3050 Pine Ridge DrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ; „ 1
., , : ?i? ? i ???
F
L
INSPECTION RECORD
- PERMIT TYPE:
Permit Number. • 1014
Date Issued: 4! h/ o I/??
? •j F, i t??: ? - APPLICANT:
bH .:? ? ? ?? ?-•?,:? ? . i?? t?,,, ? u
7
J
PERMIT SUBTYPE: TYPE OF WORK:
, : ;,atk
I?? ,? ;• 41 r i??r'> i- i ti I F INh ? I1111M {I? lM
Permit No. Permk Holder Dats Telephone M
SlW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inepection Dete Insp. Comments
Fooiings I
Foundation
Framing
RooHng
Rough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Orsat Test
Fnal Pibg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
it'P ?ins lZ ?jYj? 11??
CITY OF EAGAN Remarks
Addicion Os1Lnd Timberl_ine Loc- 13 pik 2
Owner 1' Street 3050 pjnP RiiigP TIr_
Improvement ' Date Amount Annual Years Payment Receipt Date
STREET SURF.
? STREET RESTOR, pavin 1971 $886. 00 $88.60 10 PAID
GRADING
SAN SEW TRUNK 1968 $100. 00 $3.33 30 PAID
*SEWERLATERAL a 1970 $2005.00 $100.25 ZO PAID
*WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA
*STORM SEW TRK 1970 ZQ
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ZHO. QO 3801
- -
BUILDING PER. #2505
- -
sAC 240.00 3801 7-7-71
PARK
CITY OF EACAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
' tf{ IJi ?i 1 t??
a?fJli i t tni;r I • 1 I NI
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF 1NORK:
r+u i i r? ? n?,
?i ,' r) H tS ,'
INSPECTION .. . ..
?
10 Mr110 i nI k?. ?+I MurIt iI Nt, I N1 I lrl,t 11
[.f'ARAIi E'I I:M! 1', AFtF Kf ull tV1 11 t iil; AWY I'I lIMttINi. uk ( 1 fi (
?
1_ IlI I I ip
7
? ?
Permit No. Pertnk Holder Date Telephone k
SNV
PLUMBING 7??f Q
HVAC
ELECTR
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg. ? ? • ? ? ?
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Rnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Finel
Deck Ftg.
Deck Final ?
s
Well w r?? ?rPPI?Ov?i 59 ?
or- ?
Pr. Disp.
0 . -37 0
3
Re uest' t Fire No. Ro g-In Inspection Required In peCtion er Than Rouqh-In
?1 ,
? (Vou must cell inspector, etly Naw ? Will Notiy Inspector
G ? Yes 0 Dale Ready
I i sed contractor ? owner hereby request inspection of above electrical work at:
Job Aqtlress lreel Box te No.) • `
3o w' w Cily
SxYion No. TownshIlS Name o, No. ange No. County
u INT)
ILW Pho N . 9314
Power Supplier AM1ress
Ele al C
ror ( peny Na ) Contra to's License No.
C
Mailing Atltlr s (COnt2ctororOmierM Installation)
?
Authon?na Conlr ctor/Ow r Mak g Installalion) Phona Numper
MINNESOTA STATE BOARD OF ELECTf11CITV
I THIS INSPECTION REOUEST WILL NOT
Gtlggs-MlEway Bltlg. - Room 6128 II I I I I I I I I I BE ACCEPTED BY THE STATE BOARD
1821 Onrverofly Ave., SL Peul, MN 55106 I UNLESS PFOPEF INSPECTION FEE I$
VhnwIfilMfd'1.IIIIMI . . . ? FN!`.Il1CFl1
i ?
REUUEST FOR ELECTRICAL INSPECTION ?es-o?a+?ooi-os/
? See inslmctlons for compleGng this (orm on back o( yellow copy. ? 5/V I/ /.
"X" Below Work Covered by This Request
Ne Ad ep. Type of 8uilding App?&sWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial um ce Other (Specify)
Farm ir Conditioner
pther (specity) Conlractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee t1 Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps A6ove 100 _Amps
$I f15 InsOacror's Use Onty: ?? TOT
Irrigation Booms G(J
S ecial Inspection
Alarm/Communication - THIS INSTALLATION MAY BE ORDERED'DISCONNECTED IF NO7
Other Fea COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rough-in - Oale
certiy that the above inspection has
been made. Finei o^?S
OFFlCE USE ONLY .
This reQUest vaitl 18 months Iwm . •
?rJ, 9 a9??7
N6 6 5
Feque9i Date '
?Jo(J
?? l Fire No. Rough-In Inpseclion Requiretl ,
(YOU m sl call inspeclor wM1en reatly) Inspetlion Other Tha Hough-In
? qBatly Now tts W ill Notily Inspeclar
T/ 7 Yes ? No Date ReaJ
i O licensed contractor 2Q owner . hereby request inspection of above electrical work at . .
Job Atltlress (Street. Box or Route No.) Ciry
Section No. Townsni0 Name'or No. Range No. CouMy .
Dg?a rrl
Ocmpant IPRINTi
twY ??PS Pnone No.
yS-y-A34y
Power Supplier Atltlress
N.S)"
Eleclncal Conlractor(Company Neme) . '
Qt' ou,ill ConVactor5 Llcense No.
Mailing Aetlress ICOMractor or OwnerMaking Inslallatrory '
30so P/iv5 A'io667 bri ,cHSmN Sstal
Aumorii a Signawre iCOnlractor;pwner Making Insiallaiionl Phone Number
.5/rY-33jo y
MINNES04 STATE BOARO OF ELECTRICITV THIS INSPECTION FEOUEST WILL NOT
Gtlggs,Midwsy BIEg. - Faom 6173 _ BE ACCEPTED BV THE STATE BOARD
1821 Uniwnlly Ave.. St. Paul, MN 55104 UNLE55 PROPEP INSPECTION FEE IS
Vhone (612) 612-0800 ENCLOSED.
7?? p REQUEST FOR ELECTRICAL INSPECTION ??? ea ooom oe
?! ? See ingmctions 1w completing this torm on peck ot yellow copJ. 'y ???1 G?7
V1646?5 °`? ,
' X" 8elow Work Covered by This Request ?
ew Add Rep. Typeot8uil?ing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heatar Electric HeaHng
Apt. 8uiidinq Oryer Load Management
Comm./Industrial Fumace Other (Specify)
+ Farm Air Conditioner
Other (syeclry) ConVacror's Remarks: I
Compute /nspection Fee Belaw:
# Other Fee # ServiceErhranceSize Fee # CircuilslFeetlers Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
Signs inspectw's Use Onry: . TOTAL
Irrigation Booms
'
O
- Special Inspedion L?rC , ?d
Alarm/Communication THIS INSTALLATION MAY 8E OR ERED DI NNECTED IF NOT
Other Fee COMPLETED WIT S M
1, ih@ Electrical Inspectot hereby flouyn-m
?
/ '6
certity that ihe above inspection has
6een made. Final
7
OFFICE USE aNLY ? TM1is repuest voitl 18 months trom
EAGAN TOWNSHIP
BUILDING PERMIT
oWa.: ....... a ........ .?.f?-?..
. .
............................ . ..... . ... .. ................
Addreu (Presexi)4.?e.`-.........r--']??a;t`/•.1...?0
Bullder .._....`7i.Y..?:"..?.,°.....?:`-?v?--..?' :.:.............................
Addsass .... ........._:?U,c.=..C" .................... .....-?-?-??
DESCRIPTION
N° 2505
Eagaa Township
Town Hall
De:. .... ..'..7../7 / ......................
6Soriae To Be Uced For Fron! Deplh Heigh! Eal. Cm! Permi! FeeI Remarka
?3.? I 9f, C-V I
-I l3?/
s=saex, noea or oxner yesaripnon ox Locaxion I Lo= niocs waasxioa os rsaex
3vs? (?? ?.,c?,?, ,cQ.?-. I i3 ? 7'?-?-•-_- ?-^J`
This pesmit doas aot auihorise !he uae of slreets, roads, alleps or sfdewalks nor does it give !he owaer or his agen!
!he right fo creale enp situalion whiah is e nuisenae or whiah presenls a hasard !o !he deallh, aafelp, coavenienca and
general welfare !o anpone ia !he communilp.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR SS.
This is io eerrify. ..?..?....zaXt`..'..4::....... has Permissioa !o ereet a------
-_•:-----•---....... upoa
ffie above deacribad pramise aubjeet fo !he provisiona of !he Building Ordinanee for Eag Township adopled April 11.
1955. ,n
......_.....__' ',?...'-""-? - ._J"..._._..... Pes ---.._..---'-'F?`:?'••-"?a?>_" ............................-
Chairm?of Tnwn Baard ? Suildin Ins eator
le
13- z
TOWN OF EAGAN
3795 Pilot Knob Roa3
Eagan, Minnesota 55122
PfiRMIT N0, 156
The Board of Supervisors hereby grants to Neil d Hubbard Heating-_
S Air Cond. Co. of _ JfFM e6 ttn. Snal'R tn?T n+rnMj
a HEATING permit for: (Owner) Ben W. Phillipa (Idal.tera Const. Co_4_
at 3050 Pine Hidge Roa EgeFn 55197 , Pursuant to application dated
9/1G/71 .
Fee Paid: $20.00 _ Dated this S? day of Qctober , 197L•
.50 a c
Building Inspector
l3' ;L-
R 149
Dakota Plumbing d Heating
7.384 Avalon, Eagang Minn. 55121
PLllMBING
Walter's Ccmatructfon for Benjamin Phillipa
305V Pine Ridge Drive, Eagan 55121
§/19/71
20.00 19th Auguat ±
.50 s/c.
CiJPIl'K!1(.l YKll;l'.: .? .
FEE: 1% OF CONTRACI' FEE
STATE SURCHARG& $.50 FOR EACH $1,000 OF FEE,
MINIMUM FEE: $ 25.00 coNTRAcr riucE x i% $
STATE SURCHARGE' $ ,
TQTAL $ _
SITE ADDRESSs
FOR:
CITY OF EAGAN APPLICANT
? . . . . . ? . ? . .i_.
PLEASE COMPLETE FOIt SINGL,E FEIMILY DWELLINGS. ALSQ FOR. TOWNHOMES AND
CQNDOS WHEN' PERIvITTS ARE REQUIRED FOR EACH UNIET:
- ---- - - - ------------ - --
NO. FIXT[JRES EACH TOTAL
SHOVUER 3:00
WATER CLOSET 3.00
BATH TUB 3
00
LAVATORY' -
S •S?'' .
3:00 _
9
KTTCHEN 5INK 3.00'
LAUNDRY TRAY 3.00
HOT TUB%SPA 3:00 : -
W:ATER HEEATER 3.00 -
FLOQR DRAIN 3.00
GAS PIPING OU'TLET • mmimuro - i 3:00
ROUGH OPENINGS 1.50
WATER SQFfENER 5.00
PRNATE DISP. • naLcn•. uc. - 20s00
U.G. SPRINKI.ER - nom unaa ?L 3.00 `
ALTERATIONS • to.adsting 20:00 _ 2.? . nts
WATER TURN ARO,UND 20.00
STATE SURCH"ARGE :50
TOTAL:
STTE ADDRESS:_•3osa ?ING i t IJG6' .Q/C.
OWNER NAME: /7AP `! r'14,L i.ref
INSTALLER:? Y 0u.1k1G'r--
ADDRESS: .--
CTTY: ER?FFN STATE: MN ZIP CODE: :SS ? a l
PHONE #: ((? r a, ) Y S y? ? 3? Y
SIG ', E'OF ERMITTBE
1994 PI.UMBING RERMIT (RESIDENTIAI.) ' .
CITY OF EAGAN
383Q"PILOT XNOB RD
EAGAN MN 55122
(612) 681-4675
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L0 7: 13 B L 0 C K: Z APPLICANT:
3050 PINE RID6E DR PHILLIPS
OSLUND TIM6ERLINE (612) 454-2364
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
024082
B7/12/94
MARY
ALTERATION
INSPECTION D. . .•
FRAMING INSUlATION
ROUGH IN PLBG FINAL
REMARKS: UPSTAIRS REMODEIING INCLUDED
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
F -1
? J
-.? CIT110F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT clu4 z42
PERMITTYPE:
BuzLoiMG
Permit Number: 024082
Date Issued: 0 7/ 12 / 9 4
SI7E ADDRESS:
3050 PINE RIDGE DR
LOT: 13 BLOCK: 2
OSLUND TIMBERLINE
P.I.N.: 10-55300-130-02
DESCRIPTION:
-?
Building-.Permit 7ype
/Building Wark Type
? .`
? i
;
v
BASEMENT FINISW
ALTERATION
/
f\?'II1,??'?1??
`?.? L! ?
REMARKS:
UPSTAIRS REMODELING INCLUDED
SFPARATF PfRM7TS ARF RFQJI7RFf] FOR ANV PI IIMRTN6 fIR FI FCTR7CAI WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
ToCal Fee $35.50
CONTRACTOR:
?
OWNER: - Applicant -
PHILLIPS MARY
3050 PINE RIDGE DR
EAGAN MN 55121
(612)454-2364
I hereby acknowledge that I have read this epplication and state tMat the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Qrdinances.
.[/ .
L CANT/PE ITEE SIGNATUFE
55UEO 4sIR ??? i m.?
I
14042
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
$36-_? D
r.ffiU r!-1).
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered si
f energy
ca7cs . 0 6 1994
L
fl
COMMERCIAL p?lan
2 sets of architectural & struct s, 1 set
rral
specifications, 1 copy of energy '" ----
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 1,_ / lg? V Valuation of work
Site Address:?o.So Ane ?;,i,.-P .Dr
STREET ? SUITE k
Tenant Name: (commercial only)
LoT i? Bi.ocx ? suan. c?siu.,d P.I.D. #
Descri tion of work: d •,. ,? ,. e e c•c i deiet-
The applicant is: ID Owner ? Contractor ? Other (Desaribe)
Name P: 11 , s ,- Phone vtv - _? ze.y
Property LAST FI ST
Owner
Address 3os6 P;yie ;?,???
STREET STE #
City 626?., State MN Zip SS fai
Company Sr4,r,P Phone
Co ntractor Address License # Exp.
City State Zip
Company _6.r P Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved. •
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.
Signature of Applicant: `? ?,- ? /
OFFICE USE ONLY
lk
A
"
.
BUIL DING PERMIT TYPE ,
f
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORKTYPE
? 31 New ,p 33 Alterations ? 35 Tenant finish 0 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code Y3
S?
Depth On-site sewage SAC Code o/
Census Bldg i
APPROVALS Census Unit a
Planning Building Assessments
Engineering Variance
REt2UIRED INSPECTIONS
? 5ite
? Wallboard
? Footing
Ja Final
a Frami ng
? Draintile
& Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies •
Other
Total:
veiuacsd,:
SAC %
SAC Units
CITY USE ONLY
L ?o'? BL o2 RECEIPT #: cr/&U ?
SUBD. ?D•.? ?.L -- e DATE:
1995 MECHA OF EAGANRESIDENTIAL)
CITY
3830 PILOT KNOB RD
1 l10/9& EAGAN, MN 55122
? (612) 681-4675
Please complete for: ? single family dweliings
• townhomes and condos when permfts are required for each unit
New construction
Add-on furnace
Aod- air conditionir?r ndd-cn airexcnang r, i.z. !larae?svstem, etc. 19
bE
Date:
FEES
Minimum Fee: Add-on/Remodel (existing residence only)
HVAC: 0-100 M BTU
Additional 50 M BTU
Gas Outlets (minimum of 1 required Q$3.00 each)
State Surcharge
TOTAL 7
SITE ADDRESS: o ?v ?
OWNER NAME: b61J ae
INSTALLER NAME: -p?ferre Mec na ical Services, Inc.
I 7643 Logan Avenue South
STREET ADDRESS:?I Richfield, MN 55423
I Bus: 866-7611 Fatc: 866-0125
CITY: ?
$ 20!00
4.
' 0
-a
.50 ,
7-
PHONE #:qWZW6-C? ?
?
I
ZIP:
PHONE #: ( ) _
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE:
7995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? all commercialfindustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
.. ...
'?'! E: V:?i?
? TKACI F?i'^.c. __? ?
WORK IYPE: NEW CaNSI'RUCTION INTERIOR IMPROVEMENT
UESCRIPTION OF WORK:
FEES: & $25.00 minimum fee QC 1% of contract price, whichever is greater.
P Processed piping - $25.00
? State suroharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVeMeNrs oNLv)
INSTALLER:
ADDRESS:_
cirr:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
? I
a
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
- ,?'?BUILDING
Permit Number: 021074
Date Issued: 06 J01/93
SITE ADDRESS:
P.Z.N.: 10-55300-130-02
DESCRIPTION:
3050 PINE RID6E DR
LOT: 13 BIOCK: 2
OLSUND TI198ERLINE
ROOFING
B;uild3h'g? Permit Type
euilding Work Type
f \'
i
/ `
\
1
& ALUM TRIM
SF (MISC.)
REPAIR
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$81.00
$3.00
$84.00
$6,000
CONTRACTOR: - Applicant - S7. I.IC. OWNER:
BEISSEL WIMDOW & SIDING CO 14516835 0006453 PHILLIPS MARY
153 E THOMPSON AVE 3050 PINE RIDGE OR
W ST PAUL MN 55118 EAGAN MN
(612) 451-6835
I hereby acknowledge thet I have read this applica'tion and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
PPLICANT/PERMI7EESIGNATURE -
SSUED !: S ONA E
I
INSPECTION RECORD
CITY OF EAGAN PERnnIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: is BLOCKs
3050 PINE RIDGE pR
OLSUND TIMBERLINE
PERMIT SUBTYPE:
sF (Misc.)
F-
L
BUILDING
021074
06/01/93
2 APPLICANT:
BEISSEL WINDOW & SIDING CO
(612) 451-6835
TYPE OF WORK:
REPaiR
DESCRIpTION ROOFING & ALUM TRIM
.:?rI c,:-id ;7u?F' !nw; I<I:idl
Ftrjrrqri.ir:
!!!+ttF Ltd'.'. "A Flf(744 IKiG.
I,- ' I 6; ": fN e P {h)cv i, 61 , .-,
f?? :•116,17 1.7.bIHi-kf f J.11C
: ,, 67 NE 1,100F H
;dni7 Ao
i;?l ? f I11'i •
j
REACTIVATE
PERMIT-8 ~
210d1At
GITY OF EALiA1V
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /13 Valuation of work
Site Address:
STREET SU1TE /
Tenant Name: (commercial only)
LOT BIACK SIIBD. r,?'JJ?p nA?
i? rr?-v P.I.D. k •
Descri tion of work: ?ooC f ?J ' w` ?- -c4-.-
The applicant is: 0 Owner ? Contractor O Other (Describe)
Name a - // r'JS C?4 Phone
Property UST FIRST
Owner pddress 3 0-s--o r-?.?,Le- '?t9?/r
STREET - STE /
City State Zip '
Company Phone ?S/ -.?fs 3S
Contractor Address /:5 3 z ilzo?, ??r,?, /-??-c license #oo0 64ff-3 Exp.
City State dGi Zip 5_?//cQ
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
of innesota Statutes and City of
correct and agree to comply with all pplicable
7!
Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-P1ex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
B of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
0.
i
? il Apt./Lodging ? L7 16;.Basenoftfinish
E3 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory O 18 Comn./Ind.
[3 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
? 35 Tenant Finish
0 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Site O Footing
? Wallboard 0 Final
0 Framing
? Draintile
? Insulation
? Fireplace
Permit Fee wiuacia,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn. Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC 96
SAC Units
S
? 37 Demolish
MWCC System
tity Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
MASTER CARD
0 LOCATION
OWNER ?' f?l J ,PS ;oo AjEAL)
STRUCTURE AND
LAND USED AS I2 t.tl V r, OQ
Permit
BUIIDING
No.
zsw J?
Issued
?' 7' 7? Issued To
Coniractor Ownar
? ??r-e,ksr ?YtvT, o kd'T-L
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER y
OTHER
OTHER
0
0
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION '? - ;z 7- 7 CESSPOOL
FRAMING ? 92. 7.-7J T EFIELD FT.
FINAL
ELECTRICAL
??@ Gl
DEPTH
HEATING OF WELL
GAS INSTAILATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUM8ING
WEIL ?
SANITARY $EWER
- Viol ions Noted
n
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVEN7 OF OBSERVED VIOLATIONS
w
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT OELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REVEALED
DATE OF REINSPECTION
CERTIFICATION -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 be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific raquire.
ments for off-site imprOVements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING
oATE
0
1 ?
?
? 23 ?
S-
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J3 ?3l lc -?-
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T
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PLRPUT FOR WATER SERVICE CONNECTION
Date: July 4. 1971 Number: tWsx 675
(Walters Smorlf Construction Co.)
Billing Name• Benjamin Philips Site Address• 305D Pine Ridge Drive, Eagan 55121
Owner: same
Plumber: Dakota Plumbing & HeatinQ Inc.
tion of Copnection
Billing Addresa
Meter Size 5 8 Coaaectioa Chg. 280 DO 7 9/71 pd
j °Z`5--6T -?5- 10.00 8/19/71 d
Meter 3 Permit Fee p
-J!D 8j19/71 pd
Meter Readiag MeCer Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO I 1bta1 Chg.
Building is a:
Residence xxx
14ultiple No,
Commercial
Iadustrial
Other
Inspected by
Date
Remarke:
•^n"CiIG±J FEC FOR
iFJSTALIED ??E1E?S•
L' ?
By:
Chief Iaspector
In conaideration of the iesue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas ot Eagaa Towaship, Dakota County, Minnesota.
By:
Dakota Plum ing 6. Heating, Inc.
Please aotify the above office when ready for inspection and connectioa.
1")" Z--
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE4JSR SERVICE CONNECTION
DATE:Ju1v 9. 1971
% /??16?-??,/.;'??
pUMBgg 833
J(Walters Construction)
OWNER: Benjamin Philips Address 3050 Pine Ridge Drive, Eagan 55121
PLUMBER Dakota Plumbing, d Heating TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commercial' Residential ' Multiple Dwelling I No. of units
Location of Connectiona:
Connection Charge 240.00 pd 7/9/71
Permit Fee 10.00 pd 8/19/71
.50 pd 8/19/71
Street Repairs
Total
Inspected by:
Date
Remerks•
By. Chief Inspector
In consideration of the issue and deliver9 to me of the above pexmit, I
hereby agree Co do the proposed work in accordaace with the rules aad
regulationa of Eagan Toc•mship, Dakota County, Miaaeaota
Sy ,Rec? //1,t?
Dakota Plu¢?King d Heating
1384 Avalon Ave.t Eagan 55121
Pleaee notifq when ready for inspection and connection apd before any portioa
of the work is covered.
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
p r: r- F -F o.,, ` t
SE? 26211
Use BLUE or BLACK Ink
rot' .Office lis%e
/
Permit # / ®{ I ' 1
Permit Fee: gC/ `06
Date Received:
Staff:
2010 RESIDENTIAL B DIN PER APPLIC TION
Date: l Site Address: ®J�CJ /-it,e, (4.es-'77,4/,,
Tenant:
Suite #:
RESIDENT / OWNER
�-- -
Name- , e ' 1 cJ �' Phone: L
' A i! ...?
/
Address / City / Zip; 2 W Al/Ne e a A) ,4&r ,lY/i/
Applicant is: Owner j Contractor
TYPE OF WORK
Description of work. - 1 /A., rid or rli< A/ 1K/.S/ ' Ai yeti/N •
v
Construction Cost: 5'7 ?7 / Multi -Family Building: (Yes / No / )
CONTRACTOR
Nam,.r./ t %G (Z-` License #:
Address: i 34 r e4da,j (oo/C /f) City:.�� Gc ll' / net<
�
State: Zip: 5-I Y Phone: 9(2 93-3 ‘ii' 00
v
Contact: J v /f i Email: /
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 they 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and co
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; t
accordance with the approved plan in a case of work which requires a review and approval of plans.
x ,5; CG 7-7-1
Applicant's Printed Name
Appli = s Signature
City of
I be in
Page 1 of 2
r
� Use BLUE or BLACK Ink
� r----------------�--,
I For Office Use I
I /� �
C�� OT �(] (]n i Permit#: I tY��v� �
y � a�Qll � Permit Fee: /(f � �� I
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received:�7�� �
Phone: (651)675-5675 I � I
Fax: (651)675-5694 I Staff: �
� �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
> Name: �,��Jt.�� ���Gll�i..e.� Phonq������(o ��%'�/
Residenti . ': ,
.
Owner address i city i zip:>„�j,�,�`��� �' . � ,�
Applicant is: Owner � .Cont�actor '
� �
Type of WOr'k Description o���'"" �,�
'' Construction Cost: ��J�,� Multi-Family Building: (Yes /No_)
"' Com a . ,
P Contact: ��v�_1,��(����_
Contractor : Addres������i�PY—���L� 7�a�
State�����p���,�?/ Phone�(sG'��..'?� ��
` License#:� Lead Certificate#:
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 cQrrsjdered to be public information. Portions of
the information may be classified as non-public if you provic%specific reasons that would permit the City to
conclude that they 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.aopherstateonecall.ora
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 permit issuance.
x �Jd�Y! �� �_ X
Applicant s Printed Name ApplicanY" Signat e
Page 1 of 3
•s
�
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
✓Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch (ScreenlGazebolPergola) _ Miscellaneous
01 of Plex Lower Level Pool _ 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 Walr', *De�nolition of entire 6uibding-give.PCA handout to applicant
� �,
DESCRIPTION �l�('p Sv�I P TJA'�jK�Y : ' • a
Valuation '�SpQ°`"� Occupancy ���i � MCES System
Plan Review 1J,b Code Edition ZAb71N�,, SAC Units
(2;5%-_1-00%_) ��:D Zoning • Cit,y.Water
Census Code Stories Booster Pump
#of Units Square Feet � PRV
#of Buildings �— Length� Fire Sprinklers
' Type of Construction U'g Width .
REQUIRED INSPECTIONS '
Footings (New Building) Meter Size:
Footings (Deck) Final 1 C.O. Requir�ed
Footings (Addition) �Final/No�C:O.Required
Foundation HVAC _Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: L/'��� , Building Inspector
RESIDENTIAL FEES I�3 •��L� I
Base Fee Z.e o
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
„ TOTAL� ` �S� LS
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142039
Date Issued:04/12/2017
Permit Category:ePermit
Site Address: 3050 Pine Ridge Dr
Lot:13 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 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 -
Michael Rutschke
3050 Pine Ridge Dr
Eagan MN 55121
Platinum Builders Llp
20830 Holt Avenue
Lakeville MN 55044
(612) 919-3220
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145737
Date Issued:09/22/2017
Permit Category:ePermit
Site Address: 3050 Pine Ridge Dr
Lot:13 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Michael Rutschke
3050 Pine Ridge Dr
Eagan MN 55121
Platinum Builders LLP
20830 Holt Avenue
Lakeville MN 55044
(612) 919-3220
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171964
Date Issued:09/09/2021
Permit Category:ePermit
Site Address: 3050 Pine Ridge Dr
Lot:13 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ian M & Alyssa K Rubenstrunk
3050 Pine Ridge Dr
Eagan MN 55121
The Garage Door Doctor
24250 Beard Ave
Lakeville MN 55044
(952) 461-4427
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178383
Date Issued:08/15/2022
Permit Category:ePermit
Site Address: 3050 Pine Ridge Dr
Lot:13 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ian M & Alyssa K Rubenstrunk
3050 Pine Ridge Dr
Eagan MN 55121
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature