3820 North Ridge Dr
05/03/2011 TUE 11:52 FAX ~002/00a
z
t
Use SLUE or BLACK Ink
I
i ` 6 I
MY pf Eaman ;
I Permit Fee: t
3030 Pilot Knob Road J ~ I
Eagan MN 55122 j Date Recelved:
phone: (651) 675.8791,~ I I
v I staff: Fax: (631) 679-5694 I
i i
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 1 Site Address: ►1 Z,1 e.
Tenant: Suite
RESIDENT I OWNER Name: a~ ? Q:uztCi l I. ELi°_~ 6 K) Phone: ILaIa~ Ulso- A.L.4
Address I City/ Zip:
Applicant Is., - Owner Contractor
I
TYPE OF WORK Description of vuork: o ~r ayz)c ~po
Construction Cori: Multi-Family Building: (Yes No ~
I CONTRACTOR Name: t"x c ~ti license A ENSP I tM (O Q~
Address: 0~(5+~ ihlt=~+f1C0.~r~sity: 1
state: _MK-Zip:'5nI4I'c)Lx Phone .^~.h
Contact: CI) 1 le, 6t5 Emsll t
COMPLETE THIS AREA ONLY IF CONSTRUCTING. A h= BUILDING
In the last 12 months, has the City of Eagan issued a parmit 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:
CALL BEFORE YOU 010, Call Gopher State One Call at (651) 4WO002 for protectiao against underground utlllty damage.
Call Q hags before you intend to dig to raosive locates of underground utilities, h Il.
I hereby acknowledge that this information le complete and ocouMfi that the work will be in confomtanc6 with the ordinances and col of the City of
Eagan; that I understand this Is not a permit, but only an sppllnatlon for a permlt, and wo Is not to elan without a permit; that the work will be In
accordance with the approved plan In the ease of work whloh requires a review and approv8f plans-
Appllcon 's Printed Name Ap 1 ` 1"s 61119Page i of 2
05/03/2011 TUB 11:53 FAX
o au rVtJl 0.~ fir,JVI U003/004
g~"a &
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) Storm Damage
Single Family _ Garage _ Porch (44onson) Exterior Alteration (Single Family)
multi ` Deck _ Porch (Screao/GuebolPergola) Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level Pool _ Miscellaneous
_ Accessory Building
YWORK TYPES M ~s
New _ Interior Improvement Siding _ Demolish BuikRng*
_ Addition _ Move Building _ Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wail VarnoRtlon of entire budding - VIVe PCA hanidout to applicant
RESCRIPTION
Valuation 00 Occupancy ~ MCES System
Plan Review Code Edltlon SAC Units
(25%_100%4 Zoning city water
census Cade Stories Booster Pump
0 of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) SheetrocK
Footings (Back) Final / C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC
Brain Tile Other.
Roof: lIce & Water Final _ Pool: -Footings fir/Gas Testa Final
C Framing Siding; -Stucco Lath -Stone Loth -Brick
Fireplace: -Rough in Air Test -Final Windows
Insulation Retaining Wall., _ Footings - Backfill _ Final
Meter Size: Radon Control
Erosion Control
Revlewed By: . Building Inspector
B'SIDENfIAL FEES
Bass Fee iA r
Surcharge
Plan Review
M CE$ SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
e.2 of
Use BLUE or BLACK Ink
I
Far office Use -7 ~56
• Eap Permit !q
City of I Permit Fee: 170 C/~ I
I
3830 Pilot Knob Roar! I
Eagan MN 55122 RECEIVED I Date Received: t
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 DEC o 2010 I
- - - - - - - - - - - - - - - J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - 1 Site Address: '
Tenant` Suite
RESIDENT/OWNER Name: _Phone: K L ' 0k9
Address /City /Zip: t~ lwkw c ~--4QPL\ - ~
Applicant i's: Owner 41- Contractor
TYPE OF WORK n
Description of work: Q
Construction Cost: 1 I , Multi-Family Building: (Yes No
aC)1 Co LI `9 ,
CONTRACTOR Name: ehc''s<~ w ~s~y°a.0. e. S ( License
Address-990 Lone-OCLk ~Cl,~ /L/L -L- city: qC),
State: ,xJJ Zip: 5 I I Phone: I, 0 I
Contact: I Q ~'-t o Email:
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 thai 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. wy/w Qopherstateonecall.ora
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.
M q ~
X -e5) x -n
Applicant's Prin d Name Applicant's Sig ure
Page 1 of 2
_,... ? .:t. ? . . ..?. ? _ . _
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Kertificate af cccu.panc?
cvttv of W-agan
2c*.rhacMt of IZU[iatg aae-*"flon
This Certificate issued parserant to the requrrements of the Uniform Building Code
certifyirtg that a1 tiie tirne of issuance rhis srrvctarie was ire compliance wrth the various
ordinances of the City ?egWating building construction or use. For the following: i
Usc CLuificatiac SF DWG/GAR Bldg. Aemtit No. 27731
?-Y T,a R-3 U-1 zonioa oknia R-1 .rype ca,st Vn
Oww of 8?iMing JOE MILLER HOMES Addren 3459 WASHINGTON DR., EAGAN MN
e.;wi.g Aade. 3820 NORTH RIDGE DR L3, H5, GARDENW'OOD PONDS
n,oe:
euddiag oRkW
POST IN A CONSt'ICUOl1S PLACE
• - - ? INSPECTION RECORD
NY OF EAGAN PERMIT TYPE: Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT:
1+i I; i k!' ilf ?.
.., .. r???? t fE K rr???? r,r? ' .;??;: , ,??? , ??? :,, ?ti,? . ?? i.
4,A1-11t IV640k;ll Pi tp}I.+`: +1N,4--4663
PERMIT SUBTYPE:
TYPE OF INORK:
NJ I ;
INSPECTION ., . .,
P.J?,
?
iYl
feVfO AFtK % : '-: b, IJ p!, I"tF+ M;. b? !,r 4-Jrk AND I4A t F fr
?..
.
?
_??__1
Permit No. PermR Holder Date Telephone M
EIECTRIC (D -°
?
PLUMBING 1 -1.13-MI(I
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
l!!
FOUND
O<
FRAMING
ll
ROOFING
ROUGH
PLUMBING d ?
d? ?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST c?
FINAL PLBG
iv
FINAL HTG
ORSAT
TEST
?
BLDG FINAL
BSMT R.I.
BSMT FINAL
v
DECK FTG ?
Z3l?G; ,?1? ,
DFCK F1NAL ,
?
ali-
INSPECTION RECORD
. CITY OF EAGAN PERMIT TYPE:
, 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ` ? ? `' . ,?????. , ,,??±r.
, t?(w t?i Ft.t[itit i)Fr
6AF;1O N4Jt1flC" 1't?hiU`7,
PERMIT SUBTYPE:
APPLICANT:
, TYPE OF VIIORK:
r---? ;
I
I_ ?
Permit No. - Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINQ
PL9G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
-FINAL HTG
ORSAT
TEST
BIDG FINaI
BSMT R.I.
BSMT FINAL
DECK FfG
!
DECK FiNAL
l /?/
AddreSS 3820 NORTH RIDGE DR Zip 5512_
Lpt.r3 $]jt 5 $Ub GARDENWOOD PONDS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIIvIE OF THE FINAL INSPECI'ION.
Date: /0 /4 Ql/ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) V"
Permanent driveway
Permanent gas
Sod/Seeded grass r/
TraiUwrb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawp faucet before freeze potential exists. Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy
2 6 5-V2O I.'7 I
1? I OFFIC/E USE O Y This requestvoid IB moMhs from volidafian dare primed in ? 1 M? ja?'??
???G??
/ ?
?
PLEASE PRINT OR TYPE (
Reqoen Dare 2o?gbin inspedion requiredY [?]]NCf ? No 0 Ready N. ia1VNi Call
Impection Other Than Raagh-In:
J u n e 11, 199 6 (?ou m?+f wll the inspedorwhen reody) Dak Ready:
I, Qlieensed confrador ? owner hereby request inspedion af the above eledrical work af:
og??Ssort'hridge Drive an
cfa Z?55123
g
Setlian No. Township Name or No. Ronge No. Fire No.
Cawry
Dakota
I
Occopant Phorro No.
Joe Miller Homes 454-4663
PowerSupplier Addresz t}1 ST SW
Dakota Electric Farmington,MN 55024
Elennml Cordmcror (Campany Name) Comratlor Llunse No. Masrer Lic No. (Plom EIeO. OnIY)
Midland Electric
Mailinp Pddama (Conkvcror or O.mer Performirg Inswllalion)
22691 Red Fox DR Lakeville,MN 55044
A.Ihonzqd SignoNm (Cont ror r Perfmming lnmllonon)
/?7y^
1 Pho 4 1n No.
-1444
EB-OOO01A10 6/95 ATEBOARUCOPY•SEEINSTflUM10NSONBACKOFYELLOWCOPY
I II I?I I k5 II I?I REQUEST FOR ELECTRICAL INSPECTION ?? mi;, 7
I I Minnesota State Board of Electricity
??r., .,
nl 1821 University Ave., Rm. S-128, St. Paul, MN 55104 ?
* 0 2 6 5 6 * Phone(612)842•0800????v8359
Home upex Apt. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hic Load Mgmt. Olher, ?
D er Ran e Elec. Heat Tem .$ervice
'X' above the work covered by this requesf. Enler remarks in this spoce ond on the back of fhe white copy only.
Colculote Inspeciion Fee - 7his Inspection Request will nof be occepted wifhout the correcf fee:
Olher F nirance $ae Fee # Circvih/Feeders Fee
Mobile Home Park Sta mps a0 0 to 100 Amps
$treet Lfg./Traffic $ig. Amps 100 Amps
T
fans{ortnef/(?ienefato
SEONLY
TOTAL
/
Sign/Outline Lfg. Xfmr //L
7 • J Co
Alarm/Remofe Conhol
Swimming Pool ? i??: ?aed ?n? d o
rriga}ion BOOm ?
$
ecial Ins
ecfion
p
p
Iovestigoeve Fee
, ?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETEU WITHIN 18 MONTHS.
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Num6er:
Date Issued:
Uo.5rj;?J-4?0
euaLtirNG
e27731
06/03/96
SITE ADDRESS:
3820 NORTH RIDGE DR
LOTe 3 6LpCKc 5
GAROENWOOD PONOS
P.I.N.: 10-28800-030-05
DESCRIPTION:
SF DWG
NEW
R-3 U-1
V-N
R-1
68
52
2
2,422
101 1 - FAM. DETACH
?
? ?? -`
`9 r
REMARKS:
5& W PLBR - M& W SEWER AND WATER
FEE SUMMARY:
VALUATION
Bese Fee
P1an Review
5urcharge
SAC
sac %
SAC UnitS
Subtotal
$1.392.25
$696.13
$100.50
$900.09.
iae
1
$3,088.88
`P201 qYtOV
MISCELLANEOUS
Total Fee
.
$1,923.50
$5,012.38
CONTRACTOR: - Applicant - sY. Lsc.OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASHINGTON DR 204 3459 WASNINGTON DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4669
;a i?a?m?y:=4rts.n?^k>v.r..cws?s k?(4ut?r.?.s-u,
?
inforrfisti^" '3:s" -'cbrr?eV't ari4G;?t
Statutes ara& ;GltV t?'?€ y?ag?Ti CYr
? APPLICANT/PERMITEE SIGNATURE
CITY OF EAGAN O( z.36
1996 BUILDING PEF7MIT APPBCATION (RESIDENTIAL) .
681-4675
New Gonstrudia^. Reauirements RemodeVReoair Reauirements
? 3 reghtered site Eurveys ? 2 copies of plan
? 2 copfes of plans (include beam & window sizes; poured fnd. design; etc.) • 2 sita surveys (ezterior addRions & decks)
? 1 anergy calculetion6 ? 1 energy calculations Tor heated additions
? 3 copies of tree preservation plen if bt platted aHer 7/1193 .
required: _ Yes ? No ' .
DATE: s-?Z3-9G? CONSTRUCTION COST:
DESCRIPTION OF WORK: /V/°t°/ 6)V'51?,ue,116ti
STREET ADDRESS: 3Ro?D /l10A brr/
LOT 3 BLOCK S- SUBD.IP.I.D. #: /10N
PROPERTY
OWNER
CONTRACTOR
ARCHITECTf
ENGINEER
Name: Phone #:
us* rwsr
Street Address:
City:
State: Zip:
Company: & ffu,? z Phone #:
Street Address: .9,/5-9 ?rfuc License #:RZYY??7
City:_?uh State: IW
Company: _
Name:
Street Address:
City:
Registration #:
State:
Zip:
Sewer & water licensed plumber: M4-In/ 4- 1Ja,le? Penalry applies when address change and lot
change are requested once permit is issued.
i hereby acknowiedge that I have read this applicadon and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Tree Preservatlon Pian Received _ Yes _ N0 Phone
Certificates of 5urvey Received Yes
F
OFFICE USE ONL.Y
BUILDING PERMIT TYPE
?
.?
+ ? k'
?
i .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,9'--02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Pubiic Facility
0 04 SF Porch ? 09 12-plex o 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
?31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
-? Basement sq. ft.
- N Main level sq. ft.
sq. ft.
A?-r sq. R.
sq. ft.
/w_ sq. ft.
-$7a Footprint sq. ft.
Building
MC/WS System ?
4 Y?oo City Water
zs? Fire Sprinklered
PRV
Booster Pump
Census Code. /,9f
z, 5?z2 SAC Code o/
Census Bidg /
Census Unit /
Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCN1lS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5NV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
- „
Valuation: $
/O9r?v
/Yx /'!
CAV? zx ?° = 2°
Z?2?is = y9
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CERIIFICATE OF SURVEY
for
JOE MILLER HOMES
(59-7.31.? ? v e
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p{oPosea $96 ?2
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epye
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Scale: 1" = 30'
902, i
i
Top curb to Gar slab =_____
Top block = 40-tiL3
Lowest bsmt flr =
3820 N orth
i??
s
?Jti o?
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n
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]9.3? ? ?
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Ridge Drive
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land 5urveyor under the Lows of the State
of Micuiesota.
Date eUU MAY 1`1 `JK Req. No. 8140
Lot 3, Block 5,
GARDENW000 PONDS
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existin?g? Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
M32-1413-96
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
r
? DOCUMENTSTANDARDS
_a /z
?W 13
13
•
Registered Land Surveyor signature and company
iro"o o • Building Pertnit Applicant
M0<3 ? • Legaldescription
W?'0 ? • Address
?C 11 • North arrow and scale
ff '?'10 13 • Hcuse type (rambler, waikout, split w/o, split entry, lookout, etc.)
0 • Directional drainage arrows with slope/gradient %
0
'?' ? • Proposed/ex6sting sewer and water services $ invert eievation
ff
a 13 • Streetname
2-? ? ? • Driveway
ELEVATIONS
Existina
13 • Sewer service (or Proposed)
? ? • Property comers
Er, ? ? • Top of curb at the driveway
2"13 ? • Elevations of any ebstlng adjacent homes
Prooosed
0"? 0 ? • Garage floor
tae'?o O • Flrst floor
9--? 13
e ? 13
? • Lowest exposed elevation (walkoutJwindow)
• Property comers
?o ? • Front and rear of home at the foundatlon
PONDING AREA fA aoolicable)
• Easement line
[?/o
o ?
? • NWl
M--?o
? . HWL
• Pond # designation
? V'0 • Emergency Overflow Elevation
?a
? DIMENSIONS
0 Lot IinesBearings 8 dimensions
? ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring permaneM footings)
? ?
-? ? • Show all easemenLs of record and any City u61i0es within those easements
Z
13 • Sefbacks of proposed structure and sideyaryi setback of adjacent exassting structures
a • Retaining wall requirement? any ?
RavieWea:
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?
January 7996
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
euzLozNG
029888
@5/@bJ97
SITE ADDRESS:
3820 NORTH RIDGE GR
L07s 3 BIOCK¢ 5
GANDENWOOD FON05
P.I.N,: 10-28800-030-05
DESCRIPTION:
ermit- Type
qjFk Type
PERMIT
pECK
NEW
434 ALT. RESIDENTIAL
a i
?t fE U
r i
REMARKS:
FEE SUMMARY:
6asp Fee
Surcharge
Tntal Fae
CONTRACTOR:
1
3 hereby a?{
inforMatiran 3? ' ,t1Cf' ?r
APPLICANT/PERMITEE SIGNATURE
$50 00
?.50
$50.50'
OWNER: - Applicant -
CKSTEIN CYNTMIA
3520 NORTM RIDGE DR
EAGRN MN
(612)683-0619
-?-U D :51 ATU E fialia
-i
CTTV f]F FAGAN
CASHtER: S YEkMINAL_ N17: 84
DATk=- OS/07/97 TTMI-: 14;5E1:29
Ill:
NAME: CYNTMIA I EY.STFTN
321.0 aULli 3820 N0 RIDGF.: 50.00
21.55 9001 3820 P!0 k1DGE 0.5C1
ini.a7. fieceiFrr Amounh,: 50.50
CRO?33J.4
UBER 7:Da NANCY
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ? ffe- 3830 PILIOT KNOB RD 55122 14t
681-4675 !
New Constniction Reouiremenfs BemodeVReoeir ReouiremeMs
• 3 registered site surveys ? 2 mpies M plan
• 2 copies oT plans (inUUde beam & wintlow slzes; poured fid. design; etc.) ? 2 ai[e wrveys (exterior edAitiwis & dedcs) ?
• 1 energy celculations ? 1 anergy ceiwlations for heatetl additians
? 3 copfes of tree preservetton plan H{pt platted eRer 7/1l93 ?
required: _Yes _ No -
DATE: cI - a S'9 -7 CONSTRUCTION C05T:
DESCRIPTION OF WORK:
STREETADDRESS: + ?
;d47 e
LOT 3 BLOCK ? SUBD./P.I.D.#: ?arcle?..,7ooc1 ?Onc?S
PROPERTY
OWNER
CONTRACTOR
Name: ci,
Street Address: 3 g°Z °? e r+ti ?' d
City: State: M 'v
S1
Company: e 't
Street Address:
Ciry: State:
Phone #: (O &3 0b ( `7
c- ?b C'? 1/C
Zip: S 5 t Z 3
Phone #:
License #:-
Zip:
Phone #:
ARCHITECTI Company:
ENGINEER
Name: Registration
Street Address:
Ciry: State:
Zip:
Sewer 8 water licensed plumber (new consbuctlon onty): . Penalry applies when address change
and lot change are requested once permft is issued.
I hereby acknowiedge that I have read this application and state thac the infoffnation is correct and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ' ?E ?? ?
11
Signature of Applicant: ?
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No 1dPR 3 1997 _
Tree Preservation Plan Received - Yes _ No _ Not Required $Y:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plez
? 05 SF Misc. ? 10 _ pfex
0 11 Apt./Lodging ?
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace n
,0' 95 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
0"?'31 New o 33 Afterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) `Basement sq. ft. MC/WS System ?
(Allowable) 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
Census Bidg ?
: Census Unit o
APPROVALS
Planning Building ,tA3 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Carn. ---
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies uo , zs
Total: .
% SAC
SAC Units
ERnFicaTE oF suRVEY M 32-1413?--96
for
JOE MILLER HOMES
p ?- 895.8?
RoP=?'„-?? ? ?358?556» ?
46'?2
0 h0
0
5
? ? 19? h.82
` 4'? ,, 5E(Zv•? ? ' ? 5
p ? 0?? 12.59 , r;g ?
r?4 Qg
(9oa?
qoa 6? ,_ $ N pe s
L?.- GQ, sVOb ti?.e'r g
0-3? 1
i Zop9pQ•13 -? osed h°u5?2
proP 6 89.6?.
eS?' t i
M9.b3
?
A
d0 •
N ?° %•4
. Q,
cA' °? 1 \ ? ?/ ? ?et?
? 11 y ?` ( `co J?\,?? eo5e
1
/ o0
1
L_ \ Z\
?
V.t? fa_5?9?
1-?W?'g9S3
Scale: 1" = 30'
Top curb to Gar slab ==
Top block = gOft, ?3
Lowest bsmt fir =
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a dul.y Registered
Land Surveyor under the Laws of the State
of Minaeso'ta.
Date zUU /yA'i' [ r'I % Reg. No. 8140
3820 North Ridge Drive
DESCRIPTION
Lot 3, Block 5,
GARDENWOOD PONDS
Dakota County, Minnesota
Piat bearings shown
o Denotes iron monument
? Existing j Propased
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
\?a-?? D.? `r g1h.65Z?W
9D2? i?
i
i
M32-141.5-yb
3??
l9 pa.?1?3J
?\
?_ ??/7i--_
' L BL CITY USE ONLY RECEIPT #:??
-? ~
SUBD. ?ktno?? ?? DATE:?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 551::2
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH N-Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 ;t =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - 1 100 :t =
Rough Openings 1.50 ;c =
Water Softener 5.00 x Co
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprlnkler ' home under const. 3.00 =
Alterations ' to exist+ny 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL S o
SITE ADI
OWNER
INSTALU
STREET
CITY: ?tl? STATE:ZIP: SSLIZ/
PHONE#: ((p(z) `2g/-3?(a-7 ? -
' n
L-f' IL
?4
5
L Bl
SUBD.
OFFICE USE ONLY
RECEIPT #:
DATE:
7996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT lCNOB RD
EAGAN, MN 55122
(612) 681 -4675
.
Please compiete for: • all commercial/industrial buildings.
• mulfi-family buiidings when separate permits are = required for each dweiling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
tF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINiCLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OVIMER NAME:
INSTALLER:
ADDRESS:
cirv:
PHONE #:
STE. #
SIGNATURF:
OFFICE USE ONLY
METER SIZE:
' DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
? CITY USE ONLY
' L ? BL ? RECEIPT #:
SUBD. i.il'AC n? DATE: 6111A60
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x
%Ndi6'i Civ$oQ 31.0 0 n
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 ?_ = 3
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1 3.00 x _L = -?'
Rough Openings 1.50 x 3 = -5? ?
Water Softener 5.00 x =
Private Disposai " Dakota Cry. Iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL -4Z
SITE ADDRES
OWNER NAME: JOSEPH M. MILLII2 CONSTRUCTION COMPANY
INSTALLER NAME: GENz-RYarr ELvrMIrrG & HFATrNG Co
STREET ADDRESS: 14745 South R.obert Trail
CIIY: Rosemount STATE: MN ZIP:
PHONE #: ( 612
55068
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE-
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for. w all commercial/industrial buildings.
? mufti-family buildings when separate permits are = required for each dwelling
unit.
DATE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
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 OELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, 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 RgtIDd fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
ciTr:
PHONE #:
METER SIZE: " DATE
STE. #
CCPlT?,P.CT PP.;CE:
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
_ INSPECTOR:
Ift-
?8l ??
L CITY USE ONLY RECEIPT#: ?Q
? BL r
SUBD.,e?rfJ?itGUl??B"' DATE: V/2f
1996 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
_X New construction Add-on fumace
Add-on air conditioning Atld-on air exchanger, i.e. Vanee system, etc.
Date: 6 -//- f(O
;1=1*1
? Minimum Fee: Add-oNRemodel (existing residence only) $26:96-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outiets (minimum of 1 required @$3.00 each) /p,aa
? State Surcharge .50
TOTAL ? -yo
SITEADDRESS• -2,20 AJ--WnWCP Diei/e
OWNER NAME: Z-6f- /j'!?-l?? ?,.?,ef PHONE #: Y?/-Y66.?
INSTALLER NAME• an
STREET ADDRESS: 21,21o Z?:- k 14'?
CI7Y: STATE: /t'!?l/• ZIP: S'Sazy
-?
PHONE#: (6lz
WW74;z?
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
-.,
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commerciaUndustrial buildings.
• multi-family buildings when separate permfts are = required
for each dwelling unit.
DATE:
WORK TYPE: _ NEW CONSTRUCTION
CONTRACT PRICE:
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Q[ 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 oi pgMj! fee due on ail permiTs.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONll)
INSTALLER:
ADDRESS:
CITY:
- PHONE #:
STATE: ZIP•
SIGNATURE:
51GNATURE OF PERMITTEE CIN INSPECTOR
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
!C)
v?s
Date
f !
,f
Site Street Address Unit #
Property Owner Telephone # ?0(0/?
' H.P. PIPEWQRKS
Contractor 3670 DODD R4AD Telephone #( )
Address b
--(661) 3wa 1-2/0 City
State
Zip
The Applicant is: _ Owner V ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water soften er and/or water
heater at the same time. If r}_ou are installina onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5l8" meter is required)
Other:
_ Water Softener 11 Water Heater
.? $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ C " !?o
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 the plumbing codes; that I understand this is not a permit, 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 approve .
L4UV1(', S"I V U VIA,
ApplicanYs Printed Name Appli nYs Signature
't
' RESIDENTIAL
L t ? I?3 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construcfion Reauiramants
• 3 registered site surveys showirtg sq. ft. M lol, sq. ft. of house; and all roofed areas
(20% maximum lol caverage allowed)
• 2 copies of plan showing beam 8 window s¢es; pou2d found design, etc.)
• 1 set of Energy CalcWatiore
• 3 copies of Tree PreservaGon Plan H lot platted after 7/1193
. Rim Joist Detad Options selecdon sheet (bidgs with 3 or less units)
DATE S? I?/OZ
SITE ADC
TYPE OF WORK
/
APPLICANT?
STREET ADDRESS ?
TELEPHONE
PROPERTYOWNER (
CELL PHONE #
.
LTI-FAMILY BLDG Y N
°IREPLACE(S) v0 _ 1 _ 2
A45 STATEAWZIP uj?"
FAX #6'/-
TELEPHONE # (OS-1 ' COS3' 0& 1 4
-----------------------------------------------------°----°----------°---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO"CA RtiLES 7670 CATEGORY t MINNL'SOTA RULES 7672
(J submission type) . Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical systcm includes:
Sewer/Water Contractor.
---°----------------------°-------------------------°°-------------
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of
Fee: $90.00
is d9frect, ap?d agree to comply
OFFICE USE ONLY
Water Softener
_ Water Heater _
_ No. of Baths
RemodeVReoairReautrements .
• 2 copies of plan
. 1 sel of Energy Calculalions for heated additions
• 1 site survey for e#erior addiGora & decks
• Indicate if home served by septic system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
I
Air Conditioning
Heat Recovery System
VALUATION J(/D?
Phone
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05•plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? DB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
0 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appllcant
Valuation 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVpC
Drain Tile Other
Roof _ Ice & W ater _ Finai _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insuladon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
zom RESIDENTIAL BUII..DING rExmiT nppiLicATzox
City Of Eagan
3830 Pilot Kaob Road, Eagan MN 33122
Telephone # 651-673-5675 FA7f # 651-675-3694
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Plans are considered oublic infom,atbn unlaQm vnRr afnha Nvnv mro +?ds ce...e? a...J ske
Dat, /U / 301 a 7 --- -- ---- --- - - /? D? --- -
ca??asooc?e .
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naa.ess ?'(oD i?'ll?'+?yr 5 cyey S7^ ??,•-Q--
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COMPLETE TNIS AREp ONLY IP
Energy Code Catepqy -?u`?Oft ?eg 7670 Cete¢orv 1
(J submiesim type) • ReaWeMial VeMllatlon Categqy 1 Wqimheet
s,m„maa
' EnergYEmreb0aCalculaliwnSubrtYpetf
A MEI? BUILDING
Mronesota Rules 7672
. New Energy Code VYOrImheBt
stiromiteea
In the last 12 monihs, Yros the City of Eagan issued a permft for a similar plan based on o mastar planZ
_ Y - N If yes, dote and address of moster plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhoctor
Telephone # (
Telephone # I
ielephone #{
I hereby apply for a Residen[ial 6uilding Permit and acknowledge that the infonnation 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 imderstand this is not a permit, but only an application for a peimii, and work is not to start without x
permit; that the work wil] be in accordance with the approved plan in the case of work hich requires a review and
approval ofplans. ?
Applicant's ' tedName Applican 3ignature
T'd 9E64-i2b-E9L suot,4nTos awoH Z3 WdBT:TT LOOZ 50 ^OFd
9£6b LZP £92.
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA099248
Date Issued: 05/26/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3820 North Ridge Dr
Lot: 3 Block: 5 Addition: Gardemvood Ponds
PID: 10-28800-05-030
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Alex Barna
PO Box 188
Cedar. MN 55011
763-444-0292
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Valuation: 616.00 Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
SoNvada and Barna Plumbing EiTol Ekstein
PO Box 188 3820 North Ridge Dr
CedarNIN 55011 Eagan MN 55123
(763) 444-0292
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111359
Date Issued:06/20/2013
Permit Category:ePermit
Site Address: 3820 North Ridge Dr
Lot:3 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Dayna Gardner
505 Randolph Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Errol Ekstein
3820 North Ridge Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116734
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 3820 North Ridge Dr
Lot:3 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Ashley Harrington
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Errol Ekstein
3820 North Ridge Dr
Eagan MN 55123
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use I
Y'I
Eaaan /L/OBD lig
City of REcEijr'�D Permit/!: V
Permit Fee: ���-��r
3830 Pilot Knob Road O
Eagan MN 55122 271016
Date Received: or
Phone: (651) 675-5675 Stmt: gr
111i1
Fax: (651) 675-5694
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/23/2016 Site Address: 3820 North Ridge Drive
Tenant: Suite#:
Resident/Owner__
Name: Cindy & Errol Ekstein Phone:
Address!City/zip: 3820 North Ridge Drive, Eagan, MN 55123
Name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: 55337 Phone: 612-282-2929
Contact: Ray Madden Emati: asnook@uspatiosystems.com
Type of Work —New t/ Replacement Repair _Rebuild _Modify Space Work in R.O.W.
Description of work: bathroom remodel, see attached drawings
RESIDENTIAL
Water Heater
Permit T g Lawn Irrigation( RPZ! PVB) ✓Water Softener
yp ,Ad Plumbing Fixtures( Main! Lower Level)
Septic System -e`auk__
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ L i
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.ciopherstateonecall.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.
x Wendy Rache epait
Applicant's Printed Name Applican s Signet re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Test Final
Meter Related Items: Meter Size Radio.Read : Manometer Staff: -
•
Use BLUE or BLACK Ink
For Office Use / ,�/ {4/
:::t:fi
i*e) CItJof Eaaau
3830 Pilot Knob Road �C�t VED /�
Eagan MN 55122 1C Date Received: 07-
Phone:(651)675-5675 G�4 72016AirFax:(651)675-5694 Staff: _Ad
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12/23/16 Site Address: 3820 North Ridge Drive unit#;
Name: Cindy & Errol Ekstein Phone:
Resident/
Owner - Address/City/Zip: 3820 North RidgeDrive, Eagan, MN 55123
Applicant is: Owner X Contractor ` '
Bathroom remodel, see attached drawings
Description of work: ( 3()
Type of Work
Construction Cost: $10,796 Multi-Family Building: (Yes /No X )
Company: US Patio SystemsContact: Ray Madden
Contractor
Address: 218 N River Ridge Dr City: Burnsville
State: MN Zip: 55337 Phone: 612-282-2929 Email: asnook@uspatiosysterns.com
License#: BC'661813 Lead Certificate#:
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:
NOTE:Plans and supporting documents that you submit are considered to be public information Portions=of_=:
the information maybe classified_as non-public if you providespecific reasons-that Would permit the-City-lo-:=
-_ con_clude_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. wvnv.aooherstateonecatl.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 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.
x Wendy Rache x /l
Applicant's Printed Name Applicant's Signa ire
Page 1of3
ir) , i
. ' /;7 S--)0 )1 Cte-i-K4R) JeE '-..b 4- "
DO NOT WRITE BELOW THIS LINE / `-10_ j
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/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool Accessory Building
WORK TYPES
New Interior improvement Siding __._ Demolish Building*
_ Addition Move Building Reroof Demolish Interior
NA, Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give RCA handout to applicant
DESCRIPTION
Valuation a Occupancy 4, MCES System
Plan Review Code Edition rj' `i)I S` SAC Units
(25% 100% +) Zoning OA". 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 Foundation Before Backfill x HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings—Backfill _Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review ictin. *
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge062(47 f
o
Treatment Plant
Copies
TOTAL
Page 2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151199
Date Issued:08/14/2018
Permit Category:ePermit
Site Address: 3820 North Ridge Dr
Lot:3 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Errol Ekstein
3820 North Ridge Dr
Eagan MN 55123
(651) 683-0619
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:EA163817
Date Issued:09/14/2020
Permit Category:ePermit
Site Address: 3820 North Ridge Dr
Lot:3 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Errol Ekstein
3820 North Ridge Dr
Eagan MN 55123
(612) 226-9147
T. Dunham Construction
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature