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2861 Highridge TerCITY OF EAGAN Remarks Addition Valley View Plat 1 Lot 3 eik Z Parcel 10 81400 030 02 owner,i?•i .LOu:Jc;), Street 2861 Highridge Terrace State Eagan, N,N 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR, pgvlri 1962 r735. 00 $73 .50 10 ? GRADING OSAN SEW TRUNK 1968 $100. 00 $3. 33 30 PAID - - S 9c SEWER LATERAL I970 20 WATERMAIN *16WATER LATERAL 1970 $2510. 00 125. 50 20 PAID ? WATER AREA 1970 20 STORM SEW TRK S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. #3508 2684 1-75 SAC 200.00 1418 5-15-159 PARK T INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?Eagan, Minnesota 55122-1897 Date Issued: ? (651) 651-4675 SITE ADDRESS: APPLICANT: , ? t)FiC I 1 ic PERMIT SUBTYPE: TYPE OF WORK: ' ql ! 11I.IC 1 ff_Fl i,t Mtlll INSPECTION .• • D. I : 4 fi I F L I'' 1A!+i K F V 1 F' Wi- 1) HY ft ! 1! A! 7 A M at!''Art Alt" F'i N.h11 f I?1:!,tiU1 i-f l? I CRi 1 44'i :'840 itF, lif1FxI11Mtii t- l 7 I ?.. -3 3y-?) Permlt Holder Date Telephone # SEWER! WATER PLUMBI HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ?4- PLBG AIR TEST /.G??N, 9?' ?. ROUGH HEATING GAS SVC TE5T INSUL Q•IS•?B ? ? ? ? , GYPBOARD . FIREPLACE rc Z ? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLU5H MAINS CONDUCTIVITY TEST HYDROSTATIC TEST ' BSMT R.I. BSMT FINAL DECK FfG [DECK FINAL 7 ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 08 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 .. r.S . SITE ADDRESS: APPUCANT: :, I „ E i,i :, 1 0 14 !!r?; . Vli11 FY 1.:'1; 41 t'I ?'i1f Alf r I ?>1,'1 4 i.' If PERMIT SUBTYPE: TYPE OF WORK: ? , , ; , . r? t t•? . I ;! ,,,l ,• !.l i NUCI{J/PA i' I O cInOR FOni iNib', I I I f rrlnl Permit No. Permit Molder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOl1NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL - - - ' -- - QECK FTG / I DEC!: ? I': ',L i .8?L?4lo ?i ' l?f? ? PERMIT N0. ' WORK ORDER r ZUea?eP ;vBum&wq 8c q"tiwg. #70rc, 1955 SNAWNEE ROAD 9 Si. PAUI, MINN. 55111 Uate of Work Order Htg. _ Rough-in _ i Customer's Name Plbg. _ Finish - . i Address A- ' e? Repair _ City ? Water _ MATERIALS- ??NV d 14,/ ;?s9? ? WORKMAN'S SIGNATURE DATE MOURS OF WOPK CUSTOMER'S SIGNATt1flE EAGAN °TOiIVN S H I P BUILDING PERMIT Ownex ...... ... ? ?.------------ _..-.. .-/..?.--?--?--'-- Address (Preseni) ......_.`?.rf_..?"..l , U ._--------.. Builder ._.........- _.._... - -?? ? .......... ... Addsess '------'----"------'------'---.....---"-'-'------------'_.'--'-'-°---------- DESCAIPTION N° 1400 Eagan Township Town Hall Date _. . z?... -?S ?-.....b k .................... - 5fories To Be Used For Fronf Depih Heighi Es1. Cosf Permii Fee Remaxks LOCATION Sireef, Aoad os oihex Descriaiion of Locafion I Lo! I 81ock I Addifion or Tzacf 0, v l / • This permit does not avihorize the use of sfreels, roads, alleps or sidewalks nor does it give the ownar or bis ageni the rightio create enp siluafion which is a nuisanee or which presenfs a haaard to the health, safety, convenience and general welfare !o enpone in the communify. ? THIS PEAMIT MUST BE PT ONT'H?E ?PREMISE WHILE THE WORK IS IN PROGAESS. Thfs is !o cerlify. Yhal. '_.."_._. ..._.-------------------------- has permission fo ereet a...'•. " ?...upon the above described premise su jec! 3o the provisions of the Building Ordinance for a?g ?Tow ahAf ip adopfed April ll, 1955. ? ? ..'•---'°-'---'-.•'------°--- " ...............__v.............................. Per . . 4. ---.?.--'-'-"'-"--"...-"_'......_. hairman of Tnwn Boazd Building Inspeclor ????? ???? ? ? ? ? oWna: Address (presen!) Suilder Address ..............----.......-°•'---...... Nc 12'7 Eagan Township Town Hall Dale,e? V " ---f,?-..???--... 5fories To Se Used For I Fron1 Deplh Heighi Esf. CosS Permi! Fee Remarks ? ,???? I ? ?? ?' rf?DD ? ,?/-? or BUILDIii4G PERP?9IT LOCATION d? I ? or This perm does noi auffiariKe ihe use of sfreeis, xaads, alleps or sidewelks nor does i! qi?/e She owner or his agenl !he righ!!o reafe anp siluafion whieh is a nuisance or which presents a hasard !o fhe healih, safefy, convenienae and general welfare fo anyone in !he communify. THIS PERMIT MUST 8 ??rp? ON PREMISE WIiILE THE WORK IS IN PROGRE?jg?7 This is fo cerlifY. =ha 1???'?s?L?.??L.?.--------.-------has permission !o erec! a.......'<C?`. -- -' --- -----.....---'--------"_upon !he above dtscribe ;emise sub'ecf ihe provisions of ihe Building Ordinanee for Eagan Tow ip adopled April 11, 1955. ' ? , _"'-.......---......-- -?.------ ?.. . .. .----.. Per ............---...-------'------ ................g....-`p-"----.............--....... Chairman of own???y? Buildin Ins ecios 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleasc complete for: single Family dwellings & townhomes/condos when permits aze required for each unit 3D _F9 Date ? / 3 ? / ??l J?? Site Address (3 aJ I f--E) q h Unit # PropertyOwner Telephone#(bi Q US/9 Contractor (J / Street Address r?(? s City State Zip ?5S ?p0 Telephone# ( ?2j) Bond Expires: The Applicant is _ Owner Contractor _ Other Add-on ar alteration to existing dwelling uoit $ 30.00 furnace _Additional _Replacement air exchanger ?? air conditioner _New q:ze-placement other State Surcharge $ .50 Total $ ?? v [ hereby apply for a Residential Mechanical Permit and acknowledge th be 'n conformance with the ordinance s and codes of the City of Eagan permi . but only an application for a permit, and work is not to start d ap r ed plan in the cf rk hich rb?es? a review and approval ApplicanYs Printed Name the i formation is complete and accurate; that the work wil] i the Mechanical Codes; that 1 understand this is not a ?o?i t a permit; that theywork will A in accprdanFe with the Applicant's Signature f i ftl1 f?i JUL ]: 4 ?pO5 ? ? 'Y-- -- - ' _ _-- -? 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ptease complete for. commercial/industrial buildings multi•family buildings when separa[e permits are no[ rcquired for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Cootractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature ofWork: **When insialling/removing underground tank, ca!l for inspectlon by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/mmoval S50.50 Minimum (includes State Surcharge) or Conhact Value $ x 1% _ $ Peanit Fee • If ep rmit fee is $1,000 or less, add $50 => $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector ` C17Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-11897 (612) 681-4675 PERMIT PERMITTYPE: guzLorNG Permit Number: 0 2 8 0 2 8 Date Issued: 0 6/ 2 5/ 9 6 SITE ADDRESS: P.I.N.: 10-81400-030-02 DESCRIPTION: 2861 HI6HRIDGE TER LOT: 3 BLOCK: 2 VALLEY VIEW PLATEAU & WINDOW/PATIq DOOR 4uiYdiitq Permit Type DECK BuzldingWork Type NEW Census Code';? 434 ALT. ,_.. ? j RESIDENTTAL REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: ARLING7pN HOMES 14551 COUNTY BURNSVILLE (612) 432-9725 - Applicant - 37. LI 14329725 000320 ROAO 11 MN 55337 OWNER: PARKER JERRY 2861 HIGHRIDGE TER EAGAN MN (612)454-1947 i I hereby acknowSedge that I have read?'this information is-correct and agree to comply Statutes and City nf Eagan Orclinances`. L APPLICA /PERMITEE SIGNATURE applicati.on avrid state ttrat the with all applicable State ofi Mn, ? qs-suEbv? siG DT /? I ?,?- CITY OF EAGAN 3830 PILaT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 regislered site surveys ? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? 1 energy calculattons ? 3 topies of tree preservatio plan if lot plaNed aRer 711/93 requlred: Yes No / Remodel/Reoa(r Reauirements ? 2 copies o( plan ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculations for heated edditions P'-7,11 O? DATE: i- / 9 ? . CONSTRUCTION COST: DESCRIPTION OF WORK:? i u 14- qs - S'a lo? STREET ADDRESS: LOT ? BLOCK C3l- ? SUBD.lP.I.D. #: ?° 9 7 PROPERTY Name: ?T Phone #: OWNER ' usT Street Ad dress: City: ?--?- State: 14-y-I Zip: ? ? coNTRncTOR Company: Phone # : - Street Address: ?Fl/ License #: 3 z ? ? ? ?e City: ti State: ? Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registrati on #, ? Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is Issued. Penalty applies when address change and lat I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with ag applicable State of Minnesota Statutes and City of Eagan Ordinances. b`` Signature of Applicant: ,-Yo OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ?15 Deck WORK TYPE ?31 New ? 33 Alterations ? 36 Move o. 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowa6le) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3Y Depth Footprint sq. ft. SAC Code a/ Census Bidg ? Census Unit ° APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S1W Surcharge Treatment PI. Road Unit Park Ded. Treiis Ded. Other Copies Totai: Valuation: $ % SAC SAC Units w , o (? .. ? _ d#b 0 ? w 1 `? . ? _.L.?•' w - , , 1?2,5 13 2.5' 13Z.5' ? --Buildin9 yttback l-irte- 04 Ufiilit . Id EvJ /a x/6 po).o 4, 6Y='? ? I 1tl ? Ea s ? cn ent ? - N ? o - -4 32.5' - -- ` - -- - ----? ? : ? , ?. ? 00 ? op 30- _ ? __- / ? 0 ? ? ? ' O tAn'/ ? ? ? ,? _ MiX:K:"t;'.1:;'tNYFnC??fiW::<i(?kmYF:'?::?:x;"?M;?>(•.F°;4?y:'R?Yf Y:3;: ??nY,C)?:?1( CITY O;= F::AE_AN ("A.`:ifH:i:er:, :3 ri.r;MsNai._ "!ou 783 DFl'TEa 1.:1./05i98 rIMr:::; 0:45W zc,- r!nMr::,! r,:o!..iraN i...! NTH :tNr:: 3210 9O?.?:!. 286i H:[L;I-IR:f..i.?rF 224 „i`:i 3422 9001 2f;6:. I-ISG,ifiTD(:;[= iA6,09 ;i'.:I.[Sr; 9001 2E361 FI:f.G4•IIC:I:nGLi 7„50 3430 9001 2861 11:[f:;:?R:i.C!i);E 0,.50 T{]I.:a'I. i?r.,i:'ei.pF, Afid]tan'F,:; 370,8q. CF't:1399.:'3 USF.::fi :I:Ba NF:i*!CV " CITY OF EAGAN 3830 Pilot Knob Road Eagan,-Minnesota 55122-1897 ?651) 681-4675 SITE ADDRESS: P.T.N.: 10-81400-030--02 DESCRIPTION: zNr.LuoES hzrcw kertoo Building',Permit Type SF ADDTTION BUilding Wbrk Type NEW Census Code ? 434 ALT. RESTDENTIAL ? 1. ??? = C r ? J i ,..? _. ,. . . . . . .s ... .. .. . - /: ?.._. REMARKS: PLAN REVTEWED BY BTL1 ADAMS. SEPARATE PERMIT FtEQUIRED FOR ANY PLUMBING WORK. CALL 445-2_8_40 RkGARD7NG ELF.CTRSCAL PERMTT ANO INSPECTIONS. FEE SUMMARY: VALUN7ION $15,000 Base Fee $224.75 Cf7PIF5 .50 .?.?---- P.Lan Rev.iew $146.09 Total Fee $378.84 Surcharge _ _ _t7.50 Subtotal $378.34 CONTRACTOR: - appl.icant - sr. Lzc. OWNER: STONEWOCID DEVEL(JPMENT 1.8376267 20077437 PflRKER JERRY 4901 WEST 77Th1 STREET 2861 HIGHftIUGE T[R C,DINA MN 55435 EAGAN i"IN 55123 (612) 837-6267 (551)688-91.91 I hereby acknowledge that I have read this applicatian and state that the infinrmation is carrect and eqrea to comply with all appli.cable State of Mn. StatuCes and City o'P Eagan Ordi.nanr,es. ? " I?t?J / ? APPLI NT/PER ITEE SIGNATURE I ED BV: SIGNATU PERMIT PERMITTYPE: Bu,r.LozNG PermitNumber: 033931 Date Issued: 11 / 0 5 19 S 2861 HIGMr2ID6E 'TER LOT: 3 BLOCK: 2 VALLFY VIEW PLA7FAU J 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ` ' - CI1'Y OF EAGAN 3830 PII.OT KNOB RD - 55122 r? -36) 3 esi-4e75 New ConstruGion Reauirements I RemodeVReoair Reauirements ? 3 registered sde surveys • 2 covtes of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 7 energy wleulations ? 3 copies of tree preservation plan 'rf lot platted after 711193 required: Yes No DATE: `? ? ? 2 wpies of plan ? 2 sita suneys (aMerior addkions 8 decks) ? 1 eneigy calwiations for heated additiona CONSTRUCTION COST; ?56 l D° 0 ? DESCRIPTION OF WORK: STREET ADDRESS:,-,???6 ! ?5 t. LOT: -' BLOCK: SUBD./P.I.D. #: ? Name: 'LE? C R-?? Phone #: PROPERTY Lazt .h First OWNER StreetAddress: Ciry State: Zip: Company:??/l ??vd ,(IE?JC(6pM??'l ? 3'hone #: CONTRACTOR 3/,? ? q`? Street Address: 7 7?-? d't License # p?L 0 L 7??J' 7 City / i1f.4 State: /rIAt' Zip: ARCHITECT/ ENGINEER Company: Phone N: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVFiD Certificates of Survey Received Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required $Y: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex D 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ?31 New ? 33 Afterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building -9-z- Engineering Variance Permit Fee "?j Surcharge Plan Review Oq License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies .50 rocai: 3-1g•?s`f Valuation: $ 4.?Ood 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump 7 Census Code. SAC Code Census Bldg Census Unit • .,, . , .? % sa,c SAC Units , B L, s q 1; Xf`?1?d4 LL, 30, ? tv --- ;, , ? Ut a ? t m?. = v ? ? ? ?? ? c tn ent ? ? ?- . 0 0 13 2-g, 132a5'° I 141 Z, 5' T I 5,jfib4cjG L?ne 04 ? .4 3 Zi?? ? 0 ? ra 7p V9 ' . co ? ? ? ioa, ? ? , . ? .. ° ,?-- ? ? ? ? CITY USE ONLY p L ? BL ? RECEIPT#: ?OOlp6b SUBD7 RECEIPTDATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, tMI 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x _ Bath Tub 3.00 x _ Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - i 3.00 x = Rough Openings 1.50 x = Water Softener " for dwellings under construdion 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Spfinklef ' for dwelling under const. 3.00 = U.G.Spfinklef `tarexistingdwelling 20.00 = _? a Altefatlon5 ` to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private DiSposal System5'Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .500 TOTAL ---- --- -- --- ---------- --- ------------------ --------------------- ---------------------------------- --- -------------- -- --- •- ----- --------- I hereby acknawledge that I have read this appliwtion, sGte that the informaGon is cortect, and agree M compty with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages wused by the City during its nortnal operational and maintenance ac[ivkies to the facilRies wnstructed under this permk within City properly/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: IJ-e_ft L? £d„(/ 01-640,60t TELEPHONE #: LI?_/ -?7 V y ? STREET ADDRESS: ? 6igC €.OSJ- 2 Q O_4 ? CITY: ll.Gp s*.t i STATE: .ll/A44f ZI P: ? Q PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998 EAGtiN TOIdNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEF7ER SERVICE CONNECTION DATE• ]v?v 15. 1969 OWNER•_ Gary Ravlin PLUMBERWenzel Plumbing & Heating IVIIMBER 399 Address2861 Highridge Terrace 3-pZ J V,T", TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrialj Commerciall Residential I Multiple Dwelling I No, of units % Location of Connections: Connection Charge 200.00 pd Account Deposit Permit Fee 7•50 Pd• Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tot7nship, Dalcota County, Minnesota By enze g ea g o, 1 Q55 Shaum oa 17nisr al,?'}_ Pa iil 55111 Please notify when ready for inspection and connection and before any poxtion of the work is covered. RESIDENTIAL SUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 C? '?((?(43 New ConstruIXbn Reauirements RemodellReoair Reauirements Office Use Onlv 3 regisiered site surveys shmving sq. ft. of lot, sq. ft. oi house; and all roofed areas 2 copies of plan Ced of Survey Recd (20% maximum lot coverage allovrey) 1 set of Energy Calcula6ons for heated addPoons Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured fouM desigq etc. 1 site survey for additions & decks Tree Pres Not Reqd i set of Energy Calculations Addmon - indicete Hon-sife sepfk sysfem _ On-site Septlc System 3 copies of Tree Preservation Plan if IM platted after 7/1193 Rim Joist Detail OpUons selec6on sheet (bldgs with 3 or less uniLs Date ( / _23L Cons[ruction Cost .5CC Site Address i UniUSte # Description of Work H00_"15 JQDDITI('J/d ? X/L'+ ?(?CA- Multi-Family Bldg _ YX N Fireplace(s) _ 0 'i? 1 _ 2 Property Owner /hf FCE A.tv'SG^) Telephone #( 651) 14S9 •8319 Contractor LERN'/ C&VSTk.LC77da Address .56( AnJp fFv`E SOtITH City 54. ST A911L State r}91Nn1 Zip ,5667$ Telephone #( Co${) 306• 97Y6 G &51 ZW-9_-dz1 COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (V submission type) Licensed Plumber Mechanical Contractor Sewer/Woter Contractor - Minnesota Rules 7670 Cateeorv I _ . Residential Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculafions Submitted il.?ls"` ??VII ? ;? . . Telph e? ..;„.__. ??? J i ,BY --- Minnesota Rules 7672 • New Energy Code Worksheet Submitted #( #( #( I hereby apply for a Residential Building Pernut 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; T derstand is is not a permit, but only an application for a permit, and work is not to start without a permit; tt?at e worw' 1 be in accordance with the approved plan in the case of work which requires a review azid OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF ?welling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 ot_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 tdew ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation ? ?G ?' Census Code ?.?? ?1 ? SAC Units - Nbr. of Units -" Nbr. of Bldgs ?' Type of Const _ ? ?L ? 30 Accessory Bldg ? 31 Ext. Alt - Multi O 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Vni Improvement D 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ' ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire BIdB) - Give PCA handout to applicant Occupancy / -3 MC/ESSystem - 2oning / - ! City Water ? Stories ?. Booster Pump - Sq. Ft. 3 ?`?' PRV Length /? FireSprinklered ? Width ? ? _ Footings (new bldg) Footings(deck) ? Footings(addition) ? Foundation 1? Drain Tile Roof ? Ice & Water ? Final ,? Framing ? Fireplace ?- RI. ?'Air Test ? Final ? Insularion REQUIRED INSPECTIONS _ FinaUC.O. ? Fival/No C.O. Plumbing ,? H VAC Other _ Paol _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Gity SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ---------- /.?" ?'.c?i, 3&?lC? Building Inspector ?? ? ?<'°"? ?3 s?r 3?`?'? ? l3 a ? ?iLw,?? i? /NG?ni? b?G.. ?.c? v ?D ? ?? % ?Go ?-C?+a ? 3?33C ? .?? . .?a Jub Si[c Addrcss: "CATEGORY 1" ALTERNATE FOR ONE & TWO FAMILY DWELLINGS 41 city oF eaqc INSTRC'C"TIONS: This 3Iternarive may be used for ona and two-family dwellings buiit ro maet the Gtegory I requiremenct of >linnesoca Rules. Chaprer 7670. Compleee Parts A, B. and C. Clesrlv mark plans wi[h: insulatiun R-values; «'indow and skylight [J_ valuas; size and rype ot aquioment aquipment convals; and location oF vapor retarder and wind«'ash barriea. More detailed inCurtnadon tan oe tound in [ht .Llinnuota Enelqy Codr summary shaets availablt :rom the Nlinnesota Depaiv:ten[ of Commerce. Part A. BUILDING ENVELOPE _ _ _ Check pmposed rnvelopejoint sealing opdoe 4? Preseap6ve (eaulldng, gsskers, eec.) .. ? Pa:tomwnce (:esc per 7670.0470 wbp. 7.CJ Check rhermal rnergy caiailadon apHon used 4 , "Caokbaok" (eampte» woekshac befow) O N[nCheck mc;t:od (utuh roport) . O$` Perforsnance (auazh f1-value dculations) ? Sysmmt Analysis medwd (azraeh analysis) "=Cookbook's Worksheet LNs-.-accnous - S:ep L Check item(s) ;hat desip mtes on Sfirtimum Requirementr lis[ [o ;he ighc Miuc mr_: all icrms :o iue "Cookbook" oprioa Sc:p =. Indica:e preposed wall tipe an rablr 6e:ow. S::p i. Lldica;a R'ir.Cow C-calce arid soarc:. S.ep 4. Ver.^: :oui winCow i inc!uding area oi .ilI `ouadation windows) and deor area is eqi:al or !ess [han allowabie percentage. Maximcm Allowabk ToW Window and Door.3icea az a?:rceao¢eofE.mouCw'aIl I?% 11°/a 16% 18% 20% "% 24°/a 26% - 28% Witl T? a(Scv:dard Fnmin¢): MaCimwa averaae Window U-vatn: (e:cc:ot foundation wiedows): Z) '_Cl. R-13 ir.>ulation, R•- ;heathin 0.55 0.47 0.41 0.36 0.33 0.30 0.1-7 025 0.23 7 2s1, R-!5 iasclanen. R-: shea[hin 0.52 0.45 039 0.35 1 0.31 1 0?3 0.26 014 022 2z6.Ra9_insulanon, <R-i >head5in 0.48 0.41 0.36 I 0.32 ?9 I 0.?6 01i O.L' 0.21 ] Zx6. R-l9 insulaaoa R-i sheachin 0.56 0.48 0.13 0.37 031 031 0.28 0?6 024 J ?z.R-?Iinsulatioa<R•isheatbin 0.51 0.47 0.35 03-1 0.30 0.38 015 0.23 0.22 ? 2x5, R-21 'vuulauoa R•5 shnthin 0.58 0.50 0.34 0.39 0.35 032 0.29 027 0.25 - Wail T Advanced Fraafin¢ : Maximt? Aver"c Window U-value exe t foundatiou windows): O W. R-19 insularioa <R-5 sAeathin 0.32 0.43 039 OJS 031 038 0.26 024 022 ? 2x6, R-19 insulauoa R-S shathio 0.38 0.50 0.4t 0.39 0.35 0.72 0Z9 017 073 : ? 2z6. R-21 insularion, <R-S sheathin 0.55 0.47 0.41 0.36 0.33 030 0.27 015 0.23 . 0 2r6, R•2l iasuladon, R•5 sheathia 0.60 0J2 0.46 0.41 0.76 0.13 030 028 026 ' Window Cf_value .w ) Snutee: O YFR C 0 ASF?tAE I993 Haidbook EO NfIYL?1L1f REQUIItEJfEYi'S (for "Cookbook" o don Ool ) Insuluion: S[inimum R•33 wi[h 7h" energy heei; ar m Ra-i wiLh low r.us heel; or m R-i9 with R•_ sheaehin¢ •?heo no a¢ic. oors: Mar. Li-value ot 0.:0 oc t':" soGd wood wich stoim Rim 7ois: [nsulacion: NGnimum R-I9 Zi Floors ovcr mcondicior.ed soar.s: Nfini.acr R-21 Vry &, Fou:daoon [nscla;icn: >Gnimum R•10 Fa:nCaaon winCows: insula[eG ¢!ass. wood or vinvt tnme T.ABLE FOR DETERNfI\EiG M1LkX1[ti.Nt WINDOW A.YD DOOR AREA I-E=Mt=s? 100X?_?= <! •J7% window & door uea pss aposed wall uci DESIGN /?r ALLOWABLE (Cram rable a6ave) M/NNESOTA ENERGY CODF - WHICH RULES MAY I USE ? TYPE OF RESIDE.Y17.aL BUILDING APPLICABLE RULES Detaehed R-3 oceupaory 1• and 2-f2mlly dwelllnef C}upra 7672; ar .. Eaun les: sin le funil , nvin homes, du lexa ChiM 7670 "Cate o t" +'ith sp[uW de «ssurizirion 3nd ventilauan requirements Attaehed R•] xeupancy dwel6n;s Chapttt 7674; or Esam ia: Qi lex rownhouus and row houus Chapter 7670 with eirher "Cate¢arv I" or "Catc orv ?" rovisions R•1 xeapaaer bulidloQf of Jstorid or Inf CNaptn 7670; or . Examples: tondominiums ot uanenn Chapter 7670 with either "Ca[e orv l" or "Cate o 2" rovisions R-1 xeopaocy buildlnp over 3storla dlQ6 Chapmr 7676 . E<yn la: hi rix condos or a enn ?.d . --1 •--- • I • - • - --I fl E5?-3?-9h ?,_--•--- ,,..._7/n 3 ?_,__ 15! ?93Z Num 1 Summary of April 15, 2000 Cnergy Code 12cquircmcnts for Dctaclied 1&2 Iiamily Rcsidcntial 1311ildings I i-uae reqwremem I Upuoa a- cnapier 76711 category I as amended by Laws of MN 2000 Ch. 407 1 Oplion li - Minnesota Rules Ch•rpler 7672 1. eterials ment Plans and s ecifications s and specificaliona must show design crileria, rxierior envelope i i l U Same excepl with adJitional required items: location ul' intrrior air baaier p 7 ponen maler a s. -values of the envelope systenu, It-vahtes of insulaling etials size and rype of apparalus and e ui ment and e ui t d , vapor relarder, and wind w•rsh barrier, idenlilicatiou o(air sraling requireJ; , q p , q pmen an U-values of windows, doors and skylig6ts and oiher inCormation needcd to systents conhols. detemiine com liance (such as re uircd vrniilaiion s sirm & makau air). 2. Foundation wa ll Insulalion Cookbook requircs R-10. Trade off pennitted with MNcheck. Cookbook has options fur R-5, R-I0, or R-19. TiaJt•off pemiitled with MNcheck but not less ihan R-5 Pra[ection of Exlerior iiisulation from rop of foundalion wall to 6" beluw graJe must be . Same. exterior insulation rotected a ainst UV and h sical abuse. Protection of inlerior Moisture bartier rcquired behvern insutetion and foimdaliai wall liom Iloor to Same insulalion rade. . 3. m/band oist s R-value Cookbook o tion re uires R-19. Tnde o(f emiiued with MNcheck. ' Cookbook o tion re uires It-10. Trade off emiitted widi MN h k Va r rctarder Re uired on rim oists susce tible to condensntion from moismro diffiision c ec . Warm side va or raarder re uired Interior air baaier Rim 'oist r uired lo be sealed to revent sir leaka e. . Same Exterior wind wash Not addressed. . Exterior wind wasli barrier required bartier . 4. ramin General Framing options indude 2 x 4 or 2 x 6 walls, and otlier framing options such Same. as lo walls analized walls insulated masonr walls and others. Attic ceilin ftamiji Wall traming: Not addressed. Nole: wind wash roleclion reuired al auic ed ge. Eaterior wall corners and intersections of intcrior partiiiun walls wiili Minimum 6" heel lruss from uutside ed e of lo i late to rouf sheathiu . & i Exterior and interior extorior walls are not addressed. Exteriorjoints in ihe 6uilding Illut may Ue xter or wall comers and imersectiuns of interior paniiion walls wiih extcriar walls are fremed so Ihat insulation can be installed afler the sourcu of air leakage must be sealed. exterior sheething is inslallad. W6enever inleriur framing mecls an insulaud ceiling or exterior wull, a conlinuous interior air barrier must 6e installed. Vaulled ceiling Cookbook option requires R-38 between Gaming plus It-5 sheathing. Cwkbook option requires R-38 betwttn Gaming, no insulaced shcathing re uired. Anic access panels Not eddrnssed. K-38 for ceiling panels and R-19 for wall panels, and must be weather- stri d. Floon over Recommend R-30. Mnximum U-0.033 or minimum R-30 specified (uaJa-off may not be less unheated s ces strin ent that these valuea . Window thertnal Rating must be Netionel Fenestration Raling Comtcil (NfRC) or AStIRAIi 2ating must be NFRC or defaull table in ihe code. Windows must be rfomunce Hendbook of Fundemenlals. No meximum U-value. labeled. Meximum avera e U-value for windows is 037. Pagt 1 Of 4-- SoUrce of Summary: Mimlesola Department of Conmierce Energy Information Ccnter 65 1-29G-5175 or 800-657-3710, www.commercasmle.mn.us. 4/00 -• ?',1 r ?+- • - ? .- p A J • ??? ? s ? ?ram n9 E ? Y XlSTi?.! 0$ ?s ?itbc?ck L? ne LT ?._ Utt : --_..nt2,??. ?Qh.Ar9u?EIi? A ? \ `Q_ N Ea 5 cm . am!.---. -. _ ? ---'? c ? I S??. 6?r^r3?- ? I C?' rcV- iLjir,!5- HV?scJ 2S&! 141GmQlDW ? : ? ?t o, 0 co ? ? • U 0 ^4 Co 7aV9 6 9 ? \ d? No No KRECH, O'BRIEN, MUELLER 8c WASS, INC. 6115 Cahill A v e n u e ¦ Inver Grove Heights ¦ M i n n e s o t a 55076 651.451 4605- ¦ fax 651 451.0917 ¦ komwQkomw.com • wwiv.komov.cam 10/29/2003 Roy Cerny Cemy Construction 501 2"d Avenue South Soudi St. Paul, MN 55076 Re: Mike and Toni Hanson Residence Dear Mr. Cerny, At your request, this office has structurally reviewed the ridge beam for the addition Yo the above residence. In order to obtain a I,/360 deflection criteria you would need to add 2-1/3/4 x 71/4 LVL's beneath the existing 12" LVL's. Provide a beam hanger each end and a 2x4 cleat at each rafter or metal connection plates at 24" o.c. to keep the 71/4 LVL's aligned beneath the 12" LVL's. The information and opinions contained herein are based upon the limited investigation described at the beginning of this report. No warranties are expressed or impiied regazding the existence of other unknown conditions not specifically addressed. Our work is in accordance with generally accepted engineering standards and is not intended to be relied upon or transferred to individuals other than the addressee. Should information or conditions become known which differ from the discussion herein, they may alter the opinions ar conclusions of the undersigned. If you should have any questions or require further information, please call. Sincerely: James H. Krech, P.E. Krech, O'Brien, Mueller & Wass, Inc. Enc. Architecture • Structural Engineering • Interior' D.esign PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit ($.S-0 _ 5?) Date 1? / I5 / U-3 Site Address a<K 14 ?h r• )? r ? t?r?t e Unit # Property Owner Telephone # Contractor L`?-T'?TH Address City State Zip Telephone # ( ) The Applicaot is 4zowner _ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alter [i ns To Existing Dwelling Unit, Including ? $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and waler heater _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed -$12 1. 00) 1 ` ? Other. ?i) fl.?,rcv m t3 C',d? _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? . \ I S I 1 _ Water sof[eoer _ Water heater Sr'? ? J ':uu^ $ 15 00 i . i? --I _ replacement _ addiiional State Surcharge $ 50 Total $ - ?'Lo s? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;h work ill be in accordance with the approved plan in the case of work which requires a review and approval tans. 1/? ? ??2? ?T?nSr? Applicant's Printed Name pli e 2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN $ 30, 60 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. singie family dwellings & townhomes/condos when permits are required for each unit JaeL ?51 ?39? Date Wu?,?,'?e,sr Site Address ZolQ7 (q Unit # '? N SS/?-I ` \\ c Property Owner fY\ ? C?c?3 1 ?ci?V'? S d"hone #( 2J l) (0(00 ?(04-S Contractor Street Address 114 r?+~ S-4- vV City State Zip Telephone# (Uc rj/ ) 32.z-a9Z.F`i Bond Expires: The Applicant is _ Owner ? Con[ractor _ Other Add-on or aiteration ro existing dwelling unit $ 30.00 l t ? f Additi l R New acemen urnace _ ona _ ep _ air exchanger air conditioner heat pump other State Surcharge $ 50 T t l $ 3a•sd o a I hereby apply for a Residential Mechanical Permit and acknowledge that the informa[ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1 T?n- Lsc_ M. A-e_S'\ C' S , L? Or? Applicant's Printed Name App icant's Signature 2006 COMMERCIAL MECHANICAL rExMiT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comptete for, commercia]/indus[rial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address " Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢I'mlf F¢es: $70.50 Underground tank installatioNremoval $50.50 Minimum (includes State Surcharge) or ContractValue $ x 1% _ $ PermitFee $ State Surcharge If pe rmit fee is less than $1,000, add $.50 If eo rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanica] Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanicat Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanPs Signamre Approved By: , Inspector Da[e: Required Inspections: - U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Fina] City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2861 Highridge Ter Lot: 3 Block: 2 Addition: Valley View Plateau PID:10- 81400 - 030 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Michael W Hanson 2861 Highridge Ter Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 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 Building EA090933 08/31/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA122241 Date Issued:05/01/2014 Permit Category:ePermit Site Address: 2861 Highridge Ter Lot:3 Block: 2 Addition: Valley View Plateau PID:10-81400-02-030 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 by law in ALL single family homes . 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 - Michael W Hanson 2861 Highridge Ter Eagan MN 55121 (763) 843-3907 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN U 2 1016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �� 1 b ' i yyy (�(� Site .A+dd�ress'. % �, �, ^ ,� I �a�,�� /� 11► �� ,�� Tenant: Svc_ 11 &)A �l. !i'ex Vj Name: L 1\k\-( \\-( Address / City / Zip: Phone: Suite #: Name: Hilbert Company Inc dba Culligan Water-Licen a 14 C6413 76 #: Address: 1..01 50th St East Stater Mn Zip: 55077 Phone: 651-451-2241 Contact: William R Milbert City: Inver Grove Hgts.. Email: _ New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New __Abandonment RESIDENTIAL FEES: XWater Softener Add Plumbing Fixttrlres ( Main / Lower Level) Water Tumaround $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Tumaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and 55.00 State Surcharge) / J� TOTAL FEES $ t00 , D O CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig' to receive locates of underground utilities. www.aopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that th work will be in accordance with the approved plan in, the case of work which requires a review and apprcaval of plans. t/Vt Applicant's Printed Narhe ri 474- 6 Applicant's Signature DEPARTMENT OF H EA.i a Er Protecting, Maintaining and Improving the Health of All Minnesotans August 1, 2018 City of Eagan Attention: Planning and Zoning 3830 Pilot Knob Rd Eagan, MN 55122-1810 City of Eagan: AUG 0 6 2018 The Minnesota Department of Health in consultation with the League of Minnesota Cities and the Minnesota Association of Townships, has agreed to notify local government officials when a Housing with Services Establishment subject to Minnesota Statutes 144D has been registered by the Minnesota Department of Health. This notice is to inform you that the establishment listed below has been registered at an address located in your community. SERENDIPITOUS LIVING 2861 HIGHRIDGE TERRACE EAGAN, MN 55121 Phone # (651)340-8950 This notice does not require any action by your local unit of government, nor does it create a right of the local unit to intervene in the registration process of the establishment. It is being provided as a courtesy only. Because the above named establishment may provide services to residents who would need special assistance in the event of an emergency, you may wish to notify the emergency service providers for your city or town that this establishment is now located in your community. A list of currently registered Housing with Services Establishments may be accessed on the Minnesota Department of Health website, through the following link: http://www.health.state.m n.us/divs/fpc/di rectory/providerselect.cfm Additional information about Housing with Services registration may be accessed through the following link: http://www.health.state.mn.us/divs/fpc/profinfo/Iic/lichws.htm If you have any questions about this notice, please contact (651)201-4101. Other questions should be directed to your local government association or legal advisor. Thank you for your attention to this matter. Sincerely, Shellae Dietrich Supervisor, Program Assurance Unit An equal opportunity employer. PERMIT City of Eagan Permit Type:Building Permit Number:EA170750 Date Issued:07/15/2021 Permit Category:ePermit Site Address: 2861 Highridge Ter Lot:3 Block: 2 Addition: Valley View Plateau PID:10-81400-02-030 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Michael W & Toni R Hanson 2861 Highridge Terr Saint Paul MN 55121--110 All Metro Construction Services Inc PO Box 490579 Blaine MN 55449 (763) 789-4788 Applicant/Permitee: Signature Issued By: Signature