3824 North Ridge DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "" "`"Ci
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 bate Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
tui t,?; ?, ? ?.:? ?r? ?a?, ?? f?
!:,til'??a ta?;?i?.i?? :'uP?(r . l t I . i 'i`,tt •?6h,;i ,.
PERMIT SUBTYPE: TYPE OF WORK:
, . . , ,l YEf?AI'ICEI
s
INSPECTION .• • .•
? ,+iii.ji ? , ? , ? • I ?
L? ?
Permit No. Permk Holder Date Teiephone k
ELECTRIC A''
PLUMBING
HVAC
InspecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
«
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIAEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL IZ. ZyL+/` A48
DECK FTG
DECK FINAL
. . INSPECTIQN
CITY OF EAGAM
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
+?? ? ?_ i? ? r?.?,
! I A4C,
SITE ADDRESS: APPLICANT: ?
L OY 7 a' f:iI a I.or? yt.
:yfl-V a ? H01r tH rr iDGr•.' rJfl ?
PERMIT SUBTYPE:
??.
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
NrrR rOt4 rNet , 06 140 , t? 1?
, ;. r .• , :, 1. t ,:.. -
TYPE OF WORK:
. ?•.: X:1wYL.:s.-,:r:?„Ie<e?Ci"5::?'is?+,?
4 ' ' A
INSPECTIO
N •
. • . ? . . I . . DA
.
?!'.lil'r,(li;? . J;?!?•S?'?iI
RtMARKS: -? & w P! HCt M ry W wAIck ANU ?:?-wr-x
Permit No. Permit Holder Date Telephone #
ELECTRIC g(- 0 ?
PLUMBING f/p (?
HVAC
inepection Date Insp. Comments
FOOTINGS
?q 91
a? .
FOUND : ?'• ; r^ % I? TCJ LL? T?Y
?G
FRAMING 3/?
!
ROOFING
ROUGH
PLUMBING
-
PLBC
AIR TEST
?
ROUGH
HEATING ?
?
GAS SVC
TEST ff !I
INSUL e I
GYP BOARD
FIREPLACE
A R TEST FIREPLACE
FINAL PLBG
r v?
?Y a
FINAL HTG 1L l?
ORSAT
TEST
BLDG FlNAL ?
BSMT R.l. „
BSMT FINAL
DECK FTG
DECK FINAL
??00?
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675
, ; . . .. .
SITEADDRESS: APPLICANT:
I fi2 q N0l±ifl 17101y
;Ilt?Ca1 N1441011 4'$1p41j'.
PERMIT SUBTYPE:
M4'M`#;' .1f1WM
1.?. Dliqt
((u l.') '4
TYPE OF W4RK:
? ?
Permit No. Permit Holder Date 7eiephone #
EIECTRIC
PLUMBING
HVAC
Inapectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ,
I
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE ?
FIREPLACE
AIR TEST I
'
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
a
?.
Wertificate uf Cccupancq
Wit4 of Cpagatt
Mcoarhamt of 15*0* 3noecflan
This Certeficate issued pursuant to the requirements of the Urr+form Building Code
eertifying that at the t+nie of issuance this strurrure wus in compliance with the various
ordirurrtces of rhe Ciry regulating bueldireg constructron or use. For the fo!lowing:
use cL,ssifiadon: SF Q+1G swg. eermn No. 26917
Ooapancy 7ypc It31U t zoning nistriix R 1 Type ca,st. Ut+l
OwncrofBuilding .? HIM HM Add[esa 345() WASHINM I& EAGM
IMr1 Building Add+ess 3824 NDM R? DRM l.ovlity L2. B5. GARMUM) PONDS
t--"?LY l,C.l ?CJI 1 t .., ?
?C-
.?
r
ROST tN A CONSPICl10US PIACE
?
ti4
;r,
.4' i. 1 .
Address 3824 xnuni umF nRIVE Zip 5512,1_
' Lot Y 2 Blk 5 Sub 6ARDENWOOD PixIDs
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIMS OF THE FINAL INSPECIION.
Date: Yes No Inspector.
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch L
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of watet supply [o
[he outside lawn faucet before freeze potential exists. .
ContaM engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Ye]low - Resident Copy . Pink - Contractor Copy
225-10 6? OFFl E c9E ONLY This reqvesi void 18 monthe imm vvlidafion date pnnred in Ihis box.
?
?? O
PLEASE PRINT OR TYPE oC.
Reqoaf Dah pough-in inxpetlion rqviredY ? Yas " No Inepedion O?her Than Nough-In: 0 Reody Now jo WII Call
F e b 27, 1996 ?Yo? mvst roll ?e inspecmr when rcadyJ oab eaae,:
I, [jj licensed confractor ? owner hereby reques} inspedion a{ }he above eledrical work at:
Job Mdress (ShM, Bm, or Rauk No.) City Zip Code
3824 Northridge Dr. Eagan
Sxtion No. Ta.mship Nome or Na. Rvnge No. Fin Na Coonry
Dakota
O<zuponl Phane No.
