3844 North Ridge Dr? I. IN5PECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 . Date Issued:
(612) 681-4675
SITE ADDRESS: 3 ,
?,rll?.l?k i•llluii?? {?1ifd1?•, .
a ?
PERMIT SUBTYPE:
; iit li.
[il! T 1 fI1 IV E;
N:}rtAr+N
oF; /: I /96
APPLICANT:
;•?,? F ??i' !111, ?it hll?,. I? I
fr i1
TYPE OF WORK:
ra i Ia
INSPECTION . • D
I ?A wr
I I ilrsf 1 I I;1? ! I P?!11
kl' MAlt Y ti: '.. ? W K' 1 FtR - M b WI.:t'IJF. k ANU IJA t[: k
L?
?
J
Ptrtnit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS ?cy??`
o ro
FOUND
7!
/?w
FRAMING
ROOFING
ROUGH
PLUM8ING
G ?(
PLBG
AIR TEST `
?
ROUGH
HEATING
-g?
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
b
FIFiEPLACE
AIR TEST
FINAL PLBG
FINAL HTG t( !/
ORSAT
TEST
BLDG FINAL
.v?
BSMT R.I. _
BSMT FtNAL
DECK FTG
DECK FINAL
ri INSPECTION RECORD
?CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
Nooii F!i Fi LIa1iE OR
?iAbtlJE NtJUUI? PON[?`i
F-
L
, APPLICANT:
1 ?11?') br?t?--1ltsl
Hu11n.yH6
a):") Hw:3
ol,1Af,lgl
PERMIT SUBTYPE: TYPE OF WORK:
, . r? F u
Pertnk No. Permit Holder Data 7elephona /
ELECTRIC
PLUMBING
HVAC
Inapectton Date Inap. Comments
FOOTINGS
FOUND
FRAMINO
ROOFING
ROUGH
PLUMBING
FLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ?
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FiNAL PLBQ
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?I
/ ?
DECK FINAL
,..?
_ . ??_. . ?,.. ...? .
' WerfifiCQfe df cCC1tvQliC?
Mhj of Cftgatt
Y This 1?.ert)?ate issued pursuant to the requiremerets of the Uniform Building Code
R
certifying thar at the tinre of issuance thrs structure was in compliance with the variaus
ondinances of tlre City regulating buElding construction or use. For the fo!lowing:
SF DWG/GAB
Biag. Perr,it No. 28090
pC-P-y TYpe R-3 U-1 z,,,.;,,g p;,6, R- i ryPe Consc. Vn
Owner of euild;,g JOE MILLER HOMES Ad&,, 3459 WASRINGTON DR.. EAGAN, MN
B,,;a;ng Aaa.?, 3$44 NORTH R1AGE DR Lnca;ry L3, B4. GARDENW00D PONDS
me: NnVF.MRF.R fi_ I996
Bai ?O?'icial
?_ -
POST IN A CQNSPICUOl1S PIACE
Addless
IAt
3844 NORTH RIDGE DR
Blk 4 Sub GARDENWOOD PONDS
Zip 5512_
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 11/06/96 Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (garage) V/?
Permanent steps (main entry) 61-?
Permanent driveway !i
Permanent gas (/
Sod/Seeded grass ?
TraiUwrb damage ?
4
Porch 7
Basement finish ?
Deck
Please verify with the builder the removal of roof rest caps from the plumbing system and the shut-off of water supply to
the ouLSide lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in rightof-way or instailing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy Q9
IIII I II I I I II I?I 81QUnrvers ty Ave., dRm SR' AS 1?1, AA T55104 ?????
* D 6 5:8 3 5 *- Phone (812) 642-0800 ?,?'(? ?
Home Duplez Apt. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hic Load Mgmt. Other:
Dryer Ran e Elec. Heat Tem .$ervice
"X" above the wafk covered by this request. Enfer remarks in this space ond on the back of the white copy only.
Calculate Inspection Fee - 7his Inspedion Request will not be accepfed without the correct fee:
Olher Fee ¥ Servia EMrance $ae Fee # Ciraih/Feeders F.
Mobile Home Park Stall 0 to 200 Amps Q / 0 to 100 Amps 197
Street Ltg./Tmffic Sig. Above 200 Amps A6ove 100 Amps
Transformer/Generotor INSPEC70R'SUSEONLY ? TOTAL
Sign/Outline Lig. Xfmr.
Alarm/Remote Confrol )
,(, (>(J
$wimming Paol
a do smkd
1 hereb cem ?Ml l ins d e lea i in
t'
?ffiya?iOn Boom Rovgh-In ?' Dai
$pecial Inspedion
Investigative Fee p/
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 6 5- 583 ?] ?FFIC USE ONLV This reqvest void IB monihslrom validafian dak prinkd in Ihis 6os_? /
7F? . ?° T
O
? D
PLEASE PRINT OR TYPE
R qmst Oale
? 2ough-in inspedion rryvired2 ? Y. ? No Inspedlon D1herThan Roughln: ? Ready Now X Will Coll
.
u n e 26, 1996 no, m?„ Poii ,he ;n„ ,o,.?,en reoa,) Dore Reody:
I, licensed confractor Q owner hereby request inspeclion o4 the above electriml work at:
Job Address (Slreet, 90., or RoWa Na.) Cily Zip Coda
3844 Northridge Drive Eagan 55123
SecAOn No. Township Name or No. Range No. Fire No. Counry
Dakota
O?panf Phone No.
Joe Miller Hames 454-4663
PowerSVpplier Pddress 4300 220th ST SW
Dakota Electric
Eledricvl GoMraMr (Company Name) ommtlor ianse No. Mornr Ltc. Nn (Planf Eled. Only)
Midland Electric CA 01236
Moiling Addrus (Conhocpr or Owner PeAorming Inspllation)
22691 ed Fox dR LakevillL\MN 55044
Authanzad Sig re(Conhvqor or Ped rmin8lnslallofion) Phone No.
461-1444
EB-00001?10 6/95 STATEBOA COVY-SEEIN5fRUCTION50NBACKOFYELLOWCOPV
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
' SITE ADDRESS:
P.I.N.: 10-28800-030-04
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
9844 NORTH RID6E DR
LOT: 3 BIOCKe 4
GARDENWOOD PONDS
eMgq7&/
BUII.pING
028090
06/27(96
DESCRIPTION:
Permit Type 5F DWG
4ork Type NEW
R-3 U-1
ap? e V-N
R-1
Lerc?t#? ;?` 68
?d`?LtCJi, ° ?m`; 38
2
2 , 12 6
101 1 - FAM. DETACH
? ? ?ti? ? W
??"? aa? "s:?' fe ???:?" rG'"?a;
".w+ ?"'izL ss ?.a ws i$ ?
r
REMARKS:
S& W PLBR - M S W SEWER AND WATER
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$1,252.25
$626.13
$86.50
$900.00
100
1
$2,864.88
$173,000
MZSCELLANEOUS $1.923.50
Total Fee $4,788.38
CONTRACTOR: - applioant - sT. Lzc.OWNER:
HOR70N INC OF MN, 0 R 14644663 2000565 JOE MILLER HOME5
3459 WASHINGTON DR 204 3459 WASHING7QN pR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
?
T .he
info
G?ti
204
Mx-
ISSUED BV: SIG ?TURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
160901996 BUILDING PEaMIT APPLICATION (REStDENTIAL)
681-4675
RemodeV!?eoair Revuiremenis
4 ,,
'3,.?6
C&"Wf
? 3 registered sRe aurveys ? 2 copies of plan
? 2 copies of plans (include beam 8 wlMow sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions & decks)
? t energy plculffiions ? 1 anergy caleulations tor heated edditbns
? 3 copies of tree preaervation plan H lot platled aRer 7/1l93 .
required: _ Yes 4 No '
DATE: (n - /a - 94 CONSTRUCTION COST: /3(91
DESCRIPTION OF WORK: ^lP' tl'oin --
STREET ADDRESS: /4rA I?i`?rr &''vr
LOT 3 BLOCK ? SUBD./P.I.D. #:
PROPERTY Name:
OWNER "ST
FPST
Phone #:
Street Address,
City:
CONTRACTOR
ARCHITECT!
ENGINEER
State: Zip:
Company: T e /M16^ drnes _ Phone #: VS?44L3 er?i?9
Street Address:
City:AW 5tate: /19.v Zip: -ss???
Company:
Name:
Phone
Registration #:
Street Address-
City: State: Zip:
Sewer & water licensed plumber. Lrl 'Sek/ri' J- klGl?d' . Penatty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. n,
Signature of Applicant: ?
?mSQ V Lc',L
OFFICE USE ONLY ? J?J
Certificates ot Survey Received _ Yes - ? q
Tree Preservation Plan Received Yes = No
OFFICE U5E ONLY
BUILDING PERMIT TYPE
.? ,.
.?. „ -
o Q1 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
?02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,?31 New ? 33 Alterations ? 36 Move
,
? 32 Addition a 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft. ,` 79 MCNVS System ?
(Aliowable) ir-v Main level sq. ft. s/i City Water
UBC Occupancy E23 Z? sq. ft. z61 Fire Sprinklered
Zoning Oz-/ sq. ft. PRV
# of Stories Z C ?s-wr sq. ft. Booster Pump
Length 6,? sq. ft. Census Code. /o/
Depth JS Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
% sac
SAC Unks
Valuation:
/;1/41N
Zx/o ? 20
/&, K5-8
. iirZ,67FZ 67° y
lyx3? =532
2J?3•?7 ? z 7-
? s// k 5'/ _
?isFY
Ha
IZ
3pX
z,7
Zxf3•?7 = F? ,
!r 2?3 ---
?? Z ?Z
,
$ 173, 000 ? J"-/ 72,6 ZY
?------_-
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z,
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CERIIFICATE OF SURVEY
for
JOE MILLER HOMES
3 r
S664j. S4 ? ?
3a 49 f
1" = 30'
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 3, Block 4,
supervision and that I am a duly Registered GARDENWOOD PONDS
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
Date 2.g,?{?? 19 ? Reg. No. 8140 `Existing j Proposed
2EV 14 uUN I996 -I ' - -
BRANDT ENGINEERING & SURYEYING
(612) 435-1966 EAGo-4N
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
RE v?VN E Q
Top curb to Gar slab =_.
Top block = E97 $3
Lowest bsmt flr = 89Q,j,Z-
M32-1421=96
3844 North
M32-1421-96
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BU=ING PERMIT APPLICATION ,
?
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PROPERTYLEGAL:
D/CTE OF SURVEY:
LATEST REVISION:
2
L9' ?
0
• Registered Land Surveyor signature and company
• Building PermRApplicant
• Legaldescriptlon
• Address
• North arcow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arraws with slope/gradieM %
• Proposed/e»assting sewer and water services & invert eleva8on
• Streetname
• Driveway
Eastina
r? ? • Sewer service (or Praposed)
Lr ? ? • PropeAy comers
? • Top of curb at the driveway
• Elevations of any erisdng adjacent homes
?r p ?
• Prooosed
Garage floor
O • First floor
p jo ? • Lowest exwsed elevaSon (walkouNwindow)
Cf g ? • Property comers
?0 ? • Front and rear of home at fhe foundation
PONDING AREA (iaoolicable)
? Wo"'? • Easement line
? DO'? • NWL
O
? W'-' • HWL
/
? [Y 0 • Pond # designation
? Q,-/0 • Emergency Overflow Elevation
g i' ? • Lot lineslBearings & dimensions
e??0 ? • Right-of-way and street width (to back of curb)
Pl ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring pertnanern footings)
m? 0 ? • Show all easements of record and any Cily utilitles wRhin fhose easemeMs
[3e' 0 ? • Setbacks of proposed siructure and sideyard setback of adjacent eAssting structures
? ? • Retaining wall requiremenlB' ny,
Reviewed:
January 7988
CRAN31W 818LDOPRMT. FM
i? iuu r:?sicr?.nxn'?ii7 _131I fU1Si1L_SSililL?ALS.?u,du.QU?
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n
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kl4it?1,__FdI1;I?c?X?,S?i11-- ].9S1?LltL'11QI1
l?dopt o?? GELeatlvn
f / p
Ownar ??if) C???fi`? . • ' Phone Uu
slto AdJreen
conEtnalor `.?f7C- I}?Il l f=R ?(71.JST ' Cliona
Bu1ldLtg ClannlElan?lonl 'Pypn A1 (tllhgln Fumlly G b??plax) ?
'l'ypo A1 (ItmalJenElal, 9 uLorAnu or leue)_„(ovBr 9 nEorleu?____(othar) ,
I?tLI'.G!_Cmm? 1 a 1:a?ng ua_x.?ti?1-L1 rAt.
tlLII?ItAI._.111E411LIAA'].411 g?F_ ?+ ?. .
l. Uu11Qlnq horlmoEer0v??-c??'E?? Er. .. '
2. Wall Iiolglil• (gtoutid Ln hnvn) EEi •
]. 1. X 2. (nUova) ytogN wnll nroa
4. Oulldlliq dlmaltulona (L) -?' H (li) .aq,Er.rnoC G flonr.aCea
5. gc?. fool nron oE tlin jolnl• - floor jo1nN Hize (2 HI?? ) q '
0 X S'Is _??'oClmotoY) nc].Eh.. ,.
6. UoaCtl - Aren ' ?j ? ] • •
1? 12
'1'hlolcneom lii U? ?ad?c?r 'Iti_ , '• ? . . ,
7'ypu oe coiinlrual:loii ' 1'orlmeter .-Er.;
. IlahtlEuorurnr , _-
7. 'l'oEal doorltl peClmeler Lr. '
tl. Nlndowat Ilunufaol-uror ?NS?/? G5111 r' stnta opprovod
U Enatvr
,'1'Y['PI 9IZIs AIICA (3c?.Fr.) ItU11UCfl ot 7'pTAL
SG? ''I?+?vFl" /?1?CG:T ?,1 - CACII UUI'tg aQ FEE'C
9. 'tvral n(J.Cl. CJlndn 770 ) ??1• riCOl1iUCU tlCUQI il1dti1 x l{O1gi1L "' x n 'Hq.EE• .
11. Expoqad Eaundallont IlalyhL- H PorlmeteC.w HL-°- I IS, at1•Et•
COIII'Lt'PInll OI' 7'11JF1 I'OfUI x[3 IlU"qUltlEl) FOiI hIJ. IICH Cot19't1lUCTI011i IIA.lofl
I1e110bEL111d hIIU UIIII,UIIIdJ [1LI110 IIOVGU F111CilLl CIIGNUY l U'CIILII '1'llAll '1'll? IIIlI111nL
CoUE hLLUIiAIICL•', 1q Mb. ?
i
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....
12...Ft6mliig nrau - lut aE qronu wall oraa. ' .. , ,
17. Urone wull droa ??1•1- L• ? •
1l111doW nraa A q701* . ec(. El:. U WLItdaWtl d 3`? UxA n
Ilim )oluE nren A-L-A nq.El. U rlm foluLd..Al_ Uxh . I1
Uooe utou 11 •. c11 c+y.Et•, ' U door ardam 114 _ Uxh " r
othnr doqrd area A-?uy, tl•. U orhnr doord- r 17 Uxh e
Expnnad Eiidll h n(l.Eh. U EnUUdal•1.on- ,D7b UxA m?_.
F'rnming firen A75I91 El•. U Framluq nrea- Uxh e J
IIaE wnll uroa AiQcC? ? ?, ? n,q.. El:. U Vinlle UxA -
, . . . . . . . . . uH„ d Z?7
IA. UCOna iinll ttten x b.ll (A-1 ulilylo famlly 6,durleK) d allowable UxA/Code
(17. abuv8)• .
ft . .
0.23 .
(A-x aLltnr ' Yenlilonllnl)
)t ?vLhor 1iu11dingn) .
' lc .ztl (ovor
0'1'UII muur I?e lnrqor L•hali ar ?ama
A 31q K U Codo 'I1 °r:.' nu 171f aUova
15. Culllny Etnlnlny utnn (A t) dqUalU lut' ot,, oailing, nKen ,,.
l /? • -
r . • LJICJ
iA. Crouu nnlllny urnu,? (L) ? u(I?) '`• "'
1Bu. duluL urna (n E) a 101 aollliig' arna ? ?`_J_L '? -?ry?E?: .,. . •
1GC. IIoE oolling ar.oa (hc) (157? - 1?3If) d ? `i nK•E??: : ,
??2•' a 2? . ' . : : .•. . .;.
li cellln.q x AC 'e I3?7T)t
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U Ernmliiq x h E ., ?? ie ,bL?". . ?J . • ' :, •. _ _
15U. '1'0'1'AL ll x A...?..........,.?.:?.????....:
18. ColUliy utnn (1BA) x 0.026 (A-1 aingla Enmlly ? duplux)'
e pllownble UxJ?/C??dn •
x U.033 (A-a aEhoe tanldentlal)
x U.OG (nthar) - '
8'1?U11 munl• be lnrgnr rl?nn or aame
. A(15A)I/'??`Qx U Code ??G•(f ° ?? °r• ad 1GU aUove .
IIU'M Unn t? pni) A vdltiatl oGl•alnnd Erom pugeu• 1.# 3 ntid A. .
Clill'C1?EI?A'CIRU1 1 hnKUby dnrl:lEy El1nti x hUvo oulnulnrod l•ha ?'Us, EnoroCd niid
°itit vnlUan lintnili nnil L•liar tilio I?ullJliiy hnto dendrlbed meetu nr exouadu Ehe
tlEnta oE HLuiaeura Lnutgy conuarvhL?nn Adk.
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? CITY USE ONLY
L d? BL RECEIPT #:
SUBD. SAu?O.d,,u? 6?4 DATE: ??'9 9('0
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55123
(672) 681-4675
Pfease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
?_ New construction Add-on furnace
_Add-an air conditioning Aad-on air excfianger, i.e. Vanee system, etc.
Date: 7- 3-
? Minimum Fee: Add-on/Remodel (existing residence only) $m19:@0-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 9.6o
? Sfate Surcharge .50
TOTAL ;37' .so
SITE
3
OWNER NAME: PHONE #: y?2
WSTALLER NAME: ?? ?-d llecr ?r
STREET ADDRESS: 21?2 /C3 Ec'*/A .ke .
CITY: STATE: ziP:
PHONE #: 66 02
tifU`AAT'QFfEpt- PERMI T'f F-E
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
7896 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercialrindustrial buildings.
? mutti-family 6uildings when separate permits ar
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMP
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee 2r 1°k of cantract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:.
OWNER NAME:
TENANT NAME: (IMPROVenneNTS oNLl)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
= required
:NT
ZIP:
L ?.5 BL CITY USE ONLY RECEIPT#: ?I g
o
SUBD. ? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH y4, TOTAL
Shower 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
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 1 =?
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1
3.00
x ?
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakora cry. iicense 50.00 =
(new and refurbished systems)
U.G. Sprlnkler " home under const. 3.00
Alterations " to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE
OWNI
INST/
STREET ADDRESS: ?7 /?? ?• ??? ?r?
CITY: STATE:1991V ZIP: s?W'?6
PHONE #:
L _ BL _
SUBD.
OFFICE USE ONLY
1996 PLUMBING PERMIT (COMMERCIAL) ICITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675 Ip
Please complete for: .
.
DATE:
all commercialCndustrial buildings. ?i
muki-family buildings when separate permits are = required I r each dwelling
unit I
CONTRACT PRICE:
? ?III
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
ADD ON REPAIR
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? i YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? I? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°h of contract price, whichever is greatec State surchl?erge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
T'vTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cirY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE
RECEIPT
DATE:
i
STE. #
STATE: I,!ZIP:
APPLICANT i
INSPECTOR:
i
czrv oF EFlCaN
CASHIGR: S TEFMINA{_ N0: 13
UATE: 05/05/37 7IME:: 15:47:35
I[1a
NAME: EARL S JOHNSON
321.0 3001 3844 NORTM ftIUG 50.00
2155 9001. 3844 NORTH kI11G 0.50
3430 3()01 3844 NORTH kIDG 5.00
3430 9001 3844 NORTH F.T.DG 0.75
?
7o#al Receipt Amount: 56.25
CR073231
tJSI_R ICi, NANCY
? GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: auzLocNs
Permit Number: 0 2 9 S 9 3
Date Issued: m 5/ 0 5/ 9 7
SITE ADDRESS:
3844 NORTH RIDGL DR
LOT: 3 BLOCK: 4
GARDENWOOD PONDS
P.I.N.: 10-25860-030-04
DESCRIPTION:
Geersws Cade
...i ,,.L..
•.?f..:1.-: „
r%J "?A.
?""-- _.4?•,
lB uildxn?1-Permit Type
fiBuilding"ti?ax,1k Type
DECK
NLW
434 ALT. RESIDENTIAL
0,1 Eyi ?'Y k[ ?J
E' ? E.? ni'-?4r a??.?f?i L??ST k7?
REMARKS:
FEE SUMMARY:
BdSE FeE
5urcharqe
Lic. Search
Subtotal
$50.00
$. 5 0
Fee 5.00
$55.50
CQPIES $.75
Total Fee $56.25
CONTRACTOR: - Applicant - sT. LIc.OWNER:
LAZER JOHNSON BUICDERS 16981781 2006866 BINZ SNANNON
1'35 SHERIDAN AVE 3844 NORTH RIDGE QR
PAUL MN 55116 EAGAN MN
? 12) 698-1781 (612)454-5812
I ... . , . .. . ... , , . .; .. . ,. . . . . . .:. , ?
i Mereby ackiTowledge that`i have raad_thtS,? %pp?,tcgti€zn and state that the
infiarmation is esirrect and agree to comply with al`1 app'licable State of hln.
5tatutes a»d City df Eaga?ti 0rdfAancesc'
??m?f
I APPLIC /PERMITEE SIGNATURE -IS UED Y:5 N T RE ?
1997 BUILDING PERMIT APPLICATtON (RESIDENTIAL) ?-S? • oZ_?
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
681 -4B75
New Construction Reavirements RemodeVRaoair Reouirements ?72
? 3 registered ske surveys 0 p cppyb p{ plen ?
• 2 coples of plena (indude beam & window saes; poured fid. dasign; ete.) ? 2 sita surveys (exterior eddkiona 8 tledcs)
? 1 energy ealcutations ? t energy cakulations tor heated addkions
? 3 copies of tree preservetion plan if lot platted after 7!1 /83
required: _Yes _ No ?
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: 3?'?Iy /i10/CT//-i2loGE D/1r?? ?".y?.???
L T ? BLOCK ? SUBD./P.I.D.
PROPERTY Name: Sk4p?JW011 Phone #: Z-
OWNER ...
Street Address: ...,
3? yy ?ve:u?rni? 6?? Uoe(?E
City: State: Zip•
coN7'RAcTOR Company: LfkzeK ? rt,S sv,? du;c cen s Phone #:
?
1
Street Address: l53 s5*?Xm?'r?1 ?t1'E License -14 0 4 1?6 6
19T
City: ?% ?quc State: h+-/ ZiP; 51-71c
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only):
and bt change are requested once permit is issued.
Penally applies when address change
1 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 !
OFFICE USE ONLY IZECEIVED
Ceriificates of Survey Received _ Yes _ No ApR 2 g 1997
Tree Preservation Plan Received - Yes - No _ Not Required By;?_
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dwelling o 07 4-plex
0 03 SF Addition o OS 8-plex
a 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
0' 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
n 13 Garage/Accessory ?
n
0 14 Fireplace
j2l'?15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building i? Engineering
Permit Fee
Surcharge
Plan Review
License ?
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permft
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $
r-- ,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. O,3 ,4
SAC Code
Census Bldg
Census Unit o
Variance
% SAC
5AC Units
?
0
/
?(Z)
.\
CERTIFICATE OF SURYEY
for
JOE MILLER HOMES
3 ?
56.?47.$4 ? V1
ao 49 F
1" = 30'
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 3, Block 4,
supervision and that I am a duly Registered GARDENWOOD PONDS
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnssotc: Plat bearings shawn
o Denotes iron monument
Dote 2Z AA{??( 4? Reg. No. 8140 ` Existing---- Proposed
17KV !lL'TiiAi19aL
EAGAN
REV1," E D
Top curb to Gar slab =_.
Top block = .$97 $3
Lowest 6smt flr = 890
AZ-
(612) 435-1966 M32-1421=96
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
M32-1421-96
/ L ? 8L / CITY USE ONLY RECEIPT#:
SUBD. /.?PS.lIG??wvV'?Lf ?? RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB' RD
EAGAN, MN $5722
(612)681-4675
Please complete for: . single family dwellings:
. townhomes and condos when permits are required fot each unit
-4-6ackflow preventerfor underground sprinkler system
FIXTURES ,
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/5pa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum'-1
Rough Openings
WBf@fSOft2118r`fordwellingsunderconStYuction
WgtSr Snftengr ' WrwYpating rlwarn9
U.G. Spnnkler * for dwelling under const.
-,;,U.G. Sprinkler `farexistingdwelling
t Altef2tion5 "toexisting residence
Water Turn Around
Private Disposal System ' Dak Cty iic.
(newand refurbished systems)
Private Disposal Systems'nbandonment
EACH, N,Q., TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00: x -
3.00 x =
3.00 x =
3.00 x =
3.00 x =
• 3.00 x. _
1.50 x =
5.00 x -
2(1.00 x =
3.00
20.00 =
20.00
=
75.00' -
20.00
STATE SURCHARGE
TOTAL
.50
I hereby adcnowledge thatl hape readNisapplication, state.that Me information is correct, and'agree tocomply vrith all applicable:City
of Eagan oMinanoes. It is the:applicenFs rasponsibility to notitythe propefly rnmer that the CitybfEagan assumes no liability for anydamagespusetl by theCity during its nortnal:operational antl maiMenance ectivlties M the facilities anstnietetl urMer this:pertnitwithin
City property/righi-of-wayleasement SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: ACQ<, /u-l.
STREETADDRESS: ;2e5,S "/?2?Z
ciTr: r
S j2-
TELEPHONE #S
.
STATE: /zt! --2 ? ZIP:
,
SIGNATURE OF PERMITTEE
2004 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 _3 / 0? J / (D
Site Street Address ?JB A \ ?f
Unit #
Property Owner ?avi d it ? ? F-? S Telephone #(IQSI
Contractor j??(?
Address? T?[X ) Telephone #(? )`
1Ck City c? CXZ(1 State )/1 ? 3?
Zip55ia3
The Applicant is: _ Owner \'?Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $127.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener
?replacement _ ? Water Heater
additional $ 15.00
Lawn Irrigation 5ystem RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
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 perrnit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
I ?h Hg,ro(..tria
Apa canYs Printed Name AoplicanYs Siqnature
u _-1
,v
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan -I
3830 Pilot Knob Road, Eagan MN 55122
'- Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements Office Use Oniv
3 registered site surveys showing sq. k. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calalafbns for heated addNons Tree Pres Plan Recd _ Y _ N,
2 mpies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y _ N
7 set of Energy Calailalions Additbn - indicafe Hon-site septic sysfem On-site SepGc System _ Y _ N
3 copies of Tree Preserva5on Plan if lof platted afler 711193
Rim Joist Depil OpGans selection sheet (bldgs wilh 3 or less un'rfs
Date 'k / ti? / o'? ConstrucaonCost Ja,)?
SiteAddress 3g4LI 02'-()A iLbbG h Q-l%A? UniUSte #
''llb v
Description of Work PN5741iL G15 ?f?[/T(-L:?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 02
Property Owner b??+ t,) Telephone # (6)! 0611-
C n I?
Lb ?1
S
' ? I
?z L?
ContraMOr ,
Address
,'6cr L) - 0^r1
?
City & I
VI41G
State Zip Telephone #(S+ L) f1f'' 01 S? I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approved pl in the cas work which requires a review and
approval of plan . ?
. ??lA:t? ?`?-Ir?O
, y
Apphcant,s Pnnted Name Appl cant s Signature
OFFICE USE ONLY
Sub Types
I .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of._ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-piex Plbg_YOr_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* 13 43 Reroof ? 46 WindowslDoors
? 34 Replacement `DemollUon (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3844 North Ridge Dr
Lot: 3 Block: 4 Addition: Gardenwood Ponds
PID:10- 28800 - 030 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Shannon M Bins
3844 North Ridge Dr
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA082584
04/15/2008
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147454
Date Issued:01/09/2018
Permit Category:ePermit
Site Address: 3844 North Ridge Dr
Lot:3 Block: 4 Addition: Gardenwood Ponds
PID:10-28800-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shannon M Bins
3844 North Ridge Dr
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153954
Date Issued:02/05/2019
Permit Category:ePermit
Site Address: 3844 North Ridge Dr
Lot:3 Block: 4 Addition: Gardenwood Ponds
PID:10-28800-04-030
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 -
Shannon M Bins
3844 North Ridge Dr
Eagan MN 55123
(612) 747-2158
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature