2851 Highridge Ter
Use BLUE or BLACK Ink
i-or Office Use
I Permit I
I
City of Eap
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
2011 MECHANICAL PERMIT APPLICATION
~[Q7 ` J` uCe I fw`
Date: Site Address:
Tenant: POOL" i Yot- J - Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: j. 1r License f(~~
Address: Ofyo''b,,(CJIJ ~ Ca ~C'e $-F N~ city:: r-~7 L
State: Vw Zip: Phone: `fz7 k8q ~3 1
Contact: ARCX~ t/(~ y► ~L r~SQ fig Email: V UG 1~~ `LS evt Cool
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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
I hereby acknowledge that this information is complete and accurate; that the work will be in conf rmance 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 n art w' t a p 't; that the work will be in accordance
wits tp appr ved plan in the c94410 of work which requires a review and approval of plans.
x Y `a-46,,_Q IJ I rasc?y-1 x
Applicant's Printed Name p icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
cirr oF EAGAN
3795 Pilet Knob Road Eagan, MN 55122
PHONE: 454-8100
N0- 6334
BUILDING PERMIT Receipt #
To bs wed for Est. Value Date , 19_
Site Address ' Erect ? Occupancy
Lot Block Sec/Sub. ' Alter Q Zoning
parcel # Repalr ? Fire Zone
Enlarge ? Type of Const.
Name Move ? # Stories
W
Z Address
t Demolish ? Front ft.
Ci Phone Grode ? Depth ft.
lx Name Approvala Fass
,o
p? Add
Assessment
Permit
fess
U
? Ci phone
Water & $ew.
Surcharge
Police Plan check
?Z N°"1e FIre SAC
?? Address Eng. Woter Conn.
<W CI Phone Planner Water Meter
Council Rood Unit
I hereby acknowledge that I hove reod this application ond state that Bldg
Off
the informotion Is correct ond ogree to comply with oll applicable .
.
5tate of Minnesotu Stotutes and City of Eagcn Ordinances. APC Totol
Signature of Pertnittee I
A Building Permit is issued to: on the express conditlon thot
all work shcll be done in occordance with cll opplicable Stote of Minnesota Stctutes and City of Eogan Ordinances.
Buildfng Official
??raM # peM IMwd PamM1w
Plumbing
Mechonlcal
INSPECTIONS DATE INSP.
Rou9h-1 n
Final
Footings Dote Insp. Cate Irop.
Foundation Plumbing
Frame/ins. Mechanicol
Fincl
Remorks:
o /. r,
CITY OF EAGAN Remarks t?'X 10? 1f1-? iy) i-?7 ---
Additfon Valley View Plat 1 Lot 2 Rik 2 Parcel 10 81400 020 02
Owner ?LIE. f.•': Lu L `?rJ4':;Street 2851 Highridge Terrace State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.P $735.00 $73.50 ZO
GRADING .
Lko 5AN SEW TRUNK 1968 100. 00 3.33 30
* SEWER LATERAL 1970 20
WATERMAIN
* ATERLATERAL 1970 $2510.00 125.50 ZO
Iik WATERAREA 1970 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
sac 400.00 11006 7-5-74
PARK
CITY OP EAGAN
3795 PilW Knob Road Ea9aw, MN 55122
PHONE: 454-8100
BbILDING PERMIT APPLICATION
SjtQ A(ldfeu r?Ull l1l6l1t"1l.L8C 1C1't".
Lor 2 Block 2 Sec/Sub. Val1eY View
Pa,,ce, # 10 81400 ozo oz
oc Nome Leslie Swenson
; Address same as above
b ,... _. i x;,;)_i tina
°C Name Hearth & Home Co.
?? q?re? 219 W. 90th St.
f- r:... Rl mat.n _ Ndn _ oL...__ Alq/, _/. I 5F,
Name _
Address
I hereby ocknowledge thot 1 hove reod this application ond state that
the Information is correct and cgree to comply with all applicuble
State of Minnesota Stotutes and City of Eagan Ordinances.
N! 6334
Receipt # .1-21e?
Erect UC Occupancy R3
Alter p Zoning Rl
Repair ? Fire Zone 3
Enlarge ? Type of Consc. v
Move p # Stories
Demolish ? Front ft.
Grade ? Depth ff.
ADDrOYaif Fees
Assessment -
Water & Sew.
Police
Fire
En9.
Plnnner
Counci I
Bldg. Off. _
APC
Surcharge .50
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Torot 5.50
Si9nature of Permittee I
A Building Permit is issued to: Heart,hP, nm ^ Tnr on the express condition that
ell work shall be done in accordance wiot oll applicoble Stote of Minnesota Statutes cnd City of Eagon Ordinonces.
Building Officiol
CITY OF EAGAN No- 14 8 01
. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 Receipt #'E', ?& ':?
To be used for DECK Est. Value $1, 000 Date APRIL 8 ,19 88
Site Address 2851 HIGf
Lot 2_Block 2
Pnrnnl tJn
W Name
z Addre
o
¢o Nart
.
? ` Addi
P City
¢
W Name _
Z Address
n
W City-
I hereby acknowledge that I have read this application and
information is correct and agree to comply with all applic
Minnesota Statutes and City of Eagan Or?esianiesyp
? n ???
A
OFFICE USE ONLY
EW PLATE On Site Sewage Occupancy
MWCC System 2oning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit 24.00
Planner 5urcharge • 50
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL 24.50
EAGAN TOWN S H I P
BUILDING PERMIT
.._
Owne: ..-••--
Address (presen!) ---------
suilaer ..................... ....... :. . .. ................ -..................................
Address .........
This permit do not authori !he use of slreets, roads, alleps or sidewalka
!he right to crea e any situatio'fi which is a nuisance o: which presen2s a hazard
geaeral welfare to anyone in !he community.
THIS PERMIT MUST BE N TH REMISE WHILE THE WORK IS IN
This is !o csrtifp, at.... ??????•:_.--.-•-<?j L-----------...•----has permission 2o ssec
the above descri premis to je provisions of ihe Building Ordinanc
1955. "
--•............ _ .. .-?•------••---...-•--•- --- ---..._..-------- Per ---- ...----.-.------.-.--
Chairman of To B rd
I?`? 128
Eagan Township
Town Hall
Da,--?..--.........................
A
nor does
to the ]
!he owner os his agent
safely, convenience and
PROGAE ?
i a_....... ••. ......... .- •-. ........................... upon
e for Eagan Town p adopted April 11,
Building Inspecior
Ownei '
Address
Builder
Address
M 218
Eagan Township
Town Hall
Da3e •---------------•--..
2I ;z 11" Oxq U 1?&LL)
This permit does not authorize the use of streets, roads, a11eYs or sidewaiks nor does ii give the owner or his ageni
ihe right to create any situaiion which is a nuisance or which presenis a hazard !o fhe heal3h, safety, convenience and
general welfare !o anyone in the eommunity.
THIS PERMIT MUST B PT
t?L-Y-•- ??,`'THE PREMISE WHILE THE WORK IS IN PRO RESS.
This is to ceziify, tha?r ........................has permission to erect -?':. -----?.?C-' upon
- ??--? -?- ---
3he above descri ?premise 'ect to Yhe provisions of the Building Ordinance for Ea Townsbi , dopted il 11,
. . ....................................
1955. ?
Chairman of Tow rd ..---• Per ..... -----------•------------•---.........BuiIding----Inspecior
--••- -- - -^------------- • ------' - --.---...
EAGAIV TOW NS H 1 P
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for . Est Value A. _,('? Date ,19
Site Address ? I • ' -, E .<:`
Lot - Block 5ec/Sub.
Parcel No.
? Name `.:3L1.fi g :iWk:tiS4N
= Address )I Fill?t?f(I4kif. Teki
? City ?i. %:q Phone I
¢ Name ?- ??-
0
? ` Address
P City Phone
Name _
Address
City _
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature o( Permittee
A Building Permit is issued to: Si..: . i, .•:t
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
On Site Sewege Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (AilowaWe)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge ' ?
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL ?
Permit No. Permlt Holder Dats Telaphone it
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plba
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. .
Deck Final
Well
Pr. Disp.
This rnQuest voia 4,//
18 monffis (mm
Reqoest D te Fire No. R h'n Insyec[ion
^ RE ired? ?ReaAV Now ?MfTil Notii¢ InsPec-
? Yes o Ior When Ready
? ! ?
Licensed Elecvical ConVacror I hereby request inspection of above
? Owner eleetricel work installad at:
Sveei AtlArass, eoa or Raute No. City
aBSI H1G44 'r2db(4-`TU.P? ?.?4G4Au
' ecbon o. TownshiD Name or No. ftange No. County
?AKCMA
Ocwpant (PRINT) Phone No.
c_-f-s s w€A?sl Sa-ili
Power SuOVlier
? Atldress
a
/l?S t ssoss
•uaxwE.ILL n>W?:WCrIM
Elecvical Convactor (COmDanY Name) Convar,tor's License No.
M t?> - ?, e a
Ill - o
MailinB AdJress IConvaclor or Owner Makine Instailatio
? sa
AuNori ed SiBnamre I nVactor/0 r Making Installatio 1 Phone Number
a- 399
, -
MINNES A qTE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Grie9s•Midway Blde. - Moom N-191 BE ACCEPTED BY THE STATE BOARD
1821 Univensity Ave.. St. Pn.l. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (6121 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-0P0i-g6?
Ili See ins4uc4ons for mm0letin9 this form on back of yellow copy. J SL ??
E 3217° "X'" Be/ow Work Cavered by Ihis Request
Nine AdJ Rep. Type of Builaing Appliancea Wired Enuipmem Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heabn
Commercial Bldy. Fumace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
F2rm 01her oer.i v Ofter l5neufvl
ti . ucufy Othcr Oher
Comnute lnsoection Fee Below
p Fea Service Entrenca5ize H Fee Fapdars/5ubfeeders A Fen Gircuits
Uto200qms Oto30qms 0 to30Ams
Above 200 qm ps? 31 to 100 qmps 31 ta 100 Am s
Swinuning Pool Above 100_Am s Above 100_AmUS
Transiormers Irngation Booms $Q Partia6?Other Fee
VIlLAOE OF EAUAN SEWER SERVICE PERMIT
3795PilotKnobllond PERMITNO.: ltan -
Eagan, MN 55112 DATE: ]/15/74
Zoning: n? . No. of Units: ?
Owner:
Address
Site Add
Plumber: - -",__ "' ^^`'ing -
4oo' 00 pd
1 agraa to comply wIM tha Village of Eoqan Cannection Chazge.
15.00 pd
prdinanc", Account Deposit: 10.00 pd
Permit Fee: .50 pd
Surcharge: .
Charges:
Mi
c
gy. .
s
Date of lnsp
: Total:
.
lns
: Dare Paid:
p.
?33 CITY OF EAGAN Include 2 sets of plans,
^ ,51 ,?? 1 site plan w/elevations &
71? c gUIL,DING PEIdMiT APPLICATION 1 set of energy calculations.
Tb Be Used F'or Valuation ??? Date /a
Site Address T OFFICE USE ONLY
Lot o o Biocx ? sec./ • ` ?ect Dc occupancy
Parcel #:
Owner:
Acklress:
-•• - 1// Alter Zoning I
City/Zip Code:
RPpair Fire Zone 3
Erilarqe Type of Const.
_
?- Move # Stories
L!14:ef,?mlish Fmnt ft
Grade Depth ft
PhOR2 # : ? r7 oc -?o'L ? 9 ?n 'r 7 F'EES
APPItOVALS
Contractor: Assessments Pexmit
°J
r ?9ater/Sewer Surcharge
k
Pcldress: /o Police Plan Chec
City/Zip Cocle • v? S S 5 4ZOFire SAC
Water Conn.
r? t'
Phor?e #: `D? T - ?l ? ? Water Meter
Council
Arch-/EYig• : Bldg. Off.
Address: APC
City/Zip Code:
Phone #:
Road Unit
TCJPAL `? ? ?m
PERMIT# C?-b'T RECEIPTDATE:
2002 fiESIDEPTlAL PLUM$IN6 PEft14IIT APPLIClkTION
crrY og EasM
3830 Pv.oT icxoa gn
EtsAx, ativ 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: : ?S SL Y'11t?C!'1Vl v TELEPHONE #: (QJ l qS??
(AREA CODE)
INSTALLER NAME: f\' A?OQS IVNF NN ?5 TELEPHONE #: 6I;1-
?1 ?1. (AREA CODE)
STREET ADDRESS:
?
CITY: CY ??s%ejA STATE: ZIP:
_ SEPTIC SYSTEM, newJrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround • existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
/ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
TOtal $ -AO
??,? ?? u
I hereby acknowled9e that I have read this application, state thal fhe information is correct, and agree W complywith a i i of agan ord?
Gjty??
is the applicanYs responsibility to notify the properly owner that lhe City of Eagan assumes no liabilityfor any damag W used b,y tT
operational and maintenance activities to tha facilities constructed under this Dermit i ity propertylrigh(?of-wa Y (
?
SIGNATURE OF PERMIl7EE
_ . \ .. ?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN "
SINGLE FAMILY DWELLINGS
ZNCLUDE 2 SETS OF PLANS, 3 ERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CO ER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO C GES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS PNTAL pNITS FOR SALE DNITS
# OF UNITS
INCLUDE 2 SETS OF ANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CULATIONS
COI,AtERCIAL
INCLUDE Y SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?.eC K Valuation: 45-00-- Date: '?7f -
,285 y1b11A1AGE
Site Address ?i¢,? ? ?S ,?? ?kpr?
Lot ? Block
? V / ??
Parcel/Sub ? I::*E??
Owner "j 'e S'L / a ?`• ..? u?E rJ?n.J
Address ? r ? '?` ;:; ? r•.,r L? r? r
City/Zip Code
Phone LU- L 9(.-'f L9)
Contractor t_ 1`-
Address
City/Zip Code
Phone
Arch./Engr. _
Address
C1ty/Zip Code .---
Phone ll ?
orr.
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
9-4/5 SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
a y, oo
•Sv
cl?1 , X-41
, ?
C??
2007RESIDENTIAL BUILDING rExMrr nrrLicATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nenr Canstruction ReauiremenLs
3 regisdered sd6e surveys shaving sq. R of bt, sq. R of house; and afl roofed areas
(2(19o mawmum bt coverage allmved)
1 Soils Report if proposed 6uildirg is to be placed on disWrbetl sdl
2 copies of plan showing beam &xdmbw sizes; poured faund dasign, W.
t Set of Enetgy Calcuiatiats
3 copies of Tree Preswvatlon PIm i( IW platted afler 7/7/93
Rim Joist Detal Options selectlon sheet (buikkngs with 3 or less units)
blinnegasco mechanial venblatim fam
RemodeURenair Reouirements
2 copies M plan shaxin9 fooUngs, 6eams, Joisls
1 set of Energy Calculations fa heeled additlws
i site survey fa addf6ons & decks
Addibon - indicafe i/on-site sepHc system
Oifice Use Onlv
Cer10t5UrveyRecd _Y - N
SailsRepoR _Y ,N
Tree Res Plan Recd _ Y _ M,
Tree Ptes ReQUiW _ Y , N
OnaHeSepticSystern _Y - N
Plans are considered public informa4ion unless vou sfate thevtiare 4rade secret and 4he reason.
Date 1,2,L?? - .. ? Coostruction Cos
Site Address ? . UniUSte #
Description o[ Work
Multi-Family Bldg _ YL\ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner / Tele
hoae # 46' ) ? V
p
Coutrector
naares5 8609 6kNDALE M S . ?
?ity
State Rr.onMtxr.MANSO ?
Zip Telephone #RlsvCj &-a
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate¢orv 1
• Resitlential VeMilation Category 1 Worksheet
(d submission type) Submitted
. Energy Envelope Cak.uletions Su6miHed
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In ihe lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and oddress of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # {
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 c e of w k which 7?re areiew and
approval of plans. n M?
, ?
u ?
,t.c r? ?S
Applicant's Printed Name App icant's Sigrtatvre
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091987
Eagan, MN 55122 . Date Issued: 11/12/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2851 Highridge Ter
Lot: 2 Block: 2 Addition: Valley View Plateau
PID 10-81400-020-02
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: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
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 Paul C Howe
1920 County Road C West 2851 Higluidge Ter
Roseville MN 55113 Eagan MN 55121
(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