Joe Miller Homes 454-4663
Powar 5upplier
Dakota Electri PAdrqss.? o o, •L L O t}` 5T gW
rm
-
N 55
24
c a
ington,i
i
0
ElMnml Conhacror (Compony Name) Conkanor License No. Masrer Lic Na (Plant EIM. Only)
Midland Electric CA 01236
Mailing Aildrcss (Conhador or Owner Pedaeming ImMllotion)
22691 Red Fox Dr Lakeville,MN 55044
igiwNre (Cnonhaclar ar P doimin9 Imlallatlon)
???A?? .. Phone No.
1461-1444
- 1M70 6795y"' vSTl1TEBORNUAGV-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
IIII IIIII IIIII I I? REQUEST FOR ELECTRICAL INSPECTION
Minnesota Stste Board of Electricity
4-yj
1821 University Ave., Rm. 5-128 StPauano?a (si 2) saz-osoo ?Home up ex Apt. Bldg. Other:- New Addn
Cammercial Industrial Farm Remod R. air
Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other:
D er Ran e Elec. Heot Tem . Service
"X" obove the work covered by this request. Enter remarks in ihis space and on fhe back of fhe white copy only.
Cvlculate Inspection Fee - This Inspedion Requesl will not 6e oc<epted wiffiouf the correcf fee:
Olher Fee al`- Service Enfrance Sae Fee # Circuils/Feeders Fee
Mobile Home Park Stall f 0 to 200 Amps 0 to 100 Amps
Street Lig./(raffic Sig. Above 200 Amps Above 100 Amps
TmnsformedGenerotor INSPECTOP'SUSEONLY TOiT;L
$ign/Outline L}g. Xfmr.
liUc? O. 50
!
Alarm/Remote Conirol
$wimming PDOl I hemb mm thm I ins ecled the elecfi< ' sblloxon des0 herein on Iha dares slated
Irrigafion Boom Reughm
$pecial Inspeciion
Investigative Fee
Final
?
TH IS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
318 - v Q 2 OFFICE SE NLY This requal .oid 18 monfis from .alidaM1On dok prinKd in this boi.
, 99Co Co 71075
7D?0
PLEASE PRINT OR TYPE o? 45
R t Date
°?o v e mb e r 4 19 gh-In
Insp«tion required2 ?Yen ? No
? Inspecrion Olher Than Ro,gh.ln: ? Ready NowWill Coll
?sl call the
m inspedor when ready) Dale Ready:
licensed conirador Q owner hereby request inspecfion of iFie above electrical work at:
Job Mdress (Strxt, Box, or Raute No.) Gry Zip Code
3824 Northridge Drive Eagan
S<ction No. Township Nome or No. Range No. Fire No.
Counp
I Dakota
Occvpom Phone No.
Joe Miller Homes 454-4663
PowerSopplier ^daa?, 4300 220th ST SW
Dakota Electsic Farminz 24
ElMriml Convador (CompanY Name) Comranor Limnee No. Masror Gc. No. (Plant Eleo. Only)
Midland Electric CA 01236
M.dfi?269??.nRedr Fox?D?R'??La?0eville,MN 55044
AvMonz 5' Wra (Co r Perfomi Insmllalion? Plwne No.
461-1444
EB-6606IA-10 6/95 QAR(ATE
IIII II III II II II I I II III I11 I I II III I? I I?II REDUEST FOR ELECTRICAL IN5PECTION &? gml
?'MinnesoW State Board of Electriciry * ?? 6 6 8 2 2 s 1821 University Ave., Rm. S- 28 St. Paul, MN 55104
U 3
Phone (612) 842-0800/'y?§27$
Home Duplex Apt. Bldg. Other: 1Jew Addn
Commercial Indusfnul Farm Remod Re air
Air Cond. Htg. Equip, Waier Hir. Load Mgmt. Other:
Dryer Ran e Elec. Heat Tem . Service
"X" above fhe xrork covered by fhis request. Enter remorks in this space and on the back ol ibe whife mpy only.
Leuwt 4.,J eec Raoq ec Sc-fh•
Calculate Inspecfion Fee - This Inspedion Request will not be accepted without the mrrecf fee:
Olher Fee # Service EMrance Size Fee # Circvils/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Streef Ltg./TraHic Sig. Above 200 Amps 00 Amps
Transformer/Genarafor INSPECTOR'S USE ONLY
TOTA
Sign/Outline Ltg. Xfmc J
Alarm/ Remote Confrol 9
$wimming Poal .fi.?
<ol i6ed ha.ein on the daros saled
Irtigafion Boom Rough-In T
b
S
ecial Ins
edion
p
p
Investigative Fee Fin.1
?
THIS INSTALLATION MAY BE ORDERED SCOWIRECfED IF NOT COMPLETED WITHIN 18 MONTHS.
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 029218
(612) 681-4675 Date Issued: 11 / 14 / 9 6
SITE ADDRESS:
3824 NORTH RIDGE OR
LOT: 2 BLQCK: 5
GARDENWOOD PONDS
P.I.N.: 10-28800-020-05
DESCRIPTION:
B,0i1'dang..Permit Type BASEMENT FINI5H
$uilding:0qrk Type AL7ERATION
='Census Code 434 ALT. RESIDEN7IAL
<<
k,.+ 6 ? ? • ?.. . r _.
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge .$.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. LIC OWNER:
HOR70N INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASHINGTON DR 204 3459 WASHINGTON DR
EAGAN MN 55122 EAGAN MN 55122
(?12) 454-4663 (612)454-4663
I hereby acknowledge that I have- read.Chi.s application and state that the
information is correct an•d agree to ca:rrtply with a11 appli;ceble State of Mn.
Stabutes and Ci,ty"of Eagan Ordinances.. L
`?loun Roar?.ll11?
APPLICANTlPERM M GNATURE 'TSSUED B: SI ATU?-T-
A'J /•.A•
.?, rY 4 -4 ' d I A b;V
I.1}:r
.., . . ... ;"I il.".li".?l._ ?!.,. ...?..
.. .., . ? . . . .. ... , ,,
' ? ?.i?i!?..2 1., fi i. r•,..,...r. . ,.?,..
..,c _ _ .. ..,... :.. .._.. . ._.
..., ...-... ... rrl.i?. ?. ..-?_I _.
.,r. ....? .. •;:?'?:
. .. .. , i. ? ^.. _ .
.. .r.?r_X111/ ? < ,',"Y .r,U?V;•, it . ?.ycy, .,'.'t='
CITY OF EAGAN
lwq t' 1996 BUILDING PERMIT APPLBICATION (RESIDENTIAL) fjD-20
681-4675
RemodeVReoair Reauiremenl=
? 3 registared site surveys ? 2 copies ot plan
? 2 wpias of plans (InGude beam 8 window sizes; poured fid. design; elc:) ? 2 site surveys (exterior addRions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copiee of tree preservation lan if lot plattad after 7M/93
required: _ Yes ? No
DATE: CONSTRUCTION COST: 0 95-
DESCRIPTION OF WORK: Lv/w Le-i/ ?
STREET ADDRESS:
l0T a2 BLOCK 25- SUBD./P.I.D. #: ??r?iMwodc? ?N?S
PROPER7Y Name:
OWNER
rwar
Phone #:
Street Address:
City: State: Zip:
CoNTRACTOR Company: joe M./Ie? 4111,es ' Phone #: ?55?- 5?G?3 c?i?9
Street Address: , ?s?'Sy ?s?,Wi? ??r . S?. ?0l1 License #? ?00??7
-
City: ?sG'n State: OW Zip: SS?da
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip:
Sewer & water licensed plumber: /j?d-(A/ !?ei,c/P.- d- 6C-?ti+il . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicank
OFFICE USE ONLY
.
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
- "o No
ME
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 5F Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging 11
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace 13
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? . ?
X'.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Valuation: $
% SAC ?
SAC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026917
12/29/95
SITEADDRESS: P•z.N.: le-zseee-eze-es
LOT: 2 BLOCK:
3824 NORTH RIDCrE DR
GARDENWOOD PONDS
PERMIT SUBTYPE:
3F OWG
5 APPLICANT:
HORTON INC OF MN, D R
(612) 454-4663
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FOUNDATION .A
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH ZN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - M& W WATER AND SEWER
PERMIT
CITY OF EAGAN IZIz???s
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026917
(612) 681-4675 Date Issued: 12 / 2 9/ 9 5
SITE ADDRESS:
P.I.N.: 10-28800-020-05
3824 NORTH RIDGE DR
LOT: 2 BLOCK: 5
GARDENWOOD PONOS
DESCRIPTION:
Buiiding.,Permit Type
?Building Work Type
UBC.Occupancq.,
T Construction Type
% Zoning
Building Length s
Building Witlth
B.uilding storiss
,Sge?are Fe•et? -
C e n iiu s „G o a3`e "
T ,.
SF OWG
NEW
R-3 U-1
V-N
R-1
50
56
2
2,423
0101 1 - FAM. DETACH
REMARKS:
S& W PLBR - M& W WATER AND 5EWER
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,372.25
$480.29
$96.50
$850.00
100
$2,8e1.04
$197.000
MISCELLANEOUS $1.892.50
TOtal F@B $9e693.54
CONTRACTOR: - Applicant - ST. LIC.OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASHINGTON OR 204 3459 WASHINGTON DR
EACrAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
I
I hereby acknowledge that I have read this
intormation is correct and agree to comply
Statutes and City of Eagan Opdinances,
?
APPLICANT/PERMITEE SIGNATURE
application and state theti the
with all applicable State of Mn.
?
ISSl1ED : IGNATURE
,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
iLqII1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
? 3 rogiaiered site eurveys ? 2 wpies oi plan
? 2 copies af plens (Include beam & window sizes; pouretl fid. design; etc.) ? 2 site surveys (exterior addHions 8 dedcs)
? 1 energy celalations ? 1 energy calalations tor heated additiona
? 3 copies ot hee p rvation plan if bt platted efter 711193
required: rYea _ No
DATE: I/I?74?s- CONSTRUCTION COST:
DESCRIPTION OF WORK: '44L?
STREET ADDRESS: -3?'a?? /????? ?d?% /)r, vc
LOT BLOCK S SUBD./P.I.D. #: ?Gt,44"ve/ pyncrS
PROPERTY Name: Phone #:
OWNER ?* ^^
Street Address•
City: State: Zip:
CONTRACTOR Company: ._ioe. %lel- /?Mc? Phone #:
Street Address: 3,A-4 License #•a`??5'?55`7
Ciry:?'w4n State: 4>r? Zip-
ARCHITECTJ Company: PhOne #-
ENGINEER
Name: Registration #-
Street Address•
City: State: Zip:
Sewer & water licensed plumber. 1,44r Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No PJ C? 1 7 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o
,-z'02 SF Dweliing o 07 4-plex ? 12 Multi RepaiNRem. o
0 03 SF Addition o OB 8-plex o 13 Garage/Accessory o
? 04 SF Porch o 09 12-plex o 14 Fireplace ?
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
,,,?1 New o 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
' N Basement sq. ft.
Main level sq. ft.
sq. ft.
- sq. ft.
r.:fr sq. ft.
C"L sq. ft.
SG> Footprint sq. ft
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies Total:
% SAC
SAC Units
Building
(5?
t/z 3
z, yZ3
?n cd ? zs .
Engineering _
f
I ?, f? /? '+ y ?-
?y ^7 w . ?-`S
M w +, . .. • .
..
16 Basement Finish
17u Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS Systeim
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.'
SAC Code
Census Bldg ;
Census Unit
Valuation:
// 3
$
xsy"
v(?
3y? ??3 ? ?? zr?
??Z.sX ?SSJ = ?`???
y ?
I v
r `
\ ? I
11
Variance
7c -7
?L
i
_-
I?-
?
i?
?-73,v?s ?
z2xz9-sz?Yy
yz3 ,? sy ; ??,?yz ?
1
D°
L:
CERTIFICATE OF SURVEY
for
JOE MILLQR-HO'vIES
? ?•?e
/ QQoP?' ? _ uD•89g,Ts
5? , o
??, ?.?i ? ?ER`???bd
? Q?/i
i •?'
\
04 ?
?
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\ v
?
' ,s se
? ? ?pe \
? r\ qO
63-(
'S to\kq?v i
cA g'? \
?
? q2
P?oposea k e\
g5m
--7
' Ill. C/
? ' ?? ?? ?
nf/ S
?
EAGAN \\ ,S U?,???
REv8
tBY.
?? ?`L ?' ?? •?904,?? 5"s a
r??_ ?. `EAG.4IV E1VG ERYIVG DEFT.
Scale: 1" = 30' i3824
?
North Ridge Drive
? DESCRIPTION
I hereby certify that this survey, plan, or Lot 2, Block 5,
report was prepared by me or under my direct GARDENWOOD PONDS
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Min esota. Plat bearings shown
o Denotes iron monument
Date B 1995 Reg. No. 8140 ? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
Ya
`j
M32-1327-95
M32-1327-95
? LOT SURVEY CHECKIIST FOR RESIDENTWL
? BUILDI G PERMIT APPLICATION
W o
W
N
PROPERTY LEGAL:
W (..)
a ? W
m
DA E OF SURVEY:
LATEST REVISION:
6 Y = .
DOCUMENT STANDARDS
?o o • Ragiscared Land Surveyor signature and company
Gli? O • Buildfng PermR Applicant
?a
0
• , .
Legaldascdptlon
9?10 0 • Address
G?113 o • Notth aROw and scale
e?' ? ? • House type (rambler, walkout, splft w/o
splR entry
lookaut
etc.)
W--o 0 • ,
,
,
Dlrectionel dralneye arrowa with slope/pradient %
ar?-o 0 • Proposedfexasstlng sewer and waterservices S inveR elevatlon
9"C3 ? • . Street neme
B?O O • ' Driveway
ELEVATIONS
Enstlna .
?0 ? • Sewerservice
? 0 ? • Property comers
0--'0 O • Top of curb at the driveway
? B"'O • Elavatlons of any epstlnp adJacent homes
8' 1:3 1:3 •
L9-'0 ? •
EY-'O ? •
a??p ? .
?? O •
O O O •
? 0'-' O e
? D? O •
? 2-' O •
? O?'O .
fd'-'C O •
Z' ? a .
O' o O .
W? a O .
¢'? o o
.
? W?? •
Juy 1995
Proposed
Garage 8aor
Frst floor
Lowest exposad elevaflon (walkouVwindow)
Properly comers
Front and rear of home at the toundatlon
PONDING AREA (if aoollcablal
Easement Iine
NWL
HUYL
? , . Pond it desipnatlon
Emergency Overflow Elevatlon
Lot IinesBearings 3 dimenstons
Right-o(-way and streat widN (to back o/ curb)
Proposad home dimanalone fncludinp any proposed decks, overhangs preatar then 7,
porches, atc. Q.e. alt sVuctures requiriny permanent foo6ngs)
Show ail easemenls of record and any City utllitlas within thosa aasemenfs
Satbacks o/ proposed structure and sideyard satback of adJacent axdstlng sUucWres
Retaining wall
Reviewed:
??
4
F
9pp 0
. .?
2}2]
? 894.1
?
50'-8" PVC
R 350 0.80%
PLUG(8$2A9?
MH
6
+17 !
„ ---
9 13'x 6" DIP
" G.V. & BO
?HYD. (898.8)
? .
8" G.V. & BOX
1?
8+53
898.2
7+32
899.6
?
45'18'24' ?
1 0 R = 448.00?
T - 186.97' ?
L S 354.26'
PC = 6+69.52 6+12
PT - 10+23.7e 899.0
40
? ?1 .-.._ .. . ... .?.?1 0. Ll i Ii.i i "?
?
i _.
I I ?; ??
T ° se ice to be C SDR 26
1 r4?
? rv ce to 1Type K Copper
oe: ervice to e 15' to low side(Ground ?
,.
/
?
-5-1-
89
Elev.) from center of jot. N 0 RTH
3. Curb box to place on Prop. Line
4. Extend Service 15' into property _.
._
. . . as c n i wns _w rran an as . . . . . . . .. . . . . . . . . . . . . .
cl.ir.ect d :by :tlie Engirieer..: . . . . . . . .
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N 0 R TH R I DG E D R IVE 7.5' MINIMUM COVER.
OVERDEPTH INCIDENTAL .
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ENERGY CODE WORKSFIEET POR 1& 2 PAMILY DWELLINGS
- .-r
SITB ADDRESS fM
PpL.??kooK.
-
--- CITY
COHPL6TED HY?,(o& M)LLE(C PItOL16 ? pnT'6
BUILDINd CLA33IFICATZOI7; ? category 1(ptandard) ar ? category 1(muol incluao ventilaL-1on)
H117IMU!( CRZT6RIA --'
Fotindatlorl Inoulatlon-R10 1'7alln L. Windowo Roof Attic Inoulationt
S1aU on Grade Inoulation-R10 foreallowable percentagee) 1199-Y7itli Attic No Ileel
Floor over un6eated epacee-R24 R30-11ihli Attic Raised Ileel
Foundatlon Windowe 1/2"
ineqlated Glacu.
. R30 & RS-Solid RaELero
-Plood or Vinyl Prame
9TBp 1 Wiudow 6 Door Are7 ST6P 2 Calculate area ao a percent of Wall
A. Total Window 4 Door
Area*in yq. Feel
W INDONS (Including Pn Windown);
WI2iDOW MASNPACTURE NTM6, C. Prom Step 1 divide box A(4lindow & Door
FRt7DOW
MA[IVPACTURE TYP6a ' -
ACan) by boX D(COtal Wall aren) C1meo 100
equala [6o wl.ndow and door area as ¢
WIttDOW HAI7OFACTURII U FTCTOR: percent oE wall area (box C).
R. O. QuanCicy r.q.CC.Area ?fOX
(oZ
A
s X 100
Dimensions ,
_
_
?
C
?
noX u 38p0 ?
4
2!Q„ X5-01'
Il`
O
- l STBP 3 D
i
q ?_o+ X ? ,?
II ao
gx¢ Peaturcu
A.SSG418LY
1
`
N tI
`0
G
_- II ??j FRAMII1G TYPE:
X?'"b` ? (bp STANDARD FRAMING ot
d
',
u
s 16
o.c.
? AUVANCGD PRAMIIIG ntt
d
24"
.71 ? ? ? a
i
o.c.
CRVT7'Y 71JSUI.ATIOIJ It?L
x S? ? ? ?
ZS
91(6AT13IIIC TYPS:
X ?
Less Tunri < n-s'
X R-5 > OR 1•IORL+
X U-FACTOR ?
`
DDORS;
4(O r??_ ?Q From the [able,
(reveroe cide) determine the
maximum percent wi
ndow 6 doo
X ?C7j 1 .
r area for.Che
design op[lono ea].ec;Ced and enCer LLe L value
lv (Q ?( QO ln pox D below baoed on tlio window mEg. U-
ZB fac[or:
X
1bta1 Area of
Wliidowe & Doote n- _nq ft
J
- -
0• Total F7a11 Area in Sq. Ft. The t value Erom tLe C.63e in Box D sliall b,:
cyual to or greaCer th,m the } in Dox C
47a11 Tota] Ileiglil Area
Perimeter
1c0Co
? 9.? 30 7
__I_otal At_ea of_Wal]s ?=fL/??;??,(t --_
TIie building nltist not exceed ihe maximum window and door area as a
percentage af overall exposed tvall area listed Uelow for Ihe combination
of (raming technique, R-value of insulation within the insulated cavilv,
sheallting R-yaliie, and tvindow U-factor. Other components must meet
the ieguirements of this subpart.
MAXIMUM WfNOO}y ANI) nOOR Alt[A
.i AS A PfRCGNI' OF OVERALI. EXPO
i S[D WA[-I.
Cavity Window C-Fauor
Framing • (nsulalion ' Sheathing_ 0.49_ 0
36 0.31 0
17
_ _ . _ ?
.
STANDARP R-73 ' • 2R-7 134 6/6 ]7.8% 21.3% 21.390
sTaNnnao R-15 zrc-s 12.9°o 17.1% 20.1°. 33.90.
STANDARD .R-70'.
? :' <R-5 .:. . dl.l% 16.0°; 78.81. 22.0;5
, STAIJPA[tD [t-1B 2R-5 13.5°6 18.6°0 25.30.
ADVANC(sp , R=10 <It-5 ; I1 .l°6 ? 17.1% 20.100 23.4%
ApVANCLp It-18 2ft-5 . 13.51. 19.2% 22.501a 26.1"'.
STANpARp . $-21 <R-5 I1.8°.? 17.0°.? 19.9°0 23.1"?
STANDAItD I1-31 2ft-5 14.09, 19.3'116 22.50,1? 26.11SL
AUVANCGp I:-21. <R-5 11.801b 78.1% 21.20". 2.1,691
APVANCf:D It-21 2ft-5 . 14.0°16 19.91"; 23?0% 26.9IL
SuUp. 3. Perfonnance crileria. The combined thermal transmiltance (Uo)
factors (or walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to:
A. O.llO i3tu/h f12 °P for walls;
R. 0.026 fliu/h E12 °P for roof/cellings; and
C. 0.04 T3ni/h ft2 °C• fnr floors.
srnrnIrru: nas g Mc.19
fusr; ia sis 2361
7670.0480 Ittpenled, 1B SR 2367
? ..
Minn. Rulc: Cliapter 7670
26
iunc 19'1.t
CITY USE ONLY ?
L BL RECEIPT #:
SUBD. z1cD64"4'V4 7" DATE: A
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
Shower 3.00 x
Water Closet 3.00 x
gath 7ub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 ;s
Laundry Tray 3.00 ;c
Hot Tub/Spa 3.00 ;c
Water Heater 3.00 :c
Floor Drain 3.00 ;c
Gas Piping Outlet " miNmum -1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x
Private Disposal ` Dakota Cty. lieense 65.00
(new and refurbished systems)
U.G. Sprinkler " home under const.
Alterations ' ?o eAsting 20:00
Water Turn Around
STATE SURCHARGE
TOTAL
51TE ADDR
OWN
INSTALLER
STREET AC
cinr:
PHONE #:
NS2. TOTAL
_ 477T-?10
.50
s?
?
STATE: rn ,? ZIP: v
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. . all commerciaVindustrial buildings.
? multi-family buildings when separate pettnits are p41 required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED9 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOVNNG:
WATER FLOW: CaPM. ARE FLUSHOMETERS 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.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINf:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surc,harge of $.50 per
$1,000 of oermit fee due on all permits.
CONTRACT PRICE X 1%
l
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
STE. #
STATE: ZIP:
APPLICANT
METER SiZE: ' DATE: INSPECTOR:
CITY U5E ONLY
L ?L BL RECEIPT #:
SUBD. DATE: ??? I?F
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(672) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q. ?
Shower 3.00 x
Water Closet 3.00 x q
Bath Tuh
3.?0
x `
=
!D
Lavatory 3.00 x T = ?
Kitchen Sink 3.00 x ? _ ??
Laundry Tray 3.00 x I =?
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1 3.00 x J = ?'
Rough Openings 1.50 x 7-TT
Water Softener 5.00 x =
Private Disposal * oakota Cry. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations "' to existing 20.40 =
Water Turn Around 20.00
5TATE SURCHARGE .50
TOTAL ?
SITE
OWNER
INSTALLER NAME:(22 14-
STREET ADDRESS: /7 /`>'? ?? ??1,1UX/ -1 /1 1
CITY: STATE: M, y ZIP: ?d
PHONE #:
'%?.i? :? ?TTEd
OFFICE USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE: A
1996 PLUM8ING PERMIT (COMMERCIAL) C
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 I
(612) 681-4675 „
Please complete for. ? all commerciaVindustrial buildings.
? multi-family huildings when separate permits are n2t required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYF'E: fVEVV i,OiVSPrtiiGTiUiv AvD ON RI°li
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.
11
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: $25.00 minimum fee or 1% of contract price, whichever is greatec State surCharge of $.50 per
$1,000 of permit fee due on all permits. i
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE AUDRESS
TENANT NAME: STE. # J
OWNER NAME:
INSTALLER: "
ADDRESS: ,I
CITY: STATE: " ZIP:
PHONE #: SIGNATURE:
APPLICANT I'
OFFICE USE ONLY ,
METER SIZE: DATE: INSPECTOR:
?
CITY U3E ONLY
L BL ?
SUBD.,??'IAA?wrratl?
RECEIPT ?50?90
DATE: / 1040
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: • single family dweliings
? 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 sys#em, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $.29:60?
? HVAC: 0-100 M BTU ' 24.00,
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) 9no
? State Surcharge
.50
TOTAL
SITE
Y'r-
OWNER NAME: J?e glaEw Amgs PHONE #: z16?Y J016S
INSTALLER
STREET ADDRESS: A'C
CITY: STATE: AW ZIP:
PHONE #: ( fol2 ) ??1?-'?oQ 2-?L z L""L %GCG ?„ ? „
?
CITY USE ONLY
L BL
SUBD.
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Piease complete for: ? all commercialCndustrial buildings. I'
? multi-family buildings when separate permits are = required
for each dwelling unit. I,
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR I
DESCRIPTION OF WORK:
FEES: ?$25.00 minlmum See 4I 1% of contract price, whichever is greater.
? Processed piping - $25.00
• State surcharge ot $.50 per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAI
RECEIPT #:
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:.
CITY: _
PHONE #:
TELEPHONE
STATE: p ZIP:
SIGNATURE: u
SIGNATURE OF PERMITTEE CITY INSPECTOR I'
6
CITI(' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
' PERMIT P` PERMIT TYPE:
Permit Number.
Date Issued:
3824 NOR7M RIDGE DR
1.07: 2 BLOCK: 5
GARDENW00D PONDS
P.I.N.: 18-28806-020-05
DESCRIPTION:
ermit Type DECK
?„rk Type NEW
e434 ALT. RESZDENTIAL
? -;
a Lt ? 4
s?
'?.? x ? ?i$ eu 5
?e
?? ? i?"?r a?? . ' ggr•F? f ?g.
BUILDTNG
030314
06(27j97
REMARKS:
FEE SUMMARY:
Base Fee $50.60
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR:
7
4
T heh
`:ittf€sri
5tatu
OWNER: - Applicant --
MENTZ JOHN
3824 NORTN RIDGE DR
EAGAN MN
(612)310-7841
ths. . ?
ISSUED B1/ISIGRTATUR
tr
NOp . ,.,
, . .Do I;. . . ., .
. . 'q 0.-I ?., Q (: W?: ; (: •=: ,. .? .
C:I:lY r)F I'AGihN
C;ABH:I:E:Ru
' S 7'f:::hrvi]:t+It1i... N0: 39
1_.iFll
E; 06/27/97 7:1:'t1C:> WClr'eW
f(j?
NnNF? Ooo-iN P MEhr,-
:i2i{) 'a(llil :;S3fi.'.4. n! PI::CSfGL: fIR tiCi.t)C!
205 9001. 3@24 i+% ft]:11f..r[= f)(s.
(.1„"if]
•ln?, . ..,,
,y nd- ,0..
? . : i j
TS:t'177l fief.ha:I.PF, /'91Rt:1u{1'F, I: u?
[:17t]"7F:r4f} ? `.'ip,,:.ep
:.1S±_:R :tD, NAn!r.,Y
. A Y i.. _t ? . ,
(,
._ ' 1997 BUILDING PERMIT APPUCATION (RESIDENTIAL)
? f CITY OF EAGAN ? 01%, A41- ht,,?.
O?+ 3830 PILOT KNOB RD - 66122
681-4675
New ConsWetion Reoufrements RamodeVReoair ReavircmeMs
? 8 regisrered site surveY$ ? 2 oopias of plen
? 2 copies of plans (include beam & window saes; poured ind. design; etc.) ? 2 ske surveys (exterior addRions & deeks)
• t energy calwlations ? 1 ene
rgy ealwletions /or hested addftions
? 3 copies of tree preservation plan if lot plalted after 7/1l93
requfred: _ Yes No DATE: ?y - /2 "R r CONSTRUCTION C05T:
DESCRIPTION OF WORK: ? eGk
STREET ADDRESS: 3 8 Z l V V 4 C' f? h' ?i e? r'
LOT 2' BLOCK ? SUBD.lP.I.D. #: Gc?rd??? hJ00? Pd n??
p?1 c-?' t,1oCK 3{U-?9W1
PROPERTY Name: _ ? ? L ?'?? Z ?L Phone #:
OWNER
StreetAddress: RJ,? City: Fclq Gh State: tl A/ Zip: $?r? ?3 ^
CONTRACTOR CDmpany: Phone #:
Street Address: License #:
City: State: Zip:
ARCHRECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.aed plumber (new construction onty): . Penalty applies when address change
and lot change are ?equested once pertnft is issued.
I hereby acknowledge that I have read this application and state that the infortnation is wrrect
State of Minnesota Statutes and City of Eagan Ordinances. /1?1
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
agree to comply with all
JUwA7
Tree Preservation Plan Received - Yes _ No _ Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New o 33 Alterations
32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
toning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging o
? 12 Muiti Repair/Rem. ?
n 13 Garage/Accessory ?
? 14 Fireplace ?
1 15 Deck
0 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main tevel sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq.
ft. ?
Census Code.
Footprint sq. ft. SAC Code ?
Census Bldg
Census Unit
Planning Building _ i I Engineering
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
Variance
% SAC
SAC Units
CERTIFICATE QF SURVEY
fvr
JOE MILL flv1ES
e? ?
a
L?
O/n20 /
?
?
?' ?i9'
<3?4?/??'?)'%?
/WV / i
?
?
?
?
>
o,
i ?
Scale: 1" = 30'
\ S
, Ir
? DESCRIPTION
M32-1327-95
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,5824 North Ridge Drive
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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 Surveyor under the Laws of the 5tate
of Minaesota.
Date C&S A0U I995' _Reg. No. 8140
Lot 2, Block 5,
GAftDEiJWvCD FOtivS
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206 ---
Burnsville, MN 55306
(612) 435-1966
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M32-1327-95
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Zoo7RESIDENTIAL BUILDING rEPvuT aPrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstruc6on Reauiremenls
3 registered sile surveys shmving sq. fl. of lot, sq. R. of house; and all roofed areas
(20°k maximum Iot coverage albwed)
1 Soils RepoA if praposed building is to be placed on dislur6ed soil
2 wpes of plan showing 6eam & window sizes; poured found design, efc.
1 sel of Energy Calculations
3 mples of Tree Preseroation Plan if lol platled afler 711193
Rim Joist Detail Options seledian sheet (6uildings wlth 3 or less unils)
Minnegasco mechanical venfilation Porm
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RemodelRieoair Requiremenls Offim Use OnIM
2 copies of plan showing footings, 6eams, jolsts Cerl of Survey Recd _ Y _ N
lsetofEnergyCalaladonskrheatedaddilions SoilsRepad _Y _N
1 slle survey kr addilions & dedcs Tree Pres Plan Recd _ Y _ N.
Addilion-indicaleitonsifesepticsystem Tree Pres Requifed _Y _N
On-slleSepticSyslem _Y _N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date f Z. l On Construction Cost
Site Address 38 Z t/ /t/o FtA kr 61ar pAOi` UnitlSte #
DescripHon of Work ? e /, o Ea'f?
Multi-Family Bldg _ Y_(,/N Fireplace(s) 0 _ 1 _ 2
Property Owner ?o?sv &eiL?e Telephone #(?j $5/j
Contractor ? e
Address City x.-
State 'A'[L, Zip 5,4? Telephone # (<,s'! ) -/ G O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1
Energy COde Cet¢gory . Minnesota Rules 7672
, Residential Ventilation Category 1 Worksheet
(J submission type) . New Energy Code Worksheet
Submitted Submitted
. Energy Envelope Calculalions SuhmiUed
In ihe last 12 months, has }he City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, dafe and address of master plan:
Licensed Plumber Telephone #( J
Mechanical Contrqctor Telephone #( )
Sewer/WaterContraCtor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wvrk 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
pernut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and
approval of plans.
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Applicant's Printed Name App(icant's Signatur
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172312
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 3824 North Ridge Dr
Lot:2 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-020
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 -
Benjamin M & Mara M Koenig
3824 North Ridge Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature