3841 North Ridge Dr• ?? . INSPECTION RECORD
C1TY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number: ?•'`?' s.4 H
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 . ?
SITE ADDRESS: APPLICANT:
I fi i .. I? f??? s
i? 011ic l}f t: 11i6t I)R i H l:i .?
.
? /.1Akf)t {VW116(1 I'oWtl'. (-6 1 454•-4 663
PERMIT SUBTYPE:
TYPE OF WORK:
NI
INSPECTION DA • DA
.. i E ri
kE MAkk ?i i !-, 1t I.J P LN(-t R! Fe iJ '.F Wf R AIVt) 14ATE R
? ?? ? • ' ffi
g, 11£ ? ?0{€ W7 {,? +? Y i? 3 ? '&$R _en-y Tr . ?
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? J.. . _ ? ° . , . , e :.?.?, c? b.> ??. . .. . ? .?. i .w,..?..? ? ... . _.,?'(f ?? e??5?.t? ? aC'i.?i-,_. ; ?z i > ..?? . J
PermR No. Psrmit Hotder Dats Telephons #
ELECTRIC
PLUMBINC3
HVAC
Inspectlon Date insp. Comments
FOOTINGS
L
FOUND 464
FRAMING
ROOFINO
ROUGH
PLUMBING
- 07
,
PLBG
AIR TEST
ROUGH
HEATING
GET SVC
T
11
?
?
INSUL 31,q?'f7
GYPBOARD
FIREPLACE
AIRTEST FIREPLACE
FINAL PLBG Ji/
?y
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
UECK FTG
DECK FINAL
74
d
ri ?• tA
!
KertifiCate of CcCUpanC4
gitv o f Cfaqan
Zoaortcnext of ?4Kiibi?ttg ?n??rection
This Certificate issued pursuant to the requiremertts of the Uniform Building Code
certifying that at the time of issuance this structure was ue compliance with the various
or+dinances of rhe City rcgalating building construrreon or use. For rhe following:
Ust Glassificvion: .S'F M BWg. Pcrmii No. 29W
Oocupancy Type R141 1 Zonina Disnia R I Type consi. VN
Oweero(Building M 7FJ2 FiIdER AddRSS S4:1y_WA.w1?
Buiiding Addcect 'iQ/. 1 AY1Dl[I QTf1M i!!tlQ Localiry L2, B3,
-.^,r Y Dale' '
BYIId111g oRICla , .
POST IN A CONSPICUOUS PLAGE
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 881-4675
SITE ADDRESS:
: ? ?; r ?? ?-? ? t ?
PERMIT SUBTYPE:
1-
L
14 /:?:4 /()st
,U..w " .,
> - V, i o„ . APPLICANT:
TYPE OF WORK:
ai
I;iMaiif ?. P t nN hTf Vlfl-lFf1 PY M trt' R A Ft( k
Parmk No. Pertnlt Holder DaU Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspection Dete fnsp. Comments
FOOTINGS
FOUND
FRAMING
FOOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
(3AS SVC
TEST
INSUL
GYP BOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLD(i FINAL
85MT R.I.
BSMT FINAL
DECK FTG jU3
DECK FlNAL ?? 4 ?
Addre'ss 384 i rro?Jt = DRRE Zip 5512 3
Lo4 2 Blk 3 Sub crRDR.von rcmIDs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 7 r-j ?'j 7 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) ?'
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage f
Porch P/
Basement finish
Deck
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righFOf-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
318 -160 ?
_/
? OSE NlY Thiz request .aid IB manMs irom valldatlon dete pnnted in thi?z0 40 ?
? ?7
PLEASE PRINT OR TYPE p
?? rCl.7
Requast Dale Raogh-in inspection req?hedt [3?cs ? No Inspetlian OlherThan Rough-In: 0&ady Now Q,NWK.oII
'Z _ r) _(3 7 (You muzt call ihe inzpemr whm ready) oab rz.ody:
I, ?icensed contmdor ? owner hereby request inspeclion o{ }he above eledrical work at:
lab Pddress (SYraeY, Bax, or Roob Na ) Ciry Ztp Code
3841 Northridge Drive Eagan
Saction No. Township Name or No. Raige No. Fire No. County
Dakota
Oaoponl PMna Na.
Joe Miller Homes 454-4663
PawerSupplier Add.s
Dakota Electric Farmington,MN 55024
ElecMml Conhocmr (ComponY Nam<) Contmcfur ll«nsa Na. Maxror lic No. ?PIoM Eletl. Only)
Midland Electric CA 01236
MoiGng Addrcss (Conhactar ar Owmr Pedormin9 Inzallofion)
22691 ed Fox Lakeville,MN 55044
AWhonud r Perfarming Insb n) Phone No.
461-1444
11'BO00IA-10 6/95 / orryseOARDCOPY•SEEINSTRUCTIONSONBACKOfYELLOWCOPY
?"
III ?°p •' gi REQUEST FOR ELECTRICAL INSPECTION 1"0
I III I II II I I I I I I I II I RI II jl I? I?II Minnesota State Board of Electriciry '
111 I II Phone (812) 642-0800 4??/?'r7 eUlg 4'TY
0 3 1 8 7 6 0 6
* x ?. Home Duplex Apt. Bldg. t3ther: ? . New Addn
Commercial Indusirial Fartn Remod Re air
Air Cond. Htg. Equip. Water Hfr. Lood Mgmf. Ofher:
D er I XI Range Elec. Heat Tem .$ervice
"k' a6ove fhe work mvered by this requesf. Enfer remarks in this spvice and on the back of the whife copy only.
Calculafe Inspection Fee - 7his Inspection Requesf will not be amepted wi}hout the corred fee:
O*mr Fee 3F Service Enlrance S've Fee # Circvifs/Feeders Fee
Mobile Home Park Sfoll 0 to 200 Amps 0 fo 100 Amps
$Ireet Ltg./Trafli< Sig. Above 200 Amps e 100 Amps
Transfortnef/Generafor INSPEC70R'SUSEONLV ?pj TOTAL
$ign/OutlineLtg.Xfmr. ? ?? 750
Alarm/Remote Confrol
Swimming Pool
I here cenl Mat I Inz d ?he elecbiml ins aNOn h on Ihe dahs ak
Irtigation Boom Rough-In Da?e?
S
ecial Ins
ection
p
p
Investigative Fee Fiewl W
THIS INSTALLATION MAY BE ORDER DIS ONNE ED I T COMPLETED WITHIN 18 ON HS.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-28800-020-09
DESCRIPTION:
C
? 0 L F iA
REMARKS:
S& W PLBR - M& W SEWER AND WATEft
rIFM
ua ?b
i 7 g'??Y F ?!? abj8
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
5ubtotel
$1,332.25
$865.96
$94.50
$950.@0
100
$3,292.71
$189,000
MISCELLANEOUS $19979.50
Total Fee $5,222.21
CONTRACTOR:. - ,qpplicant - sT. LZC OWNER:
iQR70N INC 0F MN, D R 14544663 2000565 .]OE MILLER HOhIES '
459 WqSHINGTON DR 204 3459 WASHIN670N DR 204
AGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
F r .. .,:
? hereby aekrrowiedgq? ??1??_.`T `.4?;
xtrfiormat,i arr ieyc0 r.r, 94
? 5te?u"?ss and'.`&xt? of APPLICANT/PERMITEE SIGNATIJRE
PERMIT
PERMITTYPE:
euzLozNG
Permit Number: 0 2 9 3 8 8
Date Issued: p 1/ 10 / 9 7
3841 NO{2TH RIDGE DR
LOT: 2 BLQCK: 3
GRRDENWOOD PONOS
rmit Type SF OWG ,
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CITY OF EAGAN
3 st 1996 BUILDING PERMI6 1-4685 ATION (RESIDENTIAL)
RemodeVReoair Reauiremenls
._i? 11 L • ?. ?
r
l,U ?????g? f I - ?
?. ,
? 3 regislered site surveys ? 2 copies of plan
? 2 eopies of plans (include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (ezterior additions & decks)
? t energy calculations ? t energy caloulations for heated additions
? 3 copies of iree preservatlon plan if lo[ platted after 7/1/93
required: _ Yes ? Na ,
DATE: 1-3-I7 CONSTRUCTION COST: /-:f/? >??
DESCRIPTION OF WORK: Ne?-/ ,
STREET ADDRESS: Nor?? L44 L?L
LOT BLOCK SUBD./P.I.D. #: •??-
- PROPERTY Name: Phone-#:
OWNER `"°' MT
Street Address,-
City: State: Zip:
CONTRACTOR Company: Idp ?rL li?,- 44=? Phone #: '?55? ?/6G3 eV/.15
Street Address: zs/5'4n L? ...,1G` License #: zS
City: C• ?Gvi _ State: /7A Zip•
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #'
Street Address
Ci{y; State: Zip:
Sewer & water ticensed plumber: rnj- Lj ?"?.°t+le?r d-klGite . . Penalty applies when address change and Ict
change are requested once permit is issued.
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.
Signature of Applicant: lf •G???
OFFICE USE ONLY RL" CETVED
Certificates of Survey Received 4- Yes _ No JAN 0 3 1997
Tree Preservation Plan Received _ Yes ,? No B?,,__--
BUILDING PERMIT TYPE
OFFICE USE ONLY
?
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
a 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
O'?31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowahle)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
V?j Basement sq. ft
? evel sq. ft.
Main I
u-I ?
2sq.ft.
2-1 sq. ft.
?y sq. ft.
5,4, sq. R.
N'7 , Footprint sq. ft.
Building yve
t L59 MClWS System ?
, ?-7 4 City Water ?
? i LLo Fire Sprinkiered
s?-o PRV
Booster Pump
Census Code. 101
Z32t,4 SAC Code ni
Census Bldg i
Census Unit i
Engineering
Variance
Permit Fee Valuation: $ 1 8er. o00
Surcharge -11-ase_ - ?-
Plan Review 54/ x 2? ?yv-l
License 33Ks ,
MC/WS SAC ,Z.s,r 3 3-,,s
CIty $AC Ig K 3 39
Water Conn. ' Z
Water Meter ? ?-S?• T 't 2-`4 ,?`Z
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Road Unit a •?J
Park Ded. ' 3 ? ,osy
Trails Ded. Z
Other i ? 6G ,pol Sk: 6- z,qI.?e
Copies
Total:
?uu ?i ?.09
% SAC ? ?So ?? i ?. = t ?, y o0
SAC Units ----
? 4a,sy;.s
I
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?
CERTIFICATE OF SURVEY
for
JOE MILLER HOMES
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M32-1505-7 I
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Scale: 1" = 30'
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Top curb to Gar slab = 10
Top block = B97•6L
Lowest bsmt flr = ?i?.-
3841 North Ridge Drive
DE5CRIPTlON
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 State
of Minraesota.
Dote 67L TAA/ 1997 Reg. No. 8140
Lot 2. Block 3, LA G ,R N
GARDWNWOOD PONDS R E N I E W E p
Dakota County, Minnesota
Plat beorings shown 3Y ?
o Denotes tron monument
? Existing?
BRANDT ENGINEERING & SURVEYtNG
1 600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
Suite 206
M32-1505-96
LOT SURVEY CHECKLIST FOR RESIDEfVTIAL
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• Registered Land Surveyor signature and company
• Building PermR Applicant
• Legaldescription
• Address
• North arcow and scale
• House type (rambier, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with siope/gradlent %
• Proposed/ebsting sewer and water services 8 invert elevation
+ Street name
• Driveway
ELEVATIONS
Exdstina
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• ElevaBons of any exdsting adjacent homes
Proposed
• Garage floor
• First floor
• Lowest exposed elevation (waikoutlwindow)
• Properiy cromers
• Pront and rear of home at the foundation
.
.
.
.
.
PONDING AREA (if aoolicable)
Easement Iine
NWI.
HWL
Pond # designation
Emergency Overtlow Elevafion
DIMENSIONS
Lot IlnesBearings 8 dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permaneM footings)
Show all easemeMs of record and any City utilities within those easemeMs
Setbacks of proposed sWcture and sideyard setback of adjacent exassting structures
Retaining weli
Reviewed:
PftOPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
January 1988
C1iAtG10B819l0GPRMf.FM
" 1& 2 Family Residendal "Cookbook" Melhoa
{TEAPDKt» ?DV
Gty
Dalc
9UILDER Jo? MI??? Nt7I"???
Mlnimum Criteria:
Rim JoisL' R-19 insulation Froundaton Windows: Insulaccd glazs, IR' air spacc, u'oad or vinyl Eramc
Entrv doors: 1'/i inch solid wood ti+(ith storm or better
STEP 1 Window & Door Area STEP 2 Calcu]ate area as a percent of wall ?
Total Window & Door Arca in Sq. Fcct
SVIIMOV1S (iacluding fcuodation windows):
DimcnSions Qnry. Arca
Z1 (o'X 5-d' itt?'I ?S
E 1 ,-c% x I..all C)
'L'-o' z 41-d' II
Z! X`_a" fl( IIII q D
51_0x` ? .
XSI aI
?1 n
x5!n' &D
0- .
z
X
X
DOORS:
1 (06 xCo° I I 1 0 1
lD' z ( .
X L r I
Total Area of
Window & Doors A
Total Wall Area in Sq. FL
Wa117ota1 Pcrimctcr Hcight Arca
F I ?-D``
?3Z ,?3 l Co
"fotal Arca
oi wau
I -),A 7-? B
Sox A(window & door arca) dividcd by $oz B(tota]
wxll ara) times 100 equzls chc window z^d door arc2
as a pcrccnt of waU arca (Box C).
aozA 41 x ioo= j BozB " (Z9 C
I STEP3 DesignFeatiires I
ASSEMBLY
oPnov
FRAME WALL:
STANDARD Yft?.2fING ?
ADVANCFD FRAI.IING
CAVITY INSULA770N
SHEATHING: LF-SS TIiAN R-5 ?
R-S OR b1DRE
WINDOWS (cxccpt foundation windows):
U-FAGTOFt U-, 2j(p
?rom thc tahlc, dctcrmino thc maximum pcrccnLwindow
& door arca for the design opdons selcctcd and cnicr thc
vahic in box D bclow:
I? p
Box C must bc less lhan or cqiiat lo IIox 1)
F. Tlie UuildinU must not exceed the maximum window and door area as a
percentage of overall exposed wall area listed below for the comUinalion
of framing technique, R-value of insulation within tlie insulated cati•ity,
sheathing IZ-value, and ivindow LI-factor. Other components must meet
the requirements of this subpart.
MAXIr4UM FVINAOW AND DOOR ARFA
AS A P[RCENT OF OVLRALL EXPO S[A WA[.[.
Cavity . Window li-Faclor -
Framing ? (nsulalion ' Shcathing- _D;49 • 0.36 0.31 037
STANDARD R-13 ?R-7 13.41/6 17.8% 21.3% 24.3°b
STANDARD It-75 2R-5 12.9% 17.1% 2D.1 %. 23.40L
STANDARD R-78 <R-5 .:. , •113% 16.09?' ; .18.8% 22.01'
STANDARD R-18 2R-5 13.5;6 18.690 21.806 25.3':L
ADVANCGD . R=78 <I:-5 ]I.l;o °17.1% 20.101 23.901
ADVANCED R-18 2R-5 13.5°5 19.2% 22.50. 26.1';'.
STANDARD Ji-71 <R-5 11.8°. ; 7790,1. 19.9;6 211';L
-STANDARD It-21 2k-5 19.0% 19.39'. 22.59L 26.1"S,
ADVANCGD IZ-21. <li-5 11.8°14 18.1% 212;5 2•1.61;L
ApVANCED R-21 zk-5 . 11.0°L 19.90"6 23.2:L 26.99.
Stibp. 3. Performance criteria. The combined thermal transmittance (iJo)
faetors for walis, roof/ceilings, an(i Floors over nnlieated spaces musl be less qtan nr
equal to:
A. 0.110 pht/h ftz °P for walls;
B. 0.026 Titu/h ft2 °F for roof/ceilings; and
C. 0A4 TStu/h ftz °P for Floors.
STATAI(7'!i: MS § 216C19
NIS'T: 18 SR 336]
7670.0480 Repeaferl, 18 SR 2361
1)
Minn. Rules Chaplcr 7670 26 ikine 19`)I
" CITY USE ONLY
L o2 BL ? RECEIPT#: ?O 91"1 Z
SUBD.?.{LL/?u.U?e?9Bt ?? RECEIPT D,4TEr /// 6-19 7.
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
.., y,r. 3830 PILOT KNOB RD .
EAGAN, MN 55122
(612) 681-4875
Please complete for: ? single famity dwellings
• townhomes and mndos when permits are required foc each unif
• backflow preventer for underground sprinklersystem
FIXTURES EACH TOTAL
ttow=r
Q
3.00 ?
x =
.
- Water Closet
3.00
x = ?
Bath Tub 3.00 x
Lavatory 3.00 x =
Kitchen Sink 3.00 x % _.
Laundry Tray 3.00 x
Hat Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x /. :
Gas Piping Outlet ' minimum - t 3.00 x I ..?
Rough Openings 1.50 x
WaterSoftener ' Tor dwellings undel constfudion 5.00 X
WaterSoftener 'forexistingdwelling 20.00 X; -- - = --- -
U.G. Sprinkler ' for dwellirng unaer const. 3:00 =
U.G. Spdnkler `farexisting dweiling 20.00
Alterations ` to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' oak cry nc. 65,00 =
(new and refurbished systems)
Private Disposal Systems"nbandonment 20.00 =-
STATE SURCHARGE .50
TfSTAL 00
I here6y adcnowladge fhat I have read thisapplication,:atate that Me infortnetion is? correct, aMagree tawmDly with all applioa6le,Ci,ty
of Eagan oMinances-: It is the. applicant's responsibility to;noMy thepropeAy owner thet the Clty;ofEagan.:assumes.no liabiilty'for any
damages pused by the Clty during ksnormel operational and maintenenoe sdtivitiesto the fadikiesconstrudetl under thisjpennH•wRHin
City pmpeKy/right-of-way/easemerrt. , .
SITE ADDRESS: 3841 Northridge Dr
OWNER NAME: Joe Miller Homes
INSTALLER NAME: Genz-Rvan Plwnbing TELEPHONE#: 423-1144
STREET ADDRESS: 14745 S Robert Trl
CITY: Rosemoimt STATE: MN Zlp;. 55068.
?
NATW E OF PERMITTEE
UFFIGEDSEONLY? ? ? ? ? . .
L ? gL ? CITY USE ONLY RECEIPT#: 69y50?P
SUBD.??? (204? RECEIPTDATE:
1997 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 fumace
Add-on air contlitioning Add-on air exchanger, i.e. Vanee system, etc.
Date: / -,2 7- ii 7
FEES
? Minimum Fee: Add-on/Remodel (existing residence oNy) $-29-96
? HVAC: 0-100 M. BTU 24.00
Additiona150 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 6.66
? State Surcharge .50
TOTAL ? 3c.5 Q
SITE ADDRESS: 3 ?RYI
OWNERNAME: ?G-' yl,`G°u !Yn/wc°S PHONE#:
INSTALLERNAME: (?7i'oAd h4« PHONE#:
croGC:T enneFCC• oC?,?IO z2 7`d.i 14(le -
CITY: ?rt?n STATE: ZIP: s??7
-r
SIGNATURE F PERMITTEE
CITY USE ONLY
L BL
SUBD.
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . ali commercial/industrial buildings.
? multi-family buildings when separete permits are not required for each dweiling
unit.
DATE: I CONTRACT PR!GE;
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRtPTION OF WORK:
FEES: ? $25.00 minimum fee Qr 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE F+DDRESS
OWNER NAME: TELEPHONE
TENANT NAME: (innPROVennerirs oNLv)
INSTALLER:
ADDRESS:
cirr:
STATE:
PHONE #;
ZIP:
SIGNATURE:
SIGMATURE'OF PERMITTEE CfTY INSPECTOR
?
? ?-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: Bu x Lo x N G
Permit Number: 031828
Date Issued: 0 4/ 2 3/ 9 8
SITE ADDRESS:
3841 NORTH RTDGE DR
LOT: 2 BLOCK: 3
GARDENWOOD PONDS
P.I.N.: 10-28800-020-03
DESCRIPTION:
Permit Type DECK
49,rk Type NEW
dr?`m 434 pLT. RESIDENTIAL
REMARKS:
PLAN REVIEWED SY MTKE BARCK
F
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IIr¢ PoE 3'f
? d& R E•?-."° it'?a isu ?v?? ?i_p?: ilci ?Z , ?? „%.? a
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FEE SUAAMARY:
Base Fee $50.00
5urcharge $.50
7otal Fee $50.50
CONTRACTOR:
I
?
OWNER: - Applicant -
RUKAVINA PAUL
9841 NOR7H RIDGE DR
EAGAN MN 55123
(612)459-7303
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998 BUILDING PERMIT APPLICATION
? ? i CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Constnution Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; efc.)
? 1 energy calwlations
• 3 copies of trea preservation plan if lot platted efter 711/93
required: _ Yes _ No
DATE: y - z-p - 91
DESCRIPTiON OF WORK: Uea
Name: PU4'Av1NXI P'TVuL Phone#: ?S?I-?3a3
Last First
*oaa
STREETADDRESS4 3$`4 I N0k`f'FI R1dbt QRiV?
LO7: Z BLOCK: .3 SUBD./P.I.D.#: 6I}KflEn1w00b PbnIOS
PRQPERTY
OWNER
CONTRACTOR
ARCHIT'ECT!
ENGINEER
Street Address: 3?H I
City GA6/T.) State: M /J
Company: S61- F Phone #:
Street Address: License #
City
(RESIDENTIAL) 1 ? 0' K ??
WdVp,A- U,,P,c..( ..&
VCJIC.A,
RemodellReuairReauirements +
V y
? 2 copies of plan
? 2 site surveys (e#erior additions & decks)
? 1 energy calculations far heated additions
CONSTRUCTION COST;
State:
Company: sez, r
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
State:
I hereby acknowledge that I have read this application and sfate that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
zip: S S 1 z.3
Zip:
Phone #:
Registration #: _
Zip: ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex "
? 02 SF Dwetfing Q 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
D 05 SF Misc. ? 10 = plex
WORK TYPE
"1 New
? 32 Addition
? 33 Alteration's
13 34 Repair
GENERAL INFORMATION `
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 AptJLodging ? 1E
? 12 Muiti RepaidRem. ? ?
17
?
13
Garage/Accessory ? ,
2a
? 14 Fireplace ? 21
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.
APPROVALS
Planning Building 6IAe3 Engineering
MCM/S Sysi
City Water
Fire Sprinkle
PRV
Booster Purt
Census Cod?
SAC Code
Census Bldg
Census Unit
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
Basement Finish
Swim Pool
Public Facility
Miscellaneous
/
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D
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ptaino9e &
y?b r utd?ty
easement
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Jor MiC for OP S?R?_r
?R NOMES
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of the
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?,CFD RESIDENTIAL
BUILDlNG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Now Construction Reouirements
• 3 registered site surveys showing sq. N. of lol, sq. ft. of house; and all rooted areas
(20% mazimum lot caverage allowed)
• 2 copies of plan shawing beam & window sizes; poured found desgn, etc.)
• 1 set oF Energy Calculatiom
• 3 copies of Tree Preservation Plan'rf bt platted after 111193
• Rim Joist DetaY Optiom selection sheet (Wdgs with 3 or less uniLs)
DATE t?` I?)-VL
SITE ADDRESS ?
TYPE OF WORK_
c
APPLICANT C
STREET ADDRESS
TELEPHONE Ar
?C
PROPERTYOWNER Z)@."I I R VK &?/fn _ TELEPHON?COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'LGORY 1
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted ?
• Energy Envelope CalculaGOns Submitted
AuG 13 2002
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Contractor:
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Submitted
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ,
Signature of Applicant
OFFICE USE ONLY
Water Softener
_ Watcr Heaker
No. of Baths
?qF3U*_
$15Tq5
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated addilions
• 1 s%e survey for exterior additiorks & decks
. Indicete'rf home served 6y septic system kr additinns
VALUATION
?MULY BLDG _Y %! N
Phone "
Lawn Sprir
No. of R.I. ath?
Phone #
_ Air Condirioning
_ Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY IG
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? OB 04-plex
? 07 05-plex
? 08 OB-plex
? 09 07-plex
O 10 OS-plex
? 11 16-plex
? 12 12-plex
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
_ Footings (new bldg)
- Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
J Roof Ice & Water F
_ Franung- -
- Fireplace _ R.I. _ Au Test _
_ Insulation
13 16-plex ? 20 Pool ?
I
16 Fireplace ? 21 Porch (3-seaJ
lii ?
17 Garage ? 22 Porch/Addn. (4-sea.) ?
18 Deck ? 23 Porch (screened) i O
19 Lower Level ? 24 Storm Damage ;I
Plbg_Y or _ N ? 25 Miscellaneous !,I
Improvement ? 38 Demolish (Interior) O 44
ve Bldg. ? 42 Demolish (Foundation) ? 45
molish (Bldg)' ? 43 Reroof O 46
?molition (Entire Bldg ooly) • Give PCA handout to aplplicar
Occupancy MC/ES Slystem
Zoning City Water
Stories ump
Booster P
Sq. Ft. l
PRV I
Length Fire Sprinklerec
W idth
REQUIRED INSPECTIONS
_ Fina7JC.0.
_ FinaVNo C.O.
_ Plumbing
HVAC
Other
J Pool _ Ftgs _ Air/Ga:
Siding Stucco Stone
al y Windows (newlreplacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi
Siding
Fire Repair
W indowsfDoors
Tests Final
Building Inspector
2007 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.
Date ? I 3i I Ul- ,V"
Site Street Address 7,'S?ll N `ClL`u Or Unif #
9\?V? d?- Telephone #((p,?y?)
Q
91
?b
.
L
Property Owner
-
U`?V??Te'lephone#
/
Y
?
9'
?
?
X°?
? ,
??t?CL.LP
lV
\
l
'O
Contractor
v? City State Zip
ws 4k
Add
_
ress _
The Applicant is: _ Owner tL Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
New
Septic System Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are instalfrng onf a water softener and/or wafer
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 $136.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new " 4- replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
$ 50
, State Surcharge
s t5-'610
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complet fe
? I
th
d
?
a
es;
co
work will be in conformance with the ordinances and codes of the City of Eagan and the
t to start without a pe ?"PNIUin
i
s no
understand this is not a permit, but only an application for a permit, work
rnP annmvari nlan in the event a olan is required to be reviewed and approved. ? ApplicanYs Printed Name
g6--?14 7
RESIDENTIAL BUII.DING 9
Permit Application
City OfEagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWqion Reauiremenb RemodeVRenair Reauirements Office Use OnN
3 registered site surveys showing sq. K of bt, sq. R af house; and all raofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% maximum bt coverage allawed) 1 set of Eneryy Calwlatlons for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing 6eam 8 window s¢es; poured (ound design, etc. 1 site survey (w additions & dedcs N
75etofEnergyCakulations Addilion-indicateffon-sResep6csystem st 9c N
3 copies af Tree Preservation Plan'rf bl platted after 7/1193
Rim Joist Detail Options selecUon sheet (bldgs wifh 3 ar less unita p n i i r, 2 0 240 os ?
Date _? / ? / ?
Site Address
Cy Constructlon Cost& ?
Description ot Work c-Q(?^Q J 9- e 4- u- S l lV I I'??
Multi-Family Bldg _ YYN Fireplace(s) _ 0_ 1 _ 2
Property Owner pcwl d2 VUJ l/?a Telephone #(l,,M)$_94- 0)3SS
Contractor ciL (ANQr\ L1 RQn?' id1 + ?L I Yl4i /?tC
Address
State tz(7--t-_Y-Nn (? ,,,,
CityL(?' F?L,V?'} l
yjP Telephone # ( (o??J) Li k- Ll i L-/ (D ? O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672
Energy Code C2tegory . Residentlal Ventilation Category 1 Worksheet . New Energy Coda Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
I hereby.apply for a Residential Building 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
\ \ ? QX?
ApplicanPs Printed Name 2?pplicanYs Si &e
OFFICE USE ONLY
16
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 07 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_v or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46
? 34 Replacement 'Demolition (Entire Bldg) - Giva PCA handout to appiiwnt
Valuation Occupancy MCJES System _
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Width .
_ Foorings (new bldg)
_ Footings(deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
Finavc.o.
FinaUNo C.O.
Plumhing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
Windows (new/replacement)
_ Retainiag Wall
Approved By
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108535
Date Issued:12/14/2012
Permit Category:ePermit
Site Address: 3841 North Ridge Dr
Lot:2 Block: 3 Addition: Gardenwood Ponds
PID:10-28800-03-020
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
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 -
Paul J Rukavina
3841 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
�� j� �'`���'-f �� � �j�
�/�} (` � Use BLUE or BLACK Ink
.�
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� For Office Use �
. ��(d�Q I
� � .- � � Permit#: ��,� j
� Clty of ���aIl f . ., � ��. ��
���^,4: � i
� , �;F,;} � Permit Fee: I
3830 Pilot Knob Road i �
Eagan MN 55122 I Date Received: �
Phone: (651) 675-5675 � Sta�: j
Fax: (651) 675-5694 _________________�
v
2015 RESIDENTIAL PLUMBING PERIMIT APPLICATION
Date: , � Site Address: � V� ` �� '� , �(��tT���t'��
Tenant: � � � ' °� ✓ Suite#:
$ ��,
�� ��' �`��'�� Name: ' ` Phone:
.Ri9��ttAClt/�Nl�l�,.
���.�� ;,,>.�� Address/City/Zip:
.:�
� �;� � Name: 1����� i�,V1 �/Y1 License#:
a k � � � y ...
'����� , : � •� Address: �iN� �� V" —C�ty� .i:J��` � ���'�
Gon#ractor� �
� �� `��,�gv State:�Zip: �� � ��� Phone: ����� /����� �
�� .
� � ,.
°`�,� Contact: . � �iV� Email: � , r n�s �� � l. (�✓�^
u �� ��' New � Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
TYP�of� �`r�t��.,� — -� � —
',� Description ofwork: � � '1� ��� ����� , ��r���
� �� � �-, ,� RESIDENTIAL
� �x �
� � ;� �} :� .�� Water Heater
�"x� �� ���� � � Water Softener
��.° Lawn Irrigation(_RPZ/_PVB)
Permit Ty� �/
� ��
Septic System ^ Add Plumbing Fixtures Main I_Lower Level)
� ; New Water Tumaround
t�=�� ' x —
�:���� x
'��'� .. Abandonment
sk?
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 Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
'"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 SeptiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) p \U�
TOTAL FEES$�e+�_
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for�irotection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this iriformation is complete and accurate;that the work will be in conforrnance 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 r,�\will be in
accord"nce with the approved plan in the case of work which requires a review and approval of pllans.
h �
X ` "VI `� l� r l �L° �l'`�`� X /" �A 1� ��,`�
Applicant's Printed ame App'cant's� ignature .
� �as- s F L� a�: � s i � r ��+��, s �, �; .w
FOR U��� U �` �,�` � ��� � �� : ��s� v��nred� �� ��� ����' '£x�,v�,t,� D� ��
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Use BLUE or BLACK Ink
-----------------,
� For Office Use �
�1�� I
�1 �� �� I Permit#:�s� (�s% I
� � I j
� Permit Fee: /�� -- �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: �` 7—�s �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �� i
L����������������J
2015 RESIDENTIAL BUILDING PERN�IT APPLICATION �
Date: Site Address: Unit#:
Name: �A-�J��h r-���� Phone: 6�I-�9''1 -4�
ResKde�t/ �
QWn4r Address/City/Zip: ��� I �V,,,r �;�2 �r
Applicant is: Owner � Contractor �
' Descriptionofwork: 1�\w�� � �n�L�n l�jn,Sk�� �i�Giy`/�,,. I�,� �{2�✓
Typ�.qf W�rk. ��
� �✓�m��ny
Construction Cost: �� Mullti-Family Building:(Yes /No Z4�
Company: �:�1rJ�hm/��, i��a � .1%n C� .Contact: L�/�6U� �
Address: �Z2��7 �/�c.c��� �.�.c�S City: �i`.r�S✓° �1{�
Cf�1'1�t'1C�0C ;;;: -
State: A�II►v Zip: 5�33� Phone: t�il'?.- 3 5 g mail:,(,�r.�� .���.� V�:JhM�r� .,,�1✓� ,s',w✓V
, License#: 13L 3q �8 5`1 Lead Certificate�`: ��'� ^1� �{���� �
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:
�fOTE:Plans ar�d�up�or�rn�r documents that y�ou subm+t are'co�rsra►ere�l to�e publrc rrrformation. Pnrt+�ns�f ,
th�Er�format�an�nay be clas�►fi�d as non':public rt",��u;pr,.crvide�p��R��t��asor�s th�t wou/d perrr�tEt tl�e�ity ta
, ,..
. �
�; ,.; � � „ �,;cc�nclud�;'f/r�t i�h'e;.,ar,e tr�de�Q�rets�.-= ����
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.oapherstateonecall.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 wi11 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.
-�
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ApplicanYs Printed Name Ap cant's Signature
Page 1 of 3
�`� �� � � U � �� f I � Use BLUE or BLACK Ink
-----------------,
���� � For Office Use I
Ci of � �
� � �n j Permit#: �/ �� �
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� ll ' ��i'�.. '
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 �
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � I
� Staff: �
L----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: .� � L� ` � � Site dress: �' � � ''� Y
Tenant: '1"" ' `� � � Suite#:
��� � <
� ` ��� �� �� �t� ��S � C� � � Phone:
w �� � Name:
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4� ��` �'�� ' � Address: [ ,L`�1f� ��4U�',� � � � City: �,�����5 V`��'�
��x �1'�C:�'.�O : T
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k.., State: �� Zip: � � Phone: `� �
� � Contact: L��'ail� "`����l; �. �''�f� �/►�,
� :. �� 5-;�
New �,Replacement Additional Alteration Demolition
��,-, M:
�'('�� �y��r � Description of work
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��� ' ��' RESIDENTIAL COMMERCIAL
�� ` � Fumace New Construction Interior Improvement
� ;� —
$ Air Conditioner Install Piping Processed
���, � ��'�Yp ;� � �, _
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Air Exchanger 1���.(� Gas Exterior HVAC Unit
� _Heat Pump Under/Above ground Tank �Install/_Remove)
� Other�•_������� ��'���,.,��
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum ,
$70.00 Underground tank installation/removal =� Permit Fee ,
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"` 'I
""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"*'If the project valuation is over$1 million, please call for Surcharge = $ TOTAL FEE
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 tFy�approved plan in the case of work which requires a review and approval of plans.
/ �
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Applicant' Pr ted Name Ap lican s Signat re
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��} O�� i Permit#: � ���� / '� �i !�
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� Permit Fee: �� `� �
3$30 Pilot Knob Road � Gl ��, �7 �
Eagan MN 55122 � Date Received: 0 �
Phone:(651)675-5675 i Statt: -� �
Fax:(651)675-5694 � �
L_�����_�__�_�_���
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �" �-s" �.S Site Address: Unit#:
Name:.1 AVL As.1�b �rZLSH !`U)LA1J�'N4 Phone: ta��' �y^�3J`��
Resfdenti , (
(�yy�gr Address i City/Zip:�� � , N�l?i'Tb9 ��a� �YL�/L
Applicant is: O�mer �Contractor
�,.,�,,. �� �,u,_.m,,� s,,.,t�.���,.�,_....,...��.�_ .��.r...ti�.,�._��...� _._..�.,�.,�..�,.._.�,,..�.,��.,��,..w.�� ___..����
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�.yp�4f WQ�,� Description ofvrrork: �/CCI�— ' 1.11'��5�
cv
Construction Cost:� 7 Multi-Family Building: (Yes /No�)
Company:_LO►-jCs�QusisT' ��,�i�'�Yc�k.,��.�,�J �`u` Contaet: A �--�
C011�t'aCf�l' Address:�t��l(e �J�L+4+v� �� City: L.�i�GI��.C-t
State:W1�1 Zip:��� Phone: L�o�'��77�/4os EmaiL JCCSt��� Lov(,�Ur�f'. GO►vI.
License#: I.�C.(r/ o�'7 C V Lead Certificate#:
� If the project is exempt from lead certlfication, please explain why: �
C-X�nzvx.. i�cc-�c- ��n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE;Plans and supp�rt�ng;dacunnents fhat you submif are consEderetl ta b�pub�ic informafion. Por�ir�ns af
the informatian may be classif�ed as non pul�fic if you provitle specific reasons that woutd permi�fhe Gity fo
;concic�de that the 'are tr�de 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. ����^�!n�n!�A�cta+p�nQ���!nrn
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 pians.
Exterio�work authorized by a building permit issued in accordance with the Mi�nesota Building Crode must be completed within 180
days of permit issuance.
x t\1,�,��.i ��V x
Applicant's Printed Name Applic nt' ignature
Page 1 of 3
��� � �'���� �2� /�� ��
� � (��,�' DO NOT WRITE BEI.OW THIS LINE 7
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Aiteration(Singie Family)
_ Single Family T Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi �Deck Porch(ScreeMGazebo/Pergola) _ Misaeilaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior improverr�nt _ Siding _ Demolish Building*
_ Addition _ Move Building ^ Reroof _ Demolish Interior
_ Aiteration _ Fire Repair _ Windows _ Demolish Foundation
�C Replace _ Repair _ Egress wndow _ Water Damage
7_� Retaitting W811 *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ��� Occupancy � MCES System
Pian Review Code Edition �� SAC Units
(25%_ 100% `� 2oning 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 Buiiding) Me#er Size:
� Footings(Deck) Final/C.O. Required
Footings{Addition) � Final i No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill,.,_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:`Rough In_Final
Braced Walls Erosion Control
��� Other:
Reviewed By: . Buildmg Inspector
RESIDENTIAL FEES '��'`�`� �
Base Fee �,a� ��� ��,`���
�."�� �� ,�`�'�'
Surcharge ��� ��; *���'��
� *�
Plan Review �,��`' � k
MCES SAC �� � ��5`�it�
�
City SAC ' � � �
Utility Connection Charge �,,,�� ���;,,. � }� �
� � � �
S8�W Permit&�Surcharge /
Treatment Plant
Copies
TOTAL
Page 2 of 3
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. � �- � � � _
y Tap curb to Gar s�ob = 3.��
L`.���.,__ � �/r� Top block = s'eg��..
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Scole: 1" = 30' -
3841 f�arth R�+dge D�rive
o�scRrP�orv �
i hereby certify that #his survey. pian, or Lfl� 2, 8tock 3� � /-� {� � ��
report was prepared by me or under my direct G�������� P���� R � y � E W E D
supervision and that l am � du�y Registered Dakotfl County, Minnesa�ta
,.,..�..�,.�.�,.,.�. ..�,..
Land Surveyor under the �aws o# the State P!v# beo�ings shawn 3Y /� P,,,�
af Mi esata. o Denotes iron monument
------._._
� Existing� Proposed �� f r�'"�� — .
Date q q Reg. No. $14t} --..——.
BRAI�IDT ENGINEER�N� 8� SURVE�'[NC
� � 1 � QC� Wes� 143rd St�eet, �u �te 2Q�
Burnsvili �, M �1 55���
� � � z} �-��— � � � � ���— � �o�— ��
rd'
For Office Use
Permit#: 0. 0r7-r
Permit Fee: / 1c-7•,��
«1
a EC C�� Date Received: 1'I t> I
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 C I
(651)675-5675 I TDD: (651)454-8535 I
FAX: (651)675 5 MAR 1 Staff: I
buildinginspections(c�cityofeagan.com2020 J
2020 RESIDENTIAL B1?'L. i - ' = ►` IT APPLICATION
Date: 03-11-2020 Site Address: 3841 North Ridge Dr Unit#:
Name: Trish Pettit Phone:
Resident/
Owner Address/City/Zip: 3841 N Ridge Dr, Eagan
Applicant is: Owner / Contractor ill/•� i ' • I A 4.
Main Level Remodel
Type of Work Description of work: i
62,000 Multi
Construction Cost Multi-Family Building: (Yes /No i )
Company: Highmark Builders Contact: Kari
Contractor
Address: 8720 Eagle Creek Pkwy City: Savage
State: MN Zip: 55378 Phone: 763-270-7629 Email: kari.s@highmarkcos.com
BC393854 NAT-62934-2
License#: Lead Certificate#:
if the project is exempt from lead certification, please explain why:
Built in 1997
-
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?
i
Yes No If yes, date and address of master plan:
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
I
Fire Suppression 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-•ublic If ou •rovide s••cific reasons that would•ermit the Cit to conclude that the are trade secrets. f
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.00pherstateonecall.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 Kari Stewart x kai-i Stewai
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 04 j 1qJ-ii T l ,d& E bg. /&�� 0S
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
XSingle 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
* Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION /A
Valuation //421' Occupancy /',j}c - / MCES System
Plan Review / Code Edition Ppj j SAC Units
(25%_ 100% ) Zoning A- I City Water —
Census Code If 3 41 Stories Booster Pump
#of Units I Square Feet — PRV _
#of Buildings / Length — Fire Suppression Required
Type of Construction 7A 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 1.. HVAC_Service Test Gas Line Air Test lit Hood
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 FEE / 24i �(j ,�t%G�%�!� ^ oZO 0 �X�'"
Base Fee /03 � �J �` V
Surcharge
Plan Review G 7L
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
-
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161425
Date Issued:05/26/2020
Permit Category:ePermit
Site Address: 3841 North Ridge Dr
Lot:2 Block: 3 Addition: Gardenwood Ponds
PID:10-28800-03-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Paul J Rukavina
3841 North Ridge Dr
Eagan MN 55123
Paladin Plumbing Llc
13963 45th Place NE
St. Michael MN 55376
(612) 770-2282
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167607
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 3841 North Ridge Dr
Lot:2 Block: 3 Addition: Gardenwood Ponds
PID:10-28800-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Paull J Rukavina
3841 North Ridge Dr
Eagan MN 55123--245
(651) 894-2355
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:Plumbing
Permit Number:EA168661
Date Issued:04/28/2021
Permit Category:ePermit
Site Address: 3841 North Ridge Dr
Lot:2 Block: 3 Addition: Gardenwood Ponds
PID:10-28800-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Paull J Rukavina
3841 North Ridge Dr
Eagan MN 55123--245
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature