4740 Ridge Wind Tr 4
~ , . '
CiTY OF EAGAN ~ ~
, 3830 Pilot Knob Road, P.O. Box 21-199, Eag~n, MN 55121
' PH ON E: 454-8100
BUILDING PERMIT Rece~Pt ~jF
Te M ~ fo. . ' . `r ~ Est. Val ue $ h C , U pate ` ` ~ ~ - ~ , 19
, y;~;; , Erect ~ Occupancy
Site Addreu '
Lot Block ~c/Sub. ~ ~ ~ ' !1~ : i: _t Remodel ? Zoning
Repair ? Type of Const.
Parcei No. Addition ? No. Stories
S I i~! ~ Move ? Length .
~ N~^g ` demollsh ? Depth
Addrets ~+l.K AC . Int ImDr. ? S4. Ft.
City Phone ~ ~ Install ?
ApProvals F~~s
Name
Addreu Assessment Permit
City Phone Woter E~ Sew. Surchar9e
Police Pian Revlew ~ : .
tW Neme :i ;t '-4~2K 1J.~1.~~i;L Fir~ SAC . t)C
W
~Z '1" i ~ - ?T~7i .
Addreas ' Enq. WeterConn.
~uZi City Phone ~ 1 r`~ ` Planner Water Meter U 0
Countil Roed Unit •
1 hereby acknowiedge thot I have reod this opplicotion ond state thot g~dg. Off. Tc PI. L•
ihe info~motion is correct ond ogree to comply with oll upplicable APC
Stote of Minnesota Statutes ond Ciry of Eagan Ordi~onces. Parks
Var. Date C~iea
Siqnofurc of Pertnittee ~ Total ~ ' " ~ ' ~ '
A 9uildin9 Permit is isswd to: on tha exprcss conditior? Iho~
oll work sholl be done in ocaordorxe wlth all oppliwbls Stote of Minnesoto Srotutes ond City oF Ec~on O~dlnonces.
BuJldirp pfflciol
Pamit No. Pwmk Hold~r D~a Telsphone X
Plumbinp ~ c~,LlL.L/~-~ ~ ~ ~ ~ -
H.VA.C. ~ W~.. Z~ ~7 T~ I S~
E~~ 5~(5Y d~ r-L o 8s 3a 5-t~
Softernr `
Infp~rtion Date Insp. Othsr
Footings 1 ~ ~1
Footlnys 11
Foundation
Freminy - ~
Roofiny
Rouyh Plby. _
Rouqh Hty.
_ w
Insul. ~0 - ~
Finplac~
Fin~l Htg.
Finai Plby. •
Flnal Q- ~f
C4rt/Occ. ~ C (V
W~K D~scribs LoCation:
WMI
S~w~r
Pr. Dlsp.
Receipt ~ PLUMBING PERMIT Permit No. J
CITY OF EAGAN .
~ Fse
, } Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
Tti2
3. Job Address S i 5/c . w.,.~ot - Blk.~~ ~ Tract ~
J
4. Owner ~ c 1, C
5. Contractor r ; Phone cL~ c=~~' 7~
J/
6. Address i i / '~/r~ _ ~
7. City >i~,~! .4~-~ State r 7 _ Zip ~ c_ ~
8. 6uilding Type: Residential Commercial ? Institutional O '
9. Work Description: New Add ~ Alter ~ Repair ?
10. Describe
11. No, Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
6ath tubs Septic Tank
Lavdtory Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. t 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
_ ~
R~csipt ~J J~'~~' ' MECHANICAL PERMIT P~rmk No.
~ CITY ~F EAGAN FN : , ,
' S ~ ~ fll! In numbered spaces S/C . `
~ - - -
~ ~ ( _ ~ TYPB or Print leQibJY -
, Tm.
1. Dste ~ j. 2. Instellation Cost
. .Z y. , _ . - . '
3. Job Address w Lot Blk. " ~ Tract
a. o~ . .
5. Contractor ' Phone
8. Addresa ~ 2~
7. City ~ State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Deacription: New ? Add O Alter ? Repair ?
10. Descxiba Fuel Type
11. No, Epuinme~t STU - M. Ea. No. Eauiament CFM
Forced Air ~ Air Handling:
~9 -
Boilers Mech, Exhaust '
Mfg.
Unit Heater
Mfg. Otfier
Air Cond
Mfg.
Gas, Pipi~g 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 inel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
CITY UF EAGAN Remarks ~J/ I/ ~I~U'~'`~
,4ddition PARK RIDGE 2nd ~ot 5 B~k 4 Parce~ 10 56751 050 04
ow~er screet 4740 Ridge Wind Trail State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt date
STREET SURF. CO/ / ~f
STREETRESTOR. 19$S 492.~~ 32.8~ 15
GRADING
SAN SEW TRUNK 1 82 159 37 10.62 15 0 CD/ i d,l~
SEWER LATERAL s ii ~ r
WATERMAIN ~GD 1985 642.54 64.25 10 " C'-O i~ I'
WATER LATERAL
WATER AREA /O(p. / / ~.f~
STORM SEW TRK 1 ~ 3 0. 3 2 7 15 O ~ 3 l d
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
UTllt. •
WATER CONN. •
6UILDING PER.
SAC
PARK
i
WATER SER~?ICE PERNUT ~
CITY OF EAGAN
3830 Pilot Knob Road p~M4T ND•~
P. O. Box 21199 ~
~ Eagan, MN 55121 '
~ ~ ,,,.;P,~ ~~~qo al~~~~ies
~ zw,ir+o: _ ~=.~~r. :~~j ~ . Et~.
; LL n~~(~;~~•`'-~;_r... . nii~'1'_•
~7 ~ iZ ~ c.~(~,'-- : --,f . , `i `1r - y
$ite Address: -t«t:' ''~'1 l~t'.*C~ b , ~'~i3.. ~f?!' . ~{?tXi
~ p~u~nbe~: ~ ~ C~ 7 _ Corvnection Cha~~~ 15
~ ~f NO. ~ ~ e ~ /tiCppIJ11~ ~8~~: 1~: . ,1 r` : .
~ - ~ p,~.lit./ ; ,
Siz~: Permit Fee: _
~ -
~ ~ Na.: Eeqe~ Surcha~~ i? ~t-'~ TP
1! 1~!~ h oew~vhr Misc. CF?o?D~~ ~•;fh~
~ Orri Total: ,
} p~ Paid: ~
i B'' i"'a• . ~l
. i+.sc•: ~o ! ~ g s
CITY OF EAGAN SEINER S~VICE PERII~R
3~33d Pilot Knob Rosd P~~T NO.:
P. O. Box 21199 DATE:
Eagan, MN 55121 j
No. of Units: i
Owna~: ' ~ ~
Address: _ ~
,1 riC ` r
, ~ ,
Site Addross: ' Ridr~~ ~
Plurt~~: ''i `.~'?"'_{'.I F i~ ' i~t <<'ri : . • ; "
_ i . - ~ E~1y - r;
prM h p~0lf,wilU 1M Citf? ~f y!°w Ca'naetion Char'Os. ~
~ Acaourrt pepo~it: ' r
OeAl~eaa
permit F~e:
Surcho?Oe:
Misc. GM~
By
[iate of 1rup.: Totol:
pate Paid:
Insp.:
CITY OF F4GAN WATER SERVICE PERIMR
38'sv Pilot Knob Road pE~~T NO.:
P. O. Box 21199 DA7E: ~
Eagan, MN 55121
No. of Units:
Z~~ • '•.~t.C:r, .r:tc:
r:
~~OSS. i-j?~) R1C~ t'1:2~''. i'?~ l.' -
Site Addrcas: } ~r~_,,., . _ • _
~ I P~IN~'IbQF: , ~ ~r ? ~x.171 ~ - - _ , i ~ ,
:i~ .i1~~i:
' Metar Na.: Connecffan Chor9e:
Acoount Deposit: . _
• Size:
~ t Permit Fee: ,
[teodsr No.:
~ y~ h oe~n~h +~?iN~ 1M CN7 of Leln~ SuK4rargac :
Ordtwe~a~s. Miac. CFaroes: _ _ ~
•:i_; > ,
Toto1:
Dote Poid:
By
pote of I r?sp.: ~ ~
, ~ _ ' _
~;s e4~es o;d o- 8S
,e ~~~ns r~om
0 054540 3~ u~'~~ R~ ~ ~ s-v
Reouest Date Fire No. Rou -in Insuection ~
fle~ui tl? ~ReaAy Nuw ~il No~ify, InsPec-
/ ~s ~No ror When Ready
icensetl Ele r cto~ raby requast ins0ection ai ebove
? Ow electn werk ins~alled at
reet Address, Box or floute No. CitY
~CJ~' .5 ~yIOC,~ 'ii~ fcz~~^i ~ e.
cimn o. T nshi0 Name or No. Nange N. Count/I~y~e~ .
1
OccupantlPqlNT) Phune No.
,J es 3~ -/5~ .3
Power $u001ier AAd ess
~
Elec[rical Contractor ompany Namel Mracmr' License No.
~ 0~'~-?~
Mailin9 A~~ress (COnt~actor or Owne~ M3kinp Inslallatio 1
8' S.r3 7~
Authorized i nat Vac r Own akina Installa~io ' P e N m er Q
~ ~ / O
MINNESOTq STAT . AXD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Midwey BI g. - Room N-791 BE ACCEPTED BV THE STATE 90ARD
7927 Unive~silV Ave., Sl. Peul, MN 55t04 UNLESS PflOPEN INSPECTION FEE IS
Phone 1612) 297-2711 ENCLOSED.
nEQUEST FOR ELECTRICAI INSPECTION ee,ooooi-oa
/ , Sea insiruc[ions for como~eting Mis iorm on beck of yellow copy.
~ O~~~~ O ~X"' Befow Work Cbvered by This Request q-~~.
Adtl Rep. Type of Builtling Apo~~o~ces Wired Equipment Wired
Home~ Range Temporary Service
Duplex Water Neater lightin,y Fixtures
Apt. Builtling Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner BWk Milk Tenk
Farm iher pec~ y Otherl5ueciNl
t ar ueafy ther Oth¢r
ompute lnspectron Fee Below
k Fee ServiceEntranceSize tt Fee FeeAars~Subfeetlers 'M Fee ~Circuits
0 to 200 Am s~~ P 0 to 30 Am s j 0 tn 30 Am s
~ Above 200 ~qmpy 37 to 100 Amps 37 to 700 q 5
Swimming Pool Above 100_Am ~ Above 100_Am ~
Transformers rn ation Booms Partial%Other Fee
emerks Signs Special Inspection 5~ p~ TOTAL F ~
~ a-
RouBh-in Da[e , ~he Elechicel
•
Y ~ l0~ ~"f Insoectoq hereby
~ certify thet the abova
Final ~^~e ' pection has been
~ ~'~'~pZ made.
Thla request wi018 montlu irom
CITY OF EAGAN N°_ O H O 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
oU1LDIN6 PERMIT Receipt #
Te M wed fe~ SF DWG/GAR yalue $60 ~ 000 pafe AUGUST 15 ~q 85
SiteAddreas 4740 RIDGE WIND TR Erect ]Q Occupancy R3
~o< S aiock 4 Sec/Sub. P~K RIDGE II aemode~ ? Zoning ul
Parcei No. Repair ? Type of Const. ~
Addition ? No. Stories
RUSCON HOMES INC tutove ? Le~gth 40
W Name Demolish ? Depth 47
Z Address 14530 PENNOCK AVE intimpr. ? gq.pt.
~ City A•V• Phone 432-1433 install ?
Zg Name $~`7E AVVrorob Fa~ea
V~ Address Assessmenr Permit '1,-00
City Phone Water 8 Sew. Surcherge 3 0. ~ ~
Police P~an Review 156.50
GW Name PROBE ENGR/MARK NAGEL
fw Fire SAC 52rJ.0~
x~ Address 14530 PENNOCK AVE Erq. WaterConn. 500.00
~W City A-V. pho~e 432-20Q4 p~a~~~ Wate~Meter 63.00
Council Roed Unit z 8 ~ 0
1 hereby ackrwwied9e thnt 1 have read this application nrd stote that g~dg. Off. $~~.S~H Tr. PI. 132 .
the inlormotion is Correct and ogree to wmply with oil opp~icable
State oi Minnesota Stotutes ond City of Eogan Ordinoncez. AP~ Parks
/P p / Vaa Date Coples
SipnMure of Permitfee (~((~U~-'~ ~~l' 1, 999. 50
RU CON HOMES INC 7ota~
A Buiiding Permit is Issued to: on the express caditlon ~ho~
olt work sholl be done in atcordante with oll ap~~ Sta} te ot Minn to ures ond Ciry of Eaqan Ordinonces.
Bu{Idinp Officiol ~-'`~~-e~'-
~
~
~ •
~o
~
1985 F3UILllII1C PERtiIT APPLICIlTIOt1 - CITY OF EAGAN
NU'fE: ALL CONTRACTORS t1UST IIE LICGNSED WIT}I THE CITY OF EAGAN
INCLUUE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
ba
To 8e Used For: SinQle Patuily Valuation: ~cU,Gl'7p. - Date:
Site Address: ~~_~L qFFICE USE Ot~LY
Lot: ~ Block ~ Sect/SubPackRic e~- Erect X Oecupancy (Z-3
Remodel Zoning R-~
Pareel ~i Repair Type of Const SL
Addition ~ !t of Stories
Owner ~~r Move _ Length ~
Demolish Depth 47
Address _ Int.Impr, ~ Sq Ft
Install ~
City/Zip Code
Phone _ APPROVALS FEES
Contractor RUSCON HOh1GS, ING Assessments Permit 3(3. =
idater/Sewer ~ Surcharge '~'j.`L
Address 14530 Penuock Aveuue Police ~ Plan Review ~ so
Fire SAC r~-2~_='
City/Zip Code AUple ValleV. l`N1 55124 Erigr Water Conn r~-po,°°
Planner Water Meter ~3
Phone 432-1433 Council Road Unit 2.(~.
~-Mark Nagel Bldg Off ~ Treatment P1 ~3 y.=
Arch./Engr, Yrobe Ln
i,g r~eerinQ APC Parks
14530 Pennock Ave Variance Copies
Address 100U E. 146Ch St. TUTAL ~~q -S Q
Apple Valley, h1N 55124
City/Zip Code Burnsville h1N 55337
Phone # 432-3UU~
2S ~.4a - I~x 54 = 54~n~ . ~ ,
. ~ .
. , .
22- Z2 = 4r~4x )l - 5324 ,
S~ 3z4-
AOBE ~ONSUlTINO EN3INEERS
ENGINEEAtNG P~pNNERS ond LAHD fURYEYORS
COMPANY, INC.
1000 EAST 146N STNEET, BURNSVILLE, IAINNESOTA 53'r3T PH 432~3000
cer-~z}'i cc:~c.~ Sur~r-e y ~
~[oa1 Iae~tcrtz i'ost: LDT S, B[OCK 4, PARK R/AiE 2N~ AOD/T/DN,
. Dr9KOTA CDUNTy~ M/NNESOT,9.
~ pRA/.NAGE UT/L/ry
=,,~~'~T, p3a~
` EASEMENT
- . 'J
~
i ~ .r/~ A
\~s~
e
}
'c'7-
. ~j• ~ - • p
ID / \ os
o ~~i O ` ~ ~ .
~
NORTH aq o / ~
SCALE: 90' ~1 Iao ~ ~
~ (~3,~(~~ ~ ~
~ >
\
e1•~J ~ ~t / •
? ~s~. ~',~33~,.
f/~39'0 ~ •o ° s~ / ~
- ~ ~
~,~~v71 / ~ y,o -o1J ~
L~~' ~ b 1 0 / ~ ` .
~ ~~1 ~a o \ \ ~y I Op G i~~
1~ r ~ ~ : ~ ~~~5 p~t~
2, ~ ,,e~ 9 ~ d ~q ~E
o~ 3 ,2~ ~~~~v
~ fRo~p,~
~o o} '"C? ~p 5E1
0
~ ~ ~
~z \ .
~'~.y ~7 ~yqo,o
f pENOTES EX/ST/NG ELE/~r9T/ON
y°~ Z~j 9~ DENOTES P~pOPDSEO ELEl~.9T/ON
~ /NDlCATES D/RECT/ON OF SURFACE'
~ DRA/N/1GE
~
F/N/SHED GARAGE fLDOR ELEtf•9T/DN= 9Rf~~83
I hereby certify that this ia a true a~d correct rnpreeentation ot a tract of
land as sho+m'and described hereon.. As prapared by ma on this :~r~/ day of
A~sU3r , 1985.
~ Hinn. R~g. No. /~oas
.fr .Y Yl071>C.. ~~~/6S~3x1•I ~ G/9~/2..; 3T'~n
!e;'~. ~ . F ' t~
, 3tt~et~L'vt ,'a ..y~ -;,_...N~e~;- Qus~~,~ I-~owr~-S I~UaN l OCx-' .
Dd6 ~ . j+w XddTQ68j ~ . ~ .
HEAT'LOSS CAI.CULATIONS DEPARTtitEN"f OF INSPE(:"f10N
' ~'.Weathentrips A.S. Constructio~ No. lnwla~ion
Guide II `
Jindow~ °~IF"'' Doon Reftrence II Out. Wa11 Int. Wall Ceiling Roof Floor II Kind How Applied
o-
o~'' '
Ye- s-~ ~ 19_ f ~
' F7.~'~-D1 N Room LcngiA ~ Width p° Height ~ FLI F.q - b~ Room ll.ength ~ j`~lidth 12` Height 8`
Windowa and Doon-Crackage and Area ~ o° Windows and Doors--Cratkage and Atea
~ 1YiG~p He~f~~ No. ot Llnul fl. Ares Wm~~ Helt~~ No. of Llnul tt. An~ " .
~o~~ nfpane olp~n~ bt~u' olcnak ~p.It. ' No. o(p~v ofDao• 11[~~• oter~ck ~V.ft.
: o~-- 8~ S6o 2 ~ c> l~°~ 36 1 ll.,:~ ~~d ~15°.
. 12 °
Coef. Beu Coef. Beu
In6ltration ' .',L yo 1260 Infiltration 3H• c~ 13 ~o
Glu~. y0 Sa 2 o Glas~ Z~( 2oc~
Exp.'wall' ' - /!o~' FaP. wall Zlco
Net exp. wall 17.PJ 7h Net exp. wall /92 I/ 52
Inf. wall~"~ ' ~ 1nt. wall
Ceiling~ ~ ~ ~l0 ~it~C~ Ceiling • /S~ `~oo
Floor ^ "
Floor
7uul Btu. ~ 5 9 To:al B~u. v6 3 Z
Requ'aed sq. ft E.D.R. or aq. ins. W.A. Leader area Requircd eq. !t E.D.R. or eq. ina. W.A. Leader ares
Fl.~` Room l.ength Width b Height F41 RoomlLcn th Width ,i Height
I '~'~4~r1 • s I o . S
' Windowe and Doon---Crackage and Area ii e Window~ and Doors-Crackage and Atea
~Yldt~ NUf~t No. o! L~n~al [l. wn~ - WIE~~ Htlf~l N0. ot Lln~~l ft. Ar~~
Na. ' otD~~~ o(D~~• ~I~~U olcrocY w.«.
No. o[ D~n~ ot wn~ 11~~<~ af eraek q. R. .
2 za 3~ ~o.
- - ~
Ss
Coef. Bw tu i
[nfiitration •4 ~-/o ~ d'(o~-f Infiltntion
Glau ' .(c S~ 6 o Glau ~
Etp. wall c~ 2 ~p. wall
Net s:p. wall b C/ 7/ Net exp. wa11 ~l S Co ' L~ o '
Int. wall - ~ ~ ~ Int. wall ~
Ceiliny~ 12~L•S J ~03 Ceiling s Z
Flwr ~ ~ ~ Floor ~
Total Bw. ' Z~~-f Total Bm. S 6
Required sq. ft. E.D.R. or sq. in~. W.A. L.eader arca Required :q. ft. E.D.R. or aq. ins. W.A. Leader area
I FI. i~1Z-1 Room ~Length ~ Width 18 Height 8 I F7•~ ~'oY~(L RoomlLength / Wid~h 7Z Height 8'
Windowt and Doan--Ctaekage and Area 1$ Windowe and Doon-Craclcage and Area
~ wiam n•ian~ no. oa Lme~l !t. An~ ~ WIG~~ . H~I~~I No. or nm..i n• wn. ~
No. nf p~n~ of D~ne IIF~~• of cnck ~p. 1[. Np. ot p~u~ o[ D~ns II~hU ot cr~ck W. It. ~
ZL ~ ~ ~~a 1 W 8 d2 ~~er.7 . . . .
~ a ~ ~ ~ ~ ~Q
Z
Co~f. Bm Co~f. B~u
lnhltration ~ Z3 ~/o ~jZo Infiltration ~ 7.G ~!O ~ 1 So ~
Glea /co 5~ 80o Gla~e j4,.7 bZi [ S '
Exp. well ZZ$ Fsp. wall 5~~' ~
Net eap. waU 2~ Z 6 ~ 2'7 Z Net exp. wall 2/ •3 la ! Z
Int. wall , Int. wall
Ceiling 9Z,5 Cei~ing 7$to 7~ :
Floor Floor 7b7o $ ~ 7 g' :
Tofal Btu. 3 ~ 7 Total $tu. ~l Z23 ~ ~
Requirrd ~q. ft. E.D.R. or sq. in~. W.A. Leader aree Required sq, fL E.D.R. or sQ. ins. WA. Leaslcr ~na ~
, ~ ~ . . '^rs.. ~ ~ . . .
~
, y
•
" She~t'' •3. 02' 2' ::r ,~e> N~e e er~sc.,o.~ 100o c, i= / sF'
.~6 dddreea :
HEAT I.OSS CALCUUITIONS o[PAR'rNEn oP INSPEC 'nON
Wealhentripi- A•S.H.V.E. Comtruction No. I Imuletion
Guide
dow~ ~ poon Rcfermce Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied
no ",:Ye- a~IT ~ ~ 19_
FI.I "Room Length / y° Widih 3Heieht g° FI.~ Room ~ l.ength Width Height
W~ndow~'and Doon-Crackage and Area Window~ end Doors-Cnckage and Area
~l1'1.11? IIMf~! Na of Llnql ft, AN~ WIJI~ Il~l~pl Nn.
o( Lln~~l fl. Af~~
•.•f Din~ af D~n• IyIU• of C~~ck ~Q fl. No. of D~n• of pYn~ 11~[LI• of R~C4 ~p. It.
Lo ~ - / y 0.6 )v
. . I S.a
Coef. Btu Coef. Btu
illration~.. ~ ~ S9,Z ~l0 23fo InfiliratioA
asi'"~~.~«, c,:". 43 J~ Sa 2! bU Clan
p. wall ' 2~ ~P. wall
t exp. wall ^ fo I I 7 Net exp. wall
. wall'. Int. wall
~~~nR' z~ .2. S Q7l II Ce~linµ
anr-a,.. ~ . .
fltior
~tal Btu.•• ~ I Total Bw. ~ ~ ~
•quired sq~. 4~. E.D.R. or ~q. ina. W.A. Leader area ~ Reyuired sq. (t. E.D.R. or ~q. ine. W.A. Leader area
Fl•~a~^,~,~E c,~Room Length y s Widih /O Height F~,~ 1Zoom I Length Width Height
Windows and Doora-Crackage and Area GJe~a Windows end DoorrCracieaQe and Arca
N'ICth Ne~inl .No. of L~nul ~t. Are~ w~mn HUf~~ No. a! Unul It. wn~
of D~n~ oI Y~n• p(hl~ ot <roc4 ~y. tt. No. of 0~~• o[ p~n~ IIfM1~~ ot enc• ~O. f~.
7 2y ~Il ,J 8,0 2s
`20 !v, fr
i
' Coef. Bw oe . tu
6ltnlion ~ 123 ~7 yo ~i yv ~ Infiltration ~
~3.2 3~ ~lr c~o cia:6
tp. wall~ ~2~~ - ~ Exp. weli _
:1 eap. wall y3v.g (0 2ro 20 Net e:P. wall
t.~wall' Int. wail
riling . ~ Ceiling . .
~~~.r ^ Ploor
~~al Bw. !7 ' To~al Btu.
rquired sq. fl. E.D.R_or sq. in~. W.A. L.eader area I Rcquired iq. ft. E.D.R. or eq. iri~. W.A. Leader erea
~'I. .Room ~ Length 2 j Width ~a Htight Ci/ Room I L.ength Width Height
Window~ and Door~-Ctackage and Area ~ ~Window~ and Doon-Crackage and Area
Wldl~ H~Itn~ Ho. o( Line~l f~. ArN LIO o WIJI~ H~I~M1I No. of Lln~ol ll. Aru
! o~n~ of pene - II~~I• ~nvk ~p. fl Na. of v~~~~ ot p~n~ II[~~• of c~~cY ~y fL . .
, ~j~ . . .
Cocf. Btu Coef. Bcu
~fillralion ~ ~ " ~ ` ~ lnfiltration ~ ' '
Ju~ ' . Glata
~p. w~l~ ' Eap. wall _
let e:p. wall . . . ~j2o ,Zyoo Net etP. wall ~ ~
n~. wdl' . ~ Int. wall ' . ~
,
'.eding~ ~ ' Ceiling
'Ioor . . . ~CO~ 30~o Floor ~ .
~olal Btu. . ~[~q0 Total Btu.
Zequirrd :y. h. E.D.R ar .y. in~. W.A. L.~ader aree Required sq. fl. E.D.R. or sQ. ins. WA. ~.eader area
_ _ ~ -
_ _ , . . . : ,
: ~ . ~ ~ .
. - EXTERIOR ENYELOPE AVERAGE "U° COMPU7ATION r,_,
~owr~~R ~ - - - ~ - ~ ~ 1 ~Q''~ - . ~ .
y ' ;
~ ; _ ; ~ ~ ~ , ~ , ~ , : ,
s SITE AULIRESS ~ , , : ~,-~r_. ' ~ ~ ~ r: F ,
. ~t ~r . . - .
. ..,t,... . ,:t',
_ . - .
CONTRACTOR C~-u°~C.oi.~ Llo,~.~` DATE.: PHDNE ,~13Z l~h'?i'i
• . . . , . . . . . ' :
Determine working square footage of each.
1, 7ata1 exposed wall area I'1G sq. ft. x,~I1 ~ ~l~
2. Total roof/ceiling area I(~nO sq. ft.~~x o b~ '
7ota1 exposed wall ared above fioor = '~(o(o~
a. Total wall window area , rr°~
b. Total door area • .
c. Total sliding glass door area .
~ • d: Total fireplace wall area . '
. e. 7ota1 wall framing area (average l0A)..,:........ : •
, • .
f. Total net wall area"above floor 1 2~
g. Total rim joist area
Total exposed foundation area = q~S~~ . ~ ,
fi. 7ota1 foundation window area '
1. Toal net foundation area abvve grade
Deterraine "U" value af eacn wal] segrant. •
- a•~
fn~__ n ~iU~~ • 33 5 3,4to_
b. 3Q.~ X .f3 = 4,~4
. c. ,4„~, x .33 = ~JZ
d. ~ X _ ~ -
' e.~~Z 'g , ID = ~
f.l Z7~~ X~~~~~ . na~, = 54.qS .
9• 13n x~~~~~ _ O4 ° S.ZL~ .
f,. - X ~ , _
f3~,Q..,~__ x„~„ ~ 0 7 = f°~O
I-
3 , ..........Total = ~ . >
If item n3 is the same as, or less than it~m ~1, you have met the intent
of 56C 60C5(c)2. ~
° , r : . ~
r +
Yr*'y~r r~~!~kCF~'~t n~ .:,..1 ~i 1~ 1 ' f~~'>~~ ` r-, .
t..~ ' i} ~ a 1 i',~ r r j , t ~-~Ff,;; t .
. . 1 i.' ~":Y . . i f .t'4' f _ ~
A"~ ~ ~ Total exposed roof/ceiling area =~'i~'L
w , . '
l~,, ~ ~ = Total` gross roof/ceiling area..= ~`Lf~ , • , '
. : . : , ,
:3. Total skylight area
k. Total roof/ceiling framing area
1. Tatal net insulated roof/ceiling area....... ,~ItY„~ '
- Determine "U" value for each roof/celling segment.
. X uuu ~ ~ a , . . ~ ' . .
~ k._ •,~Q(') . X uUu . 0 A•' e. . Z,1.~ Ly cw°v.o~ IZ.3z"~usu~ ovcc:
1. `'I~V X uUu D2i ' ° •~~~Q' ,R156 ~~.'~63.1~
.
4 ................~~Q...........TOtd1 • a ~ . .
; .
' If total of ~4 is the same as, ar less than ~2. you have met the intent of ~ •
SBC G006(c}1. . . . . . . . . , ' .
To utiltzed the total envelope system method, the values.established 6y the
• 5um of items ~3 and ~4 shall not be greater than the sum oF itens 91 and ~2.
. . . . . . • , • • • . • •
1• ~ 'i' 2• ~ ° ~
3. + 4. _ •
j .
i •
I
I
' MATERIALS ~ Therm. Resisbance °R"
i
Exterior Air LS
5lding Material . to5 "Iu
'I Sheathing z•°~
Insulatioa - s'ri
; SheetroCk .45 Ci
' Interiox dir .iy
I Studa ~e5 i Pu i"
; Rim i~5
E Cona. Blks. 1,26+~s•~s.sr
~ . .
~ ' ~
~ ' . . . ~ . . . , ~ . •
i ~ , : . : . . , ~ ~ . . ' . ~ ~
, . •
~ -
. ~ ' - -
'
-
r~~''''~ I'
1E=.~ ~
CITY OF EAGAN
, ~ ~'Vr~ , l APPLICATION FOR PERMIT
i SE~4ER AND/OR WATER CONNECTIODt
! (PLEASE PRINT)
1) PP.OPEEtTY ADDRESS: D, I / )
r.Fr~I, DESG4ZPT'IC:I: •
(Lot/31 /Subdivision or Ta>c Parcel I.D. N~r)
i: ~ti~~= :G STRL'CP'i2E, DaT'~. 0= ORiGl 1AL niiILCL`;G P~:~ST ISS~?~C::
PB°_gy^ J....lI>X;~~`°CS~ ~,5~: ~ R-1 S~7GI~ r^P`~SLY •
? R-2 CUP~ ('IT~'O Wi ITS)
O R-3 TCLvI~iIX;SE (THF2F." +~TS) ( Wi ITS)
? R-? ApAR'R~~:T/CODIDQr]NI[]:1 ( Wi ITS }
? COC~tERCIAL/REI'AII,/OFFICE
p L~IUSTRL~L
? INSTITUTIONAL/GpV~.,'qNhg~pr
Z) j{ppj,IG~~T (PLEASE PRIHi)
NAl~~: Ruscon Homes, Inc.
ADDRESS: 1453U Pennock Ave.
CTTY, ST?TE, ZIP: Apple ValleY Mtv 55I24
rxa~: 43z-i433
3) pj,t,~qg~ PLEASE PRINT) POR CITY USE'ONLY
NAi'~: Star Plumbirtg
ADDRESS: 1018 Mound S ri PLUr IICExSE:
, p 'nga Ter. Active
~ CITY~ STATE, ZIP: Bloomington~ MN 5~}F20 0 Expir d
Pxa~: 884-4i49 PLUMBER LICENSE 3329M - N of Pecard
art initia
a) occ.~vrpl~rr/a,~rreR ~p~{p~
ru~r~:
ADDRESS:
CITY, STATE, ZIP:
PH(}:7E:
5) INDIG,TE WHZCH PEPMIT IS BEIiv'G REQUFSTID;
~ CC:~IVECTION 'IU CZTY SE47EEt
~ CO:.'P1fX.TZGV 'I1~ CITY WATER
? 0'I'f'.FR (PLFASE DESCf2IBE)
6) ~,'DIC;.~ C:~:
? PLPaSE F:OID APPROVEp PER~LIT FOR PICI:-UP BY ONE OF F1BC~'E
°IFaSE +*AIL PRWID pE3Z~1IT 'It~ 1, 2,~3 4 ABOdE
(Circle one)
7) SI~~:L~E: DATE:
_
•
~..a:.~a..~,~.~,.E~~~.~.... ~ ~ _
. . . ai ir ir:ssa:~ a If rt~r.l~;r!r.J~ir ~ a~t~s~a~iaaL s
F 0 R C I T Y U S E O N L Y
PERMIT ° ISSUED
~ • .
F°L'S: S /~ScJ SE:'7Eo ncc~~r: (I.TCL:iDE SUP.CHARCcI
$ /G-.S~' WATEB PERI~4IT (INCLIIDE SURCHARGE)
$ ~'~~v WATER METER/COPPERHORN/OUTSIDE READER
$ WATEP. TAP (I.7CiUDE CORPORATION S:OP)
$ S~:~EF Tao
S /~~u ACCOUNT GEPOSIT - SEWER
5 /S
dG ACCOUNT DEPOSIT - WATER
S .C-<-iU. rl-ei WAC .
r
$ ,in'-5. r~ u SAC
$ TRUNK ?VATER ASSFSSf~lE:IT
$ TRUNK SE[QER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE[9ER
$ LATERAL BENEFIT/TRUNK WATER
$ ~ - ' OTHER
S TOTAL
$ , 5 AD40UNT PAID/RECEIPT # ~G,Sa S-C..
DOES UTILITY CONNECTZON REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLZC ROADWAY" MUST BE ISSUED BY THE
~ ENGIN~ERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TfIE FOLLO:dING CONDITIONS:
APPROVED SY:
TITLE:
DATE: S
~ f~+ ~e~ w~ i~ ~w ~c ~ ra s~ l~a ~ w s~~t w~ w.a wt~ s~ ~i~ ,wf~ w_a a~ ~ se ~-r w.a wc~ rt ~a w~
#*ik~?~~vc~c~*;*ak~c~k~~~*~k>!rt*:~c~,:x~c#W*~:~>:*~~~z:k~k .
rTTY r,," EAG~at~~
''GASFi:i~l;s JS TEF;M~.n1aL ~~r~~ 76f3
DAT~e . 10,'cE,lj'i 'sTTi!~: 'O:,:E%
?rf y
T~At4L--~ . nnAt~iii.F'f~:A•c; F'FS'' T~'C.
'.?2~_0 t30~i. s.~4p ~~'nC" Lk1'N:J a'_.25
r.n
.?.1. `.'~1. ~!~7A~C' F?:~:",.~-~~.. ~i.i.iJ., ? ..u.t
321.Q 9itil9. :3~'.~`.'~ f-k"n't_r'C~,~ !:1..2'i
21.`,f ';3i~w:i 38~.'..~ 'n^Si~~;.. - ~:n
~
~ r
fi p
ii~Cal Rpngj~,+ Aro,:3r,~', . E2;.;,]
' CEi99.`S~'':=' ~ ' . .
'•f.!SEI~-' .TDs JCi~V~ . - .
~K~k.'7K~:~Y$"%tk~}'~k.''R:k%k1K}~~' 81kx*;'~8~uk"n.'zY<x M '?e7i*7~7k8
3~~ g~ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~ n,., 3O
3830 PILOT KNOB RD • 55122 °`U
651-681-4675
~j.-7`j i
New Conshucflon ReauiremeMs Remodel/Reoalr ReauhemeMs
> 3 registered sNe suneys showing sq. R. of loT, sq. M. ot ho~~e 2 copies ol plan
and ~ roofed areas (20~ maxim~m lot coveraae allowed) 1 set of energy caiculatbns for heafed additlons
? 2 coples of plans (show beam 3 wlndow ilzer, po~red Ind. design; etc.) 1 ske survey for extedor addN~ons S decks
> t set of energy caiculaHons
~ 3 copiea ol hee preservaNon plan H lof platted aNer 7/1 /93 ~
DATE: ~ 0~~~ Iq-I CONSTRUCTION COST: ~~~i
DESCRIPTION OP WORK: ` ~ ~ J ----1 ~L \r~-~~, J
STREETADDRESS: ~ /`tl~ !L l(1~`I~ ~,l~L`n~ T~c~ ~ e~
LOT: J BLOCK: ~ SUBD./P.I.D.#: r(A~'F-~I~[~~ ~ d
Name: ~~V L~(~ I ~t~t X~~ ~J.C,f~i~, Phone ( D~I - ~d(XJ ~ v~'"L-~
PROPERTY ~ast Plrst
OWNER Sheet Address: ~v /'~l~° I,v~~' c%~.l~
City State: Zip: ~~r~c~
Company: . Phone
7203 East Cliff Road (area eode)
CONTRACTOR Bumsville, MN 55337 License # Ex
Street Address: ~ O p. 3/ ~
C~ MN Lic 1e20139703 State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
SheeT Address: Regtstration ~k:
City State: Zip:
Sewer 5 water Iicensed plumber (reauired for new conslrucNon onNl:
PenalFy applies when addrezs change and lot change Is requested once permtt is issued.
I hereby acknowledge thaf 1 have read ihis appllcation, state that fhe InformaNon is corcect, and agree to comply wifh all applicabl
Stafe of Minnesota Statutes and City of Eagan Ordinances. _
~ Signature ot Appllca~: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No V
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ~ 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 1 S Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ~ 24 Storm Damage
O 05 3-plex ? 10 8-plex it7 15 Lodging ? 20 Pool ? 25 Miscellaneous
l
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ~ 42 Reroof
" Give PCA handou to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P~.
Park Ded. '
Trails Ded. :
Other ~
Copies
Total:
SAC Units
% SAC
5ag1~ RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN /
3830 PILOT KNOB RD, EAGAN MN 55122 J b~ . as
651-681-4675
New ConsaucGOn Reauiremanb RemodellReoair R~uirementa
• 3 registered site surveys showirg sq, ft of lat, sq. R. of house; and ~II mofed areas • 2 cropies of plan
(20% maximum lot coverege albwed) • 1 set of Energy Calalatiois fw heated additbns
• 2 copies of plan showirp beam & window sizes: poured found desipn, etc.) . 1 sde survey tor ezterior additiore & decks
• 1 set of Energy Cakulatbns . Indicale if home served hy septic system tw additians
. 3 copies of Tree Preservation Plan it lot platted after 7l1193
. Rim Joist OeUil Optians selectian sheet ~bldgs with 3 or less uniLs)
~
DATE S'd8 -03 VALUATION P~~, 1~00 - U~
SITE ADDRESS ~I~7~~ ~6~ ~..o ~a.a.:~ MULTI-FAMILY BIDG _Y S(N
TYPE OF WORK'~2.~ovAc~~ 5 ~~b ~.~w~.,. ,,7ooi2SL"~~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT I~c~-T~c -cscit2~n~2 Svw;,.o.~5
STREETADDRESS C~~UI SC)ST" ,A.I~,.n•c. CITY t~c~AS~E STATEM~~ ZIP ~~~49
TELEPHONE #~Xs3-7~ia-Ce?oU CELL PHONE #iaw - Ca~~- ~3-5d81 FAX #
PROPERTYOWNER ~A~r-o.4-dS,~w2,qH uJa~~y+' V-Svks~~~~ TELEPHONE#9~d-83o-OCe7G,
COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE50'Gti RLJLES 7670 CATEGORY 1 MINNESOTA RULLS 7672
(J submission type) • Residential Ventllatlon Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Confractor: Phone #
Pfumbing system includes: _ Water Softener _ Lawn Spiinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contraetor. Phone #
Mcchanical system includes: _ Air Conditioning Fce: ~70.00
_ Hcat Recovery Sys~em
Sewer/Water Contractor. Phone # ~ I`
' r 1 i S ~
uuc ~ )
I hereby acknowledge that I have read this application, state that the information is co t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. _ ~
By
Signafure of Applicanf i''` a~2%
__..__....__~_~.r~..___~_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 78-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 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 O 18 Deck O 23 Porch (screened) ? 36 Multf
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ~ 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 AiteraUon ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacemant 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frazning _ Siding Stucco Stone
_ F'veplace _ R.I. _ Air Test _ Finat _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
~ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY USE ONLY
PERMIT ~ RECEIPT DATE:
200E it~•SID~NTIl4L M~C~~IVIC~FL ~£~MIT ~f'~'LIC~1'~ON
CITY OF EAfiRN
SSSO PILOT KNOB BD
~AfikN AfN 551 EE
651-6$7-4B75
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITEADDRESS: `F / ~~O ~(~L~~v `~Vl~ I 1r~..}.~~
OWNERNAME:~ JJ`NO`~11~u'~ ~'~SI~U~Y~VVQ~~~OW~7~LEPHONE#: t451 (?8~
INSTALLER NAME: ~Cl~ l~JY Y~fUY~ TELEPHONE ~J ^ D3 $3~3
STREET ADDRESS: 6~~ ~ I~~~ ~~S
CITY: I`~ l.~ll7'1~ STATE: Y, I'v ZIP: ~~L~y I
~
Place a check mark next to the permit work type
_ Add-on, modification or alteration to existina dwelling unit .00
• fumace replacement ~ ~ ~ ~ ~ ~ p
• air exchanger I ~ ~I~I
. airconditioner SEP 0 9 2~~2 U
• other
Nature of work: ' l~~`r U t"~
By
~Zl ~l'2a ~'U ~Li~ I~j
State Surchar e $ 50
rota~ S~ ~
~
SIGNATURE OF PL{$p ITTEE
t ioz
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 CORAM£~CL~L M£CH~kNIC~I. ~P~E~tMTd' a~P~PI~C~Pf~TIO1V
C1TY OP ~kH~k1V
3$SO P1LOT KNOS IiD
~s~1v, ~1v 55i 2a
s51-s$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permit are not required for each dwelling unit
DATE: ~ 1 ~ ~
SITE ADDRESS:
OWNERNAME- v~~ - oNE~: (.z~ I -1~g8~~~~c5
TENANTN E(IMPROVEMENTSONLY):
WAS THERE A PREV TENANT IN THIS ACE? Y N. NAME:
INSTALLER: ~
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE
WORK T`YPE: New construction Install U.G. Tank
_ Interior Improvement emove U.G. Tank
_ Processed Piping
SpecifyNatureof ork:
R'hen installin /removing underground tank, call 651-681-4675 jor inspectio by Fire Marsha! and
Plumbing in ector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Undergound tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 For each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERM[TTEE
Updated 1/02
. RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN ~ ~ Q ,
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 ~~J~(~
NawConShuctionReouirementa RemodellRaoairReauiremeMS p , I (
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies ot pian
(20% maximum lot coverage allowed) . 7 set of Eriergy Calalatiare for hea[ed additions
• 2 copies of plan showing beam 8 window saes; poured found desgn, eic.) • 1 site survey for exierior addiBons & decks
• 1 set o( Energy Calculations . Indicale'rf home served 6y sepfic syslem foradditions
• 3 copies of Tree Preservafion Plan if lot platted after 7/1l93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE y- 3-aDVz VALUATION M~'id~ ~j~FS~m~ g ~qSg.25
SITEADDRESS ~F`I~D ~~~9LW~nd MULTI-FAMILYBLDG _Y ?N
TYPE OF WORK ~ur kl~1~rt A D~e~I~- FIREPLACE(SJ ?0 _ 1_ 2
APPLICANT ~v~c~ 4 s~ WP~{~" ~alS~l'aY~1
STREET ADDRESS y7 ~O iO~G ~~~nd T~a,' I CITY~STATE /n~ ZIP SJ~
l22
TELEPHONE #~~~~g" g~6~ CELL PHONE # ~o I Z- 396 ~(~259 FAX #(05~- 688-`jo33
PROPERTYOWNER 4.171?iu 4 San~h V~h~qGt~yVals~ TELEPHONE# ~1'~~~g~6S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~IINNESO'1:~ RULCS 7670 CA'fF.GORY I ~II\NESOTA RULES 7G72
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: Phone #
Plumbing system includes: Water Softener Lacvn Sprinklcr Fee: $90.00
~Vater Heater No. of R.I. Baths
No. of Ba[hs
Mechanical Conhactor: Phone #
Vlcchanical sysle~n includes: Air Conditioning 70.00
• Heat Recovery System u
Sewer/WaterContractor: Ph D~SEP ~ 3 200Z I~,I!~,~
- p
I hereby acknowledge that I have read this application, state ihat the informa ~nas ~oRect and agr
e to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
SlgnafureotApplicanf ~,~•!lI~JGL~~'+-~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ~ 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, Alt - SF
? 04 02-piex ? 10 08-plex ~18 Oeck ? 23 Porch (screened) ? 36 Multi
~ O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolitlon (Entire 81dg only) - Give PCA handout to applicant
Valuation p`~p Occupancy /L ~-~i~ MC/ES System
Census Code Zoning City Water
SAC Units ~L ' Stories ~ Booster Pump
Nbr. of Units ~
Sq. Ft. PRV
Nbr. of Bldgs Length ~ Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
x Footings (deck) ~ FinaUNo C.O.
Footings (addition)
Foundation _ Plumbing
- HVAC
_ Drain Tile Other
Roof _[ce & Water _ Final Pool Ftgs Air/Gas Tests Final
- F~~"~g Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
A roved B
_ PP Y , Building Inspector
Base Fee
Surcharge n
Plan Review r 1~G 0~~
U
MC/ES SAC
City SAC ~ ~
/
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies , a~j
Other
Total
'~fo~~ (ONSULTINO EHdINEEflS
~NGINEE(~ING P~RNNEIIS cnd LAND fUflVEYORS
COM(~flNY, INC.
~~1000 EAST 116M STREET,~ BURNSVIILE, MINNESOTA SSJ37 PH 432'3000
Cer~Z~'Z cc=1` Su~--Y-~ t~
j~~at IJ~e.scrt 2p 2o1L: ~or s, B~ock 4, PARK RIG~E 2N~ ADD/T/ON
Dr9KOTA COUNTY~ M/N~Y~sor~,
~y ~ ORA/NAGE ~f` ~/r/L/ry
C~~~~`T~ 3a~` EASEMENT
- ` ~ °J
~l'
~
~ ~ .ri^ S1 .
\~6 ~o
} ~T
+ E ~~R-
2,, E ~ • o
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nd as ~ho+m'and deecribed hereon.. Aa prepared by me on this ~rr/ day of
+~su3r ~ 1985.
~ Hinn. RQ~. Ho. /co.~
L t RESIDENTIAL BUILDI~iG
Permit Application
City Of Eagau O S~
p 3830 Pilot Knob Road, Eagan Mn 55122
~ l~~~ Telephone # 651-675-5675 FAX # 651-675-5694 ~
5
~ .
New Consbuctlon Reauirements RemodeUReoair Reauiremenis Office Use OnN
3 registered site surveys showing sq. ft. of lot sq. fl of house: and all roofed areas 2 copies of plan Cert of Survey Recd
(20%maximumlotcoverageallowed) lseta/EnergyCafculations(orhea[edaddidons 7reePresPlenRecd
2 copies of plan showiig beam 8 window sizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres No! Reqd
1 set of Energy Calculafions Addi6on - indicate ilon-sde sepNc system _ On-stte Sep6c System
3 copies o( Tree Preservatlon Plan i( lol pWtted after 711193
Rim Joist Detail Options selectionshcet (bldgs with 3 or less uni4
Date / A Construction Cost D d U
Site Address y 7 y O ~ i~ r~ ~Jl T a Unit/Ste #
Description of Work ~ ~~e~'°~ 1J« ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner S'~~~ ~ t ~a va w~+~~~ - wa ~S ~ ~o Telephone )
Contractor ~~S ~ ' ~ ° "
Address iYl~-r Ply~.~~ City QN/~~llc
stace I'1't N z~P SS 33 ~l Telephone #(S ( L) P6'] - l 0~/ ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mianesota Rules 7670 Cate~orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventlladon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Enargy Envelope Calculations Submitted
ticensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone }
' ~
~ ~ '
I{'~~~23~n~ j~
I hereby apply for a Residential Building Permit and acknowledge that the information is comp e and accurate;
that the work will be in conformance with the ordinances and codes of the Ci ~ yof Eagan and the St e of MN
Statutes; I understand this is not a permit, but only an application for a permit, an wo'
r
c~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.
~C~$ ~ a ~ L a C
ApplicanYs Printed Name Ap 'canYs Si ure
' OFFICE USE ONLY
r" .
Su6 Types '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF ~welling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex `~^18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
p 06 04-plex ? 12 72-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Vnt Improvement ? 38 Demolish (fnterior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldgy' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation l~77 Occupancy MC/ES System
Census Code --p~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bidg) FinaVC.O.
~ Footings (deck) ~ FinaVNo C.O.
, Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Finai _ Pool _ Ftgs _ Air/Gas TeBts _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final , Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By ~ Z- , Building Inspector
Base Fee
Surcharge
Plan Review ~~Q
MC/ES SAC
Ciry SAC r
Utility Con~ection Charge ~ j ~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies ~
Other
Total
fl
~ ,
~ •
'f` OBE
~ NGINEERING ~OMSULTING EHGtNEE11S
~~,rt PIfINNE1lS and IpND ~UNVEYORS
COMf~f~NY, INC.
1
~;.~~~1000 EAST 1~6N STREET, BURNSVILLE, MINNESOTA 5S33T PH ~32-~000
Cer~i}~i cct~ ~C~ire y
~ Qq~ •crt~tcrt • LDT s, B[ac~ 4, pARK R/a'E 2Na Aav/rioN,
~•9K4T,9 COUNTy~ M/NNESOTi9,
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-4~ /ND/CATES D/RECT/ON DF SURFACE
~ DRA/N.SGE
~
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her~by certify thaL thia is a true and carrecL rapreeentation ot a tract of '
nd ~s thown'and deacribed hereon.. As prepared by me on thi~ day ot
*-FSU~r . 19aS. '
~
lfinn. 1les. lfo.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4740 Ridge Wind Tr
Lot: 5 Block: 4 Addition: Park Ridge 2nd
PID:10- 56751- 050 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Softener
New
Water Softener
Manufacturer
Cherie Pung
1424 3rd St N
Minneapolis, MN 55411
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Serial Number
$50.00
$0.50
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Remote Number
Owner:
Tste David K Wright - Walstrom
4740 Ridge Wind Tr
Eagan MN 55122
0801
9001
Issued By: Signature
Plumbing
EA091510
10/07/2009
ePermit
Line Size
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111402
Date Issued:06/21/2013
Permit Category:ePermit
Site Address: 4740 Ridge Wind Tr
Lot:5 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Tiffany Kline
4000 Winnetka Ave N Suite 100
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tste David K Wright-walstrom
4740 Ridge Wind Tr
Eagan MN 55122
(651) 688-8465
Total Comfort Heating & Cooling
4000 Winnetka Ave. N #100
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160896
Date Issued:04/22/2020
Permit Category:ePermit
Site Address: 4740 Ridge Wind Tr
Lot:5 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Tste David K Wright-walstrom
4740 Ridge Wind Tr
Eagan MN 55122
(612) 237-7291
Easco Plumbing & Heating Inc
7965 Pioneer Trail
Loretto MN 55357
(763) 498-7957
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161971
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 4740 Ridge Wind Tr
Lot:5 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-050
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 -
Tste David K Wright-walstrom
4740 Ridge Wind Tr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161971
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 4740 Ridge Wind Tr
Lot:5 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-050
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 -
Tste David K Wright-walstrom
4740 Ridge Wind Tr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162595
Date Issued:07/21/2020
Permit Category:ePermit
Site Address: 4740 Ridge Wind Tr
Lot:5 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tste David K Wright-walstrom
4740 Ridge Wind Tr
Eagan MN 55122
(612) 396-6259
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature