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3892 North Ridge DrINSPECTION RECORD CIT`Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITr: ADDRESS: ????i?Tii r•-r???,?? ??u PERMIT SUBTYPE: ' '"' ~" APPLICANT: Nl(?rk, ,i 11!' ii, 11 r'i. 1! !? • , '?? .? ?? ?, , r . ? TYPE OF WORK: 77"A!-, ocJe"i/v3r; INSPECTION „ . D. rlrF?lqtH', irt i rt t'i ;;I. i hl I1 ! ? 1 tIt1I f i lit. ? 1 N/il kt Mkfti"., ti & tJ I'I.fi}: ? u1 f; 4! ', F W F N A N 1;) 1.4 A Tt k ? x N ? ? ? ? Permlt No. Permit Holder Uate Telephone M ELECTRIC PLUMBING HVAC /?f' l/ D•!/?? Inepection Date Insp. Co mmente FOQTINGS ?v FOUND /? ! 41 4!? /! ls?q /_ / i J,P O C (o (.c;?i FRAMING ? ROOFING ROUGH PLUMBING Q- PLBG AIR TEST G ROUGH HEATING p (J?'!G GAS 5VC TEST ? INSUL I/.y. GYP80ARD FIREPLACE 0_23 FIREPLACE AIR TEST U' ie FINAL PLBG FINAL HTG 7 ORSAT TEST BLDG FINAL / BSMT R.I. BSMT FINAL DECIC FTG DECK FINAL ? .' _ _ ? . .. .7?? `.;F?w (ftrtificate nf cccoano Wtt? ? wagan ze"vtmcnt .f loodal" 3nocetion This Ceni, ficate issued pursuant to the requirements oJ the Uniform Building Code certifying thut at the tinu of issuance this structure was in compliance wirh the various ordinanees ojthe Cety regulating buelding construcrion or use. For the,following: SF DWG/GAR 27735 Use Classificalion: Bldg. Permit Na. O-NPM-r Tra R-3 U-i Zm" Digrict R-1 Tra const. Vn Owwo(8,,dd;ng JOE MILLER HOMES Aak.. 3459 WASHINGTON DR., EAGAN, MN BWkfin6Addrm 3892 NORTH R1DGE DR Lawky L15. B4, GARDENWOOD PONDS . i - V ? Da1c BuiWio60fficial r) POST IN A CONSPK;UOUS PLACE 49 1-4 LA '??S O ? RESIDENTIAL _ BUILDING PERMIT APPLICATION q • CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-687-4675 New Construction Reouiremenis RemodellReoair Reouirements • 3 regislered sile surveys showing sq. ft. of lot sq. ft. of house: and all roofetl areas • 2 wpies of plan (20% maximum tot coverage allaved) . 1 set of Energy Calculations for heated addi6ons . 2 copies of plan showing beam 8 window sizes; poured found desiqn, etc.) . 1 sile survey for enlerior additions & decks • 1 set of Energy CalcuWtions • 3 copies af Tree Preservatlon Plan B iot plaqed after 711l93 . Rim Joist Detail Opfions selec6on sheet (hldgs with 3 or less units) DATE 3 f Z 7L VALUATION (EXCIUDING LAND) JOB SITE ADDRESS 302 A.10K77/ /Lrv06-2 PZ . IP MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNERSOM S??B?.?2LlG? TYPE OF WOR/K _Q/ &fOt? fIREPLACE(S) _0 1 2 3 APPLICANTMaLACe &PHONE# ?j-7?/-?'?'y?IO ADDRESS / V"k?2&,P1-• ZIPCODE?`??/ ZS PAGER # CELL PHONE #?- ? 26S FAX #(rn?I -73?-3 yyb NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category bSINNESOTA RULES 7670 CATEGORY 1 D???? N7 - (check one) - Residential Ventilation Category 1 Worksheet Submitted U D - Energy Envelope Calculations Submitted vII?iNESOTA RULFS 7672 - New Energy Code Worksheet Submitted BY ?_ ? Plumbing Contractor: Pluinbing Sys[em Includes: Mechanical Contractor: Nlcchruiicil Svstem Includcs: Sewer/Water Contractor: Phone # Phone # I'ee: $90.00 P'ce: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge ihat I have read ihis application, state ihat the inf? all applicable State of Minnesota Statutes and City of Eagan OrdinaraL` s Signature of Appllcar( Certificates of Survey Received _ Tree Preservation Plan Received _ W'ater SolLe[ter _ Water Heater No. of BaUis Phone #: L.awn Sprinkler No. of R.I. Baths Air Condiuoning _ Hcat Recovcry System is correct, and agree to comply with Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg% ? 31 Ext. Alt • Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroaf ? 46 Windaws/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation !7 ? Occupancy /? _ -J Census Code o2 Zoning ? SAC Units Stories Nbr. of Units / Sq. Ft. Nbr. of Bldgs ? Length Type of Const ?-? Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Tes[ _ Final _ Insula[ion REQUIRED INSPECTIONS _ Fina]/C.O. _ FinaUNo C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other ? Pool ? Ftgs A'ulGas Tests 2 Final _ Siding Smcco Stone _ Windows (new/replacement) Approved By &,& , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex O 17 Garage ? 10 08-plex 0 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N ? e? v •S0 Addresi 3892 NORTH RIDGE DR IAt 15 Blk 4 $llb GARDENWOOD PONDS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: // *97 Yes No Inspector: ? Final grade (6" from siding) f/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass ? TraiUcurb damage ? Porch ? . Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and tlie shut-off of water supply to [he outside lawn faucet before freeze potential exists. . Contact engineering division at 6814645 befoce working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contrector Copy ? Zip SSla_ I II I(I I?? ?II REOUEST FOR ELECTRICAL INSPECTION -? Minnesota State Board ot ElecViciry 0, 1827 University Ave., Rm. 5-12?i Paul, ?551C ?* 0P26 5 6 i 9?* Phone (612) 642-0800??fF v o:? Home up Apt. Bldg. Ofher.. New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Wafer Htr. Load Mgmi. Other: D er Ran e Elec. Heat Tem . Service X" above }he work covered by }his request. Enter remarks in this space and on the back of the whife capy only. Calcula/e Inspection Fee - This Inspection Requesi will not be accepted without fhe cortect /ee: Olher Fee 8 Service Erihance S"¢e Fee S Circui?/Feeders Fee Mobile Home Park Stall ( 0 to 200 Amps o'J 0 to 100 Amps Sireet Ltg./Traffic Sig. Above 200 Amps Above 00 Amps TrOnsformer/(?ieneto}or INSPECTOR'SIIBEONLY TOTAL $ign/Oufline L}g. Xlmr. Alarm/Remote Confrol ? Swimming Pool ? he?eb cam ?har i ?n, ec+? ?i ? i ? ?he dm,: ,?axd Irri9ation Baom Roughln ? Da J? B Special Inspettion 7 -? Investigative Fee finol Dare THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 6 5- 619 I I I I' I OFFlC//EE USE ONLY This request void 18 momhs fmm validation dare pnnled In this ?? 77 /. Y ? /O V fp da PLEASE PRINT OR TYPE Raquest Dale Rovgh-In Inspecuon reqaired? El N. fnspection Other Than Rough-In: Q Ready Now 1;.YMI Call J u n e 1 1, 19 9 lYo? must wll the impecbrwhen reody) Dole Read,: I, QXensed mn}mdor ? owner hereby request inspedion o! }he obove eledri<al work a}: Jab Address (Sheet, Box, or Ro.fe No.) Clry Tp Code 3892 Northridge Drive Ea an 55123 Setlion No. Township Name or Na. Range Na. Fire No. Coonry Dakota o" `?nl ,?oe Nliller Homes P? ?54-4663 PaweiSupplier Pdd Dakota Electric arminton,MN 55024 Ele 1n<al Conhacror (Company Name) Conhaclar Licenu No. Mmbr Lic. No. (Plont Elen.Oniy) Midland Electric CA 01236 Mailing Addmss (Contmcbr oi Pxmr Pedo,ming Insmllotian) 22691 ed Fox dR akeville MN 55044 AotF?noWr Cont Mror ? rtnirg InsMllafion) PFwne No. 461-1444 Ee-OOOOlA-10 6/95 STATEBOARDCOPY-SEEINSTNUCTIONSONBACKOFYELLOWCOW CITY OF EAGAN % 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ,ITE ADDRESS: p.T.N.: 10-28800-150-04 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3892 NOR7M RIDGE DR LOT: 15 BLOCK: 4 GHRDENW000 pONDS SF DWG NEW, R-3 U-1 V-N R-1 65 43 2 2,230 101 1 - FAM. DETACH ?{3a E ".% cuga..F?? ? j?=s ?'-+,? 1RSS:' ?%tst3 W57W BUILDIN6 027735 06/03f96 REMARKS: S& W PLBR - M& W SEWER RND WATER FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge 5AC SAG % SAC Units Subtotal $1,382.25 $691,19 $99.50 $900.00 100 $3,072.88 $199,000 MISCELLANEOUS $10923.50 Total Fee $4,996.38 CONTRACTOR: - Applicant - 5T. Lzc.OWNER: HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES 3459 WASHINGTDN DR 204 3469 WASHINGTON pR EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 I fierab ? .y v v'+tJ 2 TL T?a?E F r _ _ . ., .. .._, ?.... ...,?... ... ...M..._ Si?: . _ ! ?..Gf??. !/CJ/.LC/'?t?. APPLICANT/PERMITEE SIGNATURE CITY OF EAGAN $ +1 11 ? . J 3830 PILOT KNOB RD - 55122 AM 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruetlon Reauiremenls RemodellReoair Reavirements ? 3 registered ske surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 vnndow sixes; poured Md. design; etc.) ? 2 sita surveys (ezterior addHions & decks) ? t energy calculations ? 7 energy calculations for heated additions ? 3 eopies of hce preservatfon plan if bt platled afler 717/93 required: _ Yes Z No DATE CONSTRUCTION COST: 137? ? 33 DESCRIPTtON OF WORK: Alaw STREETADDRESS: A/IA P-l-!-' bvr"v LOT _/,4?- BLOCK ? SUBDJP.I.D. #: Llt PROPERTY OWNER CONTRACTOR Name: Phone #: Ly? FIRBi Street Address- City: State: Zip: Company: ::"oe, VVI.'&? Hun-&S Phone#: Street Address: nfic License City: 15u0il State: ARCHITECTI Company: ENGINEER Name: Phone #: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: M+td ?a-./G? J- . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowtedge that 1 have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree PreservaGon Plan Received Signature of Applicant: ? Yes No ` Yes z No C E YO`! 2 1'r 1-6 ? --'- _? OFFICE USE ONLY , M^* - ,_: < ..+.e. .. - r w BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish e,d-02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory r3 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE New o 33 Alterafions ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const (Actuap V--7M Basement sq. ft. MC/WS System ? (Allowahle) Ic/ Main level sq. ft. /, 111,74 City Water UBC Occupancy Zsq. ft. Fire Sprinklered Zoning ,X-/ sq. ft. PRV # of Stories y¢6r >- sq. ft. Booster Pump Length GS" sq. ft. Census Code. fo! Depth y3 Footprint sq. ft. 2?e z3O 5AC Code a/ Census Bldg ? Census Unit ! APPROVALS Planning Building Engineering Variance Permit Fee Surcharge , Plan Review License MCMJS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies TDtal: % SAC SAC Units valuation: $ / 000 VI/N Zx ?3•?? - y7 3zx7r =(,/ZO 1/7 7f (9KL = 1Z Zy, 3? 5' Z?x 3 a? 3s- '/ l zo , s x(i = lr Z3x 30 sx S = ',- ?ys?Y 7Gr?? ? ?SY> G//r ?? ° cERnFicnTE oF suRVEY M 32-1412= 9 6 for JOE MILLER HOMES i -0 o ? D 5g'19"E J =n 3 197.05 _ ?5 ' ?. ?'?? ' /? ? a --ti =' ?- ? 50 ?,y? Y 00 F{?? ' 15.50 V1a ? O7 v? Gr,9@ ? W N 3 o x.ao ?? ? ? o ?-35.-00- -3 .ao ce a U ? mos i :? /V o ?° ? ?3?? I Z ? N ? ti°° (D 10 _ 9E'F?M:---? --sQ.oa-- ----------- -?I ?1 N ? ? ° I 9I ? o ?•;h Bqg, J I ? ?.77?.8 153.70 L = 27.12 S89'50'35"E ? = 02'00'46" R = 771.96 n ? N orth view Top curb to Gar slab Top block = ?jX.jj3 Lowest bsmt flr = J'_91•1?_ Park Road IRY. ?'?ACAi J Scale: 1" = 30' L :PT. 3892 North Ridge Drive I hereby certify that this survey, plon, or report was prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the Laws of the Stat2 of Minnesota. Date U 20 ,MAY 1996 Reg. No. 8140 tAGiAh1 DESCRIPTION R EV I E WE D Lot 15, Block 4, ` GARDENWOOD POhH!' Dakota County, Minne ta )AT Plat bearinqs shown o Denotes iron monument ? Existing j Proposed BRANDT ENGINEERiNG & SURVEYING 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 Suite 206 M32-1412-96 ' LOT SURVEY CHECKLlST FOR RESIDENTIAL , BUILDING PERMIT APPLICATPN • U ? J Q ? C !)o 18?0 B' ? pr O 9' ? W N ? ? ? ? ? ? ? ? ? ? O ? PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • 8uilding Permit Applicant • Legaldescription • Address • Narth arrow and scale • House type (rambler, walkout, splR w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradieM % • Proposed/exissting sewer and water senrices 8 invert elevation • Street name • Driveway ELEVATIONS ExIstina ? ? • Sewer senrice (or Proposed) ? • Properiy comers ? 9 • Top of curb at the driveway ? • Elevations of any exisiing adjacent homes 011'?O ? • Prooosed Garage floor ? • Flrst floor ? ? • Lowest exposed elevation (walkout/window) ? • Property comers d? ? • Front and rear of home at the foundation ? P/`0 0 [Y ? ? V ? ? C?/o ? Cf ? e-'0 ? ?? ? C3---t ? [9r ? M?'o ? ? ,0?-C] . • . . PONDING AREA fif aoolicablel Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions incfuding any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent faotings) Show all easemenLs of record and any City udlities within those easements Setbacks of proposed sVucture and sideyard setback of adjacent exassting structures Retaining wall Reviewed: January 1996 CRA1G19BGBLD(3PRMT.FM , HI(yESO`PA STATE ENERGV coDR GAT C,SIT-ATIONS i • BASED ON CHAPTFCt 5 OF TIIE # G? ?- Zu?? MODEL ENERGY CDnE - 1993_FhTTTDN ? Aaoptlon EPfective Owner Site.Add contractor ; Huildinq Classificatl,on: Type A1 (Single Femily S buplex) Type A2 (Residential, 3 storieq or lees) (4ver 3 etories) (other; NOTEi Comnlete paaes 3 and 4 first. cENEHAL 7NFORMATIQN 0.?i 41 1. euilding Perimater ? 2. Wall height (ground to eava) ft. ]. 1. 7L 2. (above) qrass tasll area ??7q:2 sq.ft. 4. Building dimenslons (L) r X(W) ? _ 4q,ft.lroof s fl.aor aroa _ oor joiat ei2e (2 X 10 5. Sq. foot area ot rim joist 412 ? ? X ?(Perimeter) _ ?s?;.ft, • 6 . Doors - Area r ? ? Thickne s in U. factar i I p6. Type of construction Perimeter -Pt. . Manufacturer 7. Totnl dnorfa perimetier ft. B. Windows: Mantkfacturer JrJ?j StsCe epproved_. U fnctor I ??& TYPE SIZE AREA (Sq.Ft.) N[IMBER OF TOTaL L EACH UNI''s S(a FEET 9. motal sq.ft. class ?-?? -7-" lo, Fireplaoe area: Width X Heiglit = X II sg.fY. 11. Exposed foundation: Heighti X Perimetar'-X C011RLETIOH OT TNI3 FORM I8 REQUTAEb FDR AI.I. NEW CONSTRUCTIOt1, MAJOit REMODELING AND BUILDING3 BLISIG MOVED WNERE Et1ERGY, DTRER THAN R'k{E MINIMAL CODE ALLOWANCE, IS USED. S9iT0'd 6"s9C ESb 2T9 t 'Dhli 'OJhlyld 8£:5L h66L-Tl1-d35 '1Z. Framing area = lot of grosa wali area. 17. Gross wall area -3%2f aq.fE, Window area A. ?3 7? sq.ft, U wLndows c •17G R1m joiSt area A?sq.ft. U rlm joist= •D?I Door area A .S/ sq.ft. U dopr erea= Other doors area A eq.ft. U other doors= r47 Expased Pndh A sq.ft, ll foundQtjott= !Ll 4[O Framing area r Wl gq, ft U Praming area=..L.L)? Net wall area ?, r?iji n3 sq, ft. U wall- ?:04 / (138) TOTAL . . . . . . . . . ????? Z(4 UXA a 7,1? UxA = l1XA = UxA 7 - UxA = ? UxA = Uxh = UxA = 14. Gross wall area x 0.11 (A-1 eingle Eamllx G duplex) = ullowabla Ux.A/Code (i3. above) x 0.23 (A-2 other reeiaential) x .23 (otiter buildings) x .2e (ovHr 3 gtorios) 6TUFi muet be larger than or same ?11 X U CodBJ?_ ?I_A_ °F. Ae 13H aboVe _? 15, ceiling framinq area (a£) equ4le iDt nf ae111ng area 15A. Grvss ceiling area ={L) ? x(W) sq.tt. ?t 15B. Joist area (Af) ? 10t oeiling area ^-I , r l? ?? v aq.ft. 15c. Net celling area (A.) (15A - 158) - Gi'e/ sq.ft, U ceiling x Ac _ [al x •_???? m? ? framing x A f ? x , 15P. TOTAL U x A .................. .........- 16. Ceiling area (15A) x 0.026 (?.-1 ningle femily & duplex) = ellowable UxA/iode x 0.033 (A-Z othar residential) x 0.06 (other) t/? BTUH muet be lexger than c>r eame 1?(157?)IVI5 x U Code__ j jO 1,4?7 °F. ss 15d above 1(oTEt ltse U anii 2. values obtained from pagas 1, 3 and 4. CERTI£I-CBT.IQH: I heceUy certify that I hava calculated tha ?'Utt isatare and "it" values herQln and that tha building hero dosaribed meete or exaeE:de the State oP Mlnnesuta Etiergy Conaervntion Acst. bste gianatura I SOi?_O'd SS9E ES7 Et9 S '=?hII '0_lhly?d 62:ST r66T-T'1-d3S 659£ ZSh Zti9 T 'Dti t I nOhm'ld 6£:ST 1,55i-rn-05 CITY USE ONLY L LiJ BL ? RECEIPT #: ? ?02 SUBD. DATE: ? ?? no 1896 PLUMBING 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 FIXTURES EACH TOTAL Shower 3.00 x 1 = 3 Water Closet 3.00 x _q Bath Tub 3.00 x a =?_ 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 i Gas Piping Outlet ' minimum - 1 3.00 X I =?? Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE OWNER NAME: JOSEPH M. MILLER CONSTRUCTIpN C0. INC. INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING Co STREET ADDRESS: 14745 South Robert Trail CITY: Rosemotmt STATE: M ZIP: 55068 PHONE #: ( 612 ) 423-1144 OFPICE USE ONLY L _ BL _ RECEIPT #: SUBD. 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD I' EAGAN, MN 55122 , (612) 687-4675 , Please complete for. . all commercial/industrial buildings. f ? multi-family buildings when separate permits are p? unit. ? DATE: CONTRACT WORK TYPE: NEW CONSTRUCTION ADD ON ' DESCRIPTION OF WORK: for each dwelling IS WATER METER REQUIRED? YES NO. IF SD, PLEASE RROVIDE THE FIIIOLLOWING: WATER FLOW: CPM. ARE FLUSHOMETERS TO BE WSTALLED? l, YES NO. - FAIWRE TO PROVIDE THIS INFORMATION WILL RESULT M A DELAY OF METIER ISSUANCE. I WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER RERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greatec State surcharge of $.50 per $1,000 of r i fee due on all permits. I I CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: - cirv: PHONE #: SIGNATURE: METER SIZE: DATE: OFFICE USE aNLY STE. # ? STATE: V ZIP: APPLICANT INSPECTOR: L?7.`3L gL ? CITY USE ONLY RECEIPT #: S9(05/ SUBD.i;(`1?/G4??` DATE: ? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 - Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 6 -l/-f?_ 0 ? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00 • HVAC: 0-100 M BTU 24.0 Additional 50 M BTU 6.00: ? ? Gas OuUets (minimum of 1 required @$3.00 each) 6.60 ? State Surcharge .50 TOTAL ?s-o 51TEADDRESS• 3°Z A4Ldr'e ?l. OWNER NAME: To e- A'I,`l??rr PHONE #: Z?-WW-3 INSTALLER NAME: a`"Ld STREET ADDRESS- -21°Z1d ? ? ?'' , CITY: 641 STATE: /kV, ZIP: SS`a211 O ? PHONE #: ( 61z } y60 - 66a2 'K SIGNAIURE? CITY USE ONLY L BL SUBD. 1996 MECHANICAL PERMIT (COA CITY OF EAGAN 3830 PILOT KNOB RD , EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commerciaUndustrial bui ? multi-family buildings when for each dwelling unit. DATE: CONTRACT WORK TYPE: NEW CONSTRIJCTION DESCRIPTION OF WORK: RECEIPT #: DATE: permits = required FEES: ?$25.00 minimum fee gc 1°k of contract price, whichever ? greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 2mmA fee due on ail pertnits. - CONTRACT PRICE x 1% I? PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: ?I. OWNER II #; NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) ? (NSTALLER: i ADDRESS: l' CITY: STATE: ZIP: ? PHONE #: SIGNATURE: _ SIGNATURE OF PERMITTEE CITY 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? ? 33 ? 3830 PI 55122 651-681-4675 v New ConshucHon ReaulremeMs D 3 regisfered sMe surveys showing aq. tt. of lot, sq. M. of houae and ?II roofed areas (20% maximum lof eovemae allowed) ? 2 coples of plans (show beam 6 w(ndow shes: poured fnd. deslgn; efc.) > 1 sel of energy caiculatlons ? 3 coples ot hee preservahon Pbn H lot plaNed afler 7/1193 Remodel/Reoair Reaulremen? C- ? ? -?7I 2 copies of plan 1 aet of energy calculafiona for heafed addMbns 1 sBe survey for exlerior addMlons R decW ?%CONSTRUCTION COST: $f% DATE: DESCRIPTION OF WORK: IVeGI ?.?.4 aA, ? iDN ?U LQe? ?Cv5e- STREET ADDRESS: 3g 9a Nor j? IZ '?qe. DT Y e. G v?ti r,x??J P?N?IS LOT: I s BLOCK: 4- SUBD./P.I.D. #: PROPERTY OWNER CONTRAC70R ARCHITECT/ ENGINEER Name: Se' D er I' C? I n&L'+aS Phone ' r17 La} First . . Street Address: 44-44 ^` ° e Dr've- City State• A/ Zip: SSS I'?? Company: S' 'F Phone #: (area Gode) Street Address: License # Exp• Cily Company: -Se ` State: Zip: Name: Telephone #: area code ( ) Street Address: RegistraHon #: City State: Sewer 8 woter Ilcensed plumber (reaulred for new conshucHon onlv): NenaHy appiies when address change and lof change Is requested once permM is issued. I hereby acknowledge that I have read this appiicaNon, state that Ihe InformaHon is correState of Minnesofa Statutes and Ctiy of Eagan Ordinances. StgnaFure of Applkant: OFFICE USE ONLY Certificates of Survey Received GYes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Zip: to com wHh all applir jk- ? --_ ? ? JUIV ( Q I?-' OFFICE USE ONLY BUlLDlNG PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 ? 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ;b\ 18 ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 WORK TYPE ;Mf-\ 31 New ? 35 Tenant Impr ? 39 Gas Line Oi ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 34 Repair 0 's8 Demolish (interior) ? 42 Reroof * Give PCA handout to applicant for demc GENERAL INFOR MATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq, ft, sq. ft. sq. ft, sq. ft. sq.ft. Footprint sq. ft. Building ? Engineering Permit Fee Surcharge Pian Review License MC/ES SAC Clty $AC Water Conn. Water Meter Acct. Deposit S!W Permit S/V1! Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: .. , _ ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4sea. ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous s ? Valuation $ ? ec"C 1Z 1 ' ' ? ?? L- , . , k ? ? r?•:,?:. .. ??..., , - ? ? ??t??.iil.'_I?.?i. • ?_?i ..... .,.. .....:,.a 1?:?•„ .-_YI??..?I?Y'??.. .:...I?? ?..?..? I ?.:.?TI? FJr`i 3P j ;1 9Ci03 110,92 1!0 IL!' ,, r nf.l)_'.? . ? ?:fl ?....:3,?.. n:... ... .. i I a I 4 SAC Units % SAC :,'- i. i. !. G;:-7r,. Fireplace Garage Deck Lower Level Pool ? 43 ? 44 ? 45 permit Census Cod SAC Code No. of Units No. of Bldgs MC/E5 Syst City Water Booster Pun PRV Fire Sprinkle Repair CERT1FtCATE OF SURVEY M 32-1412= 96 tor JOE MILLER HOMES ? ? Ngp•g819"E _ cn? 89j,0j)197.05 _ _ - ?g ? r,? • ??' ?+?mo S ?_ F9o rt?`? 2W 15.50 r~ ,? -v 3 o t0n T ? l.00 ? Q- -3$-00 jv o oco ,?p r?3 I CQ O rn V) 1 I?NV °o rv c., ? I ? I ? oo? ° I 91 ?3 w`° I I ? ^J m _ 3B.4B ?. 1i ia ? I 90.6 I o? I S - ? N - • I ? ? 1 N ? N 'a w ? 3J ? 5 - - - - - - - - - - - - --? a, o I ,+ , J ^ ?13.4 F 153.70 S89'S0'35"E -v i ? N orth view Top curb to Gar slab Top block = Lf3sB3 Lowest bsmt flr = 79j-j?_ Scale: 1" = 30' Park L = 27.12 A = 02'00'46" R = 7?1.g8 Road 3892 North Ridge Drive DESCR!?T10N 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. Date 6 -20 MAY I 9y6 Reg. No. 8140 Lot 15, Block 4, GARDENWOOD PONDS Dakota County, Minnesota Plat bearings shown o Denotes iron monument ? Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 w t CIO ;n N O Z M32-1412-9 L BL arr use oNLr ? SUBO. GrardP?winn? Penc??C 430,5-0 RECEIPT#: I1? RECEIPTDATE: ?;-?-DO PERMIT# .301713 2000 PLUMBING PERMIT (RESIDENTIAL) CITY O& EAGAN 3830 PZIAT IQtOB RD EAGAN, bIIi 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACN f1 TATAl-, Alterations to existing dwellingme Describe: ?.e2L-?+o,yJ""? D $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hottub/spa 3.00 x = $ 30u Kitchen sink 3.00 x = $ Laundry trey 3.00 x = $ Lavato 3.00 x = $ SBptIC S stem new/refurbished • requires MPC Ile. 75.00 X = $ Septic System abandonment 30.00 X = $ RPZ new insfallatioNrepaidrebuild 30.00 X = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ ?j- , Undergroundsprinkler ffdwellingisunderconstruction 3.00 x = $ Under roundsprinkler ifexistingdweliing 30.00 x = $ Water closet 3.00 x $ Water heater 3.00 x = $ Water softener if dwelling under consWCtion 5.00 x = $ Water softener H existing dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surcharge .50 -> -> -> $ 50 TOt2! -> -> -> -> $ -30,60 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------------- ------------------------------•--------- --------- ---------------------- ------ -------•-•--- 1 he2by adcnowledge that I have read this applicetion, state that the infortnadon is correct, and agree to comply with all applicable City of Eagan ordinances. tt is the applicaM's responsibility to notify the property owner that the Ciry ot Eagan assumes no liability for any damagas caused by the City during its normal operetional and maintenance activRies to the fecilities constructed under this permit wiNin City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: TELEPHONE #: (AREA CODE) CITY: .CZ-4?? V STATE: ZIP: 3-1 ? SIGNATURE OF E EE TELEPHONE #: 9?)5-1?/ / (AREA CODE) . Y:°yc::7>'' ...,. ?:y}x?l,r,;<L+:.:.c?t't^kf;•st?:';.;Y,i:ti:;?4:,;:, ;:M1ko:cso:;. . .. , roc;,l'FrF't; .1S (_F'.i'i?.N!'V... Nn„ 03< DA'"?E':: 03f10/I:C.; 'f l.M 022057 I17 :; p.141n'E.•. T*J(i; Fi(1"'ici?; :I: 2i'{p '.afi01 :4392 N RI'OGE: Ltf'r 60,0:? i i5°; 900 4 3?3'3c' N RI1.1l;t: i4i C),.!60 : TC,I;i7i R.e._c'lpi. An:i:Y.,iy`., F•n.'._°rf1 rF:'1'?!..'.,,`, I..Sf_f+R "M ON Y;?::'Y•:,:1?'„.w(';C';!"?::°..:i;Y„'sOY„( :' .'>k$:3n);? Y..:?:i'S,"'n':>::§:$'::9'r$' ;:#Yi , , . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 35122 ? (o o , s () 651-887-4675 eanxdel&a?r RoWmmrft D J roplsfered qle wneY+ OawUp eq fl ot bt, s4 R. d house and 2U rooled areas (2D76 nftadmum bf coveraae albwed) a 2 coWes of Wans fshow beam a window tizes: Pcwea Intl. deqprr etc.> D 1 tet d anerqy eNeWaHOns n 3 caples ol hae preservotion piun M kl plcfletl pller 7/1/99 Dnh: Oa. - ??-Ov DESCRIPTION OF WORK: ? i Y) I ,i ?_ I owe r?' I e,.Je I SiREET ADDRESS: _ 3199 a- N0{*'jPA/ DGE 'DA LOT: I:; BLOCK: _'-+_ SUBD./P.I.D. M ?; w 5'e 1i h? ? ? Name: ?O ? S f e YJ e f?+ C? phone i: PROPERiY Lad Flrq OWNER Sheef Addreas: 3??2 k /.21 0 C, L- CnY Sfate: ZIp: D 1PlCk /Y1oALC G1a?29? . Company: T?Q f? m?1 _/vi C Phone x: lo I 2 - 7$0 - a`7 V (area code) r- COMRACTOR $frooi Address: 3? S ?.S L IJcense 1i / 8?" ' Ezp. cny /-?4 V;-k L?k e stcft: h'I n np: Sso i`/ ARCHITECT/ ENGINEER Company: Name: Telephone i: ( ) Sheet Address: ReglshaHon t: CRY Stcte: SaNerMrater licensed plumber (if Installina sewer/water): Phone #: I h?reby acknowledpe ihaf I have read Mds aPPlicaiion, sfafe ihat the InformaHon is of MlnnesoM StaMes and Ciiy of Eayan OMinances. , ^ Siqnature of ApplicaM: Certificates of Survey Received Yes Tree Preservation Plan Received _ Yes 2 eopies ol Plan 1 tet ol eneryy cdaAaMOns tor heated alNHOns 1 sita wney lu exfeAor addltlpns & decka GO CONSiRUCTION COST: 3 o0O ,// b A Y. Fe"n , )v A?9ro -. OFFICE USE ONLY _ No No 2!L--Not Required nP: to comply wilhh aA appBcable State FEB 2 u po OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation O 07 05-plex ? 13 16-plex [3 21 Poroh (3-sea.) O 02 SF Dwelling 0 08 06-plex ? 17 Garege O 22 Porch/Addn. (4-sea.) O 03 01 of _ piex O 09 07-plex O 18 Deck ? 23 Porch (screened) O 04 02-plex ? 10 OS-plex 19 Lower Level ? 24 Storm Damage ? 05 03-plex O 11 10-plex Pibp Yor_N O 25 Miscellaneous ? 06 04-piex O 12 12-piex O 20 Pool 0 30 Accessory Bldg. WORK TYPE ? 31 Fxt. Alt - Muld O 33 Ext Alt - 5F O 36 Muw ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition O 37 Demolish (Bldg)• O 44 Siding ? 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair `O 34 Repair O 42 Demolish (Foundation) O 46 WindowslDoors • Give PCA handout to applicant for demolition permit GENERAL INFORMATIOJd SAC Code FI/ # of Stories s1• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Ailowable) Main Ievei sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 13 Stucco/Stone APPROVALS £? ' , ? Planning Building i 1/??? Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $? ,7 C&5-0 SAC Units °k SAC GENERALCONTRACTOR -7??? `/V C1/'neS •?4C • ]Q9 ADDRESS STATE/CITY LICEN5E H 1. EXCAVATION 2. MASONRY r9- OoOOD 3. DAMPPROOFING ?re ?rt e ? ? Q1? is g9o o i3s 4. FRAMING Gc/1Co l?ortSfr4cTl,o,r7 oZCJ0 -?/0.307 5. HEATING ? ic-cpr- Ae oCC-j/? cy &(? / 6. *PLUMBING J UA l.-'?"j 4 6-8' 7. *ELECTRICAL Ctq" O/1I n 8. INSULATION 1 v O? p I G •T-A' glu L-- l?Tl o/l ?- 9. DRYWALL C.?( rU i Je rSsx.( ?j?.1 10. SIDING ? 1i n r1 T?- E?Tt5le.lO" 11. BRICK/STUCCO 66s-'L 7a0 ? 12. ROOFIN(3 WQS?r?1 Ce.dCqt^ C?2-0 (,.S35fo(a 13. BLACKTOP Z r - kr), 9900 14. SEWERISEPTIC S g" a g It-kA Yl 'SEPARATE CITY PERMITS REQUIRED CITY LTCNESE REQUIRED FOR ALL CONTRACTORS EXCEPT GENERAL, PLUMBING, ROOFING, ELECTRICAL AND OTHER STATE LICENSE HOLDEAS. ANYONE DOING WORK IN THE CITY SHALL HAVE A COPY OF THIER CITY LICENSE IN THEIR VEIiICLE OR ON THEIR PERSON OR MAY BE REQUEST.ED TO CEASE THEIR ACTIVITIES. TOTAL P.O1 \ ? ? CERTIFICATE OF SURVEY /Y, for JOE MILI.ER HOMES -1 A N gg"V 9"E u? l_- - I ivo•Q+j ? ? 0 ? % ? ° ? o?„ o@ I 1 s s b ----- i ? ------ --? ? o ? ?. ? ?1 N 'v i I ? i? i I o L? ? 153.70 589'50'35"E N orth view Top curb to Gar slob Top block = 00s53 Lowest bsmt flr a ML1Z Scale: 1" = 30' Park M32--1412=96 L = 27.12 4 m 02'00'46" R a 77'1 OR Road WA $y D S G EAGA,'Y r, GS][Y'L.^R7f3iG Di?T. 3892 North Ridge Drive DESCf21PTION t A G A N REVIEWEA Lot 15, Block 4,) . GAROENWOOD P? Dakota County, Minne ta T Piat beorings shown .. ._? o Denotes iron monument ? Exiati`g? Proposed I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and }hat I am a duly Registered Land SurvByor under the laws of the Stote of Mionesota. Date U 2 1,9 Reg. No. 8140 BRANDT E RING & SURVEYING 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 50 ?6 ?p . o ?. s3 m c. I s? ? o ? ri? 1 ?I 1 I Suite 206 k e-Z n -1 n-1 n n r. ''7q7,67 2007 RESIDENTIAL PLUMBING PERMir aPaLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address 6 06ue- Unit # Property Owner I Telephane # ( ) i Contractor?plv??l? Telephone# (64 Address G40 l\`t("L?-?A&C c'itv ? .pAr 1 ? State)22 Al Z i p L/1? The Applicant is: _ Owner X Contractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee indudes instaliation of a water softener and/or water heater at the same time. If you are insfalling only a water soffener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment ' _ Wafer Tumaround (add $136.00 if a 50" meter is required) Other: _ Water Softener _ Water Hea[er $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PV6 _new `repair _rebuild $ 30.00 State Surcharge $ 50 T $ i nereoy appry ror a Kesiaennai Nlumbing I'ermit 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 permit, but oniy an application for a permit, work is not to start without a permit and work will be in a\ ordance with the approved plan cn the event a pian is required to e[eviewed and approved. ? CkS ApplicAnPs Printed Name Applic iYs Signature r7ql ??5 2007 RIE.SIDENTIAl. BUII,DINGPERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?1,6.s-S NewConsWCtionReouirements RemodeVRepairReauirements OfficeUsaOw __w, , 3 registered sile surveys showing sq. ft. of lot sq. k. M house; aiM all roofed areas 2 copies of plan showing footings, beams, joisGs Cettaf Stiivay Recd :Y N (20%maYimum loicoverage allowed) 1 set of Energy Calculations for hea[ed addihons Sotls R¢pGd N 1 Soils RepoR d proposed building is to 6e placed on disWrbed soil 1 site survey for addiUons & tlecks T«a Pte5 Plan Recd P qu ied sR Y_N, Y _N 2copiesofplanshovnngbeem8windmvsizes;pouredfounddesign,etc Addifion - irrdicateifon-sitesepNcsysfem i fe e TrBe ,_ „- isetofEnergyCalculations C1f1-sIteS2pil?System . _1'„L?-FI 3 copies of Tree Preserva6on Plan if Iot platted after 711193 Rim JoistDelail Opfions selec6on sheet (buildings with 3 or less units) Minnegasco mechanical venfilafion fortn 5 t ) Plans are considered nublic information unless vou state thev are4ade?ec the re n d ret ason. D 1 / 07 A / C t ti C t ? J 0(f --, ate on s ruc on os J * ?y Site Address , p ??UoiUSte It ke l -moc Description of Work e Multi-Ramily Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2 Property Owner TOM 13e, 4 l`JC J l7'el? ! tL4 Telephone #(657) 7 rM e? contractor U moclP If???l TVC- ^? p Address G60/ /(, lne?lJ? d ?i Y"/V;-p l / City ?i r? .? Pa Pv ?`5 State 44N Zip Telephone #(64?) Y`lS`8" 2 706 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ R4innesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Ene;gy Code Worksheet (d submission rype) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _ Y _ N If yes, date and address of masterplan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( I here6y 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 Ciry 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. Applicant's Printed Name Applicant's Signature Telephone #( AI)G 0 $ 2007 " Telephone #( DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ?F-02 SF Dwelling ? OS 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Muiti Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding - ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair )9?-.33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA hantlout to applicant D@SCliptlOfl: WaterDamage_Yes Valuatlon Occupancy MCES System Plan Review 100% or 25% Census Code 2i Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ?/{ Width REQUII2ED INSPECTIONS _ Faotings (new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) ? FinaUNo C.O. _ Foundation ? HVAC Drain Tile Othex Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final Framing Stucco Lath _ Stone Lath _Brick Siding _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows ? Insulation _ _ Retaining Wall Approved By: ? , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f rvaoq^ ? y, yv ? ?JqVt K?1o: on ? 2007 RESIDENTIAL BUII,DING PERMIT APPLICATION Cify OfEagan ' 3830 Pilot Knob Road, Eagan MN 55122 ? .. Telephone # 651-675-5675 FAX # 651-675-5644 NewConshuclianRenuiremeMs ; RemadWRenarReawremenLS OIfi?UseONv-3 registered slta surveys shovnng 3q. R of lol, sq. R: of hwse; anE a0 roofed arm 2 coples of plan showing tootlngs, beams, Jdsts Cert of Survey Recd .' Y_ N (20%maximumlolcareragealbved) 15elotEnergyCalcWaGOnsforheatedaEdi6onsS& Repat _Y'_N 7 Soils Report rf pmposed bii?ng?is to 6e placed on dmWrbed sai 1 s?le survey for additlms d decks Tree?Pr? Pim Recd.;; ?Y = N. 2 copies af plan shaanng 6eam & vnndav sizes; paured found design, etc. Adddion -irMicafe tlorrstte sepNc system T28 Pres Requued ?= _Y _ N 1 sel of Energy Cakulations ? On-sle SeplwSySlerti--_Y -_N 3 copies of Tree Reservatian Plan'rf IM plalkd aRer 711193 . . Rim Jdst Dettil Options selection sheet (bWdings with 3 or Irss units) Mnne9asco mechanicai ventilation form Plans are considered public information uniess vou state they are Yrade secret and the reason. Date I/ 0-1 Construction Cost LO t1?50-0 SiteAddress ?8C? 2 tl+OR-Tt?- UQ-Z tt?i (aL;- C)?-- UniUSte # Yu1 ? ? 1,2.3 Descriptiou of Work 1'' ? ¢bZ?'(L - Multi-Family Bldg Y?N Fireplace(s) ? 0 Property Owner S (?? 1.2j Telephoue #((y,S1) N 17 Contractor Address State ?11 Zip City Telephoue #(41?} 533 3 THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResWenlial Ventllation Category 1 Worksheet • New Energy Gode Worksheet (d Su6mission type) I Submifled - Submitled . ? . . Energy Envelope Calala0ons Su6mitted In the last 12 moMhs, has The City of Eagan issued a permit for a similar pian based on a master plan6 _ Y _ N If yes, date and address of master plan: j Licensed Plumber i Telephone #( ? Mechanical Sewer/Water I hereby apply for that the work will Statutes; I underst permit; that the wc approval of plans. 7elephone #( Telephone #( Residential Build'sng Permit and acknowledge that the information is complete and accurate; ; in conformance with the ordinances and codes of the City of Eagan and the State of MN. i this is not a permit, but only an application for a permit, and work is not to s4art without a will be in accordance with the approved plan in the case of VIlOrk whic h requires a review and / Applicant's 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucBon Reauiremenls 3 registered site surveys shw+ng sq. R of lot, sq. fl. M hWSr, anA a6 roo(eA areas (20%maximumlotmverageallawed) 1 Soi4s Report 'rf proposed bWl4irig is m be qaced an disWr6ed sW 2 copies of plan showiig bemn & vAndav sizes: Pmved fanM design, etc. t set of Energy Calalatlons 3 copies of Tree Preservafim Plan'd lot platled afler 711193 Rim Joist Deta7 Options selection sheet (huildings vtiN 3 or less un'rfs) - Minnegasw mecharicai ventllatlon form . RaimddlF2eoair Reativements 2 copies of plan shwring k6ngs, heans. joists 1 sei of Energy Cakulaficns tm heated addifians 1 site suney (a sdditians 8 decks . Adddion - Mdicafe Non-s9e sepfic system office useo;iy CertofSu!vey.Recd '.: -'_Y'_N SakRopod Y, _N TreePresPlanRecd.?.;: Y_N. TreePresRequued _Y-_IJ Omrfe $eptic:System: i _ Y _ N Plans are considered oublic information unless vou state theY are trade secret and the reason. Date Site Address Construction Cost Unit/Ste # DescripUon of Work , Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2 Property Owner Telep6one # ( ) Contractor Address State City Zip Telephooe # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTINGA NEW BUILDING -- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code Category , ResideMial Ventila6on Category t Worksheet . • New Energy Code Worksheet (dsubmissiontypa) Submitted - Submitted . , . Energy EnvePope CalculaUOns Submitted ? In ihe last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan2 , _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone #( ) Mechanical Contractor Sewer/water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of.the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for,a permit, and work.is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ; Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100978 Date Issued: 09/13/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3892 North Ridge Dr Lot: 15 Block: 4 Addition: Gardemvood Ponds PID: 10-28800-04-150 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Thomas J Seiberlich 1920 County Road C West 3892 North Ridge Dr Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101914 Date Issued: 11/01/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3892 North Ridge Dr Lot: 15 Block: 4 Addition: Gardemvood Ponds PID: 10-28800-04-150 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Thomas J Seiberlich 1920 County Road C West 3892 North Ridge Dr Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature r_-- Use BLUE or BLACK_I~ I For Office Use I Io O (G'~ _ City of II Permit#: l I Permit Fee: ` I 3830 Pilot Knob Road Eagan MN 55122 ECE+vED Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 JAN Z Z017 1 Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: 661 ` 905 " (M RESIDENT / OWNER Address / City / Zip: 33 saw ~`~4WP ~1 k-, ~~r' Applicant is: Owner Contractor Description of work: G ~,C~l 0~►v ~Itt.~ AF.tfw0..ni 4 TYPE OF WORK T o? Construction Cos Multi-Family Building: (Yes / No ) Company: 6Q, rte- Contact: Helm dAk~ CONTRACTOR Address: f~l.![]~-L (Tt; l VlQ(l` City: (~ti~ JL~~G State: Ayi Zip: (JUV'TT Phone: go " Loy V q 15" License o?UG~399 °(~J Lead Certificate l / b 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 & 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.goaherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p mit issuance. x V5",v Applicant's Printed Nam / Applicant's ignature Page 1 of 3 NOT WRITE BELOW THIS LINE ~~~7"Vl l 1 SUB TYPES - Foundation - Fireplace Porch (3-Season) - Storm Damage 1 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 .512 Valuation 00 Occupancy _ MCES System Plan Review Code Edition ' 2i 7 SAC Units (25%_ 100%_Z Zoning A- / City Water - Census Code L~3 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 36 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119214 Date Issued:11/19/2013 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 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. Dayna Gardner 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119458 Date Issued:12/02/2013 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123396 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Sammy Larson 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 (651) 905-1917 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131032 Date Issued:05/28/2015 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 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 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: 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 - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139434 Date Issued:10/24/2016 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151155 Date Issued:08/10/2018 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas J Seiberlich 3892 North Ridge Dr Eagan MN 55123 (651) 303-4123 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165395 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 3892 North Ridge Dr Lot:15 Block: 4 Addition: Gardenwood Ponds PID:10-28800-04-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thomas J & Rebecca C Seiberlich 3892 North Ridge Dr Eagan MN 55123--245 (651) 303-4123 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature