4731 Ridge Wind Tr ! ~ C~
Receipt f r~ MECHANICAL PERMIT Permit No.
CITY OF EAGAN
, Fee _ ~ ~ t
~ ~ fillinnumberedspaces S/C . ~'G •
Type or Print /egiWy Tot. ~
4 l_
1. Date f~~ 2. Instaltation Cost C~ C~ •
jj„i , d I
3. Job Addre - ~ LoF ~ l Blk. L Tractr'1 -
7Z t l'~~1 Tr,
4. Owner ~ . s~--~. ~ + _ ~ ~
~
5. Contractor \ ~ z i Phone ~J '1J - ~ C., ~
6. Address C; G ,t•_~_~Jt~ _1tr--~J ~F._~. )_r~~,,
c~~v `,~~1 st~ca . r .r .~v. z~p - ~
~ ~
8. Building Type: Residential I~ Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe • a Fuel Type ~ n_t_ ~
11. No. Eauinment BTU - M. Ea. No. EQUipment CFM
~ Forced Air , C• G- Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
Receipt ~ PLUMBING PERMIT Permit No,
CITY OF EAGAN - ~ ,
. Fee
~ Fill in numbered spaces S/C ' •
Type or Print /egibty ; ;
Tot. ~ "
~ .
1. Date - ;i ~ 2. Installation Cost ~ ~ ; r ' ` '
, i
3. Job Add~ess ~ Lot~Blk. Tract
~ `
~
4. Owner _ , ~ r
5. Contractor' 1;~_~ ~ ) Phone
. f
6. Address !-r % :
, ~ 1 ~ t . ~ I
, ,
7. City - ~ , , , ~ 3 State ~ ; ~~1~ Zip -
8. Building Type: Residential ~I Commercial O Institutional O
9. Work Description: New Add ? Alter ? Repair ?
10. Desc?ibe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Show~r Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
~ Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for - -
' Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN Remarks '
Addition P~K RIDGE 1ST ADDN ~ot 1 R~k 4 Parcel 10-56750-010-04
Owner street 4731 RIDGE WIND TRAIL State ~GAN MN 55122
Improvement Date Amount , Annual Years Payment Receipt Date
STREETSURF. - +
STREET RESTOR. 1Q2 a -2 -8
@Rf49FfdG -
SAN SEW TRUNK 1 9$1 1 11~ $ 1- 1-83
SEWERLATERAL 2 ZO- -H4
WATERMAIN
WATERLATERAL 3 6.35 C009901 1~-Zg-Bf+
WATER AREA 1 H1 1 - -
STORM SEW TRK ; 3]~.93 C009901 10-29-84
STORM SEW LAT 1 8 1 1 109.58 "
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4SO.OO
BUILDING PER.
SAC II
, PARK
, HOUS HEA ING TEST RECORD
ADDRESS " ~ , APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. ~6 V G 7SD "C JO-O
SQLD BY INSTALLED BY
El~ctrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS OESIGN ~ CONVERSION
MAKE ~ MAKE OF BURNER
Modsl ~ Model
Serial Max. BTU Ratiny
INPUT MAKE OF FURNACE
Model
CONTROLS
THER 5 t Plug Vsnt Size
Valve KIND OF LINER SIZE NONE
L1mit Drah Hood Rpulato~
LimiT S~Min Filfsrs Size Number
Fan Se'*'^a~s~ Chimnsy Locotion Inaide Outside
Pilot Ty Chimney Construetion
Pilot Mak , /
Pilot ModR~ Smoke Bomb Wiring V
Pilot Timing Draft -r Test Tap
L.W. Cut ff Door Pressurs Liyhtiny Inst.
Pressur Pereent CO~~ ~ Dafe Testsd ~ `
Input CFH Psresnt 0 ~ Company Testing ~
Stack Temp. Psrcent CO Name of Tsat~r
Form 235
_ . . . . w+a-^ ~ry . ~ . ~
c~rr oF EAC~?N S4nq
• 3795 Pllot Knob Rood Eogen, IYIN ss122
PHONE: 454-8100
BUILDING P~RMIT Receipt #
To 6~ wad for S~ D~'`Tc~~"~~ Esr. Value ~51,0~~~ aot~ Seutember 22 , 19 83
Site Address 4731 Ridge tdiz~d Trail p~_ ;
Erect ~ Occuponcy
Lot Bixk 4 Sec/Sub. I'ark ~tidFe I~Iter ? Zoning l
10~-56750-010-~4 Repoir ? Fire Zdne ''1~
Parcel # G~
F.otin Olson Enlarge p Type of Const.
oc Name Move ? # Storie~
Z3 Address ~ t~ ve. So. pen,olish p Length~
b Bloo~in~ton pho~ 854--5529 Grode ? Depth 5q. Ft.
RUBCOri HOiileB ApProrais Fae!
°C Name
z~ 0 l:. 1~+6 Cll S t. Assessme~t Permit ~
o Address
C~~ t~urnsville p h one ~`~2~1433 Woter & Sew. Surcharge J~•~~
Police Pion check 1"+3.7n
W W Name Fire SAC ~~J
~ ;
Address Enfl. Woter Conn. ' '
~ W C~ pho~ Plonner Water Meter ~
Councif Rood Unit ~ ~ ~ ' ~ ~
1 hereby acknowledge that I hove read this application ond stote thot 81dg, pff.
the informofion is correct und ogree to comply with oll applicobte ~PC Total
State of Minnewto Statutea and City o4 Eagan Ordinonces.
5ignntute of Permittee ,
J
A Building Permit is issued to; on the express condilion thm
all work shall be done in occordanca with oll opplicoble 5tote of. M1~nes6tc Stotutes ond City of Eapon Ordinances.
_ ~
8uildiny Official
Permit No. Permit Holder Mise. Permit No. Holder
Plumbin9 ~~(p~ h ~j ~ •
H.V.A.C. L111~ C(}` @Gl ZF ~ q-T7 ~o`~i
Well
Weter
Disp. '
Sewar •
e~~e~~~ ~a o I o4 B~ L ~ ~ ) ( -~l ~8'3 ,
Impectian Date Insp. Other
Footings ~
Foundation
Framiny
Rouph Plby. S~
Rou~ HVAC ~
Inwlation
Final AI6y. -
Final HVAC z ~`,y~ ~
Final vJ{
y~~r Describe Location:
YYell ~
Sewar
Pr. Disp.
CI7Y OF EAGAN WATER SERVICE PERMIT
3R30 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ~ ~ s~ 1
Eagan, MN 55121 Di1TE:
Zoning: K 1 No. of Untts: 1
d1N11l~: '~LFSCOTI JfO.'.ip$
AdfJ?CSS:
Slte Address: ~731 2id,s~,cs wif i~r PaF3: It ~~ii~*n
Plumber: =~tax YI' = t:XC
Meter No.: Connection Chorge: 4 S~. ~i0
Size: Atoount De
posit:
Redder No.: Permit Fee: 1t?.C~ ~iu
1 e~ew to eanplp whl~ N~e Ciyr of Eagen Surcharye: . 5t1 :~ci
~~a~~ Mtsc. Charyes: ~~ry nu "~et wr
Total:
BY Dute Poid:
Dofe of Ir?sp.: Inap.:
: . .
CITY OF EAGAN SEWEIt SERVICE PERMIT
38~d Piloti Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551?~„1I DATE: 1~'~°'
Zoning:
No. of Units:
p,~,r,e?: Ru scon t4o~e s
/4ddress:
Site Address: 4~31 Izid e hind Tr L1 i~4 ~'axi; Ridge
Plumber: Stal' Plbg w ixC
9-22-83 .i8y(z3
1~9re~ fo ae~nVhr whh tM Cilp of Ee~on Connection Q~orpe: Q 25 . QO ~lc~
Oedinanees. AtoouM Deposit:
Permit Fae: 1 ~J • 0'
Surchcrpe: P
By Misc. Chorpea:
dote of Insp.: Totdl:
~ ~ ~ Dot~ Peld:
, 8H+ GF-SP j,~. Include 2 sets of plans,
, . ' . . 1'~~~` ~ L ~ 1 site plan w/elevations &
~ BUIZ,DING FEfd~ffT APPLICATION 1 set of energy calculations.
.~Ga^r` ~"/~DOd
Zb Be Used For 5in~le Famil~ Valuation ~`°Y°~°" - Date 2O'~
Site Acldress 4qg1 Ridge Wind Trai~ ~ ~ o~'ICE USE o~,Y
Lot Block y. Sec./Sub. Park Rid e ~~t p~~~~y
Parcel ~ " ~~-1 So - o (O Alter Zoning / .
Repair Fire Zone ~
o,~mer: Robin A Olson ~1as'ge Type of Const. ~
Address: g125 15th Ave So. A9°`~e # Stories
D~nlish Front - ft.
City/Zip Code: Bloomington. MN 55420 Grade Depth y ft.
Phone 854-5629
r.rPROV~s r~s
Contractor: R~t scon Homes Assessnents Pexnut
T~7ater/Sewer Surcharge „tS~-
Address: 1000 E. 1$6th St. police Plan Check~
city/zip coae: Burnsviile. mN 55337' Fire - SAC ~s-as-
E1ig. Water Conn. yS0
Phone 432-1433 planner Water Meter ~
Arch-/~g•: Probe En~ineerin~ ~O~il xoad Unit a~~
Bldg. Off. ~ ~ ~
Address: 1000 E. 146th St. ~ ' '
' City/Zip Code: _gurnsville, MIV 55337 a. n
Phone 43?-~Qpp ~TAL ~-l ~j~l
~ ~0.r~ ~USC°o~
~ p~ar~ ~-o t-E~i dEr~-4~a1
' ~ CITY OF EAGAN NO g~g9
3795 Pild knob Read Eogan, MN SS112
PHONB: 454-8100
BUILDING PERMIT ReceiPt # ~~7~ ?i
Te M wad for SF DWG/GAR Est. Volue $51,000 Dote September 22 19 83
Site Address 4731 RidQe Wind TYail Erect ~ Occupancy R-3
Lot 1 Btock 4 Sec/Sub. Park RidQe Alter ? Zoning R-1
Parcel # 10-56750-010-04 Repoir ? Flre Zone NA
Ro6in Olson Enlorge ? TyPe of Canst. . V
rc Nome Move p # Stories
~ Address 9125 15th Ave. So. Demolish ? Length 3~
Bloomington phoM $54-5629 Grade ? Depth Sq. Ft.-
~ Narne Ruscon Homes Avororals Fees
Add~eu 1000 E. 146th ~St. _ Assessment " Permit 286.00
~ Bux'nsVille - phone 432-1433 Water 8 Sew. Surcharge 25.50
F Police Plan check .
~0
Fw Name Fire SqC 525.~~
Address Eng. Water Co~n. 450.0~
<W Ci Phane Plonner Water Meter ~9..9.0_
Council Raad Unit ZS~.~Q
I hereby ackrqwledge that I have read rhis applicorion ond stote that g~dg. Off.
the intormation is wrrecf ard agree to wmply with all applico6le $1739.50
Sfute of Minnesoto Stotutes ond Cily of Eagon Ordirronces. APC Totol
Sipnoture of Pertnittee
uscon omes
A Buildin~ Permil Is issued ta: on fha exprea condition thni
o~l work sholl be done in accordnnte- with oll appJi b~e St te tatuten ond City of Eagon Ordinancea.
Building Official
G
Thisre0uestvoid'I..L~ I 1 h,l ~^~,~J ~`a/~~ 3`~'r a~(
1B monlhs trom ~ ~ G^I ~ p..'t ! yi. l~ t~i'rc=
V 3~~
Nequest Date Fire No. Rouph-in Inspectinn .
Nepu r ? ~Heatly Now ~II Netifv. ~~sDec-
~ ~ ?No ~or When Peatly~~
mensed Electrfcal Contractor 1 herabv requestinspac[ion ot above
? Owner elactrical work installad et: ~
Sireat Address, Boz or ouie No. Citv
~ (~3 i.Dc~~ c~.t~ `~i4ci~ ~~~t
ecl~on o. Township Name or No. Ra~ge No. Cou/n~ty' '
~-/TG_t/ I '
OccupentlP T) Phone No.
~
Power Supplier Address
p~ Gt~~l ~~t-
Electri~al ConVactor ~Comoany Namel Contractor's License No.
L ~ c~ ~ O
Mailing AdJress (COnVactor or Owner Making Ins[aila[ion)
/ ~~r-' Ss 3?
Auffiorixed i8nat trac[or Owner aking InsT lation) Phune Number
~QY-
MINNESOTA STATE B PA OF ELECTPICITY TMIS INSPECTION REQUEST WILL NOT
G~iggs•Midway Bltlg. - Xoom N-191 BE ACGEPTED BV THE STATE BOARD
1821 University Ave.. SL Paul, MN 55106 UNIESS PROPEN INSPECTION FEE IS
Phnnw 16121 29].2711 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-oa
' Sae instructions for completi~g this form m back of vallow coOY•
pj ""X"" Below Work Cove~ed by This Request 3~~~
A d Rep. Type ol Builtling Apo~iaocas Wi~eA Equiomenl Wired
Home Range Temporary Service ~ -
Duplex Water Heater Ligh[iq Fixtures
Apt. BuilAinc~ Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloade.r
Industrial Bldg. Air Conditioner Bulk Milk Tdnk
Parm Other D~-e~ Y ~~he~ ~Sl~er.ifyl
iher pecify O~her Other
ompute lnspection Fee Below
p Fee ServicaEntranceSize tt Fee Feaders~Subleeders N Fee Circuits
Q 0 to 200 qm s 0 to 30 qm s ~[0 30 qm s
Above 200 qm~s 37 to 100 Amps 31 to 100 A
Swimmin Pool Above 10U-Am s Above 100_Amps
Transtormer5 Irrigation Boorrs ~ Partial%Other Fee
Signs SpeCiallnspecTion S ~ m
70 L FEE
Rema r ks
Roueh-in r ~ate
) I, the mal
1~~ / ~ Inspec[oq hereby
certity thet the above
Final 11e ' gpection has been
. 1 made.
~hia repuast voiE 1B montlq from
AOBE COHSUITIHO (HdtH(~flf
~NGINEE~AING p~AHHI~i nnd LAND ~UAVtYOAS
COM~PANY, INC: ~ ~ ~
L ~1000 CA.ST 14~A STIICCT, EIxIHSVIILC, 1lINNC]OTA 53~77 1'H ~J2~3000
cc r-~ c ct o~ ~Su~-v-~ y
~dg~rt I~e.~ ~~~A~~on
LOT BLOGK 4, PARK RIDGE
DAKOTA GouNTY, MINNESoTA.
R iqy~
FU7URE GURB 1~ C93~ 3-)
M ~~'L'D
~Qj`3\ . Q:3s t', ~T~'< .
~ ~ Iy.
~`7i~.6 0
93 2 ~
eo
~ 3e ~ -
SFTBAGK uNE ~ \ Ra~ ,
~ J
NOfZTH ~
~ ~e ~3r
SGALE 1"=3p• W ~ `o
0
M~ S39 g39,8 Mo q>i?o 1
0 ~,Q1 ~o, J / l.~ /
i~ p 95~ ryo 0
M / i e„J / ~ mM
~ 0' a, ry
. ~ K va~ ~ ~ N •
%r~p°~ ~ ~zo ~ ~
DRAINNI'aE ANO U71UTY E.s.SEMENT . ~~tiJ 3~0
p~ . , O
~ ~ N / o, o
L~% T : ~ p•V
<9 ~
=I ~ T ~~;6
6s' ° ' ti
~ F~r.7is~fE.D Gea4~ P+.r»~
B L O G K 9, ~,o~ / 4 ~ ~ ~Q„~,, = g 39 . g 3
'S1.0
1 /
i. i 1 NS
k~~\~ / i: li'~ ~ ~ 7 ~
0
. Ns _
i z'I.o'~ i~',-~or'E~5 E,c~sn,~s E~C'?. =~3~,c~
9t-t~o) I~1orES PR.~PoSEJ E~G?. = ~35.a~
/AD~u~rES D~REcria~l ~
' t.:i ~I lp SJRFAL.~ DR~k~~?AC. E
I hereby certify that tliis is a true and correct rr.pre~entation of a tract of land as shown and
described hereon. As prepared by me on this /~f~ day of ~n/.~~ , 19 ~3
~t~.~...f Minnr.~ota Registration No. ~~°$S
~'OBE' ~pHSUlTtHO (HOtN[(141
~NGINEE~AING P~ANN(AS and LAND ~t1AV(YOfIS
COMPANY, INC: ~ " ~
L .~1000 WT lith 3TIICCT, DUftH3VIlLC, f11HHCi0TA SSS)7 ~H ~72-SO00
cc r-~ c cac o,~~'z~'-v-~ y
~d~4I crl,~L~on •
LOT 1, BLOGK 4, PARK RIDGE
. DqKOTA Gou~tTY, P'~6NNESOTA. . ~ .
RipG~
C93, 3
vu7uRE w0.6 1A ~
N ~/.yp
C3 j' . 4:3s s'''+ ~T~,< .
~937.6 0
I\ \ 9J3g c',a
~ SfT6ACK LINE~ I \ \ ~Q~' e~
'~e ~js
NoRTH ` 4~' J
SGALE 1"=30' =W ~
I 9\ 93p p ~~ti7
0 9~~~v o~O•a 8~~~~~ ~ l~ ~v/~
~a I iB tJ /ti ' c. t/
. . ~ , ~A y rQ ° ~ o-~ ~ _
~ ~ v~ ~ ~ P~ ti
DtcwtMA.G.E ANO J71UTY EASEMENT .Z~~SJ 3b,~0E r
~ /r~'s~0 / /
, T / ° ~ N
~ i o. a°
a..~i ~ : ~ Ay
<9 ~
I ~ T ~93~361' ~~O ,3 ~
s f~a~s.(ED Gn+R.a~me. Ft.na4
BLDGK 9,~,e~ / 4 ~ E~lAnua = R39•g3
31.0
~ ~ \ ~ /
s /
i_.i~ i ? ~'r y~.r t:ti'(l..'.)7 ly
t's _
4.. • 9z~.o ~ UC~-~or~5 G~~sn~6 E~/. =~'S~,c~
9s.~•o) ~r1c+ES PRoPo~ E~G-~~ ° ~35.a~
~ //~1D~t.qrGS D~REc1'~o~.! o~' „
Z.:: 1 v~s S~RFAC~ DRa„~~nc E
I hereby certify that this is a true and correct repre~entation of a tract of land as shoWn and
described hereon. As prepared by me on this l~f~ day of , 19 ~3
~~e*-> / .d'~~ Minnesot~ Rcgistretio~ No. ~6°$S
. . - _ _ _ _ ~ Yri1LL1YS YLAtV JtitYll.~
~ ~ - . : ~
- - . -
. ~~.r. _
_ . t- ~ ~ , . . ' . , .
- EXTERIOR ENVELO~ E kVERP.;f "U" LDMPUTATION _
, } _
, : , ,
.
pWNER , .
~ < , - _ . .
~ ,f 3 SITE ADDRESS : . :
£ . - <
~ CONTRACTOR R~ 5~ H e rut E~ f~ DATE : PHONE - _
F , - _ .
_ . _ . , f . .
. . ; . . . . : ~ - - .
F . . .
~ . „
~ . , .
~ • Determine working square foatage of each.
~ 1. Totai exposed wa~l area t 862 ~ sq. ft. x .18 ° 335• /6 ,
~ 2. Total roaf/ceilin area Q(e!~1 _ sq, ft. x .0: = Y~5 ~ r°
g . .
4 • . ~ _
Tata] exposed wall area a6ove floor = 1(sfs,'7.2
a. Total watt window area ~ Z 9•Z
_ b. Tatal door area 3 R ` .
c. 7ata1 sliding glass.door area . g g
- d: Totai fireplace walt area -
. e. Total wall framing area (average 10~},,,;........ 2
~ • f. Total net wall area`above floor Z 7~. -
g. Total rim joist area 99.L
Total exposed foundation area = 4 5•2 ~ ,
h. Total foundatioa window area...
i. Toal net foundation area abpve grade 9 5• 2
betermine "U" value of each wall segment. ~
a. /29•2 X "U" •SS = 7/•0~
b. 3 8 x"U" ./39 = S• Z S .
c. 88 x „U„ .s = yy
-
a. - x - _
e. /4/.2 X "U" ./2 - /6•9H
f. /270 • S x ~~U„ • OS = ~15/-97
g. 49. 6 X"U" 05 • 9 g
h. X _ -
i. 95-2 X "u" •~l69 = ~yby
3 8 b a...........Total = 2 6/. ?
If item ~3 is the same as, or less than item ~1, you have met the intent
of SBC 6006(c)2.
. ~
_ _
- Total exposed roof/ceiling area 6 4
_ _ . . 9 _
r Total gross raof/ceil in area - 8(Dy -
_ _ . _ - . : . . _
~ j. Tota1 skylzght area : ,
F k. Total roaf/ceiling framing area B 6•'~/ -
1: Total net insulated roof/ceiling area..`..... 7 Z.2. ,
~ Determine "U" value for each roof/ceiling segment.
- x _ ! .
' k: . ab.y . . . x ~~U" .~35 = 3 •~2.
1. 'l72.2 x ;pa,., _ ~~.2 .
4....... ..........~Eay.........Tota] ~ .ZZ
If totat of #4 is the same as, or less than ~2, you have met the intent of
58C G006(c}i. - ~ `
To utilized the total envelope system method, the values.established by the
sum of items ~3 and A4 shall not be greater than the sum of itens ~1 and ~2.
~ , 2. _
3. + 4. _
MATERIALS Therm. Hesistance "R"
Szterior Air
5lding }faterial •y$
Sheathing z . 06
Insulation - 1~_
Shsetrock •~/5
Interior Air • L g
Studs y3 g .
Rim A g
ConC. BlkS. /•2 S
. , .
i
RESIDENTIAL
BUILDING PERMIT APPLICATION
r - CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ a~
~ S 65'1-681-4675
NewCanstructionReauirements RemodaVReoairReauirements ~Kl..~--~~ 4^~f~
• 3 regislered site surveys showing sq. ft. of lot, sq. R of house; and all mofed areas • 2 coDies of plan
(20°k maximum lat cove2ge allowed) • 1 set W Energy Calculations for heated add'Aions I_~.~ Q~_
. 2 copies of plan showing 6eam & window s¢es; poured (ound design, etc.) • 1 sile survey for e#erior additions & decks
• i set of Eneryy Calculalions . Indicate'rf home served by septic system foradditions
. 3 copies W Tree Preservation Plan if lot platted after 7li193
• Rim Joisl DeWil Options selectian sheet (bldgs with 3 or less untls)
DATE ~ ~ZI "d L VALUATION ~S~• dD
JOB SITE ADDRESS ~ 73I ~lliG~ Wl~ TIZ .
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~/^flv D P rve~ r~ lei^a c~ e rwraw _
~ 7~
TYPE OF WORK ~~t,~ ~~S Drccl~. ~I H~• IF RE~LACE( _ 1_ 2 S~~,C~.
APPLICANT 0 rwian ~ PHONE# bSI-~f~O~9/8~{
ADDRESS~f7
3~~ A w c.P T1Z. ZIPCODE• SS/'a~
PAGER # CELL PHONE # ~`a -qg7 -~s~3. FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksbeet S 't~d ~ ~ ~ ~ ~ ~
- Energy Envelope Calculations Submitted
_ MINNESOTARULES7672 JUN 21 200
- New Energy Code Worksheet Submitted
By
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery Syslem
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 2002
OFFICE USE ONLY
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool CI 30 ,Accessory Bldg
? 02 SF Dwelling ? 08 08-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 (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ~ 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 ~emolish (Bldg)* ~ 43 Reroof 46 WindowslDoors
E~ 34 Replacement *Demolition (Entire B dg only) - Give PCA handout to applicant
Valuation ~4 Occupancy ~,~j'~:!- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units T Sq. Ft. PRV
Nbr. of Bldgs ! Length Fire Sprinklered
Type of Const _ r rv W idth
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
~ Footings(deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC~/ / ~
_ DrainTile x Other/~f7n/~tyi,/ f'' ./~/!y/`~CY'
Roof Ice & Water Final Po I Ftgs Air/Gas Tests utal
_ Framing )j Si ' Stucco Stone
_ Fireplace _ R.I. Air Test Final T~[ Windows (new/replacement)
_ Insulation ~ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge ~ rr,~
Plan Review ~ ~
MC/ES SAC
City SAC r y~~ J S/ Q~ ~
J /i/ c/ I
Water Supply & Storage t
S&W Permit & Surcharge ~f"/'{--
Treatment Plant / /
rV
Plumbing Permit
Mechanical Permit ~ /(~~j'~D~
License Search l~ n g~ ~t'd~~~~
%r ~x`~
Copies ~ ~
Other
Total
A~BE ,
j ~ ~HAHNtA1 nd~IAHD fSUAV~YOAS
ENGlNEE~AtNG .
C4MPANY, iNC: ~ ~ ~
~ ~ID00 WT t4if~ 37RCCT, 6URHSVILLC, YINHLSOTA SSSST ~H ~72-3000
Ccr~ ~'~'GCC~~ c~,~c.~-v'~y
~
Ia~t I.`~.:crL~~ton •
L07 l, BLOGK 4, PARK R1PGE
OAKOTA GouNt'Y, MINN85oTA,
R/ip~E,
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yC
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p,A~NA6~E Mlo ti71L~TY 6ASEMENT . ~xJ 3~ ~!s ~ ~ ~ ~
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1~O~u.rES D~R~~r.~r oF
' i.ai ~ t0 SJRFAGE 1J~TA~~At+E
hereby cettify thet this is a truo and correct rGprer,~sntation of a tract of land as shown ar
le~Cribed hereon. As prepared by me on this /~*t day of ~n~ , 19 ~3
~2.t~•~ M1I7RC^a0t:~ Ilcgistration No. l~o$~