3876 North Ridge Dr
Use BLUE or BLACK Ink
I For-Office Use
I I
I Permit Aacwd I
City of Ea
1 ~C 67(f 1
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 I Date Rece* ed:
I I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 I
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1""~j Site Address:3 0 7 f + % I~
C/
Tenant: Suite
RESIDENT / OWNER Name: i Phone:
Address / City //Zip:
I
CONTRACTOR Name:q'i + I License 5z6o!
Address: ~54/c~'Is City: i~rl~"I X ~,7J
State: Zip: Phone:
Contact:
TYPE OF WORK Vr_X New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: C /
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.gopherstateonecall.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 1,udCiarstand 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
accordan "it t p oved plan in the case of work which requires a review and approval of plans.
Xi x
A cant's P anted Name Applicant's Signature
FOR'OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-In Air Test -Gas Test -Final
Use BLUE or BLACK Ink
r
For Office Use 2
Permit ~V
City of Eakan
I Permit Fee: b . 6J 1
3830 Pilot Knob Road I 1
Eagan MN 55122 ~~N 3 2d)) i Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICA IO W(/,-
Date: Site Address: V1 , / V ) 4 G
Unit
Name: SgH Phone: qq 7 ` f
RESIDENT / Lw-,
OWNER Address / City / Zip: -D oeeTl4 Applicant is: Owner Contractor
Description of work:
TYPE OF WORK
1
Construction Cost: 0 c9-Z> Multi-Family Building: (Yes / No )
Company: 0_1z*\_rrn,aVA UUNyp Pty\"jJ :;JAC- Contact: b~)'✓)
CONTRACTOR Address: St, L-j 1A_)n.P.A SUvLQ, 3~k , City: f 53
State: &VI- Zi : Phone:
License of a (o~{~ X35 Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 8, Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ctopherstateonecall.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 will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
IF DFN AW LIT " OWK~ E O V ( ` 3q
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool _ Miscellaneous
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
Valuation o." Occupancy odi MCES System
Plan Review Code Edition )4)SAC Units
(25%_ 100%~-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review MCES SAC
City SAC
Utility Connection Charge
(os
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
= • . INSPECTION RECORD
_ _CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Iv10: { 11 Fi 1(IEiF tik ; i;•?i ? i??? i:!? ;?? ?:;i ?. ?,
o?tif?ot. NI1t?tw }>{?Nfi'•. ' 1 b t.' ) 4S4 ••4466 i
PERMIT SUBTYPE:
TYPE 4F WORK:
INSPECTION .. . .•
t i 14
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Permit No. Permit Holder Date Telephone A
ELECTRIC
o?'/b ?O (
• ?f Q
'
?
?
PLUMBING
HVAC /O ? 6• ?(?
Inspectlon Date Insp. Comments
FOOTINGS 4 lD/? QG
FOUND
!
FRAMIN(3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST f ?g/ rJ
ROUGH
HEATINQ ?
GAS SVC
TEST
f
INSUL
GYP BOARD
FIREPLACE
FIFiEPLACE
AIR TE9T
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL 7/ ?
4
BSMT R.I.
^
tt
BSMT FINAL
DECK FTG
DECK FINAI
?e?ti?.ca#e nf cccujoanc?
(AM of "an
?COiwtmtut ? zKobts a«boecrwx
This Certificate essued pursuaret to the r+equirements of the Uniform Building Cade
certifying that at the time of issuance this structure was in compliance with the various
ordinances af the City regulating buiiding construction or use. For the fo!lowing:
ux cwsifida;on: SF DWG swg. ve„nit ro. 28822
Oc-pa-yType R-3 U-1 zo,,;08Dmula R-I TypcConsi. Vn
owwrofBwld;ng JOE MILLER HOMES aammss 3459 WASH1Ni`1'ON ntz,? aeGAp, MN
8,?? Add. 3876 NORTH R1DGE DR uDcaliry 111 B4 rAttnrr.Hramn vnNng
,
+ o?: ? ?? "1 •' I `?
,
Baiidinsotriew ,
POST IN A CONSPICUOUS PIACE
31V- 6 8 7 [I /" /This request void 18 monMs fmm validofon dnk pdmed in this box.
CP j?0 /?
PLEASE PRINT OR TYPE // J3 p)G?L // /
Request Date
1 1-14 - 9 6 Roogh-In inspe on required2 ?.YeS ? No
(You moel mll fia inspeclorwhen ready) Inspenion Olher Than Rough.ln: 0 Ready Now (?],?i4Call
Dam Ready:
I, Ea'licer.sed <ontrador 0 owner hereby request inspedion of the above electrical work at:
Ja6 Address (SVxt, Box, or kome Na.) Cih 2p Code
3876 Northridge Drive Eagan
Secllon Na. Townzhip Name or No. Range Nn Fre No. Counp
Dakota
Ocw nl
3(?e Miller Homes Phone No.
454-4663
PaxerSupplier AMda.,. 300 220th ST SW
Dakota Electric Farmin ton MN 55024
Eleclnml Conhadar (Company Nome) CoMmtlor license No. Moskr Lic. No. (Plant Elae. Only)
Midland Electric CA
Moiling Addrea (Conimnor or Owner Perfarming Insrollafian)
22691 Red Fox Dr Lakeville,P1N 55044
AWhanz/?j?(Contmao arPer(o?nsmllanon? Pho4 t?N^1-1444
EBOOOOIA-106/95 480ARDCOPY-SEEINSTRUCTIONSONBpCKOFYELLOWCOPV
REQUEST FOR ELECTRICAL INSPECTION U k??
II?I II I? II II ?II II I I II (I I II I I I II Minnesota
Universiry AvearRmf &e 281cSt. Paul, MN 55104
* 0 3 b 8 68 7 1 * Phone (612) 842-0800?/F(Q wa5
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Wc Load MgmL Other:
D er Ran e Elec. Heat Tem . Service
above Ihe woll: covered by this request. Enter remarks in this space and on the 6ack of the white copy only.
..._--."" -" f
Cakulofe Inspe<tion Fee - This Inspecfion Request will not be accepted without the correcf fee:
Olher Fee $ $ervice EMrance $ize Fee it Circuits/Feeders Fce
Mobile Home Park Stall / 0 to 200 Amps ?.? 0 to 100 Amps 97,
Skeet Ltg./1'raHic Sig. Above 200 Amps Above 100 Amps
Tronsformer/Ganerator INSPECTOR'SUSEONLV TOTAL -7
Sign/Outline Ltg. X{mr. 117 5o
Alarm/Remote Conhol
$wimming Pool I here6 arfi ?har I i ed ?he el nml i on described hereln on ihe doks s d
Irrigation Boom Roughln Done
ection
S
eciallns
p
p
Invesiigative Fee Finai Dok
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
3876 NORTH RIDGE DR
Lot ] 1 Blk
SUb GARDENWOOD PONDS
Zip $$12_
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: / 7?' Yes No Inspector:
Final grade (6" from siding) L'?
Permanent steps (garage) ?
Pertnanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass i/
TraiUcurb damage r/
Porc6 ?
Basement finish
Deck Z-Z
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before &eeze potential exists.
Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy @
CERTIFICATE OF SURVEY
for
JOE MILI.ER HOMES
iLJ
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Top curb to Gar slab =_ 5• ?_
Top block = 92Z,33
Lowest bsmt fir = ??6?
LAGAN
M32-1451-96
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DEPT. Scale: 1" = 30'
3876 North Ridge Drive
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
D`aTe U2-6 lyUd- 1999 Reg. No. 8140
Lot 11, Block 4,
GARDENWOOD PONDS ? AGAN
Dakota County, Minnesota REY i EW E 0
Plat bearings shown ?
o Denotes iron monumeiV
? Existing j Proposed ?? '????
BRANDT ENGINEERING &
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
SURVEYING
Su ite 206
M32-1451-96
CERIIFICATE OF SURVEY
for
JOE MILLER HOMES
C??n51/
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Top curb to Gar slab
Top block = -220,33
Lowest bsmt flr = -992.6Z
EAGAN
REd1EUdED
?qb.81
\
Scale: 1" = 30'
3876 North Ridge Drive
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
e
Reg. No. 8140
Lot 11, Block 4,
GARDENWOOD PONDS
Dokota County, Minnesota
Plat bearings shown
o Denotes iron monument K-5?-
BRANDT Existing j .- PENGINEERIIVG &
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
SURVEYING
Suite 206
M32-1451-96
? ?.
' CIYY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
028822
09/13(96
SITE ADDRESS:
P.I.N.: 10-28880-110-04
3876 NpRTH RIDGE DR
LO7: 11 BLOCKs R
GARDENWOOD PONDS
DESCRIPTION:
SF DWG
NEW
R-3 U-1
VN
R-1
70
44
2,473
101 1 - FAM. DETIiCH
4s4' 3E:??'. v4:.
w 18? a %s u I` ?s 3Y„ v{b q.#s1tl*£. A!. ???^'R...S
vi J ?Pr ? g1^ {4? ?A ?P SrN ? ?
xa a"S. A ?a
REMARKS:
S&W PLUMBER = MEW SEWER &jWATER
FEE SUMMARY:
VALUA7ION $2090000
Base Fee
Plan Review
Surcharge
SflC
SAC %
5AC Units
Subtotel
$1,432.25 MISC FEES
$716.13 Total Fee
$104.50
$900<00
100
$3,152.88
$1,923.50
$5,@76.38
CONTRACTOR: - Applicant - ST. I.zC.OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASWINGTON DR 204 3459 WASHINGTON DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)459--4663
i
'S hi@h4? .tf'IH]?'',fM??.Crr'X`'?r?,C?33 r3Yfd s?$t2: tI"t$'t
anfa,ren?t?,`on,;??? coiwpl`y, !?°?th ??t` appL??ak?3.? ??ts?e o# Mn
ees
? A^?/ ER ITEE?TIJR ISSUE : SIGNATURE
?
:.:.: ... .::.... ?:. ..,..,,:. :;
...?„..!r...,....?fj
... .i... r...,.....,?,i .
n ?iN.,Y,.?l? vei,.??.:r Y'y - "q ?,Y, ,l..:d.,•,:?r rW>Yi?n.-.:-.'r'.?f:
CITY OF EAGAN
, • . 3830 PILOT KNOB RD 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsWctlon Reauirements Remodel/Reoair Reauimments
? 3 registered sile surveys ? 2 copies of plan
? 2 copies o( plans (inGude beam & window sizes; paured fnd. design; etc.) ? 2 site surveys (exterior add'Rions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 eopies af tree preservaNon pWn if lot plaNed after 7/11/93
required: _ Yes ? No
DATE: 9-? f(I CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: -'M/0
? ,/
LOT ? SLOCK y
u.,
PROPERTY
OWNER
CONTRACTOR
SUBD./P.I.D. #: ?Gr?wud? ?,c15
iW6T
Phone #:
Street Address•
City:
Company:
State:
Street Address: ??S9 alui
Zip:
Phone #:
License #•,!2M4S?-57
City:? ? State: ?? Zip:
ARCHI7EC7! Company:
ENGINEER
Name:
Street
City:
State:
Phone
Registration #*
Zip:
Sewer & water licensed plumber: ,l?dU! ? d- l.uG?• . 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 ait
applicable SWte of Minnesota Statutes and City of Eagan ordinances.
Signature of Applicank 40;W W??-?-
OFFICE USE ONLY RECE0 VE-D
Certificates of Survey Received ? Yes _ No SEP fl 5 5.o,95
Tree Preserva6on Plan Received _ Yes ? No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ?
,m--?02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? OS S-piex ? 13
?
Garage/Accessory
0 04 SF Porch o 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 _-piex ? 15 Deck
WORK TYPE
o-"31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
L18C Occupancy
Zoning
# of Stories
Length
Depth
I APPROVALS
\/ N Basement sq. ft.
V ?'/ Main level sq. ft.
2.5,0_I sq. ft.
f2 - I sq. ft.
y sq. ft.
(.4.4 , sq. ft.
4 y, Footprint sq. ft.
I Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMl Pertnit
SNV Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°/D S14C _
SAC Units _
iVS
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
t 466. S MC/WS System ?
iG66.S CityWater %
iyqo.s Fire Sprinklered .
RoG - -a-C- PRV
Booster Pump
Census Code.
2k73
- SAC Code
? Census Bldg ?
Census Unit _1-
Engineering Variance.
Valuation:
R.,ax,..c.?i-_.
?s.s,t sq qiy.s
Zy(. 12
7x S t 35'?
37?7 25q
ioo
Zs?y 24
i2xZ
$ 2 vq , coO. ^--
? K?IS = 24??t97.S
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IEi:'?' ..
. .. .. ..
?.
? 1?'... . .
_ . . '_
.. _..-- - ^.. ._ . ....._
- -
??4i? . ._. . ._ _........
a?t
I 7/0
,_ _
?:_r.J?.w..(G. fN:.I`1
?
.
51c;;t?t.i.l.::i4_yrwi Fd.i.r
:i::.'
?
•;?,'?.,::.
?
.
.: ? :.: .... .. .... . . .... . . :. _ .. ....
{:
3
2 ac;es
' :faximum drainage area
Top of hi21?y/
?
._
Sil.t fence placed aa cnatour
? ? .
X ?
i
ii Tura mds upalope t
praveat flrnr bypass
- ..?:. ..
*.?
?
? . .
Tipieal La9ont for SiIL- Fenee -'
- Sees2 or uood posc
?
30^ miaimum heighc
Piltez fabric seeurely
fasteaed Lo pos=
Iay fabric in ehe
Backfill ovar ehe cop --?? 6"
of fs6ric aad 'caarpaca , ._ .
c!u acsl ' ' .._r . . .- ..
2?4?^ miaimum'dapeh
Coaatrvetton of Sile Fence
I 1. Sa- po:_: an(,• __c.?v;C- a•,",!,
C,^E't1C^ UpSiOpe .11011r, Gld ?-I't'
ar po5ts.
!?' :?ax
? - u
. } ? ? .
/ ???? • •
1?. ? `?• ? ???
6"
3. Attaci the filter fabric to
the wire fence and extend it
into tfie trench.
t?? t
. ' ?. .? ?
fll
GIL' pC;?..
r-
.
???•!?? ?
i
4. BackriTl an? comoac: the
excavated soil.
i
Extevision of fabri: and
wire into the trench.
CIINS'PQIICiOV OF SIL: F'MCE StIYg S?'POR2SSG 57iRE F°.`iC'-:
Sourca: Adapted from Installation of Straw and Fab ric
Filter Barriers for Sediment rontrol, Sherwood
dnd NyanL
CITY USE ONLY
L BL ? RECEIPT #: .?52
SUBD. ? DATE: o ??
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
k New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: lo - 2 - i,6
FEES
? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU /111100
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 4/"aa
? State Surcharge .50
TOT4L 3c? .50
SITE ADDRESS: -3OE 76 ?O? ?'?'??e ??•?'?
OWNER NAME: ?'Ve_ PHONE #: 4'-? Vt63
INSTALLER NAME: e?1110`?0_d
STREET ADDRESS: -21-210 ??
CITY: STATE A-W ZIP:
PHONE #: (( V2 ) Y60-
2.
STGNATU -
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are n.Qj required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee 2E 1% of contract price, whichever is greater.
• Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ?S fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
.ci7TE A^vD^ESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:.
CITY: _
PHONE #:
TELEPHONE #:
STATE:
ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY IN$PECTOR
,,
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
RECEIPT #: ?a5/?
DATE: /0 8/S?D
Please complete for: ? single family dwellings
? townhomes and condos whean permits are required for each unit
FIXTURES EACH jOTAL
Shower 3.00 x ? = &
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 ;c
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet' minimum -1 3.00 x
Rough Openings 1.50 ;t
Water Softener 5.00 x =
Private Disposal ' oakota Cty. license 65.00 =
(new and refurbisfied systems)
U.G. Sprinkler ` home under eonst. 3.00 =
Alterations ' to eAsting 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ?
l // BL CITY USE ONLY
SUBD. i ?
SITE ADDRESE
OWN
INSTALLER NAME: , z " 4
STREET
CITY: /( SMf STATE:MA/ ZIP:??06&
PHONE #: (&o ) ?7a - i?'L%/ I/l
L BL
SUBD.
OFFICE USE ONLY
1996 PLUMBING PERMIT (COMMERCIAL) ?
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete tor. ?
DATE:
all commercialfindustrial buiidings.
muRi-famity buildings when separate permits are R4l required for each dwelling
unit.
CONTRAC7 PRICE:
WORK TYPE: ,_ NEW CONSTRUCTION ADD ON REPAIR Y
I
DESCRIPTION OF WORK:
iS WATER METER REQUIREDY _ YES _ NO. IF SO, PLEASE PROVIDE THE
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? ' 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? ? YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surchlerge of $.50 per
$1,000 of permit fee due on all permits. II
CONTRACT PRICE x 1% STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
ciTr:
PHONE #:
SIGNATURE:
STATE: p, ZIP:
APPLICANT
OFFICE USE ONLY
RECEIPT #:
DATE' L
i
I?
STE. #
+,
METER SIZE: " DATE: INSPECTOR:
s
CITY USE ONLY S(' 096 /J?
L BL n RECEIPT #: /
SUBD. RECEIPT DATE:
1998 PLZJtYIDING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT PINOB RD
EAGAN, bIId 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
9 backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
WaterCloset 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 =
Floar Drain 3.00 x =
Gas Piping Outlet ' minimum - i 3.00 x =
Rough Openings 1.50 x =
WaterSoft2nef 'tor dwellings under construdion
er o ene 5.00
20.00 x =
x
0-13733R11 kT2T Torr wel ii ng un-der const. 3.00 =
U.G. Sprinklef ' Por existing dwelling 20.00 =
Alteretions ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems"Abandonment 20.00
=
STATE SURCHARGE 50
TOTAL 2fJ- 5O
----------------• ?--------ve -----------------...-----------------------is----correa---,----and----agree----ta----comply-----w-ith--all----applicable ---------City--of--Eagan--------ordinan---- ce--s--
i hereby adcnowledge that 1 ha read th? appiication, state that the iMormation .
It is the applicanPS responsibiliry to notity the property owner that the City of Eagan assumes no liability for any damages caused hy the City during its
normal aperational and m?'-"'-"----"•?-^'°'"°-•^^Y"'--? -"- -'w tnis pertntt wRhin Ciry property/right-of-wayleasament.
SITE ADDRESS:
OWNER NAME:
TANG,YOUNG
3876 NORTH RIDGE ORIVE
EAGAN, MN 55123
(612) 722-3201
INSTALLERNAME:? ---1:(VhB('11)ia TELEPHONE#: eZ?Y!23M
STREETADDRESS: L=4V2 L2r7jc.-f r Mvt --;,
CITY: 6d OL5 STATE: M 1? ZIP:
SIC'yNAf°C1F25 OF PERMITTEE
55 q6g
JSlFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
79??
2007RESIDENTIAL SUILDING rnavnrarrucaim
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion Reauirements
3 registered sRe surveys showing sq. R of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report'rf proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Eneyy CalcuWtions
3 wpies o(Tree Preservation Plan if lot platted aher 711193
Rim Jolst Defail Options selection sheet (build"mgs wifh 3 or less untls)
RemodeVReoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy CakulaGons for heated addNons
i site survey for additions 8 decks
Adddion -indicate i(oo-site sep6'c system
/S? , 5-D
0ffice'USe.Oniv
CertofSurvey,Recd --Y '-N
Soils Report ;: ' Y N
Tree Pres Plan Recd _Y _ N,
Tree Ptes Required _ Y_ N
On4te Septic System _ Y_ N
Mmnegasco mechampl ven4lahon fwm -
Plans are considered ublic information unless ou state the arCtrade secfet and%e!LJon.
Date 09 / /g / C*07
SiteAddress 38'7,,/ NiRrA Construction Cost /0? oo0. 610
Qo66?.DR. UniUSte #
Descriptian of Work I,Qry'lL,f2 WC?logj &W770N5 /7'r JYUCCO &OUT L(.W?VC&I
/LaF. sWr.ey f
Multi-Family Bldg _ Y ?c N w,Naaud ?22A44C4..V14"T
Fireplace(s) _ 0
k 1 _ 2 .
Property Owner Waf LI-AN U1J6 1't . TI4MG Telephone # (651 ) cW/ 6 / 76
Contrac[or . R• }IOR`IOI.?
Address
State )b6
Zip ?J S City ZfYXrt?/??t/
Telephone #( 952) g66-' 7Z7.2.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheei
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephorie #(
Telephone #(
I hereby apply for a Residential Building Permitr,and acknowledge that the information is complete and accurate;
that the work will be in conformance. with the o'rdinances and codes of the City of Eagan and the State of MN
1 ?,
:. ?,
Statutes; I understand this is not a pern'ttt;`but only an application for a permit, and work is not to start without a
permit; that the work will be in accardance'with the approved an in the case of work which requires a review and
approval ofplans. _
eK50 ?J &A-) 9-??-d7
Applicant's Printed Name ApplicanYs Signature
_ °"'? Telephone#(
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
k 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? ti 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvnes
? 31 New ? 35 Int Improvement ? .38 Demolish Interiar 44 Siding
? 32 Adtlition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof A 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
De5C1'ipti011: WaterDamage_Yes
?
Valuation
Occupancy //?C - / MCES Sy,stem. -
Plan Review ?41A 100% or _ 25% Code Edition oLcbG ?/ZG ^
Census Code II3?f Zoning City water
SAC Units Stories - Booster Pump ?
# of Units ? Sq. Ft. - PRV ?
# of Bldgs ? Length - Fire Sprinklered i
Type of Const Vj3 Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinallC.O.
_ Footings (addition) _ FniaUNo C.O.
Foundarion HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing ? Siding _* Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Au Test _ Final Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
--------------------------------------------------------
Base----------------- ------ ----------------? 3e------ -------------- -------------- J Fee -~ ----?S?Avr w?rr7avv °/nje
SiE? Nd.t7?j'.f? 797P7
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
?c? -7e7
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 0 651-675-5694
Nex.CansWCtionReauiremenis
. ? 3 registered site surveys shoxing sq. ft. M bt, sq. ft of house; antl all mMed areas
,(20%maximumlotcoverageallowed)
1 Soils Report rf proposed building is to be placed on disWrbea soil
,2 copies of plan sho,ving beam 8 window sizes; pouretl found desgn, etc.
1 set ot Enerqy CaICUWGOns
3 copies W 7ree Preserva0on Plan if bt platted after 711193
RimJdstDeYdilOptioreselectionsheet(6uild'mgsvnth3orlessunits)
Minnegasco mechanical ventilation form
RemodeVReoair RewiremeMs
2 capies of plan showing footlngs, beams, joists
1 set of Energy Calculations for healed additlons
i sfle survey tor addilions & decks
Atldition - irMicate it on-sife seplic system
go_ od
Ofice Use OnN
Cert of Sorvey Recd _Y _ N
ShcsReport _Y _N
Tree Pres Plan ftecd _ Y _ N,
Tree Pres Required _ Y _ N
OrrsiOe Septic SysOam _Y _ N
Plans are considered vublic in9orma4ion unless vou state thev are trade secre4 and the reason.
Date____/ I
I / 6? ?y/
r ConstructiooCost3`"?5,"1?
??
Q
SiteAddress ?_ v? ?
2??
?I L?o e, UniUSte #
Description of Work C, l&1f Jl!/lrq QI{? fQ'rd6t 6T IiU;.l.e OirDl IAarzL
r
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Properly Owoer Telephone # (?jl )??Ip ? ? I
Contrac[or
Addres
s City rfly; U
?
y
State ? 1 t H Zip G Telephone #(?03? ff). )II y?u 43
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
Resitlential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calwlations Submitled
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In ihe last 12 monThs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I herebv aonlv for a Residential Buildine Permit and
Telephone #(
Telephone # (
Telephone # (
e;
that the work will be in confortnance 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.
7 ' , ??"i ? ? ???
, '
Applicant's Printed Nam ` plicant's Signature
- SFP 1 3 2,0, 07 ?-'
RESIDENTIAL
5950 BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction Reauirementa
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all mofed areas
(20% mazimum lot coverage allowed)
• 2 apies of plan showing beam & window s¢es; poured found design, etc.)
• 7 set of EneMy Cakulafions
• 3 copies of Tree Preservation Plan if lat platled aRer 717/93
• Rim Joist Delail Oplions selection sheet (bldgs with 3 or less unils)
DATE q- °W - O2
SITE ADC
TYPE OF
APPLICANT
STREETADDRESS M 10 1VU?(ld"'4J??
TELEPHONE # ?OJI."6g?? ?? CELL PHONE #
PROPERTY
RemodellRenairRe4uiremaMs ?
• 2 copies of {dan ?
• 1 sel of Energy Calculations for heated addNOns I 0 ?
• 7 sile survey for exterior additions & decks
• Indicale'rf home served by septic sysfem for add'Rare
VALUATION
ULTI-FAMILY BLDG _Y XN
FIREPLACE(3) _ 0 _ 1 _ 2
FAX #
ZIP?
TELEPHONE#46Z-6&C- 735Y
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"I'A RiJI.FS 7670 CA'1'GGORY 1 MINNF:SOTA RULFS 7672
(J su6mission Type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
_ Air Conditioning
Phone #
ree: $90.00
Fee: $70.00
I-IeatRecovery Systcm _-- ---- , - i ,
I? 1?
Sewer/Water Contractor: Plio'ne
'1? L' 13 ! iu
I hereby acknowledge that I have read this application, state that the informa7ion is corr d agree to com
with all applicable State of Minnesota Statutes and City of Eagan Ordinances: ---- -- "
Signature of Applicant
OFFICE USE ONLY
Water SoRener _
_ Water Healer
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Ba1hs
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg'
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea J O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck
? ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 9 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ? Occupancy 2' L MC/ES System
Census Code ?t 3h Zoning Ciry Water
SAC Units Stories - Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? 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 _ Srone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
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
Approved By
Building Inspector
? .??
CERTIFICATE OF SURVEY
for
JOE MILLER HOMES
.?-
M32-1451-96 .
?0-:4
?
,y4j tlT?^
?
A \
o ?
?
?
?
?a01.
.TP ZO,Z r'?°o_
AtWZ 770 °s;
PW
?1 ? Y)
? lev.
ol o; 2-? f .?5
?o
9P ?
?r39 c'?7 ty
as
Pos ?yry, a l
.o0 3"E ,, ?(' P?,
_r ?Fp 88?•J
??`?. ?"I??s ?J,?vt/
? / ? Q00• `r' ?'Q ? ? v ? !
?-
'pi
? sJ,? 6' i? l ?j s..uf
4
.? 90
d C ?\? rS 00,7
qc???? ?`1 ?? k1 r
" o?c9? \ 35' ? ' , •?`u'£ `?'? o
v ? r
_ •? ?????. ????? ? ? ?
?.?r?•? \ .? . °-;
? •?v 1? ?'s 5? 9a?J
? 98.
/ • s: - ? L-
? F` 898.?
\
4.
?.
CQ t ?',,nGANEN MIEItINGD7E.PT: Scale: 1" = 30'
Top curb to Gar slab =_ 5_? _
Top block = 90?.33 - 3876 North Ridge Drive
Lowest bsmt flr =
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
j'zc:j?e' QZ6 A(JG- ? Reg. No. 8140
Lot 11, Block 4, ?•. ? Fv.
GARDENWOOD PONDS
Dakoto County, Minnesota ;I C
Plat bearings shown
o Denotes iron monumettV___-•-
,----?
? Ewsting/
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206 '
Burnsville, MN 55306
,
? (612) 435-1966 N.
,
-J
RESIDENTIAL
?BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Renuirements
• 3 registere0 site surveys showing sq, ft. of fot, sq. R, of house; and all roofed areas
(20 % maximum lof coverage allowed)
• 2 copies of plan showing beam 8 window;izes; poured found design, etc.)
• 1 sel o! Energy CalcWations
• 3 coptes otTree Preszrvation Plan if lot Clatled after 711193
• Rim Joist Cetail Options selection sheet ICldgs wilh 3 or less units)
DATE CA,
SITE ADDRESS
TYPE OF WO
APPLICANT
STREET ADDRESS S?'S U Wl- tf LI/,f?
TELEPHONE #q%? %?1? a?I,7? CELL PMONE #
i_
FAX #
PROPERiYOWNER_091/II f,('IP/e TELEPHONE#??-??
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ NIIN\L:SO"I'.\ RULk:S ifi70 C:\"i'EGOR1' I "VIIV\N Sp'C:1 RL'LF:Si7fii2' =
I-ji(v'submission type) • Residentlal VentilaGOn Category 7 Woricshee[ Submi[ted • New Energy Code Worksneet Sublrrtid
. Energy Envelope Calculations Submitted 1 II ? C.^,T ?. _20,12
ll Ll
Plumbing Contractor: ___`________ Phonc #
Plutiibiiig systetn includes: _ Water Soltener ? L.a?m Spnnkler
Water Heater No. oF R.I. Bath-s
No. oF Badis
Mechanical Conhactor. ):?Y S JP Phone #
Mcchsuiic>l syslcin includc;: :Air Con(liuoniii,
-- f-[cat Rccovcr}' S}'slcm
Sewer/Water Contractor:
A"'_MULTI FAMILYBLDG _Y _N
Phone #
J
Fee: $90.00
Fcc: ."S70A0
I hereby acknowledge that I have reod ihis application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Stotutes and City of Eagan Ciroti)ances. ? /-
?
Signafure of Applicant
-^ ------- ......----- ----------------------------------- ------- __..._---""---_---------------------- •- - _-- -'-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4f02
RemodaURaoair Reuuirements
. 2 ccpies of pian
• 1 set of Energy Calcolations for heated additions
• 1 sde survey for eztenar additions 8 decks
. Indicate if home served 6y sep[ic system for additrons
VALUATION -&;000
FIREPLACE(5) _ 0 2
NLc/?
CITY 6Cti'nSWV149- STATEAY& ZIP ??
OFFICE USE ONLY
., .
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dweiiing ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi
0 03 01 of _ plex p 09 07-plex ? 17 Garage q 22 Porch/Addn. (4-sea.) ? 33 EM. Alt • SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 MuIU
? 05 03-plex ? 11 10-plex ? 19 Lower Level Q 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 13 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)'
11
? 46
? 43 Reroof
Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
ValuaHon Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaWo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pooi _ Ftgs Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110718
Date Issued:05/23/2013
Permit Category:ePermit
Site Address: 3876 North Ridge Dr
Lot:11 Block: 4 Addition: Gardenwood Ponds
PID:10-28800-04-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:REPLACE REAR DECK PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Eddie C Shih
3876 North Ridge Dr
Eagan MN 55123
(651) 406-9212
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168862
Date Issued:05/06/2021
Permit Category:ePermit
Site Address: 3876 North Ridge Dr
Lot:11 Block: 4 Addition: Gardenwood Ponds
PID:10-28800-04-110
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Eddie C & Sasha H Shih
3876 North Ridge Dr
Eagan MN 55123--245
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature