3816 North Ridge Dr
Use BLUE or BLACK Ink
--For- O-ffi-ce-U------------ I
I I
I
Pe
rmit ~ t? ~ City of f I Permit Fee:
Ea
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 i staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: hone:
RESIDENT
OWNER Address / City / Zip: 1 J
Applicant is: " Ownnper Contractor
TYPE OF WORK Description of work: C1~ zoo-f-
Construction Cost: 000 L Multi-Family Building: (Yes / No
Company: ( Contact:
Address: 1It G c'l hi City: 13-t `
CONTRACTOR
State: 1 1V` q 1 V1 Zip: t I Phone: 3 ` of
License 70~~IY9 tD Lead Certificate
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 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.aor)herstateonecall.org
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
accordance with th roved plan in the case of work which requires a review and approval of plans.
x x ~
Applicant' ed Name Applicant's Signature
Page 1 of 3
?.Mlb?
WertifiCate of CccuoA
witv of cFagan
Toortneat oi Zailiiag 3aidoecdon
This Certificare issued pursuant to the requirements of the Uniform Building Code
cer7ifying that at the time of usuance this Ytnrctrue was iR compliance with rhe various
ordinances ojthe City regulating building constructiort or use. For the fallowing:
ux cum;rwatkm: SF IX+1G Bldg. Permit No. 26837
oomp-y Tylx R3/U 1 zon;og a.w;u R 1 Type Cmnt. VN
o.-m of auamng J]OG MMIER FMF.S Aaeinas 3454 WASHDGZCN IR. Ft4C'AN
s.ikfinz Aaa.$ 3816 NOM RUM I7Et towity TJ+, B5, GARDHNWOCD FCMS
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??'
' ? ' /% ?!
? ?? . '_ A -' Date: ?
A CONSPICUOUS PLACE
INSPECTION RECURD
' C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
, . APPLICANT:
i . ,• ? ,
TYPE OF WORK:
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al :' ri Ft 'i i
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...? -_ .. . •ee%S ..- .A?!R'E i?.u-?. ..?j".... 2E?.A.. .?-'.`:L'.
Permit No. Permft Holder Date Telephone k
ELECTRIC _ 9 p(? `?"
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTINGS
A /, '? ? ?46?
FOUND LA I`211?', T f?'" ?x'• ?
?n
FRAMING -5?
wK
ROOFING
ROUGH
PLUMBING
-l' 3^I+ G
PIBG
AIF TEST
ROUGH
HE4TING
GAS SVC TEST
INSUL
GYP BQARD
FIREPLACE iy?
- 7 ?yC
rac p
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG Z ?J/
t r/ ?
ORSAT
TEST
BLDQ FlNAL
BSMT R.I. 7/
BSMT FINAL
DECK FTCi
DECK FlNAL ?
Address 3816 1JORlx xIDGE Dx 2ip 55121
IAt '0 BIIC 5 SUb GART)F.NGXY]D POI9DS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTIDN.
Date: ff /D f(! Yes No Inspector: 444
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas VI/
Sad/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system end the shut-off of water supply lo
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2 2 5- 0 8 5A OFFICE SE LY 9j'??This reqaest void IB mamhs lram validofion dak pnNed in Mis bax.
? '7 S oa
PLEASE PRINT OR TYPE
Request Dore Rough-in mspeeion requiredR Xji Yea ? N. Inzpedion Olher Than Raoghin: 0 Ready Now ? Will Call
O 1-17 - 9 6 ?1'0o muzi mll IFe inspMOr when reody) Dak Ready:
I, iy"ricensecf wnhador 0 owner hereby request inspecfion of fhe abave elec7ricol work ot:
Jab Address (Street, Bw, or Ro.M No ) Ciry 2iv Code
3816 Northridge DR Eagan 55123
Seclion No. Township Name or No. Ronge No. Fire Na. Cou
nb A k o t a
o«omm anaoe N .
45?+-4663
Soe Miller Homes
ro,.o.suPPUe, Ada,C3$ 4300 220th ST SW
Dakota Electric I FArmington.MN 55024
Electncol Comrocwr (Company Named Conkacror License No. Marnr Llc. No. (Planl Eled. Only)
Midland Electric CA 01236
Mailing Paldress (Conhacror ar Owner Pedo(ming InsbllpNon)
22691 REd Foa DR Lakeville,MN 55044
A nttd Si Nre (Conhatlo, or Owner Pedomming Inslollahon) Phone No.
??? ? 461-1444
EB-OOOOlA-10 6195 V_ STATEBOMDCOPY•SEEINSTIiUCT10NSON6ACKOFYELLOWCOPY
I) IIII ? 11111111 REQUEST FOR ELECTRICAL INSPECTION ? ,' 3
Minnesota State Board of Electricity
:
1821 University Ave., Rm. S-1 8, St. Paul, MN 55104
* 2 2 WO8 , 0 * Phone (612) 642-0800 ?-??gwmja, ?.
Home Duplex Apt Bldg. Othec ? w Addn
Commercial Indus}rial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. 01her: ? p00 ? nl/CAO !
D er Elec. Hea} Tem . Service
"k' above fhe wor'k covered by this reqvest. Enfer remarfcs in this spoce and on e ack of }he whife copy only.
Calculafe Insped(on Fee - This Inspecfion Requesf will not be accepted without fhe correcf fee:
Olher Fee ;1` Service EMronce Size Fee
I
#
Circuits/Feeders
Fee
Mobile Home Park Stall
0 fo 200 Amps F_
0 to 100 Amps
Stree} L}g./Traffic $ig. Above 200 Amps Ahove 100 Amps
Transformer/Generatot INSPECTOR'SUSEONLY TOTAL
Sign/Outline L}g. Xfmr. G
Alarm/Remofe Control ( r J
Swimmin9 Pool I hereb ani that I ins eded +e elennml - all on des ' in & the dales sMlad
Irrigatian 8oom Roogh-In ?Ly
$
ecial Ins
edion ?
p
p
Invesiiga}ive Fee Finol oore i?i?.
T
THIS INSTALLATION MAY BE ORDERED DISCONNECTEU IF NOT COMPLETED WITHIN 18 MONTHS.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026837
12/18/95
SITE ADDRESS: Ld T: q
3816 NORTH RTOGE DR
GARDENWOOD PONDS
PERMIT SUBTYPE:
SF DWG
a Lo c K: 5 APPLICANT:
HORTON INC OF MN, D R
(612) 454-4663
TYPE OF WORK:
NEW
INSPECTION
F007INGS .. .
FOUNDATION ,.
FRAMING ROOFIN6
INSULATION FIREPLACE
ROU6H IN PI.BG ROU6H IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - M& W WATER AND SEWER
?
?'`CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Perrnit Number:
Date Issued:
Cn,aSoq0? ?
BUILDING
026837
12/18/9S
SITE ADDRESS:
DESCRIPTION:
ermit Type
"s,r,* 7ype
x+1tr i y??
zog
Building tength`
Bu,iYdi(,i
g WtdCh
6 p
i4'S1P-<<'t
PERMIT
3816 NOR7W i2IDGE DR
LOT: 4 BLOCK: 5
GARDENWOOD PtlNDS
SF DWG
NEW
R-3 U-1
V-N
R-1
68
38
2
2,136
0101 1 - FAM. pE7ACM
REMARKS:
S& W PLBR - M & W WATER flND SEWER
FEE SUAAMARY:
VALUATION
$175,000
Base Fes
Plan Review
Surcherge
3AC
SAC ?
SAC Units
Subtotal
$1,262.25
$441.79
$87.50
$850.00
100
1
$2,641.54
MISCELLANEOUS $1,892.50
COPY ?.50
7ota1 Fee $4,534.54
CONTRACTOR: - Applicant - sT. LzC OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MTLLER HOMES
3459 WASMINGTON DR 204 3459 WASHIN6TON pR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
?
I hereby ackriowle,dge that I h`ave read this ap,`pl;icat:ian and stste thaL"tl
inf¢rmati?n ,3s anrreet ',and 'agreo t? co,Mply wi"'h a?l a'PP13cab'?,e ..S-Vate c?`?
; 5tatutes antlCity of Eagazt t)rdirtartces.."
?
APPLICANT/P SIGNATURE ISSUED e: SI ATU ?
ERM E
IL431 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-4675
4 ????
Co-W I z -1'd
? 3 registeratl site surveys ? 2 copies M plan
? 2 copies of plana (include beam & wfndow skes; poured fid. design; etc.) ? 2 sRe surveya (exterior atlditiona 8 decks)
? 7 energy calculetions ? 1 energy calculationa for heated eddHlons
? 3 copies of tree presenation plan if lot pletted efter 7/1/43
required: k Yee _ No
DATE: CONSTRUCTION COST:
DFSCRIPTION OF WORK: A1ekl •)?6?+'w4 ?h
I/ ,
STREET ADDRESS: ' 3Al& Ar)? z4e L??? ?C
LOT V BLOCK ?'S- SUBD./P.I.D. #: !??? ?,' .1,6
PROPERTY Name: Phone #:
OWNER
Street Address•
City: State: Zip-
CoNTw?cTOR Company: Je-e. M 1114- A?.,.es Phone #: -41-143
Street Address: _`35 15-Y A;vc License #•?&aLQ-r7
City:?a•Gti State: Zip
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #'
Street Address,
City: State: Zip:
Sewer & water ticensed plumber. /Y1dl<./ 4? d- ?1.;.?-/?? . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is eortect and agree to campiy with all
applicable State of Minnesota Stawtes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
N 0 U 13 5995
Certifiptes of Survey Received Yes o
Tree Preservation Plan Received _ Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? .? ? • ?
rr ??
?
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
6?f K-02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. 0 17 Swim Pooi
0 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? . 21 Miscellaneous
a 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE
?31 New
0 32 Addition
,
? 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. /i OY" MC/WS 5ystem ?`--
(Allowable) -Cl-, A( Main level sq. ft. 4 5-P 7 City Water p-?--_.
UBC Occupancy 2-5-1 ? sq. ft. ?•TZ? Fire Sprinklered
Zoning sq. ft. PRV
# of Stories ?. sq. ft. Booster Pump
Length 63 sq. ft. Census Code.
Depth ?6 Footprint sq. ft. /,? SAC Code ?L
Census Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 47,?"000
Surcharge
Plan Review ?v
License 1
MC/WS SAC /?fj e/ C. /f
City SAC
Wat
r C ?F
-0 7
?
e
onn. 5
X S
/ $
Water Meter
Acct. Deposit
S/W Permft ._.--
S/W Surcharge
Treatment PI.
Road Unit ?--
Park Ded.
Trails Ded. 66
Other ./ Z 6 3
(??s //?csr - r
Copies S"o
/
/2 KI/33? ? I3?7
Total:
l/Z7
% SAC / -
SAC Units
?
/?s??•
_----
?
? f' ? ?Sd7
?a K z ?
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/ yS?x 1s=
z ? y?
?x e = ?
a., X 3 0 ' 6w
2 ,?r tFl = 2?
,fG ' ll-r
? /7`/,
1937 K
lb? ? ?L
CERTIFICATE OF SURVEY
for
JOE MILLER MES
_ • ??ag?i ??
? ? ?p9? ? gy „ 9d, 65
.
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M32-1324-95
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1 \?1? Z, 0
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?t ?p3 ? Zg qp3?63 Pt ? ed ?qS,?Z
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1EAGtlN
Scale: 1"
ao
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E A GXJSF?
RENeE[}
e gu '?
t
? Lr&qs,3
?.11y - w
5 7g'46 52
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C2 4-1\
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3816 North Ridge Drive
- DESCRIPTION
I hereby certify that this sur"vey, plan, or
report was prepared by me or under my direct Lot 4, Block 5,
supervision and that I om a duly Registered GARDENWOOD PONDS
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
Date 10 NoU 194 S Reg. No. 8140 . Existing j Proposed
ocv '7n A,nI. Innr ---•
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
M.-? 9 -1.39 4 - 9 5
? LOT SURVEY CHECKIJST FOR RESIDENTIAL
BUILDING PERMI? APPLlCATION
?
a ?
PROPERTYLEGAL:
J ATE OF SURVEY:
W
? LATEST REVISION:
o
4 Z ?
i .
DOCUMENT STANDAROS
?
? ? • Registered Land Surveyor signature and company
?
?" ?
"?' 0 • Building PertnRApplicant
e
[ C3 • legal descriptlon
e?y o • Address
rd? O O • North artow and scale
49"?13
? ? • Hause lype (ramblar, walkout, splftw/o, spltt entry, lookout, etc.)
9 ? • Directlonal drainepe artows with siopelpradlent %
o?y 0 • Proposed/absting sewer and rrater services 3 invert elevatlon
m?? ? • . Street nama
e O o • ' Drivaway
ELEVATIONS
Exristlna
/
R-a o
• Sewer service
2`10 C3 • Properiy comeis
W7?Q,,'d • Tap of curb at the drivewey
• Elevatlons oi any epstlnp adjacent homes
? Proposed
? • Garaga tloor
,E] 0 • Frst iloof
?y 'M o • Lowest exposed elevatlon (waikout/window)
? • Property comers
o? • Front and rear of home at the foundatlon
N
? 0 • Easement Ilne
if 0 e NWL
jf] • HWL , ,
a? ? ? • Pond#desipnatlon
? ? • Emergency Overflow Elevatloo
?
3
July 1995
o • Lot IineslBearings & dlmens(ons
? O • Right-of-way and streat width (to back of curb)
m' ? o • Proposed home dimensions includlnp any proposed decks, overhanps praatar than 7,
/ porchas, atc. p.e. all sVuctutes requiriny pertnanent 1ooBngs)
B'?O ? • Show all easements of record end any City u6liCas wiMln those easements
H? a • SetDacks of proposed structure and sideyard satback of adJaeent exdstlng sWCWres
? ?o • Retaining wall requlrements, if any
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3
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DRTH RIDGE DRIVE
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L8"-1/16 BEND
9 .5 1
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889.5 ,
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895.0
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AALQL WATER MAIN S ALL I
7.5' MINIMUM COVER.
OVERDEPTH I
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PRE8ERVATION
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CITY USE ONLY
L BL S RECEIPT #:
SUBD. ? DATE: / ? 9
1995 MECHANICAL 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
? New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: 1 d ' CC) ' 9 s
EM
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge ,50
TOTAL X?, S?
SITE
OWNER
PHONE #: '-L16'&'_)3
INSTALLER
STREETADDRESS: n'I C-\ U V:71 CV vC_)'? I-1- v c--
CITY: V • STATE:? ZIP:
PHONE #: ( „()?'Pj ?ln??lpOc?? ^
1°k of contract pri , wfiichever is greater.
0
ker $1,000 of ' fee due on ail permits.
L _ BL _ RECEIPT
SUBD. DATE:
1895 MECHANICAL PERMiT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 •
(612) 681-4675
Please complete for: ? all cammercialfindustriai buildings.
? multi-family buildings when separ te permits are nDi required
for each dweiling unit.
DATE: CONTRACT ICE:
WORK TYPE: EW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WOR ? .4 \) -(? Q--,
FEES: , $25.00 minimum fee N
• Processed piping - $25.
? State surcharge af $.50
CONTRACT PRICE x 1%
PROCESSED PIPING _
STATE SURCHARGE _
TOTAL
cITC nnrJoEV?g;
V 1 c !'??
OWNER NAME:
TENANT NAM • (innPRO ME
INSTALLER: ?
ADDRESS: ? 0
CITY USE ONLY
U ?
TELEPHONE #:
CITY: S7ATE: ? ZIP-L. ?-'s-7'f
PHONE #:
SIGNATURE. ?-
??$IGNATURE OF PERMI EE CITY INSPECTOR
CITY USE ONLY
' L ? BL ? _ RECEIPT #:
SUBD. DATE:-Z2?!7/?
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KN08 RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTLIRES EACb ? TOTAL
Shower 3.00 x _L io
Water Closet 3.00 x . 00
e&th Tub 3.03 :c
Lavatory
3.00
x ?
Kitchen Sink 3.00 x _3,0
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ?_ = Oa
Floor Drain 3.00 x
Gas Piping Outlet ` minimum - 1 3.00 x
Rough Openings 1.50 x 41.5V
Water Softener 5.00 x =
Private Disposal ' Dakota Cty, license 50.00 =
(new and refurbished systems)
U.G. Spfinkler' home under const. 3.00 =
Aiterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: - UrI?e-
OWNER NAME: - rn1IIer LO?7 INSTALLER
STREET ADDRESS: 6042L?Z7 // "/ I
CITY: STATE:? ZIP: ?
PHONE #: ('539) - ? ?
SIEANA
OFPICE USE ONLY
L BL
SUBD.
CONTRACT PRICE:
1995 PLUMBING PERMIT (COMMERCIAL)
GITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease wmplete for. . all commeraaVndusUial buildings.
• mufti-family buildings when separate permits are II4t required for each dwelling
unit.
DATE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTiON OF WORK:
IS WATER METER REQUIRED7 _ YES _ N0. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. A,RE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SQ, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of 2mma fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cinr:
PHONE #:
RECEIPT #:
DATE•
STE. #
STATE:
ZIP:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
6?4?1
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN MN 55922
651-675-5675
Please complete for modifications to existing residential dwellings.
. ,,
Date 6q :? . _ , l? - ?? .
Site Street Address Unit #
Property Owner 1V11 ?j0 ?15? h?lTl-
v Telephone # ((cG
Contractor ttf PI l'?.QVfO()?s Telephone# (01) 345 T3AQ
Address I F City M M State mM Zip 55Q-3
Oth
O
VC
wner
er
ontractor _
The Applicant is: _
Altexations to existing dwelling $ 50.00
_Add fixtures to rooms, exduding water softener and water heater
_Septic System Abandonment
i
_Water Turnaround (add $121.00 if a 5/8" meter is required) `
Other.
_
Water Softener ?Water Heater $ 15.00
dditi
l
ona
v replacement _ a
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
!5 sv
Total $
I hereby apply for a Residential Plum6ing 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 plumbing codes; that I understand this is not a permif, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Wl"7*sD J. eh "
Applicant's Printed Name ApplicanYs Signature
1????
Use BLUE or BLACK Ink
( I Fa' Office Use I
U(` I c/~/ My of EaR~d I Permit ~ I
I I
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 IV, AV Date Received: ~
Phone: (651) 675-5675 4I I
Fax:(651)675-5694't Siff
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
VIA :iki ~ Cc., A 12 -7_3 1
Date: t ' Z 0 I Site Address: t_ D V Unit c-~22
Name: • G L& C-0 Phone: at -(-o
a ` ~~3 l
RESIDENT I t~ !
OWNER Address / City / Zip: 3C 01 A)o I~ •d 4 ~ l~r r u e-- k1w
Applicant is: X Owner Contractor 3
TYPE OF WORK Description of work: -7 :a".
Construction Cost: -Z t 1-) 0 ~ Multi-Family Building: (Yes / No
Company: ?'r 0"i ej Pi r;, Contact: c A
CONTRACTOR Address: City: C~
State: Zip: Phone:
7-0-L-6-5-751
License Lead Certificate
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 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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.goi)herstateonecall.org
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
x R-5-GL,
I A~ X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THISLIN`tipf
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (ScreerdGazeboJPergola) 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
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION ~
Valuation 'rr~Vo Occupancy - MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC 1
Utility Connection Charge
S&W Permit S Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA099444
Date Issued: 06/07/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3816 North Ridge Dr
Lot: 4 Block: 5 Addition: Gardemvood Ponds
PID: 10-28800-05-040
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 4.200.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Hearth and Home Technologies Michael G Bischoff
2700 N. Fairview Ave 3816 North Ridge Dr
Roseville MN 55113 Eagan MN 55123
(61)633-261
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
e)
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 1()zipts
I
oo!
Permit Fee: 1 p�
Date Received: 12-' ?0 -12—
Staff:
L
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /2 2E- 12 Site Address:
Tenant:
3316 c At j.e p�
RESIDENT / OWNER;
Name:
Suite #:
Phone: C&'2 — 2 4"22s -
Address / City / Zip:
Name: k ! af41/J f,, ,//G License #: A"- 6 Wel/2
Address: I3 S 7U �j cot/ O % 22 ` City: 42,le 60)VC—
State:"" Zip: �r / P ne:ce`.7�' 6/g -
Contact: r 3 6'57- 21(i— Emil
D
XNew Replacement Repair Rebuild Modify/Space Work in R.O.W.
Description of work: ;% I��s�l f �G-i?4-/- 'f : /2
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.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
accordance with the approved plan in the case of work which requires a review and approval of plans.
1 ra,C �1 d2.q ? a/
Applicant's rinted Name
x
Applicant's Si :,r
FOR OFFICE USE
Reviewed By:
Required Inspections: Under Ground Rough -In ' Air Test Gas Test Final
if
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122 - -
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 1 0 2014
r
Use BLUE or BLACK Ink
For Office Use j �
Permit #: /// 0^^O& 3,9
Permit Fee:
Date Received: c-/t5J/T
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Si?/43" /��✓ �ct',e, l�ir�u�
Date: "I (`O �/ i7 Site Address:
Resident/:
Owner
Type of Work
Contractor
Name:
/12:c o
Phone: i "6-14; - GS3I
Address / City / Zip: 38/ do /V0 V-1 1 le�d�c b�.oc .7 L e-tt GO- — Zig — 2'Z
Applicant is: Owner Contractor
Description of work: %',,A-+.<1- �e-tiasih+r'o�
Construction Cost: `.
Multi -Family Building: (Yes / No X. )
Company: tot4 I ¢-C4 Pf'OContact:
Address: City:
State: Zip:
License #:
Phone:
Lead Certificate #:
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 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work wit 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
�o
Applicants Printed Name
113---=-7/
Applicant's Signature
Page 1 of 3
3f J . ' f --7 a--•
DO NOT WRITE BELOW THIS LINE
a01,03,9
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
`?C' Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Ipro e exit
Move Building
Fire Repair
Repair
+2,_____E)
{
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: Rough In _Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
L/
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
s +fire
vo A/7 ti
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
t5errY-
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use l\ i
City of EaEd~ I Permit U I
I d-~ I
Permit Fee:
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I-Staff
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ` Site Address:
Tenant: Suite
Resident/Owner Name: I:n Phone: /2 - 2 3`/ . /22
Address / City / Zip: /V61,/-
Name: ~ ~ License
Address: /-7~✓e. KJ~6 City:
Contractor
State: /t-1 A-1 Zip: S 5 Phone: _
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Contact: Email /
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Type of Work New _Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Permit Type Lawn Irrigation C_ RPZ PVB)
Add Plumbing Fixtures L- Main / Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$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 Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applicant's gnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
Use BLUE or BLACK Ink
� ForOfficeUse ---------�
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� j Perm it#: � �D ���� �
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� Permit Fee: j(
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: � �� v I
Phone:(657)675-5675 � I
Fax:(651)675-5694 � Staff: �
I �
-----------------�
2015 RESIDENTIAL BUILDING PERNIIT APPLICATION
Date: � �� ���� Site Address:_ ���� �"�"� �`�(�• �✓r''u�-
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€ . Description of work: �'e—�'"�^�+.Sv�, �G��- �
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' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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COMPLETE THIS AREA ONLY IF CONSTRUCTtNG 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:
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} Licensed Plumber: _Phone:
:
� Mechanical Contractor: Phone: �
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� Sewer&Water Contractor: Phone: s
N�T� f�l�r�s�t�e�s�rpp�'#rr��r d�cur�t�i�t#�fh��,�Q�se�br��t��`e c�nsrders�i tc�b�pub��:ir�forn�at�ot� Portet�►�s�f `
#tt��nf�rm�ti�rr ma�r be Elassi�ed as:n�zn�nirblfc i��ou pmurde�pec��e:reasnns fRat i�rauid perm�!h��it�r#o
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CALL BEFORE YOU DIG. Cali 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. vwwv. o herstaleonecaEl.o
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 perrnit, 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 pl;ans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Sta�te Building Code must be completed within 180
days of permit issuance.
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ApplicanYs Printed Name ApplicanYs Signature
Page 7 of 3
` � ��g/� �E���. ��;���;s �,�<<
DO NOT WRITE BELOW THIS LINE ������ �
- SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(Screen/Gazebo/Peri�ola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES f�Piw O�G4r�� �R���� Oi^ t vCf�{-} ��-c.��C .�v.c,,y�n�, l�J� I 0.v�.d-�� � GJ'I-k.�i ✓lGv� .
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Windo�nr _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
�
Valuation �ZU Occupancy _"� MCES System
Plan Review Code Edition 2.uISr►n5/y C.., SAC Units
(25%_ 100%_) Zoning �'Z.. City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �'� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC C3as Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Fc�otings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining N✓all:_Footings_BackfiU_Final
Sheetrock Radon Con•trol
Fire Walls Fire Suppre�ssion:_Rough In_Final
Braced Walls Erosion Cointrol
Other:
Reviewed By: �1� , Building Inspector
RESIDENTIAL FEES
Base Fee �-(� �( f(
Surcharge � ` ;\ �Z � �� v
Plan Review �} � � �`�
�,�G,w�� �l �'�Wv`� C a,�.�l�c�. h P �
MCES SAC � w� � n c� �.C*�� p��
City SAC
Utility Connection Charge ��c'� `�.7( � �
S&W Permit 8�Surcharge b �
Treatment Plant ���
Copies ,Z.
TOTAL
Page 2 of 3
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REVlE ED �
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s�aie: � " �e �' 3816 North Ridge Drive
'x� � �� � DESCRIF'TION .
i hereby certify that this survey� plon. or Lot 4, Biock 5.
report was prepqred by me or under my direct GaRDE�JW00D PONDS
supervision and that i am a duly Registered Dakota. Cour�#�r, ..t�innesota
Land Surveyor under the Laws of the State
of Minnesota _ Plat be.arings shown
o Denotes iron monumen#
._—_.
Date r D NQ� I 99 S Reg. No. 8140 � Existing� . Proposed
(ZEv 2 NoV 1 9 --_�-
BRANDT E�I�IG:INEERING & SUR�EYING
1600 Wes�t 143rd Street, Su ite 206
B u rn svi I l e, M N 55306 .
�
612) 435- 1966 �
, AAZ � 'i Z � /I C� �.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147388
Date Issued:01/04/2018
Permit Category:ePermit
Site Address: 3816 North Ridge Dr
Lot:4 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael G Bischoff
3816 North Ridge Dr
Eagan MN 55123
(612) 239-4225
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173039
Date Issued:10/26/2021
Permit Category:ePermit
Site Address: 3816 North Ridge Dr
Lot:4 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Camille Louise Abrams
3816 Ridge Dr N
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature