2892 Highridge Ter
Use BLUE or BLACK Ink
i
Eajan I Penrat M
City V1 I Permit Fee: 90s 0
0 t
€
3830 Pilot Knob Road j s
Eagan MN 65122 I Date Received: 1
Phone: (657) 675-5675 i stafF I
Fax: (661) 675-5684
2 011 RESIDENTIAL BUILDING PERMIT APPLICATION
~4va t-,5 9 V -Pt .1
Date: 1 r site Address: t t mo d : `T" r _ Unit
Name: A_A1V A2 9 A441Phone.' r
RESIDENT I
OWNER Address-, I City 1 Zip: fo
Applicant is: Ovm•ter Contractor ) ~Z)
TYPE= OF WORK Description of work: rh
Construction Cost: Multi-Family Building: (Yes _ I No
Gamparty: %.3:~7 t 1-.%('" CarttasrCy"~t tz•9 Ui7"
CONTRACTOR Address: f city: ~ v'i L
State_ Zip: Phone:
License ~ 1 Lead Cert€fidate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lost 12 months, has the City of Fagan issued a permit for a sim€lar plan based on a master plan?
Yes •_,,,,No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor- Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting dooum nts that you -submit are t:onsWrid to be public 1hfarnm6fl6a, Portions of
the Information may bit classfied'as non-pu'bllc If you provide speck reasons diet would permit the City to
condlude th6t the are trade secrets. .
CALL I8EFQRE YQU DIG. Call Gopher Surte One Call at (689) 454-0002 for protection against underground utility damage.
11 48 hours before you intend to dig to receive locates of underground u ~ 'ties--nvavad c erstateonecalf.o
I hereby acknowtQdge that this information is complete and accurate; that work wig ne in oanformartce ! the ordinances and of the City of
Eagan; that I understand this is not a permit, but only an applioatiorl for a nrtlt, and work Is not to st th ut a permit; that the rk will be in
acGardarrc~ with the approved plan in the case of work wttich requires a rem nd approval of plans.
X r7GlU; _ 1 ~x
Appitcartt'e Print Na o Applleant ature
Page 9 of 3
. - ?--?
W,ertificate of Cccupanc?
Witv of Wagan
Tcpartraeut oi 13xilbiug 3nf3pcctiun
This Certifcate issued purseuint to the requirerrrents of 1he Uniform Bui(ding Code
certifying that at the trme of issuance this structure was in campliance wrth the various
ordinances of the City regulating building corutruction or use. For the following:
Use Qsssification: SF M Blda. Permit No. 28777
oa„p-y Tya R3/U 1 zouiog oisn;a R 1 Typc c«". VN
OwnerofBuildi.g ?= 0ONSMEMQQ Address 644 ?? ?, EAGAN
BwlainS aaarm 2892 I10GEi-RI= TIaULAM tocaliry I39 B1, DE[A6H
Date
, :
!Ek.d&ng arKiai ;4
- POST IN A CONSPICUOUS PIACE
?* .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
. , I; i ,l1{: ! Ut,l
PERMIT SUBTYPE:
TYPE OF WORK:
Pi[la
H(I t I Il t NFi
Oi 9 ??t
04f:,t/si7
INSPECTION DA • DA
?;i A11 r11 ;?JO
;,0fi,ti I N t iI?,
' ' :tr1! 1'I Iti? ; N A I
I t`i MARKfit ;& 14 ('i ttFt W'11. t M„! . I i?,,,
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
i
.?
ParmR No. Permit Holder Date Telephone A
ELECTRIC -
PLUMBING (r ?'Y'4?ZSO
HVAC 7
Inapoction Date Insp. Comments
FOOTINGS `/? cII(?? Y?? G , `L
FOUND 675117 7
FRAMING
G:?2
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
-? -?
?
(3AS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST ^ .., .+
C ']
FINAL PLBG ?l/IL?.
?pcl
FINALHTG (( u
ORSAT
TEST
BLDG FINAL ? / ? m • ?I ??u?? '
85MT R.I.
BSMT FlNAL
DECK FfG
DECK FlNAL
Is I,
II? II III??I I(I I? Ii I IIIII?fII?? REOUEST FOR ELECTRICAL INSPECTIOn ,
Minnesota State Board of Electricity
1821 Universiry Ave., Rm. S- 8 S Paul, MN 55104 ?_?
* 0 2 6 5 2 4? 7 5*' Pnone (siz) sa2-oeoo,`?j?g?9'f"
Home Duplex Apf. Bldg' Othar: New Addn
Commercial Industrial Farm ' ' Remod Re air
Air Cond. Hfg. Equip. Water Htr. Load Mgmf. Other:
T)ryer Ron e Elec. Heaf Tem . Service
"X" above fhe work covered by this request. Enter remarks in this space and on the back?of pth while copy only.
W
Calculafe Inspection Fee - ihis Inspection Request will not be amepied without Ihe correcf Iee:
Oiher Fee $ Service Enfrance S¢e Fee # Circuifs/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to ) 00 Amps ?J
Sfreef Ltg./TraHic Sig. Above 200 Amps Above 100 Amps
Tronsfortner/Generaror INSPECTON'SUSEONLY TOTAL
$ign/Outline lfg. Xfmr. OO
Alartn/Remote Conirol
Swimming Pool _
?m m .ien?<a :wu?no? ds.?nead tie,e,? o? ro<aob.,, a
Irrigation Boom Rooqh-?n Dafe ZGt
S
ecial Ins
ection
p
p
Investigative Fee Final / ? Date ? 4
/ /
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
Address. 2892 HIrs-= rIItRACiE Zip 5512 1
I.ot 3 Blk 1 Sub DIIASH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: a?1-rj J Yes No Inspector: LtIz
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway j?
Permanent gas
Sod/Seeded grass r/
TraiUcurb damage
Porch l/
Basement finish ?
Deck
Please verify with the builder the removal o£ roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Conhct engineering division at 651-4645 before working in righPOf-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Piiilc - Convactor Copy ?
L b2 6 7 ?
? OFFIf? USE
This reuest votd IB monihs 6am validotion dak priniedthfb
z
o '
/0???Y/7?
S
?
?
PLEASE PRINT OR TYPE 49,191,
? g
OGLO-Lt
Reqoer Daee Rough-in impecAan required2 ? Yes [] N. Inspeclion Other Than Rovgh-In_ 0 keady Now I'l ?II Coll
??
(YOO mus, coll Poe inspecbr Du Revdy:
I, icensed controdor ? owner hereby request inspeciion of the - ove ele ric a,,<j 0
lob Pddress (SNeep Box, or Rovla No ?) Ciry Zi Code
.
4l? t-i f? tO GE f? Rt CC ?
Secnon No. To.mship Nome or No. Rarga No. Fre Na. Coun
Occ'i A-)
i S PhoneN.
.J
PowerS;pplier
l Address
1 j ?
Eleg, Commcpr !Compo^y Nam<)
7 Con cror License No.
? Maskr Lic. No. (Plonl EIM. Only)
- ,tt ?G r4
L
Ma0irg dress ?Connacwr e? Pedorming Insmllafian)
?33_7
AuNpnzed5igrwroniConho rorOwnerPeAorminglmro0a?ion?
?.? Phane_Na.
E8-05001M70 6/95 STATEBOAflU4BPT•SEEINSTRAUCTIONSON*CKOFYELLOWCOPV
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10--20300-030-01
DESCRIPTION:
Wildirtg_ Permit 7ype
r6uzlding 'Wz rk Type
.°UBC Oecupaiicy,,.
i Construction 'r(pp
Zon3mg '-?
Bu3lding t6ngth ° r{
Buildirrg Width ^
. Pu?I dfnrct_?sCorieS_ r''
^t as??-? .,
REMARKS:
- S& W PLBR - BRUCKMU[II.ER PLBG
' PERMIT
PERMITTYPE: $uzLozNG
PermitNumber; 029777
Date Issued: 0 4 J 21 / 9 7
2892 HIGHRSD6E TER
LOT: 3 BLOCK: 1
OELQSH
SF DWG
NEW
R-3 U-1
V-N
R-1
64
47
2
2,086
101 1 - FAM. OETACH
FEE SUMMARY:
VALUATION
$155,000
Base Fee
Plan Review
Surcharge
5HC
SAC %
SAC Units
Subtntal
$1,162.25
$755.46
$77.50
$950.00
1@0
$2,9-05.21
MISCELLANEOIIS $1,539.50
COPY $-25
Tota1 fee $4,484<96
CONTRACTOR: - Appiicant - sT. Lzc.OWNER:
BLILIE CQNSTRUCTION 14541438 0003600 BLILTE CONST
64.)4 SUPERIOR CT 544 SUPERIOR CT
E!RGAN MN 55123 EAGAN MN 55123
(412) 454-1438 (612)454-1438
( I hsreby aqknnwledge•tha:t`I haue`read'thi.s'apP7icatian and stpte?, that the, I
informetion is correct ahd aqree.to csimply With aii appllcable 5tate af Mn.
Statutes ahd City of Eaga.n Ordinsnaes. , .
I.?.,?(t?.?_
. APPLICANTrPERMITEE SIGNATURE I ED B-q SI ATU
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTr oF EAcaN
3850 PILOT KNOB RD • 65122
681-4675
New Gonstruction Reauirements
L. • -i - . .-, . -m-??
? 3 registered site surveys + y opPys of Plan
• 2 copias of plans (inGude beam 8. vrindow saes; pouretl fid. desipn; etc.) ? 2 site surveys (eMerior addHiona & dedcs)
? 1 energy calwlaHons ? 1 energy calwlatlons tor heated adCkions
? 9 topies of tree presenetion plan i1 lot plalted efter 7H/93
required: _ Yas No '
DATE: CONSTRUCTION C05T: /3 -?, O(r) c"-)
DESCRIPTIONOFWORK: ?-?3Lc?CT?o---)
STREETADDRESS:
LOT -3 BLOCK SUBD./P.I.D.
PROPERTY Name: Phone #:
OWNER .., ,.,,
Street Address:
City: State: Zip:
CON7w?croR Company: '?) L? ? i tz ?a 641<4 - Phone #: 4 Sy ^ N3?,e?/
Street Address: &t'f SLAIJ ajro?- ?,-7jrLicense #: L (?
City: ? U--- State: Zip: r
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
State:
Zip:
Sewer 8 water licensed plumber (new construction ony)RZ. u Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this applicatlon and state that the infortnadon is cortect and agree to comply with all appiicahie
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant: v ? ",
OFFICE USE ONLY ? RECEIVED
Certificates of Survey Received _ Yes _ No APR 1 5 1997
Tree Preservation Plan Received _ Yes _ No _ d
N? ot Require
$y?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
E( 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace a 21 Miscelianeous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
o" 31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?VAI Basement sq. ft.
(Allowable) j A(_ Main tevel sq. ft.
UBC Occupancy 94-3. o-i upw? sq. ft.
Zoning 12-t 6&44d-, sq. ft.
# of Stories a sq. ft.
Length sq. ft.
Depth 4 71 Footprint sq. ft.
APPROVALS
Planning Building A43
Permit Fee
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
1at, 7 MC/WS System ?
.3Ai 4/ City Water /
;?&o Fire Sprinkiered
i 4 Z PRV
Booster Pump
CensusCode. ioi
SAC Code o i
Census Bldg i
Census Unit !
Engineering Variance
Valuation: $ ? s S. voo- ?
4zz</ ?u oQ
i8.s uy ?y
zsuio zao
-7.SY? SLs
tb A ?s=
ra;?
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i3qy,? ?b?sy= ?s?a7i.y
/?L
188
860 ??} S?I = 41(, ? ytJO, ---
G71A
2D
L q 2 rb !f 1G =
isU, 4L?• q
Certificate of House Location For:
Blil?e•Construction
644 Superior Court ?
Eagan, NIN 55123 188/4
r
DELMAR H. SCHWANZ
LANO SUPYEYOpS.INC.
MphNrW Unftr L,.n ol TM 81rU al MlnriwMa
11750 SOVTN ROBERT TRAIL iiOSEMG:INT. MINNESOTA 55088 612/423-1789
SURVEYOR'S CEqTIFICATE
Property Address: 2892 Highridge Terrace
Proposed garage floor elev. 8g D N
Proposed top of block elev. S11fa Scale: 1 irx3i = 30 feet
Proposed lowest level elev. 7?70,cj- •= Iron Pipe monwrent
Description:
WI
<I
?
?
?I
?-
W
?
Q
?
?
?
875'S ? 13
a
?
00
873,
p= Set woad hub or iron pipe
Lot 3, Block 1, DFL06H ADDITI@l, accordi.ng at buildincj setback
to the recorded plat thereof, palcota County,,,„p3 _?st;.,c? spot elevation
b°
Minnesota.
Q = Proposed elevation
? E
N 8 9o4s ' '2,/ ?- 7rIIIat Skyluie Road and aHigh
134.44 Ridge Tesrace = 875.42
874 "T R a3: 2 .
30.00 ?G. 00 .)? µ,b=877.0
wi r,i? u e- 8al 7
S
?o
0
?a
N Q
I v 877.3_
WATER 'D N PoI???N,?
??L 11 F a?, z?o r 3
EcFU•-8??7I h gns za
? 3 18 B?oc.K (
877.3
?
i N z3.v7 e74.3 ?Ut]ATE /
le77(0 ` 21.33 °? I
14 ? 7??3 - - ?? .?J ? 't7T1d
??._.._-------
873.2 0„b=877,5 No
? n ?SZ r 34. I 9 -- ---
so' A] 89°45"26'-E
Also shaaing the location of a proposed house staked
I hir.07y certlfy Met thie survey, ptan, or rsporl was
p.c;.i sC ?;' ma i• unyer my direet suPer"ISlon and
tha: I gm e duly Regbtered len0 3urnyoi unasr
the Is Is ol lns S:ata ot Minnesofe.
D?ted 04-14-97 _
D-Llv?'sR H
SC1^"+.n(AivL
A
Dslmer H. $ehwmnz
M'snewtt Rpbtretfon No. E625
Q ?
p
--Z
(/-l?-q7
NSPECTICNS 7,EPT.
sR-re
Di1P`y'.
q ?
?O ?
Gr'o ?
L? ?
? ?
? ?
[3"/O ?
a-' ? ?
o?'?o . ?
O-? ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• BuikJing Pertnit Applicarn
• Legal description
• Address
• North artow and scale
• House type (rembler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposedlebsdng sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
? C? ?
?? ?
1Y ? ?
B-' ? ?
• Sewer service (or Praposed)
• Property comers
• Top of cur6 at the driveway
• Elevations of any existing adjacent homes
Proposed
"
0
C3 ? • Garege floor
?}7 ? • First floor
d E3 13 • Lowest exposed elevation (walkouNwindow)
2--?0 ?
0-1?'13 0 • Properly comers
• Front and rear of home at the foundation
PONDING AREA (if aoolicable)
?
?
? • Easement line
o ?0
? ?? • NWL
• HWL
o • Pond # designation
? C] • Emergency Overtlow Elevation
?
0
• DIMENSIONS
Lot I(nesBearings & dimensions
E3 13 • Right-of-way and street width (to back of curb)
13 • Proposed home dimensions including any proposed decks
ovefiangs greater than 2'
/ ,
,
porches, eta (i.e. ail structures requiring permanerrt footings)
m ? • Show all easemenLs of record and any City utilitles within those easemenTs
• Setbacks of proposed sWcture and sideyard setback of adjacent ebsting structures
E3 ? ? • Retainingwallrequiremenls,'rfany.f
Reviewed:
Januery 1996
CRA16799BIBIOGPRMf.FM
LOT SURVEY CHECKUST FOR RESIDENTIAL
-t5" RCP
STING MH
,..
;DR 26 -J
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S'R
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7
I GAitAGE EL- 577.5 '
WRB 90% EL-E76.J
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' MH
/
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uA RAcc EL- 87e
? cuRe eoz [L-e7e.4
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6" - 22 1/2' BEND
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weAc[ eL- e7e -
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1
cuee eoz tL-e7s.a ?
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cnxect EL- e7n
WY[ S7ATON 2+59 : WqB BOx EL-EP.o
? 34'HB -?
I
?
? / WYF STAT70N 3+55
/
? 60'RW ? 3
I
%
10'. MIN SEPARATION -J
TYPICAL /
I 4" PVC SDR 26 SOIL PIPE
8"x 4" wYE
t" COPPER TYPE 'K'
1"x 1" CORPORATION
CURB STOP BOX
?- CONNECT TO EXISTING 30'-6" DIP CL. 52 18" SEPARATION
15' TAILS ON WATER & SWR SER`:':
.. ...
, t STD. PLATE 300
l' . , • , y
i.
f?::-'?;:.._.... . .. u . ?.. ...._
8
I cuna Ceox vl?eis.i I I
WYE STATION 2a13
L L
CB2
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I I WATFA SEANCE
PRESS111tE-RmUdNc
VAL%E RfOUIRED
FOR HOUSE CONNEC"
I ev anitns
2 ? I
9 I I 10
cAaAce a- 87e.e cueAec u- aezu
ane aox EL-e7e.1 I I arta eoz u-e75.:,
WYE STATIDN 3+03
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FORCI,r YAIN $ERN(':
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7.5' MINIMUM COVER Q? STORM SEWER . ?
?? •--- -
359' - 6" DIP CL 52
' ' - - --- -.---
? ? . - ----_ - --`
- - --
?, -- ---
-----._-_-
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-, ? . 268' - 8" PVC SDR 35 0 0. ^
Tc? fXISTING-
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• • ' 4889779
AFR-16-97 WED 04:28 PM SHAW LUMBER CO FRX N0, 4889779 P,02/02
CITY OF LAKEVILLE TEL:1-612-985-4499 Jun 04 96 13=07 No.027 P.02
Minimum Crilcria: Roof: R-38 aith cnetgy uusus or R34 witA standstd ltumc.
Rim loist: R-19 iaailation Foundetion Windows: InsulatW gCass, 1/2" air spsce. w+eod or vinyi 8ama
Entry doors: 1 314 inch soliA wood with s[orm or belta -
1
wrca
-toLv winaow 6c Uoor .4rca Ia Sq. Fat
WAiDbWS (incluGing 1bun0ntion windowS):
Dimensiosis Qnry. ArcA
x 2 5"
7,
L... _
2
X
? _X
d X
S
2
x
m z.
X
DOORS:
X
Z. X
7z-X O
X
rowl n.e,cr
Window ak Doors 3z9•Z?"
Tatal Wall Area in Sq- Ft-
Walt Totat Perimau Height Arca
?J
--
z
F
o0
U
RiM
j 1/0
Q
/
Total Acca
oF aall
Z CnkulAte ara as a
Sox A(~rindow & door ana) divided by Box E(total wall
area) umes 100 equals [he winWow snd doar azra as a perani
of wai) acea (Hac C).
31'BP 3 Dpipo Fcstwsss
ASSEMBLY
PI-W, T?}:7
Fw?mE wALL:
STANAARD FRAMING
ADVAN{:Ep F[iqMiNG
2"iQ
CAVtTY INSU1.A710N
SHEA7NING:
LES5 THAN R-5 2. O L
1i•S OR MORE
WINDOWS (exapl foundation aiAdows):
U-FAC7DR
Fmm the tabk, detumine the amximum ycrornt w:n4ow & dow
arca for thc dcsign optiwu sdocted and eatu the value in bou D
below.
Hox C mus[ be Icss than or oquaI to Box D
I y 329. 28? _x1oo= SC
HoxB 07
ExrI-ruox eNVei.orF
1& 2 FAMfLY itESIDEMIAL. "COOKHOOK" METHOD
?
CITY USE ONLY
L -?- BL RECEIPT #: 7
SUBD. DATE:=??L
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU ?2P.OOOO
Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
.50
SITE ADDRESS:_ 2S22,- ? Al LIME LfiP?GL?C
OWNER NAME: PHONE #:
INSTALLER
SEASONAL CUIVTROL IIVC.
7620 Lyndale Ave. 50.
STREET ADDRESS: ' hfiairl, UN 5F49.3
CITY:
PHONE #: (
L BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
CITY USE ONLY
Please complete for: ? all commercial/industrial buildings.
? muRi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE:
CONTRACT PRICE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: w $25.00 minimum fee QC 1% of conVact price, whichever is greater.
w Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pffmic fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
?ITC ilvilfiE.'J.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER: SEASONAt u i t ii . .
ADDRESS: 7620 LVndale Ave. So.
rsicntieid, nnN 554'L3
CITY: 866-131 Q STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
t." ?' cirr use oNLv
L BL ? RECEIPT #:
? O 4?
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ? TOTAL
Shower 3.00 x 3. Do
Water Closet 3.00 x y•ov
Bath Tub 3.00 x 2 = G,DP
Lavatory 3.00 x 3 _ , Ov
Kitchen Sink 3.00 x ov
Laundry Tray 3.00 x o v
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3r Ov
Floor Drain 3.00 x ? 0 a.
Gas Piping Outlet * minimum - 1 3.00 x (O
Rough Openings 1.50 x 4, ?v
Water Softener 5.00 x d/l
Private DispoSal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
5'?. '7 0
STATE SURCHARGE .50
TOTAL
Sz,O4.7
RITF AI111RFRR• 2 Y y P 17/4/?/'J?cf,G /P/dG1e-.v
OWNER NAME:
INSTALLER NAME•
STREET
,i
CITY: STATE: ZIP: 5 5 l ??
PHONE #:
9 6
u?FtjEFfMI I I
L BL
SUBD.
OFFICE USE ONLY
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: . all commercial/industrial buildings.
? multi-family buildings when separete permits are Ilq! required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER I5SUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.40 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrm? fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: -
ADDRESS: _
cinr:
PHONE #:
RECEIPT #:
DATE-
STE. #
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
ADD ON REPAIR
APPLICANT
METER SIZE: 11 DATE: INSPECTOR:
.
INSTANT TESTING COMPANY
IT - 4000 BEAU D'RUE DRIVE
= CO EAGAN, MINNESOTA 55122
(612) 454-3544
April 24, 1997
Invoiced To:
Wayne Beilie
644 Superior Ct.
Eagan, MN 55123
"R =2892 Highridge Terrace
Date of Inspection: April 23, 1997 at 9:45 am
A3A 11 M&i/-,
TEST REPORT
Inspection Report
Inspector. Gary Standish, ITCO
A visual inspection was conducted to address questionable soils within the excavation for a single family residence.
The house pad had been excavated to approximate footing elevation. Base soils consisted of firm loamy sands below
optimum moisture. Based on observed soils within the waiis of the excavation, approximately four to four and one half
feet of undocumented fill had been placed within the pad area and intersects the garage footings and slab area.
A six to eight inch layer of dark horizon "B" soils was observed within the north wall of the excavation (south garage
footing line). At approximately five feet and below garage footing elevation, this material of high granular content had
only trace amounts of organics remaining. Therefore this materials does not require removal.
A compaction test conducted at approximate garage footing elevation on the inpiace fill meets the state building code
requirement of ninety-five percent of standard proctor.
Copies To: City of Eagan Building Inspections
Charge Code: Soils Inspection . . . #602 . . . 1
Mileage ........ 11612 ... 10
Sipned
Carl Mderson ProMsebnat Englneer - Repistration No. 10736
,.
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INSTANT TESTING COMPANY
IT = 4000 BEAU D'RUE DRIVE
= CO EAGAN, MINNESOTA 55122
(612) 454-3544
Invoiced To:
Wayne Beilie
644 Superior Ct
Eagau, MN 55123
Project: 2892 Highridge Terrace
Date Sampled:
Submitted By: Gary Standish, ITCO
TEST REPORT
Moisture/Density
Reported: April 24, 1997
Performed By:
Standard Moisture/Density Test
Curve Number: 97-01
Visual Soil Class: loamy sand and gravel
Standard Maximum Dry Density: 116.5
Optimum Moisture: 7.9
Representative Of. Density test 1; east footing of
garage
Remarks:
Copies To: City of Eagan Building Inspections
Charge Codes: Moisture Density 97-01 .#303 .. 1
sample preparation . . . . . #302 . . 1
Sgned
Carl AndersonProfesafonal Engineer - Rapfstretion No. 10736
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. INSTANT TESTING COMPANY
IT 1 - 4000 BEAU D'RUE DRIVE
= CO EAGAN, MINNESOTA 55122
(612) 454-3544
Invoiced To:
Wayne Beilie
644 Superior Ct
Eagan, MN 55123
Project: 2892 Highridge Terrace
Date Tested: April 23, 1997 at 9:45 am
Ordered By:
TEST REPORT
Inplace Density
Reported: April 24, 1997
Field Technician: Gary Standish, ITCO
Inplace Density Results
Test Number: 1
1000
Location: eastfooting of garage
Depth Below Grade: footing elevation
Visual Soil Class: loamy sand and gravel
Proctor Curve Number: 97-01
Percent Moisture, 4.1
Optimum Moisture: 7.9
Relative Moisture: 52
Field Density, PCF: 116.3
Standard Maximum Dry Density, PCF: 116.5
Relative ?ensity, Percent: 100
Required Minimum: 95
Remarks:
Copies To: City of Eagan Building Inspections
CAarge Codes: Density test . . . . . . . . #601 . . 0
charge per test . . . . . . . #306 . . 1
Mileage . . . . . . . . . . . #612 . . 0
. ... . sipnea
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CeA Andercon Profeasbnal Engineer - Registralion No. 10736
L ?- a / susC?.?
xew Rooeipt # ?-
Receipt Date O 8-
S.1J9197 .
2'Ioe?2 Order For Payment
Date 99 Request for Inspection Number on tlris job oa 65 -;ZC-7
pate Filed Vjq-12
Electrical Installer_, ?= fac. K 1-,. c License No. G4 o ryC 4
OwttedOccupaut CowuyJ>aKo-1'A
Job Address ?? %2 1?,,F,r City 4,c,c?
Additional Rough-in inspection was required.
?A shortage of fees on the above job.
Reinspection Fee.
A Copy of this ordcr must be retumed with payment to the;
Bagan Municipal Center
3830 Pilot Knob Road
Egan, MN. 55122
Phone: 681-4600
V__
Please return this with a check in the amount of $peyable to the City of Egan.
The above order must be comp6ed with by (date) !c?)-IS- y
Ele,chicat Inspector Chris Brinkhaus, 1026 Oak Rd., 5hakopee, Mn 55379 (612)4969615
I! /.C)033 $
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?;??°?
New ConsWCtlm Reauiremenfs RemodeUReoair Reauiremenfs Office Use Onlv
3 registered sile surveys shaxing sq. fl. of b4 sq. R o( house; and all roofed a2ac 2 cupies o( plan Cert oF Survey Recd _ Y_ N
(20% marimum bt coverage allowed) i set of Enertgy Calalations far heated additions Tree Pres Plan Recd . _ Y_ N
2 copies of plan showing heam & window sizes; poured touM desgn, etc. 1 site survey for addi6ons & decks Tree Pres Reqd Y _N
lselofEnergyCalalalbns Addrfion-irMiwteifon-sitesepticsysfem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if bt plalled after 7/1193
Rim Jost Delail Optians selection sheet (bidgs wiN 3 or less units
Date ( ( / l I / °5 ?? Construction Cost ?Zl ?r
Site Address Mc12- ( / i?J?? ?d66 ?-'?a19CC UnidSte #
Clf bA. "i
DescripHon of Work lN5
/gLC
7
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0Z
Property Owner _ 607,3 N(J'37/394)L)/C Telephone # (Cp?? ) ?blo -6UZ1
?
S
Contractor z U
,
Address 3f9s-0 W- fA?L/ !) City
g?'J
State /Ll'`J Zip 5r33? Telephone#(''jiL) rtlLJ-J
COMPLETE THIS AREA ONLY IF COft UCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 D? esota Rules 7672
Energy Code Category . Residential Ventilation Category 1 `?$h? ? ?ew Energy Code Worksheet
(J submiuion type) Submitted ?I? d v 1 3 2003 ubmitted
• ,
Energy Envelope CalculaUons Submitte
Have you previovsly constructed a building in Eagan with
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
N if so, 25% plan review
I hereby apply for a Residential Building Permit and aclrnowledge 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 of pk
approval of pl w i requires a review and
? j c
? ? °
ApplicanYs P` n? ted Name Applicant's Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 AddiUon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemollUon (EnNre Bidg) • Give PCA handout to applleant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundation H/pC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FrarmnB _ Siding Stucco Stone
_ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search .
Copies
Other
Total
Building Inspector
r
Use BLUE or BLACK Ink
ANY,
; PermitaK 03
City of Eajan
3830 Pilot Knob Road I Permit Fee: V ,
Eagan MN 55122 1 Date Received; Z
Phone: (01) 675-5675 1
Fax: (1351) 6754694 I g~~•
2011 RESIDENTIAL PL BING PERMIT APPLICATION
Date: Site Address: ri .e ~Y►
Tenant; ~f
Suite
RESIDENT16WNER 'Name: t" er t,w Phone. / L fur. 23
Address / City I ZIP. -t-M=V
r
COiitRACTOR NaMe:,MILBERT COMPANY INCAba UI.LIGAN W_A
Address: 1801 50" t ST EAST City. IN M. GROVE H=
State:,1gNzip: 55077• phone: 65.1 .::4SI-2241
Contact _ BILt..MILBE7` Email:
TYPE OF WORK _ Nevi Replacement _ Repair _Rebuild _ ModifySpace _ Work In.R.O.W.
Description
work:,
PERMIT TYPE RdIDENT/AL
Water Heater1Nater Softener
Lawn trrlgatign RPZ PVBj Add Plumbing Fbdures Main Lower Level)
Septic System Water Turnaround
_ New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minlmum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation Onchldes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtutes, Septic System Abandonmeniu Water Turnaround* (Includes $5.00 State Surcharge)
`Water Turnaround (apd $166.00 It a 5/8' meter is required)
• $105.00 Septic System ~ ($10.00 pores built) (Includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU Did. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 Hours before you Intent! to dig to receive locates of underground utilities.. www.oooherstateonecall.orn
I hereby acknowledge that this k6rrmadon Is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of
Cagan: that I understand this Is riot a permit. but only"an application for a peril, and work Is not to start without a permit, that the worst will be In
accordance 11 the approver pl M the case of work wfilCll requires a reNsw and approval pia
x 11
App icanrs Printed Name c App g tun
FqR OFF ~E. SE Rev ewe. ~(gy;. ,
R9)!fe nsRe d og
~ h
For Office Use
Penyiit#:
E AGA N
Permit Fee:
r Date Received: -/
3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 -... i5/ E
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 '-ell
buildinainsnectionsecitvofeauan.com MAY 2 9 2019 staff:
2019 RESIDENTIAL BUILIAG PCrMITAPPLICATION
Date: 5/29/19Sfte Address: 2892 Highridge Ten-ace
Unit#:
Carrie Ackerman
Name: Phone:
p" Address/city i zip:• 5892 Highridge Terrace
sf,* g- i
Applicant is: Owner Contractor
if!pa
Description of work: Drain Tile and Sump pump installation
00
Construction Cost: $3933. Multi-Family Building: (Yes 1 No )
a +n 4 w
x I a Complete Basement Systems Lewis UhrichCompany: /Vntad;
Address: 54004 Loren Drive City: Mankato
State:: MN zip; 56001 Phone: 507-387-0507 Email: lewis@mycompletebasement.com
License#: BC143377 Lead certificate#: NAT-105017-2
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�� ws
•
•..:' %..,Y ....6,<.. :-.:. f's...1 V i: ! A.�his..M1..ly-
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeadan.comisubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of penult issuance.
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.aopherstataonecail.orq
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit;that the work will be In
accoorrdaancee with the approved plan in the case of work which requires a review and approval of plans.
x `-ticdIr U/4f/Gh x G 0/. "
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE / .-.5"0' 7
•
SUBTYPES 0 )+1c 1 (Zjcj Th" c -
_ Foundation _ Fireplace — Porch(3-Season) _ Storm Damage
I' Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Single Family)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Exterior Alteration(Multi)
01 of_Plex _ Lower Level — Pool _ Miscellaneous
Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
4.Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION t�� >Y�, `
`S
Valuation /( V Occupancy f/.. MCES System
Plan Review Code Edition 14A09,01) SAC Units
(25%_ 100%y ) Zoning cl11/ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS U—
Footings (New Building) Sheetrock
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation HVAC
X Drain Tile its Other:
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Siding:_Stucco Lath _Stone Lath _Brick
Fireplace:_Rough In Air Test _Final Windows
Insulation Retaining Wall: Footings_Backfill_Final
Meter Size: Radon Control
Erosion Control
Reviewed By: t°L, Building Inspector
RESIDENTIAL FEESCBase Fee 0(1 1
11/1
Surcharge 0 0
Plan Review01
1 t
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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