3061 Pine Ridge DrC!tyofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
°DECEIVED
Use BLUE or BLACK ink
Permit Fee: �v
Date Received:
SEP / 4 2010 Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: ZZ V Site Address:
Tenant
Suite II:
RESIDENT / OWNER
Name: 7,
(L.) ( ,.k//, a Phone: / ' ' .i, e/ 14
s
AddresDr
/ City / Zip: (?:=Q.01 p I , '1,2
CONTRACTOR
Name: ..... ,/ �I *. 1 L�.' / '. nse 8: rr-py ./
Address: 12-7 ' . l' --.''t f✓c � i F
S
state: i 1 r � Zip: -�
Phone: I0 t 7- 7 7
Contact ,• .' Email:
TYPE OF WORK
,^,, New Replacement Additional Alteration Demolition
Description of work:
NOTE: _' and pro m
g � ti'uintiard
Cede • ct the tY>dpLtiiibi
rnechancaF ul pment Is required to be screened by City
ti inspector for infartn:itki'tl sn permitted screening methods,
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
_ New Construction Interior improvement
_ Install Piping — Processed
Unit
by Fire
Air Conditioner
Air Exchanger
Gas Exterior HVAC
Heat Pump
Under / Above ground Tank (..._ install / Remove)
_ -
Other
_ �;
"When installing/removing tank(s), call for inspection
Marshal and Plumbing Irk °r
RESIDENTIAL FEES:
$55.00 Ailbimum Add-on
r..
or alteration to an existing unit (includes $5.00 State Surcharge)
burnedout appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ) , TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
- If the Egg is res than
- if the Permit f is > $10,010,
installation/removal OR
State Surcharge)
010, surch*ge is $ 5.00
110. a
surcharge increases by 1.50 for each $1,000 Permit
requires a $ 5.50 surcharge)
Contract Value $
x 1%
Permit Fee
Surcharge
TOTAL FEE
$
Fee z $
(i.e. a $10,010-$11,010 PevmitFee
$
CALL BEFORE YOU DIG. Calla Gopher State One Call at (651) 454.0002 for protection against underground utfity damage. Cali 48 hours
before you intend to dig to receive locates of underground utHitles. www.cwnherstateonecall.orq
1 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 oniy an application for a permit, and work is not to start without a permit; that the work will be in accordance
with approved plan in , : «:.. o fw which requires a review and approval of p
'��1tY1 [IBJ U
re
Applicant's $
FOR OFFICE USE
Required inspections:
.,,_Air Test ;r,Gas Service Test in -floor Heat , � Final
rHVAC Screeni`•m In •'Y •n
CITY OF EAGAN
a,,,,;,;,,,, Oslund Timberline
Remarks
Lot 38 Rlk 4 Parcel '-- -
screet 3061 Pine Ridge Dr. state Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF, h ? ? a .3 45- ?. •.3 ? ? ??1 (o
? STREET RESTOR. gVlri 1971 886. 00 88.60 10 PAID
GRADING
SAN SEW TRUNK !in 1968 100. 00 3. 33 30 PAID
* SEWERLATERAL 1970 200 .00 100.25 20 PAID
?F WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA
STORM SEW TRK
9c STORM SEW LAT 19]0 ZO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $180.00 1](7 10-6-69
8UILDING PER.
sac 200.00 1767 10-6-69
PARK
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phane: 454-8100
WAT-LT2 SOFTE2dER
PERMIT
Date: November 1, 1977
Site Address:
3061 Aine Ridge Dr1ve
LM Block Sub/Sec.
No. 158
Receipt No.: 07909
Single I
Residentiol ?`
Muiti Res., Comm./Ind. I
--rtTAylor alteration
Nome NewlAlter./Repalr
.
? Address - " Vf e Cost of Installation
5.00
City _ Phone: Permit Fee
? Nome Milbert ro' -Cullican Surchar9e •50
? Address 1001 !v3irie Ave.
a c? r? ? S'`_ . t ci •.1 l 9.50
City _r Phone: Totol
This Permit is issued on the express condition that all work shail be done in accordance with oll applicable State of
Minnesota Statutes and City of Eogan Ordinances.
?•
Building Officicl
?. ?.(^ ? .qw•yT? .wyai? ' _ .__. -?.? . .,??.r.? _'.:. .a.: . .?.J...?- . ? n . .-e . . ? r _ . . . . . _.A.? . . n . .
CITY OF EAGAN °?? 18166
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '?
PHONE: 454-8100 ???v?? (
BUILDING PERMIT Receipt #
7o be used for ?I?? Est. va?ue ;1e'? Date ''y 19 19?
Site Adiess ?1 PllQE RIDGE DR1VR _
Lot 3 Block Sec/Sub. UorUMU
LINE
Parcel No.
W Name
? Address
? 434--36113
City Phone
Name _
Address
Cilly -
Name _
Address
Phone
I hereby acknowlege that I have read this application and state Ihat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinaqces.
Signature of Permitee
A Building Permil is issued ta -KR1TH KR1I-Mfft
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota St tes and City of Eagan Or inances.
Buitding Official
Phone
OFFICE USE ONLY
Occupancy -
zoning _
(Actual) Const -
(wlowable) -
# ot stories 20T-xT2 '
Length i 5Ti2 ?
Dapth -
S.F. To1al -
S.F. Footprints _
On Sile Sewage -
on site wen -
nnwcc sys,ern -
Ciry Water _
PRV Required -
Baaster Pump _
FEFS
Bldg. Permit $1e9.00
9.00
Surcharge
Plan Review 123.00
sac, ciry
SAC, MCWCC
Water Conn
Waler Meter
Accl. Qeposit
S/W Permit
SNJ Surcharge
Treatment PI
AVPROVALS
Planner
Council
Bldg. Olf.
Variance
Road Uni1
Park Ded. - - - - - -
•
Copies -
• 50
!
TOTAL ?
?
Permit No. Permit Molder Date Telephone ?
WN7ER
SEWER
PLUMBING 7 S?
r-I
H.VA.C.
ELECTRIC
Inapection Date Inap. Commenta
Foolings I ?? s d
Faundation
Framing
Roofing
Rough Plb9•
Rou9h Htg.
lsui. yk-M Pp
Freplace
Fnal Htg.
Final Plbg.
Const. µeter Pibg. InspecKOr- Nolity Plumber
Engr./Plan
81dg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
????? ..y? ?. •'1. ..?.•:.-?-. . ; .. . .. .. .... :.? ......... . _
PLUMB114G PERIUrIT ? For
CITY OF EAGAN PERMIT #
CONTRACT
PRICE
3830 PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT#
Sfte
Lot .
? Name
? Addre
c City _
Name
? Addre
? City _
PHONE 4548100
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PEA PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF EAGAN
Mult.
Comm.
Other
DATE:
New
Add-0n
Repair
RES. PLBG. ONLY - OOMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Waber Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - S3_00
? iGtchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - a3_00
Floor Drains - $1.50
Water Heater - $1.50
Whidpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10_00
-7-
Rough Openings - $1.50
U. G. Sprinkler System -$12_00 O
PERMIT FEE: ?•?? ?
?
STATES S/C: '
GRAND TOTAL: I???
09 G6/
G 33576 ? ??-?
Request Da?e
?/
8
/S ? Fire No. ?ugh-in Inspaction
ReQUiretl?
? Ready Now Wdl Notity Inspec
tor
h
F
?
tl
/ Yes G No en
ea
y
I licensed contractor ? owner hereby request inspection oi above elecirical work at:
Joo Abdress (Sireet Box or Route No.) ' Ciry
4 I,s
6
o
,
'
Section No. Townsnip Name or No. Ranga No. Counry
?'6 79
44
Occupam (PRINT) /f
?E ?i
? Phone No.
z, g ?( i
s9 r.C
Power Supply r ?
''
?
?
'
?? Atltlress
.4 n
0 TA
e c
? L
if
Elecvical Contra/d?or (COmpany Name) .
/? E CICL T Comracror§ License No.
Mailmg Atltlress ICo ractor ar Owner Making Installaliom , /
i?
'
fQ
24
? f-7
?K
1.?t ?./
1
Authorize0 Sgnat e IC nhactorlOwner Ma - all Yron) Phona Number
/J? n
' OV Z?
MINNESOTA S E BOAPO OF ELEGTRICITV TNIS INSPECTION REOUEST WILI NOT
Gtlgge-MWwe BIOg. - Room S173 9E ACCEPTEO BY THE $TATE BOHPD
1821 UNVertity Ave., SL Peul, MN 55104 IINLE55 PROPEF MSPECTION FEE IS
-1 "2-0800 ENCLOSED.
8/?.f/9v -4'FFECk1EST FOR ELECTRICAL INSPECTION
? See insimctlons for completmg this lorm on back of yellow copy.
?3 35- 7 rp "X" 8e/ow Work Covered by This Request
EB-00001-07
09&4 /
ew Ada Rep, ? Typeof6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Hea[er Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Olner(speciry) Connactor's Remarks:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEnlranceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
TfanSfOfinerS Above 200 _ Amps Ab -100 _ Amps
Sigf1S Inspectar5 Use Only: TO
?
Irrigation 6ooms ` ?Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTFIS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-In
Final oare ,??
oe? Qd
"
OFFICE USE ONLY
7his reque9[ vaitl 18 months Imm
Eagan Township
Dakoia Couniy, Minnesola
Applacation Eor Bnilding Permit
Tppe of building or work eoaiemplaYed. Circle correci deseriplions.
?esidenSial'' Commercial Indusfriel Olher....__..........__._-.----------_-._ ....:..........._---_-
i1
?8ui11 Eelarge Aller Aepair Iasiall Move Wreck Other ...............
' -_?
c
D1Tl1011810Ai..:.....?....._J....... 081".""""""""'_"_"'""'""""""'.._ .
h..........
\
c.^.^.: .....?.??:cc; ?---------------------- ........-'--------"'--'
Delails or remarks---CL--?-"ti2=.<.".........
Loealion
PERMIT NO. . --....
Date ....... ol-.?A.1-----.---•
Number StreeY Seiween whaf cross slreeis Siza Est. Valuation
Lo! Block ? Addii?on Rearrangemen2 or Tsae!
.
?""_"--"_" _ ? : v
Owner -------- - --' ................ Address .-'---'--...... _"
"-'__""'.......------------------ / q ---.....'_'----'- `- ----- ----------"-'_'-'-"........
Contracior 6?:1?.'.::::L.cm:::._C...:.-L-./'??/-----"-'........ Address . ,------- ?.?.. .'J--_'_!'__......-L?----------- '........
The undersigned hexeby makes apalicafion for a permii !o
41. C? G? G?__.___.
Total fee eollecled do work as hesein specified, agreeing fo do all work in sYriek
'"""'°'"'"'"'"" " aeeordanee wiYh !he building ordinance adopled April 11, 1955
.
by !he Eagan Township Boasd of Supervisors.
Permit fees are no! --
zefundable. ' % . ............... .....-----`'----`----......_._....._..
' r%5i4ned
EAGAN TOWNSHtP
BUILDING PERMIT
Ownet ....... ?....?--•-"
Address (PSesen!) :............. .............................................
Builder ...?...ScC...'!^.-A.f,?.t...?t.....................
AddTess .... ...
.........................
N° 2086
Eagan Township
Town Hall
ne:e ........ Ff ?:OAf-----.---.--.-
Siories To He Used For Fron! Depih Heighi Esf. Cos! Pezmif Fee Remarks
? p
??
./ S'u
.a-v 3dy s,y-d .[?/a• ? /v " ; Ot-.Co
Siree2, Aoad ox oiher Dasenprion ot 1.oeanon I i.ot nloet eaamon or 'naai
This pezmit does aoY aufhorise the use of sfreels, xoads, alleys or sidewalks nor does it give the owner o: hia agen2
the xight !o creale anp sifualion whieh is a nuisance or whieh presenls a hazard fo the healih, safeiq, convenienee and
general welfaxe !o anqone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR S5.
This 1s fo eexrifp, lhai.I -?-*?...rY..r....?........ has permission !o erea! a._.. .... ? .. ............... .. upon
/ - --'• -•-
!he above deseribed psemise subjee! !o the pravisiona of the Building Ozdinanee foz Eagal! Townshi adop2ed April 11,
1955.
......................- --...°-?- -- -?--•-•/'?'?'?"?'??'r':------....._..--._.. Pez ------°°-... ..... .?......(l?:-!a--.?..............-°--
Chair?n of Tnwn Boerd Suilding Inspeelox
0 7r
CITY OF EAGAN Np 1 8 1 66
3830 Pilat Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-6100 /tK'q1'1.1
BUILDING PERMIT Receipt # L?Q I
?
Tobeusedfor ADDITION Est.Value $18,000 pate JULY 19 1y90
Site Address 3061 PINE RIDGE DRIVE
Lot 38 Block 4 Sec/Sub. OSLUND TIMBER- OFFICE USE ONLV
Parcel No. LINE Occupancy - FE ES
m
Name KEITH KELLNER Zoning
(Actual)Const _
BIdg.Permil
$189.00
w
o
Address SAME
(Ailowable) _
S
h
9.00
City Phone 454-5673
SofStaries urc
arge
123
00
201x121 Pian Review .
Lengih
a Name SAME Deplh 15Lc12' snc,cty
}
?? AddrBSS S.F. Total -
?
City Phone
S.F. Footprints _ SAC. MCWCC
Water Conn
On Sile Sewage _
?w Name On Site Well - Waler Metet
?3 AddfB55 MWCCSystem _
0
<W
City Phone
CitY Water - Accl. Deposit
S!W Permit
PqV qequired _
I hereby acknowlege ihat I have read this applicalion and slate that the Booster Pump - Siw Surcharge
inlormalion is correct and agree to comply with all applicable State of
Minnesota StaWtes and Cilyof Eagan Ordin Treatment PI
?/
Signature of Pefmilee f 4? APPROVALS Road Unit
A Buiiding Permit is issued to: Plenner - Park Dad.
on the express condition that all wor sha ba one in accordance with all Council -- .50
applicable State ot Minnesota Sf es and City of gan Ordinances. BIdg.Off. _ r-oGies
$321. 50
Building Official Variance - TOTAL
?
- ?
tI/
1990 BUILDING PERIIIT APPLICATION
CITY OF EAGAN
f 1
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET pF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED,
PERMIT MUST SHOW A LICENSED PLUMBER.
.JUL 16 RECD
To Be Used For: valuation: ( S 00Date:
Site Address 30 6 JAwe d;Fe ?jf
Lot 3B Block 4
Parcel/sub DSLAN?b TIMBGP.LIAIE
Owne r
Address 3u?! `,/Vt.
City/Zip Code ?"?L/??/V ?/ /?/?
Phone
Contractor
Address
City/Zip Code
Phone
9rch./Engr. _
Address
City/Zip Code
Phone ii
OFFICE USE ONLY
FEES
Occupancy
Zoning
00
/89
Actual Const Bldg. Permit ,
IAllowable Surcharge 9,00
I# of stories Plan Review 23. 00
Length X? SAC, City
Depth I$7? Z? SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Park Ded.
_
Booster Pump _ Copies .SO
SUBTOTAL
APPROVALS Penalty
Planner TOTAL 1.? 0
Council
Bldg. Off.
Variance
. ?
61 x i2 = ti% XtS= T?20
No8r3? ??r. I< i?Cf?-'/
?2?C I'z= !Uy
/5112 XIZ%_ r?I C?
330 ?5?= ??SS3?
?? S so mn r?6,c??
.. ? - •? ?,
.
? 1 ? . j
' ?-ao?d
LCT AND FARM {VRV[Y8 ? - 7OPDORAPNICAI ?
GONQTRUCTION iYRVEV6 PunINp . .
ROBERT A. BUSCH
RC01lTtRmUMOER LAW60I6TATlMY1NME80TA
H? SCAIE ? 11 JG
7507 W. 87b7 ST.
MINNEAPOLIS, MINN. 55408
s?? d N
L _ ... .
_ _ - - -ISO--- - ?
,
I 1 ,<,?:?-re::??.,.n;F FHSC+ncn'r 1
,
iS ?
? NEW ! EUS?wG , nEW ?; .
, ................ __ 35•
? I N? nRC-PC::F ?' r+ L>
Q i . 4$ 44 Y3 ?
? ; 4 o P (
?y LL
?
I ! ?
^T _
' 35
? 1?1CU?e5 Zror
I ht*eby ceztify thet this as a t:ue and crrrpr.t reFresentaLion
o`' a surveX of thc, houndaries of lot 3S, ;5lock e, OSLL'ND T1Y.?ERLI1::
ACDI1tnN, ilakcta Ccu^ty, fiinnesota enA of the lor.ation o` alI
nuild+.nqs, iF arv, inc:eor, anr ell visiola enrroacnments, if erly,
frnc.r,r on s?:iC land. 7he survey aiso shcis th2 lr.cation of the
stakea zs sF; fcr e propo:,eo dwe]ling. .
ns s?rvey•ac Fy me this 25th day of f+avember, 196U A.D.
r
. . ' + - SIGNED ' ' , , t' ? • ,
MINNESOTA REGISTRATION No. 7089
. ,
LCT AND FARM BURVHVB
CONYTRUCTION 9URVEYS
ROBERT A. BUSCH
-('and survemo.
NCOI6T6RCD YN9E11 LAWB OP BTATL OP NINNH90TA
PHONE 624-8899
1507 W. 87sr ST. MfNNEAPOLIS. MINN. 55408
Sctnueom d 1cow
;;;- -7,-.
?, ? ... :
- - -150---
?
? ? ? ?il.lTY ? G4?•r.J)>?: EH`!'FiLM7
? i
- t? -'
? ??r trJr- i
! ? I d,
i
4E
7 '
? LCT :$
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?.
26
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PftC PC:.FC
. ....,._ 'dC
s433
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26
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-s?-an
TOPOORAPHICAL
PLATTINO
SLALP 1"= s'j'
N
I
?
75
+Inc???_a?es ?.o?
I ht'*ehp r.ertiF'y chat f.?_;. +q a tt?te and ', rTCr't r?Fr-•^t:,t<•i•,
nf a?!iruey of thr baund3rfe?a oK Lot ??.? ?lnc a4, O;LU.:;i ( l.i ?-c i;i i.;
f+^01!?hekata ?cd of' ' he 1r)ratf,in r,t , 1J
b:A.ld];7f13' .iP af!1', t,ncrr:nr, Biit1 :JlZ Vi"ib1C+ FncPOiChincilt-, S( ':r.?r
?n s:;id lord. 'hn survey alao ^hn,.s tha ;ccati? ? nf thv
siakez.; ?t sclt fcr r. p;opasorl duelLinq, ,
A: s..rveyeri ty me thin _`;Vi day cf i.4vcmh;?*, 1`j08 P.U.
; .`
j i //
- r SIGN ?
EO _ ?7_f. ?'?-.2. --!.?_...
- MINNESOTA REGISTRATION No. 7039
I
?
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?
I
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0
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41
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,
1
-?O
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minaesota 55111
Telephone 454-5242
PF.RMIT FOR WATER SERVICE CONNECTION
Date• October 6, 1969
Number• 336
Billing Namei,arrv Mi11Lan Construct?on 5ite Addreas,3n6i Pino R;tigP R„aA
Owner:
Plumber; RaYmond E. Haeg Plumbing
Building is a;
Residence !,
? Multiple No,
Commercial
Industrial
Other
Billing Addreas
Meter Size 5/8'f Coanection Chg. 2 0 00 = 10/6/69
Meter No.6732544 permit Fee 7.50 pd. 1016169
Meter Reading 11100 eeez Dep. -50.00 pd. last sprii
er & had
Meter Sealed: Yes Add'1 Chg, to buy dup. Thia
- house will have
ND 1bta1 Chg. meter that was
re laced.)
/
Inspected by -
? o
Date
&emarks:
By:
Chief Inspector
In consideration of the iaeue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of Sagan Townahip, Dakota County, Mianesota.
.
By:
Please aotify the above office when ready for inspection and connection.
EAGAN T(1WNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVIC$ COIdNECTION
DATB: Octaber 6, 1969
OWNER• Milli.man, Larry
NUMSER 47P
.
Addiess 3061 Pine Ridge Road `jf(- 4 ?m?.
PLUMffiER Ray Haeg Plumbing
TYPE OF PIPE cast iron
DESCRIPTION OF BUIIUING
Iuduatriall Commerciall Residential I Multiple Dwelliag I No. of units
R%
Location of Conaectiona:
Connection Charge 200.00 pd. 10/6/6g.
Permit Fee ? 5n pa /F?69
Street Repairs
Total
Iaspected by:
Date
Remarka•
By.
Chief Inspector
In consideratioa of the issue aud delivery to me of the above permit, I
hereby agree Co do the proposed work in accordanee with the rules and
regulations of Hagan Toi•mship, Dakota County, Minneaota
By44!ir,.n4Z G. ,/,* . - LC-«-z,.?
Raymond E. HaizA Plumbina
7226 Cedar Avenue South, Mpls. 55423
v
Please notify when ready for iaspection and connectioa and before any portioa
oE the work is covered.
gj 1999 BUILDINC .PERMIT APPLICATION (RESIDENTIAL)
3
New Consirucilon Rea?IremeMs
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
? 3 regLstered sHe surveys showing sq. H. of bt, sq. lf. of house
and go roofed areas (20% maximum lot coveraae allowed)
D 2 copies of plans (show beam 6 window aizes; poured ind. design; efc.)
? 1 sM of energy calculatlons
D 3 coptes of free preservafion plan B lof plalled atter 7/1/93
DATE: ? ? z'?
?
DESCRIPTION OF WORK:
STREET ADDRESS:
'!? 1--I 1- -I C??
Remodel/Recair Reaulrements
2 coples of plan ? ?
1 set of energy calculaNons for heated addMions
1 sNe survey for exferior oddBlona 8 decks ?
cF?
CONSTRUCTION COST:
Y lc4k
LOT: 12r BLOCK:
Name: drl? Phone #:
PROPERTY aat FIM
OWNER
Sfreet Address:
City State: Zip:
Company: 12OG"le Phone #: ZS/?Y06-
(area eode)
CONTRACTOR /
Street Address:? S?v C /Pn., eAec. /??-- License # Zd/38Ui4 Exp. 03-JO'G
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Streel
City
Sewer 6 water Iicensed plumber (reaulred for new construcflon ontvt:
State:
Penalty applles when address change and loT change Is requested once permR Is Issued.
Zip:
I hereby acknowledge thot I have read fhis applicaHon, sta}e fhat the fnformation is correct, ond agree to comply wMh all applicahl
State ot Minnesota Statutes and Clty of Eagan Ordinances.
Slgnature of Applfcant:
Certificates of Survey Received _
Tree Preservation Plan Received
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
Regishation #:
OFFICE USE ONLY
6UILDING PERMIT TYPE
? 01 Foundation O 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Sofrits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
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:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding
?? ---I
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
.
SAC Units
% 5AC
cnN7rNuC
' r.,t:TV c;r ?:nera??
(:.T.7
v r.iF ?.A;aax
CFlSH7:Efi: ::!S 'II:'Fii'iTNAL NC: 99:3
f:A51-I:I:L:F;; .:I$i `i'F'I't'ti:tNAL. Adi]:; 893 IiA'TLH pf3/31/79 'T'Ii'flc: 1038::1:3
OA?F:;; 00/31 !99 "TIiliii:.^, 0:38:0
ID;;
1D" Nr1r;l_r, hd._CC1VE fi0U1=T?G ss 4,IliI?G
\At11's : AL_CC)VI = Fif.ICiFT.Nt; t. SiI IIING
32W 9001
3(]61
PINE RLlG D
W
'
25 32:I0 '_?Or] I 3960 CItiAI3AR DSi !.+.1.25 .
.
f 21.55 '?Obi. 3960 i.INAY:lAR TIR 2
50
20e; 900:. 3061 r•:rNc f;ric 11 <<„e;a •:;c.?.rJ ?,.? +pf)i. o
??
qr ,,..],3 ?;.,?, ...r, Li,,?TpN..i_ 1
3[]
r
,
3c.1..0 9001 3752 1:!ENMAf(K i'li 139,:25 2155 ±Ofl:l. .
.
_,
4253 SANDf.iTfJi:E': 3
50
205 sr,o:i. 375e nENMnnF. TP't 3.50 .
3210 9001 3766 NlraD7r.rF D 0025
205 9001 3766 iti.r.NzrrR.r:..r-_ D 5.00
3210 9001 3770 W:[NLiiRl=1- D 20905
205 9001 37r'0 117:1!TiT"I?li f.: I:i 6.00
SIHQ 9001 2035 CORAL. I._N i.`i;i3e25
205 `+Of:l:l. 2055 C:Or:Al... I._N 4.00 rota:l. Reiaci.pt Amrurrt: 17i.25).75
CRi.itoE?4D
r.:;;.W40 cor,rIr,ur
- ??::- Llol_4? .
0E
JAh1
L)5c4i SI?: JAN .r,(7Ni'It,',-t1F
?k.'k'?CIk9F%'f.YS:n?:kY6}kXC 'N, 'Myt?k1$ Y(•'k:5e$Y,!:F??:>X>b'MriC>YY,<m>KM `?>k?#'M? Y„>n:'??k?;C?:?):tnt%kY?)k%k%?'K'kY,(7YX,<Yti n)':%k%'r.)n??.A()n?F7k>Y?:?;#XCFF7X7t
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3061 Pine Ridge Dr
Lot: 38 Block: 4 Addition: Oslund Timberline
PID:10- 55300- 380 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Brenda L Wettengel
3061 Pine Ridge Dr
Eagan MN 55121
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA082456
04/03/2008
ePermit
- Applicant -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3061 Pine Ridge Dr
Lot: 38 Block: 4 Addition: Oslund Timberline
PID:10- 55300- 380 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$90.00
Owner:
Brenda L Wettengel
3061 Pine Ridge Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
Building
EA091371
09/30/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Use BLUE or BLACK Ink
l.._
For Office Use
., j :::::eei : L/i 7
City o Eaaall I / n
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 ' t
Fax: (651)675-5694 I Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
7/19/2017 Site Address: 3061 Pine Ridge Dr unit#:
Brenda Wettengel 612-743-6846
Name: Phone:
Resident(
owner ; Address city/zip: 3061 Pine Ridge Dr. Eagan, MN 55121
Applicant is: Owner X Contractor
Remove & Replace 32 sq squares of vinyl sidin
Type of Work Description of work: g
$ 8500.00
Construction Cost: /No; Multi-Family Building:(Yes )
Roofing&Restoration Services of America LLC Ashton Lemley
Company: Contact:
310 Jefferson St W. Waxahachie
Contractor Address. City:
75165 763-515-9501 alemle fsb rrsa.com
State: TX Zip: Phone: Email:
y�rooy
BC639638 NAT-81738-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE,W.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:
Fire Suppression 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 specificTreasonns.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.000herstateonecall orq
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 I4 L-e,,..,, � 2
Applicant's Printed Name ( Applica'nt's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
City of U� 11 Permit#: /V-52‘)
( j
Y
Permit Fee: /67
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections(acityofeauan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
3061 Pine Ridge Dr.
Date: Site Address: Unit#:
Brenda Wettengel (612)743-6846
Name: Phone:
Residents 3061 Pine Ridge Dr. Eagan, MN, 55121
Owner Address/City/Zip: g
Applicant is: Owner X Contractor
Type of Work
Description of work: Re-Roof 35 squares of asphalt shingles.
Construction Cost: $5,250.47 Multi-Family Building: (Yes /No X )
Company: Turco Construction Contact: (763) 515-9501
2951 100th Ct. NE. Suite #130 Blaine
Contractor Address: City:
MN 55449 (763)515-9501 Bmandel@roofsbyrrsa.com
State: Zip: Phone: Email:
BC287552 NAT-81738-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
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.
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 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.
Nie 1
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147269
Date Issued:12/21/2017
Permit Category:ePermit
Site Address: 3061 Pine Ridge Dr
Lot:38 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-380
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 -
Brenda L Wettengel
3061 Pine Ridge Dr
Eagan MN 55121
Premier Installation LLC
6205 University Ave NE
Fridley MN 55432
(763) 614-9548
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
Permit#: /. /11 73/
EAGAN
__., RECEIi
Permit Fee:
Date Received: 171- 9-//
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 0 9 2019
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCcilcityofeagan.com ,
2019 RESIDENTIAL PLUMBING'PERMIT APPLICATION
Date:1- ! Site Address: `�C)k P �, �I 1� ( �� _151,4
Tenant: Suite#:
Resident/Owner, {
Name: 161114 t‘SPhone: 4 gI
�Address/City/Zip: 3D� � VA„ ..__._
Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376
CO C1tCaCOI•
`. Address: 1801 50TH STREET EAST City; INVER GROVE HEIGHTS
• State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
Type of Work —New ,Replacement i Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
_Water Heater
Lawn Irrigation( RPZ/_PVB)
x Water Softener
Add Plumbing Fixtures( Main/_Lower Level)
Description Septic system
Description:
New -
—""
Connection to City Water from Well
'Abandonment
RESIDENTIAL FEES .N
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges
60.00
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)-414.0002 for protection against underground utility damage, Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecali.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofoagan.com/subscribe.
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
ac rdance W th the approved Ian t e case of ork which requires a review and approval of Ian
Applicant's Printed Name App cant's Signature
Page 1 oft