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3040 Pine Ridge DrCITY OF EAGAN Ramarks Addition Oslund Timberline Lot 15 B1k 2 Parcel Owner ' L ! 1' , Street .3040 pina Riclga Dr. State Eagan. MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, pr p'3 ? / a113 aj •?' ?? ^? ? a a STREET RESTOR. PaVin 1971 886. 0Q 8$.60 jQ PAID GRADING SAN SEW TFiUNK 40 1968 100. 00 3. 33 30 PAID ? SEWERLATERAL 1970 $2005.00 $100.25 ZO PAID . ie WATERMAIN 1970 ZO WATER LATERAL WATER AREA ?k STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, $300. 00 6040 7-6-72 BUILDING PER. #265 3-9-7 sac 6040 7-6-72 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i ? +' 1 +"I Nt; 3830 Pilot Knob Road Permit Number. ?i •' ?- ?•' ?> Eagan, Minnesota 55122-1897 Date Issued: p? 1? r l??' (612) 681-4675 SITE ADDRESS: APPLICANT: tti)q?:+ 1 IiJI I+If1l?l Itl? •, ?:??,:t IN?? Ui t_1 tdii 1 1 F11.I 1 I: 1 I Mf u._3.:€? . `??-n _•11AIf.f?ili111&?I??iF?'. :. ? PERMIT SUBTYPE: TYPE OF WORK: t;I f•AI k tR fI Uf INf, 1 Permft No. Permtt Holdor Deb Talephone It ELECTRiC PLUMBING HVAC Inspectlon Date Insp. Commenfs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBiNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG pRSAT TEST BLDG FINAL BSMT R.I. BSMT FIh1AL DECK FfG DECK FlNAI ? EAGAN TOWNSHtP BUI DING PERMIT owne: -----46t4 ....... .....1..?-?t../../....--?--?--- ?7 / Address (Preseni) ............ 1.5-Y.7....... .e......?'.L??' Suilder ................. _.................................................. .... Addrass .................................. _.................................................. --...... DESCRIPTION 11T° 2653 Eagan Townahip Town Hall Dale ;?.?._.qf../..yZy.. Sioziee To Ba Used For Fron! Depth Heighf Eel. Cos! Permi! Fee Aemarko l?Op ??'01 /c/3 LOCATlON Slreet, Road or o2hes Deacslption of Loantion I Lo! Slock Add!!!on or Tsac! Thls psrmit doas aot autherise Ae use of slreele, roads, elleys or eldewalke aor does tt glve the oanas or hb egeot the righ! !o csaele anp silualion whfch is a nuiseaee or whfch preseale a hmerd !o the 6ealih, asfelp. eoqvealaece and general welfare !o anpone in the eommunifp. THIS PERMIT MUST SE}? EPON?3?E pI?REMvI?£ WBILE THE WORK IS IN PROGgy??g, B. This ts !o eerlify. !hal....t'J...o.....-----?5?4..-?S?p---------------- has permissioa !o ereet a....._... t..Sr ................. _upoe ffie eLove desari6ed premise sub)eet !o the provietons of the Buildi O:dinance fas Eagan Township opled April 11, 19bb. ?? (p?? ?///J ? ///? ///j .....?STLlf.?:4.....?..iai%rm'.?aa .L.. ofT.T....-.....nwn.....?...._--°°-... Per - --G?t.K.----... -Y•"•• ""-- !L/?Y?•'•-°-°? ............... ? Ch ?ard 8uilding Iaspeelor TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. _ 214 The Board of Supervisors hereby grants to Geo. SBdgwiCk Heatitig & 111r Conditlon Snz Orf. 1001 %enia Ave. So., Minneapatis 55416 8 1FATINQ Permit fox: (Owner) 081und ConatruCtiori at 3C10 PiaeTlidge ti.oa+d , pursuanC to application dated !i/17/72 Fee Paid: $20•00 Dated this '4th day of June, 197 2 -50 a Building Inspector /S? iir?6>5e/i,sV- T04IN OF EAGAN 3795 Pilot Knob Roa3 Eagan, Minnesota 55122 * PERMIT N0. 198 The Board of Supervisors hereby grants to Rlchfield Pltunbing Co. of 8O5 W. 77z St., ft2chfield, M[3 551123 a PLUMBING Pexmit for: (Owner) RoUert Oalund at 30110 Ylnericlgts Drive , pursuant to application dated 1}/z5/72 . Fee Paid: 20.00 Dated this 28th day of Apri3- , 197 ?. a C Building Inspector L15 8.2 OS1und ji416d;w Revised 5/5/00 REVISED PLAN RECEIVED: ss-oc Energy Calculations 20' x 29'6" addition for Bruce & Judy Ruggles, 3040 Pine Ridge Dr., Eagan, MN 651-994-4878 Permit #EA039923 Cookbook Option Type C Walls 2 x 6 framing North Wall 8' x 20' = 160 sq. ft one sliding glass door 6' x 6.67' = 40 sq. ft. one window 2'8"x4'5" = 11.78 sq. ft. 51.78 / 160 = 0.32 East Wail 8' x 29.5' = 236 sq. ft. 3 windows 4' x 4' = 16 sq. ft. 2'x2'= 4sq.ft. 2'x2'= 4sq.ft. 24 sq. ft. 24/236=0.10 South Wall 8' x 20' = 160 sq. ft one window 4' x 4'6" = 18 sq. ft. 18 / 160 = 0.11 EAGAN REVIF D BY _. a C'-- DATE _ S-s-ck BUILDING INSPECTIONS DEPT. L I CT eL CITY USE ONLY a sueo. ? S` RECEIPT #: -J? RECEIPT DATE: PERMIT# -399 2000 PLi7M$INfi PEiiM1T (RSIDENI7AL) crrYoP eaLsRx 3830 Pv.oT xxoa ltu £ABAA. bIR 55128 651-681-4675 Please complete tor: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTl1RES EACH # TOTAL Alterations to existin,g ?welling - mini?num f e I/ Describe: ? c??n r-pcNr? ? to-; ?e?F S„Jj ?4vd ) $ 30.00 Bath tub $ 3.00 x = $ `?l 0 a Floor drain 3.00 x = $ G8S i ifl OUtlet ` minimum -1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ lavato 3.00 x = $ Se tic S stem newtreturmsned 'requires MPC Ila 75.00 x = $ $2 tic S stem abandonmen[ 30.00 X = $ RPZ new installatioNreair/rebuild 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under found s rinkler if dwellin is under conswction 3.00 X = $ Under rounds rinkler ifexisun dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ W ater softener if exisnn9 dwemn 30.00 x = $ Waterturnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ----> $ .50 Total --> --? ---? ----> $ ?S-C? Reminder: Catl for inspections of alterations, i.e. water heaters, water softeners, etc. -- ----- --- --------- - • - ------------- -------- ------------ -- --- -...... ------ --- • ---------------------------------------------------- --- ------- I hereby acknowledge that i have read this applicatlon, stale thal the information is correct, and agree to wmply with•all applipble Ciry of Eaganordinances. It is the applicanPS responsibiliry to noUfy the proparty owner that the City of Eagan assumes no liahility for any damages nused bythe City :dunng its nortnal operational and maintenance aGivi6es to the facilitles constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: o v r r ° ????e C??' OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: / '6 k ? wQ>..x-`Q.lf- TELEPHONE #: 'Gc? 9 Q (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE . .,,::?;,:,,,<:?? ?,:f? :t?•;?? . ..... : .. ... . . .:?•,..... . r111, pI- :-AC;f?nr: ? [4Y'H3??F!:::: !?t3.'i."./OJ "i'CH'•`t:4i'Ri _ P:";y,.?;•?;r.:ri 2252 :3001. 3040 I'INE fiU(;; D ;(7o?CM .3 "?pcyrj ••1i1i 1 ,0 s.0 ' P? . i!'?; Yj i.r.,ll'1 t 040 ,- I ,:L f..: ?.?j .... :.?... :>?...,. ,. .. ? ....,,? -? laqsol 2000 BUIlDING PERMIT APPLICATION (RESIDENTIAL) cirir oF EAcaN C1 3830 PILOT KNOB RD - 55722 `J 651•681-4875 v cJ RemoAel/Reoair ReoWremenh D S raOshred YAa wrveys shOwlny fq. IL oi bl, tq. t1. W haue 2 coples d plan ond 21 roofetl arem (TO% mmclmum bt covemae WbweN 1 set of enetgy coladollons la heMed addlMona D 2 copies of qkms (ahow bean & wlndow slrsa: Pouretl Md deaiyn, etc.) 1 site wrveY (or exdeda qddlHOns d deeb D 1 set W enerpy cClculotlau ? 3 copias d hee preservaXOn plan H bt plaltetl otfer 7/1/99 DATE: f OC) CONSTRUCTION COST: DESCRIPTION OF WORK: - ?O cX "? °M C ?^em STQEET ADDRESS- ? ? LI ? LOT: ? S BLOCK: ?- SUBDJP.I.D.M: (7-?Sk-A L-L ?- tF- [? 5 I - ?I s ? `S (`e? Name: y- Phone?: 6SI - ?tSl-b 6-j`f PROPERTY wst Flrst OWNER G '-f a -? ? ?c- ' s+reetnadress: CNy srate: np: S 5 1 a( Company. Phone #: (area code) CONTRACTOR ARCHITECT/ ENGINEER L Sheet Cfy Company: Telephone #: ( ) Sireet Addreu: RegishaNon Y: citY SMte: Sewedwater licensed plumber (H instalUna sewer/waterl: PFane #: Zlp: vP: 1 hereby acknowledpe ihaf i have read Ihis applicalbn, abte thaf ihe infortnalion fs cortect, and agree b oomply wNh a0 apPSccble Siate o} Minneaofu Stalutes and CMy of Eagan OMinances. /'? Siynalure of Applicant . Q '-? ?^,,2., OFFICE USE ONLY Certifiqtes of Survey Received _ Yes a No ri Tree Preservation Plan Received _ Yes _ No YX- Not Required 11f76 StPfe: Name: Llcense A Exp. 5ss40 i60 at ori.,d r j, ' 4 OFFICE USE ONLY BUILDING PERMIT SUBTYPES p 01 Foundation ? 07 05-plex O 02 SF Dwelling O 08 06-plex p 03 01 of_plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? OS 03-plex ? 11 10-plex ? O6 04-plex ? 12 12-plex WORK TYPE ? -31 New p'? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex O 21 Poroh (&sea.) O 17 Garage O 22 Poreh/Addn.(4sea.) O 18 Deck O 23 Porch (screened) O 19 Lower LeveF O 24 Storm Damage Plbg _YOr_N O 25 Misceilaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bidg)• ? 44 Siding ? 38 Demotish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permtt GENERAL INFORMATION SAC Code G ? No. of Units 0 No. of Buildings I Const. (Actual) (Allowable) UBC Occupancy Zoning ? 31 Ext Att • MuHi ? 33 Ext Alt - SF ? 36 MuRi # of Stories ) sq. ft. Length a sq. ft. Width Footprint sq. ft. Basement sq. ft. Census Code 143q Main level sq, ft. 5-`I0 MGES System sq. ft. City Water sq. ft. Booster Pump PRV Fire 5prinklered MISGELWNEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building Permit Fee (a? t-4 'S Surcharge (1 -0-c?, Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM! Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ,aS Totai: -1 -7 9 . OS G Engineering Variance Valuation: SAC Units % SAC jio.grltne Inc. ' S Nd F. C. JACKSON LAND SURVEYOR NLGIBTER[O UNO[R LAWB O? STATI Or MiNNEYpTA LIC[N![O !Y ORDIMANC[ Oi CITY O/ MINN[A'OLI¦ 3818 EAST 56TF1 STREET PA. 4-4661 V ? ? ? ?ALUCpGC'g QCtitltlidtt? N I N ? 3) ? ? H i ;-?J -- •-?o • _ , I J? 2 S f ? 1 MER[BY C[RTIK TXAT TN[ A60V[ le A TRU[ ANO OORR[CT RAT OR A$UqVK OF Or.9882 150-49A /Y lixA . z6s'3 . ISOGO 0 Loc 15,31ock Z,Oilund ?imberline AddLtion, Dakota QOuniy,!(inneoot&. ws suAVerco er Ma TM16-_,,''h'cAv os '?tc b.._?.o. 1972 veo---/-- F. C. JACKSON. RcaiaTawrloN. No. 3600 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITEADDRESS:P.I.N.: 10-5530e-150-e2 pppLICANT: LOT: 15 BLOCK: 2 3040 PINE RIDGE DR C& J ROOFING OSLUND TIMBERLINE (612) 891-2122 ? ? auiLoxNG 026120 07/27/95 -1 ? PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (ROOFSNG) GITY,OF EAGAN `?330 Pilqc Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: c ? 4A? BUILDING 026120 07J27J95 SITE ADDRESS: P.I.N.: 10-55300-150-62 DESCRIPTION: 3040 PINE RIDGE DR LOT: 15 BLQCKr 2 OSLWND TIMBERLINE (R00FING) Bvi 1Q?rtg!?,permit Type ?Uildiny Wer=rk 7ype ?` .. _ . _ . ,.,-? * . „ , ; aY?try t a ?, a 5F (MISC.) REPHIR ? s'..'"x •,, x-{"`-? ? t'?? ? ,r?' ??"?, t`'` '?t '??:? i ds v 41 ?- _ REMARKS FEE SUMMARY: VALUATTON $4,000 Base Fee $$7.25 Surcharge $2.00 Totel Fee $89.25 CONTRACTOR: - Appiicant - 57. I.ZC. OWNER: C& J RDDFZNG 1$912122 6009214 PN1lTP50N EUGENE 14109 WWITE ROCK RD 3040 PINE RIDGE DR BURNSVILLE MN 55337 EA6AN MN 55121 (612) 891-2122 (612)454-5355 ? . .1 ` I heraby acknowledge that I hava,read'thts aRplScatinn and stste that the inPprmat.io;n is carroct andaqreeta compl,y vi?th allappl3cab1#-Stata o?mn. &tstutes and City a$ Eagan--tXYdinaat-icea. APPLICANT/PERMITEE SIGNATURE 1n ? --? D B SIG ATUR 120 CITY OF EAGAN 4?n ? 3830 PILOT KNOB RD - 55722 ?? IL1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conshudion Reauirements RemodeUReoair Reauirements ? 3 reghtere0 site surveys ? 2 aopies of plan ? 2 oopbs of plens (induda 6eam 8 window saes; powed fid. design; e0c.) ? 2 stte surveys (exterbr addRlona 8 dedcs) ? t energy ealadations ? 1 errergy calculations for heatod addftions ? 8 copies of tree proaervation plan if lot platted efter 7N193 required: _ Yes _ No DATE: ?-,2 ? '-"S ?- CONSTRUCTION COST: J ? 2(o DESCRIPTfON OF WORK: ?E/t/, od- P:E - STREET ADDRESS: ?FD YD - A N £. /C m G LOT -?L- BLOCK I SUBD./P.I.D.#: IbInf] PROPERTY Name:?lf 1 L t fSOAv LiJG fN? phone OWNER Street Address, 3U ?? ??'v £ ? 1)SG £ ? ? City: Gni4 G1-1 ti State: Zip: CoNTRACTOR Company: C`'`T IL0Gr I (1K Phone #: Street Address: rrF 1891-'K kD License #: / °21,9e Ciry: 6 ? v. State: - Zip• ARCHITECTI Company: Phone #- ENGINEER ? Name: Registration #• Street Address, Ciry: State: Zip: Sewer & water licensed plumber change are requested once permit is issued. Penatty applies when address change and lot I hereby acknowledge that I have read this application and state that the informa 'on is oortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY CerBficates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex a 02 SF Dweliing o 07 4-piex 0 03 SF Addition o 08 8-plex ? 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE ? 31 New o 33 Alterations a 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 11 Apt./Lodging ? 0 12 Multi RepaidRem. o 0 13 Garage/Accessory o 0 14 Fireplace o 0 15 Deck .? „`:p !S +„ 'r 16 Basement Finish 17 Swim Pool ZO Public Facility 21 Miscellaneous 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV PertnR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units MASTF.R C,'ARD 0 Issued To Permit No. Issued Coniractor Owner BUILDING A&5023 ?3 g • ) y L, ? PLUMBING ? CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ] f? y OTHER . _ 796 OTHER . . Items Approved (Initiel) Date Remarks Distance From Well FOOTING -/p .7 SEPTIC FOUNDATION CESSPOOL FRAMING ? TILE FIELD FT. FINAL ELECTRICAL HEATING ?• ? DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL pRAINFIELD I PLUMBING .y? JiF ?') Jr / ` weu . .¢ lf SANITARY SEWER 20 O !?l l - ' Violations Noted on Back COMMENTS: STRUCTURE D AND U ED AS J F vj? COMPLIANCE INSPECTION R,EPORTS TO 8E USED ONLY IH EVENT OF OBSERVED VIOLATIONS • PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND bESCRIBED AS FOLLOWS ? REINSPECTION REQUIRED DATE 'OF REINSPECTION • ? REINSPECTION REVEP,LED CERTI FICATION -1 certify that I have carefully inspected the ahove in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the prooerty inspected, ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE GOMMENTS: • f?ijb 29 Timberlinc Inc. F. C. JACKSON LAND BURVEYOR RCGIBTEREO UND[R LAWY OF 9TAT6 Oi MINNBfOTA LIC[NlCG Q1' ORDINANCI OF W TY OF NINN[APOLIi 8818 EAST SErH STREET PA. 4•4881 t! ? ? ? ?nurbepor'g ?ertificatc? y •, ? n ?a i N N rJ z 6 v , Q ? t 30 ? N N o . `? ark ZSF , r I XERlSY CHRTIIh' THAT iH[ ABOV6 19 A TpV[ AND GOHR[GT PLA7 OF A SUR4[Y OF Lot 15,elock 2,Oslund Timberline Addition. Dakota Go«pty,Hinnemota. AS SURV6YHD SV ME THIS-_7th'--DAY OF_-MatCu._A.D.. 197c - , ' SIGN[?_._7? F. C. JACKSON. M I ?Q 0 ? Or.9882 150-49A /Y 1,eA 26S'23 sc 7 /:?' : / ?0 .=-Z- ro" R[61O7RATION. ND. 3600 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SBWER SERVICE CONNECTION DATE: March 27, 1972 ftOP'!$ER 958 OWNER: Robert Oslund Construction pddrese 3040 Pineridge ?rive PLUMBSR Richfield Plumbing Co. TypE OF PIPE heaw cast iran DESCRIPTION OF BUIIAING Industriall Commerciall Residential I Multiple Dwelling I No, of units xx Location of Connectiona: Connection Charge $260.00 pd 3/27/72 Permit Fee 10.00 d 4/28 72 .50 pd 2 72 Street Repairs Total inspected hy: Date Remarka • By Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tocroship, Dakota County, Minneaota By Richfield Plumbing Co. 805 w. 77k st., Richfield, rmr 55423 Please notifq when ready for inspection and connection and before aay porCion of Che work is covered. EAGAN TOWNSHSP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIffT POR WATER SERVICE CONNHCTION Date: March 27, 1972 Number• 796 Billing Name: Robert Oslund ConstructionSite Addrgjb40 3040 Pineridee Dr:jy,g?yot 15 Blk 2 Timberline Owner: Billing Addresa Plumber: Richfield Plumbing Co. (,to ( Location of Connection Meter Size Coanection Chg-300-00 P72 ?/ MEC?NO..7/ry'JOwTDd Pexmit Fee 10.00Pa 4/z8/7z " .L ??]2 S?C Meter Readin?_ iMeter Dep. Meter Sealed: Yes_ fAdd'1 Chg. NO ' Total Chg. Building is a: Residence tdtultiple Commercial Iadustrial Other By: Chief Iaspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance witt`the rules and regalations of Eagan lbwnship, Dakota County, Min sota. By : _4 JP'1,,?`r..?''.%f.?.? Richfield Plumbing Co. Inspected by Date Remarka: Ko. Units? j; - _? Please notify the above office when ready for inspectlon and connection. CITY USE ONLY LAT ? BL o2 - RECEIPT/T SUBD,(( ?2???..? RECEIPT DATE: / o I 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 YIIAT IQd08 RD EAGAN tM7 55122 7-0-9 T (612) 681-4575 Dste: Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construcdon and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 Q.DDITIONAL 50 M BTLT SAO . Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or wndos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: ? Install furnaCe ???1o-?=-mrw}-) _ Install air exchanger, i.e. Vanee system, etc. f Install air conditioningl(?pl Other Minimum fee applies to all remodel or add-oas of existing residences $ 20.00 5tate Surcharge .50 Total: . SI7'E ADDRESS: OWNERNAME: e d-- h aa e Pxorrsa: 4?4-SL5S INSTALLER NAME: 0 ern 2j ?W fT c- PHONE #: R7"4 - Tg Tg STREET ADDRESS: CIT'1': is/FowMs eLnmgcx rewMsr (REs) - 1998 V1 - ZIP:_?Z?-- OF CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1998 MECHANICAL PERMIT (COh CITY OF EAGAN 3830 PILOT IINOH RD Warau, MN 55122 (612) 681-4675 Please complete for. all commerciaVindustrial buildings multi-family buildings when separate permits are not required far each dwelling unit DATE: CONTRACT PRICE: WORi{ T'IPE: i+1c'JJ CONSTRUCTIOI-4 1'vTERIOR IPvII'ROVETVJENT DE3CRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: ($.50 per $1,000 of permit fee due on all pertnits.) PHONE #: TENANT NAME (nvTROVEmENTS orn,Y): INSTALLER: ADDRESS: PHONE #: CI'I'Y: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR Use BLUE or BLACK Ink �----------------- � For Office Use � �� i Pertnit#: �O{��`�� j �� Permit Fee: �� aO I 3830 Pilot Knob Road I i I Eagan MN 55122 � Date Received: t� � � Phone:(651)675-5675 I � I Fax:(651)675-5694 I Staff:� I I I `��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date �0��_Site Address:30�o��e ��_ �1 v'�_ __Unit#:_ _�__ a � Name: �v� c9� �Y1Y]� �e.�G1r►�CJQTr Phone: ' Resident/ Owner a aaaress�c�ryizip: 30'�p ��,�e. .�;d4s priU� �uy�� MN _S�S"1a ) ; � Applicant is: Owner �Contractor 3 � Type of Work � Description of work: �Z1v�OV�2 d- �6 r� f70VLS� � Construction Cost�� Multi-Family Building: (Yes /No� � Company: �.)¢y'y..S�r� �.oYLS�r��}��bh Contact: v��C ��r'cY'h COnt1`1Ct01' ' Address:C1 c14S �I o r¢'nC� 1�j'r1 e city: �o�t�1� ,ST� }�v�� State:(�(1 _Zip:�'a7S Phone:bS 1=�'7S-9�S�$Email:.��yfS�n �J/�9SN.r� � ' � ` License#: �G��a3 y� Lead Certificate#: N A�" " �O��O ol—� � �,._""� � � �� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f � � COMPLETE THIS AREA ONLY tF CONSTRUCTING A NEW BUILDING In the last 72 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: � a � Licensed Plumber.___ _Phone:____ _________ a � ----- --------------- � 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 perrriit the City to �' conclude that they are trade secrets. �„n��., .�,«�. .. . ...,x.,.. . � .�..� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours ektlF� before you intend to dig to receive locates of underground utilities. wvvw.r_taphersGat�on�c�ii.vr� 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 6e completed within 180 days of permit issuance. X_�e4� (3�er r� _�_ x --�. --- -------- ------ Applicant's Printed e Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147667 Date Issued:01/25/2018 Permit Category:ePermit Site Address: 3040 Pine Ridge Dr Lot:15 Block: 2 Addition: Oslund Timberline PID:10-55300-02-150 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J Delambert 3040 Pine Ridge Dr Eagan MN 55121 (651) 775-8591 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature k t £ f` PER FWIMANCE TEST A_ ` h to gas fir itidOcent to regulator Heating ntra to Name of Tester �► _:..... r < Date HeatIngContraelor l Name of Testes' 4 ; . .. .. _ Date ...�.. percent 02 ��,. .�.. �:k .. .ter✓,s.r.*Y.• . .. stack Temp £ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149752 Date Issued:06/07/2018 Permit Category:ePermit Site Address: 3040 Pine Ridge Dr Lot:15 Block: 2 Addition: Oslund Timberline PID:10-55300-02-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J Delambert 3040 Pine Ridge Dr Eagan MN 55121 (651) 775-8591 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature