yelbw copy. .?yl/ 5'v
E` 8'5 8,7 3 X' 8elow Work Covered by This Request ?
Ne% Add Rep, Typeofeudding AppliencesWired EquipmentWired
Home fiange Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Olher (Specity)
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher (spedty) GoNractort Remerks.
Compute Inspection Fee 8elow:
# Other Fee # ServiceEMranceSiza Fee # Ciraiits/Feedere Fce
Swimming Pool 0 to 200 Amps /Z - itl 0 to 100 Amps yV-
Transformers A6ove 200 - Amps Above 700 _ Amps
SignS inspector9 Use Only: TOTAL S-?
Irngation Booms S( j ?
Special Inspection
AIarMCOmmunication
Other Fee ,7d
I, the Eleciricel Inspector, here6y
i
h Rough-in . ? S ?rp
y that t
cert
e above inspection has
been made. F,nai oa?e y
OFFlCE USE ONLY
This requesl voiE 18 rtwnths Irom
0,a
City of Eapn
[E CQ7 [E oV1 [E?
SEP 2 6 2008
i ----?? --------- i
i Permit Fee: ?- Oo i
? Date Received: ?
I I
? Staff: ?
---------- --I
3830 Pilot Knob Rbad
Eagan MN 55122
Phone: (651) 675-5675
Fax: (851) 675-5694
2008 FZESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ 0%ite Address:
Tenant:
swre s:
RESIDENT ! OWNER Name: Phone: lfi( Lk SD 905?9
Address / City / Zip:
Applicant is: _ Owner G trador ?
TYPE OF WORK Description of work' `
Construction CosY. 7 Multi-Family Building: (Yes _/ No ___)
CONTRACTOR Name: cz?? License #??? ?3F?3
Address: 99o (_'0g222 AO-Clk
City: ? State: /21A-11Lip: f7 `:z?r/'(p /
Phone: Contact Person: ?__S ?..777/'7n?e
CQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CateaoN 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the CiTy of Eagan issued a permit For a similar plan based on a master plan?
-ti"es _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: phone:
Sewer 8 Water Contractor: Phone:
?-N?E.?Pfans a ?'
?xr-?7??" r??a`F??i`rb?+ _ ..°" eH e?sir?are ,?s ra`soe-
E XfSa?b[l(
???1? ?
,
. ?/ 'y ari
ni
w
v _ .ero$
3]0t4 n
I here6y acknowledge that this information rs complete and aaurate; 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, 6ut only an application fir a permit, and work is not lo 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 appr?.y? of plans. IV n
? lc:?? ? - L
A x
pplicant's rinted ame p' anYs ignature
?
7
Page 1 of 3
PERMIT #
RECEIPT DATE: 0 7 U I
MIDEIVTIAL PLUM$INEi PERbI1T APPLICATiON
CITY OP E46iAN
S$SO fII.OT KAOB i{D
EAHRN. MA 5518E
651-8$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
?--- -
? RENICK.TERESA ,
SITE ADDRESS: 674 BRIDLE RIDGE ROAD
i EAGAN, MN 55123
OWNER NAME: : ' (ssi) asz-soes
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
TELEPHONE#: I2. Z2-7"LI033
(AREA CODE)
CITY: 1?l10?S STATE: Mvi ZIP: SSqda'
Place a check mark next to the permit work tvpe
-
New residential dwelling unit under construction and not owner/occupied
$ 90.00
Add-on, modification or alteration to existin dwelling unit, including: ?
$ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: L0Ict,G¢,
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ 5-O.S-0
Reminder. Be sure to schedule inspections of atterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the informadon is correct, and agree lo complywith all applicable Ciryof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any tlamages caused hy the City during its normal
operaNonal and maintenance activities to the hacilitles constructed under this permil within City property/right-of-way/easement.
URE OF PERMITTEE
Updated 1101
? A
3INGLE FIMILY DVELLIPGS
2 3ElS OF PL9NS
9 HEGISTEAED SIiS 3DB9EYS
1 SET OF EBERGT ClLC3.
1989 BUILDIAG PEAMIT APPLIClTION
CITI OF EIGIIN
U-Tqq°`J
MIDLTIPLE DiiELLINGS
2 SS7S'QF PLSN3
B6GI5?SRED 8IlE SDAVE23 -
(CEM iTBTH HE.DG DI9. )
1 SET dF ENERM C[LCS.
MULTIPLfi DHELLIlit1S RfiATAL DNI1'3 F0R SALB 06IT8
¦OTEt 1DDRES3E4 F08 CORNER LOTS - COATRACfOA/HOYEOWNEA MSi DESIGNiTE iiHICH ADDBE4S
IS DESIAED. 90 CHANGFS iiILL BE lLLOitED ONCE BOILDING PERMIT 15 ISSDED.-
SEWER 3 iiITER PEAMIT FEF.S lAD ICCODPT DEP0313 1EBS WII.L BS IACLODED iTITH S6E BIIILDIN6
PERHIT FEE. PAOCES3ZNG TII+g POH S8W6R tND WA1ER PEFMI15 IS iii0 DAIS ONCE APEAMIT HA3
HE£N COMPLETED IHDICASIBG ? LIC6li3ED PLMMER.
PENALTY APPLIFS WHEN: PEAHII IS NOT P6ID FOR IN S9ME MONTH IT IS REQUESTED.
LOT CH9NGE IS REQQESTED ONCE PEAMIT IS ISSUED.
To Be Used For: I,eeff- Valvation: Dates Fr-/, sAq
31Le Addresa 671 3?z?D
LoL I Block I_
Pareel/Sub _nn,-n, Rr.?
Ormer /I . Lr«Ntii ? ? N?
6ddress
City/Zip Code tAGli,j, S` ) 7,
3
Phone 141]? [1S2 - 9o5g
Contractor tiAr,e.
dddress
City/Zip Code
Phone
lrch. /Engr.
Occupaney
Zoning
9etual Const
Allowable
1 of atories
Length zi'
Depth
S.F. Total
Footpriat S.F.
On aite sexage
On aite well _
MttCC System _
Citq vater _
PRV reQvired _
Boosttr Pump _
tPPAOQILS
Planner _
Council
Bldg. Off.
Yariance
-- / Qae,?? Ucdc-?
CO!!'ERCIAL
2 SETS OF IRCHI2ECfURAL
d 3Y8DCTORIL fLAN3
1 SET OF 3PECIFIClTIONS
1 SET OF EBEAGI CLLC3.
/ OF W1ITS
fa?
Bldg. Permit
Surcharge
Plan Aeview
SAC, City
SAC, MWCC
iiater Conn
Water Meter
Acet. Deposit
5/il Permit
S/W 3urcharge
Treatment P1.
Road Onit
Park Ded.
Copies
SDBTOTAL
Penaltq ?
TOTAL
Address
City/Zip Code
Phone i
I-A
SIJRV'EYOR'S CERTIFICATE
, 21
N
0 'tV
Q? e?C
? GO
Mo'
C9?
?
W
J
?
m
/
EXIST.
USE ?
.?.,
142.00
?: '
?
M
a
z
?
io
p L ? -
?'.
SIENNA CORPORATIQN ?
REVISED 12-7-88 TO 8Fi0W
PROPOSEO lqU9E fOR
SUNSHINE OONSTRUCTION. I
.?
N 89°30'OS"E
wls
/ ?: -? ?
s ?
0
o J
-?
.33 ?fM.r
V I to
1
p p
a
-- -- x..o -- .
W.10
? 142.00 N89°,30'08"E
-i
r?
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= . -._ .. cN0'Gi ?ROPG'SED &URFACE 4R.A;NA3E
O DENOTES IRON MONUMENT SEf
• D6NOTES IRON MONUMENT FOUND
X000.0 DENOTES IXISTIN(3 ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
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(896•4)
SCALE: 1 INCH - 30 FEET
PROPOSED QARAOE FLOOR - q22.5 FEET
PROPOSED LOWEST FLOOR - q 14.8 FEEf
PROPOSED TOP OF BLOCK - qZZ,q FEET
WE HEREBY CERTIFY TO SI EN NA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPFiESENTATtON OF A SURVEYOF THE BOUNDARIES OF:
Lot 7/ . Block I . BRIOLE RIDGE I ST ADOfT10N, aeeordlny fo the raeordad
plaf tAeroof. Dakoto County, 'Mlnnssata. .
!T DOES NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEO 8Y ME OR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY OFJAN4iiRY .19.9a
;APPAOYEO FOR SIENNA • SIGNED: JAMES???NC.
CORPORRTT[1?! ??c?
BY:
gY : HAFiOLO C. PETERSON, LANO SURVEYOR
DATEOt MINNESOTA LICENSE NUMBER 12264
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James R. Hill
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PLANNERS / ENGINEERS ! SURVEYORS
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m ? j 8401 JAMES AVE S. • BLOOMINQTON, MN. 55431 • 812•894•3029
c 12?
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, . 1988 BUILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
/S ? tj?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER NNST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 8 OF UNITS
INCLUDE 2 SETS OF PLANS, CERSIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address
S/ivGLE ?Fyn"Y Valuation:
G 71 A0ADcE1?16GE bA,d r-
Lot 7 sZock
Parcel/Sub 1s1 Q7xno
Owner _Su nisN1ivE
Address .2/1 / Cz,GF rri?? ??25?
City/Zip Code jFdr?&? ,?S;fi,2Z
Phone ysa -o99.S
Contractor
Address
City/Zip Code
Phone
Arch. /Engr.
Address 5'y0/
City/Zip Code dtqzyiNGTO.c/ .sSY3/
Phone # 1-0)9y-30.25
128, DOo- nate:
:1.G 13 1968
On site sewage_ Occupancy R 3 M-I
MWCC system JG Zoning Pa R-1
On site well Actual Const V-N
City water Allowable V-1J
PRV required # of stories
Booster Pump _ Length
Depth 356
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit (?.OU
Planner Surcharge cef4' Od
_
Council ?
/
` Plan Review ?
Bldg. Off.
?Z
71kJ
14 SAC, City e> d, p_La
Variance SAC, MWCC , D. DO
Water Conn Sqp, 00
Water Meter 67,00
Road Unit
Treatment P1 D o
Parks
Copies
TOTAL ? M Q. 0 Q
\/A?u4N7 i otJ
?s
rzy$
I6X IZ = CI92?
IoS? xr?= 1??28
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ZZX22= y84 Y. iti=
7666-00+
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?SMlT= IOS(i 2,859•00*
2Xk? t?
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SURVE•YOR'S CERTIFICATE SIENNA CORPORATIDN
REVISED 12-7-88 TO SFIOW N
PROPOSED lqU9E F'Dp
SUNSNINE CONSTRUCTION. ?
EAGAN
R E V I E W E D
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HOUSE • a, •
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As DENOTES PROPOSED SURFACE ORAINAGE
O DENdTES IRON MONUMENT SET
0 DENO7ESIRON MONUMENTFOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
. . •- - -, ??((?
E A ?"al?aN ENGIiVEX`r311qG DEPT
SCALE: 1 INCH - 30 FEET
PqOPOSED GARAGE FLOOR - 422.5 FEET
PROPOSED LOWEST F1.00R - q iq ,$ FEEf
PROPOSED 7pP dF BLOCK? qZZ,ea? FEEf
WE HEREBY CERTIFY TO 51 ENNA CORPORATION THAT THIS f5 A TFiUE AND CORRECT
REPRESEN7ATION OF A SURVEY OF THE BOUNDARlES OF:
??, glocic 1. BRIDLE RIDGE ! ST ADOITION, acCOrdinQ ro fhe recorded
?i1°af?hereof, Dakota County. Minnesota. ,
IT DOES NOT PURPORT TO SHpW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHOWN. A5
SURVEYEP BY ME OR UNDER MY flIRECT SUPERVISION THIS Zf 5T OAY OFJAN4KlRY .19'aa
APPROVED FOR SIENNA SIGNED; JAMES R.'?L ?NC. )
CORPaRA710N
C?r''??-t'?».?-^ ?•???.?
BY:
QY ? - HAROLD C. PETERSdN. LANO SURVEYOR
nnrEm MIiJNESOTA LICENSE NUMBER 12294
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PLANNERS / ENGlNEERS / SURVEYORS
9401 JAMES AVE, S. • BLOOMIMGTON, MN. 55431 t $12-B84-3029
SURVEYOR'S CERTIFICATE
SIENNA CORPORAT{pN
REVI5E0 12•7-88 TO SHt7W
PROPOSED FIDUSE FOR
SUN3HINE CONSTiiUCT10N.
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• DENO'IES IRON MONUMEHT FQUND
X000.0 DEN07ES EXISTING ELEVATION
(000.0) DENOTES PROPpSED ELEVATION
yAGk?I ETw°G%NE1ERI1vG DEFT
SCALE: t INCH - 30 FEET
PaOPOSED GRRAGE FLOOR - q22,5 FEET
PROPOSED LOWEST Fl.OOR- q1q.Q, FEET
PROP05ED 70P OF BLOCK W 92Z,c? FEEf
WE HEREBY CERTIFY TO SI ENNA CORPORATION THAT THIS IS A TFIUE AND CORREGT
REPRESENTATION pF A SURVEY OF THE BOUNRARIES OF:
!ot r, Block 1, BRIDLE RIDGE I ST ADDiTION, accordfnp to the tecorded
piot thareof. Dakotn County, Minnesota.
IT DOES NOT PURPORT Tp SHOW IMPflOVEMENTS OR ENCRqACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEP BY ME OR UNDER MY DIRECT SUPERV1510N THIS 21137 DAY OFJFlN4qRY .1988•
APPROVE6 FOR SIENNA SIGNED: JAMESL , NC. )
CORpORA71()N ( 4
BY:
?Y ? HARQLD C. PETEFiSdN, LAND SURVEY4R
nnTED, MINNESOTA LICENSE NUMBER 12284
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. v 6LOOMINGTON, MN. 56431 • 812•B84•3029
!V 890 30'08"E
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•.,Yr;,??+ ' CIT7f OF F,4 6gn/ DUILDING DEPARTMEP':!' '
. • EXTERIOR ENVELOP AVERACE "U" COMPUTATIOn
' (To be submitted with building permit application)
dne or Tvo Family Dwelling _dn?= Owner 5u rSHiN4 Go.usT
All O[her Site Address 1,741
/f?idcERiD?? J?D• ,
• ' L-oT 7 [St.r / i ?
Contrac[or Date Phone ??-4Cl.CC? •
LIfIEAL FEET OF
t EXPOSED 4lALL ft. nbove grade a ??-
I TOTAL BXPOSGD IJALL AREA SQ. FT.
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i-OPAQCE VALL CONSTP.UCTION: ^U" Value X Area' .
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;fDecatl .l.a ..fluu . ? x sQ. r•r. rL s,?o (U) (A)
.reference C:I ^ U" i X SQ. FT.-••= ?:- ??U)(A)
yfrom '? 1:U::1 ? X SQ. IT. `.. r- ?(U) (U)(A)
-attached T "ull x sq. r•T.l (n)
,`ESheets. "U" X SQ. FT. (U)(A)
.v • nuu R SQ: I"f. _ (U) (A)
?u .
;,WINDOWS: "U" Value X Area
e ' /??(I
y ke 6 Type ? ? ?iUi? 1?. "t' SQ. IT. ?•?'T1 ? cxO.,JA (U) (A)
,?fa ?ke 6 Type "U" X SQ. FT. «)(A)'
ke 6 Type "U" 'X SQ. FT. (U) (A)
ke S Type "U" • X SQ. FT. ? (U) (A)
?fTOTl;z, RS: "U" Value X Area .
e 6 Type ?(?..?? L.._. ?lOn X SQ. 1?`T. ??1S.c1_° •"? ?. ? (U)(A)
e S Type "U" • X SQ. FT. (U)(A)
e S Type lUll X SQ . I'T. (U) (A)
e L Type fUel X SQ. rT. (U) (A)
TOTALS Z ..J?4 SQ. P'T. (U) (A)
AVERAGE °U"
nr, (u) (n) vnc.ues
?lIVIDE1 tY T•TAL WALL AREA
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?AVERACE "U".11or less for 1&A1 family d?ellings' .
?ROOF/CEILINC: '
yPYOTAL AREA : ? Od? ,
?iDecail reference "U" , % SQ. FT- 5271 (U) (A)
t; from rrUlr X SQ. IPT. (U) (A)
fattached sheets. "U" X SQ. FT. (U)(A)
I Describe openings "U". R SQ. FT.. _ (U)(A)
!"iu roof. X Sq. FT. _ (U)(A)
TOTAI.S Q. FT.? ?tI )(A)
,'eTOTAL (U) (A) VALUES DIVIDED BY
'TOTAL ROOF/CEILING AREA
? . _? -",---
!AVFRAGA ^U' ..'I OZSlfor ventiluted raofa.
? • --WALL SECTIOH--
i; . .
1.) Interi,or Air x'ilm
2. ? ?..' 3.) xnsulation ,
4.J
5.) Exterior Air Film
• (STILL)
R VALUE
0.61
QO ?
.61
uQiI = 1/R= bT11L (R)=
wAr.L .
6.) Intorior Air F11m
7. ) ' 1
8.) Xnsu7.atio
9.) ?'.c_flU-r-t??
to.) St?{?!?
11.) ExtoMor Air Film
R Vl.LO •
O. 6$
l C} Oo :
.17
uU'l = 1/R=, C?U1'.?` x'OTAL (R)= Zr?,O1
RIM
12.) IntorJ.or Air Fil.m
• .13.) Insulntion
14.) 15. ) ?C-l ll'T
16.)
? M Q?I.?t?G. S?Ctl.1(?
171) Exterior Air Film
(R) VALUE
0.68
.t7
,lUll = 11a= 1040 -Toxaz cR>=24,4Q-
FoUtrDATTON
18.) Snterior Air Film
79.)
20.)
21. ) l?," GO{_-4G. 22. >1%? _1.,?,y_`1 r-o?.?M
23.) Extor?.or Air Film
(R) VALIIE
0,68
1,?e7
r?, d0
.17
ifUll - 1/R= TOTAL (R) =-I ti I?j
.
, Wall, Rim, und Conc. Block
ng ??U?? va].ues at 1?oof
Determini. ROOFICETL,TND
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APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTION
Y
i. MN9flR'E: PA)NENf OF FEE AT TIMB OF
*
; aePLacaxioN DCEs Nar croN- ;
? STI1i71E APPRuIAL OF PERhIIT.
x
? INSRHCPiON OF SEFffii AND/OR WATII2 :
?
t IIISTAId11TIC1S WILL [?pT gE „(T?D[II,FD 3
? l?NPIL PER4IIT HAS BII?N APPROVID. '
.
a
#tffi44f#l?ftlf4i#!tlRthflFff4fRdff*4t
OF eC1gC9i9
(PLEASE PRINT
1) PROPII2TY ADDRESS:
T•FY;AT• DESCRIPTIOV:
IF EXISTING STRUC7.S)RE, DATE 1
PRESENT 7ANING/PROPOSID USE:
Q COMIMCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTITUTIONAL/GOVEUZENT
)F ORIGINAL B[?ILDING PERMIT ISSCTANCE:
Mont ear
M;g R-1 SINGLE FAMILY
? R-2 DCPLEX (34ro Cnits)
Q R-3 TOWNHOLSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/COAIDOMINIL'M ( Units)
z> ? NAME:
ADDRESS: ?12/ CtIFF .d.Ei?E
CITY, STATE, ZIP: E01614w/ , I"ju- SSi 11
PHONE: yS.2 -0445
For City Lse
?
3) NAME: _ E Plt,unbers I,icense:
ADDRESS: (g yao / 3/ ?cc s 7' Gr• Active
Expired
CITY, STATE, ZIP:
PxoNE: '4PO'L_ E`?,y
y.3z- 9079 MASTE
R LICENSE # 26 5 Not recorded
1 A1 j S Initia
Q"i?i ??31'i'a • ,i7L?i?t?'711
4)
NAME: ?qME f?S ?1
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s w•p' ' u .M STORM SE41ER PERMIT - CONTACT ENGINEERING
? CONNECPION TO CITY SEWER M CONNECTION 770 CITY WATER O TA?S
6)
**?***,?***,?*******?***** *,+F??*?**?t***«*:***?**?**+*,t**,t**********+****?*,t**?+**,?***?*?****?******?
* THE GOID COPY OF THE ?NIIT WILL BE SETTP DIRECiS,Y 'Il7 PUSLIC WORKS 10 FPCILITATE MEI'ER PICK-UP. ?
* PLEASE ALTAW ZWA WORFCING DAYS FOR PROCFSSING. °ONEONE FRObI Tfis CITY WILL CONf1SL'f YO[] ZF 1HERE *
** ARE ANY PROBL,EMS. ?
***rt* ***it**?: ----------------------------------------------------------
._-..--......--..._a-??--.......-
.
:
FOR CITY '
USE 4NLY .
.
PERMIT # ISSUED
1
Pd
w/Bldg. Permit .
FEES:
$ ?
$
SEWER PERM2T (INCLUDE SURCHARGE)
$ Sz $ WATER PERMIT (INCLUDE SIIRCHARGE)
$ $ WATER METER/COPPERHOR[V/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
/ S
$ $ - ACCOONT DEPOSIT - WATER
$ $ WAC
$ b s? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ c!? ?? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS A CONDITIO[V
. .
SUBSECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
December 20, 1988
SUNSHINE CONST °?- N -
2121 CLIFF DR., #224 (eypG (3-'-4
EAGAN, MN 55122 c U„pQ?,, nA tJ gsi?-?}
,?- dl
REs 674 BRIDLE RIDGE RD., L79 B1v BRIDLE HIDGE 1ST
4006 DEERFIOOD TR., L26, B3, ENGSTROM'S DEEAfl00D ADD.
WARNINfis SEFORE DIl1dING, CALL LOCAL OTILITIES - TELEPHONEp ELECTRIC, GAS,
ETC. - REQDIRED HY LAW
XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Publie Works Garage (3501 Coachman Road) until
the meter is picked up. BE SITRE TO C9LL PiJBLIC iTOHBS (454-5220) FOR
YOOR PERMANENT WATBR TIIRN ON.
Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupaney alloved until further
notice.
Sineerely,
9,?' S-""
Jan Severson
Seeretary
JS
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105497
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 674 Bridle Ridge Rd
Lot: 7 Block: 1 Addition: Bridle Ridge 1st
PID: 10-14996-01-070
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
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Window Concepts MN H Glenn Renick II
990 Lone Oak Rd #114 Teresa Renick
Eagan MN 55121 674 Bridge Ridge Rd
(651) 905-0105 Eagan MN 55123
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
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136417
Date Issued:05/11/2016
Permit Category:ePermit
Site Address: 674 Bridle Ridge Rd
Lot:7 Block: 1 Addition: Bridle Ridge 1st
PID:10-14996-01-070
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 -
H Glenn Renick Ii
Teresa Renick
674 Bridge Ridge Rd
Eagan MN 55123
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136980
Date Issued:06/09/2016
Permit Category:ePermit
Site Address: 674 Bridle Ridge Rd
Lot:7 Block: 1 Addition: Bridle Ridge 1st
PID:10-14996-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
H Glenn Renick Ii
Teresa Renick
674 Bridge Ridge Rd
Eagan MN 55123
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154236
Date Issued:03/05/2019
Permit Category:ePermit
Site Address: 674 Bridle Ridge Rd
Lot:7 Block: 1 Addition: Bridle Ridge 1st
PID:10-14996-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hugh Tste G Renick
674 Bridle Ridge Rd
Eagan MN 55123
(651) 452-9059
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169405
Date Issued:05/25/2021
Permit Category:ePermit
Site Address: 674 Bridle Ridge Rd
Lot:7 Block: 1 Addition: Bridle Ridge 1st
PID:10-14996-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Hugh G Ii Tste Renick
674 Bridle Ridge Rd
Eagan MN 55123
Elite Exteriors
14815 Energy Way
Apple Valley MN 55124
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature