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3872 North Ridge Dr» .77 ?.. •!1 WCrfifiCR#C 0f cCCItvQYIC? Wiq of Cfagmt ?exr of Zxithbis andoecrian Thes Certificate issued parsuant to the requirements of the Uniform Buildirtg Code cerrifying tliat at tiit time of issuancathis structure was in compliance with the various ordirrances of the Ciry negulating 6uildirtg constrvction or use. For the fo!lowrng: Use Qsssificatian: .?'' Bldg. Pmnit No. 34224 Occupa-r Trv- . 1R3lU I zoning flisaia R I rra camt. VN OwrcrorBumingjl R FY? IlW. Amress345Q A41TbYM DR. F-AGML-- g-iwi-8 ? Ladin L1fl.?.Pli, aa?ntzwir? oa"' 'I Gl 7A I Tv " , e6??g otrr;,i? - ? POST IN A CONSPICUQUS PLACE INSPECTION RECORD -CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: 34Za-4 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA . .. ? ,. PEMARkS. PI.AN REV1'F6? r- Rn t C', NuvAc ,' 7 ? ? Pertnit Holder Dete Telephone N SEWER! WATER PLUMBING HVAC /(J 9q, ,p14n2. Inspection Date Insp. Comments FOOTINGS -1 FoUNo FRAMING ROOFING ROUGH PLUMBING PLBG Alq TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARO FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS coNOUCnvirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 387 t,Ourti urrxE n rvF Zip 5512 3 Lot in Blk a Sub r.nunFTnamn prxxan.S THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: _ q Yes No Inspector. Final grade (6from siding) ? Permanent steps (garage) Permanent steps (main entry) V? Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage v Parch V Basement finish v Deck Please verify with the bwlder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn fauce[ before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or insqlling underground sprinkter system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy y ' - ' v ? J ? ? V a r6 Z IC ? ? ? ? ? w'o 0?O r,?a a y C m N ? ? ? ? ? ? ? 0 ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS I - i Z'/ Jor'' • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient °k • Proposed/ebsting sewer and water services & invert elevation • Street name • Driveway ELEVATIONS Existina w'? ? • Sewer service (or Proposed) q.? ? ? • Propertycorners 6r/'o ? • Top of curb at the driveway GY' O ? • Elevations of any ebsting adjacent homes Prooosed M.-'O ? • Garage floor rr,?-I? ? • First floor UK'o ? • Lowest exposed eleva6on (walkouUwindow) O/d ? • Property corners 01--O ? • Front and rear of home at the foundation PONDING AREA Cf apolicablel GK- ? 0 • Easement line 0? ? ? • NWL 0'? ? ? • HWL [3'o ? • Pond # designation ? q--?? • Emergency Overflow Elevation DIMENSIONS Z" O ? • Lot IinesBearings 8 dimensions 5?' ? ? 9 Right-of-way and street width (to back of curb) ' Cie' ? ? • , Proposed home dimensions including any proposed decks, overhangs greater than 2 porches, etc. (.e. all structures requiring permanent footings) / o' o ? • Show all easements of record and any City utilities within those easements ur' ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? p i0 • Retaining wall requirements, if any Reviewed: ? Z/? D te January 1998 CRAIG190N8LOCPRMT.fM ks.s??w?'z?rFa ? . >ne. : . ,v:.. . ... , . . . . . . . CERfiFiCATE OF SURVEY for JOE MILLER HOMES ??91.00? Scale: 1" = 30' ?I ? i ? \ ? .- ? . ? ?_ . i - v Q? ? ? CY-i ? ? 09 ?SO? .\ ? 0 f? . ? \1? ? ? $ ? \ $ 19o??J K Qqq_3`? ? M32-1852-98 1" l ' ; t z -J\ r i x r, 7 ? Top curb to Gar slab =_ SO _ Top block = °9f_PjL6 Lowest bsmt flr = 3872 North Ridge -Drive I hereby certify that this survey, plan, or report was prepared 6y me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date Reg. No. 8140 `$? ? L w v: ? ? \ -1 \ \ \ \ l?f aEZr' ? \ ? ? B9\ ? J ?< ? - DrainBg ? utility ea'gti 1 ? o 001?i ? DESCRIP110N Lot 10, Block 4, GARDENWOOD PQNDS, Dakota County, Minnesota, except that part described as follows: Beginning at the northeast corner of Lot 9, Block 4, said GARDENWOOD PONDS; thence S46'29'13"W a distance of 59.49 feet; thence S51'18'28"W a dlstance of 114.82 feet to the southwesterly line of said Lot 10, Block 4, and there terminating. Plat bearings shown o Denotes iron monument ? Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 .-a,. i % A es A 6 0 kp. (9 c?? a 04s?o J$ ? ? . % I I Suite 206 M32-1852-98 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.7.IV.? 1.6-2$300-7.00-04 PERMIT TYPE: Permit Number: Date Issued: 3€372 NOR7N RIDGF Uft LOT: 18 BLUCK: A GARDENWOpD POIVf.IS euzLnrNs 03A,'.2q 12/?_9f98 DESCRIPTION: 6ufi'.1.dinq'?Permlt 'I'yne SF OWG 6IJ il.dincl W'dr, k 1'yp e NEW ? 'UY3C Occupancy \ R-3 ?'Construction 7v?' VN Zoninq ?'. R-1 ? Bui2dinq lPnnth ? 72 ? 6uilzlinq Width SA C3uildinqgt.nripa 2 Cqde 10 1 . :L - f°AM. DE7AC'N (? --.. -?.. . . REM? SNkV2FWE? BY CRF1If, NOVHC2YK. S& W PLUMBEft IS M& W SEUIER FlND WATER PHONt #753-1383. FEE SUMMARY: VIA LUI;i"]:ON Base Fee P.Lan keview £.urcharqe J?IC SAG o SAC Units Subtotal 9:1,657.25 9;1..d77.71 $7.27. pO 1:?1.tiP.P..TO 1 Pi P? 1 $3.8&7.,46 $:zs4,000 M75C. FEFS $1,.5.92.58 l"ot.al Fee $5.453.96 CONTRACTOR: - Apniicai,t - s r. Lzc. OWNER: HUR1"ON INC OF MN. D R 145A4563 '7.P+@05657 DR HORTON T,NC. 3459 WAShIING'i"UN DR 204 3459 WWSH7'MG70N Uft EAI;FhN MN 55122 EFlGAN 1+1fV 55123 -L6121 454-4663 (651)454-4E63 ' 1 herebv acl-nnwledqp that i have read T.his 9nfiormation is correct and aqree to crrmpl.v s an d Ci.ty ot Eanan Ordinartces. 21; L APPLICANT/ TEE SIGNATU applir.aC3on and staT.e tnat the with all aqpti.cable StaTe ofi Mi7. -j Qo.,. 8-1?0l-?,?_ -?SUED BY: SIGNATURE II ? ? '? ?? ' ' ?'? . ? .?n ? . . ? , ?. I ?? ? • ?? ? p ii. II ?? ? ? T? il i ? ? ? ? ?g,? . ?? ?? - • ? . I ? I? .' I ' ?: & e ? r if t .. _• ,? : - ? . ,? ? . . ' '+ i u ? ? ;.. a ,. ? i ?u? ?'?I?'. ", ?; i . o 14 l ii 1"64 ? _, ` ? ?? i? ' ?? ?' °' i? ? I u f??? ( u ?I.? ?,? •y r? d?.4 io i { F 'Nk y CITY QF EAGAN CA'-.>HTI=R: S TEfiMINAI N0: 7E,2 , • T •' DR'fEa 12/29/38 TIi1£: 12e45:38 '? i ? 91i q I Y r L INAME;, n ti HoRroN zNc t; 2 2 `55 b 91101 3872 NOFTH FTUG u, 453.96 i1 ,, It ' n ? i 1 t?? ? 11 " JI ? „ u ;? i , _ ; , . !,?• V I? i ? ?? ? II ? ?? i ? fP F ii i ? 'iolal Recea ?t Amalnta r F':LOi4 ,°?i ? i.isr:R Iz,: naNcv ? ,., . x>K>YfK?X???F>X?K??KK1k?K?C7k?X?KK?X>XXC>X>XSK>X?Xq?1kRC:k??C#?K?K%%k?%K? ",?'Ii ? ? ?' + ' ` h ? , ' ? I??II IA Ij I+? ? I I 1 I ? ? ? I . _i I.i' u 1I4 t r, r I il? I It ' 1 . p . ,??""??'.?1?? F - ... .? " .?. ? J ...,,?• iF t ? ? ? „ . ' ?: i ? . .fyi ? ?rFe li? Ir•,? i? ? b .:.?i ? ? ? ? . " • 1998 BUILDING -3 (-4 -,) New ConstrucHon Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EACiAN 3830 PII.OT KN?O 7 RD - 55122 C? RemodeVReoair Reauirements I a,r 5'9?e ? 3 registereO site surveys ? 2 wpies of plans (indude Deam 8 window sizes; poured fid. desgn; etc.) ? 1 energy qlwlations ? 3 copies of Vae Praservation pJW rf bt plattetl after 7/7/93 rpuired: _ Yes ! No DATE: I J- - I 0 ' qS ? 2 oopies of plan ? 2 site surveys (ezterior add@ions & Cedcs) ? 7 energy calalationa (or heated additlons CONSTRUCTION C05T; 19G,.5'3v. Do DESCRIPTION OF WORK: AG1u Cotis-?ruGfiOVi STREET ADDRES5: 3 A72 Alorfti L6e, 17ri ?z LOT: BLOCK: SUBDJP.I.D. a2?"uknW'Ded orwls At, Nama Phone #: PROPERTY Lwt First OWNER Street Address: City State: Zip: ,? Company: D.le- LI?Y?oe'1 J-i1G?l?N•?A; J0e7i//ef- Phone#: -4S 7"q44,j CONTRACTOR /Jorn es Street Address: 3?S9?'?G1sti zo&j License # o?DODSG 5 7 City State: M nJ Zip: sS?a3 ARCHIT'ECT/ ENGINEER Company: Phone Registration #: Street City State: Zip: Sewer & water licensed plumber (new construction oniy): /yl A LV SCWer ?/ lt)afdr . Penelty applies when address dang and lot change is requested once permit is +ssued. -7 s 3_ 1 hereby acknowledge that I have read this appiiption and state that the informatlon is correct and agree to compy with all applkaGt State of Minnesota Statutes and City of Eagan Ordinances. Signature ofApplicant OFFICE USE ONLY Certficates of Survey Received ? Yes _ PSo Tree Preservation Plan Received Yes No ? Not I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 1l M 02 SF Dwelling ? 07 4-plex O 12 O 03 SF Addition ? 08 8-plex ? 13 ? 04 SF Porch ? 09 12-plex ? 14 ? 05 SF Misc. ? 10 _ plex ? 15 WORK TYPE '0-'31 New O 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planrting 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: Apt./Lodging ? ,16 Mufti RepaidRem. ? 17 Garage/Accessory ? 1Fireplace ? 121 Deck O 36 Move ? 37 Demolkion J Basement sq. ft. Main level sq. ft. sq. ft. ie-I _C?h? sq. ft. 2 sq.ft. sq, ff. Footprint sq. ft. Building U ij-C) Z 20 Z-Yl (o S3 S6 Engineering v J 1 Basement Finish Swim Pool Public Facility Miscellaneous I I I' MCNVS System City Water„ Fire Sprinklered PRV Booster Pump Census Code. 5AC Code^ Census Bldg Census Unit Variance Valuation: $ 1-530 -7 08 24 1o?1.a-I 17/I X 25 71 S'="- i t?oc?.oc? 313 x IS= 6 q5?== p 2o24x551= e- , ?oo nlb &,5° % i, Sqa. SZ? d ? ?S,'-1 S3.9 ?, ? ?- ?- % SAC SAC Units yxGG/A./Ld eJ ?//U/i.f/ILQ,. ICG. i•• :` e 14750 Galaxie Ave. Suile 104 ? Apple Valley, Minnesola 55124 (612) 432•2044 EXTfiRIOR FNVELOPF. AVERAGE "U" COMPUTATION N,'IME D. R„ 110 R.7`EW PLAN NUMf3ER Wic?lA l"t'RtAf?G? Determine workirg square footage of each 1. Total exposed wall area. ..... sq. ft. X .11 S 3?,? g 2. Tota.l mof/cellinE; area...... Y>??f sq.ft. X .026 j13,z Total exposed wall area above floor = ti') 9rJ a. Total wall window area .................. L185?.-2 ................ r, b, Total door area....... c. Total sliding glass door area........... -?(- d. Total fireplace wall area ............... -- e. Total tivall framing area (average 10%)... -17191 0 f. Total net wall area above floor,........ '>? '-19 g. Total rim joict area .................... ?-lU`--h Total exposed foundation area = - h. Total fourxlation cvirxlow area............ i. Total net foundation area above grade... Deternnine "il" value of each wall se-Ment a. X "U" .52 = zS z,.?t; b, x "U" .139 = S, a$ c. X nUff .52 = '•,". S7 d. X "u" .68 = - e. X ltU" .p96 - 4+'Z,1u f, g "U" .043 = r?? 9, x "u" .041 h. - X - - llUn .52 ? i. x lfnll .082 = 9, I 3. ToTai ............................... If iten f/3 is the same as, or less than itan #1, you have met the intent of SBC 6006 (c) 2. -1- , .,? - .. Total exposecl roof/ceiling area = ?I>Sy Total gross roof/ceilirg area J. Total slylight area .............••.•• -' k. Total rvof/ceiling framirg area...•.•• " 3 5•`! 1. Total net insulated iroof/ceiling area. 'S 9 t ,7,• E Detezmine "U" value for each rroof/ceiling sepnent 1 • X uUn - . k. x ,'U" .024 = lo.Liu 1. X nUn .027 = `6C•. Z 4. Tarat ............................... If total of N4 is the satne as,.or less than #2, you have met the intent of SL+C C006 (c) 1.. To utilize the total envelope systen method, the values established by the siun of itens N3 ancl #4 shall not be greater than the swn of items H1 and N2. + 2. 1 I'), 2 3, 5??.a3 + q. 91?.?`r T•1a.teria.ls Thezmal resi:>tance "R" Exterior air......... Sidihg material...... Sheathirg ............ Insulation........... Sheetrock............ Inter3or air......... Ri111 ................. Concrete blocks...... -2- -?) ` 9 C[TY USE OYLY ? LOT ? BL ? RECEIPT #: AO3 2ZOCO SUBDRECEIPT DATE: 3?019 9 1999 MEGHANICAL PERMTf (RESIDENTIAL) crrY oF EaerxN 3830 Paor Kvos [tn EAfiAN MN 55122 3 ? Date: j „? ??.1 6t_ ? (651)6$1-4675 Complete tlus section on! if you are installing HVAC in sin'le family, townhomes or condos under constructiun and not owner /occupied . HVAC: 0-100 M$ T U $ 30.00 ADDiTIONAL 50 Ivi BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) 3 X 39,00 • State Surchar.-e: .50 ? Tr' S? • TOTAL: Complete this section onfv if you are remodelin„ adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New _ Fumace Replacement _ Repair _ Other _ Air exchanger, i.e. Vanee system, etc. Reminder: Call 681-4675 for inspeciions. SITE ADDRESS: O WNER NAME: [NSTALLER NAME: STREET ADDRESS: C[TY: ca rr -7 A I? ?7 1A 12, Air conditioning Other $ 30.00 State Surcharge: .50 Total: $30.50 P-i aa 4nJ PHONE#: (.Ps'I 44 o G oaa. eQ1U N Ati eo r? )'464"O IJ ? . v n #V STA"CE! _ lAJ ZIP: SLL M?SNANE SIGNATURE OF PERMITTEE JS/FORMS 6LD/MGCH PF{Lb1IT (R@S) - 1999 L (O BL ? CITY USE ONLY RECEIPT #: ADo`IS10?f SUBO, ?C ./LfJGL?d l/7'Lr?'i'u%cd RECEIPT DATE: Ia 9 1999 PLUM$IN6 PEiMIT (RESIDENTIi4I.) crrY oF EAsnx saso Pu.oT xxos sn EAsM, Mx 55122 (e51)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x ? = 3 Water Closet 3.00 x = I? Bath Tub 3.00 x ? = T Lavatory 3.00 x Lo Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x ? = 3 Water Heater 3.00 x 3 Floor Drain 3.00 x ! = 3 Gas Piping Outlet ' minimum • 1 3.00 X Rough Openings 1.50 x ? _ . SC) Water Softener ' for dweliings under consvuction 5.00 x = Water Softener ' for existing dwelling 30.00 X = U.G. Sprinkler ' for dwelling under wnst. 3.00 = U.G. SprinklCr " for existing dwelling 30.00 = Alteret10n5 ' to existing residence 30.00 = Water Tum Around 30.00 = Private Disposal System ' MPC iia 75.00 = (new and refurbished syslems) Private Disposal Systems ' ,aeandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder. Cali 681-4675 for inspections of water heaters, water softeners, alteretions, etc. TOTAL 00 --° -----------° ----° --------------------------- ----- - • •- ? --- • -• ---- •------•- •-- -- •-•......- •---------------- • --------------------------- I hereby acknowledge that I have read this appliption, state that Ne infortnation is corted, and agree to cwnply wiN alt applipble City of Eagan ordinances. It is the applicanPs responsi6ility to notify the property owner that the Ciry of Eagan assumes no liability for any damages pused by the Ciry during its normal operetional and maintenance acdvides to the faciliGes mnstructed under this pertnit within City property/right-of-wayleasement. SITEADDRESS: IVOQ?? ? &%L OWNER NAME: INSTALLER NAME: r - 1<-)qcLn TELEPHONE STREETADDRESS: CITY: I205e,Yl"`o w-a STATE: rnt-? ZIP: SIGNATURE CO/PERMIT FORMSlRPLBG PERMIT (RES) - 1999 CITY USE ONLY 'i L ? BL ? RECEIPT#: I 350 30 SUBO. GdT4enW0bA POV& , RECEIPTDATE: 7 rc) g 'OU' PERMR # 414V _ 2000 PLUNBTNG PERMIT (RESIDENTIAL) CITY OF'EA6AN 3830 PILOT KNOB RD EAGAN, LM7 55122 651-681-4675 Please complete for: ? single famity dwellings D townhomes end condos when pertnits are required for each unit ? b8ckflow preventer for underground sprinkler system FIXTURES EACH IJ TOTAL Alterations to existing dwelling - minimum fee Describe: ? $ 30.00 Bath tub $ 3.00 x - $ Floor drain 3.00 x = $ Gas pipin outlet ' minimum - 1 3.00 X = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic S stem newlrefur6ished " requlres MPC Iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 x = $ Rough apenin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground s rinkler rfexisting tlwelling 30.00 x $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dxrelling under constructlon 5.00 x = $ Water softener if existina dweirng 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Surohar e .50 -> -> --> $ .50 7ota1 __> $ 3t) S° Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------••------------------------------------------ -•-•-•---•---- -------------•----------------.....------- 1 hereby acknowledge that I have read fhis appliptian, sWte that the infortnstion is ?rrect, aM agree to compy w'rfh all appliwble Cityof Eagan ordinances. It is the applicanYS responsihility to notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operational and maintenance activities to the facilities consWCted under this pertn@ within City property/ngM-of-way/easement. SITE ADDRESS: OWNER NAME: : TC'??J`? ?--C4 e-n '`•n fL TELEPHONE #: (R I (M " 1-1$ -'1 (nRea, cooe) INSTALLER NAME: STREET ADDRESS: -? TELEPHONE#:LP51_ L4Z.5-11LIL/ . (AREA CODE) CITY: STATE: vj ??J ZIP: ``1Sb(o 9? ? SIGNATUI:k OF PE MITfEE ?OAI,- 2007 RESIDENTIAL BUII.DI-NG PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction ReAUirements 3 regislered si@ surveys shovring sq. ft oi lot, sq. R. of hase; and all roofed areas (20°h maximum bt coverage albvred) 7 Soils Repat if propwed bwldng is to be placed on disWrbW sail 2 copies o( plan showin9 beam & window sizes; poured found design, etc. 7 se[ of Energy Calwlatlons 3 copies ofTree Reservatim Plan if Iot platled after 711193 Rim Joist Detail Options selectian sheet (buildings wilh 3 or less unri5) Minnegasco mechamcal venlila6m krtn o? D RemodellReoair Reauirementr -Offiee-Use OnN 2 copes M plan showing footings, beams, jois4s CertM Sariey Recd Y., _ N t set of Energy Calculations for heafeA additions Sails Report '. . • _ Y _ N 1 site survey for addiGans & decks Tree Pres Plan Recil -- .Y _ N Addifron - indicale if onsife sep6c system Tree Pres Required:: Y' _ N Dn-sile Septlc System ` _Y _N Plans are considered ubiic information untess ou state the are trade secret and the reason. Date I v /k /0-1_ Construction Cost lYw" ' (,-?) Site Address I N UniUSte # i Description of Work 7.,1J U T1 c Multi-Family Bldg _ Y?L N Fireplace(s) _ 0 2 Property Owner FO YlA.k Telephone #( ) Contractor 'I? Address 3"I ?LI?l?? el .l ? C City . State M/V Zip? Telephone# (?SI)33L`?J?1Ll,(L_ COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submission type) • Residential Ventilation Category 1 Wotlcsheet Submitted . Energy Envelope Calculations Submittetl A NEW BUILDING Minnesota Rules 7672 . New Ener9y Code Worksheet Submittetl In }he last 12 months, has the CiTy of Eagan issued a permif for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contracior Sewer/Water Contractor I herebv aonlv for a Residential BuildinQ Permit Telephone #( Telephone #( Telephone #( that the information is complete and accurat e; 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 NrORL val of plans. 0, ? ?dQrYI.P`V)Q1'v Applicant's Printed Name Ap icanYs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166473 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 3872 North Ridge Dr Lot:10 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Anthony S & Cynthia Gardner 3872 North Ridge Dr Eagan MN 55123--245 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature